====== -------------------------------------
FORM 5 OMB APPROVAL
====== -------------------------------------
[ ] Check this box if no longer OMB Number 3235-0362
subject to Section 16. Form 4 Expires: September 30, 1998
or Form 5 obligations may continue. Estimated average burden
See Instruction 1(b). hours per response.............. 1.0
[ ] Form 3 Holdings Reported -------------------------------------
[ ] Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section
17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the
Investment Company Act of 1940
================================================================================
1. Name and Address of Reporting Person*
Garth Tyrrell L.
- --------------------------------------------------------------------------------
(Last) (First) (Middle)
8800 N. Gainey Center Dr., Suite 245
- --------------------------------------------------------------------------------
(Street)
Scottsdale, AZ 85258
- --------------------------------------------------------------------------------
(City (State) (Zip)
================================================================================
2. Issuer Name and Ticker or Trading Symbol
Unison HealthCare Corporation (UNHC)
================================================================================
3. I.R.S. Identification
Number of Reporting
Person, if an entity
(Voluntary)
================================================================================
4. Statement for Month/Year
December, 1997
================================================================================
5. If Amendment, Date of Original
(Month/Year)
================================================================================
6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[X] Director [ ] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
-------------------------
================================================================================
7. Individual or Joint/Group Filing (Check Applicable Line)
[X] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person
================================================================================
<PAGE>
<TABLE>
<CAPTION>
=======================================================================================================================
TABLE I--NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
=======================================================================================================================
1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature of
(Instr. 3) action action or Disposed of (D) Securities Ben- ship Indirect
Date Code (Instr. 3, 4 and 5) eficially Owned Form: Beneficial
(Month/ (Instr.8) at end of Issuer's Direct (D) Ownership
Day/ ------------------------- Fiscal Year or Indirect (Instr. 4)
Year) (A) or (Instr. 3 and 4) (I)(Instr.4)
Amount (D) Price
- -----------------------------------------------------------------------------------------------------------------------
<S> <C> <C> <C> <C> <C> <C> <C> <C>
- -----------------------------------------------------------------------------------------------------------------------
- -----------------------------------------------------------------------------------------------------------------------
=======================================================================================================================
* If the form is filed by more than one reporting person, see Instruction
4(b)(v). Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the form displays a currently valid OMB Number.
================================================================================================
Table II--DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
================================================================================================
1. Title of Derivative Security 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriva-
(Instr. 3) sion or action tion tive Securities Ac-
Exercise Date Code quired (A) or Dis-
Price of (Month/ (Instr. 8) posed of (D)
Deriva- Day/ (Instr. 3,4, and 5)
tive Se- Year) -------------------
curity (A) (D)
- ------------------------------------------------------------------------------------------------
Option Grant (right to buy) $2.44 8/27/97 A 20,000
- ------------------------------------------------------------------------------------------------
Option Grant $9.00 1/06/96 D(2) 9,246
- ------------------------------------------------------------------------------------------------
Option Grant $9.50 12/4/96 D(2) 15,000
- ------------------------------------------------------------------------------------------------
6. Date Exercis- 7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Nature
able and Expi- Underlying Securities of De- of De- ship of of Indi-
ration Date (Instr. 3 and 4) rivative rivative Deriva- rect Ben-
(Month/Day/ Secutity Securi- tive Se- efcial
Year) (Instr.5) ies Ben- curity: Owner-
- ------------------ ------------------------- eficially Direct ship
Date Expira- Amount or Owned at (D) or (Instr. 4)
Exer- tion Number of End of Year Indirect
cisable Date Title Shares (Instr.4) (I)(Instr.4)
------------------------------------------------------------------------------------------------
(1) 9/06/06 Common Stock 20,000 -- 20,000 D
- -------------------------------------------------------------------------------------------------
(3) 8/10/05 Common Stock 9,246 -- D
- -------------------------------------------------------------------------------------------------
(1) 9/06/06 Common Stock 15,000 -- D
=================================================================================================
</TABLE>
Explanation of Responses:
(1) Of the shares underlying this option grant, 10,000 vested on 9/6/97 and
10,000 will vest on 9/6/98.
(2) Cancellation of options in connection with grant of replacement options.
(3) Options were 100% vested.
/s/ Tyrrell L. Garth February 17, 1998
------------------------------- -----------------
**Signature of Reporting Person Date
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space is insufficient, see Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the form displays a currently
valid OMB Number.
Page 2
