VIVRA INC
SC 13D/A, 1996-05-07
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                  SCHEDULE 13D

                    Under the Securities Exchange Act of 1934
                                (Amendment No. 1)

                          SUMMIT MEDICAL SYSTEMS, INC.
- --------------------------------------------------------------------------------
                                (Name of Issuer)

                                  Common Stock
- --------------------------------------------------------------------------------
                         (Title of Class of Securities)

                                   86613P102
- --------------------------------------------------------------------------------
                                  (CUSIP Number)

         Edward F. Sweeney
         Chief Executive Officer and President
         Summit Medical Systems, Inc.
         One Carlson Parkway
         Minneapolis, Minnesota 55447
                                                      Telephone:  (612) 473-3250
- --------------------------------------------------------------------------------
                  (Name, Address and Telephone Number of Person
                Authorized to Receive Notices and Communications)

                                 April 29, 1996
- --------------------------------------------------------------------------------
                          (Date of Event which Requires
                            Filing of this Statement)

     If the filing person has previously filed a statement on Schedule 13G to
report the acquisition which is the subject of this Schedule 13D, and is filing
this schedule because of Rule 13d-1(b)(3) or (4), check the following box / /.

     Check the following box if a fee is being paid with this statement / /.

     Note:  Six copies of this statement, including all exhibits, should be
filed with the Commission.  See Rule 13d-1(a) for other parties to whom copies
are to be sent.

     The information required on 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).

                         (Continued on following pages)

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CUSIP No. 86613P102      Amendment No. 1 to Schedule 13D            Page 2 of 12

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

     1.  NAME OF REPORTING PERSON                             Vivra Incorporated

         S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON            94-3096645

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

     2.  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                (a) / /
                                                                         (b) / /

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

     3.  SEC USE ONLY

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

     4.  SOURCE OF FUNDS

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

     5.  CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS
         REQUIRED PURSUANT TO ITEM 2(d) OR 2(e)                              / /

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

     6.  CITIZENSHIP OR PLACE OF ORGANIZATION                      United States

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

       NUMBER OF                       7.  SOLE VOTING POWER             434,999
        SHARES
     BENEFICIALLY              -------------------------------------------------
       OWNED BY  
         EACH                          8.  SHARED VOTING POWER               N/A
     REPORTING PERSON
         WITH                  -------------------------------------------------

                                       9.  SOLE DISPOSITIVE POWER        434,999

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

                                       10. SHARED DISPOSITIVE POWER          N/A

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

     11.  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
          REPORTING PERSON                                               434,999

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

     12.  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11)
          EXCLUDES CERTAIN SHARES                                            / /

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

     13.  PERCENT OF CLASS REPRESENTED BY AMOUNT IN
          ROW (11)                                                         5.77%

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

     14.  TYPE OF REPORTING PERSON                                            CO

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

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CUSIP No. 86613P102      Amendment No. 1 to Schedule 13D            Page 3 of 12


          Vivra Incorporated ("Vivra") hereby files this Amendment No. 1 to its
statement on Schedule 13D with the Securities and Exchange Commission to amend
Item 4 and Item 5 to reflect Vivra's sale of 75,000 shares of common stock, par
value $.01 per share (the "Common Stock"), of Summit Medical Systems, Inc.:

     1.   Security and Issuer.
          -------------------

          This statement relates to the Common Stock, par value $.01 per share
(the "Common Stock"), of Summit Medical Systems, Inc., a Minnesota corporation
("Summit").  The principal executive offices of Summit are located at One
Carlson Parkway, Minneapolis, Minnesota 55447.

     2.   Identity and Background.
          -----------------------

          The name of the Reporting Person is Vivra Incorporated, a Delaware
corporation.  Vivra is a provider of specialty healthcare services, principally
the delivery of dialysis services.  Vivra's principal business office is located
at 400 Primrose, Suite 200, Burlingame, California 94010.  During the previous
five years, Vivra has not been (i) convicted in a criminal proceeding, or (ii) a
party to a civil proceeding of a judicial or administrative body of competent
jurisdiction and as a result of such proceeding was or is subject to a judgment,
decree or final order enjoining future violations of, or prohibiting or
mandating activities subject to, federal or state securities laws or finding any
violation with respect to such laws.

          Pursuant to Instruction C of Schedule 13D, the following information
is provided with respect to the executive officers and directors of Vivra:

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CUSIP No. 86613P102      Amendment No. 1 to Schedule 13D            Page 4 of 12


          (a)  Name:  DAVID P. BARRY

          (c)  Present principal occupation or employment and the name,
               principal business and address of any corporation or other
               organization in which such employment is conducted:  Vice
               President of Vivra, with a principal business address of 400
               Primrose, Suite 200, Burlingame, CA 94010, the primary business
               of which is specialty healthcare services.

          (a)  Name:  ERNEST A. BLACKWELDER

          (c)  Present principal occupation or employment and the name,
               principal business and address of any corporation or other
               organization in which such employment is conducted: Vice
               President of Vivra Incorporated, a Delaware corporation, with a
               principal business address of 400 Primrose, Suite 200,
               Burlingame, CA 94010, the primary business of which is specialty
               healthcare services.

          (a)  Name:  ROBERT A. PROSEK

          (c)  Present principal occupation or employment and the name,
               principal business and address of any corporation or other
               organization in which such employment is conducted: Vice
               President of Vivra, with a principal business address of 400
               Primrose, Suite 200, Burlingame, CA 94010, the primary business
               of which is specialty healthcare services.

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CUSIP No. 86613P102      Amendment No. 1 to Schedule 13D            Page 5 of 12


          (a)  Name:  KENT J. THIRY

          (c)  Present principal occupation or employment and the name,
               principal business and address of any corporation or other
               organization in which such employment is conducted: Chief
               Executive Officer, President and Director of Vivra Incorporated,
               a Delaware corporation, with a principal business address of 400
               Primrose, Suite 200, Burlingame, CA 94010, the primary business
               of which is specialty healthcare services.

          (a)  Name:  LEANNE ZUMWALT

          (c)  Present principal occupation or employment and the name,
               principal business and address of any corporation or other
               organization in which such employment is conducted:  Chief
               Financial Officer, Secretary and Treasurer and Director of Vivra
               Incorporated, a Delaware corporation, with a principal business
               address of 400 Primrose, Suite 200, Burlingame, CA 94010, the
               primary business of which is specialty healthcare services.

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CUSIP No. 86613P102      Amendment No. 1 to Schedule 13D            Page 6 of 12


          (a)  Name: DAVID G. CONNOR, M.D.

          (c)  Present principal occupation or employment and the name,
               principal business and address of any corporation or other
               organization in which such employment is conducted:  Physician in
               private practice in Daly City, California, with a principal
               business address of  1498 Southgate Avenue, Suite 102, Daly City,
               California 94015, the primary business of which is nephrology and
               internal medicine.  Dr. Connor is also a director of Vivra.

          (a)  Name:  RICHARD B. FONTAINE

          (c)  Present principal occupation or employment and the name,
               principal business and address of any corporation or other
               organization in which such employment is conducted:  Independent
               healthcare consultant with a principal business address of 2814
               Four Lakes Drive, Park City, Utah 84060, the primary business of
               which is healthcare management.  Mr. Fontaine is also a director
               of Vivra.

          (a)  Name:  ALAN R. HOOPS

          (c)  Present principal occupation or employment and the name,
               principal business and address of any corporation or other
               organization in which such employment is conducted: CEO and
               Director of PacificCare Health Systems, with a principal business
               address of 5995 Plaza Drive, Cypress, 

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CUSIP No. 86613P102      Amendment No. 1 to Schedule 13D            Page 7 of 12


               California 90650, the primary business of which is health care
               management.

          (a)  Name:  DAVID L. LOWE

          (c)  Present principal occupation or employment and the name,
               principal business and address of any corporation or other
               organization in which such employment is conducted:  Chairman and
               CEO of ADAC Laboratories, Inc., with a principal business address
               of 540 Alder Drive, Milpitas, California 95035, the primary
               business of which is medical imaging and healthcare information
               services.

          (a)  Name:  JOHN M. NEHRA

          (c)  Present principal occupation or employment and the name,
               principal business and address of any corporation or other
               organization in which such employment is conducted:  Managing
               General Partner of Catalyst Ventures, L.P., with a principal
               business address of 1119 St. Paul Street, Baltimore, Maryland
               21202, the primary business of which is venture capital.  Mr.
               Nehra is also a director of Vivra.

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CUSIP No. 86613P102      Amendment No. 1 to Schedule 13D            Page 8 of 12


          (a)  Name:  STEPHEN G. PAGLIUCA

          (c)  Present principal occupation or employment and the name,
               principal business and address of any corporation or other
               organization in which such employment is conducted:  Managing
               General Partner of Information Partners, with a principal
               business address of 2 Copley Place, Boston, Massachusetts 02117,
               the primary business of which is venture capital.  Mr. Pagliuca
               is also a director of Vivra.

          (b)  Residence or business address for all of the above officers and
               directors:

               Vivra Incorporated
               400 Primrose, Suite 200
               Burlingame, CA 94010

          (d)  The above officers and directors, during the last five years,
               have not been convicted in a criminal proceeding (excluding
               traffic violations or similar misdemeanors).

          (e)  The above officers and directors, during the last five years,
               have not been a party to a civil proceeding of a judicial or
               administrative body of competent jurisdiction resulting in a
               judgment, decree or final order enjoining future violations of,
               or prohibiting or mandating activities subject to, federal or
               state securities laws or finding any violation with respect to
               such laws.

          (f)  Citizenship of all of the above officers and directors:  United
               States.

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CUSIP No. 86613P102      Amendment No. 1 to Schedule 13D            Page 9 of 12


     3.   Source and Amount of Funds or Other Consideration.
          -------------------------------------------------

          399,999 shares of Common Stock were acquired prior to Summit becoming
a reporting company under the Securities Exchange Act of 1934, as amended (the
"Exchange Act"). Vivra's original Statement on Schedule 13D related to the
purchase of 110,000 shares of Common Stock in connection with Summit's initial
public offering for an aggregate price of $990,000. Vivra used working capital
to purchase all the Common Stock.

     4.   Purpose of Transaction.
          ----------------------

          Vivra sold 75,000 shares of the Common Stock for working capital
purposes.  Vivra has no plans or proposals with respect to the Common Stock of
Summit which relate to or would result in:

     (a)  The acquisition by any person of additional securities of the issuer;

     (b)  An extraordinary corporate transaction, such as a merger,
          reorganization or liquidation, involving the issuer or any of its
          subsidiaries;

     (c)  A sale or transfer of a material amount of assets of the issuer or any
          of its subsidiaries;

     (d)  Any change in the present board of directors or management of the
          issuer, including any plans or proposals to change the number or term
          of directors or to fill any existing vacancies on the board;

     (e)  Any material change in the present capitalization or dividend policy
          of the issuer;

     (f)  Any other material change in the issuer's business or corporate
          structure, including

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CUSIP No. 86613P102      Amendment No. 1 to Schedule 13D           Page 10 of 12


          but not limited to, if the issuer is a registered closed-end
          investment company, any plans or proposals to make any changes in its
          investment policy for which a vote is required by Section 13 of the
          Investment Company Act of 1940;

     (g)  Changes in the issuer's charter, bylaws or instruments corresponding
          thereto or other actions which may impede the acquisition of control
          of the issuer by any person;

     (h)  Causing a class of securities of the issuer to be delisted from a
          national securities exchange or to cease to be authorized to be quoted
          in an inter-dealer quotation system of a registered national
          securities association;

     (i)  A class of equity securities of the issuer becoming eligible for
          termination of registration pursuant to Section 12(g)(4) of the Act;
          or

     (j)  Any action similar to any if those enumerated above.

     5.   Interest in Securities of the Issuer.
          ------------------------------------

          According to the most recently available Annual Report on Form 10-K of
Summit, there are 7,536,544 shares of Common Stock issued and outstanding.

     (a)       Amount beneficially owned:    434,999

               Percent of Class:               5.77%

     (b)  The number of shares as to which Vivra Incorporated has:

          (i) Sole power to vote or direct the vote:  434,999 shares.

          (ii) Shared power to vote or direct the vote:  N/A.

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CUSIP No. 86613P102      Amendment No. 1 to Schedule 13D           Page 11 of 12


          (iii) Sole power to dispose or direct the disposition of:  434,999
                shares.

          (iv) Shared power to dispose or direct the disposition of:  N/A.

     6.   Contracts, Arrangements, Understandings or Relationships with Respect
          ---------------------------------------------------------------------
to Securities of the Issuer.
- ---------------------------

          Vivra is a party to a Registration Rights Agreement  dated May 27,
1994 which provides Vivra with certain rights to require Summit to register
Common Stock held by Vivra with the SEC, a copy of which is filed as an Exhibit
to Vivra's Schedule 13D filed on April 26, 1996 and incorporated herein by
reference.  Except for the Registration Rights Agreement, Vivra is not a party
to any contracts, arrangements, understandings or relationships with respect to
any securities of Summit, including but not limited to the transfer or voting of
any of the securities of Summit, finder's fees, joint ventures, loan or option
arrangements, puts or calls, guarantees of profits, division of profits or loss,
or the giving or withholding of proxies.

     7.   Material to be Filed as Exhibits.
          --------------------------------

     (a)  Registration Rights Agreement dated May 27, 1994 by and among Summit
          Medical Systems, Inc. and the several purchasers named in Schedule I
          to the Series A Convertible Preferred Stock Purchase Agreement dated
          May 27, 1994, filed as Exhibit 7(a) to Vivra Incorporated's Schedule
          13D filed on April 26, 1996, and incorporated herein by reference.

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CUSIP No. 86613P102      Amendment No. 1 to Schedule 13D           Page 12 of 12


                                    SIGNATURE



          After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this Amendment No. 1 to Schedule 13D
is true, complete and correct.

     Dated as of May 3, 1996.

                                           VIVRA INCORPORATED


                                           By /s/ LeAnne M. Zumwalt
                                              -------------------------------- *
                                                      LeAnne M. Zumwalt
                                                   Chief Financial Officer,
                                                   Secretary and Treasurer


*  Original signature on file at Vivra Incorporated



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