INTEGRATED HEALTH SERVICES INC
SC 14D1/A, 1997-09-08
SKILLED NURSING CARE FACILITIES
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                 SCHEDULE 14D-1
                       TENDER OFFER STATEMENT PURSUANT TO
             SECTION 14(D)(1) OF THE SECURITIES EXCHANGE ACT OF 1934
                                (Amendment No. 1)


                         COMMUNITY CARE OF AMERICA, INC.
                            (Name of Subject Company)

                           IHS ACQUISITION XXVI, INC.
                          A WHOLLY OWNED SUBSIDIARY OF

                        INTEGRATED HEALTH SERVICES, INC.
                                    (Bidders)

                    COMMON STOCK, PAR VALUE $.0025 PER SHARE
                         (Title of Class of Securities)

                                    20363B 10
                      (CUSIP Number of Class of Securities)

                            MARSHALL A. ELKINS, ESQ.
                        INTEGRATED HEALTH SERVICES, INC.
                             10065 RED RUN BOULEVARD
                          OWINGS MILLS, MARYLAND 21117
                             TELEPHONE: 410-998-8400

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

                                   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
Telephone: (212) 318-3000                       Telephone: (410) 998-8400
================================================================================
 
<PAGE>



         This  Amendment No. 1 (this  "Amendment")  is filed to  supplement  and
amend the  information set forth in the Tender Offer Statement on Schedule 14D-1
filed by Integrated Health Services,  Inc., a Delaware  corporation ("IHS"), and
IHS Acquisition XXVI, Inc., a Delaware corporation and a wholly-owned subsidiary
of IHS (the "Purchaser"),  on August 7, 1997 (the "Schedule 14D-1") with respect
to the shares of Common Stock,  par value $.0025 per share, of Community Care of
America,  Inc.,  a  Delaware  corporation  (the  "Company").   Unless  otherwise
indicated,  the capitalized terms used herein shall have the meanings  specified
in the  Schedule  14D-1,  including  the Offer to  Purchase  attached as Exhibit
(a)(1) thereto.

ITEM 10. ADDITIONAL INFORMATION.

         Item 10(f) of the Schedule 14D-1 is hereby  supplemented and amended by
adding the following information thereto:

         The  Expiration  Date  of the  Offer  which  was  scheduled  for  12:00
midnight, New York City time on Thursday, September 4, 1997 has been extended to
5:00 p.m., New York City time on Thursday,  September 18, 1997, unless the Offer
is further extended.

         In  addition,  on  September  5,  1997,  IHS  issued  a  press  release
announcing the extension of the Expiration Date.


ITEM 11.  MATERIAL TO BE FILED AS EXHIBITS.

         (a)(8).  Press  Release  dated September 5, 1997, issued  by Integrated
                  Health Services, Inc.



                                       -2-

<PAGE>



                                   SIGNATURES


         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.


Dated:  September 5, 1997


                                IHS ACQUISITION XXVI, INC.



                                By     /s/ Brian Davidson
                                       -------------------------------------
                                Name:  Brian Davidson
                                Title: Executive Vice President--Development

                                INTEGRATED HEALTH SERVICES, INC.


                                By     /s/ Brian Davidson
                                       -------------------------------------
                                Name:  Brian Davidson
                                Title:  Executive Vice President--Development



                                       -3-


<PAGE>

                                  EXHIBIT INDEX


EXHIBIT
   NO.       DESCRIPTION
- -------      -----------

99.1         Press Release, dated September 5, 1997, issued by Integrated Health
             Services, Inc.




                                       -4-




FOR IMMEDIATE RELEASE:                         Contact:  Robert N. Elkins, M.D.
                                               Chairman & CEO
                                               Marc B. Levin
                                               Executive Vice President
                                               Integrated Health Services, Inc.
                                               (410) 998-8400

                                               Ellen Gulczynski
                                               MacKenzie Partners, Inc.
                                               (212) 929-5500



IHS EXTENDS OFFER FOR COMMUNITY CARE OF AMERICA, INC.

         Owings  Mills,  Maryland  -  September  5,  1997  -  Integrated  Health
Services,  Inc.  (NYSE:IHS)  announced today that it has extended the expiration
date of its $4.00 per share cash tender offer to acquire all of the  outstanding
shares of Community Care of America,  Inc.  (NASDAQ:CCAI) to 5:00 p.m., New York
City time, on Thursday,  September 18, 1997,  unless the tender offer is further
extended.  The offer had previously  been scheduled to expire at 12:00 midnight,
New York City time, on Thursday,  September 4, 1997.  As of 7:00 p.m.,  New York
City time on September 4, 1997,  7,072,842 shares of Community Care of America's
stock had been  validly  tendered and not  withdrawn in the offer,  representing
approximately  93.1% of  Community  Care of  America's  outstanding  shares  and
approximately  66.4% of Community Care of America's  fully-diluted  shares.  The
extension has been made in order to receive all of the necessary approvals under
state change of ownership, healthcare licensure and certificate of need laws and
regulations and all other required consents of third parties.

         Integrated  Health  Services is a highly  diversified  health  services
provider,  offering a broad  spectrum of post-acute  medical and  rehabilitative
services through its nationwide  healthcare  network.  IHS' post-acute  services
include home nursing services, home infusion services,  subacute care, inpatient
and outpatient rehabilitation, respiratory therapy, hospice care, and diagnostic
services.  Supporting  the full  continuum of  healthcare  needs,  IHS currently
operates over 1,000  post-acute  service  locations in 45 states  throughout the
U.S.





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