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<TITLE>Form 8-K</TITLE>
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 <P STYLE="line-height:1.0pt;margin-top:0pt;margin-bottom:0pt;border-bottom:1px solid #000000">&nbsp;</P>
<P STYLE="line-height:3.0pt;margin-top:0pt;margin-bottom:2pt;border-bottom:1px solid #000000">&nbsp;</P> <P STYLE="margin-top:4pt; margin-bottom:0pt; font-size:18pt; font-family:Times New Roman" ALIGN="center"><B>SECURITIES AND EXCHANGE COMMISSION
</B></P> <P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:12pt; font-family:Times New Roman" ALIGN="center"><B>Washington, D.C. 20549 </B></P> <P STYLE="font-size:12pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P><center>
<P STYLE="line-height:6.0pt;margin-top:0pt;margin-bottom:2pt;border-bottom:1.00pt solid #000000;width:21%">&nbsp;</P></center> <P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:18pt; font-family:Times New Roman" ALIGN="center"><B>FORM 8-K
</B></P> <P STYLE="font-size:12pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P><center> <P STYLE="line-height:6.0pt;margin-top:0pt;margin-bottom:2pt;border-bottom:1.00pt solid #000000;width:21%">&nbsp;</P></center>
<P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:12pt; font-family:Times New Roman" ALIGN="center"><B>CURRENT REPORT </B></P> <P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:12pt; font-family:Times New Roman" ALIGN="center"><B>PURSUANT
TO SECTION 13 OR 15(d) </B></P> <P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:12pt; font-family:Times New Roman" ALIGN="center"><B>OF THE SECURITIES EXCHANGE ACT OF 1934 </B></P>
<P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:12pt; font-family:Times New Roman" ALIGN="center"><B>Date of Report (Date of earliest event reported): September&nbsp;13, 2013 </B></P>
<P STYLE="font-size:12pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P><center> <P STYLE="line-height:6.0pt;margin-top:0pt;margin-bottom:2pt;border-bottom:1.00pt solid #000000;width:21%">&nbsp;</P></center>
<P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:24pt; font-family:Times New Roman" ALIGN="center"><B>USMD Holdings, Inc. </B></P>
<P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman" ALIGN="center"><B>(Exact name of registrant as specified in its charter) </B></P> <P STYLE="font-size:12pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P><center>
<P STYLE="line-height:6.0pt;margin-top:0pt;margin-bottom:2pt;border-bottom:1.00pt solid #000000;width:21%">&nbsp;</P></center> <P STYLE="font-size:12pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P>
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<TD VALIGN="top" ALIGN="center"><B>Delaware</B></TD>
<TD VALIGN="bottom">&nbsp;</TD>
<TD VALIGN="top" ALIGN="center"><B>001-35639</B></TD>
<TD VALIGN="bottom">&nbsp;</TD>
<TD VALIGN="top" ALIGN="center"><B>27-2866866</B></TD></TR>
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<TD VALIGN="top" ALIGN="center"> <P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:8pt; font-family:Times New Roman" ALIGN="center"><B>(State of</B></P>
<P STYLE="margin-top:0pt; margin-bottom:1pt; font-size:8pt; font-family:Times New Roman" ALIGN="center"><B>incorporation)</B></P></TD>
<TD VALIGN="bottom">&nbsp;</TD>
<TD VALIGN="top" ALIGN="center"> <P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:8pt; font-family:Times New Roman" ALIGN="center"><B>(Commission File</B></P>
<P STYLE="margin-top:0pt; margin-bottom:1pt; font-size:8pt; font-family:Times New Roman" ALIGN="center"><B>Number)</B></P></TD>
<TD VALIGN="bottom">&nbsp;</TD>
<TD VALIGN="top" ALIGN="center"> <P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:8pt; font-family:Times New Roman" ALIGN="center"><B>(IRS Employer</B></P>
<P STYLE="margin-top:0pt; margin-bottom:1pt; font-size:8pt; font-family:Times New Roman" ALIGN="center"><B>Identification Number)</B></P></TD></TR>
</TABLE> <P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman" ALIGN="center"><B>6333 North State Highway 161, Suite 200 </B></P>
<P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:12pt; font-family:Times New Roman" ALIGN="center"><B>Irving, Texas 75038 </B></P>
<P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:8pt; font-family:Times New Roman" ALIGN="center"><B>(Address of principal executive offices) </B></P>
<P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman" ALIGN="center"><B>Registrant&#146;s telephone number, including area code: (214)&nbsp;493-4000 </B></P>
<P STYLE="font-size:12pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P><center> <P STYLE="line-height:6.0pt;margin-top:0pt;margin-bottom:2pt;border-bottom:1.00pt solid #000000;width:21%">&nbsp;</P></center>
<P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman">Check the appropriate box if the Form 8-K filing is intended to simultaneously satisfy the reporting obligation of the registrant under any of the following
provisions: </P> <P STYLE="font-size:6pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P>
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<TD WIDTH="4%" VALIGN="top" ALIGN="left"><FONT STYLE="FONT-FAMILY:WINGDINGS">&#168;</FONT></TD>
<TD ALIGN="left" VALIGN="top">Written communications pursuant to Rule 425 under the Securities Act </TD></TR></TABLE> <P STYLE="font-size:6pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P>
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<TD WIDTH="4%" VALIGN="top" ALIGN="left"><FONT STYLE="FONT-FAMILY:WINGDINGS">&#168;</FONT></TD>
<TD ALIGN="left" VALIGN="top">Soliciting material pursuant to Rule 14a-12 of the Exchange Act </TD></TR></TABLE> <P STYLE="font-size:6pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P>
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<TD WIDTH="4%" VALIGN="top" ALIGN="left"><FONT STYLE="FONT-FAMILY:WINGDINGS">&#168;</FONT></TD>
<TD ALIGN="left" VALIGN="top">Pre-commencement communications pursuant to Rule 14d-2(b) Exchange Act </TD></TR></TABLE> <P STYLE="font-size:6pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P>
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<TD WIDTH="4%" VALIGN="top" ALIGN="left"><FONT STYLE="FONT-FAMILY:WINGDINGS">&#168;</FONT></TD>
<TD ALIGN="left" VALIGN="top">Pre-commencement communications pursuant to Rule 13e-4(c) Exchange Act </TD></TR></TABLE> <P STYLE="font-size:10pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P>
<P STYLE="line-height:1.0pt;margin-top:0pt;margin-bottom:0pt;border-bottom:1px solid #000000">&nbsp;</P> <P STYLE="line-height:3.0pt;margin-top:0pt;margin-bottom:2pt;border-bottom:1px solid #000000">&nbsp;</P>

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 <P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman"><B>Item&nbsp;1.01 Entry into a Material Definitive Agreement. </B></P>
<P STYLE="margin-top:6pt; margin-bottom:0pt; text-indent:4%; font-size:10pt; font-family:Times New Roman">Mat-Rx Development, L.L.C., (&#147;USMD Hospital Division&#148;) a wholly owned subsidiary of USMD Holdings, Inc. (&#147;Holdings&#148;)
provides management and operational services to USMD Hospital at Arlington, L.P. (&#147;USMD Arlington&#148;), a general acute care hospital located in Arlington, Texas. At June&nbsp;30, 2013, USMD Hospital Division owned approximately 28.44% of
USMD Arlington and Holdings accounted for the operations of USMD Arlington under the equity method of accounting. </P> <P STYLE="margin-top:12pt; margin-bottom:0pt; text-indent:4%; font-size:10pt; font-family:Times New Roman">On September&nbsp;13,
2013, Holdings executed and delivered a Securities Exchange Agreement to certain limited partners of USMD Arlington to acquire their limited partnership interests in USMD Arlington (collectively constituting approximately 17.96% of the total
ownership of USMD Arlington) in exchange for the issuance by Holdings of its 5% convertible subordinated notes due 2019 in the aggregate principal amount of $24,341,764 (the &#147;Notes&#148;). The exchanging limited partners are physicians or
entities owned by physicians who have medical staff privileges at USMD Hospital at Arlington. </P> <P STYLE="margin-top:12pt; margin-bottom:0pt; text-indent:4%; font-size:10pt; font-family:Times New Roman">The transactions contemplated by the
Securities Exchange Agreement were consummated on September&nbsp;13, 2013. Upon receipt, Holdings contributed all of the acquired limited partnership interests to USMD Hospital Division. After consummation of these transactions, USMD Hospital
Division&#146;s ownership of USMD Arlington increased to approximately 46.40%. </P> <P STYLE="margin-top:18pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman"><B>Item&nbsp;2.03 Creation of a Direct Financial Obligation or an
Obligation under an Off-Balance Sheet Arrangement of a Registrant. </B></P> <P STYLE="margin-top:6pt; margin-bottom:0pt; text-indent:4%; font-size:10pt; font-family:Times New Roman">The Notes will mature on March&nbsp;1, 2019. The Notes bear
interest at a rate of 5.00%&nbsp;per annum. Payments will be due and payable monthly on the last day of each month commencing on September&nbsp;30, 2013. Holdings may prepay the Notes, in whole or in part, at any time after September&nbsp;1, 2014.
In order to prepay the Notes, Holdings must deliver 60 days&#146; prior written notice of its intent to prepay the Notes to the holders of the Notes. Each noteholder will have the right at any time after September&nbsp;1, 2014, prior to the payment
in full of the Note, to convert all or any part of the unpaid principal balance of the Note into shares of common stock of Holdings at the rate of one share of common stock for each $23.37 of principal. The conversion rate will be appropriately
adjusted for stock splits, mergers or other fundamental corporate transactions. The indebtedness represented by the Notes is expressly subordinate to and junior and subject in right of payment to the prior payment in full in cash of all senior
indebtedness of Holdings currently outstanding or incurred in the future, which includes without limitation its indebtedness to banks. </P> <P STYLE="margin-top:18pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman"><B>Item&nbsp;3.02
Unregistered Sales of Equity Securities. </B></P> <P STYLE="margin-top:6pt; margin-bottom:0pt; text-indent:4%; font-size:10pt; font-family:Times New Roman">Because the Notes are convertible at any time after September&nbsp;1, 2014 into shares of
Holdings&#146; common stock, the issuance of the Notes may be deemed to constitute a sale of equity securities of Holdings. The issuance and sale of the Notes is exempt from registration under the Securities Act in reliance upon Rule 506 of
Regulation D promulgated under the Securities Act as transactions by an issuer not involving any public offering. The recipients of the Notes, each of whom is an accredited investor, represented their intentions to acquire the Notes for investment
only and not with a view to or for sale in connection with any distribution thereof. Each of the recipients of the Notes was furnished adequate information about Holdings to information regarding Holdings, its subsidiaries and the Notes. </P>
<P STYLE="margin-top:18pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman"><B>Item&nbsp;7.01. Regulation FD Disclosure. </B></P>
<P STYLE="margin-top:6pt; margin-bottom:0pt; text-indent:4%; font-size:10pt; font-family:Times New Roman">On September&nbsp;16, 2013, Holdings issued a press release regarding its entry into the Stock Purchase Agreement and issuance of the Notes,
which is furnished as Exhibit 99.1 to this report. </P>

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<P STYLE="margin-top:6pt; margin-bottom:0pt; text-indent:4%; font-size:10pt; font-family:Times New Roman">(d) Exhibits </P> <P STYLE="font-size:6pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P>
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<TD VALIGN="top" NOWRAP>4.1</TD>
<TD VALIGN="bottom"><FONT STYLE="font-size:8pt">&nbsp;&nbsp;</FONT></TD>
<TD VALIGN="top">Form of 5% convertible subordinated notes due 2019</TD></TR>
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<TD VALIGN="top" NOWRAP>10.1</TD>
<TD VALIGN="bottom"><FONT STYLE="font-size:8pt">&nbsp;&nbsp;</FONT></TD>
<TD VALIGN="top">Securities Exchange Agreement, by and among USMD Holdings, Inc. and certain Class P Limited Partners of USMD Hospital at Arlington, L.P.</TD></TR>
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<TD VALIGN="top" NOWRAP>99.1</TD>
<TD VALIGN="bottom"><FONT STYLE="font-size:8pt">&nbsp;&nbsp;</FONT></TD>
<TD VALIGN="top">Press Release issued by USMD Holdings, Inc. dated September 16, 2013</TD></TR>
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 <P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman" ALIGN="center"><B>SIGNATURE </B></P>
<P STYLE="margin-top:12pt; margin-bottom:0pt; text-indent:4%; font-size:10pt; font-family:Times New Roman">Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by
the undersigned hereunto duly authorized. </P> <P STYLE="font-size:12pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P>
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<TD VALIGN="top" COLSPAN="3">USMD HOLDINGS, INC.</TD></TR>
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<TD VALIGN="top">Date: September&nbsp;16, 2013</TD>
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<TD VALIGN="top">By:</TD>
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<TD VALIGN="top" STYLE="BORDER-BOTTOM:1px solid #000000"><I>/s/ Greg Cardenas</I></TD></TR>
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<TD VALIGN="bottom"><FONT STYLE="font-size:8pt">&nbsp;</FONT></TD>
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<TD VALIGN="bottom"><FONT STYLE="font-size:8pt">&nbsp;</FONT></TD>
<TD VALIGN="top">Greg Cardenas</TD></TR>
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<TD VALIGN="bottom"><FONT STYLE="font-size:8pt">&nbsp;</FONT></TD>
<TD VALIGN="top">Executive Vice President, Secretary and General Counsel</TD></TR>
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{"company-data": {"conformed-name": "USMD Holdings, Inc.", "cik": "0001507881", "assigned-sic": "8062", "irs-number": "272866866", "state-of-incorporation": "DE", "fiscal-year-end": "1231"}, "filing-values": {"form-type": "8-K", "act": "34", "file-number": "001-35639", "film-number": "131098504"}, "business-address": {"street1": "6333 NORTH STATE HIGHWAY 161", "street2": "SUITE 200", "city": "IRVING", "state": "TX", "zip": "75038", "phone": "214-493-4000"}, "mail-address": {"street1": "6333 NORTH STATE HIGHWAY 161", "street2": "SUITE 200", "city": "IRVING", "state": "TX", "zip": "75038"}}
Form 8-K
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
PURSUANT
TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
Date of Report (Date of earliest event reported): September 13, 2013
USMD Holdings, Inc.
(Exact name of registrant as specified in its charter)
Delaware
001-35639
27-2866866
(State of
incorporation)
(Commission File
Number)
(IRS Employer
Identification Number)
6333 North State Highway 161, Suite 200
Irving, Texas 75038
(Address of principal executive offices)
Registrant's telephone number, including area code: (214) 493-4000
Check the appropriate box if the Form 8-K filing is intended to simultaneously satisfy the reporting obligation of the registrant under any of the following
provisions:
¨
Written communications pursuant to Rule 425 under the Securities Act
¨
Soliciting material pursuant to Rule 14a-12 of the Exchange Act
¨
Pre-commencement communications pursuant to Rule 14d-2(b) Exchange Act
¨
Pre-commencement communications pursuant to Rule 13e-4(c) Exchange Act
Item 1.01 Entry into a Material Definitive Agreement.
Mat-Rx Development, L.L.C., ("USMD Hospital Division") a wholly owned subsidiary of USMD Holdings, Inc. ("Holdings")
provides management and operational services to USMD Hospital at Arlington, L.P. ("USMD Arlington"), a general acute care hospital located in Arlington, Texas. At June 30, 2013, USMD Hospital Division owned approximately 28.44% of
USMD Arlington and Holdings accounted for the operations of USMD Arlington under the equity method of accounting.
On September 13,
2013, Holdings executed and delivered a Securities Exchange Agreement to certain limited partners of USMD Arlington to acquire their limited partnership interests in USMD Arlington (collectively constituting approximately 17.96% of the total
ownership of USMD Arlington) in exchange for the issuance by Holdings of its 5% convertible subordinated notes due 2019 in the aggregate principal amount of $24,341,764 (the "Notes"). The exchanging limited partners are physicians or
entities owned by physicians who have medical staff privileges at USMD Hospital at Arlington.
The transactions contemplated by the
Securities Exchange Agreement were consummated on September 13, 2013. Upon receipt, Holdings contributed all of the acquired limited partnership interests to USMD Hospital Division. After consummation of these transactions, USMD Hospital
Division's ownership of USMD Arlington increased to approximately 46.40%.
Item 2.03 Creation of a Direct Financial Obligation or an
Obligation under an Off-Balance Sheet Arrangement of a Registrant.
The Notes will mature on March 1, 2019. The Notes bear
interest at a rate of 5.00% per annum. Payments will be due and payable monthly on the last day of each month commencing on September 30, 2013. Holdings may prepay the Notes, in whole or in part, at any time after September 1, 2014.
In order to prepay the Notes, Holdings must deliver 60 days' prior written notice of its intent to prepay the Notes to the holders of the Notes. Each noteholder will have the right at any time after September 1, 2014, prior to the payment
in full of the Note, to convert all or any part of the unpaid principal balance of the Note into shares of common stock of Holdings at the rate of one share of common stock for each $23.37 of principal. The conversion rate will be appropriately
adjusted for stock splits, mergers or other fundamental corporate transactions. The indebtedness represented by the Notes is expressly subordinate to and junior and subject in right of payment to the prior payment in full in cash of all senior
indebtedness of Holdings currently outstanding or incurred in the future, which includes without limitation its indebtedness to banks.
Item 3.02
Unregistered Sales of Equity Securities.
Because the Notes are convertible at any time after September 1, 2014 into shares of
Holdings' common stock, the issuance of the Notes may be deemed to constitute a sale of equity securities of Holdings. The issuance and sale of the Notes is exempt from registration under the Securities Act in reliance upon Rule 506 of
Regulation D promulgated under the Securities Act as transactions by an issuer not involving any public offering. The recipients of the Notes, each of whom is an accredited investor, represented their intentions to acquire the Notes for investment
only and not with a view to or for sale in connection with any distribution thereof. Each of the recipients of the Notes was furnished adequate information about Holdings to information regarding Holdings, its subsidiaries and the Notes.
Item 7.01. Regulation FD Disclosure.
On September 16, 2013, Holdings issued a press release regarding its entry into the Stock Purchase Agreement and issuance of the Notes,
which is furnished as Exhibit 99.1 to this report.
Item 9.01 Exhibits
(d) Exhibits
4.1
Form of 5% convertible subordinated notes due 2019
10.1
Securities Exchange Agreement, by and among USMD Holdings, Inc. and certain Class P Limited Partners of USMD Hospital at Arlington, L.P.
99.1
Press Release issued by USMD Holdings, Inc. dated September 16, 2013
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by
the undersigned hereunto duly authorized.
USMD HOLDINGS, INC.
Date: September 16, 2013
By:
/s/ Greg Cardenas
Greg Cardenas
Executive Vice President, Secretary and General Counsel