VIVRA INC
SC 13D/A, 1996-08-09
MISC HEALTH & ALLIED SERVICES, NEC
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                  SCHEDULE 13D

                    Under the Securities Exchange Act of 1934
                                (Amendment No. 2)

                          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)

                                  July 5, 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. 2 to Schedule 13D          Page 2 of 11

- --------------------------------------------------------------------------------
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                                    220,000
   SHARES
BENEFICIALLY    ----------------------------------------------------------------
  OWNED BY      8.  SHARED VOTING POWER                                      N/A
    EACH
  REPORTING     ----------------------------------------------------------------
   PERSON       9.  SOLE DISPOSITIVE POWER                               220,000
    WITH
                ----------------------------------------------------------------
                10. SHARED DISPOSITIVE POWER                                 N/A

- --------------------------------------------------------------------------------
11.  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
     REPORTING PERSON                                                    220,000

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

- --------------------------------------------------------------------------------
13.  PERCENT OF CLASS REPRESENTED BY AMOUNT IN
     ROW (11)                                                              2.92%

- --------------------------------------------------------------------------------
14.  TYPE OF REPORTING PERSON                                                 CO

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

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CUSIP NO. 86613P102        Amendment No. 2 to Schedule 13D          Page 3 of 11


     Vivra Incorporated ("Vivra") hereby files this Amendment No. 2 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 180,000 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 1850 Gateway Drive, Suite 500, San Mateo, California 94404. 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 Form 8-K, the following information is
provided with respect to the executive officers and directors of Vivra:

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CUSIP NO. 86613P102        Amendment No. 2 to Schedule 13D          Page 4 of 11

     (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 1850 Gateway Drive, Suite 500, San
          Mateo, California 94404, 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 1850
          Gateway Drive, Suite 500, San Mateo, California 94404, 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 1850 Gateway Drive, Suite 500, San
          Mateo, California 94404, the primary business of which is specialty
          healthcare services.

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CUSIP NO. 86613P102        Amendment No. 2 to Schedule 13D          Page 5 of 11

     (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 1850 Gateway Drive, Suite 500, San
          Mateo, California 94404, the primary business of which is specialty
          healthcare services.

     (a)  Name: LEANNE M. 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 1850 Gateway Drive, Suite 500,
          San Mateo, California 94404, the primary business of which is
          specialty healthcare services.

     (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 

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CUSIP NO. 86613P102        Amendment No. 2 to Schedule 13D          Page 6 of 11

          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, 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,

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CUSIP NO. 86613P102        Amendment No. 2 to Schedule 13D          Page 7 of 11

          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.

     (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
          1850 Gateway Drive, Suite 500
          San Mateo, CA 94404

     (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).

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CUSIP NO. 86613P102        Amendment No. 2 to Schedule 13D          Page 8 of 11


     (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.

     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 180,000 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, or the disposition of 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;

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CUSIP NO. 86613P102        Amendment No. 2 to Schedule 13D          Page 9 of 11


        (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 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 Quarterly Report on Form 10-Q
of Summit, there are 7,536,545 shares of Common Stock issued and outstanding.

        (a)  Amount beneficially owned:        220,000
             Percent of Class:                 2.92%

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

             (i) Sole power to vote or direct the vote:  220,000 shares.

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

             (iii) Sole power to dispose or direct the disposition of:  
                   220,000 hares.

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

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CUSIP NO. 86613P102        Amendment No. 2 to Schedule 13D         Page 10 of 11


     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. 2 to Schedule 13D         Page 11 of 11


                                    SIGNATURE


        After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this Amendment No. 2 to Schedule 13D
is true, complete and correct.

        Dated as of August 8, 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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