UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of 1934
ASSISTED LIVING CONCEPTS, INC.
(Name of Issuer)
COMMON STOCK
(Title of Class of Securities)
04543M107
(CUSIP Number)
Jeff Head
Chief Financial Officer
Center Healthcare, Inc.
7610 N. Stemmons Freeway
Suite 300Dallas, Texas 75247(214) 905-9033
(Name, Address and Telephone Number of Person
Authorized to Receive Notices and Communications)
November 12, 2003
(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 that is the subject of this Schedule 13D, and is filing this
schedule because of Sections 240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check
the following box. o
Note: Schedules filed in paper format shall include a signed original and five
copies of the schedule, including all exhibits. See Rule 240.13d-7 for other
parties to whom copies are to be sent.
* 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
disclosures provided in a prior cover page.
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).
SCHEDULE 13D
CUSIP No. Page 2 of 5 Pages
1 NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS
Center Healthcare, Inc.
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [ ]
(b) [X]
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3 SEC USE ONLY
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4 SOURCE OF FUNDS (See Instructions)
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5 CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO
ITEMS 2(d) or 2(e) [ ]
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6 CITIZENSHIP OR PLACE OF ORGANIZATION
Nevada
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7 SOLE VOTING POWER
NUMBER OF 1,452,794 shares
SHARES -------------------------------------------------------------
BENEFICIALLY 8 SHARED VOTING POWER
OWNED BY -0- shares
EACH -------------------------------------------------------------
REPORTING 9 SOLE DISPOSITIVE POWER
PERSON 1,452,794 shares
WITH -------------------------------------------------------------
10 SHARED DISPOSITIVE POWER
-0- shares
--------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,452,794 shares
--------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES (See Instructions) [ ]
--------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
22.59%
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14 TYPE OF REPORTING PERSONS (See Instructions)
CO
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SCHEDULE 13D
CUSIP No. Page 3 of 5 Pages
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1 NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS
Healthcare Holdings, Inc. (a wholly owned subsidiary of
Center Healthcare, Inc.)
--------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [ ]
(b) [X]
--------------------------------------------------------------------------------
3 SEC USE ONLY
--------------------------------------------------------------------------------
4 SOURCE OF FUNDS (See Instructions)
--------------------------------------------------------------------------------
5 CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO
ITEMS 2(d) or 2(e) [ ]
--------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Nevada
--------------------------------------------------------------------------------
7 SOLE VOTING POWER
NUMBER OF 1,452,794 shares
SHARES -------------------------------------------------------------
BENEFICIALLY 8 SHARED VOTING POWER
OWNED BY -0- shares
EACH -------------------------------------------------------------
REPORTING 9 SOLE DISPOSITIVE POWER
PERSON 1,452,794 shares
WITH -------------------------------------------------------------
10 SHARED DISPOSITIVE POWER
-0- shares
--------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,452,794 shares
--------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES (See Instructions) [ ]
--------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0.0%
--------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSONS (See Instructions)
CO
--------------------------------------------------------------------------------
SCHEDULE 13D
CUSIP No. Page 4 of 5 Pages
ITEM 1. SECURITY AND ISSUER
As a result of a merger among CLC Healthcare, Inc., Center Healthcare, Inc., and
CHMS, Inc., on or about November 12, 2003, the Reporting Person, Center
Healthcare, Inc., became the parent corporation of CLC. Please find attached the
Merger Agreement as Exhibit 2.
ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION
Not applicable.
ITEM 4. PURPOSE OF TRANSACTION
Not applicable.
ITEM 5. INTEREST IN SECURITIES OF THE ISSUER
Not applicable.
SCHEDULE 13D
CUSIP No. Page 5 of 5 Pages
ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO
SECURITIES OF THE ISSUER
On December 31, 2001, Healthcare Holdings, Inc. ("Holdings"), a Nevada
corporation that is a wholly owned subsidiary of CLC issued a Promissory Note
("Note") in the principal amount of $7,000,000 in payment for the right to
receive from LTC Properties 1,238,076 shares of the Issuer's common stock
distributed pursuant to the Plan of Reorganization of the Issuer under Chapter
11 of the United States Bankruptcy Code ("the Plan"). The Note was amended on
July 29, 2003 to increase the principal amount to $9,631,917.81 and was further
amended on November 11, 2003 to increase the amount to $9,781,917.81. The Note
is a full recourse obligation of Holdings and is secured by all of the assets
owned now or in the future by Holdings. In certain circumstances that would
constitute a default under the Note, LTC Properties would have the right to take
possession of all such shares and to dispose thereof. The Note is secured by the
1,452,794 shares of Assisted Living Concepts owned by Holdings.
ITEM 7. MATERIAL TO BE FILED AS EXHIBITS
Exhibit No. Description
----------- -----------
1 Joint Filing Agreement
Exhibit No. Description
----------- -----------
2 Merger Agreement
SIGNATURES
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.
Date: April 23, 2004 Center Healthcare, Inc.
a Nevada corporation
/s/ JEFF HEAD
--------------------------------
Jeff Head, CFO
Date: April 23, 2004 Healthcare Holdings, Inc.
a Nevada corporation
/s/ JEFF HEAD
--------------------------------
Jeff Head, CFO