INTEGRATED HEALTH SERVICES INC
SC 14D1/A, 1997-09-22
SKILLED NURSING CARE FACILITIES
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

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



                                 SCHEDULE 14D-1


                       TENDER OFFER STATEMENT PURSUANT TO
             SECTION 14(D)(1) OF THE SECURITIES EXCHANGE ACT OF 1934
                                      
                                (Amendment No. 2)
                                      




                         COMMUNITY CARE OF AMERICA, INC.
                            (NAME OF SUBJECT COMPANY)



                           IHS ACQUISITION XXVI, INC.
                          A WHOLLY OWNED SUBSIDIARY OF



                        INTEGRATED HEALTH SERVICES, INC.
                                    (Bidders)


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


                                    20363B 10


                      (CUSIP Number of Class of Securities)


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

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



                                   COPIES TO:




<TABLE>
<S>                                  <C>
     Carl E. Kaplan, Esq.            Leslie A. Glew, Esq.
     Fulbright & Jaworski L.L.P.     Integrated Health Services, Inc.
     666 Fifth Avenue                10065 Red Run Boulevard
     New York, New York 10103        Owings Mills, Maryland 21117
     Telephone: (212) 318-3000       Telephone: (410) 998-8400
</TABLE>

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<PAGE>


     This  Amendment No. 2 (this  "Amendment")  is filed to supplement and amend
the  information set forth in the Tender Offer Statement on Schedule 14D-1 filed
by Integrated Health Services,  Inc., a Delaware  corporation  ("IHS"),  and IHS
Acquisition XXVI, Inc., a Delaware corporation and a wholly-owned  subsidiary of
IHS (the  "Purchaser"),  on August 7, 1997,  as amended by Amendment No. 1 filed
September 8, 1997 (as amended, the "Schedule 14D-1"), with respect to the shares
of Common Stock, par value $.0025 per share, of Community Care of America, Inc.,
a  Delaware  corporation  (the  "Company").   Unless  otherwise  indicated,  the
capitalized terms used herein shall have the meanings  specified in the Schedule
14D-1, including the Offer to Purchase attached as Exhibit (a)(1) thereto.


ITEM 4. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION

     The  information  set  forth  in  paragraphs  (a)  and (b) of Item 4 of the
Schedule 14D-1 is hereby amended and supplemented by the following information:

     On September 15, 1997,  IHS entered into a $1.75 billion  revolving  credit
and term loan facility with Citibank, N.A., as Administrative Agent, and certain
other  lenders (the "New Credit  Facility") to replace its existing $700 million
revolving  credit facility.  The New Credit Facility  consists of a $750 million
term loan  facility  (the "Term  Facility")  and a $1 billion  revolving  credit
facility,  including  a $100  million  letter  of credit  subfacility  and a $10
million swing line  subfacility (the "Revolving  Facility").  The Term Facility,
all of which was  borrowed on September  17, 1997,  matures on December 31, 2004
and will be  amortized  beginning  December  31,  1998 as  follows:  1998 - $7.5
million;  each of 1999,  2000,  2001 and 2002 - $7.5  million  (payable in equal
quarterly  installments);  2003 - $337.5  million  (payable  in equal  quarterly
installments);   and  2004  -  $375   million   (payable   in  equal   quarterly
installments).  Any unpaid  balance will be due on the maturity  date.  The Term
Facility will bear interest at a rate equal to, at the option of IHS, either (i)
in the case of Eurodollar loans, the sum of (x) one and  three-quarters  percent
or two  percent  (depending  on the  ratio of IHS' Debt (as  defined  in the New
Credit Facility) to earnings before interest, taxes, depreciation,  amortization
and rent, pro forma for any acquisitions or divestitures  during the measurement
period  (the  "Debt/EBITDAR  Ratio"))  and (y) the  interest  rate in the London
interbank  market  for loans in an amount  substantially  equal to the amount of
borrowing and for the period of borrowing selected by IHS or (ii) the sum of (a)
the higher of (1) Citibank,  N.A.'s base rate or (2) one percent plus the latest
overnight  federal  funds  rate  plus  (b)  a  margin  of  one-half  percent  or
three-quarters of one percent  (depending on the Debt/EBITDAR  Ratio).  The Term
Facility can be prepaid at any time in whole or in part without penalty.

     The  Revolving  Facility  will reduce to $800 million on September 30, 2001
and $500 million on September 30, 2002,  with a final  maturity on September 15,
2004;  however,  the $100 million letter of credit  subfacility  and $10 million
swing  line   subfacility   will  remain  at  $100   million  and  $10  million,
respectively, until final maturity. The Revolving Facility will bear interest at
a rate  equal to, at the  option of IHS,  either  (i) in the case of  Eurodollar
loans,  the  sum of (x)  between  three-quarters  of one  percent  and  one  and
three-quarters  percent  (depending  on the  Debt/EBITDAR  Ratio)  and  (y)  the
interest  rate  in  the  London   interbank   market  for  loans  in  an  amount
substantially  equal to the amount of borrowing  and for the period of borrowing
selected by IHS or (ii) the sum of (a) the higher of (1)  Citibank,  N.A.'s base
rate or (2) one percent plus the latest overnight  federal funds rate plus (b) a
margin  of  between  zero  percent  and  one-half  percent   (depending  on  the
Debt/EBITDAR  Ratio).  Amounts  repaid  under  the  Revolving  Facility  may  be
reborrowed prior to the maturity date.


     The New  Credit  Facility  limits  IHS'  ability to incur  indebtedness  or
contingent obligations,  to make additional acquisitions,  to sell or dispose of
assets,  to create or incur liens on assets,  to pay  dividends,  to purchase or
redeem  IHS'  stock  and to  merge or  consolidate  with any  other  person.  In
addition,  the New Credit  Facility  requires  that IHS meet  certain  financial
ratios,  and  provides  the banks with the right to require  the  payment of all
amounts  outstanding under the facility,  and to terminate all commitments under
the facility, if there is a change in control of IHS or if any person other than
Dr. Robert N. Elkins,  IHS'  Chairman and Chief  Executive  Officer,  or a group
managed by Dr. Elkins, owns more than 40% of IHS' stock. The New Credit Facility
is guaranteed by all of IHS' subsidiaries (other than inactive subsidiaries) and
secured  by a  pledge  of  all  of  the  stock  of  substantially  all  of  IHS'
subsidiaries. 


                                       2
<PAGE>


     The New Credit  Facility  replaced IHS' $700 million  credit  facility (the
"Prior Credit  Facility").  As a result,  IHS anticipates that it will record an
extraordinary  loss on extinguishment of debt of approximately $2.4 million (net
of related tax benefit of  approximately  $1.6  million) in the third quarter of
1997  resulting from the write-off of deferred  financing  costs of $4.0 million
related to the Prior Credit Facility.

     IHS  intends to use the  proceeds  from the Term  Facility,  as well as the
proceeds  from its sale of $500  million  principal  amount of its 9 1/4% Senior
Subordinated  Notes due 2008,  to pay the  purchase  price for the shares of the
Company's Common Stock tendered in the Offer.


ITEM 10. ADDITIONAL INFORMATION.

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

     The Expiration Date of the Offer, as extended, which was scheduled for 5:00
p.m.,  New York City time on Thursday,  September 18, 1997, has been extended to
5:00 p.m., New York City time on Thursday,  September 25, 1997, unless the Offer
is further extended.

     In addition,  on September 18, 1997, IHS issued a press release  announcing
the extension of the Expiration Date.



ITEM 11. MATERIAL TO BE FILED AS EXHIBITS.


     (a)(9). Press  Release  dated  September  18,  1997,  issued  by Integrated
             Health Services, Inc.

     (b)(2). $1,750,000,000  Revolving Credit and Term Loan Agreement,  dated as
             of September 15, 1997, among Integrated Health Services,  Inc., the
             lenders named therein, Citibank, N.A., as administrative agent, The
             Toronto-Dominion   Bank,  as  documentation   agent,  and  Citicorp
             Securities, Inc., as arranger (incorporated by reference to Exhibit
             10 to the Current Report on Form 8-K, dated  September 15, 1997, of
             Integrated Health Services, Inc.).



                                       3
<PAGE>

                                  SIGNATURES

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




Dated: September 22, 1997


                           IHS ACQUISITION XXVI, INC.



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


                           INTEGRATED HEALTH SERVICES, INC.



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

                                       4
<PAGE>


                                 EXHIBIT INDEX



<TABLE>
<CAPTION>
EXHIBIT
  NO.                                DESCRIPTION
- --------   ---------------------------------------------------------------------
<S>        <C>
(a)(9)      Press Release, dated September 18, 1997, issued by Integrated Health
            Services, Inc.

(b)(2)      $1,750,000,000 Revolving Credit and Term Loan Agreement, dated as of
            September 15, 1997,  among  Integrated  Health  Services,  Inc., the
            lenders named therein,  Citibank, N.A., as administrative agent, The
            Toronto-Dominion   Bank,  as   documentation   agent,  and  Citicorp
            Securities,  Inc., as arranger (incorporated by reference to Exhibit
            10 to the Current Report on Form 8-K,  dated  September 15, 1997, of
            Integrated Health Services, Inc.).
</TABLE>




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