HEALTH SYSTEMS INTERNATIONAL INC
8-K, 1996-10-09
INSURANCE CARRIERS, NEC
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                SECURITIES AND EXCHANGE COMMISSION
                      WASHINGTON, D.C. 20549

                             FORM 8-K
                          CURRENT REPORT

              Pursuant to Section 13 or 15(d) of the
                 Securities Exchange Act of 1934

                         October 1, 1996
                _________________________________
               (Date of earliest event reported)

                HEALTH SYSTEMS INTERNATIONAL, INC.
      ______________________________________________________
      (Exact name of Registrant as specified in its charter)

Delaware                  1-2718                   95-42288333
______________     _____________________      __________________
(State of          (Commission File No.)      (IRS Employer
Incorporation)                                Identification No.)

      21660 Oxnard Street, Woodland Hills, California  91367
          225 North Main Street, Pueblo, Colorado  81003
   ____________________________________________________________
   (Address of principal executive offices, including zip code)

                 (818) 719-6978 (Woodland Hills)
                     (719) 542-0500 (Pueblo)
       ____________________________________________________
       (Registrant's telephone number, including area code)

                          Not Applicable
  _____________________________________________________________
  (Former name or former address, if changed since last report)


     Item 5.   Other Events.

          On October 1, 1996, the Registrant issued the press 
     release attached hereto as Exhibit 99.1 which is incorp-
     orated herein by reference.  The press release announced 
     that on October 1, 1996, the Registrant had entered into 
     an Agreement and Plan of Merger with Foundation Health 
     Corporation ("FHC") and FH Acquisition Corp., a wholly 
     owned subsidiary of the Registrant ("Merger Sub"), pursuant 
     to which Merger Sub will be merged with and into FHC sub-
     ject to regulatory and stockholder approvals.

          On October 1, 1996, the Company entered into an
     Amendment to its Rights Agreement with Harris Trust and
     Savings Bank, attached hereto as Exhibit 10.1 which is 
     incoporated herein by reference, to exempt the Merger 
     Agreement with FHC from the Rights Agreement and modify 
     the circumstances under which the Company's Board of
     Directors can terminate the Rights Agreement.

     Item 7.    Financial Statements and Exhibits.

                (c) Exhibits.

                    Item No.           Exhibit Index

                    99.1               Press Release dated 
                                       October 1, 1996

                    10.1               First Amendment to the
                                       Rights Agreement, dated
                                       October 2, 1996


                             SIGNATURES

          Pursuant to the requirements of the Securities
     Exchange Act of 1934, the registrant has duly caused this
     report to be signed on its behalf by the undersigned
     hereunto duly authorized.

          Dated:  October 9, 1996

                                  HEALTH SYSTEMS INTERNATIONAL, INC. 

                                  By /s/ Michael E. Jansen
                                     -------------------------------
                                     Michael E. Jansen
                                     Vice President, Assistant
                                     General Counsel and 
                                     Assistant Secretary


                           EXHIBIT INDEX

     Exhibit
     Number           Description

     99.1             Press Release dated October 1, 1996

     10.1             First Amendment to the Rights Agreement,
                      dated October 1, 1996



                                                   Exhibit 99.1

              Contact:                               Kurt Davis
                                  Foundation Health Corporation
                                                  (916)631-5288
                                     [email protected]

                                                    David Olson
                                   Health Systems International
                                                  (818)719-6978
                                         http:/ /www.hsintl.com
                                              [email protected]

     FOUNDATION HEALTH AND HEALTH SYSTEMS INTERNATIONAL TO
     COMBINE $3 BILLION MERGER-OF-EQUALS TRANSACTION

          -- New company, to be called Foundation Health
     Systems, Inc. (FHS), will be nation's fourth-largest
     publicly traded managed care company, with 5 million
     medical members in 16 states

          -- Merger partners have identified significant
     potential operational cost savings

          -- FHS will be financially strong and well-
     positioned for accelerating growth in the rapidly
     consolidating managed health care industry

          PUEBLO, COLO., RANCHO CORDOVA, CALIF. AND WOODLAND
     HILLS, CALIF., OCTOBER 1, 1996 -- Foundation Health
     Corporation (NYSE:FH)(Foundation) and Health Systems
     International, Inc. (NYSE:HQ)(HSI) today announced that
     they have agreed to combine in a merger-of-equals
     transaction valued at approximately $3 billion, based on
     the companies' combined market capitalization.

          Under the definitive agreement approved by both
     companies' boards of directors, Foundation and HSI will
     combine to form Foundation Health Systems, Inc. (FHS). 
     On a pro forma basis, FHS would have recorded total
     annual revenues of $6.4 billion in the twelve months
     ended June 30, 1996.  Both companies expect FHS's
     calendar 1997 revenues to exceed $8 billion.

          Foundation and HSI have identified at least $110
     million of annual operating synergies that they expect to
     realize following completion of the transaction.  These
     synergies will be derived from consolidation of corporate
     overhead and administration, merging overlapping
     operations such as California HMOs, cross-selling of
     certain Foundation specialty products to HSI members,
     from the benefits of combined medical contracting and
     other savings.

          Completion of the transaction, which will be a tax-
     free combination and accounted for as a pooling of
     interests, is subject to shareholder and regulatory
     approval as well as other customary conditions and is
     expected to occur by the end of January 1997.  The new
     company will operate on a calendar year for financial
     reporting purposes.

          Under the terms of the agreement, which is based on
     a fixed exchange ratio, Foundation will merge with and
     become a subsidiary of HSI, and HSI will simultaneously
     change its name to Foundation Health Systems.  Each
     stockholder of Foundation will receive 1.3 FHS Class A
     common shares for each share of Foundation held.  All
     outstanding HSI Class A common shares will continue to
     remain outstanding pursuant of the agreement (and will
     become an equivalent number of FHS Class A common
     shares).  The California Wellness Foundation, which
     currently owns 19.3 million shares of Class B non-voting
     HSI stock, will continue to hold the same number of Class
     B non-voting shares of the new company.

          FHS will thus have approximately 124 million shares
     outstanding upon completion of the transaction, 61
     percent of which will be owned by Foundation's
     stockholders and 39 percent by HSI's stockholders.

          "This transaction represents a unique opportunity to
     build value for both companies' members, providers
     employer groups and, in turn, shareholders far beyond
     what either Foundation or HSI could have achieved
     independently," said Daniel D. Crowley, chairman,
     president and chief executive officer of Foundation.  "I
     am particularly excited about HSI's fourth-generation
     medical management system and its medical management
     expertise in general, which can bring significant
     benefits to our members and providers.  I look forward to
     working closely with Dr. Hansen, Jay Gellert and our
     combined management team to complete the transaction and
     establish Foundation Health Systems as one of the best
     and fastest-growing health care companies in the United
     States."

          "The new company will have highly complementary
     strengths," said Malik M. Hasan, M.D., chairman and chief
     executive officer of HSI.  "The transaction will
     immediately establish FHS as a major national player,
     with strong market positions in California and the West
     and rapidly growing operations in Texas, Florida and the
     Northeast.  The combined product line will cover
     virtually every facet of managed health care, including
     conventional health maintenance organizations (HMOs),
     Medicare-risk HMOs and other substantial government
     programs, workers' compensation and specialty products."

          Mr. Crowley will serve as FHS's chairman for the
     year following completion of the transaction.  At the end
     of that period, Mr. Crowley will resign as chairman while
     remaining a director of the company.

          Dr. Hansan will be FHS' president and chief
     executive officer and will become chairman following Mr.
     Crowley's resignation.

          Jay M. Gellert, currently president and chief
     operating officer of HSI, will become executive vice
     president and chief operating officer of FHS.  He will
     assume the president's title from Dr. Hansan after the
     first year.

          Kirk A. Benson, chief operating officer of
     Foundation's commercial operations will be a senior vice
     president of FHS and will play a major role in
     integration activities targeted at achieving anticipated
     synergies.

          Jeffrey L. Elder, Foundation's senior vice president
     and chief financial officer, will hold the same posts at
     the new company.  Steven D. Tough, currently president
     and chief operating officer of Foundation's government
     programs, will continue to head those programs in FHS,
     principally including the operations serving military
     families covered by the Civilian Health and Medical
     Program of the Uniformed Services (CHAMPUS).  Foundation
     currently serves 1.5 million CHAMPUS beneficiaries in
     seven states.

          The FHS board of directors will be composed of 11
     members, including Mr. Crowley, Dr. Hasan and nine
     independent directors chosen by the two companies, five
     initially by Foundation and four by HSI.  The new company
     will establish a single headquarters office at a site to
     be determined prior to closing.

          All FHS California HMO operations will be
     consolidated under Health Net in the months following
     completion of the merger.  Both companies expect that the
     existing operating structure of Foundation's government
     and specialty businesses will be maintained.

          The definitive agreement provides for the payment of
     a termination fee, in certain events.

          Morgan Stanley & Co. Incorporated advised Foundation
     with regard to the transaction, and Salomon Brothers,
     Shattuck Hammond Partners, Smith, Barney Inc. and Volpe,
     Welty & Company advised HSI.  Morgan Stanley, Salomon and
     Shattuck Hammond have rendered fairness opinions with
     regard to the transaction.

          Foundation also announced that in connection with
     the previously announced sale of its physician practice
     management operations and affiliated physician-owned
     medical groups, Foundation has reconsidered its prior
     accounting treatment for the medical groups.  The
     evolution of the physician practice management industry
     has led Foundation, in consultation with its independent
     auditors, Deloitte & Touche LLP, to conclude that the
     operating results of such groups should be included in
     Foundation's consolidated financial statements. 
     Accordingly, HSI and Foundation have agreed that
     Foundation will adjust previously issued consolidated
     financial statements to reflect operating losses incurred
     by the medical groups.

          The effect on Foundation's consolidated financial
     statements as a result of recognizing the losses from the
     medical groups is preliminarily expected to $41 million
     ($.70 per share) in the fiscal year ended June 30, 1996
     and $39 ($.70 per share) in fiscal 1995.  If the sale of
     the physician practice management operations and
     affiliated medical groups to FPA Medicare Management,
     Inc. (FPA) is consummated as anticipated, such
     adjustments will result in a gain on sale.  As previously
     disclosed, the sale to FPA is currently awaiting
     regulatory and other approvals and is expected to close
     in November 1996, although there can be no assurance on
     the timing of the close or that the transaction will be
     completed.

          Certain statements contained in this press release
     are forward looking in nature and are believed to be
     reasonable based on information available to the
     companies' managements at this time.  Actual results may
     vary due to changes in health care administrative cost
     trends, pricing, sales volume, the timing of new contract
     implementation and other factors.  For further
     information, please see the risk factors sections of the
     two companies' periodic filings with the Securities and
     Exchange Commission.

          Foundation Health Corporation is a Fortune 500
     managed care organization with headquarters in Rancho
     Cordova, California.  Through its HMO, insured PPO and
     government contracts subsidiaries, the Company provides
     group, individual, Medicare, Medicaid and CHAMPUS
     coverage for more than three million individuals.  In
     addition, the Company's subsidiaries offer managed care
     products related to workers' compensation, behavioral
     health, dental, vision and prescription drugs, and
     administrative services for medical groups and self-
     funded benefits programs.

          Health Systems International is one of the largest
     managed health care organizations in the United States. 
     It serves more than 1.9 million members in nine states: 
     California, Colorado, Connecticut, Idaho, New Jersey, New
     Mexico, Pennsylvania, Oregon and Washington.  It also
     owns Preferred Health Network, Inc. (PHN), a preferred
     provider organization (PPO) network providing access to
     more than 4.6 million individuals in 38 states, and
     coordinates managed care products for multi-region
     employers.  For five years in a row, HSI or QualMed,
     Inc., a predecessor company to HSI, has been included on
     Fortune Magazine's list of America's 100 fastest growing
     companies.

                              #  #  #


        THE COMPANIES AT A GLANCE

                             Foundation Health         Health Systems 
                               Corporation           International, Inc.

Headquarters                 Rancho Cordova, CA     Woodland Hills, CA and 
                                                      Pueblo, CO

Annual Revenues:             $3.3 billion            $3.0 billion
(latest 12 months)

Shares Outstanding           59 million              48 million

Employees:                   11,000                  4,000

States with HMO's (ranked    California              California
by enrollment)               Arizona                 Connecticut
                             Florida                 Washington/Idaho
                             Utah                    Pennsylvania
                             Colorado                Colorado
                             Oklahoma                Oregon
                             Texas                   New Mexico
                             Louisiana

Enrollment:
    Group & Ind.             1.2 million             1.6 million
    Medicare                 87,000                  141,000
    Medicaid                 260,000                 62,000
    CHAMPUS                  1.5 million             0
  TOTAL                      3.1 million             1.8 million

Other Products:              Worker's Compensation   Workers' Compensation
                             Behavioral Health         Administrative Services
                               Programs              PPO Network
                             Pharmacy Benefit
                               Management
                             Dental and Vision
                               Coverage




                                                       Exhibit 10.1

                   FIRST AMENDMENT TO THE RIGHTS AGREEMENT

                    AMENDMENT made and entered into as of the first
          day of October, 1996 by and between Health Systems
          International, Inc. (the "Company") and Harris Trust and
          Savings Bank (the "Rights Agent"), under the Rights
          Agreement dated as of June 1, 1996, by and between the
          Company and the Rights Agent (the "Agreement").

                    WHEREAS, the Company and the Rights Agent have
          heretofore executed and entered into the Rights
          Agreement; and

                    WHEREAS, pursuant to Section 27 of the Rights
          Agreement, the Company may from time to time prior to the
          Distribution Date (as defined therein) supplement or
          amend the Rights Agreement in accordance with the
          provisions of Section 27 thereof; and

                    WHEREAS, it is proposed that the Company enter
          into an Agreement and Plan of Merger (the "Merger
          Agreement"), among the Company, Foundation Health
          Corporation, and FH Acquisition Corp., a wholly owned
          subsidiary of the Company; and

                    WHEREAS, the Board of Directors of the Company
          has determined that the transactions contemplated by the
          Merger Agreement are fair to and in the best interests of
          the Company and its stockholders; and

                    WHEREAS, the Board of Directors has determined
          that it is in the best interests of the Company and its
          stockholders to amend the Rights Agreement to exempt the
          Merger Agreement and the transactions contemplated
          thereby from the application of the Rights Agreement.

                    NOW THEREFORE, the Company and the Rights Agent
          hereby amend the Rights Agreement as follows:

                    A.   Section 1(a)(vi) of the Agreement is
          hereby amended by adding the following at the beginning
          of such subsection:  

                    at all times, until the "Effective Time" as
          defined in that certain Agreement and Plan of Merger,
          dated October 1, 1996, among the Company, FH Acquisition
          Corp. (the "Merger Sub") and Foundation Health
          Corporation ("FHC") (the "Merger Agreement"), 

                    B.   Section 1(a) of the Agreement is hereby
          amended by adding the following sentence at the end
          thereof:

                    The Common Stock to be issued to and received
          by stockholders of FHC pursuant to the Merger Agreement
          shall be deemed to have been acquired from the Company
          consistent with the terms of subsection 1(a)(v) of first
          sentence of Section 1(a) and subsection (ii) of second
          sentence of Section 1(a) on line 40 of Section 1(a) and
          shall be subject to all other terms of this Section 1(a).

                    C.  Section 1(b)(i) is hereby amended by
          deleting the last word thereof and adding the following
          at the end thereof:

                    for a period from the "Effective Time" (as
          defined in the Merger Agreement), through the first two
          years following the Effective Time for so long as Dr.
          Hasan shall be the chief executive officer and director
          of the Company, unless such determination is made by the
          vote of at least eight members of the Board of Directors,
          and 

                    D.  Section 30 of the Agreement is hereby
          amended to add the following sentence at the end thereof:

                    Nothing in this Agreement shall be construed to
          create or cause a Distribution Date or Stock Acquisition
          Date or to constitute a Triggering Event or give any
          holder of Rights or any other Person any legal or
          equitable rights, remedy or claim under this Agreement in
          connection with the Merger Agreement or any transactions
          contemplated by the Merger Agreement.

                    E.  This Amendment shall be deemed to be a
          contract made under the laws of the State of Delaware and
          for all purposes shall be governed by and construed in
          accordance with the laws of such state applicable to
          contracts to be made and performed entirely within such
          state.

                    F.   This Amendment may be executed in any
          number of counterparts, each of which shall for all
          purposes be deemed an original, and all of which together
          shall constitute but one and the same instrument.

                    G.   Except as expressly set forth herein, this
          Amendment shall not by implication or otherwise alter,
          modify, amend or in any way affect any of the terms,
          conditions, obligations, covenants or agreements
          contained in the Rights Agreement, all of which are
          ratified and affirmed in all respects and shall continue
          in full force and affect.


                    IN WITNESS WHEREOF, the parties have caused
          this Amendment to be duly executed as of the date first
          above written.

          Attest:                            HEALTH SYSTEMS
                                             INTERNATIONAL, INC.

               [SEAL]

          By:---------------------           By:-------------------------
              Name:                               Name: 
              Title:                              Title:

          Attest:                            HARRIS TRUST AND SAVINGS
                                             BANK

               [SEAL]

          By:---------------------           By:-------------------------
              Name:                               Name: 
              Title:                              Title:




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