INTEGRATED HEALTH SERVICES INC
SC 13E3/A, 1997-09-22
SKILLED NURSING CARE FACILITIES
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                       SECURITIES AND EXCHANGE COMMISSION

                             WASHINGTON, D.C. 20549
                                ----------------


                                      
                                 SCHEDULE 13E-3
                                (AMENDMENT NO. 2)

                        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)
                                      


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





<TABLE>
<S>                                              <C>
         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)
</TABLE>


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

                                   COPIES TO:




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

      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)

</TABLE>


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

                                 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
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<TABLE>
<S>                                                        <C>
      TRANSACTION VALUATION                                AMOUNT OF FILING FEE
           $30,391,204*                                         $6,078.24**
</TABLE>

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 * 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



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<PAGE>

                                  INTRODUCTION


     This  Amendment No. 2 (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, as
amended by Amendment No. 1 filed on September 8, 1997 (as amended, 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 6. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION

     The  information  set  forth  in  paragraphs  (a)  and (b) of Item 6 of the
Schedule 13E-3 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 
<PAGE>


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.

     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 16. ADDITIONAL INFORMATION.

     Item  16 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. A copy of the press release issued by IHS
is filed as Exhibit  (a)(9) 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.

   (a)(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.).

   (d)(9) Press  Release,  dated September 18, 1997, issued by Integrated Health
          Services,  Inc. (incorporated herein by reference to Exhibit (a)(9) 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 22, 1997

<PAGE>


                                 EXHIBIT INDEX



<TABLE>
<CAPTION>
EXHIBIT NO.                        DESCRIPTION
- ------------- ------------------------------------------------------------------
<S>           <C>
    (a)(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.).

    (d)(9)    Press  Release,  dated  September  18, 1997,  issued by Integrated
              Health  Services,  Inc.  (incor-  porated  herein by  reference to
              Exhibit (a)(9) to the Schedule 14D-1).

</TABLE>



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