X0202 4 2004-10-01 1 0000829608 PSYCHIATRIC SOLUTIONS INC PSYS 0001199270 LAMONT ANN H C/O OAK INVESTMENT PARTNERS ONE GORHAM ISLAND WESTPORT CT 06880 1 0 1 0 0001131676 OAK INVESTMENT PARTNERS X LTD PARTNERSHIP ONE GORHAM ISLAND WESTPORT CT 06880 0 0 1 0 0001143824 OAK X AFFILIATES FUND LP ONE GORHAM ISLAND WESTPORT CT 06880 0 0 1 0 Common Stock 2004-10-01 4 C 0 1248000 A 1248000 I See Note Common Stock 2004-10-01 4 J 0 1248000 D 0 I See Note Common Stock 11975 D Series A Preferred Stock 2004-10-01 4 C 0 1248000 D Common Stock 1248000 541455 I See Note Series A Preferred Stock Common Stock 28727 28727 I See Note Represents the number of shares of Common Stock issued to such Reporting Person upon the conversion of shares of Series A Preferred Stock as reported in Table II. The conversion price of the Series A Preferred Stock was approximately $5.50 per share. Represents shares directly owned by Oak Investment Partners X, Limited Partnership ("Oak X, L.P."). On October 1, 2004, Oak X, L.P. made an in-kind distribution, without any additional consideration, of Common Stock to the limited and general partners of Oak X, L.P. In turn, the general partner made an in-kind distribution of the shares it received to its members. Represents shares directly owned by Ann H. Lamont, a director of the Psychiatric Solutions Inc., and received as part of the distribution described in footnote 3. This acquisition merely reflects a change in beneficial ownership from indirect to direct. No other Reporting Person has any pecuniary interest in these shares. Each share of Series A Preferred Stock is initially convertible into 1 share of Common Stock at a conversion price of $5.50 per share. The conversion price remains subject to adjustment pursuant to the terms of the Series A Preferred Stock. The Series A Preferred Stock is immediately convertible. The conversion feature continues indefinitely. As the transaction involves the conversion of a derivative security, no information is required to be included in Column 8 of Table II, in accordance with general instruction 4(c)(iii). Such Series A Preferred Stock have accrued paid-in-kind dividends equal to 120,898 shares of Common stock as of October 1, 2004, which shares have not been paid. Such Series A Preferred Stock have accrued paid-in-kind dividends equal to 1,941 shares of Common stock as of October 1, 2004, which shares have not been paid. Represents shares directly owned by Oak X Affiliates Fund, Limited Partnership ("Oak X Affiliates, L.P."). Remarks Ann H. Lamont is a Director of Psychiatric Solutions, Inc. Ms. Lamont is a Managing Member of Oak Associates X, L.L.C., the General Partner of Oak X, L.P.; and a Managing Member of Oak X Affiliates, L.L.C., the General Partner of Oak X Affiliates, L.P. Oak X, L.P. and Oak X Affiliates, L.P. are no longer subject to Section 16 because the Reporting Persons are no longer 10% owners. Each Reporting Person disclaims the existence of a "group" and disclaims beneficial ownership of any securities (except to the extent of such Reporting Person's pecuniary interest in such securities) other than any securities reported herein as being directly owned by such Reporting Person, and this report shall not be deemed an admission that such Reporting Person is the beneficial owner of any such securities for purposes of Section 16 or for any other purpose. Ann H. Lamont 2004-10-05 Ann H. Lamont, Managing Member of Oak Associates X, L.L.C., the General Partner of Oak Investment Partners X, Limited Partnership 2004-10-05 Ann H. Lamont, Managing Member of Oak X Affiliates, L.L.C., the General Partner of Oak X Affiliates Fund, Limited Partnership 2004-10-05