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   &lt;div align="left" style="font-family: 'Times New Roman',Times,serif"&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 12pt"&gt;&lt;b&gt;6. Long-term debt&lt;/b&gt;
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;Long-term debt consists of the following (in thousands):
   &lt;/div&gt;
   &lt;div align="center"&gt;
   &lt;table style="font-size: 10pt; text-align: left" cellspacing="0" border="0" cellpadding="0" width="100%"&gt;
   &lt;!-- Begin Table Head --&gt;
   &lt;tr valign="bottom"&gt;
       &lt;td width="76%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="5%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="1%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="5%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="1%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="5%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="1%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="5%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="1%"&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr style="font-size: 8pt" valign="bottom"&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td nowrap="nowrap" align="center" colspan="2" style="border-bottom: 0px solid #000000"&gt;&lt;b&gt;September 30,&lt;/b&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td nowrap="nowrap" align="center" colspan="2" style="border-bottom: 0px solid #000000"&gt;&lt;b&gt;December 31,&lt;/b&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr style="font-size: 8pt" valign="bottom"&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td nowrap="nowrap" align="center" colspan="2" style="border-bottom: 1px solid #000000"&gt;&lt;b&gt;2010&lt;/b&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td nowrap="nowrap" align="center" colspan="2" style="border-bottom: 1px solid #000000"&gt;&lt;b&gt;2009&lt;/b&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;!-- End Table Head --&gt;
   &lt;!-- Begin Table Body --&gt;
   &lt;tr valign="bottom" style="background: #cceeff"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;Senior credit facility:
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr valign="bottom"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:30px; text-indent:-15px"&gt;Senior secured term loan facility, expiring on July&amp;#160;1, 2012
   and bearing interest of 2.2% and 2.0% at September&amp;#160;30, 2010
   and December&amp;#160;31, 2009, respectively
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="left"&gt;$&lt;/td&gt;
       &lt;td align="right"&gt;456,748&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="left"&gt;$&lt;/td&gt;
       &lt;td align="right"&gt;564,875&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr valign="bottom" style="background: #cceeff"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;7 3/4% Senior Subordinated Notes due 2015
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;583,385&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;582,666&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr valign="bottom"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;Mortgage loans on facilities, maturing in 2036, 2037 and 2038
   bearing fixed interest rates of 5.7% to 7.6%
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;32,516&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;32,850&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr valign="bottom" style="background: #cceeff"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;Other
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;6,969&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;6,688&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr style="font-size: 1px"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:30px; text-indent:-15px"&gt;&amp;#160;
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td nowrap="nowrap" colspan="2" align="right" style="border-top: 1px solid #000000"&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td nowrap="nowrap" colspan="2" align="right" style="border-top: 1px solid #000000"&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr valign="bottom"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;&amp;#160;
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;1,079,618&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;1,187,079&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr valign="bottom" style="background: #cceeff"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;Less current portion
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;4,436&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;4,940&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr style="font-size: 1px"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:30px; text-indent:-15px"&gt;&amp;#160;
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td nowrap="nowrap" colspan="2" align="right" style="border-top: 1px solid #000000"&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td nowrap="nowrap" colspan="2" align="right" style="border-top: 1px solid #000000"&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr valign="bottom"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;Long-term debt
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="left"&gt;$&lt;/td&gt;
       &lt;td align="right"&gt;1,075,182&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="left"&gt;$&lt;/td&gt;
       &lt;td align="right"&gt;1,182,139&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr style="font-size: 1px"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:30px; text-indent:-15px"&gt;&amp;#160;
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
           &lt;td nowrap="nowrap" colspan="2" align="right" style="border-top: 3px double #000000"&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
           &lt;td nowrap="nowrap" colspan="2" align="right" style="border-top: 3px double #000000"&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;!-- End Table Body --&gt;
   &lt;/table&gt;
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 12pt"&gt;&lt;b&gt;&lt;i&gt;Senior Credit Facility&lt;/i&gt;&lt;/b&gt;
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;Our Senior Credit Facility (the &amp;#8220;Credit Agreement&amp;#8221;) includes a $300&amp;#160;million revolving line of
   credit facility administered by Bank of America, N.A. and a $575&amp;#160;million senior secured term loan
   facility administered by Citicorp North America, Inc. During 2009, our revolving credit facility
   was amended to extend the maturity to December&amp;#160;31, 2011. Quarterly principal payments of $0.8
   million are due on our senior secured term loan facility and the balance of our senior secured term
   loan facility is payable in full on July&amp;#160;1, 2012.
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;Our Credit Agreement is secured by substantially all of the personal property owned by us or our
   subsidiaries, substantially all real property owned by us or our subsidiaries that has a value in
   excess of $5.0&amp;#160;million and the stock of substantially all of our operating subsidiaries. In
   addition, the Credit Agreement is fully and unconditionally guaranteed by substantially all of our
   operating subsidiaries. The revolving credit facility and senior secured term loan facility accrue
   interest at our choice of the &amp;#8220;Base Rate&amp;#8221; or the &amp;#8220;Eurodollar Rate&amp;#8221; (as defined in the Credit
   Agreement). The &amp;#8220;Base Rate&amp;#8221; and &amp;#8220;Eurodollar Rate&amp;#8221; fluctuate based upon market rates and certain
   leverage ratios, as defined in the Credit Agreement. At September&amp;#160;30, 2010, we had no borrowings
   outstanding and $296.0&amp;#160;million available for future borrowings under the revolving credit facility.
   Until December&amp;#160;31, 2011, we may borrow, repay and re-borrow an amount not to exceed $300&amp;#160;million on
   our revolving credit facility. On June&amp;#160;30, 2010 and September&amp;#160;30, 2010, we made $50.0&amp;#160;million
   optional repayments under the senior secured term loan facility. All repayments made under the
   senior secured term loan facility are a permanent reduction in the amount available for future
   borrowings. We pay a quarterly commitment fee on the unused portion of our revolving credit
   facility that fluctuates, based upon certain leverage ratios, between 0.75% and 1.0% per annum.
   Commitment fees were approximately $1.7&amp;#160;million for the nine months ended September&amp;#160;30, 2010.
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;Our Credit Agreement contains customary covenants that include: (1)&amp;#160;a limitation on capital
   expenditures and investments, sales of assets, mergers, changes of ownership, new principal lines
   of business, indebtedness, transactions with affiliates, dividends and
   redemptions; (2)&amp;#160;various
   financial covenants; and (3)&amp;#160;cross-default covenants triggered by a default of any other
   indebtedness of at least $5.0&amp;#160;million. As of September&amp;#160;30, 2010, we were in compliance with all
   debt covenant requirements. If we violate one or more of these covenants, amounts outstanding under
   the revolving credit facility, senior secured term loan facility and the majority of our other
   debt arrangements
   could become immediately payable and additional borrowings could be restricted.
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 12pt"&gt;&lt;b&gt;&lt;i&gt;7&lt;/i&gt;&lt;/b&gt;&lt;sup style="font-size: 85%; vertical-align: text-top"&gt;&lt;b&gt;&lt;i&gt;3&lt;/i&gt;&lt;/b&gt;&lt;/sup&gt;&lt;b&gt;&lt;i&gt;/&lt;/i&gt;&lt;/b&gt;&lt;sub style="font-size: 85%; vertical-align: text-bottom"&gt;&lt;b&gt;&lt;i&gt;4&lt;/i&gt;&lt;/b&gt;&lt;/sub&gt;&lt;b&gt;&lt;i&gt;% Notes&lt;/i&gt;&lt;/b&gt;
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;The 7&lt;sup style="font-size: 85%; vertical-align: text-top"&gt;3&lt;/sup&gt;/&lt;sub style="font-size: 85%; vertical-align: text-bottom"&gt;4&lt;/sub&gt;% Senior Subordinated Notes due 2015 (the
   &amp;#8220;7&lt;sup style="font-size: 85%; vertical-align: text-top"&gt;3&lt;/sup&gt;/&lt;sub style="font-size: 85%; vertical-align: text-bottom"&gt;4&lt;/sub&gt;% Notes&amp;#8221;) mature on July&amp;#160;15, 2015 and are fully and unconditionally
   guaranteed on a senior subordinated basis by substantially all of our existing operating
   subsidiaries. In May&amp;#160;2009, we issued $120&amp;#160;million of the 7&lt;sup style="font-size: 85%; vertical-align: text-top"&gt;3&lt;/sup&gt;/&lt;sub style="font-size: 85%; vertical-align: text-bottom"&gt;4&lt;/sub&gt;% Notes at a
   discount of 11.25%. This discount is being amortized over the remaining life of the
   7&lt;sup style="font-size: 85%; vertical-align: text-top"&gt;3&lt;/sup&gt;/&lt;sub style="font-size: 85%; vertical-align: text-bottom"&gt;4&lt;/sub&gt;% Notes using the effective interest rate method, which results in an
   effective interest rate of 10.2% per annum on the $120&amp;#160;million issuance. We received a premium of
   2.75% plus accrued interest from the sale of $250&amp;#160;million of 7&lt;sup style="font-size: 85%; vertical-align: text-top"&gt;3&lt;/sup&gt;/&lt;sub style="font-size: 85%; vertical-align: text-bottom"&gt;4&lt;/sub&gt;% Notes in
   2007. This premium is being amortized over the remaining life of the 7&lt;sup style="font-size: 85%; vertical-align: text-top"&gt;3&lt;/sup&gt;/&lt;sub style="font-size: 85%; vertical-align: text-bottom"&gt;4&lt;/sub&gt;%
   Notes using the effective interest method, which results in an effective interest rate of 7.3% on
   the $250&amp;#160;million issuance. We also issued $220&amp;#160;million of the 7&lt;sup style="font-size: 85%; vertical-align: text-top"&gt;3&lt;/sup&gt;/&lt;sub style="font-size: 85%; vertical-align: text-bottom"&gt;4&lt;/sub&gt;% Notes in
   2005. Interest on the 7&lt;sup style="font-size: 85%; vertical-align: text-top"&gt;3&lt;/sup&gt;/&lt;sub style="font-size: 85%; vertical-align: text-bottom"&gt;4&lt;/sub&gt;% Notes is payable semi-annually in arrears on
   January&amp;#160;15 and July&amp;#160;15.
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 12pt"&gt;&lt;b&gt;&lt;i&gt;Mortgage Loans&lt;/i&gt;&lt;/b&gt;
   &lt;/div&gt;
   &lt;div align="left" style="font-size: 10pt; margin-top: 6pt"&gt;At September&amp;#160;30, 2010, we had approximately $32.5&amp;#160;million debt outstanding under mortgage loan
   agreements insured by the U.S. Department of Housing and Urban Development (&amp;#8220;HUD&amp;#8221;). The mortgage
   loans insured by HUD are secured by real estate located at Holly Hill Hospital in Raleigh, North
   Carolina, West Oaks Hospital in Houston, Texas, Riveredge Hospital near Chicago, Illinois, Canyon
   Ridge Hospital in Chino, California and MeadowWood Behavioral Health in New Castle, Delaware.
   Interest accrues on the Holly Hill, West Oaks, Riveredge, Canyon Ridge and MeadowWood HUD loans at
   6.0%, 5.9%, 5.7%, 7.6% and 7.0%, respectively, and principal and interest are payable in 420
   monthly installments through December&amp;#160;2037, September&amp;#160;2038, December&amp;#160;2038, January&amp;#160;2036 and October
   2036, respectively. The carrying amount of assets held as collateral for the HUD loans approximated
   $59.4&amp;#160;million at September&amp;#160;30, 2010.
   &lt;/div&gt;
   &lt;/div&gt;
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 -Publisher SEC
 -Name Regulation S-X (SX)
 -Number 210
 -Section 02
 -Paragraph 22
 -Article 5

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