INTEGRATED HEALTH SERVICES INC
SC 13E3/A, 1997-09-08
SKILLED NURSING CARE FACILITIES
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                      SECURITIES AND EXCHANGE COMMISSION
                            WASHINGTON, D.C. 20549
                               ----------------

   
                                 SCHEDULE 13E-3
                                (AMENDMENT NO. 1)
                       RULE 13E-3 TRANSACTION STATEMENT
      (PURSUANT TO SECTION 13(E) OF THE SECURITIES EXCHANGE ACT OF 1934)
    


                        COMMUNITY CARE OF AMERICA, INC.
                               (NAME OF ISSUER)


                        COMMUNITY CARE OF AMERICA, INC.
                          IHS ACQUISITION XXVI, INC.
                       INTEGRATED HEALTH SERVICES, INC.
                      (Name Of Persons Filing Statement)


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


                                   20363B 10
                     (CUSIP Number of Class of Securities)

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




      MARSHALL A. ELKINS, ESQ.                    DEBORAH A. LAU
      EXECUTIVE VICE PRESIDENT               CHIEF EXECUTIVE OFFICER
       AND GENERAL COUNSEL               COMMUNITY CARE OF AMERICA, INC.
      IHS ACQUISITION XXVI, INC.           3050 NORTH HORSESHOE DRIVE
    INTEGRATED HEALTH SERVICES, INC.               SUITE 260
       10065 RED RUN BOULEVARD                NAPLES, FLORIDA 34104
      OWINGS MILLS, MARYLAND 21117               (941) 435-0085
           (410) 998-8400
           (410) 998-8719 (Fax)

(NAMES,  ADDRESSES  AND  TELEPHONE  NUMBERS  OF  PERSONS  AUTHORIZED  TO RECEIVE
  NOTICES AND COMMUNICATIONS ON BEHALF OF PERSONS FILING STATEMENT)

                                   COPIES TO:



   CARL E. KAPLAN, ESQ.         LESLIE A. GLEW, ESQ.      J. ALLEN MILLER, ESQ.
FULBRIGHT & JAWORSKI L.L.P.   SENIOR VICE PRESIDENT     CHADBOURNE & PARKE LLP
     666 FIFTH AVENUE             AND ASSOCIATE          30 ROCKEFELLER PLAZA
  NEW YORK, NEW YORK 10103       GENERAL COUNSEL        NEW YORK, NEW YORK 10112
      (212) 318-3000            INTEGRATED HEALTH             (212) 408-5100
    (212) 752-5958 (Fax)          SERVICES, INC.            (212) 541-5369 (Fax)
                             10065 RED RUN BOULEVARD
                           OWINGS MILLS, MARYLAND 21117
                                 (410) 998-8400
                                 (410) 998-8719 (Fax)

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

                                 AUGUST 7, 1997
     (DATE TENDER OFFER FIRST PUBLISHED, SENT OR GIVEN TO SECURITY HOLDERS)


           THIS STATEMENT IS FILED IN CONNECTION WITH A TENDER OFFER.


                            CALCULATION OF FILING FEE
================================================================================
      TRANSACTION VALUATION                    AMOUNT OF FILING FEE
          $30,391,204*                              $6,078.24**
================================================================================


 * For purposes of  calculating  fee only.  This amount  assumes the purchase of
   7,597,801  shares of Common  Stock at $4.00 per share.  Such number of shares
   represents all outstanding shares as of August 4, 1997.

** The  amount of the filing  fee,  calculated  in  accordance  with  Regulation
   240.0-11 of the  Securities  Exchange  Act of 1934,  equals 1/50 of 1% of the
   value of the shares to be purchased.

[X] Check box if any part of the fee is offset as provided by Rule 0-11(a)(2).

Amount  Previously  Paid:  $6,078.24 Filing Parties: IHS Acquisition XXVI, Inc.,
Integrated Health Services, Inc.
Form or Registration No.:  Schedule 14D-1 Date Filed:  August 7, 1997

================================================================================


<PAGE>

                                  INTRODUCTION

         This  Amendment No. 1 (this  "Amendment")  is filed to  supplement  and
amend the  information  set forth in the Rule  13e-3  Transaction  Statement  on
Schedule 13E-3 filed with the  Securities  and Exchange  Commission on August 7,
1997 (the  "Schedule  13E-3") by Integrated  Health  Services,  Inc., a Delaware
corporation  ("IHS"),  IHS Acquisition XXVI, Inc., a Delaware  corporation and a
wholly-owned subsidiary of IHS (the "Purchaser"), and Community Care of America,
Inc.,  a Delaware  corporation  (the  "Company").  The  Schedule  13E-3 and this
Amendment  relate to a tender offer by Purchaser for all  outstanding  shares of
common  stock,  par value $.0025 per share,  of the Company,  upon the terms and
subject to the  conditions  set forth in the Offer to Purchase  dated  August 7,
1997 (the "Offer to Purchase") and the related Letter of Transmittal,  copies of
which are filed as  Exhibits  (d)(1) and (d)(2) to the  Schedule  13E-3.  Unless
otherwise  indicated,  the capitalized terms used herein shall have the meanings
specified in the Offer to Purchase.


ITEM 16. ADDITIONAL INFORMATION.

         Item 16 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. A copy of the press release
issued by IHS is filed as Exhibit  (a)(8) to IHS' and  Purchaser's  Tender Offer
Statement  on Schedule  14D-1 dated August 7, 1997,  as amended  (the  "Schedule
14D-1"), and is incorporated herein by reference.


ITEM 17. MATERIAL TO BE FILED AS EXHIBITS.

    (d)(8) Press  Release  dated  September 5, 1997, issued by Integrated Health
           Services, Inc. (incorporated herein by reference to Exhibit (a)(8) to
           the Schedule 14D-1).

<PAGE>

                                   SIGNATURES

         After due inquiry and to the best of his knowledge and belief,  each of
the  undersigned  certifies that the  information set forth in this statement is
true, complete and correct.

                                        COMMUNITY CARE OF AMERICA, INC.



                                        By: /s/ Deborah Lau
                                            ----------------------------------
                                            Name: Deborah Lau
                                            Title: Chief Executive Officer



                                        INTEGRATED HEALTH SERVICES, INC.



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



                                        IHS ACQUISITION XXVI, INC.



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

   
Dated: September 5, 1997

<PAGE>

                                  EXHIBIT INDEX


EXHIBIT NO.                               DESCRIPTION

(d)(8)              Press Release dated September 5, 1997,  issued by Integrated
                    Health Services,  Inc.  (incorporated herein by reference to
                    Exhibit (a)(8) to the Schedule 14D-1).



    


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