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FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION
Washington D.C. 20549
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- --- Check this box if no longer
subject to Section 16. Form 4 or
Form 5 obligations may
continue. See instruction 1(b).
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company
Act of 1935 or Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Select Medical Corporation
4718 Old Gettysburg Road, PO Box 2034
Mechanicsburg, PA 17055
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2. Issuer Name and Ticker or Trading Symbol
Intensiva HealthCare Corporation
(NASDAQ: IHCC)
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3. I.R.S. or Social Security Number of
Reporting Person (Voluntary)
23-2872718
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4. Statement for Month/Year
12/98
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5. If Amendment, Date of Original
(Month/Year)
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6. Relationship of Reporting Person to
Issuer (Check all applicable)
Director X 10% Owner
Officer (give Other (specify
title below below)
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<TABLE>
<CAPTION>
Table I-Non-Derivative Securities, Acquired, Disposed of, or Beneficially Owned
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<S> <C> <C> <C> <C> <C> <C>
1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature
(Instr. 3) action action or Disposed of (D) Securities ship of In-
Date Code Beneficially Form: direct Bene-
(Instr. 8) (Instr. 3, 4 and 5) Owned at End Direct ficial Owner-
of Month (D) or ship
(Instr. 3 and Indirect (Instr. 4)
4) (I)
(Instr. 4)
(Month/ Code V Amount (A) or Price
Day/ (D)
Year)
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Common Stock 12/18/98 J 9,619,379(1) A (1) (1) (1) (1)
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
(Print or Type Response)
</TABLE>
<PAGE>
FORM 4 (Continued)
<TABLE>
<CAPTION>
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1. Title of 2. (Conver- 3. Trans- 4. Transac- 5. Number 6. Date 7. Title 8. Price 9. Number 10. Own- 11. Na-
Derivative sion or action tion of Exer- and of of ership ture
Security Exercise Date Code Deriv- cisable Amount Deriv- Deriv- Form of In-
(Instr. 3) Price of (Month/ (Instr. ative and Ex- of ative ative of direct
Deriv- Day/ 8) Secur- pira- Under- Secur- Secur- De- Bene-
ative Year) ities tion lying ity ities riva- ficial
Security Ac- Date Secur- (Instr. Bene- tive Owner-
quired (Month/ ities 5) ficially Secu- ship
(A) or Day/) (Instrs. rity: (instr.
Dis- Year) 3 and 4)
posed 4)
of (D)
(Instrs.
3, 4,
and 5)
Owned Direct
Date Expi- at End (D) or
Exer- ration Title Amount of Indi-
cisable Date Number Month rect (I)
of (Instr. (Instr. 4)
Shares 4)
Code V (A)(D)
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Explanation of Responses:
(1) On December 18, 1998, Select Medical of Mechanicsburg, Inc. ("Purchaser"), a wholly owned subsidiary of Select Medical
Corporation ("Parent"), was merged with and into Intensiva HealthCare Corporation ("INTENSIVA") in accordance with Sections
253(d) and 262(d)(2) of the General Corporation Law of the State of Delaware. In this merger, shares of common stock of
INTENSIVA, par value $0.001 per share ("INTENSIVA Common Stock"), held by Purchaser or Parent (9,619,379 shares) were canceled,
and each share of INTENSIVA Common Stock (other than shares held in the treasury of INTENSIVA or owned by Purchaser, Parent or
any wholly owned subsidiary of Parent or INTENSIVA or shares held by stockholders exercising their statutory appraisal rights)
was converted into the right to receive $9.625 in cash. The 1,000 shares of common stock of Purchaser outstanding immediately
prior to the effective time of the merger were converted into 1,000 shares of common stock of INTENSIVA, the surviving
corporation, to constitute the only outstanding shares of capital stock of INTENSIVA. As a result of the merger, Parent owns
1,000 shares of common stock of INTENSIVA, representing 100% of the outstanding common stock of the surviving corporation.
/s/ Michael E. Tarvin 1/8/99
Michael E. Tarvin Date
Vice President,
General Counsel and
Secretary
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note:File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for
procedure.
</TABLE>
2
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