CONCENTRA MANAGED CARE INC
SC 13D/A, 1999-09-24
SPECIALTY OUTPATIENT FACILITIES, NEC
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CUSIP NO.  20589T-10-3                         Page 1 of 5 Pages

                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                  SCHEDULE 13D
                                 (Rule 13d-101)

             INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT
            TO RULE 13d-1(a) AND AMENDMENTS THERETO FILED PURSUANT TO
                                  RULE 13d-2(a)

                               (Amendment No. 4)1

                          Concentra Managed Care, Inc.
                                (Name of Issuer)

                          Common Stock, $.01 par value
                         (Title of Class of Securities)

                                   20589T-10-3
                                 (CUSIP Number)

Welsh, Carson, Anderson                  Robert A. Schwed, Esq.
  & Stowe VIII, L.P.                        Reboul, MacMurray, Hewitt,
320 Park Avenue, Suite 2500              Maynard & Kristol
New York, New York  10022                   45 Rockefeller Plaza
Attention:  Laura VanBuren                  New York, New York  10111
Tel. (212) 893-9500                      Tel. (212) 841-5700

                  (Name, Address and Telephone Number of Person
                Authorized to Receive Notices and Communications)

                                 August 17, 1999
             (Date of Event Which Requires Filing of This Statement)

If the filing person has previously filed a statement on Schedule 13G to report
the acquisition which is the subject of this Schedule 13D, and is filing this
schedule because of Rule 13d- 1(e), 13d-1(f) or 13d-1(g), check the following
box [ ].

- ----------------

1    The  remainder  of this  cover  page  shall be filled  out for a  reporting
     person's  initial  filing on this form with respect to the subject class of
     securities,  and for any subsequent amendment containing  information which
     would alter  disclosures  provided in a prior cover page.  The  information
     required  on the  remainder  of this  cover  page shall not be deemed to be
     "filed" for the  purpose of Section 18 of the  Securities  Exchange  Act of
     1934 or otherwise subject to the liabilities of that section of the Act but
     shall be subject to all other provisions of the Act.

<PAGE>

CUSIP NO.  20589T-10-3                                 Page 2 of 5 Pages

1)   Name of Reporting Person                          Welsh, Carson, Anderson
     I.R.S. Identification                             & Stowe VIII, L.P.
     No. of Above Person
     (Entities Only)

2)   Check the Appropriate Box                              (a) [ ]
     if a Member of a Group                                 (b) [ ]

3)   SEC Use Only

4)   Source of Funds                                        Not Applicable


5)  Check if Disclosure of
    Legal Proceedings Is                                    Not Applicable
    Required Pursuant to
    Items 2(d) or 2(e)

6)  Citizenship or Place
    of Organization                                        Delaware

Number of                      7)   Sole Voting             -0-
Shares Beneficially                 Power
Owned by Each
Reporting Person
With

                               8)   Shared Voting
                                    Power                   -0-

                               9)   Sole Dispositive        -0-
                                    Power

                               10)  Shared Dispositive
                                    Power                   -0-

11)  Aggregate Amount Beneficially                          -0-
     Owned by Each Reporting Person

12)  Check if the Aggregate
     Amount in Row (11)
     Excludes Certain Shares

13)  Percent of Class
     Represented by                                         -0-
     Amount in Row (11)

14)  Type of Reporting
     Person                                                 PN




<PAGE>


CUSIP NO.  20589T-10-3                         Page 3 of 5 Pages


                         Amendment No. 4 to Schedule 13D

          Reference is hereby made to the  statement on Schedule 13D  originally
filed with the Securities and Exchange  Commission (the "Commission") on October
30, 1998,  Amendment  No. 1 thereto  filed on January 12, 1999,  Amendment No. 2
thereto  filed on March 18, 1999,  and  Amendment No. 3 thereto filed on July 7,
1999 (as so amended,  the "Schedule 13D"). Terms defined in the Schedule 13D are
used herein as so defined.

          The Schedule 13D is hereby amended as follows:

Item 5. Interest in Securities of the Issuer.

          Item 5 is hereby  amended  and  restated  to read in its  entirety  as
follows:

          The  following  information  gives  effect  to the  conversion  of all
Convertible Notes held by the Reporting Person.

          (a)

          WCAS VIII and VIII Associates

          WCAS VIII and VIII  Associates,  as the general  partner of WCAS VIII,
own no shares of Common Stock.

          Managing Members of VIII Associates

          The Managing Members of WCAS VIII own no shares of Common Stock.

          (b) The  managing  members  of VIII  Associates  may be deemed to have
shared  the power to vote or direct  the  voting of and to dispose or direct the
disposition of the Common Stock owned by WCAS VIII. Each of the managing members
of VIII Associates  disclaims beneficial ownership of all shares of Common Stock
other  than the  shares  he or she  owned  directly  or by  virtue of his or her
indirect pro rata interest, as a managing member of VIII Partners, in the shares
owned by WCAS VIII.

          (c) As contemplated by the Merger Agreement described in Amendment No.
2 to the Schedule 13D, on August 17, 1999 the Merger became effective,  and as a
result WCAS VIII  transferred all of the Common Stock and  Convertible  Notes of
the Issuer that it held to Newco, in exchange for Common Stock,  $.01 par value,
of Newco  ("Newco  Common  Stock").  The  Common  Stock was valued at $16.50 per
share, and the Convertible Notes at $1,001.25 per $1,000 principal amount. Newco




<PAGE>


CUSIP NO.  20589T-10-3                         Page 4 of 5 Pages

then merged with and into the Issuer, with the Issuer continuing as the
surviving corporation and all shares of Newco Common Stock being converted into
a new class of Common Stock of the Issuer, which is not registered under the
Securities Act of 1933, as amended.

          (d) Except as described in this statement,  no person had the power to
direct the  receipt of  dividends  on or the  proceeds of sales of the shares of
Common Stock owned by WCAS VIII.

          (e) WCAS  VIII  ceased  to be the  beneficial  owner of more than five
percent of the Common Stock on August 17, 1999.


<PAGE>

CUSIP NO.  20589T-10-3                         Page 5 of 5 Pages

                                    Signature

          After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information  set forth in this statement is true,  complete and
correct.

Dated: September 24, 1999



                                    WELSH, CARSON, ANDERSON & STOWE VIII, L.P.
                                    By:  WCAS VIII Associates, LLC, General
                                    Partner


                                    By:  /s/ Paul B. Queally
                                         Managing Member



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