INTEGRATED HEALTH SERVICES INC
8-K/A, 1997-11-25
SKILLED NURSING CARE FACILITIES
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                      SECURITIES AND EXCHANGE COMMISSION
                            WASHINGTON, D.C. 20549


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

                                   FORM 8-K/A

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


                                CURRENT REPORT
                    PURSUANT TO SECTION 13 OR 15(D) OF THE
                        SECURITIES EXCHANGE ACT OF 1934


Date of Report (Date of earliest event reported)       October 21, 1997
                                                 -----------------------


                       INTEGRATED HEALTH SERVICES, INC.
- --------------------------------------------------------------------------------
            (Exact Name of Registrant as Specified in its Charter)

          Delaware                   1-12306                23-2428312
- ----------------------------       -----------         ------------------
(State or Other Jurisdiction       (Commission            (IRS Employer
     of Incorporation)             File Number)        Identification No.)


10065 Red Run Boulevard, Owings Mills, Maryland                    21117
- -----------------------------------------------                  ---------
of Principal Executive Offices)                                  (Zip Code)


Registrant's telephone number, including area code:    (410) 998-8400
                                                    -----------------------


                                Not Applicable
- --------------------------------------------------------------------------------
         (Former Name or Former Address, if Changed Since Last Report)
<PAGE>


ITEM 2.  ACQUISITION OR DISPOSITION OF ASSETS.

     On October 21, 1997,  Integrated  Health  Services,  Inc.  ("IHS") acquired
RoTech  Medical   Corporation   ("RoTech")  through  merger  of  a  wholly-owned
subsidiary  of  IHS  into  RoTech  (the   "Merger"),   with  RoTech  becoming  a
wholly-owned  subsidiary of IHS. RoTech  provides home  healthcare  products and
services,  with an emphasis on home  respiratory,  home  medical  equipment  and
infusion therapy,  primarily in non-urban areas.  RoTech currently  operates 631
home health locations in 36 states and  approximately 26 primary care physicians
practices.

     Under the terms of the Merger,  holders of RoTech Common Stock received for
each share of RoTech  Common  Stock  0.5806 of a share of IHS Common  Stock (the
"Exchange  Ratio"),  having a market value of $19.16 based on the $33.00 closing
price of the IHS Common Stock on October 21,  1997,  the  effective  date of the
Merger.  Options  to  purchase  RoTech  Common  Stock  ("RoTech  Options")  were
converted  at the closing into options to purchase IHS Common Stock based on the
Exchange Ratio. IHS issued  approximately  15,350,670 shares of IHS Common Stock
in the Merger, and reserved for issuance  approximately  1,841,700 shares of IHS
Common Stock  issuable upon exercise of RoTech  Options.  In addition,  RoTech's
outstanding 5 1/4% convertible  subordinated  debentures became convertible into
approximately  2,433,000  shares of IHS Common  Stock at a  conversion  price of
$45.21  per share of IHS  Common  Stock.  The  Merger  consideration  aggregated
approximately  $514.8  million,  substantially  all of which will be recorded as
goodwill.  The  transaction  will be treated as a purchase  for  accounting  and
financial reporting purposes.  IHS repaid the $199.7 million of RoTech bank debt
assumed in the  transaction  with the  proceeds  of the term loans under its new
revolving credit and term loan facility.



ITEM 7.  FINANCIAL STATEMENTS, PRO FORMA FINANCIAL INFORMATION AND EXHIBITS.

     (A)  FINANCIAL STATEMENTS OF BUSINESS ACQUIRED.

          1. The consolidated  balance sheets of RoTech Medical  Corporation and
          subsidiaries  at July 31, 1996 and 1997, and the related  consolidated
          statements of operations, shareholders' equity and cash flows for each
          of the years in the  three-year  period ended July 31,  1997,  and the
          notes  thereto,   audited  by  Deloitte  &  Touche  LLP,   independent
          accountants,  are  included  in IHS' Current Report on Form 8-K  dated
          October 21, 1997 and filed with the Securities and Exchange Commission
          on November 5, 1997.


     (B)  PRO FORMA FINANCIAL INFORMATION.

          IHS' unaudited pro forma  consolidated  balance sheet at September 30,
          1997 and statements of operations for the year ended December 31, 1996
          and  the  nine  months  ended  September  30,  1997,   reflecting  the
          acquisition   of  RoTech   Medical   Corporation   and  certain  other
          acquisitions  and   divestitures  consummated by IHS during the period
          commencing January 1, 1996 and ending September 30, 1997, are included
          herein.

     (C)  EXHIBITS.

          2.  Agreement  and Plan of  Merger,  dated as of July 6,  1997,  among
          Integrated  Health  Services,  Inc., IHS  Acquisition  XXIV,  Inc. and
          RoTech  Medical  Corporation  (incorporated  herein  by  reference  to
          Exhibit 2 to Current Report on Form 8-K dated July 6, 1997 of
          Integrated Health Services, Inc.).


                                      -2-
<PAGE>


                   UNAUDITED PRO FORMA FINANCIAL INFORMATION

     The following  unaudited pro forma  statements of operations give effect to
(i) the sale by IHS of its pharmacy division in July 1996 (the "Pharmacy Sale"),
(ii) the sale by IHS of a majority  interest  in its  assisted  living  services
subsidiary  ("ILC") in October 1996 (the "ILC Offering"),  (iii) the acquisition
of First American  Health Care of Georgia,  Inc.  ("First  American") in October
1996 (the "First American Acquisition"),  (iv) the acquisition of Community Care
of America,  Inc.  ("CCA") in September  1997 (the "CCA  Acquisition"),  (v) the
acquisition of the lithotripsy  division (the "Coram  Lithotripsy  Division") of
Coram Healthcare  Corporation (the "Coram  Lithotripsy  Acquisition") in October
1997, (vi) the acquisition of RoTech Medical  Corporation  ("RoTech") in October
1997 (the "RoTech  Acquisition") and (vii) the acquisition of (a) Vintage Health
Care Center,  a skilled  nursing and assisted living  facility,  in January 1996
(the "Vintage  Acquisition"),  (b) Rehab Management Systems, Inc., an outpatient
rehabilitation  company, in March 1996 (the "RMS  Acquisition"),  (c) Hospice of
the  Great  Lakes,   Inc.,  a  hospice  company,   in  May  1996  (the  "Hospice
Acquisition"),  (d) J.R.  Rehab  Associates,  Inc., an inpatient and  outpatient
rehabilitation  center,  in August  1996 (the  "J.R.  Rehab  Acquisition"),  (e)
Extendicare  of  Tennessee,  Inc.,  a home health  company,  in August 1996 (the
"Extendicare  Acquisition"),  (f) Edgewater Home Infusion Services, Inc., a home
infusion company, in August 1996 (the "Edgewater Acquisition"), (g) Century Home
Services,  Inc., a home health services company, in September 1996 (the "Century
Acquisition"),  (h)  Signature  Home  Care,  Inc.,  a home  health  company,  in
September 1996 (the "Signature  Acquisition"),  (i) Mediq Mobile X-Ray Services,
Inc., a mobile diagnostics company, in November 1996 (the "Mediq  Acquisition"),
(j) Total Rehab  Services,  LLC and Total Rehab  Services 02, LLC,  providers of
contract  rehabilitation and respiratory  services, in November 1996 (the "Total
Rehab  Acquisition"),  (k)  Lifeway  Inc.,  a physician  management  and disease
management  company, in November 1996 (the "Lifeway  Acquisition"),  (l) In-Home
Health  Care,  Inc.,  a home  health  company,  in  January  1997 (the  "In-Home
Acquisition"),  (m) Portable X-Ray Labs, Inc., a mobile diagnostics  company, in
February 1997 (the "Portable X-Ray  Acquisition"),  (n) Coastal  Rehabilitation,
Inc.,  an  inpatient   rehabilitation  company,  in  April  1997  (the  "Coastal
Acquisition"),  (o) Health Care Industries, Inc., a home health company, in June
1997 (the "Health Care Industries  Acquisition"),  (p) Rehab Dynamics,  Inc. and
Restorative Therapy, Ltd., related contract  rehabilitation  companies,  in June
1997 (the "Rehab Dynamics Acquisition"), (q) Ambulatory Pharmaceutical Services,
Inc. and APS American,  Inc., related home health companies, in August 1997 (the
"APS Acquisition"), (r) Arcadia Services, Inc., a home health company, in August
1997 (the "Arcadia  Acquisition") and (s) Barton Creek Healthcare,  Inc., a home
health  company,  in September  1997 (the "Barton Creek  Acquisition").  The pro
forma statements of operations for the year ended December 31, 1996 and the nine
months  ended  September  30,  1997  were  prepared  as if all of the  foregoing
transactions  were  consummated on January 1, 1996.  The pro forma  statement of
operations  information does not give effect to the acquisition of the assets of
three small  ancillary  service  businesses  and the  acquisition of five mobile
diagnostic  companies during the nine months ended September 30, 1997 or various
financings conducted by IHS in 1996 and 1997.



                                       -3-
<PAGE>

     The pro forma  balance  sheet at September  30, 1997 was prepared as if the
Coram  Lithotripsy  Acquisition and the RoTech  Acquisition  were consummated at
September 30, 1997.  The Pharmacy  Sale,  the ILC Offering,  the First  American
Acquisition,  the CCA Acquisition, the Vintage Acquisition, the RMS Acquisition,
the  Hospice   Acquisition,   the  J.R.  Rehab   Acquisition,   the  Extendicare
Acquisition,  the Edgewater Acquisition,  the Century Acquisition, the Signature
Acquisition,  the Mediq Acquisition,  the Total Rehab  Acquisition,  the Lifeway
Acquisition,  the In-Home  Acquisition,  the  Portable  X-Ray  Acquisition,  the
Coastal Acquisition,  the Health Care Industries Acquisition, the Rehab Dynamics
Acquisition,  the APS Acquisition,  the Arcadia Acquisition and the Barton Creek
Acquisition  were all consummated  prior to September 30, 1997 and are therefore
reflected in the actual September 30, 1997 balance sheet.

     The pro forma adjustments are based upon available  information and certain
assumptions  that management  believes are  reasonable.  The unaudited pro forma
financial  information  set forth below is not  necessarily  indicative  of IHS'
financial  position  or the  results  of  operations  that  actually  would have
occurred  if the  transactions  had been  consummated  on the  dates  shown.  In
addition, they are not intended to be a projection of results of operations that
may be  obtained  by IHS  in the  future.  The  unaudited  pro  forma  financial
information  should  be read in  conjunction  with  the  consolidated  financial
statements  and  related  notes  thereto of IHS and certain  acquired  companies
included in IHS' filings with the Securities and Exchange Commission.



                                      -4-
<PAGE>


                        INTEGRATED HEALTH SERVICES, INC.
                PRO FORMA BALANCE SHEET AS OF SEPTEMBER 30, 1997
                                   (UNAUDITED)

                                 (IN THOUSANDS)
<TABLE>
<CAPTION>

                                                              ASSETS                 
                                                                             CORAM LITHOTRIPSY           
                                                                                 DIVISION                
                                                    IHS              ---------------------------------   
                                                   ACTUAL               ACTUAL(1)       ADJUSTMENTS      
                                                ------------        ----------------- -----------------  
<S>                                              <C>                    <C>           <C>                

Current Assets:                                                                                          
 Cash and cash equivalents ..................    $   58,915             $    --                          
 Temporary investments  .....................       821,965                  --       $  (131,000)       
 Patient accounts and third-party payor                                                                  
   settlements receivable, net   ............       377,546               1,930                          
 Inventories, prepaid expenses and other                                                                 
   current assets ...........................        36,457               4,356                          
 Income tax receivable  .....................        25,630                  --                          
                                                 ----------             --------      -----------        
   Total current assets .....................     1,320,513               6,286          (131,000)       
                                                 ----------             --------      -----------        
Property, plant and equipment, net  .........       948,120               5,776                          
Assets held for sale ........................        12,109                  --                          
Intangible assets ...........................       836,804              77,745            62,378 (3)    
Other assets   ..............................       110,534               3,736                          
                                                 ----------             --------      -----------        
    Total assets  ...........................    $3,228,080             $93,543       $   (68,622)       
                                                 ==========             ========      ===========        
</TABLE>


<TABLE>
<CAPTION>
                                                                                                         
                                                 LIABILITIES AND STOCKHOLDERS' EQUITY              
Current Liabilities:                                                                                    
<S>                                              <C>                  <C>            <C>                

 Current maturities of long-term debt  ......    $    6,782           $       --                          
 Accounts payable and accrued expenses ......       332,813              19,921            $5,000(3)
                                                 ----------           ----------           ------
   Total current liabilities  ...............       339,595              19,921            5,000
                                                 ----------           ----------           ------
Long-term debt:                                                                 
 Convertible subordinated debentures   ......       258,750                  -- 
 Other long-term debt less current                                              
   maturities  ..............................     1,933,233                  -- 
                                                 ----------           ----------
   Total long-term debt .....................     2,191,983                  -- 
                                                 ----------           ----------
Other long-term liabilities(2)   ............        36,114                  --                          
Deferred income taxes   .....................        27,501                  --                          
Deferred gain on sale-leaseback                                                                          
 transactions  ..............................         5,463                  --                          
Stockholders' equity:                                                                                    
 Common stock  ..............................            27                  --                          
 Additional paid-in capital   ...............       531,500                  --                          
 Retained earnings ..........................       108,221              73,622       $   (73,622)(4)    
 Treasury stock   ...........................       (12,324)                 --                          
                                                 ----------           ----------      -----------        
   Total stockholders'                                                                                   
    equity  .................................       627,424              73,622           (73,622)       
                                                 ----------           ----------      -----------        
    Total liabilities and stockholders'                                                                  
      equity   ..............................    $3,228,080           $  93,543       $   (68,622)       
                                                 ==========           ==========      ===========        

                                                                                                     
</TABLE>



<TABLE>
<CAPTION>
                                                            ASSETS
                                                    ROTECH            ROTECH         PRO FORMA           
                                                    ACTUAL(1)*      ADJUSTMENTS    CONSOLIDATED          
                                                 ----------         -----------    ------------          

<S>                                              <C>               <C>             <C>                   

Current Assets:                                                                                          
 Cash and cash equivalents ..................       $ 12,819                        $   71,734           
 Temporary investments  .....................             --         $(180,991)(5)     509,974           
 Patient accounts and third-party payor                                                                  
   settlements receivable, net   ............        112,341                           491,817           
 Inventories, prepaid expenses and other                                                                 
   current assets ...........................         26,980                            67,793           
 Income tax receivable  .....................             --               800 (6)      26,430           
                                                    --------         ---------     -----------           
   Total current assets .....................        152,140          (180,191)      1,167,748           
                                                    --------         ---------     -----------           
Property, plant and equipment, net  .........        131,240                         1,085,136           
Assets held for sale ........................             --                            12,109           
Intangible assets ...........................        272,795           306,967 (7)   1,556,689           
Other assets   ..............................          4,557                           118,827           
                                                    --------         ---------     -----------           
    Total assets  ...........................       $560,732          $126,776      $3,940,509           
                                                    ========         =========     ===========           
</TABLE>









<TABLE>
<CAPTION>


Current Liabilities:                                                                                     
<S>                                               <C>             <C>             <C>

 Current maturities of long-term debt  ......       $180,991       $(180,991)(5)   $     6,782           
 Accounts payable and accrued                                          4,750 (6)                         
   expenses .................................         30,970          10,250 (8)       403,704           
                                                    --------       ---------       -----------           
   Total current liabilities  ...............        211,961        (165,991)          410,486           
                                                    --------       ---------       -----------           
Long-term debt:                                                                                          
 Convertible subordinated debentures   ......        110,000                           368,750           
 Other long-term debt less current                                                                       
   maturities  ..............................             --                         1,933,233           
                                                    --------                        ----------           
   Total long-term debt .....................        110,000                         2,301,983           
                                                    --------                        ----------           
Other long-term liabilities(2)   ............         20,735                            36,114           
Deferred income taxes   .....................                                           48,236           
Deferred gain on sale-leaseback                                                                          
 transactions  ..............................             --              --             5,463           
Redeemable Common stock  ....................          4,076          (4,076) (9)           --           
Stockholders' equity:                                                                                    
 Common Stock................................              5              11 (10)           43           
 Additional paid-in capital   ...............        131,269         383,468 (10)    1,046,237           
                                                                     (83,534)(10)      
 Retained earnings  .........................         83,534          (3,950) (6)      104,271           
 Treasury stock   ...........................           (848)            848 (10)      (12,324)          
                                                    --------        --------       -----------           
   Total stockholders'                                                                            
    equity  .................................        213,960         296,843         1,138,227           
                                                    --------        --------       -----------

                                                                                                         
                                                                                                         
    Total liabilities and stockholders'                                                                  
      equity   ..............................       $560,732        $126,776        $3,940,509           
                                                    ========        ========        ==========           
</TABLE>

- ----------
* As of July 31, 1997

                                       -5-
<PAGE>

                       INTEGRATED HEALTH SERVICES, INC.
                       PRO FORMA STATEMENT OF OPERATIONS
                          YEAR ENDED DECEMBER 31, 1996
                                  (UNAUDITED)

                   (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
<TABLE>
<CAPTION>

                                                     IHS           PHARMACY               ILC
                                                  ACTUAL(11)     ADJUSTMENTS(12)     ADJUSTMENTS(13)
                                                ------------- ------------------- -------------------
<S>                                             <C>              <C>               <C>
Net revenues:
 Basic medical services   ..................... $   389,773                        $    (16,101)(a)
 Specialty medical services  ..................     999,209      $    (52,331)(a)
 Management services and other  ...............      45,713                              (1,020)(a)
                                                -----------      ------------       ------------
     Total revenues  ..........................   1,434,695           (52,331)          (17,121)
Costs and expenses:
 Operating, general and administrative
   expenses....................................   1,154,924           (43,279)(a)        (12,453)(a)
 Depreciation and amortization  ...............      41,681            (1,785)(a)           (833)(a)
 Rent   .......................................      77,785              (838)(a)         (1,885)(a)
 Interest, net   ..............................      64,110            (3,817)(b)           (963)(b)
 Non-recurring costs (income)   ...............     (14,457)           34,298 (c)         (8,497)(d)
                                                -----------      ------------       ------------
     Total costs and expenses .................   1,324,043           (15,421)           (24,631)
 Earnings (loss) before equity in earnings
   (loss) of affiliates, income taxes
   and extraordinary items ....................     110,652           (36,910)             7,510
Equity in earnings (loss) of affiliates  ......         828                                  722
                                                -----------      ------------       ------------
 Earnings (loss) before income taxes and
   extraordinary items   ......................     111,480      $    (36,910)      $      8,232
                                                                 ============       ============
Federal and state income taxes ................      63,715
                                                -----------
 Earnings before extraordinary items  ......... $    47,765
                                                ===========
Earnings per share before extraordinary items:
 Primary   .................................... $      2.03
 Fully-diluted   ..............................        1.82
                                                ===========
Weighted average shares:
 Primary   ....................................      23,574
 Fully-diluted   ..............................      31,653

                                                ===========
</TABLE>

<TABLE>
<CAPTION>
                                                                                                                  CORAM
                                                                                                                LITHOTRIPSY
                                                    FIRST            FIRST                                       DIVISION
                                                   AMERICAN        AMERICAN          CCA            CCA        ------------
                                                  ACTUAL(14)      ADJUSTMENTS     ACTUAL(15)     ADJUSTMENTS     ACTUAL(16)
                                                -------------- ----------------- ----------- ----------------- ------------
<S>                                             <C>            <C>               <C>         <C>               <C>
Net revenues:
 Basic medical services   .....................  $       --                      $ 82,653                        $    --
 Specialty medical services  ..................     387,547                        11,367                         48,958
 Management services and other  ...............       3,115                         2,974                             --
                                                 ----------                      ---------                       --------
     Total revenues  ..........................     390,662                        96,994                         48,958
Costs and expenses:
 Operating, general and administrative
   expenses  ..................................     406,800                        85,201                         20,634
 Depreciation and amortization  ...............       5,439       $    4,501 (e)    2,056       $    1,854 (e)     6,773
 Rent   .......................................          --                         5,982                             --
 Interest, net   ..............................       6,208            9,314 (b)    5,013            1,395 (b)        15
 Non-recurring costs (income)   ...............       3,468                        22,062                             --
                                                 ----------       ----------     ---------      ----------       --------
     Total costs and expenses .................     421,915           13,815     $120,314            3,249        27,422
 Earnings (loss) before equity in earnings
   (loss) of affiliates,
   income taxes and extraordinary items .......     (31,253)         (13,815)     (23,320)          (3,249)       21,536
Equity in earnings (loss) of affiliates  ......        (671)                           --                            312
                                                 ----------       ----------     ---------      ----------       --------
 Earnings (loss) before income taxes and
   extraordinary items   ......................  $  (31,924)      $  (13,815)    $(23,320)      $   (3,249)      $21,848
                                                 ==========       ==========     =========      ==========       ========
Federal and state income taxes ................
 Earnings before extraordinary items  .........
Earnings per share before extraordinary
 items:
 Primary   ....................................
 Fully-diluted   ..............................
Weighted average shares:
 Primary   ....................................
 Fully-diluted   ..............................
</TABLE>

<PAGE>

<TABLE>
<CAPTION>

                                                 CORAM LITHOTRIPSY                                OTHER            OTHER
                                                      DIVISION       ROTECH          ROTECH    ACQUISITIONS    ACQUISITIONS    
                                                    ADJUSTMENTS    ACTUAL(17)*     ADJUSTMENT   ACTUAL(18)      ADJUSTMENTS    
                                                 ------------------------------ -------------  -------------- ------------------
<S>                                             <C>               <C>           <C>           <C>            <C>               

Net revenues:                                                                                
 Basic medical services   .....................                    $      --                   $     292                       
 Specialty medical services  ..................                      344,590                     269,690                       
 Management services and other  ...............                           --                           3                       
                                                                   ---------                   ---------                       
     Total revenues  ..........................                      344,590                     269,985                       
Costs and expenses:                                                                          
 Operating, general and administrative ex-                                                   
   penses......................................                      258,891                     259,532                       
 Depreciation and amortization  ...............     $     (533)(e)    36,074    $    2,850 (e)     2,359        $    4,535 (e) 
 Rent   .......................................                           --                       3,474                       
 Interest, net   ..............................          9,746 (b)     9,456           475 (f)     5,039             4,683 (b) 
 Non-recurring costs (income)   ...............                           --                          --                       
                                                    ----------      --------    ----------     ---------        ----------     
     Total costs and expenses .................          9,213       304,421         3,325       270,404             9,218     
 Earnings (loss) before equity in earnings     
   (loss) of affiliates,                       
   income taxes and extraordinary items .......         (9,213)       40,169        (3,325)         (419)           (9,218)    
Equity in earnings (loss) of affiliates  ......                           --                       1,032                       
                                                    ----------     ---------    ----------     ---------        -----------    
 Earnings (loss) before income taxes and       
   extraordinary items   ......................     $   (9,213)    $  40,169    $   (3,325)    $     613        $   (9,218)    
                                                    ============   =========    ==========     =========        ==========
Federal and state income taxes ................                                                                                
 Earnings before extraordinary items  .........                                                                                

                                                                                                                               
Earnings per share before extraordinary items: 
 Primary   ....................................                                                                                
 Fully-diluted   ..............................                                                                                
                                                                                                                               
Weighted average shares:                       
 Primary   ....................................                       25,513       (10,700)                         1,985      
 Fully-diluted   ..............................                       30,063       (12,608)                         1,985      
                                                                    ========    ==========                        =======      
</TABLE>

<TABLE>
<CAPTION>

                                                    PRO FORMA  
                                                   CONSOLIDATED
                                                   ------------
<S>                                               <C>          

Net revenues:                                                  
 Basic medical services   .....................   $  456,617   
 Specialty medical services  ..................    2,009,031   
 Management services and other  ...............       50,785   
                                                  -----------  
     Total revenues  ..........................    2,516,432   
Costs and expenses:                                            
 Operating, general and administrative
   expenses....................................    2,130,250   
 Depreciation and amortization  ...............      104,971   
 Rent   .......................................       84,518   
 Interest, net   ..............................      110,674   
 Non-recurring costs (income)   ...............       36,874   
                                                  -----------  
     Total costs and expenses .................    2,467,287
 Earnings (loss) before equity in earnings                     
   (loss) of affiliates,                                       
   income taxes and extraordinary items .......       49,145   
Equity in earnings (loss) of affiliates  ......        2,223   
                                                  ----------   
 Earnings (loss) before income taxes and                       
   extraordinary items   ......................       51,368   
                                                               
Federal and state income taxes ................       32,634   
                                                  ----------
 Earnings before extraordinary items  .........   $   18,734  
                                                  ==========   
Earnings per share before extraordinary items:                 
 Primary   ....................................      $  0.46   
 Fully-diluted   ..............................         0.64   
                                                  ==========   
Weighted average shares:                                       
 Primary   ....................................       40,372
 Fully-diluted   ..............................       51,093
                                                  ==========   
 </TABLE>
- -------------
* Twelve months ended January 31, 1997


                                      -6-
<PAGE>

                       INTEGRATED HEALTH SERVICES, INC.
                       PRO FORMA STATEMENT OF OPERATIONS
                      NINE MONTHS ENDED SEPTEMBER 30, 1997
                                  (UNAUDITED)

                   (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
<TABLE>
<CAPTION>
                                                  IHS          PHARMACY           ILC            CCA            CCA
                                              ACTUAL(19)    ADJUSTMENTS(12)   ADJUSTMENTS(13)   ACTUAL(15)     ADJUSTMENTS
                                             ------------- ---------------- ---------------- ----------- -----------------
<S>                                          <C>           <C>              <C>              <C>         <C>


Net revenues:
 Basic medical services   .................. $  268,268                                       $ 66,287
 Specialty medical services  ...............  1,093,571                                          1,086
 Management services and other  ............     29,998                                          1,408
                                             -----------                                      --------
     Total revenues  .......................  1,391,837                                         68,781
Costs and expenses:
 Operating, general and administrative
   expenses  ...............................  1,095,686                                         60,118
 Depreciation and amortization  ............     47,818                                          1,931    $    1,167 (e)
 Rent   ....................................     75,322                                          5,702
 Interest, net   ...........................     71,991                                          3,918         1,046 (b)
 Non-recurring charges, net  ...............     20,047    $     7,578 (c)  $     4,635 (d)         --
                                             -----------   -----------      -----------       --------    ----------
     Total costs and expenses ..............  1,310,864          7,578            4,635         71,669         2,213
 Earnings (loss) before equity in earn-
   ings of affiliates, income taxes and
   extraordinary items   ...................     80,973         (7,578)          (4,635)        (2,888)       (2,213)
Equity in earnings of affiliates   .........       (713)                                            --
                                             -----------  ------------      -----------       --------    ----------
 Earnings (loss) before income taxes
   and extraordinary items  ................     80,260    $    (7,578)     $    (4,635)      $ (2,888)   $   (2,213)
                                                           ===========      ===========       ========    ==========
Federal and state income taxes .............     31,301
                                             -----------
 Earnings before extraordinary items  ...... $   48,959
                                             ===========
Earnings per share before extraordinary items:
 Primary   ................................. $     1.78
 Fully-diluted   ...........................       1.57
                                             ===========
Weighted average shares:
 Primary   .................................     27,512
 Fully-diluted   ...........................     35,803
                                             ===========
</TABLE>

<TABLE>
<CAPTION>
                                                    CORAM LITHOTRIPSY
                                                       DIVISION
                                             -------------------------------   

                                                                               
                                                                                   ROTECH          ROTECH          
                                              ACTUAL(16)     ADJUSTMENTS         ACTUAL(17)*     ADJUSTMENTS       
                                             ------------ ------------------   -------------  -----------------    
<S>                                          <C>          <C>                    <C>            <C>                
Net revenues:
 Basic medical services   ..................   $    --                          $      --                          
 Specialty medical services  ...............    35,873                            332,384                          
 Management services and other  ............                                           --                          
                                               -------                          ---------                          
     Total revenues  .......................    35,873                            332,384                          
Costs and expenses:                                                                                                
 Operating, general and administrative                                                                             
   expenses  ...............................    14,408                            245,925                          
 Depreciation and amortization  ............     4,184    $        89 (e)          35,007       $(1,229)(e)        
 Rent   ....................................        --                                 --                          
 Interest, net   ...........................      (119)         7,310 (b)          11,131           667 (f)        
 Non-recurring charges, net  ...............        --                                 --            --            
                                               -------    -----------           ---------       -------            
     Total costs and expenses ..............    18,473          7,399             292,063          (562)           
 Earnings (loss) before equity in earn-                                                                            
   ings of affiliates, income taxes and                                                                              
   extraordinary items   ...................    17,400         (7,399)             40,321           562            
Equity in earnings of affiliates   .........       465                                 --            --            
                                               -------    -----------           ---------       -------            
 Earnings (loss) before income taxes           $17,865    $    (7,399)          $  40,321       $   562            
 and extraordinary items  ..................   =======    ===========           =========       =======            

                                                         
Federal and state income taxes .............                                
                                                                            
 Earnings before extraordinary items  ......                                
                                                                            
Earnings per share before extraordinary items:
 Primary   ................................. 
 Fully-diluted   ........................... 

Weighted average shares:
 Primary   .................................                                       26,621       (11,165)
 Fully-diluted   ...........................                                       31,237       (13,101)
                                                                                =========    ==========
</TABLE>

<PAGE>

<TABLE>
<CAPTION>
                                                      
                                                           OTHER            OTHER                       
                                                        ACQUISITIONS    ACQUISITIONS      PRO FORMA     
                                                         ACTUAL(20)      ADJUSTMENTS     CONSOLIDATED   
                                                       -------------- ----------------- -------------   
                                                       <C>            <C>               <C>             
<S>                                                                                                  

Net revenues:                                             $     --                      $  334,555      
 Basic medical services   ..................                95,031                       1,557,945      
 Specialty medical services  ...............                    --                          31,406      
 Management services and other  ............              ---------                     -----------     
                                                            95,031                       1,923,906      
     Total revenues  .......................                                                            
Costs and expenses:                                                                                     
 Operating, general and administrative                      83,288                       1,499,425      
   expenses  ...............................                   462     $    1,749 (e)       91,178      
 Depreciation and amortization  ............                   547                          81,571      
 Rent   ....................................                 1,312          1,500 (b)       98,756      
 Interest, net   ...........................                    --                          32,260      
 Non-recurring charges, net  ...............              ---------    ----------       -----------     
                                                            85,609          3,249        1,803,190      
     Total costs and expenses ..............                                                            
 Earnings (loss) before equity in earn-                                                                 
   ings of affiliates, income taxes and ....                 9,422         (3,249)         120,716      
   extraordinary items   ...................                    --                            (248)     
Equity in earnings of affiliates   .........              ---------    ----------       ----------      
                                                                                                        
 Earnings (loss) before income taxes                      $  9,422     $   (3,249)         120,468      
 and extraordinary items  ..................              =========    ==========       
                                              
Federal and state income taxes .............                                                56,872
                                                                                        ----------
 Earnings before extraordinary items  ......                                            $   63,596
                                                                                        ==========
Earnings per share before extraordinary items:
 Primary   .................................                                            $     1.44
 Fully-diluted   ...........................                                                  1.34
                                                                                        ==========
Weighted average shares:
 Primary   .................................                                1,174           44,142
 Fully-diluted   ...........................                                1,174           55,113
                                                                       ==========       ==========



</TABLE>

- -----------
* Nine months ended July 31, 1997


                                      -7-
<PAGE>


                   NOTES TO PRO FORMA FINANCIAL INFORMATION

 (1) Certain amounts have been  reclassified to conform the  presentation of the
     Coram Lithotripsy Division, RoTech and IHS.

 (2) Represents the present value of contingent payments aggregating $50,000,000
     due in 2000 and 2001  relating  to the First  American  Acquisition,  which
     payments IHS deems probable.

 (3) Represents  the  excess of the  purchase  price  for the Coram  Lithotripsy
     Division  over the  estimated  fair values of the net assets  acquired,  as
     follows:


<TABLE>
<S>                                                                   <C>

            Purchase price  .......................................   $131,000,000
            Direct costs of acquisition ...........................      5,000,000
            Stockholders' equity of Coram Lithotripsy Division  ...     73,622,000
                                                                      -------------
                                                                      $ 62,378,000
                                                                      =============
</TABLE>



 (4) Represents   elimination  of  stockholders'  equity  of  Coram  Lithotripsy
     Division.

 (5) Represents the pay down of borrowings  outstanding  under  RoTech's  credit
     facility with proceeds from IHS' term loan facility.

 (6) Represents   nonrecurring  charges  directly  attributable  to  the  RoTech
     Acquisition,  which will be included in IHS' statement of operations within
     the 12 month period following the transaction.  Such charges  represent the
     nonrecurring  lump sum  payments  to certain  RoTech  officers  aggregating
     $4,750,000 less related income tax benefit of $800,000.

 (7) Represents  the excess of the purchase price (based on a price per share of
     IHS  Common  Stock of $33.00  (the  closing  price of IHS  Common  Stock on
     October 21, 1997 (the date the RoTech  Acquisition  was  consummated))  and
     using the 26,866,000  shares of RoTech Common Stock  outstanding on October
     21, 1997 (including  422,651 shares of redeemable  common stock (see note 9
     below))  adjusted  for the  exchange  ratio of .5806)  including  estimated
     direct costs of the RoTech  Acquisition of $10,250,000  (see note 8 below),
     over the estimated fair values of the net assets acquired, as follows:

         Merger consideration for RoTech ................         $514,753,000
         Direct costs of acquisition ....................           10,250,000
                                                                  ------------
                                                                   525,003,000

         Stockholders' equity of RoTech (including redeemable
           common stock of $4,076,000) ..................          218,036,000
                                                                  ------------
                                                                  $306,967,000
                                                                  ============

 (8) Represents the estimated  expenses of the RoTech Acquisition of $10,250,000
     as  follows:   Non-compete  payments  to  certain  officers   ($5,000,000);
     professional  fees   ($2,500,000);   filing  fees  ($500,000);   and  other
     ($2,250,000).  Other primarily  represents  severance  payments and related
     benefits  anticipated to be paid to identified  employees whose  employment
     will be  terminated  after the  RoTech  Acquisition  in  accordance  with a
     restructuring plan to be adopted.

 (9) Represents  422,651  shares of RoTech Common Stock  (245,391  shares of IHS
     Common  Stock after the RoTech  Acquisition)  subject to put options at the
     sole  discretion of the RoTech  stockholder at prices ranging from $9.75 to
     $17.50 per share ($16.79 to $30.14 per share of IHS Common Stock).  The put
     options  expire at various  dates between  October 1997 and December  1999.
     Because the put price is below the current  market  price of the IHS Common
     Stock, IHS has assumed for purposes of these pro forma financial statements
     that the put options will not be exercised  and,  therefore,  the shares of
     IHS Common Stock  issued in exchange for such RoTech  Common Stock have not
     been  classified  as  redeemable  common  stock,  but have been included in
     stockholders' equity for purposes of the pro forma financial statements.



                                       8
<PAGE>

 (10)Represents the RoTech Acquisition consideration of $514,753,000 (see note 7
     above), less $16,000 allocated to Common stock and less RoTech's Additional
     paid-in capital of $131,269,000.  Other adjustments represent  eliminations
     of RoTech's equity account balances.

 (11)Includes the results of  operations  of (i) its pharmacy  division  through
     July 30, 1996,  the date of the  Pharmacy  Sale,  (ii) its assisted  living
     services subsidiary through October 9, 1996, the date of closing of the ILC
     Offering,  (iii) First  American from October 17, 1996, the date of closing
     of the First  American  Acquisition,  (iv) Vintage  Health Care Center from
     January 29, 1996, the date of closing of the Vintage Acquisition, (v) Rehab
     Management  Systems,  Inc. from March 19, 1996,  the date of closing of the
     RMS  Acquisition,  (vi) Hospice of the Great Lakes,  Inc. from May 1, 1996,
     the  date  of  closing  of  the  Hospice  Acquisition,   (vii)  J.R.  Rehab
     Associates, Inc. from August 1, 1996, the date of closing of the J.R. Rehab
     Acquisition,  (viii)  Extendicare of Tennessee,  Inc. from August 12, 1996,
     the date of closing of the  Extendicare  Acquisition,  (ix)  Edgewater Home
     Infusion  Services,  Inc. from August 19, 1996,  the date of closing of the
     Edgewater Acquisition,  (x) Century Home Services,  Inc. from September 13,
     1996, the date of closing of the Century  Acquisition,  (xi) Signature Home
     Care,  Inc. from  September 25, 1996,  the date of closing of the Signature
     Acquisition, (xii) Mediq Mobile X-Ray Services, Inc. from November 7, 1996,
     the date of closing of the Mediq Acquisition,  (xiii) Total Rehab Services,
     LLC and Total Rehab  Services  02, LLC from  November 8, 1996,  the date of
     closing of the Total Rehab Acquisition and (xiv) Lifeway Inc. from November
     8, 1996, the date of closing of the Lifeway Acquisition. Also includes from
     October 9, 1996 IHS' equity in ILC's earnings.  See notes 12, 13, 14 and 18
     below.


 (12)In July 1996, IHS sold its pharmacy division to Capstone Pharmacy Services,
     Inc. ("Capstone") for a purchase price of $150 million,  consisting of cash
     of $125  million and shares of Capstone  common stock having a value of $25
     million.  IHS used the net proceeds of the sale to repay  borrowings  under
     its revolving  credit  facility.  IHS had a pre-tax gain of $34.3  million.
     Because  IHS'  investment  in the  pharmacy  division  had a very small tax
     basis,  the taxable  gain on the sale  significantly  exceeded the gain for
     financial  reporting  purposes,  thereby resulting in a  disproportionately
     higher  income  tax  provision  related  to the sale.  IHS'  investment  in
     Capstone  common stock of $14.7 million was recorded at carryover  cost and
     classified as securities  available for sale. In 1997,  IHS  recognized the
     remaining gain of $7.6 million when restrictions on transferability of such
     shares were removed.

 (13)On October 9, 1996,  Integrated Living  Communities,  Inc. ("ILC"),  at the
     time a wholly-owned  subsidiary of IHS which provides  assisted  living and
     related  services to the private pay elderly  market,  completed an initial
     public  offering  of ILC common  stock.  IHS sold  1,400,000  shares of ILC
     common stock in the offering,  for which it received aggregate net proceeds
     of approximately  $10.4 million.  In addition,  ILC used approximately $7.4
     million  of  the  net  proceeds   received  by  it  to  repay   outstanding
     indebtedness  to IHS.  IHS  used  the net  proceeds  from the sale to repay
     borrowings  under its  credit  facility.  IHS  recorded  a pre-tax  loss of
     approximately  $8.5  million in the  fourth  quarter of 1996 as a result of
     this transaction.  On July 2, 1997, IHS sold the remaining 2,497,900 shares
     of ILC common stock it owned,  representing  37.3% of the  outstanding  ILC
     common stock, for $11.50 per share in a cash tender offer (the "ILC Sale").
     IHS recorded a gain of approximately  $4.6 million from the ILC Sale in the
     third quarter of 1997.


                                       -9-

<PAGE>

 (14)In October 1996, IHS acquired  through merger First American.  The purchase
     price was  $154.1  million  in cash,  which IHS  borrowed  under its credit
     facility, plus contingent payments of up to $155 million payable at various
     times through 2004.

 (15)In September 1997 IHS acquired through a tender offer and subsequent merger
     all the  outstanding  stock of CCA. IHS paid $34.3 million in cash,  repaid
     approximately   $58.5  million  of  indebtedness   assumed  in  the  merger
     (including  restructuring  fees of $4.9 million) and assumed  approximately
     $27.0 million of indebtedness.  IHS incurred direct costs of acquisition of
     approximately  $5.2 million.  In connection with the CCA  Acquisition,  the
     Company held for sale 19 long-term care facilities.  Actual results for CCA
     have been adjusted as follows:

<TABLE>
<CAPTION>

                                                                        YEAR ENDED           NINE MONTHS
                                                                       DECEMBER 31,       ENDED SEPTEMBER 25,
                                                                           1996                  1997
                                                                   --------------------- --------------------
                                                                    INCREASE/(DECREASE)   INCREASE/(DECREASE)
                                                                                 (IN THOUSANDS)
<S>                                                                <C>                   <C>

   Revenue  ......................................................      $ (30,518)            $ (24,999)
   Operating expense .............................................        (31,196)              (23,288)
   Depreciation   ................................................           (965)                 (594)
   Rent  .........................................................         (3,017)               (3,125)
   Interest ......................................................           (323)                 (900)
   Non-recurring costs ...........................................            (66)                   --
                                                                        ---------             ---------
   Adjustment to earnings (loss) before extraordinary item  ......      $   5,049             $   2,908
                                                                        =========             =========
</TABLE>

(16) On October 2, 1997, IHS acquired  substantially all the assets of the Coram
     Lithotripsy  Division for cash of approximately  $131.0 million,  including
     the payment of $1.0 million of indebtedness.

 (17)In  October  1997,  IHS  acquired   through   merger  RoTech.   IHS  issued
     approximately  15,350,670  shares of  Common  Stock in the  merger,  repaid
     $199.7  million of  indebtedness  assumed in the  merger and  assumed  $110
     million of indebtedness. The actual RoTech results of operations for the 12
     months ended  January 31, 1997 and the nine months ended July 31, 1997 both
     include  RoTech's  results of operations for the three months ended January
     31, 1997.

(18) Consists of the following acquisitions:

     Vintage  Acquisition.  In January 1996,  IHS purchased  Vintage Health Care
    Center,  a 220 bed skilled  nursing and assisted  living facility in Denton,
    Texas,  for $6.9  million.  A  condominium  interest in the assisted  living
    portion of this facility  (valued at $3.5 million) was contributed to ILC on
    June 1, 1996.

      RMS  Acquisition.  In March  1996,  IHS  acquired  all of the  outstanding
    capital stock of Rehab  Management  Systems,  Inc.  ("RMS"),  which operates
    outpatient  rehabilitation  therapy  clinics  in central  Florida.  RMS also
    managed one therapy and one physician clinic. Total purchase price was $10.0
    million,  including $8.0 million representing the issuance of 385,542 shares
    of IHS Common Stock.  In addition,  IHS incurred direct costs of acquisition
    of $2.9  million.  Total  goodwill  at the  date of  acquisition  was  $12.8
    million.

      Hospice  of the  Great  Lakes  Acquisition.  In  May  1996,  IHS  acquired
    substantially all the assets of Hospice of the Great Lakes,  Inc., a hospice
    company in  Northbrook,  Illinois.  Total  purchase  price was $8.2  million
    representing  the  issuance  of  304,822  shares of IHS  Common  Stock.  IHS
    incurred direct costs of acquisition of $1.0 million.  Total goodwill at the
    date of acquisition aggregated $9.0 million.

      J.R.  Rehab  Acquisition.   In  August  1996,  IHS  acquired  all  of  the
    outstanding  capital stock of J.R. Rehab Associates,  Inc., an inpatient and
    outpatient  rehabilitation  clinic in  Mooresville,  North  Carolina.  Total
    purchase price was approximately $2.1 million.  IHS incurred direct costs of
    acquisition  of  $200,000.   Total  goodwill  at  the  date  of  acquisition
    aggregated $3.2 million.

      Extendicare Acquisition. In August 1996, IHS acquired substantially all of
    the assets of Extendicare of Tennessee,  Inc., a home healthcare  company in
    Memphis, Tennessee. Total purchase price was approximately $3.4 million. IHS
    incurred direct costs of acquisition of $200,000. Total goodwill at the date
    of acquisition aggregated $1.9 million.

      Edgewater Acquisition.  In August 1996, IHS acquired substantially all the
    assets of Edgewater Home Infusion Services, Inc., a home infusion company in
    Miami,  Florida.  Total purchase price was approximately  $8.0 million.  IHS
    incurred direct costs of acquisition of $300,000. Total goodwill at the date
    of acquisition aggregated $7.7 million.

                                      -10-
<PAGE>

      Century  Acquisition.  In August 1996, IHS acquired  substantially all the
    assets of  Century  Health  Services,  Inc.,  a home  healthcare  company in
    Murfreesboro,   Tennessee.  Total  purchase  price  was  approximately  $2.4
    million.  In  addition,  IHS used  borrowings  under  its  revolving  credit
    facility to repay  approximately  $1.6 million of debt of Century assumed in
    the acquisition. IHS incurred direct costs of acquisition of $200,000. Total
    goodwill at the date of acquisition aggregated $12.1 million.

      Signature  Acquisition.  In  September  1996,  IHS  acquired  all  of  the
    outstanding  capital stock of Signature Home Care, Inc., a home care company
    in Dallas,  Texas.  Total  purchase  price was  approximately  $9.2 million,
    including  $4.7 million  representing  the issuance of 196,374 shares of IHS
    Common Stock. In addition,  IHS used borrowings  under its revolving  credit
    facility  to repay  approximately  $1.9  million of  Signature's  debt.  IHS
    incurred direct costs of acquisition of $2.5 million.  Total goodwill at the
    date of acquisition aggregated $21.1 million.

      Mediq  Acquisition.  In November 1996, the Company  acquired the assets of
    Mediq  Mobile  X-Ray  Services,   Inc.,  which  provides  mobile  diagnostic
    services. The total purchase price was $10.1 million, including $5.2 million
    representing  the issuance of 143,893  shares of the Company's  Common Stock
    (after  giving  effect to the return of 59,828  shares of IHS  Common  Stock
    because of an  increase  in the share price of the  Company's  Common  Stock
    between the date of issuance  and the date such shares were  registered  for
    resale).  In addition,  the Company  incurred direct costs of acquisition of
    $5.5 million. Total goodwill at the date of acquisition was $15.6 million.

      Total Rehab Acquisition. In November 1996, the Company acquired the assets
    of Total Rehab Services, LLC and Total Rehab Services 02, LLC, which provide
    contract  rehabilitative and respiratory services.  The total purchase price
    was $8.0  million,  including  $2.7  million  representing  the  issuance of
    106,559  shares of the  Company's  Common  Stock.  In addition,  the Company
    repaid  approximately  $3.9 million of Total Rehab's debt. In addition,  the
    Company incurred direct costs of acquisition of $1.3 million. Total goodwill
    at the date of acquisition was $12.0 million.

      Lifeway  Acquisition.  In November 1996,  the Company  acquired all of the
    outstanding  stock of Lifeway,  Inc.,  which provides  physician and disease
    management services.  The total purchase price was $900,000 representing the
    issuance of 38,502  shares of the Company's  Common  Stock.  IHS also issued
    48,129 shares of Common Stock to Robert Elkins, Chairman and Chief Executive
    Officer of the Company, in payment of outstanding loans of $1.1 million from
    Mr. Elkins to Lifeway.  In addition,  the Company  incurred  direct costs of
    acquisition of $275,000.

      In-Home  Acquisition.  In January 1997,  IHS acquired all the  outstanding
    capital  stock of In-Home  Health  Care,  Inc.  ("In-Home"),  a home  health
    company in Salt Lake City, Utah. Total purchase price was $3.2 million.  IHS
    incurred direct costs of acquisition of $250,000. Total goodwill at the date
    of acquisition aggregated $3.9 million.

      Portable X-Ray Acquisition.  In February 1997, IHS acquired  substantially
    all the assets of Portable X-Ray Labs,  Inc.  ("Portable  X-Ray"),  a mobile
    diagnostics  company in Anaheim,  California.  Total purchase price was $4.9
    million.  IHS incurred  direct costs of acquisition  of $1.3 million.  Total
    goodwill at the date of acquisition aggregated $5.7 million.

      Coastal  Acquisition.  In April 1997, IHS acquired  substantially  all the
    assets  of  Coastal   Rehabilitation,   Inc.   ("Coastal"),   an   inpatient
    rehabilitation company in Indian Harbour,  Florida. Total purchase price was
    $1.3 million.  IHS incurred  direct costs of acquisition of $200,000.  Total
    goodwill at the date of acquisition aggregated $1.8 million.

      Health Care  Industries  Acquisition.  In June 1997,  IHS acquired all the
    outstanding  capital  stock of Health Care  Industries,  Inc.  ("Health Care
    Industries"),  a home health  company in Florida.  Total  purchase price was
    $1.8 million.  IHS incurred  direct costs of acquisition of $500,000.  Total
    goodwill at the date of acquisition aggregated $2.5 million.

      Rehab Dynamics Acquisition.  In June 1997, IHS acquired  substantially all
    the  assets  of  Rehab  Dynamics,   Inc.  and  Restorative   Therapy,   Ltd.
    (collectively  "Rehab  Dynamics"),  related contract rehab companies.  Total
    purchase price was $19.7 million,  including $11.5 million  representing the
    issuance of 322,472  shares of the  Company's  Common  Stock.  IHS  incurred
    direct costs of acquisition  of $2.5 million.  Total goodwill at the date of
    acquisition aggregated $21.5 million.


                                      -11-

<PAGE>

      Arcadia  Acquisition.  In August 1997,  IHS  acquired all the  outstanding
    capital stock of Arcadia Services, Inc. ("Arcadia"),  a home health company.
    Total purchase price was $27.0 million, including $17.2 million representing
    the issuance of 531,198  shares of IHS Common  Stock.  IHS  incurred  direct
    costs  of  acquisition  of  $3.0  million.  Total  goodwill  at the  date of
    acquisition aggregated $39.2 million.

      APS Acquisition.  In August 1997, IHS acquired all the outstanding capital
    stock of Ambulatory  Pharmaceutical  Services,  Inc. and APS American,  Inc.
    (collectively,  "APS"), related home health companies.  Total purchase price
    was $34.3  million,  including  $16.1 million  representing  the issuance of
    532,240 shares of IHS Common Stock. IHS incurred direct costs of acquisition
    of $2.0 million.  Total goodwill at the date of acquisition aggregated $39.6
    million.

      Barton  Creek  Acquisition.  In  September  1997,  IHS  acquired  all  the
    outstanding  capital  stock of  Barton  Creek  Health  Care,  Inc.  ("Barton
    Creek"), a home health company.  Total purchase price was $4.9 million.  IHS
    incurred direct costs of acquisition of $300,000. Total goodwill at the date
    of acquisition aggregated $7.3 million.


(19) Includes the results of operations from the respective dates of acquisition
     as follows:  (i) In-Home from January 10, 1997,  (ii)  Portable  X-Ray from
     February  5, 1997,  (iii)  Coastal  from April 7, 1997,  (iv)  Health  Care
     Industries  from June 10, 1997, (iv) Rehab Dynamics from June 20, 1997, (v)
     Arcadia from August 29, 1997,  (vi) APS from August 30, 1997,  (vii) Barton
     Creek from September 23, 1997 and (viii) CCA from September 25, 1997.

(20) Consists of the In-Home  Acquisition,  the Portable X-Ray Acquisition,  the
     Coastal  Acquisition,  the Health Care  Industries  Acquisition,  the Rehab
     Dynamics Acquisition,  the Arcadia Acquisition, the APS Acquisition and the
     Barton Creek Acquisition.


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


For purposes of determining  the effects of the  acquisitions  and  divestitures
described  in Notes 11 through 20 above, including  those  events  which are (i)
directly  attributable  to the  transaction,  (ii) expected to have a continuing
impact on IHS, and (iii)  factually  supportable,  the  following  estimates and
adjustments have been made:


   (a)   Represents actual revenues and expenses of divisions sold.


                                      -12-
<PAGE>

   (b)   Represents  (reduction in) additional  interest expense  resulting from
         (repayment)   borrowings   under  IHS'   credit   facility  to  finance
         acquisitions  based on the interest  rate under the credit  facility on
         the date of (repayment) borrowings, as follows:

                          YEAR ENDED DECEMBER 31, 1996
                            (DOLLARS IN THOUSANDS)
<TABLE>
<CAPTION>
                                                                DEBT        MONTHS      INTEREST     INTEREST
                                                             (PROCEEDS)     IN 1996       RATE       ADJUSTMENT
                                                            ------------   ---------   ----------   -----------
<S>                                                         <C>            <C>         <C>          <C>


   Pharmacy .............................................    $ (91,000)       7.0        7.19%       $ (3,817)
   ILC Offering   .......................................      (17,851)       9.0        7.19%           (963)
   First American .......................................      165,000        9.5        7.13%          9,314
   CCA borrowings(1) ....................................       98,000       12.0        7.44%          7,291
   CCA borrowings repaid(1) .............................      (53,600)      12.0       11.00%         (5,896)
   Coram Lithotripsy Division ...........................      131,000       12.0        7.44%          9,746
                                                             ---------       -----      ------       --------
   Other Acquisitions
      In-Home Health ....................................        3,200       12.0        7.38%            236
      Portable X-Ray ....................................        4,900       12.0        7.25%            355
      Coastal  ..........................................        1,250       12.0        7.19%             90
      Health Care Industries  ...........................        1,825       12.0        7.19%            131
      Rehab Dynamics ....................................        8,203       12.0        7.19%            590
      APS   .............................................       18,125       12.0        7.19%          1,303
      Barton Creek   ....................................        4,400       12.0        7.44%            327
      Total Rehab .......................................        5,300       10.0        7.13%            315
      Mediq .............................................        4,942       10.0        7.13%            294
      Century  ..........................................        2,390        8.5        7.25%            123
      Signature   .......................................        4,519        9.0        7.19%            244
      Edgewater   .......................................        7,974        7.5        7.25%            361
      Extendicare .......................................        3,410        7.5        7.25%            155
      J.R. Rehab  .......................................        2,100        7.0        7.25%             89
      RMS   .............................................        2,000        2.5        6.88%             29
      Vintage  ..........................................        6,932        1.0        7.06%             41
                                                             ---------                               --------
      Total Other .......................................       81,470                                  4,683
   Total    .............................................    $ 313,019                               $ 20,358
                                                             =========                               ========
      Effect of  1/8% reduction in interest expense   ...    $ 313,019                               $ 19,978
      Effect of  1/8% increase in interest expense ......    $ 313,019                               $ 20,739
 </TABLE>

- ----------
(1) In  connection  with the CCA  Acquisition,  IHS  borrowed  an  aggregate  of
    $98,000,000, of which $53,600,000 was used to repay outstanding indebtedness
    of CCA bearing interest at 11% per annum.



                      NINE MONTHS ENDED SEPTEMBER 30, 1997
                            (DOLLARS IN THOUSANDS)
<TABLE>
<CAPTION>
                                                                         MONTHS      INTEREST     INTEREST
                                                              DEBT       IN 1997       RATE       ADJUSTMENT
                                                           ----------   ---------   ----------   -----------
<S>                                                        <C>          <C>         <C>          <C>

   CCA borrowings(1)....................................    $ 98,000       9.0        7.44%        $ 5,468
   CCA borrowings repaid(1) ............................     (53,600)      9.0       11.00%         (4,422)
   Coram Lithotripsy Division   ........................     131,000       9.0        7.44%          7,310
                                                            ---------      ----      ------        --------
   Other Acquisitions
      In-Home Health   .................................    $  3,200        .5        7.38%             10
      Portable X-Ray   .................................       4,900       1.3        7.25%             37
      Coastal ..........................................       1,250       3.3        7.19%             24
      Health Care Industries ...........................       1,825       5.3        7.19%             57
      Rehab Dynamics   .................................       8,203       5.5        7.19%            271
      APS  .............................................      18,125       8.0        7.19%            869
      Barton Creek  ....................................       4,400       8.5        7.44%            232
                                                            ---------                              --------
      Total Other   ....................................      41,903                                 1,500
   Total   .............................................    $217,303                               $ 9,856
                                                            =========                             ========
   Effect of  1/8% reduction in interest expense  ......    $217,303                               $ 9,668
   Effect of  1/8% increase in interest expense   ......    $217,303                               $10,049
</TABLE>

- ----------
(1) In  connection  with the CCA  Acquisition,  IHS  borrowed  an  aggregate  of
    $98,000,000, of which $53,600,000 was used to repay outstanding indebtedness
    of CCA bearing interest at 11% per annum.



                                       -13-
<PAGE>

   (c)   Represents gain on the sale of the pharmacy division of $34,298,000 and
         $7,578,000 recorded in 1996 and 1997, respectively.


   (d)   Represents  loss on sale of shares in the ILC Offering in 1996 and gain
         on sale of shares in the ILC Sale in 1997.


   (e)   Represents  additional  amortization  relating  to  goodwill  and other
         intangibles  recorded as a result of the  acquisition,  amortized using
         the straight line method over 15-40 years, as follows:


                         YEAR ENDED DECEMBER 31, 1996
                             (DOLLARS IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                     LESS: PREVIOUSLY     ADJUSTED     MONTHS
                                                         ANNUAL          RECORDED          ANNUAL       IN
             COMPANY               GOODWILL    LIFE   AMORTIZATION     AMORTIZATION     AMORTIZATION   1996    ADJUSTMENT
- --------------------------------- ----------- ------ -------------- ------------------ -------------- ------- -----------
<S>                               <C>         <C>    <C>            <C>                <C>            <C>     <C>

   First American    ............ $  227,406    40      $ 5,685        $       0          $ 5,685        9.5    $4,501
   CCA   ........................     97,009    40        2,425             (571)           1,854       12.0     1,854
   Coram Lithotripsy Division ...    140,123    40        3,503           (4,036)            (533)      12.0      (533)
   RoTech goodwill   ............    574,762    40       14,369          (11,853)           2,516       12.0     2,516
   RoTech non-compete ...........      5,000    15          334                0              334       12.0       334
                                  -----------   --      --------       ----------         --------     -----   -------
   Other Acquisitions
     Lifeway   ..................          0    40            0                0                0       10.0         0
     Total Rehab  ...............     11,982    40          300                0              300       10.0       250
     Mediq  .....................     15,600    40          390                0              390       10.0       325
     Century   ..................     12,140    40          304               (5)             299        8.5       211
     Signature    ...............     21,122    40          528              (24)             504        9.0       378
     Edgewater    ...............      7,685    40          192               (1)             191        7.5       119
     Extendicare  ...............      1,945    40           49                0               49        7.5        30
     J.R. Rehab   ...............      3,159    40           79               (2)              77        7.0        45
     Hospice of Great Lakes   .        9,031    40          226               (2)             224        4.0        75
     RMS    .....................     12,832    40          321                0              321        2.5        67
     Vintage   ..................          0    40            0                0                0        1.0         0
     In Home Health  ............      3,856    40           96                0               96       12.0        96
     Portable X-Ray  ............      5,653    40          141                0              141       12.0       141
     Coastal   ..................      1,764    40           44                0               44       12.0        44
     Health Care Industries   ...      2,505    40           63                0               63       12.0        63
     Rehab Dynamics  ............     21,478    40          537                0              537       12.0       537
     Arcadia   ..................     39,233    40          981                0              981       12.0       981
     APS ........................     39,624    40          991                0              991       12.0       991
     Barton Creek ...............      7,292    40          182                0              182       12.0       182
                                  -----------   --     --------       ----------         --------     ------   -------
                                     216,901              5,423              (34)           5,389                4,535
                                  ----------           --------       ----------         --------              -------
   Total    ..................... $1,261,201           $ 31,739       $  (16,494)         $15,245              $13,207
                                  ==========           ========       ==========         ========              =======
</TABLE>
                      NINE MONTHS ENDED SEPTEMBER 30, 1997
                            (DOLLARS IN THOUSANDS)



<TABLE>
<CAPTION>
                                                                   LESS: PREVIOUSLY   NINE MONTHS    MONTHS
                                                    NINE MONTHS        RECORDED         ADJUSTED      IN
            COMPANY               GOODWILL   LIFE   AMORTIZATION     AMORTIZATION     AMORTIZATION   1997    ADJUSTMENT
- -------------------------------- ---------- ------ -------------- ------------------ -------------- ------- -----------
<S>                              <C>        <C>    <C>            <C>                <C>            <C>     <C>

   CCA .......................... $ 97,009    40      $ 1,819         $   (652)        $  1,167       9.0    $  1,167
   Coram Lithotripsy Division ..   140,123    40        2,627           (2,538)              89       9.0          89
   RoTech goodwill  ............   574,762    40       10,777         $(12,256)        $ (1,479)      9.0    $ (1,479)
   RoTech non-compete ..........     5,000    15          250                0              250       9.0         250
                                  ---------   --      --------        --------         --------       ----   --------
   Other Acquisitions
     In Home Health ............     3,856    40           72                0               72        .5           4
     Portable X-Ray ............     5,653    40          106                0              106       1.3          15
     Coastal  ..................     1,764    40           33                0               33       3.3          12
     Health Care Industries  ...     2,505    40           47                0               47       5.3          29
     Rehab Dynamics ............    21,478    40          404                0              404       5.5         247
     Arcadia  ..................... 39,233    40          736                0              736       8.0         654
     APS   ........................ 39,624    40          743                0              743       8.0         660
     Barton Creek   ...............  7,292    40          137                0              137       8.5         129
                                  ---------   --      --------        --------         --------       ----   --------
                                   121,405              2,278                0            2,278                 1,749
                                  ---------           --------        --------         --------              --------
   Total   .....................  $938,299            $17,751         $(15,446)        $  2,305              $  1,776 
                                  =========           ========        ========         ========              ========
</TABLE>


                                      -14-
<PAGE>


(f)  Represents additional interest on borrowing by IHS to repay RoTech's credit
     facility as follows:
<TABLE>
<CAPTION>
                                                              TWELVE MONTHS ENDED  NINE MONTHS ENDED
                                                               JANUARY 31, 1997      JULY 31, 1997
                                                             --------------------- -----------------
<S>                                                          <C>                   <C>

        Credit facility:
         Average borrowings outstanding during the period   .    $ 85,290,000       $ 138,855,000
         IHS average borrowing rate during the period    ...             7.13%               7.17%
         Pro forma interest   ..............................     $  6,081,000       $   7,467,000
         Less actual interest ..............................        5,606,000           6,800,000
                                                                 ------------       -------------
        Pro forma adjustment  ..............................     $    475,000       $     667,000
                                                                 ============       =============
</TABLE>



                                      -15-


<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 hereunto duly authorized.



                                   INTEGRATED HEALTH SERVICES, INC.



Date: November 24, 1997             By: /s/ W. Bradley Bennett
                                       ---------------------------------------
                                        Name:  W. Bradley Bennett
                                        Title: Executive Vice President--Chief
                                               Accounting Officer


                                     -16-
<PAGE>

                                 Exhibit Index

          2.  Agreement  and Plan of  Merger,  dated as of July 6,  1997,  among
          Integrated  Health  Services,  Inc., IHS  Acquisition  XXIV,  Inc. and
          RoTech  Medical  Corporation  (incorporated  herein  by  reference  to
          Exhibit 2 to Current Report on Form 8-K dated July 6, 1997 of
          Integrated Health Services, Inc.).


                                     -17-


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