0000902561-01-500322.txt : 20011101
0000902561-01-500322.hdr.sgml : 20011101
ACCESSION NUMBER: 0000902561-01-500322
CONFORMED SUBMISSION TYPE: SC 13D/A
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20011031
GROUP MEMBERS: C/S INTERNATIONAL PARTNERS
GROUP MEMBERS: CARLYLE INT'L PARTNERS II LP
GROUP MEMBERS: CARLYLE INT'L PARTNERS III LP
GROUP MEMBERS: CARLYLE INVESTMENT GROUP LP
GROUP MEMBERS: CARLYLE INVESTMENT MGMT LLC
GROUP MEMBERS: CARLYLE PARTNERS II LP
GROUP MEMBERS: CARLYLE PARTNERS III LP
GROUP MEMBERS: CARLYLE-INSIGHT INTN'L PTRS LP
GROUP MEMBERS: CARLYLE-INSIGHT PARTNERS LP
GROUP MEMBERS: TC GROUP LLC
SUBJECT COMPANY:
COMPANY DATA:
COMPANY CONFORMED NAME: INSIGHT HEALTH SERVICES CORP
CENTRAL INDEX KEY: 0001012697
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071]
IRS NUMBER: 330702770
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0630
FILING VALUES:
FORM TYPE: SC 13D/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 005-46311
FILM NUMBER: 1771585
BUSINESS ADDRESS:
STREET 1: 4400 MACARTHUR BLVD
STREET 2: SUITE 800
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
BUSINESS PHONE: 9494760733
MAIL ADDRESS:
STREET 1: 4400 VON KARMAN AVE STE 800
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
FILED BY:
COMPANY DATA:
COMPANY CONFORMED NAME: TC GROUP LLC
CENTRAL INDEX KEY: 0000933790
STANDARD INDUSTRIAL CLASSIFICATION: []
IRS NUMBER: 527656007
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: SC 13D/A
BUSINESS ADDRESS:
STREET 1: C/O THE CARLYLE GROUP
STREET 2: 1001 PENNSYLVANIA AVENUE NW SUITE 220 S
CITY: WASHINGTON
STATE: DC
ZIP: 20004-2505
BUSINESS PHONE: 2023472626
MAIL ADDRESS:
STREET 1: C/O CARLYLE GROUP
STREET 2: 1001 PENNSYLVANIA AVENUE NW SUITE 220 S
CITY: WASHINGTON
STATE: DC
ZIP: 20004
SC 13D/A
1
form13da_rwheeler103101.txt
SCHEDULE 13D/A
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
----------
SCHEDULE 13D/A
UNDER THE SECURITIES EXCHANGE ACT OF 1934
AMENDMENT NO. 5
INSIGHT HEALTH SERVICES CORP.
-----------------------------
(Name of Issuer)
Common Stock, par value $0.001 per share
----------------------------------------
(Title of Class of Securities)
45766Q 10 1
--------------
(CUSIP number)
W. Robert Dahl Mark S. Wojciechowski
The Carlyle Group Mayer, Brown & Platt
1001 Pennsylvania Avenue, N.W. 1675 Broadway
Washington, D.C. 20004 New York, NY 10019
(202) 347-2626 (212) 506-2500
----------------------------------------------------------------------
(Name, address and telephone number of person
authorized to receive notices and communications)
October 17, 2001
------------------------------------------------------
(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 / /.
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.
Page 1 of 11
-------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Carlyle Partners II, L.P.
IRS Identification No.: 51-0357731
-------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) /x/
(b) / /
-------------------------------------------------------------------------------
3 SEC USE ONLY
-------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
AF
-------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
TO ITEMS 2(d) OR 2(e) / /
-------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
-------------------------------------------------------------------------------
7 SOLE VOTING POWER
0
-----------------------------------------------------------------
NUMBER OF 8 SHARED VOTING POWER
SHARES 0 BENEFICIALLY
-------------------------------------------------------------------------------
OWNED BY 9 SOLE DISPOSITIVE POWER
EACH 0
REPORTING -----------------------------------------------------------------
PERSON 10 SHARED DISPOSITIVE POWER
WITH 0
-------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
-------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES* / /
-------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
-------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON*
PN
-------------------------------------------------------------------------------
Page 2 of 11
-------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Carlyle Partners III, L.P.
IRS Identification No.: 51-0369721
-------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) /X/
(b) / /
-------------------------------------------------------------------------------
3 SEC USE ONLY
-------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
AF
-------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
PURSUANT TO ITEMS 2(d) OR 2(e) / /
-------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
-------------------------------------------------------------------------------
7 SOLE VOTING POWER
0
NUMBER OF ------------------------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIALLY 0
OWNED BY ------------------------------------------------------------
EACH 9 SOLE DISPOSITIVE POWER
REPORTING 0
PERSON ------------------------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
0
-------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
-------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES* / /
-------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
-------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON*
PN
-------------------------------------------------------------------------------
Page 3 of 11
-------------------------------------------------------------------------------
NAME OF REPORTING PERSON
1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Carlyle International Partners II, L.P.
IRS Identification No.: 98-0153707
-------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) /X/
(b) / /
-------------------------------------------------------------------------------
3 SEC USE ONLY
-------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
AF
-------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT / /
TO ITEMS 2(d) OR 2(e)
-------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Cayman Islands
-------------------------------------------------------------------------------
7 SOLE VOTING POWER
NUMBER OF 0
SHARES ------------------------------------------------------------
BENEFICIALLY 8 SHARED VOTING POWER
OWNED BY 0
EACH ------------------------------------------------------------
REPORTING 9 SOLE DISPOSITIVE POWER
PERSON 0
WITH ------------------------------------------------------------
10 SHARED DISPOSITIVE POWER
0
-------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
-------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES * / /
-------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
-------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
PN
-------------------------------------------------------------------------------
Page 4 of 11
-------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Carlyle International Partners III, L.P.
IRS Identification No.: 98-0153592
-------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a)/x/
(b)/ /
-------------------------------------------------------------------------------
3 SEC USE ONLY
-------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
AF
-------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
PURSUANT TO ITEMS 2(d) OR 2(e) / /
-------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Cayman Islands
-------------------------------------------------------------------------------
7 SOLE VOTING POWER
NUMBER OF 0
SHARES ------------------------------------------------------------
BENEFICIALLY 8 SHARED VOTING POWER
OWNED BY 0
EACH ------------------------------------------------------------
REPORTING 9 SOLE DISPOSITIVE POWER
PERSON 0
WITH ------------------------------------------------------------
10 SHARED DISPOSITIVE POWER
0
-------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
-------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES* / /
-------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
-------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
PN
-------------------------------------------------------------------------------
Page 5 of 11
-------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
C/S International Partners
IRS Identification No.: 98-0160490
-------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a)/x/
(b)/ /
-------------------------------------------------------------------------------
3 SEC USE ONLY
-------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
AF
-------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
PURSUANT TO ITEMS 2(d) OR 2(e) / /
-------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Cayman Islands
-------------------------------------------------------------------------------
7 SOLE VOTING POWER
NUMBER OF 0
SHARES ------------------------------------------------------------
BENEFICIALLY 8 SHARED VOTING POWER
OWNED BY 0
EACH ------------------------------------------------------------
REPORTING 9 SOLE DISPOSITIVE POWER
PERSON 0
WITH ------------------------------------------------------------
10 SHARED DISPOSITIVE POWER
0
-------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
-------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES* / /
-------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
-------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
PN
-------------------------------------------------------------------------------
Page 6 of 11
-------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Carlyle Investment Group, L.P.
IRS Identification No.: 51-0357730
-------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a)/x/
(b)/ /
-------------------------------------------------------------------------------
3 SEC USE ONLY
-------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
AF
-------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
PURSUANT TO ITEMS 2(d) OR 2(e) / /
-------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
-------------------------------------------------------------------------------
7 SOLE VOTING POWER
NUMBER OF 0
SHARES ------------------------------------------------------------
BENEFICIALLY 8 SHARED VOTING POWER
OWNED BY 0
EACH ------------------------------------------------------------
REPORTING 9 SOLE DISPOSITIVE POWER
PERSON 0
WITH ------------------------------------------------------------
10 SHARED DISPOSITIVE POWER
0
-------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
-------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES* / /
-------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
-------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
PN
-------------------------------------------------------------------------------
Page 7 of 11
-------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Carlyle-InSight Partners, L.P.
IRS Identification No.: 52-208122
-------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a)/x/
(b)/ /
-------------------------------------------------------------------------------
3 SEC USE ONLY
-------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
AF
-------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
PURSUANT TO ITEMS 2(d) OR 2(e) / /
-------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
-------------------------------------------------------------------------------
7 SOLE VOTING POWER
NUMBER OF 0
SHARES ------------------------------------------------------------
BENEFICIALLY 8 SHARED VOTING POWER
OWNED BY 0
EACH ------------------------------------------------------------
REPORTING 9 SOLE DISPOSITIVE POWER
PERSON 0
WITH ------------------------------------------------------------
10 SHARED DISPOSITIVE POWER
0
-------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
-------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES* / /
-------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
-------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
PN
-------------------------------------------------------------------------------
Page 8 of 11
-------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Carlyle-InSight International Partners, L.P.
IRS Identification No.: 98-0181880
-------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a)/x/
(b)/ /
-------------------------------------------------------------------------------
3 SEC USE ONLY
-------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
AF
-------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
PURSUANT TO ITEMS 2(d) OR 2(e) / /
-------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Cayman Islands
-------------------------------------------------------------------------------
7 SOLE VOTING POWER
NUMBER OF 0
SHARES ------------------------------------------------------------
BENEFICIALLY 8 SHARED VOTING POWER
OWNED BY 0
EACH ------------------------------------------------------------
REPORTING 9 SOLE DISPOSITIVE POWER
PERSON 0
WITH ------------------------------------------------------------
10 SHARED DISPOSITIVE POWER
0
-------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
-------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES* / /
-------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
-------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
PN
-------------------------------------------------------------------------------
Page 9 of 11
--------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Carlyle Investment Management, L.L.C.
IRS Identification No.: 52-1988385
-------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a)/x/
(b)/ /
-------------------------------------------------------------------------------
3 SEC USE ONLY
-------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
OO
-------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
PURSUANT TO ITEMS 2(d) OR 2(e) / /
-------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
-------------------------------------------------------------------------------
7 SOLE VOTING POWER
NUMBER OF 0
SHARES ------------------------------------------------------------
BENEFICIALLY 8 SHARED VOTING POWER
OWNED BY 0
EACH ------------------------------------------------------------
REPORTING 9 SOLE DISPOSITIVE POWER
PERSON 0
WITH ------------------------------------------------------------
10 SHARED DISPOSITIVE POWER
0
-------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
-------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES* / /
-------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
-------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
OO
* Carlyle Investment Management, L.L.C. is a limited liability
company organized under the laws of the State of Delaware.
-------------------------------------------------------------------------------
Page 10 of 11
--------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
TC Group, L.L.C.
IRS Identification No.: 54-1686957
-------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a)/x/
(b)/ /
-------------------------------------------------------------------------------
3 SEC USE ONLY
-------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
AF
-------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
PURSUANT TO ITEMS 2(d) OR 2(e) / /
-------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
-------------------------------------------------------------------------------
7 SOLE VOTING POWER
NUMBER OF 0
SHARES ------------------------------------------------------------
BENEFICIALLY 8 SHARED VOTING POWER
OWNED BY 0
EACH ------------------------------------------------------------
REPORTING 9 SOLE DISPOSITIVE POWER
PERSON 0
WITH ------------------------------------------------------------
10 SHARED DISPOSITIVE POWER
0
-------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
-------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES* / /
-------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
-------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
OO
* TC Group, L.L.C. is a limited liability company organized
under the laws of the State of Delaware.
-------------------------------------------------------------------------------
Page 11 of 11
--------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
TC Group Management, L.L.C.
IRS Identification No.: 52-1892219
-------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a)/x/
(b)/ /
-------------------------------------------------------------------------------
3 SEC USE ONLY
-------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
AF
-------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
PURSUANT TO ITEMS 2(d) OR 2(e) / /
-------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
-------------------------------------------------------------------------------
7 SOLE VOTING POWER
NUMBER OF 0
SHARES ------------------------------------------------------------
BENEFICIALLY 8 SHARED VOTING POWER
OWNED BY 0
EACH ------------------------------------------------------------
REPORTING 9 SOLE DISPOSITIVE POWER
PERSON 0
WITH ------------------------------------------------------------
10 SHARED DISPOSITIVE POWER
0
-------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
-------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES* / /
-------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
-------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
OO
* TC Group Management, L.L.C. is a limited liability company
organized under the laws of the State of Delaware.
-------------------------------------------------------------------------------
AMENDMENT NO. 5 TO SCHEDULE 13D
This Amendment No. 5 is filed by the Reporting Persons (as defined in
Amendment No. 1 to Schedule 13D) to amend and supplement the Schedule 13D filed
on October 14, 1997, as previously amended on May 18, 1999, June 2, 1999, June
29, 2001, ("Amendment No. 3") and September 24, 2001, ("Amendment No. 4") is
being filed pursuant to Rule 13d-2(a) under the Securities Exchange Act of 1934,
as amended, with respect to the common stock, $0.001 par value, of InSight
Health Services Corp. ("InSight"). This filing is for the purpose of reporting a
change in ownership of the Warrants and Series D Preferred Stock previously
described in Amendment No.4.
Unless specifically amended hereby, the disclosures set forth in the
Schedule 13D, as amended through Amendment No. 4, shall remain unchanged.
Item 4 of Schedule 13D is hereby supplemented with the following:
Effective as of October 17, 2001, the Purchasers and CIM (for the Fund)
converted all of the shares of InSight Convertible Preferred Stock, Series D,
par value $0.001 per share (the "Series D Preferred Stock") owned by them, into
shares of InSight's common stock, par value $0.001 per share (the "Common
Stock"), pursuant to a conversion notice delivered to InSight in accordance with
the Certificate of Designation, Preferences and Rights of Convertible Preferred
Stock, Series D, of InSight, on October 12, 2001.
In accordance with the Merger Agreement among InSight, InSight Health
Services Holdings Corp. and JWC Merger Corp., dated as of June 29, 2001 (the
"Merger Agreement"), as described in Amendment No. 3, on October 17, 2001, all
of the shares of Common Stock and all of the warrants to purchase shares of
shares of Common Stock (the "Warrants") owned by the Purchasers and CIM (for the
Fund) were converted into the right to receive $18.00 per share (less., in the
case of the Warrants, the exercise price thereof) and the Purchasers and CIM
(for the Fund) were paid consideration for such Common Stock and Warrants in the
aggregate amount of $56,166,659.
ITEM 5. INTEREST IN SECURITIES OF THE ISSUER
Item 5 is hereby supplemented and amended as follows:
(a). The Reporting Persons do not beneficially own any shares of
Common Stock.
(b). Sole Power to Vote, Direct the Vote of or Dispose of
Shares: 0 shares.
(c). Recent Transactions:
On October 17, 2001, the Reporting Persons sold all of the shares of
Common Stock and Warrants owned by them for aggregate consideration equal to
$56,166,659 pursuant to the Merger Agreement.
(d). Rights with Respect to Dividends or Sale Proceeds: N/A.
(e). Date of Cessation of Five Percent Beneficial Ownership: October 17,
2001.
SIGNATURES
After reasonable inquiry and to the best knowledge and belief of each, the
undersigned hereby certify that the information set forth in this statement is
true, complete, and correct.
Dated: October 17, 2001.
CARLYLE PARTNERS II, L.P.,
a Delaware limited partnership
By: TC Group, L.L.C., as the General Partner
By: TCG Holdings, L.L.C. as the Managing
Member
By: /s/ W. Robert Dahl
----------------------
Name: W. Robert Dahl
Title: Managing Director
CARLYLE PARTNERS III, L.P.,
a Delaware limited partnership
By: TC Group, L.L.C., as the General Partner
By: TCG Holdings, L.L.C. as the Managing
Member
By: /s/ W. Robert Dahl
----------------------
Name: W. Robert Dahl
Title: Managing Director
CARLYLE INTERNATIONAL PARTNERS II, L.P.,
a Cayman Islands exempted limited partnership
By: TC Group, L.L.C., as the General Partner
By: TCG Holdings, L.L.C. as the Managing
Member
By: /s/ W. Robert Dahl
----------------------
Name: W. Robert Dahl
Title: Managing Director
CARLYLE INTERNATIONAL PARTNERS III, L.P.,
a Cayman Islands exempted limited partnership
By: TC Group, L.L.C., as the General Partner
By: TCG Holdings, L.L.C. as the Managing
Member
By: /s/ W. Robert Dahl
-----------------------
Name: W. Robert Dahl
Title: Managing Director
C/S INTERNATIONAL PARTNERS,
a Cayman Islands general partnership
By: TC Group, L.L.C., as the General Partner
By: TCG Holdings, L.L.C. as the Managing
Member
By: /s/ W. Robert Dahl
-----------------------
Name: W. Robert Dahl
Title: Managing Director
CARLYLE INVESTMENT GROUP, L.P.,
a Delaware limited partnership
By: TC Group, L.L.C., as the General Partner
By: TCG Holdings, L.L.C. as the Managing
Member
By: /s/ W. Robert Dahl
-----------------------
Name: W. Robert Dahl
Title: Managing Director
CARLYLE-INSIGHT INTERNATIONAL
PARTNERS, L.P.,
a Cayman Islands exempted limited partnership
By: TC Group, L.L.C., as the General Partner
By: TCG Holdings, L.L.C. as the Managing
Member
By: /s/ W. Robert Dahl
-----------------------
Name: W. Robert Dahl
Title: Managing Director
CARLYLE-INSIGHT PARTNERS, L.P.,
a Delaware limited partnership
By: TC Group, L.L.C., as the General Partner
By: TCG Holdings, L.L.C. as the Managing
Member
By: /s/ W. Robert Dahl
-----------------------
Name: W. Robert Dahl
Title: Managing Director
TC GROUP, L.L.C.,
a Delaware limited liability company
By: TCG Holdings, L.L.C., as the Managing
Member
By: /s/ W. Robert Dahl
-----------------------
Name: W. Robert Dahl
Title: Managing Director
CARLYLE INVESTMENT MANAGEMENT, L.L.C.,
a Delaware limited liability company
By: /s/ W. Robert Dahl
------------------------
Name: W. Robert Dahl
Title: Managing Director