information privacy or other negative impact ; the impact of laws and regulations relating to privacy and security of patient health information and standards for electronic transactions ; the impact of a change in the mix of our earnings , and changes in tax rates and laws generally ; failure to maintain effective internal control over financial reporting ; the impact of fluctuations in our operating results , quarter to quarter earnings and other factors on the price of our securities ; the impact of the trend for insurance companies and managed care organizations to enter into sole source contracts on our ability to obtain patients ; 46 the impact of fluctuations in foreign exchange rates ; and those risks and uncertainties described from time to time in our filings with the securities and exchange commission . given these risks and uncertainties , you are cautioned not to place undue reliance on such forward-looking statements . these risks and uncertainties may cause our actual future results to be materially different than those expressed in our forward-looking statements . these forward-looking statements are made only as of the date of this annual report on form 10-k. we do not undertake and specifically decline any obligation to update any such statements or to publicly announce the results of any revisions to any such statements to reflect future events or developments . overview our business strategy is to acquire and develop behavioral healthcare facilities and improve our operating results within our facilities and our other behavioral healthcare operations . we strive to improve the operating results of our facilities by providing high-quality services , expanding referral networks and marketing initiatives while meeting the increased demand for behavioral healthcare services through expansion of our current locations as well as developing new services within existing locations . at december 31 , 2015 , we operated 258 behavioral healthcare facilities with over 9,900 beds in 39 states , the united kingdom and puerto rico . during the year ended december 31 , 2015 , we acquired 176 facilities and added approximately 670 new beds , including 460 to existing facilities and 210 in two de novo facilities . for the year ending december 31 , 2016 , we expect to add approximately 800 total beds exclusive of acquisitions . we are the leading publicly traded pure-play provider of behavioral healthcare services , with operations in the united states and the united kingdom . management believes that the company 's recent acquisitions position the company as a leading platform in a highly fragmented industry under the direction of an experienced management team that has significant industry expertise . management expects to take advantage of several strategies that are more accessible as a result of our increased size and geographic scale , including continuing a national marketing strategy to attract new patients and referral sources , increasing our volume of out-of-state referrals , providing a broader range of services to new and existing patients and clients and selectively pursuing opportunities to expand our facility and bed count . acquisitions on february 16 , 2016 , we completed the acquisition of priory for a total purchase price of approximately $ 2.2 billion , including total cash consideration of approximately $ 1.9 billion and 4,033,561 shares our common stock . priory is the leading independent provider of behavioral healthcare services in the united kingdom . at december 31 , 2015 , priory operated 327 facilities with approximately 7,100 beds . on december 1 , 2015 , we completed the acquisition of certain facilities from mmo , including two acute inpatient behavioral health facilities with a total of 80 beds located in jennings and covington , louisiana , for cash consideration of approximately $ 20.2 million . on november 1 , 2015 , we completed the acquisitions of ( i ) discovery house for cash consideration of approximately $ 118.5 million , ( ii ) duffy 's for cash consideration of approximately $ 29.6 million and ( iii ) cleveland house for approximately $ 10.3 million . discovery house operates 19 comprehensive treatment centers located in four states . duffy 's is a substance abuse facility with 61 beds located in calistoga , california . cleveland house is an inpatient psychiatric facility with 32 beds located in england . on october 1 , 2015 , we completed the acquisition of meadow view , an inpatient psychiatric facility with 28 beds located in england , for cash consideration of approximately $ 6.8 million . on september 1 , 2015 , we completed the acquisitions of ( i ) three facilities from danshell for approximately $ 59.8 million , ( ii ) two facilities from h & scp for approximately $ 26.2 million and ( iii ) manor hall for approximately $ 14.0 million . the inpatient psychiatric facilities acquired from danshell have an aggregate of 73 beds and are located in england . the inpatient psychiatric facilities acquired from h & scp have an aggregate of 50 beds and are located in england . manor hall has 26 beds and is located in england . on august 31 , 2015 , we completed the acquisition of a controlling interest in southcoast , an inpatient psychiatric facility located in fairhaven , massachusetts . we own 75 % of the equity interests in the facility . on july 1 , 2015 , we completed the acquisition of the assets of belmont , an inpatient psychiatric facility with 147 beds located in philadelphia , pennsylvania for cash consideration of approximately $ 38.2 million which consists of $ 35.0 million base purchase price and an estimated working capital settlement of $ 3.2 million . 47 on july 1 , 2015 , we completed the acquisition of the manor clinic , a substance abuse facility with 15 beds located in england , for cash consideration of approximately $ 5.9 million . story_separator_special_tag on february 13 , 2014 , we entered into the fourth amendment to the amended and restated credit agreement , to increase the size of the amended and restated senior credit facility and extend the maturity date thereof , which resulted in the company having a revolving line of credit of up to $ 300.0 million and term loans of $ 300.0 million . the fourth amendment also reduced the interest rates applicable to the amended and restated senior credit facility and provided increased flexibility to the company in terms of the financial and other restrictive covenants . the fourth amendment also provides for a $ 150.0 million incremental credit facility , with the potential for unlimited additional incremental amounts , provided the company meets certain financial ratios , in each case subject to customary conditions precedent to borrowing . on june 16 , 2014 , we entered into the fifth amendment to the amended and restated senior credit facility . the fifth amendment specifically permitted the acquisition of partnerships in care , gave us the ability to incur a tranche of term loan b debt in the future through its incremental credit facility , and modified certain of the restrictive covenants on miscellaneous investments and incurrence of miscellaneous liens . finally , the fifth amendment provided increased flexibility to the company in terms of our financial covenants . on december 15 , 2014 , we entered into a sixth amendment to our amended and restated credit agreement . pursuant to the sixth amendment , we incurred $ 235.0 million of additional term loans . a portion of the additional term loan advance was used to prepay our outstanding revolving loans , and a portion of the additional term loan advance was held as cash on our consolidated balance sheet . the sixth amendment also specifically permitted the acquisition of crc . in connection with the acquisition of crc , the sixth amendment ( i ) imposed a temporary reserve on our revolving credit facility in the amount of $ 110.0 million in order to preserve such reserved amounts for later borrowings to partially fund the consideration for the acquisition of crc ( subject to limited conditionality provisions ) ( the reserve is no longer in effect due to the acquisition of crc ) , ( ii ) permitted the incurrence of an additional incremental term loan facility under the amended and restated credit agreement partially to fund the consideration for the acquisition of crc ( subject to limited conditionality provisions ) and ( iii ) permitted our issuance of additional senior unsecured indebtedness or senior unsecured bridge indebtedness partially to fund the consideration for the acquisition of crc . the sixth amendment also permits us , subject to certain consents , to add one or more foreign borrowers and or request revolving loans and letters of credit in foreign currencies . on february 6 , 2015 , we entered into the seventh amendment to our amended and restated credit agreement . the seventh amendment added citibank , n.a . as an l/c issuer under the amended and restated credit agreement in order to permit the rollover of crc 's existing letters of credit into the amended and restated credit agreement and increased both the company 's letter of credit sublimit and swing line sublimit to $ 20.0 million . on february 11 , 2015 , we entered into the first incremental amendment to our amended and restated credit agreement . the first incremental amendment activated a new $ 500.0 million incremental existing tlb facility that was added to the amended and restated senior secured credit facility , subject to limited conditionality provisions . borrowings under the existing tlb facility were used to fund a portion of the purchase price for our acquisition of crc . on april 22 , 2015 , we entered into an eighth amendment to our amended and restated credit agreement . the eighth amendment changed the definition of change of control in part to remove a provision whose purpose was , when calculating whether a majority of incumbent directors have approved new directors , that any incumbent director that became a director as a result of a threatened or actual proxy contest was not counted in such calculation . 53 on january 25 , 2016 , we entered into the ninth amendment to the amended and restated senior credit facility . the ninth amendment modifies certain definitions and provides increased flexibility to us in terms of our financial covenants . our baskets for permitted investments were also increased to provide increased flexibility for us to invest in non-wholly owned subsidiaries , joint ventures and foreign subsidiaries . we may now invest in non-wholly owned subsidiaries and joint ventures up to 10.0 % of our and our subsidiaries ' total assets in any consecutive four fiscal quarter period , and up to 12.5 % of our and our subsidiaries ' total assets during the term of the amended and restated credit agreement . we may also invest in foreign subsidiaries that are not loan parties up to 10 % of our and our subsidiaries ' total assets in any consecutive four fiscal quarter period , and up to 15 % of our and our subsidiaries ' total assets during the term of the amended and restated credit agreement . the foregoing permitted investments are subject to an aggregate cap of 25 % of our and our subsidiaries ' total assets in any fiscal year . on february 16 , 2016 , we entered into the second incremental facility amendment to our amended and restated credit agreement . the second incremental amendment activated a new $ 955.0 million incremental term loan b facility and added $ 135.0 million to the term loan a facility to our amended and restated senior secured credit facility , subject to limited conditionality provisions . borrowings under the new tlb facility were used to fund a portion of the purchase price for

debt extinguishment costs . debt extinguishment costs for the year ended december 31 , 2015 represent $ 7.5 million of cash charges and $ 3.3 million of non-cash charges recorded in connection with the repayment of $ 97.5 million of 12.875 % senior notes . transaction-related expenses . transaction-related expenses were $ 36.6 million for the year ended december 31 , 2015 compared to $ 13.7 million for the year ended december 31 , 2014. transaction-related expenses represent costs incurred in the respective periods , primarily related to the 2014 and 2015 acquisitions , as summarized below ( in thousands ) : replace_table_token_5_th provision for income taxes . for the year ended december 31 , 2015 , the provision for income taxes was $ 53.4 million , reflecting an effective tax rate of 32.4 % , compared to $ 42.9 million , reflecting an effective tax rate of 34.0 % , for 2014. the decrease in the tax rate for the year ended december 31 , 2015 was primarily attributable to a full year of results for partnerships in care in 2015 , compared to six months in 2014 , partnerships in care is located in a lower taxing jurisdiction and for which earnings are permanently reinvested . 50 year ended december 31 , 2014 compared to the year ended december 31 , 2013 revenue before provision for doubtful accounts . revenue before provision for doubtful accounts increased $ 295.7 million , or 40.2 % , to $ 1.0 billion for the year ended december 31 , 2014 from $ 735.1 million for the year ended december 31 , 2013. the increase related primarily to revenue generated during the year ended december 31 , 2014 from the facilities acquired in our 2013 and 2014 acquisitions , particularly the acquisition of partnerships in care . same-facility revenue before provision for doubtful accounts increased by $ 79.1 million , or 10.8 % , for the year ended december 31 , 2014 compared to the year ended december 31 , 2013 , resulting from same-facility growth in patient days of 10.3 % and same-facility revenue per day of 0.6 % .


 Write a concise suspicious activity report of the following text delimited by triple backquotes. Return your response as a formal report which covers the key points highlighting the location,dates,entity names and account holder information in chronological order of the text.
     ```debt extinguishment costs . debt extinguishment costs for the year ended december 31 , 2015 represent $ 7.5 million of cash charges and $ 3.3 million of non-cash charges recorded in connection with the repayment of $ 97.5 million of 12.875 % senior notes . transaction-related expenses . transaction-related expenses were $ 36.6 million for the year ended december 31 , 2015 compared to $ 13.7 million for the year ended december 31 , 2014. transaction-related expenses represent costs incurred in the respective periods , primarily related to the 2014 and 2015 acquisitions , as summarized below ( in thousands ) : replace_table_token_5_th provision for income taxes . for the year ended december 31 , 2015 , the provision for income taxes was $ 53.4 million , reflecting an effective tax rate of 32.4 % , compared to $ 42.9 million , reflecting an effective tax rate of 34.0 % , for 2014. the decrease in the tax rate for the year ended december 31 , 2015 was primarily attributable to a full year of results for partnerships in care in 2015 , compared to six months in 2014 , partnerships in care is located in a lower taxing jurisdiction and for which earnings are permanently reinvested . 50 year ended december 31 , 2014 compared to the year ended december 31 , 2013 revenue before provision for doubtful accounts . revenue before provision for doubtful accounts increased $ 295.7 million , or 40.2 % , to $ 1.0 billion for the year ended december 31 , 2014 from $ 735.1 million for the year ended december 31 , 2013. the increase related primarily to revenue generated during the year ended december 31 , 2014 from the facilities acquired in our 2013 and 2014 acquisitions , particularly the acquisition of partnerships in care . same-facility revenue before provision for doubtful accounts increased by $ 79.1 million , or 10.8 % , for the year ended december 31 , 2014 compared to the year ended december 31 , 2013 , resulting from same-facility growth in patient days of 10.3 % and same-facility revenue per day of 0.6 % .
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 Suspicious Activity Report : information privacy or other negative impact ; the impact of laws and regulations relating to privacy and security of patient health information and standards for electronic transactions ; the impact of a change in the mix of our earnings , and changes in tax rates and laws generally ; failure to maintain effective internal control over financial reporting ; the impact of fluctuations in our operating results , quarter to quarter earnings and other factors on the price of our securities ; the impact of the trend for insurance companies and managed care organizations to enter into sole source contracts on our ability to obtain patients ; 46 the impact of fluctuations in foreign exchange rates ; and those risks and uncertainties described from time to time in our filings with the securities and exchange commission . given these risks and uncertainties , you are cautioned not to place undue reliance on such forward-looking statements . these risks and uncertainties may cause our actual future results to be materially different than those expressed in our forward-looking statements . these forward-looking statements are made only as of the date of this annual report on form 10-k. we do not undertake and specifically decline any obligation to update any such statements or to publicly announce the results of any revisions to any such statements to reflect future events or developments . overview our business strategy is to acquire and develop behavioral healthcare facilities and improve our operating results within our facilities and our other behavioral healthcare operations . we strive to improve the operating results of our facilities by providing high-quality services , expanding referral networks and marketing initiatives while meeting the increased demand for behavioral healthcare services through expansion of our current locations as well as developing new services within existing locations . at december 31 , 2015 , we operated 258 behavioral healthcare facilities with over 9,900 beds in 39 states , the united kingdom and puerto rico . during the year ended december 31 , 2015 , we acquired 176 facilities and added approximately 670 new beds , including 460 to existing facilities and 210 in two de novo facilities . for the year ending december 31 , 2016 , we expect to add approximately 800 total beds exclusive of acquisitions . we are the leading publicly traded pure-play provider of behavioral healthcare services , with operations in the united states and the united kingdom . management believes that the company 's recent acquisitions position the company as a leading platform in a highly fragmented industry under the direction of an experienced management team that has significant industry expertise . management expects to take advantage of several strategies that are more accessible as a result of our increased size and geographic scale , including continuing a national marketing strategy to attract new patients and referral sources , increasing our volume of out-of-state referrals , providing a broader range of services to new and existing patients and clients and selectively pursuing opportunities to expand our facility and bed count . acquisitions on february 16 , 2016 , we completed the acquisition of priory for a total purchase price of approximately $ 2.2 billion , including total cash consideration of approximately $ 1.9 billion and 4,033,561 shares our common stock . priory is the leading independent provider of behavioral healthcare services in the united kingdom . at december 31 , 2015 , priory operated 327 facilities with approximately 7,100 beds . on december 1 , 2015 , we completed the acquisition of certain facilities from mmo , including two acute inpatient behavioral health facilities with a total of 80 beds located in jennings and covington , louisiana , for cash consideration of approximately $ 20.2 million . on november 1 , 2015 , we completed the acquisitions of ( i ) discovery house for cash consideration of approximately $ 118.5 million , ( ii ) duffy 's for cash consideration of approximately $ 29.6 million and ( iii ) cleveland house for approximately $ 10.3 million . discovery house operates 19 comprehensive treatment centers located in four states . duffy 's is a substance abuse facility with 61 beds located in calistoga , california . cleveland house is an inpatient psychiatric facility with 32 beds located in england . on october 1 , 2015 , we completed the acquisition of meadow view , an inpatient psychiatric facility with 28 beds located in england , for cash consideration of approximately $ 6.8 million . on september 1 , 2015 , we completed the acquisitions of ( i ) three facilities from danshell for approximately $ 59.8 million , ( ii ) two facilities from h & scp for approximately $ 26.2 million and ( iii ) manor hall for approximately $ 14.0 million . the inpatient psychiatric facilities acquired from danshell have an aggregate of 73 beds and are located in england . the inpatient psychiatric facilities acquired from h & scp have an aggregate of 50 beds and are located in england . manor hall has 26 beds and is located in england . on august 31 , 2015 , we completed the acquisition of a controlling interest in southcoast , an inpatient psychiatric facility located in fairhaven , massachusetts . we own 75 % of the equity interests in the facility . on july 1 , 2015 , we completed the acquisition of the assets of belmont , an inpatient psychiatric facility with 147 beds located in philadelphia , pennsylvania for cash consideration of approximately $ 38.2 million which consists of $ 35.0 million base purchase price and an estimated working capital settlement of $ 3.2 million . 47 on july 1 , 2015 , we completed the acquisition of the manor clinic , a substance abuse facility with 15 beds located in england , for cash consideration of approximately $ 5.9 million . story_separator_special_tag on february 13 , 2014 , we entered into the fourth amendment to the amended and restated credit agreement , to increase the size of the amended and restated senior credit facility and extend the maturity date thereof , which resulted in the company having a revolving line of credit of up to $ 300.0 million and term loans of $ 300.0 million . the fourth amendment also reduced the interest rates applicable to the amended and restated senior credit facility and provided increased flexibility to the company in terms of the financial and other restrictive covenants . the fourth amendment also provides for a $ 150.0 million incremental credit facility , with the potential for unlimited additional incremental amounts , provided the company meets certain financial ratios , in each case subject to customary conditions precedent to borrowing . on june 16 , 2014 , we entered into the fifth amendment to the amended and restated senior credit facility . the fifth amendment specifically permitted the acquisition of partnerships in care , gave us the ability to incur a tranche of term loan b debt in the future through its incremental credit facility , and modified certain of the restrictive covenants on miscellaneous investments and incurrence of miscellaneous liens . finally , the fifth amendment provided increased flexibility to the company in terms of our financial covenants . on december 15 , 2014 , we entered into a sixth amendment to our amended and restated credit agreement . pursuant to the sixth amendment , we incurred $ 235.0 million of additional term loans . a portion of the additional term loan advance was used to prepay our outstanding revolving loans , and a portion of the additional term loan advance was held as cash on our consolidated balance sheet . the sixth amendment also specifically permitted the acquisition of crc . in connection with the acquisition of crc , the sixth amendment ( i ) imposed a temporary reserve on our revolving credit facility in the amount of $ 110.0 million in order to preserve such reserved amounts for later borrowings to partially fund the consideration for the acquisition of crc ( subject to limited conditionality provisions ) ( the reserve is no longer in effect due to the acquisition of crc ) , ( ii ) permitted the incurrence of an additional incremental term loan facility under the amended and restated credit agreement partially to fund the consideration for the acquisition of crc ( subject to limited conditionality provisions ) and ( iii ) permitted our issuance of additional senior unsecured indebtedness or senior unsecured bridge indebtedness partially to fund the consideration for the acquisition of crc . the sixth amendment also permits us , subject to certain consents , to add one or more foreign borrowers and or request revolving loans and letters of credit in foreign currencies . on february 6 , 2015 , we entered into the seventh amendment to our amended and restated credit agreement . the seventh amendment added citibank , n.a . as an l/c issuer under the amended and restated credit agreement in order to permit the rollover of crc 's existing letters of credit into the amended and restated credit agreement and increased both the company 's letter of credit sublimit and swing line sublimit to $ 20.0 million . on february 11 , 2015 , we entered into the first incremental amendment to our amended and restated credit agreement . the first incremental amendment activated a new $ 500.0 million incremental existing tlb facility that was added to the amended and restated senior secured credit facility , subject to limited conditionality provisions . borrowings under the existing tlb facility were used to fund a portion of the purchase price for our acquisition of crc . on april 22 , 2015 , we entered into an eighth amendment to our amended and restated credit agreement . the eighth amendment changed the definition of change of control in part to remove a provision whose purpose was , when calculating whether a majority of incumbent directors have approved new directors , that any incumbent director that became a director as a result of a threatened or actual proxy contest was not counted in such calculation . 53 on january 25 , 2016 , we entered into the ninth amendment to the amended and restated senior credit facility . the ninth amendment modifies certain definitions and provides increased flexibility to us in terms of our financial covenants . our baskets for permitted investments were also increased to provide increased flexibility for us to invest in non-wholly owned subsidiaries , joint ventures and foreign subsidiaries . we may now invest in non-wholly owned subsidiaries and joint ventures up to 10.0 % of our and our subsidiaries ' total assets in any consecutive four fiscal quarter period , and up to 12.5 % of our and our subsidiaries ' total assets during the term of the amended and restated credit agreement . we may also invest in foreign subsidiaries that are not loan parties up to 10 % of our and our subsidiaries ' total assets in any consecutive four fiscal quarter period , and up to 15 % of our and our subsidiaries ' total assets during the term of the amended and restated credit agreement . the foregoing permitted investments are subject to an aggregate cap of 25 % of our and our subsidiaries ' total assets in any fiscal year . on february 16 , 2016 , we entered into the second incremental facility amendment to our amended and restated credit agreement . the second incremental amendment activated a new $ 955.0 million incremental term loan b facility and added $ 135.0 million to the term loan a facility to our amended and restated senior secured credit facility , subject to limited conditionality provisions . borrowings under the new tlb facility were used to fund a portion of the purchase price for

