HORIZON HEALTHCARE CORP
424B3, 1995-06-21
SKILLED NURSING CARE FACILITIES
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<PAGE>
                         HORIZON HEALTHCARE CORPORATION
                    6001 INDIAN SCHOOL ROAD, N.E., SUITE 530
                         ALBUQUERQUE, NEW MEXICO 87110

                                 June 21, 1995

To Our Stockholders:

    A  Joint Proxy  Statement/Prospectus of  Horizon Healthcare  Corporation and
Continental Medical Systems, Inc.  was recently delivered to  you relating to  a
Special  Meeting of the stockholders  of Horizon to be held  on July 6, 1995 for
the purpose  of  considering  approval  and adoption  of  the  Merger  Agreement
described  in the Joint Proxy  Statement/Prospectus and, subject to consummation
of the  Merger, approval  of a  change of  the name  of Horizon  to  Horizon/CMS
Healthcare Corporation.

    As   described   in  the   accompanying  Supplement   to  the   Joint  Proxy
Statement/Prospectus, Horizon  announced  on  June 19,  1995  its  intention  to
dispose  of eight of its existing facilities,  with the result that Horizon will
record a charge of $16.9 million ($0.63 per share of Horizon Common Stock),  net
of related Federal and state income tax benefit, in the fourth quarter of fiscal
year ended May 31, 1995.

    Please  read the accompanying Supplement carefully.  If you have not already
done so,  please  complete and  return  the  proxy or  voting  instruction  card
previously  delivered to you or, if you have  already done so and wish to revoke
that proxy before it is voted, you  may complete and return the proxy or  voting
instruction  card enclosed herewith.  If you have executed  and returned a proxy
and do not wish to revoke it,  your previous proxy remains valid and no  further
action  on your part is necessary. If you  have misplaced your copy of the Joint
Proxy Statement/Prospectus,  you  may  obtain  another  copy  by  following  the
instructions  contained in the last paragraph of the Supplement. Banks, brokers,
dealers and other  fiduciaries may  contact Georgeson  & Company  Inc. at  (800)
223-2064.

                                          Sincerely,

                                          Neal M. Elliott
                                          CHAIRMAN AND CHIEF EXECUTIVE OFFICER
<PAGE>
                       CONTINENTAL MEDICAL SYSTEMS, INC.
                         600 WILSON LANE, P.O. BOX 715
                       MECHANICSBURG, PENNSYLVANIA 17055

                                 June 21, 1995

To Our Stockholders:

    A  Joint Proxy Statement/Prospectus of Continental Medical Systems, Inc. and
Horizon Healthcare  Corporation was  recently  delivered to  you relating  to  a
Special  Meeting of the stockholders of  CMS to be held on  July 6, 1995 for the
purpose of considering approval and  adoption of the Merger Agreement  described
in the Joint Proxy Statement/Prospectus.

    As   described   in  the   accompanying  Supplement   to  the   Joint  Proxy
Statement/Prospectus, Horizon  announced  on  June 19,  1995  its  intention  to
dispose  of eight of its existing facilities,  with the result that Horizon will
record a charge of $16.9 million ($0.63 per share of Horizon Common Stock),  net
of  related Federal and state  income tax benefit, in  the fourth quarter of the
fiscal year ended May 31, 1995.

    Please read the accompanying Supplement  carefully. If you have not  already
done  so,  please  complete and  return  the  proxy or  voting  instruction card
previously delivered to you or, if you  have already done so and wish to  revoke
that  proxy before it is voted, you may  complete and return the proxy or voting
instruction card enclosed herewith.  If you have executed  and returned a  proxy
and  do not wish to revoke it, your  previous proxy remains valid and no further
action on your part is necessary. If  you have misplaced your copy of the  Joint
Proxy  Statement/Prospectus,  you  may  obtain  another  copy  by  following the
instructions contained in the last paragraph of the Supplement. Banks,  brokers,
dealers  and other  fiduciaries may  contact Corporate  Investor Communications,
Inc. at (800) 242-4410.

                                          Sincerely,

                                          Rocco A. Ortenzio
                                          CHAIRMAN AND CHIEF EXECUTIVE OFFICER
<PAGE>
HORIZON HEALTHCARE CORPORATION                 CONTINENTAL MEDICAL SYSTEMS, INC.

                  JOINT PROXY STATEMENT/PROSPECTUS SUPPLEMENT

    This   Joint  Proxy  Statement/Prospectus   Supplement  (this  "Supplement")
supplements  the  Joint   Proxy  Statement/Prospectus   of  Horizon   Healthcare
Corporation and Continental Medical Systems, Inc. dated June 6, 1995 (the "Joint
Proxy  Statement/Prospectus"). Capitalized terms  used herein without definition
are defined in the  Joint Proxy Statement/Prospectus and  are used herein as  so
defined.

    On  June 19, 1995,  Horizon announced that  it plans to  sell the assets and
leasehold improvements at eight of its facilities. Horizon anticipates that  the
intended  dispositions will occur  during fiscal 1996.  Pending disposition, the
operations  of  these  facilities  will  be  reported  in  Horizon's   financial
statements as discontinued operations commencing with its consolidated financial
statements for the fiscal year ended May 31, 1995.

    Horizon  will record a  charge for discontinued  operations of $16.9 million
($0.63 per share  of Horizon  Common Stock), net  of related  Federal and  state
income tax benefit, in the fourth quarter of the fiscal year ended May 31, 1995.
This  charge will record the expense related  to adjustment of the carrying cost
of these facilities, the  reclassification of the losses  from the operation  of
these  facilities during fiscal year 1995  and the accrual of anticipated future
losses from the operation of the facilities.

    The consolidated financial statements of  Horizon for the fiscal year  ended
May  31, 1995 are currently being  audited by Horizon's independent accountants.
Horizon does not anticipate that it will announce its results of operations  for
the fiscal year ended May 31, 1995 until after July 10, 1995. Nonetheless, based
on  the information  now available to  management, Horizon  estimates that fully
diluted earnings per share  of Horizon Common  Stock from continuing  operations
will  be $1.40 for the year (as compared with $0.91 per share for the year ended
May 31,  1994) before  the  charge for  discontinued  operations. Based  on  the
information  now available to management, Horizon expects no further charges for
these discontinued operations during fiscal year 1996.

    The properties that  are the  subject of  the planned  dispositions, in  the
aggregate,  incurred a net loss in fiscal  year 1995 in excess of $10.5 million.
Through these  facilities,  Horizon  provides  services  for  neuro-behaviorally
impaired  patients (four facilities), long-term chronic ventilator care patients
(two facilities), personal care patients  (one facility) and patients with  mild
mental  disorders (one  facility). These  services are  deemed by  management of
Horizon to be inconsistent with  Horizon's emphasis on long-term  rehabilitation
services  and its concentration  on high acuity patient  services. Four of these
facilities, of which three are located in Michigan and one in Ohio,  accommodate
664  licensed beds. The  remaining four, located  in Massachusetts, operate with
provisional  licenses  and  accommodate  640  probationary  licensed  beds.  The
probationary  licenses under which  the latter four  facilities are operated are
discussed  in  the  Joint  Proxy  Statement/Prospectus  under  "The  Merger   --
Governmental and Regulatory Approvals and Matters -- MASSACHUSETTS."

    Only  holders of record  of shares of  Horizon Common Stock  at the close of
business on May 19, 1995  are entitled to vote  at the Horizon Special  Meeting,
and  only  holders of  record of  shares of  CMS  Common Stock  at the  close of
business on May 12, 1995 are entitled to vote at the CMS Special Meeting. If you
have executed and returned a proxy and wish  to revoke it before it is voted  at
the  appropriate Special Meeting on July 6, 1995, you may execute and return the
enclosed proxy card. If you have executed  and returned a proxy and do not  wish
to  revoke it, your previous  proxy remains valid and  no further action on your
part is  necessary.  If  you  have  misplaced  your  copy  of  the  Joint  Proxy
Statement/Prospectus, you may receive another copy by contacting, in the case of
Horizon stockholders, Michael H. Seeliger, Vice President of Investor and Public
Relations,  Horizon Healthcare Corporation, 6001 Indian School Road, N.E., Suite
530, Albuquerque, New Mexico 87110 (telephone (505) 881-4961) or, in the case of
CMS stockholders, Lisa Case, Investor Relations Department, Continental  Medical
Systems,  Inc., 600 Wilson Lane, P.O. Box 715, Mechanicsburg, Pennsylvania 17055
(telephone (717) 790-8300).
                            ------------------------

                  THE DATE OF THIS SUPPLEMENT IS JUNE 21, 1995
<PAGE>
                                     PROXY
                         HORIZON HEALTHCARE CORPORATION
                SPECIAL MEETING OF STOCKHOLDERS -- JULY 6, 1995
                 THIS PROXY SOLICITED BY THE BOARD OF DIRECTORS
    The  undersigned appoints  Klemett L. Belt,  Jr. and Michael  H. Seeliger as
Proxies, each with the  power to appoint his  substitute, and hereby  authorizes
each  of them to  represent and to vote  as designated below,  all the shares of
Common  Stock  of  Horizon  Healthcare  Corporation,  held  of  record  by   the
undersigned  on May 19, 1995, at the  Special Meeting of Stockholders of Horizon
Healthcare Corporation to be  held on July 6,  1995 at the Albuquerque  Marriott
Hotel at 2102 Louisiana Ave., N.E., Albuquerque, New Mexico, commencing at 10:00
a.m., local time, or any adjournment(s) or postponement(s) thereof.
    The  undersigned hereby  revokes any  proxy to  vote said  shares heretofore
given. THE UNDERSIGNED ACKNOWLEDGES THAT THIS PROXY WHEN PROPERLY EXECUTED  WILL
BE  VOTED IN THE MANNER DIRECTED HEREIN  BY THE UNDERSIGNED STOCKHOLDER AND THAT
IF NO DIRECTION IS MADE, THIS PROXY WILL BE VOTED IN FAVOR OF PROPOSALS 1 AND 2.
    Please sign exactly as  your name appears on  your stock certificates.  When
shares  are held by joint  tenants, both should sign.  When signing as attorney,
executor, administrator, trustee or guardian, please give full title as such. If
a corporation,  please  sign  in  full corporate  name  by  President  or  other
authorized  officer.  If  a  partnership, please  sign  in  partnership  name by
authorized person.
    I plan to attend the meeting.  (Please check if yes)  / /

<TABLE>
    <S> <C>                                                      <C>
    1.  Approval and  adoption  of  the  Amended  and  Restated    FOR  / /  AGAINST /  /  ABSTAIN / /
        Agreement and Plan of Merger  dated as of May 23,  1995
        among   Horizon  Healthcare   Corporation,  CMS  Merger
        Corporation  and  Continental  Medical  Systems,  Inc.,
        pursuant  to  which  CMS  Merger  Corporation  would be
        merged with Continental Medical Systems, Inc. and  each
        outstanding   share  of  common  stock  of  Continental
        Medical Systems, Inc.  would be  converted into  0.5397
        shares   of   common   stock   of   Horizon  Healthcare
        Corporation, all as described in the accompanying Joint
        Proxy Statement/ Prospectus.
    2.  Approval, subject to consummation of the Merger, of the    FOR / /  AGAINST  / /  ABSTAIN /  /
        Amendment  to the Restated Certificate of Incorporation
        to change the name of Horizon Healthcare Corporation to
        Horizon/ CMS Healthcare Corporation.
</TABLE>

    3.  In their  discretion, the  proxies  are authorized  to vote  upon  other
        business  as may properly come before the meeting, or any adjournment(s)
        or postponement(s) thereof.
                          (CONTINUED ON REVERSE SIDE)
<PAGE>
If you receive more than one proxy card, please sign and return all cards in the
accompanying envelope.
                                             Date ________________________, 1995
                                             ___________________________________
                                                          Signature
                                             ___________________________________
                                                  Signature if held jointly
                                             This proxy  may be  revoked at  any
                                             time  prior  to the  voting  of the
                                             proxy   by   the   execution    and
                                             submission  of a  revised proxy, by
                                             written notice to the Secretary  of
                                             the  Company or by voting in person
                                             at the meeting.

                   PROXY SOLICITED BY THE BOARD OF DIRECTORS
   PLEASE MARK, SIGN, DATE AND RETURN THIS PROXY PROMPTLY USING THE ENCLOSED
                                    ENVELOPE
<PAGE>

PROXY                                                                 PROXY
                   THIS PROXY IS SOLICITED ON BEHALF OF THE
                             BOARD OF DIRECTORS

                       CONTINENTAL MEDICAL SYSTEMS, INC.
                   600 WILSON LANE   MECHANICSBURG, PA 17055

   The undersigned holder of Common Stock of Continental Medical Systems,
Inc. (the "Corporation"), revoking all prior proxies, hereby appoints Rocco
A. Ortenzio, Robert A. Ortenzio and David G. Nation, and each of them acting
individually, as the attorney and proxy of the undersigned, with full power
of substitution, to vote all shares of Common Stock of the Corporation which
the undersigned would be entitled to vote if personally present at the
special meeting of the stockholders of the Corporation to be held at the
offices of the Corporation, 600 Wilson Lane, Mechanicsburg, Pennsylvania,
17055 at 11:00 a.m. on July 6, 1995, and at any adjournment(s) and
postponement(s) thereof. Said proxies are specifically authorized and
directed to vote as indicated with respect to the matters set forth on the
reverse hereof.

                (continued and to be signed on other side)

                         FOLD AND DETACH HERE

<PAGE>


THIS PROXY WHEN PROPERLY EXECUTED WILL BE VOTED IN THE MANNER DIRECTED
HEREIN BY THE UNDERSIGNED STOCKHOLDERS. IF NO DIRECTION IS MADE, THIS PROXY
WILL BE VOTED "FOR" PROPOSALS 1 AND 2.

1. Proposal to approve and adopt the Amended and Restated Agreement and Plan
   of Merger dated as of May 23, 1995 among the Corporation, Horizon Healthcare
   Corporation and CMS Merger Corporation and the merger of CMS Merger
   Corporation with and into the Corporation.

   FOR          AGAINST      ABSTAIN
   / /            / /           / /

2. In their discretion upon the transaction of such other business as may
   properly come before the meeting, and any adjournment(s) or postponement(s)
   thereof.

                                        Please sign exactly as your name(s)
                                        appear(s) below. When shares are held
                                        by joint tenants, both should sign.
                                        When signing as attorney-in-fact,
                                        executor, administrator, trustee, or
                                        guardian, please give full title as
                                        such. If a corporation, please sign in
                                        full corporate name by President or
                                        other authorized officer. If a
                                        partnership, please sign in partnership
                                        name by authorized person.

                                        Dated _________________________, 1995


                                        ______________________________________
                                        Signature

                                        ______________________________________
                                        Signature if held jointly

                                        Please SIGN, DATE and RETURN the proxy
                                        card promptly in the enclosed
                                        envelope.

                 "PLEASE MARK INSIDE BLUE BOXES SO THAT DATA
                 PROCESSING EQUIPMENT WILL RECORD YOUR VOTES"


                                  FOLD AND DETACH HERE



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