sv3asr
As filed with the Securities and Exchange Commission on
March 24, 2011
Registration Statement
No. 333-
UNITED STATES SECURITIES AND
EXCHANGE COMMISSION
Washington, D.C.
20549
Form S-3
REGISTRATION
STATEMENT
UNDER
THE SECURITIES ACT OF
1933
HealthSpring, Inc.
(Exact Name of Registrant as
Specified in Its Charter)
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Delaware
(State or Other Jurisdiction
of
Incorporation or Organization)
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20-1821898
(IRS Employer
Identification No.)
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9009 Carothers Parkway, Suite 501
Franklin, TN 37067
(615) 291-7000
(Address, Including Zip
Code, and Telephone Number, Including Area Code, of
Registrants Principal Executive Offices)
J. Gentry Barden, Esq.
Senior Vice President, General Counsel and Secretary
HealthSpring, Inc.
9009 Carothers Parkway, Suite 501
Franklin, TN 37067
(615) 291-7000
(Name, Address, Including
Zip Code, and Telephone Number, Including Area Code, of Agent
for Service)
Copies to:
Howard H. Lamar III, Esq.
J. James Jenkins, Jr., Esq.
Bass, Berry & Sims PLC
150 Third Avenue South, Suite 2800
Nashville, TN 37201
(615) 742-6200
Approximate date of commencement of proposed sale to the
public: From time to time after this registration
statement becomes effective.
If the only securities being registered on this Form are being
offered pursuant to dividend or interest reinvestment plans,
please check the following
box. o
If any of the securities being registered on this Form are to be
offered on a delayed or continuous basis pursuant to
Rule 415 under the Securities Act of 1933, other than
securities offered only in connection with dividend or interest
reinvestment plans, check the following
box. þ
If this Form is filed to register additional securities for an
offering pursuant to Rule 462(b) under the Securities Act,
please check the following box and list the Securities Act
registration statement number of the earlier effective
registration statement for the same
offering. o
If this Form is a post-effective amendment filed pursuant to
Rule 462(c) under the Securities Act, check the following
box and list the Securities Act registration statement number of
the earlier effective registration statement for the same
offering. o
If this Form is a registration statement pursuant to General
Instruction I.D. or a post-effective amendment thereto that
shall become effective upon filing with the Commission pursuant
to Rule 462(e) under the Securities Act, check the
following
box. þ
If this Form is a post-effective amendment to a registration
statement filed pursuant to General Instruction I.D. filed
to register additional securities or additional classes of
securities pursuant to Rule 413(b) under the Securities
Act, check the following
box. o
Indicate by check mark whether the registrant is a large
accelerated filer, an accelerated filer, a non-accelerated
filer, or a smaller reporting company. See the definitions of
large accelerated filer, accelerated
filer and smaller reporting company in Rule
12b-2 of the
Exchange Act. (Check one):
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Accelerated
filer o
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Non-accelerated
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Smaller reporting
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(Do not check if a smaller
reporting company)
CALCULATION OF
REGISTRATION FEE
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Proposed Maximum
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Proposed Maximum
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Amount of
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Title of Securities Being
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Amount Being
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Offering
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Aggregate
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Registration
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Registered
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Registered
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Price per Share
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Offering Price
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Fee
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Common Stock, par value 0.01 per share
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(1)
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(1)
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(1)
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(1)
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(1)
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This registration statement
registers an unspecified amount of common stock as may from time
to time be offered at an indeterminate price. The registrant is
relying upon Rules 456(b) and 457(r) under the Securities
Act to defer payment of the registration fee.
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The
information in this preliminary prospectus is not complete and
may be changed. These securities may not be sold until the
registration statement filed with the Securities and Exchange
Commission is effective. This preliminary prospectus is not an
offer to sell nor does it seek an offer to buy these securities
in any jurisdiction where the offer or sale is not permitted.
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Subject To Completion Dated March
24, 2011.
7,500,000 Shares
Common Stock
Our common stock is listed on the New York Stock Exchange under
the symbol HS. The last reported sale price of our
common stock on March 23, 2011 was $37.59 per share.
See the Risk Factors section beginning on
page 4 of this prospectus and in the documents incorporated
by reference into this prospectus to read about factors you
should consider before buying shares of our common stock.
Neither the Securities and Exchange Commission, or the SEC,
nor any other regulatory body has approved or disapproved of
these securities or passed upon the accuracy or adequacy of this
prospectus. Any representation to the contrary is a criminal
offense.
Goldman, Sachs & Co. has agreed to purchase
7,500,000 shares of our common stock from us at a price of
$ per share which will result in
$ of proceeds to the Company
(before expenses). We have granted Goldman, Sachs &
Co. an option for a period of 30 days after the date of
this prospectus to purchase up to 1,125,000 additional
shares of our common stock to cover
over-allotments.
Goldman, Sachs & Co. may offer the shares of common
stock from time to time for sale in one or more transactions on
the New York Stock Exchange, in the
over-the-counter
market, through negotiated transactions or otherwise at market
prices prevailing at the time of sale or at negotiated prices.
Goldman, Sachs & Co. expects to deliver the shares
against payment in New York, New York on or about March 29,
2011.
Goldman, Sachs &
Co.
Prospectus dated March , 2011.
TABLE OF
CONTENTS
We have not authorized anyone to provide any information or
to make any representations other than those contained or
incorporated by reference into this prospectus or in any free
writing prospectus we have prepared. We take no responsibility
for, and can provide no assurance as to the reliability of, any
other information that others may give to you. This prospectus
is an offer to sell only the shares offered hereby, but only
under circumstances and in jurisdictions where it is lawful to
do so. The information contained in this prospectus is current
only as of its date.
ABOUT THIS
PROSPECTUS
This prospectus is part of an automatic registration statement
on
Form S-3
that we filed with the SEC using a shelf
registration process as a well-known seasoned issuer
as defined in Rule 405 under the Securities Act of 1933, as
amended, or the Securities Act. Under the automatic shelf
registration process, we may offer and sell, from time to time,
shares of our common stock in one or more offerings. You should
read both this prospectus and the documents incorporated by
reference into this prospectus, together with the additional
information described below under the heading Where You
Can Find More Information, carefully before making an
investment decision.
Unless we have indicated otherwise, all information in this
prospectus assumes that the underwriter does not exercise its
option to purchase additional shares from us to cover any
over-allotments.
When used in this prospectus, except where the context otherwise
requires, the terms we, us,
our and the Company refer to
HealthSpring, Inc., a Delaware corporation, and its consolidated
subsidiaries.
FORWARD-LOOKING
STATEMENTS
This prospectus and the documents incorporated by reference
herein and therein contain forward-looking
statements by us within the meaning of Section 27A of
the Securities Act, and Section 21E of the Securities
Exchange Act of 1934, as amended, or the Exchange Act.
Statements that are predictive in nature, that depend on or
refer to future events or conditions, or that include words such
as anticipates, believes,
could, estimates, expects,
intends, may, plans,
potential, predicts,
projects, should, will,
would, and similar expressions concerning our
prospects, objectives, plans, or intentions are forward-looking
statements. All statements made related to our estimated or
projected membership, revenue, medical loss ratios, medical
expenses, profitability, cash flows, access to capital,
compliance with statutory capital or net worth requirements,
payments from or to CMS, litigation settlements, compliance with
applicable federal and state regulations, expansion and growth
plans, sales and marketing strategies, new products or
initiatives, and the impact of existing or proposed laws or
regulations described herein are forward-looking statements.
These statements involve known and unknown risks, uncertainties
and other important factors that may cause our actual results,
performance or achievements to be materially different from any
future results, performance or achievements expressed or implied
by the forward-looking statements.
Forward-looking statements reflect our current views with
respect to future events and are based on assumptions and
subject to risks and uncertainties. Given these uncertainties,
you should not place undue reliance on these forward-looking
statements. In evaluating an investment in our common stock, you
should carefully consider the discussion of risks and
uncertainties described under the heading Risk
Factors contained in this prospectus and under a similar
heading in our Annual Report on
Form 10-K
that is incorporated by reference in this prospectus. We
undertake no obligation beyond that required by law to update
publicly any forward-looking statements for any reason, even if
new information becomes available or other events occur in the
future. You should read this prospectus and the documents that
are incorporated by reference (as described under the heading
Incorporation by Reference), to this prospectus
completely and with the understanding that our actual future
results may be materially different from what we expect.
1
PROSPECTUS
SUMMARY
This summary highlights selected information about us, this
offering and other information contained in this prospectus and
the documents incorporated by reference herein. This summary is
not complete and may not contain all of the information that is
important to you.
Business
We are a managed care organization operating in the United
States whose primary focus is Medicare, the federal
government-sponsored health insurance program primarily for
United States citizens aged 65 and older, qualifying disabled
persons, and persons suffering from end-stage renal disease.
Pursuant to the Medicare program, Medicare-eligible
beneficiaries may receive healthcare benefits, including
prescription drugs, through a managed care health plan. Medicare
premiums, including premiums paid to our stand-alone
prescription drug plans, accounted for substantially all of our
revenue in 2010. Our total revenue in 2010 was approximately
$3.1 billion.
Our concentration on Medicare in general, and the Medicare
Advantage program in particular, provides us with opportunities
to understand the complexities of the Medicare program, design
competitive products, better manage medical costs, and offer
high quality healthcare benefits to Medicare beneficiaries in
our service areas. Our Medicare Advantage experience also allows
us to create coordinated care structures of comprehensive
networks of local hospitals and physicians. We attempt to center
our networks on a primary care physician, or PCP, who is
experienced and effective in managing the healthcare needs of
the Medicare population, and align our incentives with those of
the PCP through a payment structure that rewards cost-effective
care and improved outcomes.
We operate Medicare Advantage plans in Alabama, Delaware,
Florida, Georgia, Illinois, Maryland, Mississippi, New Jersey,
Pennsylvania, Tennessee, Texas and the District of Columbia. As
of December 31, 2010, our Medicare Advantage plans had over
304,000 members. We also operate both national and regional
stand-alone prescription drug plans, or PDPs, in accordance with
Medicare Part D. As of December 31, 2010, our PDPs had
over 724,000 members.
Corporate
Information
We were incorporated in October 2004 in Delaware; however, our
predecessor, NewQuest, LLC, commenced operations in 2000. We
conducted our initial public offering in February 2006 and our
common stock is listed on the New York Stock Exchange under the
symbol HS. Our corporate headquarters are located at
9009 Carothers Parkway, Suite 501, Franklin, Tennessee
37067, and our telephone number is
(615) 291-7000.
Our corporate website address is www.healthspring.com.
Information contained on our website is not incorporated by
reference into this prospectus and we do not intend the
information on or linked to our website to constitute part of
this prospectus.
Recent
Developments
Although the 2011 first quarter has not yet been completed, we
currently believe that in the aggregate, our business is in line
with managements expectations for this point in the year.
Opportunistic acquisitions of other health plans are an
important element of our growth strategy and management believes
that maintaining a flexible capital structure is important to
allow us to respond to opportunities that may arise from time to
time. As a result of recent health insurance reform legislation
and other factors, we believe consolidation in the managed care
industry will be likely and we will selectively pursue
opportunistic acquisitions that are consistent with our
strategic and financial objectives.
2
THE
OFFERING
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Issuer |
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HealthSpring, Inc. |
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Common stock offered |
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7,500,000 shares
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Common stock to be outstanding immediately after
completion of this offering |
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66,554,532 shares |
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Use of proceeds |
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At least 50% of the net cash proceeds will be used to prepay
obligations under our existing credit facilities in accordance
with the terms of our credit agreement. |
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The remaining 50% of the net cash proceeds from this offering
will be used for general corporate purposes. See Use of
Proceeds. |
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New York Stock Exchange symbol |
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HS |
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Risk Factors |
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See Risk Factors beginning on page 4 and other
information included and incorporated by reference in this
prospectus for a discussion of factors you should carefully
consider before deciding to invest in our common stock. |
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(1) |
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Does not include 1,125,000 shares of common stock that may
be purchased by the Goldman, Sachs & Co. pursuant to
its option to purchase additional shares of common stock to
cover over-allotments. |
The number of shares of our common stock that will be
outstanding immediately after this offering is based on
59,054,532 shares of our common stock issued and
outstanding as of March 18, 2011. The number of shares
outstanding, as used throughout this prospectus, unless
otherwise indicated, does not include:
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2,620,030 shares of common stock issuable upon the exercise of
outstanding options for the purchase of our common stock; and
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an aggregate of 4,511,049 shares of common stock reserved for
future issuance under our equity incentive plans.
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3
RISK
FACTORS
Before deciding to invest in our common stock, you should
carefully consider each of the risks and uncertainties described
below and all of the other information set forth in this
prospectus and incorporated in this prospectus by reference,
including in Item 1A. Risk Factors in our
Annual Report on
Form 10-K
for the year ended December 31, 2010. The risks and
uncertainties described below and incorporated by reference
herein are not the only ones facing us. Additional risks not
presently known to us or that we currently deem immaterial may
also impair our business operations. Our business, financial
condition, results of operations or prospects could be
materially adversely affected by any of these risks. The market
price of our common stock could decline due to any of these
risks, and you may lose all or part of your investment. This
prospectus, including the documents incorporated by reference
herein, also contains forward-looking statements that involve
risks and uncertainties. Our actual results could differ
materially from those anticipated in these forward-looking
statements as a result of certain factors, including the risks
faced by us described below, elsewhere in this prospectus and in
our Annual Report on
Form 10-K.
Risks Related to
This Offering
Sales of a
Significant Number of Shares of Our Common Stock in the Public
Markets, or the Perception of Such Sales, Could Depress the
Market Price of Our Common Stock.
The issuance of new shares of our common stock in this offering
could have the effect of depressing the market price for shares
of our common stock, and resales after completion of this
offering of our common stock could cause its market price to
fall. Except as described in the section entitled
Underwriting, we are not restricted from issuing
additional shares of our common stock or securities that are
convertible into or exchangeable for, or that represent the
right to receive, our common stock. We evaluate opportunities to
access the capital markets taking into account our financial
condition and other relevant considerations. Subject to market
conditions, we may take additional actions to raise capital.
Such actions could include, among other things, the issuance of
additional shares of our common stock.
The issuance of any additional shares of our common stock or
securities convertible into or exchangeable for our common stock
or that represent the right to receive our common stock, or the
exercise of such securities, could be substantially dilutive to
our earnings per share. The market price of our common stock
could decline as a result of sales of shares of our common stock
made in or after this offering or the perception that such sales
could occur.
Our Stock
Price has been and is Likely to Continue to be Volatile, which
Could Cause the Value of Your Investment to
Decline.
The market price of our common stock has been and is likely to
continue to be highly volatile and subject to wide fluctuations
in price. This volatility is in response to various factors,
many of which are beyond our control, including:
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actual or anticipated variations in quarterly operating results
from historical results or estimates of results prepared by
securities analysts;
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additional changes in existing laws or regulations applicable to
us, or their interpretations, or the enactment of new laws or
the issuance of new regulations;
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Medicare budget decreases or changes in Medicare premium levels
or reimbursement methodologies;
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expectations regarding increases or decreases in medical claims
and medical care costs;
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adverse publicity regarding HMOs, other managed care
organizations and health insurers in general;
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conditions generally affecting the managed care industry or our
provider networks;
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announcements by us of significant acquisitions, strategic
partnerships, joint ventures or capital commitments;
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additions or departures of key personnel;
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changes in financial estimates by securities analysts;
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general economic conditions and interest rates; and
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sales of our common stock.
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General market fluctuations, industry factors, failure to comply
with the laws and regulations applicable to us and general
economic and geopolitical conditions and events also could cause
our stock price to decrease. In addition, the stock market in
general has experienced extreme volatility that has often been
unrelated to the operating performance of a particular company.
These broad market fluctuations also may adversely affect the
market price of our common stock.
Management
will have Broad Discretion as to the Use of the Proceeds from
this Offering
Pursuant to the terms of our credit agreement, we are required
to use 50% of the net proceeds from this offering to prepay
obligations under our existing credit facilities. We have not
designated any particular purpose for the amount of net proceeds
remaining after we satisfy our prepayment obligations.
Accordingly, our management will have broad discretion regarding
the use of the remaining net proceeds from this offering and
could use those proceeds for purposes other than those
contemplated at the time of this offering. Our stockholders may
not agree with the manner in which our management chooses to
allocate and spend the net proceeds.
We Do Not Pay
Dividends on Our Common Stock and Do Not Anticipate Paying Cash
Dividends on Our Common Stock in the Foreseeable
Future.
We have not declared or paid any cash dividends on our common
stock since our incorporation and do not anticipate paying cash
dividends in the foreseeable future. Our ability to pay cash
dividends is limited by our credit agreement. As a holding
company, our ability to pay cash dividends is also dependent on
the availability of cash dividends and distributions from our
regulated insurance subsidiaries, which are restricted by the
laws of the states in which we operate, as well as limitations
under our credit agreement. Any future determination to declare
and pay dividends will be at the discretion of our board of
directors, subject to compliance with applicable law and the
other limitations described above. Because we do not anticipate
paying cash dividends for the foreseeable future, holders of
shares of our common stock will not realize a return on their
investment unless the market price of our common stock
appreciates, which we cannot assure.
5
USE OF
PROCEEDS
We estimate that the net proceeds we will receive from the sale
of 7,500,000 shares of our common stock in this offering,
after deducting estimated expenses payable by us, will be
approximately $ million, or
approximately $ million if
the underwriter exercises its over-allotment option in full.
Pursuant to our credit agreement, at least 50% of the net
proceeds from this offering will be applied to the repayment of
term loans outstanding under our senior secured credit
facilities. A portion of those term loans bear interest at LIBOR
plus 3.75% and mature on February 11, 2015, and the
remainder of those term loans bear interest at LIBOR plus 4.50%
and mature on October 22, 2016.
We intend to use the remaining net proceeds from this offering
for general corporate purposes. Our management will have broad
discretion to allocate the remaining net proceeds from this
offering for such purposes as potential acquisitions, repayment
or repurchase of additional indebtedness, capital expenditures,
and additions to working capital. Pending such uses, we plan to
invest the net proceeds from this offering in highly liquid,
secure short-term securities.
6
CAPITALIZATION
The following table sets forth our capitalization as of
December 31, 2010:
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on an actual basis; and
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on a pro forma basis as adjusted to give effect to this offering
of shares of our common stock and the receipt of proceeds
therefrom, after deducting estimated offering expenses payable
by us and assuming no exercise of the underwriters
over-allotment option.
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You should read this table in conjunction with Use of
Proceeds section of this prospectus and
Managements Discussion and Analysis of Financial
Condition and Results of Operations and our consolidated
financial statements, including all related notes, included in
our Annual Report on
Form 10-K
for the year ended December 31, 2010, incorporated by
reference in this prospectus.
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As of December 31, 2010
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Actual
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As Adjusted
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(Audited)
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(Unaudited)
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(Dollars in thousands)
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Cash and cash equivalents
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$
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191,459
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$
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Long-term debt, including current portion:
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626,875
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$
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Stockholders equity:
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Common stock, $0.01 par value, 180,000,000 shares
authorized, 61,905,457 shares issued and 57,850,709
outstanding at December 31, 2010
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619
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Additional paid-in capital
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569,024
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Retained earnings
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622,988
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Accumulated other comprehensive income, net of tax
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1,495
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Treasury stock, at cost, 4,054,748 shares at
December 31, 2010
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(61,995
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Total stockholders equity
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$
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1,132,131
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$
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Total capitalization
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$
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1,759,006
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$
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7
PRICE RANGE OF
OUR COMMON STOCK AND DIVIDEND POLICY
Our common stock is listed on the New York Stock Exchange under
the symbol HS. The following table sets forth on a
per share basis the low and high sales prices of our common
stock as reported by the New York Stock Exchange since
January 1, 2009.
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Low
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High
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Fiscal 2011:
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$
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26.68
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$
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39.19
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First Fiscal Quarter (through March 23, 2011)
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26.68
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39.19
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Fiscal 2010:
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$
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14.66
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$
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29.80
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Fourth Fiscal Quarter
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24.34
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29.80
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Third Fiscal Quarter
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14.66
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27.00
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Second Fiscal Quarter
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15.00
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19.11
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First Fiscal Quarter
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16.51
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20.50
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Fiscal 2009:
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$
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4.27
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$
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20.36
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Fourth Fiscal Quarter
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11.83
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18.38
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Third Fiscal Quarter
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10.12
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14.80
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Second Fiscal Quarter
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7.91
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11.91
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First Fiscal Quarter
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4.27
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20.36
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The closing price of our common stock on the New York Stock
Exchange on March 23, 2011 was $37.59 per share. As of
March 18, 2011, we had 59,054,532 shares of our common
stock issued and outstanding and we had approximately 128
holders of record.
We have not declared or paid any cash dividends on our common
stock since our incorporation and do not anticipate paying cash
dividends in the foreseeable future. Our ability to pay cash
dividends is limited by our credit agreement. As a holding
company, our ability to pay cash dividends is also dependent on
the availability of cash dividends from our regulated insurance
subsidiaries, which are restricted by the laws of the states in
which we operate, as well as limitations under our credit
agreement. Any future determination to declare and pay dividends
will be at the discretion of our board of directors, subject to
compliance with applicable law and the other limitations
described above.
8
MATERIAL TAX
CONSEQUENCES TO
NON-UNITED
STATES HOLDERS
The following is a general discussion of the material United
States federal income and estate tax considerations applicable
to a
non-U.S. holder
(as defined below) with respect to the acquisition, ownership
and disposition of our common stock as of the date hereof. This
discussion is for general information only and is not tax
advice. As used in this discussion, the term
non-U.S. holder
means a beneficial owner of our common stock that is, for United
States federal income tax purposes, neither a partnership nor
any of the following:
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an individual who is a citizen or resident of the United States;
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a corporation, or other entity treated as a corporation for U.S.
federal income tax purposes, created or organized in or under
the laws of the United States or any political subdivision of
the United States;
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an estate whose income is includible in gross income for United
States federal income tax purposes regardless of its
source; or
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a trust, in general, if (a) a United States court is able
to exercise primary supervision over the administration of the
trust, and one or more United States persons have the authority
to control all substantial decisions of the trust, or
(b) the trust has a valid election in effect under
applicable United States Treasury Regulations to be treated as a
United States person.
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If an entity classified as a partnership for United States
federal income tax purposes holds our common stock, the tax
treatment of a partner in such partnership generally depends on
the status of the partner and the activities of the partnership.
If you are a partnership holding our common stock, or a partner
in such a partnership, you should consult your tax advisers.
An individual may be treated as a resident of the United States
in any calendar year for United States Federal income tax
purposes, instead of a nonresident, by, among other ways, being
present in the United States on at least 31 days in that
calendar year and for an aggregate of at least 183 days
during the current calendar year and the two immediately
preceding calendar years. For purposes of this calculation, you
would count all of the days present in the current year,
one-third of the days present in the immediately preceding year
and one-sixth of the days present in the second preceding year.
Residents are taxed for United States federal income purposes as
if they were United States citizens.
This discussion does not consider:
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United States state and local or
non-United
States tax consequences;
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specific facts and circumstances that may be relevant to a
particular
non-U.S. holders
tax position, including, if the
non-U.S. holder
is a partnership, that the United States tax consequences of
holding and disposing of our common stock may be affected by
certain determinations made at the partner level;
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the tax consequences to the stockholders or beneficiaries of a
non-U.S. holder;
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special tax rules that may apply to controlled foreign
corporations, passive foreign investment companies and
corporations that accumulate earnings to avoid United States
federal income tax;
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special tax rules that may apply to particular
non-U.S. holders,
including financial institutions, insurance companies,
tax-exempt organizations, United States expatriates,
broker-dealers and traders in securities; or
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special tax rules that may apply to a
non-U.S. holder
that holds our common stock as part of a straddle,
hedge, conversion transaction or other
integrated investment.
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9
The following discussion is based on provisions of the United
States Internal Revenue Code of 1986, as amended, applicable
United States Treasury Regulations promulgated thereunder and
administrative and judicial interpretations, all as in effect on
the date of this prospectus supplement, and all of which are
subject to change, retroactively or prospectively. Any changes
could alter the tax consequences to
non-U.S. holders
described in this prospectus supplement. The following
discussion also assumes that a
non-U.S. holder
holds our common stock as a capital asset.
EACH
NON-U.S. HOLDER
IS URGED TO CONSULT ITS TAX ADVISER REGARDING THE UNITED STATES
FEDERAL, STATE, LOCAL, AND
NON-UNITED
STATES INCOME AND OTHER TAX CONSEQUENCES OF ACQUIRING, HOLDING
AND DISPOSING OF SHARES OF OUR COMMON STOCK.
Distributions on
Our Common Stock
Distributions on our common stock generally will constitute
dividends for United States federal income tax purposes to the
extent paid from our current or accumulated earnings and
profits, as determined under United States federal income tax
principles. If a distribution exceeds our current and
accumulated earnings and profits as determined under United
States federal income tax principles, the excess will be treated
first as a tax-free return of your adjusted tax basis in our
common stock and thereafter as capital gain, subject to the tax
treatment described below in Sale, Exchange or
Other Disposition of Our Common Stock.
The gross amount of dividends paid to a
non-U.S. holder
of our common stock ordinarily will be subject to withholding of
United States federal income tax at a 30% rate, or at a lower
rate if an applicable income tax treaty so provides and we have
received proper certification of the application of that treaty.
If you are a
non-U.S. holder
and conduct a trade or business within the United States, you
generally will be taxed at ordinary United States federal income
tax rates (on a net income basis) on dividends that are
effectively connected with the conduct of such trade or business
or, if certain tax treaties apply, on dividends that are
attributable to your permanent establishment in the United
States, and such dividends will not be subject to the
withholding described above. If you are a
non-United
States corporation, you may also be subject to a 30%
branch profits tax unless you qualify for a lower
rate under an applicable United States income tax treaty.
Generally, to claim the benefit of any applicable United States
tax treaty or an exemption from withholding because the income
is effectively connected with the conduct of a trade or business
in the United States, you must provide a properly executed IRS
Form W-8BEN
for treaty benefits or IRS
Form W-8ECI
for effectively connected income (or such successor form as the
IRS designates), before the distributions are made. These forms
must be periodically updated. If you are a
non-U.S. holder,
you may obtain a refund of any excess amounts withheld by timely
filing an appropriate claim for refund with the IRS.
Non-U.S. holders
should consult their tax advisers regarding their entitlement to
benefits under an applicable income tax treaty and the specific
manner of claiming the benefits of the treaty.
Sale, Exchange or
Other Disposition of Our Common Stock
A
non-U.S. holder
generally will not be taxed on gain recognized on a disposition
of our common stock unless:
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the
non-U.S. holder
is an individual who is present in the United States for
183 days or more during the taxable year of the disposition
and meets certain other conditions;
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the gain is effectively connected with the
non-U.S. holders
conduct of trade or business in the United States and, in some
instances if an income tax treaty applies, is attributable to a
permanent establishment or fixed base maintained by the
non-U.S. holder
in the United States; or
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we are or have been a United States real property holding
corporation for U.S. Federal income tax purposes at
any time during the shorter of the five-year period ending on
the date of disposition and the period that the
non-U.S. holder
held our common stock.
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We have determined that we are not, and we believe we will not
become, a United States real property holding corporation.
An individual
non-U.S. holder
described in the first bullet point immediately above is taxed
on the
non-U.S. holders
gains (including gain from the sale of our common stock, net of
applicable United States source losses incurred on sales or
exchanges of other capital assets during the year) at a flat
rate of 30%. Other
non-U.S. holders
who may be subject to United States federal income tax on the
disposition of our common stock will be taxed on the disposition
in the same manner in which citizens or residents of the United
States would be taxed.
Federal Estate
Tax
Common stock owned or treated as owned by an individual who is
not a citizen or resident of the United States will be included
in the individuals gross estate for United States federal
estate tax purposes. Such shares, therefore, may be subject to
United States federal estate tax unless an applicable estate tax
or other treaty provides otherwise.
Information
Reporting and Backup Withholding
United States backup withholding and information reporting
requirements generally apply to certain payments to certain
holders of our common stock. Information reporting generally
will apply to payments of dividends on, and to proceeds from the
sale or redemption of, common stock within the United States, or
by a United States payor or United States middleman, to a holder
of common stock, that is not an exempt recipient (which includes
a payee that is not a United States person and provides an
appropriate certification and certain other persons). A payor
will be required to withhold backup withholding from such
payments of dividends or proceeds, if such holder fails to
furnish its correct taxpayer identification number or otherwise
fails to comply with, or establish an exemption from, such
backup withholding requirements. The backup withholding rate
currently is 28%.
Backup withholding is not an additional tax. Any amounts
withheld under the backup withholding rules from a payment to a
non-U.S. holder
can be refunded or credited against the
non-U.S. holders
United States federal income tax liability, if any, provided
that the required information is furnished to the IRS in a
timely manner.
NON-U.S. HOLDERS
ARE URGED TO CONSULT THEIR TAX ADVISERS REGARDING THE
APPLICATION OF THE INFORMATION REPORTING AND BACKUP WITHHOLDING
RULES TO THEM.
Recently Enacted
Legislation
Recently enacted legislation will require, after
December 31, 2012, withholding at a rate of 30% on
dividends in respect of, and gross proceeds from the sale of,
our common stock held by or through certain foreign financial
institutions (including investment funds), unless such
institution enters into an agreement with the Secretary of the
Treasury to report, on an annual basis, information with respect
to shares in, and accounts maintained by, the institution held
by certain U.S. persons and by certain
non-U.S. entities
that are wholly or partially owned by U.S. persons.
Accordingly, the entity through which our common stock is held
will affect the determination of whether such withholding is
required. Similarly, dividends in respect of, and gross proceeds
from the sale of, our common stock held by an investor that is a
non-financial
non-U.S. entity
will be subject to withholding at a rate of 30%, unless such
entity either (i) certifies to us that such entity does not
have any substantial United States owners or
(ii) provides certain information regarding the
entitys substantial United States owners,
which we will in turn provide to the Secretary of the Treasury.
Non-U.S. holders
are encouraged to consult with their tax advisors regarding the
possible implications of the legislation on their investment in
our common stock.
11
UNDERWRITING
We and Goldman, Sachs & Co. have entered into an
underwriting agreement with respect to the shares being offered.
Subject to certain conditions, Goldman, Sachs & Co.
has agreed to purchase all of the 7,500,000 shares offered
hereby.
If Goldman, Sachs & Co. sells more than the total
number of shares set forth above, then Goldman,
Sachs & Co. has an option to buy up to an additional
1,125,000 shares from the Company. Goldman,
Sachs & Co. may exercise that option for 30 days.
We have agreed to indemnify Goldman, Sachs & Co.
against certain liabilities, including liabilities under the
Securities Act, or to contribute to payments Goldman,
Sachs & Co. may be required to make in respect of
those liabilities.
Goldman, Sachs & Co. may receive from purchasers of
the shares normal brokerage commissions in amounts agreed with
such purchasers.
Goldman, Sachs & Co. proposes to offer the shares of
common stock from time to time for sale in one or more
transactions on the New York Stock Exchange, in the
over-the-counter
market, through negotiated transactions or otherwise at market
prices prevailing at the time of sale, at prices related to
prevailing market prices or at negotiated prices, subject to
receipt and acceptance by it and subject to its right to reject
any order in whole or in part. In connection with the sale of
the shares of common stock offered hereby, Goldman,
Sachs & Co. may be deemed to have received
compensation in the form of underwriting discounts. Goldman,
Sachs & Co. may effect such transactions by selling
shares of common stock to or through dealers, and such dealers
may receive compensation in the form of discounts, concessions
or commissions from Goldman, Sachs & Co.
and / or purchasers of shares of common stock for whom
they may act as agents or to whom they may sell as principal.
In connection with the offering, Goldman, Sachs & Co.
may purchase and sell shares of our common stock in the open
market. These transactions may include short sales and purchases
to cover positions created by short sales. Short sales involve
the sale by Goldman, Sachs & Co. of a greater number
of shares than it is required to purchase in the offering.
Goldman, Sachs & Co. will need to close out any short
sale by purchasing shares in the open market. Goldman,
Sachs & Co. is likely to create a short position if it
is concerned that there may be downward pressure on the price of
our common stock in the open market after pricing that could
adversely affect investors who purchase in the offering.
Purchases to cover a short position, as well as other purchases
by Goldman, Sachs & Co. for its own account, may have
the effect of preventing or retarding a decline in the market
price of our common stock, and may maintain or otherwise affect
the market price of our common stock. As a result, the price of
our common stock may be higher than the price that otherwise
might exist in the open market. If these activities are
commenced, they may be discontinued at any time. These
transactions may be effected on the New York Stock Exchange, in
the
over-the-counter
market or otherwise.
No Sales of
Similar Securities
We and our executive officers and directors have agreed not to
sell or transfer any common stock or securities convertible
into, exchangeable for or exercisable for common stock, for
90 days from the date of this prospectus without first
obtaining the written consent of Goldman, Sachs & Co.,
subject to limited exceptions to our executive officers.
Specifically, we and these other persons have agreed, with
certain limited exceptions, not to directly or indirectly sell,
offer, contract to sell, transfer the economic risk of ownership
in, make any short sale, pledge or otherwise dispose of any
shares of our capital stock or any securities convertible into
or exchangeable or exercisable for or any other rights to
purchase or acquire our capital stock for a period of
90 days from the effective date of the registration
statement.
12
This lock-up
provision applies to our common stock and to securities
convertible into or exchangeable or exercisable for or repayable
with our common stock. It also applies to common stock owned now
or acquired later by the person executing the agreement or for
which the person executing the agreement later acquires the
power of disposition.
New York Stock
Exchange Listing
The shares of our common stock are listed on the New York Stock
Exchange under the symbol HS.
Other
Relationships
Goldman, Sachs & Co. and its affiliates are full
service financial institutions engaged in various activities,
which may include securities trading, commercial and investment
banking, financial advisory, investment management, investment
research, principal investment, hedging, financing and brokerage
activities. Goldman, Sachs & Co. and its affiliates
have, from time to time, performed, and may in the future
perform, various financial advisory and investment banking
services for us, for which they received or will receive
customary fees and expenses.
In the ordinary course of their various business activities,
Goldman, Sachs & Co. and its affiliates may make or
hold a broad array of investments and actively trade debt and
equity securities (or related derivative securities) and
financial instruments (including bank loans) for their own
accounts and for the accounts of their customers, and such
investment and securities activities may involve securities
and/or
instruments of the issuer. Goldman, Sachs & Co. and
its affiliates may also make investment recommendations
and/or
publish or express independent research views in respect of such
securities or instruments and may at any time hold, or recommend
to clients that they acquire, long
and/or short
positions in such securities and instruments.
13
LEGAL
MATTERS
The validity of the securities offered by this prospectus will
be passed upon for the Company by Bass, Berry & Sims
PLC, Nashville, Tennessee. Certain legal matters in connection
with this offering will be passed upon for Goldman,
Sachs & Co. by Skadden, Arps, Slate,
Meagher & Flom LLP, New York, New York.
EXPERTS
The consolidated financial statements of the Company
incorporated in this prospectus by reference to our Annual
Report on
Form 10-K
for the year ended December 31, 2010, and the
Companys internal control over financial reporting have
been audited by KPMG LLP, an independent registered public
accounting firm, as stated in their reports, which are
incorporated herein by reference. Such consolidated financial
statements have been incorporated herein in reliance upon the
reports of such firm given upon their authority as experts in
accounting and auditing.
The consolidated financial statements of Bravo Health, Inc. for
the years ended December 31, 2009 and 2008 incorporated in
this prospectus by reference to our Current Report on
Form 8-K/A
filed with the SEC on February 11, 2011, have been audited
by Ernst & Young LLP, an independent registered public
accounting firm, as stated in their report, which is
incorporated herein by reference. Such consolidated financial
statements have been incorporated herein in reliance upon the
report of such firm given on their authority as experts in
accounting and auditing.
WHERE YOU CAN
FIND MORE INFORMATION
We are subject to the informational requirements of the Exchange
Act. Accordingly, we file current, quarterly and annual reports,
proxy statements and other information with the SEC. You may
read and copy these reports, proxy statements and other
information at the SECs Public Reference Room at
100 F Street, N.E., Washington, D.C. 20549.
Please call
1-800-SEC-0330
for further information on the operation of the SECs
Public Reference Room. Our SEC filings also are available to the
public at the Internet website maintained by the SEC at
www.sec.gov.
We also make available free of charge through our website our
Annual Report on
Form 10-K,
quarterly reports on
Form 10-Q,
current reports on
Form 8-K,
and amendments to those reports filed or furnished pursuant to
Section 13(a) or 15(d) of the Exchange Act, our definitive
proxy statements and Section 16 reports on Forms 3, 4
and 5, as soon as reasonably practicable after we electronically
file such reports or amendments with, or furnish them to, the
SEC. Our Internet website address is
www.healthspring.com. The information located on, or
hyperlinked or otherwise connected to, our website is not, and
shall not be deemed to be, a part of this prospectus or
incorporated into any other filings that we make with the SEC.
INCORPORATION OF
CERTAIN INFORMATION BY REFERENCE
We incorporate information into this prospectus by reference,
which means that we disclose important information to you by
referring you to another document filed separately with the SEC.
The information incorporated by reference is deemed to be part
of this prospectus, except to the extent superseded by
information contained herein or by information contained in
documents filed with the SEC after the date of this prospectus.
This prospectus incorporates by reference the documents set
forth below that have been previously filed with the SEC (other
than, in each case, documents or information deemed to have been
furnished and not filed in accordance with SEC rules):
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our Annual Report on
Form 10-K
for the year ended December 31, 2010, filed with the SEC on
February 25, 2011;
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our Current Report on
Form 8-K/A
filed with the SEC on February 11, 2011; and
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14
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the description of our common stock set forth in our
Registration Statement on
Form 8-A
filed with the SEC on January 30, 2006, including any
amendment or report filed for the purpose of updating such
description.
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We also incorporate by reference into this prospectus additional
documents that we may file with the SEC under
Section 13(a), 13(c), 14 or 15(d) of the Exchange Act, from
the date of this prospectus until all of the shares of our
common stock offered by this prospectus have been sold or we
otherwise terminate the offering of these shares of our common
stock; provided, however, that we are not incorporating by
reference any additional documents or information furnished and
not filed with the SEC.
You may obtain copies of any of these filings by contacting us
at the following address and phone number or by contacting the
SEC as described above. Documents incorporated by reference are
available from us without charge, excluding all exhibits unless
an exhibit has been specifically incorporated by reference into
this prospectus, by requesting them in writing, by telephone or
via the Internet at:
HealthSpring,
Inc.
9009 Carothers Parkway Suite 501
Franklin, Tennessee 37067
Attn: Corporate Secretary
Telephone:
(615) 291-7000
Internet Website: www.healthspring.com
The information contained on our website does not constitute a
part of this prospectus, and our website address supplied above
is intended to be an inactive textual reference only and not an
active hyperlink to our website.
15
PART II
INFORMATION NOT
REQUIRED IN PROSPECTUS
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Item 14.
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Other Expenses
of Issuance and Distribution.
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The following table sets forth an estimate of costs and expenses
to be paid by us in connection with the offering of the
securities being registered by this registration statement. All
of the amounts shown are estimates:
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SEC Registration Fee
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*
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New York Stock Exchange Listing Fee
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**
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Printing Fees and Expenses
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**
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Legal Fees and Expenses
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**
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Accounting Fees and Expenses
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**
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Miscellaneous
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**
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Total
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**
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* |
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Payable in accordance with Rules 456(b) and 457(r). |
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This information is not presently known. |
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Item 15.
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Indemnification
of Directors and Officers.
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Our amended and restated certificate of incorporation contains
provisions permitted under Delaware law relating to the
liability of directors. These provisions eliminate a
directors personal liability for monetary damages
resulting from a breach of fiduciary duty, except in
circumstances involving wrongful acts, such as:
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any breach of the directors duty of loyalty to us or our
stockholders;
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any act or omission not in good faith or that involves
intentional misconduct or a knowing violation of the law;
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any act related to unlawful stock repurchases, redemptions or
other distribution or payments of dividends; or
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any transaction from which the director derived an improper
personal benefit.
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These provisions do not limit or eliminate our rights or any
stockholders rights to seek non-monetary relief, such as
an injunction or rescission, in the event of a breach of a
directors fiduciary duty. These provisions will not alter
a directors liability under federal securities laws.
As permitted by Section 145 of the Delaware General
Corporation Law, our amended and restated certificate of
incorporation requires us to indemnify our directors and
executive officers to the fullest extent not prohibited by
Delaware law. We may decline to indemnify any director or
executive officer in connection with any proceeding initiated by
such person or any proceeding by such person against us or our
directors, officers, employees or other agents, unless such
indemnification is expressly required to be made by law or the
proceeding was authorized by our Board of Directors.
We have entered into indemnity agreements with each of our
current directors and our executive officers to give such
directors and officers additional contractual assurances
regarding the scope of the indemnification set forth in our
amended and restated certificate of incorporation and to provide
additional procedural protections. At present, there is no
pending litigation or proceeding involving any of our directors,
officers or employees for which indemnification is sought, nor
are we aware of any threatened litigation that may result in
claims for indemnification.
We have the power to indemnify our other officers, employees and
other agents, as permitted by Delaware law, but are not required
to do so.
II-1
We maintain directors and officers insurance and
company reimbursement policy. The policy insures our directors
and officers against unindemnified losses arising from certain
wrongful acts in their capacities as directors and officers and
reimburses us for those losses for which we have lawfully
indemnified our directors and officers. The policy contains
various exclusions, none of which apply to this offering.
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Exhibit
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Number
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Exhibit Description
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3
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.1
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Form of Amended and Restated Certificate of Incorporation of the
Company (Previously filed as an Exhibit to the Companys
Registration Statement on
Form S-1
(File
No. 333-128939),
filed October 11, 2005, as amended, and incorporated herein
by reference).
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3
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.2
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Form of Second Amended and Restated Bylaws of the Company
(Previously filed as an Exhibit to the Companys
Registration Statement on
Form S-1
(File
No. 333-
128939), filed October 11, 2005, as amended, and
incorporated herein by reference).
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4
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.1
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Specimen of Common Stock Certificate (Previously filed as an
Exhibit to the Companys Registration Statement on
Form S-1
(File
No. 333-
128939), filed October 11, 2005, as amended, and
incorporated herein by reference).
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4
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.2
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Registration Rights Agreement, dated as of October 1, 2007,
by and between the Company and the former stockholders of Leon
Medical Centers Health Plans, Inc. (Previously filed as an
Exhibit to the Companys Current Report on
Form 8-K,
filed October 4, 2007, and incorporated herein by
reference).
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*5
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.1
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Opinion of Bass, Berry & Sims PLC.
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*23
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.1
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Consent of KPMG LLP.
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*23
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.2
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Consent of Ernst & Young LLP.
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*23
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.3
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Consent of Bass, Berry & Sims PLC (included in
Exhibit 5.1).
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*24
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.1
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Power of Attorney (included in Part II of this Registration
Statement).
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(a) The undersigned registrant hereby undertakes:
(1) To file, during any period in which offers or sales are
being made, a post-effective amendment to this registration
statement:
(i) To include any prospectus required by
Section 10(a)(3) of the Securities Act of 1933, as amended
(the Securities Act);
(ii) To reflect in the prospectus any facts or events
arising after the effective date of this registration statement
(or the most recent post-effective amendment thereof) which,
individually or in the aggregate, represent a fundamental change
in the information set forth in this registration statement.
Notwithstanding the foregoing, any increase or decrease in
volume of securities offered (if the total dollar value of
securities offered would not exceed that which was registered)
and any deviation from the low or high end of the estimated
maximum offering range may be reflected in the form of
prospectus filed with the SEC pursuant to Rule 424(b) if,
in the aggregate, the changes in volume and price represent no
more than a 20 percent change in the maximum aggregate
offering price set forth in the Calculation of
Registration Fee table in the effective registration
statement; and
(iii) To include any material information with respect to
the plan of distribution not previously disclosed in this
registration statement or any material change to such
information in this registration statement;
II-2
provided, however, that paragraphs (a)(1)(i), (a)(1)(ii) and
(a)(1)(iii) do not apply if the information required to be
included in a post-effective amendment by those paragraphs is
contained in reports filed with or furnished to the SEC by the
registrant pursuant to Sections 13 or 15(d) of the
Securities Exchange Act of 1934, as amended (the Exchange
Act) that are incorporated by reference in the
registration statement, or is contained in a form of prospectus
filed pursuant to Rule 424(b) that is part of the
registration statement.
(2) That, for the purpose of determining any liability
under the Securities Act, each such post-effective amendment
shall be deemed to be a new registration statement relating to
the securities offered therein, and the offering of such
securities at that time shall be deemed to be the initial
bona fide offering thereof.
(3) To remove from registration by means of a
post-effective amendment any of the securities being registered
which remain unsold at the termination of the offering.
(4) That, for the purpose of determining liability under
the Securities Act to any purchaser:
(i) Each prospectus filed by the registrant pursuant to
Rule 424(b)(3) shall be deemed to be part of the registration
statement as of the date the filed prospectus was deemed part of
and included in the registration statement; and
(ii) Each prospectus required to be filed pursuant to Rule
424(b)(2), (b)(5), or (b)(7) as part of a registration statement
in reliance on Rule 430B relating to an offering made
pursuant to Rule 415(a)(1)(i), (vii), or (x) for the
purpose of providing the information required by
Section 10(a) of the Securities Act shall be deemed to be
part of and included in the registration statement as of the
earlier of the date such form of prospectus is first used after
effectiveness or the date of the first contract of sale of
securities in the offering described in the prospectus. As
provided in Rule 430B, for liability purposes of the issuer
and any person that is at that date an underwriter, such date
shall be deemed to be a new effective date of the registration
statement relating to the securities in the registration
statement to which that prospectus relates, and the offering of
such securities at that time shall be deemed to be the initial
bona fide offering thereof. Provided, however, that no statement
made in a registration statement or prospectus that is part of
the registration statement or made in a document incorporated or
deemed incorporated by reference into the registration statement
or prospectus that is part of the registration statement will,
as to a purchaser with a time of contract of sale prior to such
effective date, supersede or modify any statement that was made
in the registration statement or prospectus that was part of the
registration statement or made in any such document immediately
prior to such effective date.
(5) That, for the purpose of determining liability of the
registrant under the Securities Act to any purchaser in the
initial distribution of the securities, the undersigned
registrant undertakes that in a primary offering of securities
of the undersigned registrant pursuant to this registration
statement, regardless of the underwriting method used to sell
the securities to the purchaser, if the securities are offered
or sold to such purchaser by means of any of the following
communications, the undersigned registrant will be a seller to
the purchaser and will be considered to offer or sell such
securities to such purchaser:
(i) Any preliminary prospectus or prospectus of the
undersigned registrant relating to the offering required to be
filed pursuant to Rule 424;
(ii) Any free writing prospectus relating to the offering
prepared by or on behalf of the undersigned registrant or used
or referred to by the undersigned registrant;
(iii) The portion of any other free writing prospectus
relating to the offering containing material information about
the undersigned registrant or its securities provided by or on
behalf of the undersigned registrant; and
II-3
(iv) Any other communication that is an offer in the
offering made by the undersigned registrant to the purchaser.
(b) The undersigned registrant hereby undertakes that, for
purposes of determining any liability under the Securities Act,
each filing of the registrants annual report pursuant to
Section 13(a) or 15(d) of the Exchange Act and (and, where
applicable, each filing of an employee benefit plans
annual report pursuant to Section 15(d) of the Exchange
Act) that is incorporated by reference in the registration
statement shall be deemed to be a new registration statement
relating to the securities offered therein, and the offering of
such securities at that time shall be deemed to be the initial
bona fide offering thereof.
(c) Insofar as indemnification for liabilities arising
under the Securities Act may be permitted to directors, officers
and controlling persons of the registrant pursuant to the
foregoing provisions, or otherwise, the registrant has been
advised that in the opinion of the SEC such indemnification is
against public policy as expressed in the Securities Act and is,
therefore, unenforceable. In the event that a claim for
indemnification against such liabilities (other than the payment
by the registrant of expenses incurred or paid by a director,
officer or controlling person of the registrant in the
successful defense of any action, suit or proceeding) is
asserted by such director, officer or controlling person in
connection with the securities being registered, the registrant
will, unless in the opinion of its counsel the matter has been
settled by controlling precedent, submit to a court of
appropriate jurisdiction the question whether such
indemnification by it is against public policy as expressed in
the Securities Act and will be governed by the final
adjudication of such issue.
(d) The undersigned registrant hereby undertakes that,
(1) For purposes of determining any liability under the
Securities Act, the information omitted from the form of
prospectus filed as part of this registration statement in
reliance upon Rule 430A and contained in a form of
prospectus filed by the registrant pursuant to Rule 424(b)
(1) or (4) or 497(h) under the Securities Act shall be
deemed to be part of this registration statement as of the time
it was declared effective.
(2) For the purpose of determining any liability under the
Securities Act, each post-effective amendment that contains a
form of prospectus shall be deemed to be a new registration
statement relating to the securities offered therein, and the
offering of such securities at that time shall be deemed to be
the initial bona fide offering thereof.
II-4
SIGNATURES
Pursuant to the requirements of the Securities Act, the
registrant certifies that it has reasonable grounds to believe
that it meets all of the requirements for filing on
Form S-3
and has duly caused this registration statement to be signed on
its behalf by the undersigned, thereunto duly authorized, in the
City of Franklin, State of Tennessee, on March 24, 2011.
HEALTHSPRING, INC.
Karey L. Witty
Executive Vice President and Chief Financial Officer
POWER OF
ATTORNEY
KNOW ALL PERSONS BY THESE PRESENTS, that each person whose
signature appears below hereby constitutes and appoints
J. Gentry Barden, Karey L. Witty and Herbert A. Fritch
(with full power to each of them to act alone) as his true and
lawful attorneys-in-fact and agents, with full power of
substitution and resubstitution, for him and in his name, place
and stead in any and all capacities to sign any and all
amendments or post-effective amendments to this Registration
Statement, and to file the same with all exhibits thereto and
other documents in connection therewith, with the Securities and
Exchange Commission, to sign any and all applications,
registration statements, notices or other document necessary or
advisable to comply with the applicable state securities laws,
and to file the same, together with all other documents in
connection therewith, with the appropriate state securities
authorities, granting unto said attorneys-in-fact and agents or
any of them, or their or his substitute or substitutes, full
power and authority to do and perform each and every act and
thing requisite and necessary to be done in and about the
premises, as fully to all intents and purposes as he might or
could do in person, thereby ratifying and confirming all that
said attorneys-in-fact and agents or any of them, or their or
his substitute or substitutes, may lawfully do or cause to be
done by virtue hereof.
Pursuant to the requirements of the Securities Act, this
registration statement has been signed by the following persons
in the capacities and on the dates indicated.
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Signature
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Title
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Date
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/s/ Herbert
A. Fritch
Herbert
A. Fritch
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Chairman of the Board of Directors and Chief Executive
Officer
(Principal Executive Officer)
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March 24, 2011
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/s/ Karey
L. Witty
Karey
L. Witty
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Executive Vice President and Chief Financial Officer
(Principal Financial and Accounting Officer)
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March 24, 2011
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Jeffrey
M. Folick
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Director
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March 24, 2011
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John
T. Fox
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Director
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March 24, 2011
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II-5
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Signature
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Title
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Date
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/s/ Bruce
M. Fried
Bruce
M. Fried
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Director
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March 24, 2011
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Robert
Z. Hensley
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Director
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March 24, 2011
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/s/ Benjamin
Leon, Jr.
Benjamin
Leon, Jr.
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Director
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March 24, 2011
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/s/ Sharad
Mansukani
Sharad
Mansukani
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Director
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March 24, 2011
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/s/ Russell
K. Mayerfeld
Russell
K. Mayerfeld
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Director
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March 24, 2011
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/s/ Joseph
P. Nolan
Joseph
P. Nolan
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Director
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March 24, 2011
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II-6
EXHIBIT INDEX
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Exhibit
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Number
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Exhibit Description
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3
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.1
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Form of Amended and Restated Certificate of Incorporation of the
Company (Previously filed as an Exhibit to the Companys
Registration Statement on
Form S-1
(File
No. 333-128939),
filed October 11, 2005, as amended, and incorporated herein
by reference).
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3
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.2
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Form of Second Amended and Restated Bylaws of the Company
(Previously filed as an Exhibit to the Companys
Registration Statement on
Form S-1
(File
No. 333-
128939), filed October 11, 2005, as amended, and
incorporated herein by reference).
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4
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.1
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Specimen of Common Stock Certificate (Previously filed as an
Exhibit to the Companys Registration Statement on
Form S-1
(File
No. 333-
128939), filed October 11, 2005, as amended, and
incorporated herein by reference).
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4
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.2
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Registration Rights Agreement, dated as of October 1, 2007,
by and between the Company and the former stockholders of Leon
Medical Centers Health Plans, Inc. (Previously filed as an
Exhibit to the Companys Current Report on
Form 8-K,
filed October 4, 2007, and incorporated herein by
reference).
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*5
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.1
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Opinion of Bass, Berry & Sims PLC.
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*23
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.1
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Consent of KPMG LLP.
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*23
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.2
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Consent of Ernst & Young LLP.
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*23
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.3
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Consent of Bass, Berry & Sims PLC (included in
Exhibit 5.1).
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*24
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.1
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Power of Attorney (included in Part II of this Registration
Statement).
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