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FORM 5/A(1) OMB APPROVAL
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OMB Number 3235-0362
[ ] Check this box if no longer Expires: September 30, 1998
subject to Section 16. Form 4 Estimated average burden
or Form 5 obligations may hours per response.............. 1.0
continue. See Instruction 1(b). -------------------------------------
[ ] 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
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1. Name and Address of Reporting Person*
Whitehead Bruce H.
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(Last) (First) (Middle)
8800 N. Gainey Center Dr., Suite 245
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(Street)
Scottsdale AZ 85258
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(City (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Unison HealthCare Corporation (UNHC)
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3. I.R.S. Identification
Number of Reporting
Person, if an entity
(Voluntary)
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4. Statement for Month/Year
December, 1997
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5. If Amendment, Date of Original
(Month/Year)
February, 1998
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6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[X] Director [ ] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
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7. Individual or Joint/Group Filing (Check Applicable Line)
[X] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person
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<PAGE>
<TABLE>
<CAPTION>
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TABLE I--NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) or 5. Amount of 6. Owner- 7. Nature of
(Instr. 3) action action Disposed of (D) Securities Ben- ship Indirect
Date Code (Instr. 3, 4 and 5) eficially Owned Form: Di- Beneficial
(Month/ (Instr. 8) at end of rect (D) Ownership
Day/ ------------------------- Issuer's Fiscal or Indi- (Instr. 4)
Year) (A) or Year rect (I)
Amount (D) Price (Instr. 3 and 4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
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</TABLE>
*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>
<CAPTION>
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Table II--DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriva-
(Instr. 3) sion or action tion tive Securities Ac-
Exer- Date Code quired (A) or Dis-
cise (Month/ (Instr. 8) posed of (D)
Price of Day/ (Instr. 3,4, and 5)
Deriva- Year)
tive Se- ------------------
curity (A) (D)
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<S> <C> <C> <C> <C> <C>
Option Grant(right to buy) $ 2.44 8/27/97 A 22,500
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Option Grant $ 9.00 1/16/96 D(3) 10,496
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Option Grant $ 9.50 12/04/96 D(3) 17,500
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Option Grant $ 9.00 1/16/96 A 10,496
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Option Grant $10.00 8/10/95 D(3) 10,496
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6. Date Exercis- 7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Nature
able and Expi- Underlying Securities of of De- ship of of Indi-
ration Date (Instr. 3 and 4) De- rivative Deriva- rect Ben-
(Month/Day/ riva- Securi- tive Se- efcial
Year) tive ies Ben- curity: Owner-
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Date Expira- Amount or ity Owned at (D) or (Instr. 4)
Exer- tion Number of (Instr. 5) End of Indirect
cisable Date Title Shares Year (I)
(Instr. 4) (Instr. 4)
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(2) 9/6/06 Common Stock 22,500 -- 22,500 D
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(4) 8/10/05 Common Stock 10,496 -- D
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(2) 9/06/06 Common Stock 17,500 -- D
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(4) 8/10/05 Common Stock 10,496 -- D
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(4) 8/10/05 Common Stock 10,496 -- D
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</TABLE>
Explanation of Responses:
(1) Corrects inadvertent omission of options which were issued August 10, 1995
and repriced January 16, 1996.
(2) Of the shares underlying this option grant, 11,250 vested on 9/6/97 and
11,250 will vest on 9/6/98.
(3) Cancellation of options in connection with grant of replacement options.
(4) Options were 100% vested.
/s/ Bruce H. Whitehead March 12, 1998
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**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
SEC 2270 (7-97)
