PEDIATRIC SERVICES OF AMERICA INC
SC 13D/A, 2000-12-28
HOME HEALTH CARE SERVICES
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                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549


                                  SCHEDULE 13D/A


                    Under the Securities Exchange Act of 1934
                               (Amendment No.  4  )*
                                             -----

                  Pediatric Services of America, Inc. (PSAI.OB)
--------------------------------------------------------------------------------
                                (Name of Issuer)


                                     COMMON
--------------------------------------------------------------------------------
                         (Title of Class of Securities)


                                    705323103
                         ------------------------------
                                 (CUSIP Number)

     David Nierenberg, The D3 Family Fund, 19605 NE 8th St., Camas, WA  98607
                                360-604-8600
 ------------------------------------------------------------------------------
                      (Name, Address and Telephone Number
                        of Person Authorized to Receive
                          Notices and Communications)


                                    12/21/00
                        -------------------------------
                         (Date of Event which Requires
                           Filing of this Statement)



*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).

                                                                         1 of 6
<PAGE>
                                 SCHEDULE 13D/A
                                 --------------

CUSIP No. 705323103                                                Page 2 of 6

 1)   NAME OF REPORTING PERSON
      S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

      The D3 Family Fund, L.P. (David Nierenberg is President of the General
      Partner, which is Nierenberg Investment Management Company.)
      --------------------------------------------------------------------------

 2)   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
                                                                 (a)   [ X ]
                                                                 (b)   [   ]

 3)   SEC USE ONLY
      --------------------------------------------------------------------------

 4)   SOURCE OF FUNDS

      WC
      --------------------------------------------------------------------------

 5)   CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
      PURSUANT TO ITEMS 2(d) or 2(e)                                   [   ]
      --------------------------------------------------------------------------

 6)   CITIZENSHIP OR PLACE OF ORGANIZATION

      Washington
      --------------------------------------------------------------------------

                          7)  SOLE VOTING POWER
      NUMBER OF
                              994,930 common shares (14.9%)
      SHARES                  --------------------------------------------------

      BENEFICIALLY        8)  SHARED VOTING POWER

      OWNED BY                0
                              --------------------------------------------------
      EACH
                          9)  SOLE DISPOSITIVE POWER
      REPORTING
                              994,930
      PERSON                  --------------------------------------------------

      WITH               10)  SHARED DISPOSITIVE POWER

                              0
                              --------------------------------------------------

11)   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

      Aggregate amount owned is 1,024,930 shares (15.4%)
      --------------------------------------------------------------------------

12)   CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
      SHARES*                                                          [   ]


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

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

      15.4%
      --------------------------------------------------------------------------

14)   TYPE OF REPORTING PERSON*

      PN
      --------------------------------------------------------------------------
<PAGE>
                                 SCHEDULE 13D/A
                                 --------------

CUSIP No. 705323103                                                Page 3 of 6

 1)   NAME OF REPORTING PERSON
      S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

      Haredale, Ltd.
      --------------------------------------------------------------------------

 2)   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
                                                                 (a)   [ X ]
                                                                 (b)   [   ]

 3)   SEC USE ONLY
      --------------------------------------------------------------------------

 4)   SOURCE OF FUNDS

      WC
      --------------------------------------------------------------------------

 5)   CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
      PURSUANT TO ITEMS 2(d) or 2(e)                                   [   ]
      --------------------------------------------------------------------------

 6)   CITIZENSHIP OR PLACE OF ORGANIZATION

      The Bahamas
      --------------------------------------------------------------------------

                          7)  SOLE VOTING POWER
      NUMBER OF
                              30,000 common shares (0.5%)
      SHARES                  --------------------------------------------------

      BENEFICIALLY        8)  SHARED VOTING POWER

      OWNED BY                0
                              --------------------------------------------------
      EACH
                          9)  SOLE DISPOSITIVE POWER
      REPORTING
                              30,000
      PERSON                  --------------------------------------------------

      WITH               10)  SHARED DISPOSITIVE POWER

                              0
                              --------------------------------------------------

11)   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

      Aggregate amount owned is 1,024,930 shares (15.4%)

      --------------------------------------------------------------------------
12)   CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
      SHARES*                                                          [   ]


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

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

      15.4%
      --------------------------------------------------------------------------

14)   TYPE OF REPORTING PERSON*

      CO
      --------------------------------------------------------------------------
<PAGE>
                                                                  Page 4 of 6
Item 1.  Security and Issuer

         Common stock of Pediatric Services of America, Inc. (PSAI.OB)
         310 Technology Parkway, Norcross GA  30092-2929.

Item 2.  Identity and Background

         The D3 Family Fund, L.P., a Washington State partnership, whose
         principal business is investing in the equities of public micro-cap
         issuers. Located at 19605 N.E. 8th St., Camas, Washington 98607. No
         convictions or administrative proceedings.

Item 3.  Source and Amount of Funds or Other Consideration

         Source of funds is money invested in the partnership by its partners.
         Aggregate amount invested in PSAI shares purchased by the partnership
         is $3,655,830.

Item 4.  Purpose of Transaction

         The purpose of the share purchases is for investment in the nation's
         leading provider of pediatric home health care. We believe that PSAI
         management has done a superb job of refocusing on core operations, of
         deleveraging the balance sheet, and of improving operating cash flow.
         Moreover, the reimbursement climate continues to improve, with state
         Medicaid programs, the Federal Medicare program, and private sector
         payors generally raising reimbursement rates.  As we had predicted in
         our previous filings, PSAI now has returned to profitability.

         We expect profitability to continue increasing from here, ultimately to
         return to 1996-1997 levels.  Driving this will be the above mentioned
         rate increases, patient volume increases (such as those made possible
         by the company's recently announced contract with Aetna U.S.
         Healthcare), continuing cost reduction, and continuing improvement in
         PSAI's balance sheet.  Last week's FASB proposal to end the
         amortization of acquisition-related goodwill by the second half of
         2001 could further boost PSAI's profit by as much as five cents more
         per share per quarter.  As a result of these trends we believe PSAI's
         share price could quadruple from here over the next several years.

         Therefore we are delighted that on December 21, 2000 PSAI's board of
         directors modified the company's poison pill so that we could acquire
         up to 20% of the company.  We resumed purchasing PSAI shares the
         following day.

         None of the other actions described in items 4(a)-(j) are currently
         contemplated.

Item 5.  Interest in Securities of the Issuer

         (a,b) D3 owns, and has sole voting and dispositive power over, 994,930
         common shares of PSAI.OB (14.9%). In addition, 30,000 more common
         shares of PSAI.OB are owned by Haredale, Ltd., a Bahamian corporation.
         Aggregating D3 and Haredale, the group owns 1,024,930 common shares
         (15.4%).

         (c) D3's transactions in the last 60 days were the following
         transactions:



<PAGE>
                                                                  Page 5 of 6

                              No. of PSAI           Average purchase
                Date          shares purchased         price
               -------        ----------------      ----------------
               11/17               1,500               3.875
               11/21               6,000               3.875
               11/22               8,000               3.875
               11/28               2,500               3.875
               11/29              15,000               4.0911
               11/30               4,000               4.1875
               12/4                7,000               4.875
               12/15               2,000               4.8125
               12/22               4,500               4.7847
               12/26              19,500               4.8974
               12/27               2,500               4.9375

         (d)    N/A

         (e)    N/A

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

               N/A

Item 7.  Material to be Filed as Exhibits

               N/A


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.



 December 27, 2000                          DAVID NIERENBERG
-------------------                         ------------------------------------
      Date                                  David Nierenberg
                                            President
                                            Nierenberg Investment Management
                                              Company, Inc., the General Partner
                                              Of The D3 Family Fund, L.P.
<PAGE>
                                                                    Page 6 of 6

Item 1.  Security and Issuer

         Same as Item 1 on Page 4.

Item 2.  Identity and Background

         (a)  Haredale Ltd., a Bahamian corporation.

         (b)  P.O. Box N-4465, Nassau, New Providence, The Bahamas.

         (c)  Haredale is in the investment business at the address above.

         (d)  None

         (e)  None

         (f)  The Bahamas.

Item 3.  Source and Amount of Funds or Other Consideration

         Haredale owns, and Mr. Nierenberg has sole voting and dispositive power
         over, its 30,000 shares. Source of funds is money invested in Haredale.
         Aggregate amount invested in PSAI.OB shares purchased by Haredale is
         $62,697, including commission.

Item 4.  Purpose of Transaction

         Same as Item 4 on Page 4.

Item 5.  Interest in Securities of the Issuer

         (a,b)  Haredale owns, and Mr. Nierenberg has sole voting and
                dispositive power over, its 30,000 shares.

         (c)    No transactions during the past 60 days.

         (d)    N/A

         (e)    N/A

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

         Haredale pays Mr. Nierenberg an annual management fee and a share
         of its net profits for his personal management of its accounts.

Item 7.  Material to be Filed as Exhibits

         N/A

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.


 December 27, 2000                          DAVID NIERENBERG
-------------------                         ------------------------------------
      Date                                  David Nierenberg
                                            Authorized to trade for
                                              Haredale, Ltd.


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