ROTECH MEDICAL CORP
SC 13E4/A, 1997-12-15
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                           ---------------------------


                                 SCHEDULE 13E-4

                          ISSUER TENDER OFFER STATEMENT
            (PURSUANT TO SECTION 13(E)(1) OF THE SECURITIES EXCHANGE
                                  ACT OF 1934)
                      (AMENDMENT NO. 1 -- FINAL AMENDMENT)

                        INTEGRATED HEALTH SERVICES, INC.
- - --------------------------------------------------------------------------------
                                (NAME OF ISSUER)


                           ROTECH MEDICAL CORPORATION
- - --------------------------------------------------------------------------------
                      (NAME OF PERSON(S) FILING STATEMENT)


5  1/4%  CONVERTIBLE   SUBORDINATED   DEBENTURES  DUE  2003  OF  ROTECH  MEDICAL
CORPORATION
- - --------------------------------------------------------------------------------
                         (TITLE OF CLASS OF SECURITIES)


                                   778901 AB 4
- - --------------------------------------------------------------------------------
                      (CUSIP NUMBER OF CLASS OF SECURITIES)


                             MARSHALL A ELKINS, ESQ.
                  EXECUTIVE VICE PRESIDENT AND GENERAL COUNSEL
                        INTEGRATED HEALTH SERVICES, INC.
                             10065 RED RUN BOULEVARD
                          OWINGS MILLS, MARYLAND 21117
                                 (410) 998-8400
                              (410) 998-8500 (FAX)
- - --------------------------------------------------------------------------------
           (NAME,ADDRESS AND TELEPHONE NUMBER OF PERSON AUTHORIZED TO
               RECEIVE NOTICES AND COMMUNICATIONS ON BEHALF OF THE
                           PERSON(S) FILING STATEMENT)

                                   COPIES TO:


     Carl E. Kaplan, Esq.                            LESLIE A. GLEW, ESQ.
 Fulbright & Jaworski L.L.P.                   INTEGRATED HEALTH SERVICES, INC.
       666 Fifth Avenue                           10065 RED RUN BOULEVARD
   New York, New York 10103                     OWINGS MILLS, MARYLAND 21117
        (212) 318-3000                                (410) 998-8573
     (212) 752-5958 (FAX)                          (410) 998-8500 (FAX)


                                NOVEMBER 5, 1997
- - --------------------------------------------------------------------------------
     (DATE TENDER OFFER FIRST PUBLISHED, SENT OR GIVEN TO SECURITY HOLDERS)


<PAGE>


                                  INTRODUCTION

          This  Amendment No. 1 to the Schedule  13E-4 (the  "Schedule  13E-4"),
which  constitutes  the  Final  Amendment  to the  Schedule  13E-4  (the  "Final
Amendment"),  is filed by  RoTech  Medical  Corporation  ("RoTech"),  a  Florida
corporation  and wholly owned  subsidiary of Integrated  Health  Services,  Inc.
("IHS"),  in connection with the change of control offer (the "Offer") by RoTech
to purchase for cash,  on the terms and subject to the  conditions  set forth in
the Change of Control  Notice and Offer to Purchase  dated  November 5, 1997 and
the related Letter of Transmittal,  copies of which are filed as Exhibits (a)(1)
and (a)(2) to the Schedule  13E-4,  all of the  outstanding  5 1/4%  Convertible
Subordinated  Debentures  due 2003 of RoTech (the  "Debentures").  The Offer was
terminated at 5:00 p.m., New York City time, on December 5, 1997.



ITEM 4.   INTEREST IN SECURITIES OF THE ISSUER.

          Item 4 is hereby amended by adding the following paragraph:

          The Offer was terminated at 5:00 p.m., New York City time, on December
5, 1997.  According to PNC Bank,  Kentucky,  Inc., the depositary for the Offer,
there  was  validly  tendered  pursuant  to  the  Offer  $107,836,000  aggregate
principal amount of Debentures,  representing 98% of the outstanding Debentures.
Pursuant to the Offer,  RoTech has  accepted  for  payment  all such  Debentures
validly tendered in accordance with the terms of the Offer.

ITEM 8.   ADDITIONAL INFORMATION.

          Item 8(e) is hereby  supplemented  and amended by adding the following
information thereto.

          The  Expiration  Date of the Offer,  which was scheduled for 5:00 p.m.
New York City time on Thursday, December 4, 1997, has been extended to 5:00 p.m.
New York City time on Friday,  December  5, 1997.  In  addition,  on December 5,
1997,  IHS issued a press release  announcing  the  extension of the  Expiration
Date. The information set forth in such press release, which is filed as Exhibit
(a)(6) hereto, is incorporated herein by reference.


ITEM 9.   MATERIAL TO BE FILED AS EXHIBITS.

          (a)(6) Press  Release  dated  December 5, 1997,  issued by  Integrated
Health Services, Inc.


<PAGE>


                                    SIGNATURE

          After  due  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.


                                               ROTECH MEDICAL CORPORATION



                                       By: /s/ W. Bradley Bennett
                                           ------------------------
                                           Name:  W. Bradley Bennett
                                           Title:  Executive Vice President--
                                                Chief Accounting Officer

Date:  December 15, 1997





                            MACKENZIE PARTNERS, INC.


                                  [LETTERHEAD]


FOR IMMEDIATE RELEASE

Contact:  Mark Harnett
          MacKenzie Partners, Inc.
          (212) 929-5877


                ROTECH MEDICAL CORPORATION EXTENDS TENDER OFFER
                 FOR 5 3/4% CONVERTIBLE SUBORDINATED DEBENTURES


          New York, New York - (December 5, 1997)-RoTech Medical Corporation,  a
wholly  owned  subsidiary  of  Integrated  Health  Services,  Inc.  (NYSE:  IHS)
announced  today that it has  extended  its offer to purchase at the  Repurchase
Price (as defined in the Change of Control  Notice and Offer to  Purchase  dated
November 5, 1997) any and all of its outstanding 5 1/4% Convertible Subordinated
Debentures due 2003 until 5:00 p.m., New York City time, on Friday,  December 5,
1997,  unless further  extended in the manner described in the Change of Control
Notice  and  Offer to  Purchase  dated  November  5,  1997.  The  offer had been
scheduled to expire at 5:00 p.m.,  New York City time, on Thursday,  December 4,
1997.  Through  such  date,  including  Guarantees  of  Delivery,  approximately
$106,691,000  aggregate  principle amount or more than 96% of the Debentures had
been validly tendered and not withdrawn.

          Rotech  Medical  Corporation  became  a  wholly  owned  subsidiary  of
Integrated  Health  Services,  Inc.,  as a result of a merger which  occurred on
October 21, 1997.

                                      ###




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