INTENSIVA HEALTHCARE CORP
10-Q, 1998-11-16
SKILLED NURSING CARE FACILITIES
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                                    Form 10-Q
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                           --------------------------

              [X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
                     OF THE SECURITIES EXCHANGE ACT OF 1934

                For the quarterly period ended September 30, 1998

                                       OR

              [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)
                     OF THE SECURITIES EXCHANGE ACT OF 1934

                For the transition period from _______ to _______

                        Commission file number 000-21505

                        INTENSIVA HEALTHCARE CORPORATION
             (Exact name of registrant as specified in its charter)

                               DELAWARE 43-1690769
                (State or other jurisdiction of (I.R.S. Employer
               incorporation or organization) Identification No.)

            7733 FORSYTH BLVD., 8TH FLOOR, ST. LOUIS, MISSOURI 63105
               (Address of principal executive offices) (Zip Code)
                                 (314) 725-0112
              (Registrant's telephone number, including area code)

- - --------------------
Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the  preceding 12 months (or for such  shorter  period that the  registrant  was
required  to file  such  reports),  and  (2) has  been  subject  to such  filing
requirements for the past 90 days.

Yes [X]           No [  ]

The number of shares  outstanding of the  registrant's  Common Stock,  par value
$0.001 per share, at October 31, 1998, was 10,078,838 shares.

  
<PAGE>



                         PART I -- FINANCIAL INFORMATION

Item 1.           Financial Statements

<TABLE>
                                         INTENSIVA HEALTHCARE CORPORATION
                                                 AND SUBSIDIARIES

                                       Condensed Consolidated Balance Sheets
<CAPTION>


                                                                  September 30,
                                                                       1998              December 31,
                            Assets                                 (Unaudited)               1997
                            ------                                 -----------           -----------
<S>                                                             <C>                    <C>          
Current assets:

    Cash and cash equivalents                                   $   2,457,048          $    247,943
    Accounts receivable, less allowance for doubtful
        accounts of $2,997,000 and $1,736,000,
        respectively                                               48,560,880            31,376,641
    Inventories                                                     1,427,722               781,317
    Prepaid expenses                                                  502,143               855,429
                                                                  -----------           ----------- 
                  Total current assets                             52,947,793            33,261,330
Property and equipment, net                                         9,873,990             6,882,957
Organizational and preopening costs, net                              766,629               382,777
Other assets                                                          849,328             1,047,842
                                                                  -----------           -----------
                                                                  $64,437,740           $41,574,906
                                                                  ===========           ===========
Liabilities and Stockholders' Equity 
Current liabilities:

    Current portion of long-term obligations                    $     862,880          $    781,315
    Current portion of revolving credit facility                    5,654,080               463,525
    Accounts payable and accrued expenses                           9,305,499             7,589,180
    Accrued salaries, wages and benefits                            3,330,333             2,245,741
    Accrued third-party payor settlements                          11,514,689             2,152,911
                                                                  -----------           -----------  
         Total current liabilities                                 30,667,481            13,232,672

Long-term obligations, less current portion                         1,550,542             1,312,234
Revolving credit facility, less current portion                     3,954,037             1,935,575
Deferred rent expense                                               1,511,973             1,301,984
Stockholders' equity:
    Common stock, $0.001 par value, 70,000,000
        shares authorized, 10,078,838 and 9,969,045
        shares issued and outstanding, respectively                    10,079                 9,969
    Additional paid-in capital                                     30,212,240            30,193,647
    Accumulated deficit                                            (3,468,612)           (6,411,175)
                                                                  -----------           -----------
         Total stockholders' equity                                26,753,707            23,792,441
                                                                  -----------           -----------
                                                                  $64,437,740           $41,574,906
                                                                  ===========           ===========
</TABLE>
         See accompanying notes to condensed consolidated financial statements.

                                     Page 2
<PAGE>


<TABLE>
                                         INTENSIVA HEALTHCARE CORPORATION
                                                 AND SUBSIDIARIES

                                  Condensed Consolidated Statements of Operations
                                                    (Unaudited)
<CAPTION>

                                                    Three Months Ended                        Nine Months Ended
                                                      September 30,                             September 30,
                                               1998                1997                 1998                 1997
                                           -------------       -------------        -------------        -------------   


<S>                                         <C>                <C>                  <C>                  <C>        
Net patient service revenues                $29,310,421        $19,495,330          $81,394,083          $46,154,593


Costs and expenses:
    Operating expenses                       24,874,752         16,796,644           68,934,928           39,692,260
    General and administrative                1,353,412          1,215,239            4,001,947            3,415,799
    Provision for doubtful accounts             252,253            370,002            1,421,161            1,428,960
    Depreciation and amortization               741,355            426,725            1,968,859            1,033,237
                                            -----------        -----------          -----------          -----------
         Total costs and expenses            27,221,772         18,808,610           76,326,895           45,570,256
                                            -----------        -----------          -----------          -----------    
         Operating income                     2,088,649            686,720            5,067,188              584,337

Interest income                                       -             74,282                    -              399,540
Interest expense                               (340,792)           (59,722)            (863,527)            (170,633)
                                             ----------        -----------          -----------          -----------
         Income before income taxes           1,747,857            701,280            4,203,661              813,244
Provision for income taxes                      524,356               -               1,261,098                  -
                                            -----------        -----------          -----------          -----------
         Net income                         $ 1,223,501        $   701,280           $2,942,563          $   813,244
                                            ===========        ===========           ==========          ===========
Basic income per share                      $      0.12        $      0.07           $     0.29          $      0.08
                                            ===========        ===========           ==========          ===========
Diluted income per share                    $      0.12        $      0.07           $     0.28          $      0.08
                                            ===========        ===========           ==========          ===========

</TABLE>

     See accompanying notes to condensed consolidated financial statements.


                                     Page 3
<PAGE>


<TABLE>

                                           INTENSIVA HEALTHCARE CORPORATION
                                                   AND SUBSIDIARIES

                                    Condensed Consolidated Statements of Cash Flows
                                 For the Nine Months Ended September 30, 1998 and 1997
                                                      (Unaudited)

<CAPTION>
                                                                      1998                  1997
                                                                      ----                  ----
<S>                                                             <C>                   <C>         
Cash flows from operating activities:
    Net income                                                  $   2,942,563         $    813,244
    Adjustments to reconcile net income to net cash
     used in operating activities:
        Depreciation and amortization                               1,968,859            1,033,237
        Provision for doubtful accounts                             1,421,161            1,428,960
        Increase in accounts receivable                           (18,605,400)         (17,258,487)
        Decrease (increase) in inventories, prepaid expenses
               and other assets                                      (322,659)              74,284
        Increase in accounts payable and accrued expenses           1,716,319            2,382,972
        Increase in accrued salaries, wages and benefits            1,084,592              672,856
        Increase in accrued third-party payor settlements           9,361,778            1,381,096
        Increase in deferred rent expense                             209,989               23,166
                                                                -------------         ------------
     Net cash used in operating activities                           (222,798)          (9,448,672)
Cash flows from investing activities:                           -------------         ------------
    Additions to property and equipment                            (3,258,826)          (2,517,280)
    Organizational and preopening costs                              (802,109)            (382,648)
    Maturities of short-term investments                                    -           10,403,626
                                                                -------------         ------------
     Net cash provided by (used in) investing activities           (4,060,935)           7,503,698
                                                                --------------        ------------   
Cash flows from financing activities:                           
   Proceeds from issuance of stock options                             18,703                7,988
   Net borrowings under revolving credit facility                   7,209,017                    -
   Debt issuance costs incurred                                       (81,702)                   -
   Payments on long-term obligations                                 (653,180)            (559,142)
                                                                -------------         ------------
     Net cash provided by (used in) financing activities            6,492,838             (551,154)
                                                                -------------         ------------
     Increase (decrease) in cash and cash equivalents               2,209,105           (2,496,128)
Cash and cash equivalents, beginning of period                        247,943            2,884,977
                                                                -------------         ------------
Cash and cash equivalents, end of period                        $   2,457,048         $    388,849
                                                                =============         ============
Supplemental cash flow information:                             
     Cash paid for interest                                     $     863,527         $    170,633
     Cash paid for income taxes                                       509,241                    -
Supplemental information - noncash activity:
     Acquisition of equipment through capital leases            $     973,053         $  1,540,381
                                                                =============         ============
</TABLE>
     See accompanying notes to condensed consolidated inancial statements.

                                     Page 4
<PAGE>



                        INTENSIVA HEALTHCARE CORPORATION
                                AND SUBSIDIARIES

              Notes to Condensed Consolidated Financial Statements
                                   (Unaudited)


(1)  Basis of Presentation

     The condensed  consolidated  balance sheet as of September 30, 1998 and the
     related condensed consolidated  statements of operations and cash flows for
     the  three  and  nine  month  periods  ended  September  30,  1998 and 1997
     contained in this Form 10-Q,  which are unaudited,  include the accounts of
     Intensiva   HealthCare   Corporation  and  its  wholly-owned   subsidiaries
     ("Intensiva" or the "Company").  All significant intercompany accounts have
     been  eliminated  in  consolidation.  In the  opinion  of  management,  all
     adjustments,  consisting of normal  recurring  items,  necessary for a fair
     presentation of such financial  statements have been included.  The results
     of operations for the three and nine month periods ended September 30, 1998
     are not  necessarily  indicative of the results to be expected for the year
     ended December 31, 1998.

     The  condensed   consolidated  financial  statements  do  not  include  all
     information  and  footnotes  necessary  for  a  complete   presentation  of
     financial position, results of operations and cash flows in conformity with
     generally  accepted  accounting  principles.   Reference  is  made  to  the
     Company's audited financial  statements and the related notes,  included in
     the registrant's annual report on Form 10-K for the year ended December 31,
     1997.

(2)  Net Income Per Share

     Basic and diluted  income per share was  computed  using net income and the
     weighted  average  number  of  shares of  common  stock  and  common  stock
     equivalents.  The  weighted  average  numbers of shares of common stock and
     common stock  equivalents  used in the  computation of income per share for
     each of the periods presented is as follows:

<TABLE>
<CAPTION>

                                                 Three Months Ended                  Nine Months Ended
                                                   September 30,                       September 30,
                                                   -------------                       -------------

     Shares Used in Computation of:          1998               1997               1998              1997
- - -------------------------------------  ----------------- ------------------ ------------------ ----------------

<S>                                       <C>                 <C>               <C>                <C>      
Basic income per share                    10,057,356          9,945,916         10,001,905         9,918,680

Diluted income per share                  10,457,404         10,466,714         10,468,994        10,460,742

</TABLE>
     For each of the  periods  presented,  the  difference  between  the amounts
     relates to the effect of dilutive stock options and warrants.

(3)  Comprehensive Earnings

     The Company  adopted the  provisions  of Statement of Financial  Accounting
     Standards No. 130,  "Reporting  Comprehensive  Income", on January 1, 1998,
     which  requires  reporting  of  comprehensive  income  (earnings)  and  its
     components  in  the  statement  of  operations  and  statement  of  equity,
     including net income as a component.  Comprehensive income is the change in
     equity of a business from  transactions and other events and  circumstances
     from non-owner sources.

                                     Page 5
<PAGE>

(4)  Start-Up Activities

     In April 1998,  the  American  Institute of  Certified  Public  Accountants
     issued  Statement  of  Position  (SOP)  98-5,  "Reporting  on the  Costs of
     Start-Up  Activities".  SOP 98-5 requires costs of start-up  activities and
     organizational costs to be expensed as incurred. The Company is required to
     adopt SOP 98-5 on  January  1, 1999 as a  cumulative  effect of a change in
     accounting  principle.  The total amount of unamortized  organizational and
     preopening costs at September 30, 1998 was $766,629.

(5)  Reclassifications

     Certain prior year amounts have been  reclassified  to conform with current
     year presentation.

(6)  Subsequent Event

     On November  10,  1998,  the Company  announced  that it had entered into a
     definitive  agreement  to be acquired by Select  Medical  Corporation.  The
     acquisition is subject to a number of conditions,  including the expiration
     of the waiting period under the Hart-Scott-Rodino Act.










                                     Page 6
<PAGE>


Item 2. Management's  Discussion and Analysis of Financial Condition and Results
     of Operations

Overview

     Intensiva provides highly specialized,  acute long-term care for critically
ill or injured patients who require intensive medical  monitoring and treatment,
and who often have multiple medical conditions and are medically  unstable.  The
Company  provides  high  quality,  cost  effective,  specialized  care  for  its
patients,  who  typically  require an average  length of stay of greater than 25
days in an intensive  inpatient  setting.  Intensiva's  medical  staffs  provide
specialized  medical services,  as well as nursing and respiratory care, and the
Company is expanding disease-specific pathways to treat pulmonary, cancer, renal
and cardiac  conditions,  among others.  The Company's clinical programs utilize
specialized staff, equipment and protocols for the treatment of its patients.

     Intensiva  leases  underutilized  space from general  acute care  hospitals
("Host Hospitals") in underserved markets,  creating a separate "hospital within
a  hospital."  By leasing  space from the Host  Hospital,  Intensiva  is able to
minimize capital and overhead costs, including the costs to purchase and operate
the physical plant and expensive medical and diagnostic  equipment.  The Company
is able to purchase certain services from its Host Hospitals, such as laboratory
and radiology (MRI, CAT Scan, X-Ray), as well as hotel services such as laundry,
housekeeping,  dietary and property  management.  The Company's  business  model
contemplates  that each of its  specialized  hospitals will become  certified by
Medicare as  "long-term  care  hospitals"  exempt from the  Prospective  Payment
System ( PPS) after  approximately  seven months of  operations.  This exemption
will  enable the  hospitals  to receive  cost-based  reimbursement  (subject  to
certain caps),  which the Company believes is more appropriate given the medical
condition of its patients.  In addition,  the Company's  business model seeks to
maintain the  anticipated  payor mix which  includes both  non-governmental  and
governmental payors. The Company is reimbursed by non-governmental payors on per
diem or per discharge basis,  through fee for service  arrangements,  or through
negotiated discounts from established charges.

     Operations  begin  approximately  four to five months after an agreement is
executed  (and a  Certificate  of Need is approved,  if  necessary)  with a Host
Hospital.  During the qualification period, the Company spends approximately one
million  dollars  per  facility  on  renovation  costs,   equipment   purchases,
pre-opening  costs and working capital before the facility  becomes eligible for
certification as a long-term care hospital. Patient volumes are lower during the
qualification phase while physicians,  case managers, and payors are educated as
to the benefits of the Company's clinical services.

     As of  September  30,  1998,  the Company  operated 21  facilities  in nine
states.   Another  facility  began  operations  in  October  1998.  The  Company
anticipates  opening one  additional  facility  during 1998. In addition,  as of
September  30, 1998,  the Company had signed  agreements  involving  seven other
facilities.


                                     Page 7
<PAGE>

Sources of Revenues

     The Company  receives  payment for health care services  primarily from the
federal government and state governments under the Medicare,  Medicaid and other
governmental  programs  and from  non-governmental  payors such as managed  care
organizations (e.g. preferred provider and health maintenance organizations) and
other commercial health insurance carriers (e.g. traditional indemnity insurance
plans).  Consistent with  initiatives to control health care costs,  the Company
generally negotiates payments with  non-governmental  payors based upon the type
and extent of  services to be provided to  individual  patients.  The  following
table  sets forth the  approximate  percentages  of the  Company's  net  patient
service revenues derived from the specified payor sources indicated:
<TABLE>
<CAPTION>


                                      Three Months Ended      Nine Months Ended
                                         September 30,         September 30,

                                      1998            1997   1998          1997
                                      ----            ----   ----          ----

     <S>                                <C>        <C>       <C>        <C>  
     Medicare                            63.1%      78.5%     64.3%      78.9%
     Medicaid                             6.6        4.2       7.9        2.5
     HMO                                  4.4        4.0       4.1        3.1
     PPO                                  4.9        1.9       4.2        6.3
     Other negotiated arrangements       21.0       11.4      19.5        9.2
                                        -----      -----     -----      -----
                                        100.0%     100.0%    100.0%     100.0%
                                        ======     ======    ======     ======
</TABLE>

     The level of Medicare net revenues as a percentage of total net revenues is
a reflection of the  maturation of a number of the  Company's  hospitals.  Other
consists of  traditional  indemnity  insurance and all other  arrangements  with
third-party payors (primarily those negotiated on a case by case basis).

Results of Operations

     Net  Revenues.  Net  revenues  for the three and nine month  periods  ended
September 30, 1998 increased $9.8 million, or 50.4%, and 35.2 million, or 76.4%,
respectively,  from the comparable  periods in 1997.  This growth is primarily a
result of the increase in the number of operational  facilities,  as the Company
had  21  operational  facilities  at  September  30,  1998  as  compared  to  15
operational  facilities at September 30, 1997. In addition,  increased census at
maturing  facilities  has  been a  significant  factor  in the  increase  in net
revenues.  The 15 facilities in operation at September 30, 1997 had patient days
of 26,798 and 18,093 during the third quarters of 1998 and 1997, respectively.

     Operating Expenses. Operating expenses for the three and nine month periods
ended September 30, 1998 increased $8.1 million, or 48.1%, and $29.2 million, or
73.7%,  respectively,  from the  comparable  periods in 1997.  This  increase is
attributable  to the same factors as those relating to the net revenues  growth.
As a percentage of net revenues,  operating  expenses for the three months ended
September  30, 1998  increased to 84.9% from 83.1% during the three months ended
June 30, 1998 and decreased  from 86.2% during the three months ended  September
30, 1997.  The increase in 1998 is related  primarily to decreased  net revenues
resulting from increased contractual adjustments during the quarter. See further
discussion in the Provision for Doubtful  Accounts  section  below.  The Company
expects this percentage to decline as more of its facilities mature.

     General and  Administrative.  General and  administrative  expenses for the
three and nine month periods ended  September 30, 1998  increased  $138,000,  or
11.4%,  and $586,000,  or 17.2%,  respectively,  from the comparable  periods in


                                     Page 8
<PAGE>

1997. The increase in expenses was primarily  attributable to salaries,  related
payroll taxes, and employee benefits relating to additional  personnel  retained
to support the  Company's  growth  strategy.  As a percentage  of net  revenues,
general and  administrative  expenses for the three months ended  September  30,
1998 were 4.6%, down from 5.2% for the three months ended June 30, 1998 and 6.2%
for the three months ended  September  30,  1997.  The Company  expects that its
general and administrative expenses will continue to decrease as a percentage of
net  revenues as the Company  grows and  achieves  certain  economies  of scale,
although at a slower rate.

     Provision for Doubtful  Accounts.  The provision for doubtful  accounts for
the three and nine month periods ended September 30, 1998 decreased $118,000, or
31.8%, and $8,000, or 0.6%,  respectively,  from the comparable periods in 1997.
As a percentage  of net revenues,  the  provision for doubtful  accounts for the
three months  ended  September  30, 1998 was 0.9%,  down from 2.5% for the three
months  ended June 30, 1998 and 1.9% for the three months  ended  September  30,
1997.  Potential  changes in the net  realizable  value of certain  Medicare and
Medicaid  accounts had  previously  been  reserved for within the  allowance for
doubtful accounts, but are now recorded as contractual  adjustments reflected in
net revenues. Bad debt expense for the three months ended September 30, 1998 has
been adjusted accordingly.  Prior to this adjustment, the provision for doubtful
accounts for the three months ended September 30, 1998 was 2.4% of net revenues.

     Depreciation and Amortization.  Depreciation and amortization for the three
and nine month periods ended  September 30, 1998 increased  $315,000,  or 73.7%,
and $936,000, or 90.6%,  respectively,  from the comparable periods in 1997. The
increase  relates  primarily to  depreciation  and  amortization  related to the
property and equipment acquired for the six facilities opened between October 1,
1997 and September 30, 1998.

     Provision  for Income Taxes.  The Company's  provision for income taxes for
the three and nine month  periods  ended  September  30, 1998  contemplates  the
utilization  of  substantially  all  of  the  Company's  available  federal  net
operating loss carryforwards  during 1998. Such net operating loss carryforwards
offset all of the Company's  taxable income for the three and nine month periods
ended September 30, 1997.

Selected Quarterly Financial Results

     The following table presents unaudited quarterly operating results for each
of the eight  quarters in the period from October 1, 1996 through  September 30,
1998. The Company believes that all necessary  adjustments have been included in
the amounts  stated below to present  fairly the  following  selected  quarterly
information  when read in  conjunction  with the financial  statements  included
elsewhere in this Form 10-Q.
<TABLE>
<CAPTION>

                                                                  Three Months Ended
                        -----------------------------------------------------------------------------------------
                              Dec 31,  Mar 31,     June 30,   Sept 30,  Dec 31,   Mar 31,  June 30,  Sept 30,
                               1996     1997         1997       1997     1997      1998     1998      1998
                               ----     ----         ----       ----     ----      ----     ----      ----
                                                            (dollars in thousands)

<S>                          <C>        <C>         <C>      <C>      <C>       <C>       <C>       <C>    
 Net revenues                $8,009     $12,400     $14,259  $19,495  $23,435   $25,734   $26,350   $29,310
 Operating income
        (loss)               (1,780)       (227)        125      687      968     1,230     1,748     2,089
 Income (loss) before
         income taxes        (1,639)        (86)        198      701      918     1,063     1,393     1,748
 Provision for income
         taxes                    -           -           -        -        -         -         -         -
 Net income (loss)           (1,639)        (86)        198      701      824       744       975     1,224
</TABLE>


                                     Page 9
<PAGE>


Liquidity and Capital Resources

     Since  November  1997,  the Company has financed its  operations  primarily
through  borrowings under its $20 million  revolving  credit facility.  In April
1998,  the Company  terminated  its  existing  Loan and Security  Agreement  and
entered into a Loan and Security  Agreement  with another lender to obtain a $20
million  revolving  credit  facility  with a term of three  years.  Although the
Company has begun to  generate  positive  cash flows from  certain of its mature
facilities,  overall  cash flows from  operations  have not been  sufficient  to
support  ongoing  operations  primarily  due to the time lag that is required to
obtain  Medicare   provider   numbers  at  new  facilities  and  the  continuing
development of new facilities in accordance with the Company's growth strategy.

     Cash flows used in investing activities have consisted primarily of capital
renovations,  equipment  purchases  and  organizational  and  pre-opening  costs
incurred prior to providing patient services at each new facility.

     The Company made  capital  expenditures  of  approximately  $3,259,000  and
$2,517,000   during  the  nine  months  ended   September  30,  1998  and  1997,
respectively.   Additional   equipment  was  acquired  through  capital  leases,
amounting to  approximately  $973,000 and  $1,540,000  for the nine months ended
September 30, 1998 and 1997, respectively.

     During March 1996, the Company entered into a sale-leaseback agreement with
a  third-party  to take  advantage  of  favorable  borrowing  rates and maintain
liquidity.  As  part  of this  agreement,  the  Company  obtained  a $1  million
commitment from the third-party to finance additional capital  expenditures.  In
May 1997,  this  agreement  was amended to extend an  additional  commitment  of
$500,000  through January 1998  (subsequently  extended  through February 1999).
Unutilized borrowing capacity under the commitment was approximately $294,000 at
September 30, 1998.

     Accounts  receivable  at September  30, 1998  increased  $17.2 million from
December 31, 1997.  Accrued  third-party payor settlements at September 30, 1998
increased  $9.4 million from December 31, 1997.  The majority of the increase in
accounts  receivable  since December 31, 1997 relates to increased census at the
Company's  facilities  and the time required in obtaining new Medicare  provider
numbers from the Medicare fiscal  intermediaries  once a facility opens and upon
completion  of the  qualification  period.  The time lag can  result in  initial
Medicare payments being received in excess of six months after a facility opens.
Of the 21  facilities  operating as of  September  30,  1998,  15 have  received
certification  as long-term  care  hospitals  and have received  long-term  care
provider  numbers.  One of the 15 received its provider  number during the third
quarter  of 1998 and  therefore  had not yet  begun to  receive  long-term  care
payments as of September  30,  1998.  This  facility had an accounts  receivable
balance of $1.5 million at September 30, 1998. Of the remaining six  facilities,
four have received  initial provider numbers by September 30, 1998, but three of
the four received  provider  numbers  during the third quarter and had therefore
received  minimal  payments  by  September  30,  1998.  The  combined   accounts
receivable  balance  for these six  facilities  at  September  30, 1998 was $5.6
million. In addition,  the Company is continuing its efforts to collect Medicaid
balances at the two facilities that received  Medicaid  provider  numbers during
the second quarter of 1998. The Medicaid accounts  receivable  balance for these
two facilities at September 30, 1998 was $5.2 million.  The Company  anticipates
that it will  ultimately  receive  long-term  care  certification  and  provider
numbers for all existing facilities.



                                    Page 10
<PAGE>

     Working  capital at September 30, 1998 was $22.3  million,  representing  a
$2.3 million increase from December 31, 1997. This increase  resulted  primarily
from the utilization of borrowings  under the revolving  credit facility to fund
operations.

     The  Company  leases  space  from  Host  Hospitals  under  operating  lease
agreements  having  initial  terms of five or more  years.  The  Company  leases
corporate office space under a  noncancellable  operating lease which expires in
the year 2002. Minimum annual lease payments on noncancellable  operating leases
with maturities in excess of one year are as follows: $2.1 million in 1998, $8.8
million in 1999,  $8.8 million in 2000,  $8.6  million in 2001,  $6.5 million in
2002 and $2.8 million thereafter.

     The Company  estimates that borrowings  under the revolving credit facility
will be sufficient to fund its continued  development and meet  anticipated cash
needs of the Company for at least the next 12 months.

Health Care Legislation

     In recent years,  an increasing  number of legislative  proposals have been
introduced  or proposed in Congress and in some state  legislatures  which could
result in major changes in the health care system.  Management cannot predict to
what extent such proposed  legislation  would affect  long-term care  hospitals,
whether such proposed  legislation will be adopted, or if adopted,  what effect,
if any, such proposed legislation would have on the operations of the Company.

Other Information

     Currently,  many computer systems and software products are coded to accept
only two digit entries in the date code field.  These date code fields will need
to accept four digit entries to distinguish 21st century dates from 20th century
dates. As a result, many companies' software and computer systems may need to be
upgraded or replaced in order to comply with such "Year 2000" requirements.

     The Company is currently taking steps to address potential Year 2000 issues
in the  following  four areas:  1) the  Company's  information  systems;  2) the
Company's  medical  equipment  and  its  ability  to  perform  properly;  3) the
readiness  of its  host  hospitals  relative  to Year  2000  issues;  and 4) the
readiness of third parties,  particularly the Medicare program, relative to Year
2000 issues.  As part of its efforts in this area, the Company is in the process
of forming a Year 2000  Compliance  Committee,  which  will be charged  with the
design and execution of a plan to assess risks and test for Year 2000 compliance
in the  four  areas  above.  In  addition,  the  Company  is in the  process  of
evaluating proposals from outside firms to assist with this project.

     Although  the project is in its early  stages,  management  does not expect
that  the cost of the Year  2000  compliance  project  will be  material  to its
financial condition,  or results of operations,  nor does management  anticipate
any material disruption in operations as a result of this issue.

Forward Looking Statements

     Certain of the statements  made herein are forward looking  statements,  as
that term is defined under Section 27(a) of the Securities Exchange Act of 1933,
Section 21(e) of the  Securities  Exchange Act of 1934,  the Private  Securities
Litigation  Reform Act of 1995,  and  releases by the  Securities  and  Exchange
Commission. The Company cautions readers that actual results could be materially
different  as  a  result  of  various   possibilities  and  differences  between
anticipated and actual developments.  Factors that could cause actual results to

                                    Page 11
<PAGE>

differ  from  anticipated  results  include,  but are not  limited to changes in
health care regulation  and/or health care reform,  changes in the regulation of
relationships  among health care  providers,  difficulty in obtaining  necessary
licenses or certifications,  ability to collect accounts receivable,  changes in
reimbursement policies or procedures,  changes in payor mix, changes in referral
source practices, changes in relationships with Host Hospitals and/or the leases
with  such  Host  Hospitals,  competition,  and  the  adequacy  of  professional
liability insurance. Additional information concerning such factors is set forth
under "Risk  Factors" in the  Company's  Annual Report on Form 10-K for the year
ended  December 31,  1997,  which  information  is  incorporated  herein by this
reference.  The Company undertakes no obligation to publicly release the results
of any revisions to any forward looking statements contained herein which may be
made to reflect events or circumstances  after the date hereof or to reflect the
occurrence of unanticipated events.


Item 2. Quantitative and Qualitative Disclosures About Market Risk

Not applicable.














                                    Page 12
<PAGE>




                          PART II -- OTHER INFORMATION


Item 1. Legal Proceedings

          There are no reportable proceedings.

Item 2. Change in Securities

          (a) Not applicable.

          (b) Not applicable.

          (c) Not applicable.

          (d) Not applicable.

Item 3. Defaults Upon Senior Securities

          (a) Not applicable.

          (b) Not applicable.

Item 4. Submission of Matters to Vote of Security Holders

          Not applicable.

Item 5. Other Information

          Not applicable.

Item 6. Exhibits and Reports on Form 8-K

          (a) See Exhibit Index for list of Exhibits.

          (b) Not applicable.












                                    Page 13
<PAGE>

                                   SIGNATURES


     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 thereunto duly authorized.

                                  INTENSIVA HEALTHCARE CORPORATION


Date:   November 16, 1998         By /s/ John P. Keefe
                                    --------------------------------------------
                                    John P.  Keefe, Chief Financial Officer
                                    (Principal Financial and Accounting Officer)

















                                    Page 14
<PAGE>


                                  EXHIBIT INDEX



        Exhibit
        Number           Exhibit
        ------           -------
         27.1            Financial Data Schedule



<TABLE> <S> <C>


<ARTICLE>                     5
<LEGEND>
This  schedule  contains  summary  financial   information  extracted  from  the
Registrant's interim unaudited  consolidated  financial statements as of and for
the nine months ended  September  30, 1998,  and is qualified in its entirety by
reference to such financial statements.
</LEGEND>
<MULTIPLIER>                    1
       
<S>                                    <C>
<PERIOD-TYPE>                          9-mos
<FISCAL-YEAR-END>                      Dec-31-1998
<PERIOD-START>                         Jan-01-1998
<PERIOD-END>                           Sep-30-1998
<CASH>                                   2,457,048                          
<SECURITIES>                                     0
<RECEIVABLES>                           48,560,880
<ALLOWANCES>                             2,997,000
<INVENTORY>                              1,427,722
<CURRENT-ASSETS>                        52,947,793
<PP&E>                                  12,624,764
<DEPRECIATION>                           2,750,774
<TOTAL-ASSETS>                          64,437,740
<CURRENT-LIABILITIES>                   30,667,481
<BONDS>                                          0
                            0
                                      0
<COMMON>                                    10,079
<OTHER-SE>                              30,212,240
<TOTAL-LIABILITY-AND-EQUITY>            64,437,740
<SALES>                                          0
<TOTAL-REVENUES>                        81,394,083
<CGS>                                            0
<TOTAL-COSTS>                           68,934,928
<OTHER-EXPENSES>                         4,001,947
<LOSS-PROVISION>                         1,421,161
<INTEREST-EXPENSE>                         863,527
<INCOME-PRETAX>                          4,203,661
<INCOME-TAX>                             1,261,098
<INCOME-CONTINUING>                      2,942,563
<DISCONTINUED>                                   0
<EXTRAORDINARY>                                  0
<CHANGES>                                        0
<NET-INCOME>                             2,942,563
<EPS-PRIMARY>                                  .29
<EPS-DILUTED>                                  .28
                                

</TABLE>


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