UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. ____)*
Integrated Living Communities, Inc.
(Name of Issuer)
Common Stock, $.01 par value
(Title of Class of Securities)
45813N 10 1
(CUSIP Number)
* The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the
Notes).
Page 1 of 9 Pages
<PAGE>
- ---------------------- --------------------
CUSIP No. 45813N 10 1 13G Page 2 of 9 Pages
- --------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Integrated Health Services, Inc.
23-2428312
- --------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a) |_|
(b) |_|
- --------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware corporation
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
5 SOLE VOTING POWER
NUMBER OF
SHARES 2,497,900
BENEFICIALLY ----------------------------------------------------
OWNED BY 6 SHARED VOTING POWER
EACH
REPORTING 0
PERSON ----------------------------------------------------
WITH 7 SOLE DISPOSITIVE POWER
2,497,900
----------------------------------------------------
8 SHARED DISPOSITIVE POWER
0
- --------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,497,900 Shares
- --------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(SEE INSTRUCTIONS)
[_]
- --------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 (SEE INSTRUCTIONS)
37.3
- --------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
CO
- --------------------------------------------------------------------------------
Page 2 of 9 Pages
<PAGE>
- ---------------------- -----------------------
CUSIP No. 45813N 10 1 13G Page 3 of 9 Pages
- --------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Robert N. Elkins
- --------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a) |_|
(b) |_|
- --------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States citizen
- --------------------------------------------------------------------------------
5 SOLE VOTING POWER
NUMBER OF
SHARES 0
BENEFICIALLY ----------------------------------------------------
OWNED BY 6 SHARED VOTING POWER
EACH
REPORTING 0*
PERSON
WITH * May be deemed to share voting and
dispositive power over the 2,497,900
shares held by Integrated Health
Services, Inc. ("IHS") by reason of his
being Chairman and Chief Executive
Officer of IHS. Mr. Elkins disclaims
beneficial ownership of these shares.
---------------------------------------------------
7 SOLE DISPOSITIVE POWER
0
----------------------------------------------------
8 SHARED DISPOSITIVE POWER
0*
* May be deemed to share voting and
dispositive power over the 2,497,900
shares held by Integrated Health
Services, Inc. ("IHS") by reason of his
being Chairman and Chief Executive
Officer of IHS. Mr. Elkins disclaims
beneficial ownership of these shares.
- --------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
- --------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(SEE INSTRUCTIONS)
|_|
- --------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 (SEE INSTRUCTIONS)
0
- --------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
- -------------------------------------------------------------------------------
Page 3 of 9 Pages
<PAGE>
Item 1(a) Name of Issuer:
---------------
Integrated Living Communities, Inc. (the "Company")
Item 1(b) Address of Issuer's Principal Executive Offices:
------------------------------------------------
Bernwood Centre
24850 Old 41 Road, Suite 10
Bonita Springs, Florida 34135
Item 2(a) Name of Person Filing:
---------------------
This Statement is filed by Integrated Health
Services, Inc. (the "Reporting Person").
Robert N. Elkins is the Chairman and Chief Executive
Officer of the Reporting Person and Chairman of the
Board of Directors of the Company. See attached
Exhibit A.
Item 2(b) Address of Principal Business Office, or
if none, Residence:
----------------------------------------
The address of the principal business office of the
Reporting Person is 10065 Red Run Boulevard, Owings
Mills, Maryland
21117.
The address of the principal business office of Mr.
Elkins is 8889 Pelican Bay Boulevard, Naples, Florida
34108.
Item 2(c) Citizenship:
-----------
The Reporting Person is a Delaware corporation.
Mr. Elkins is a United States citizen.
Item 2(d) Title of Class of Securities:
-----------------------------
Common Stock, $.01 par value per share ("Common
Stock")
Item 2(e) CUSIP Number:
------------
45813N 10 1
Item 3 Description of Person Filing:
----------------------------
Not applicable.
Page 4 of 9 Pages
<PAGE>
Item 4 Ownership:
---------
The following information with respect to ownership
of Common Stock of the Company by the Reporting
Person and Mr. Elkins is provided as of December 31,
1996, the last day of the year covered by this
Statement.
(a) Amount beneficially owned:
-------------------------
See Row 9 of the cover pages. Amount for Mr.
Elkins does not include options to purchase
235,000 shares of Common Stock which become
exercisable in three equal annual
installments on June 10, 1997, 1998 and
1999, or earlier under certain
circumstances.
(b) Percent of Class:
----------------
See Row 11 of the cover pages.
(c) Number of shares as to which such person
has:
--------------------------------------------
(i) Sole power to vote or to direct the
vote:
------------------------------------
See Row 5 of the cover pages. Amount
for Mr. Elkins does not include
options to purchase 235,000 shares
of Common Stock which become
exercisable in three equal annual
installments on June 10, 1997, 1998
and 1999, or earlier under certain
circumstances.
(ii) Shared power to vote or to direct
the vote:
------------------------------------
See Row 6 of the cover pages.
(iii) Sole power to dispose or direct the
disposition of:
------------------------------------
See Row 7 of the cover pages. Amount
for Mr. Elkins does not include
options to purchase 235,000 shares
of Common Stock which become
exercisable in three equal annual
installments on June 10, 1997, 1998
and 1999, or earlier under certain
circumstances.
(iv) Shared power to dispose or direct
the disposition of:
------------------------------------
See Row 8 of the cover pages.
Page 5 of 9 Pages
<PAGE>
Item 5 Ownership of Five Percent or Less of a Class:
---------------------------------------------
If this Statement is being filed to report the fact
that as of the date hereof the Reporting Person has
ceased to be the beneficial owner of more than five
percent of the class of securities, check the
following: |_|
Item 6 Ownership of More than Five Percent on Behalf of
Another Person:
------------------------------------------------------
To the best knowledge of the Reporting Person and Mr.
Elkins, no person other than the Reporting Person has
the right to receive or the power to direct the
receipt of dividends from, or the proceeds from the
sale of, the Common Stock owned by the Reporting
Person.
Item 7 Identification and Classification of the Subsidiary
Which Acquired the Security Being Reported on By the
Parent Holding Company:
------------------------------------------------------
Not applicable.
Item 8 Identification and Classification of Members:
--------------------------------------------
Not applicable.
Item 9 Notice of Dissolution of Group:
------------------------------
Not applicable.
Item 10 Certification:
-------------
Not applicable.
Page 6 of 9 Pages
<PAGE>
SIGNATURE
---------
After reasonable 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.
February 13, 1997
INTEGRATED HEALTH SERVICES, INC.
/s/ Robert N. Elkins
------------------------------------
Name: Robert N. Elkins
Title: Chairman and Chief Executive Officer
Page 7 of 9 Pages
<PAGE>
SIGNATURE
---------
After reasonable 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.
February 13, 1997
/s/ Robert N. Elkins
------------------------------------
Robert N. Elkins
Page 8 of 9 Pages
<PAGE>
Exhibit A
---------
SCHEDULE 13G--TO BE INCLUDED IN STATEMENTS
FILED PURSUANT TO RULE 13d-1(f)(1)
The undersigned persons on this 13th day of February, 1997, agree and
consent to the joint filing on their behalf of this Schedule 13G in connection
with the beneficial ownership of the common stock of Integrated Living
Communities, Inc. at December 31, 1996.
INTEGRATED HEALTH SERVICES, INC.
/s/ Robert N. Elkins
------------------------------------
Name: Robert N. Elkins
Title: Chairman and Chief Executive Officer
/s/ Robert N. Elkins
------------------------------------
Robert N. Elkins
Page 9 of 9 Pages
