SIERRA HEALTH SERVICES INC
424B2, 1995-05-22
HOSPITAL & MEDICAL SERVICE PLANS
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                                         This Prospectus is filed under 
                                         Rule 424(b)(2) and relates to 
                                         Registration Statement No. 33-59187.


  PROSPECTUS
  __________

                                700,000 SHARES

                         SIERRA HEALTH SERVICES, INC.

                                 COMMON STOCK
                           ________________________


     This Prospectus covers 700,000 shares of Common Stock, $.005 par
  value, which may be offered, issued and sold by Sierra Health Services, Inc.
  (the "Company") from time to time in connection with the acquisition by the
  Company of other businesses or properties, and which shares may be reserved
  for issuance pursuant to, or offered, issued and sold upon exercise or
  conversion of, warrants, options, convertible debt obligations or equity 
  securities or other similar instruments issued by the Company from 
  time to time in connection with any such acquisition.

     It is expected that the terms of acquisitions involving the issuance
  of securities covered by this Prospectus will be determined by direct
  negotiations with the owners or controlling persons of the businesses or
  properties to be acquired by the Company, and that the shares of Common
  Stock issued will be valued at prices reasonably related to quoted
  market prices either at the time the terms of an acquisition are agreed
  upon or at or about the time of delivery of such shares.  No
  underwriting discounts or commissions will be paid, although finders'
  fees may be paid from time to time with respect to specific
  acquisitions.  Any person receiving any such fees may be deemed to be an
  underwriter within the meaning of the Securities Act of 1933, as amended
  (the "Act").

     The shares of Common Stock issued in connection with such
  acquisitions may be resold by the recipients thereof.  See "Outstanding
  Securities Covered by this Prospectus" for information relating to
  resales pursuant to this Prospectus of shares of Common Stock issued
  under this Registration.

     The Common Stock of the Company is listed for trading on the New York
  Stock Exchange.  On May 2, 1995 the last reported sale price for the
  Common Stock on that Exchange was $26.625 per share.

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     All expenses of this offering will be paid by the Company.  The term
  "Company" refers to Sierra Health Services, Inc., a Nevada corporation,
  and its subsidiaries, affiliates and predecessors, unless the context
  requires otherwise.  The executive offices of the Company are located at
  2724 North Tenaya Way, Las Vegas, Nevada 89128.  The telephone number is
  (702) 242-7000. 


                       ________________________________



  THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES
     AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION NOR HAS
       THE SECURITIES AND EXCHANGE COMMISSION OR ANY STATE SECURITIES
             COMMISSION PASSED UPON THE ACCURACY OR ADEQUACY OF
                  THIS PROSPECTUS.  ANY REPRESENTATION TO
                    THE CONTRARY IS A CRIMINAL OFFENSE.

                     _________________________________


                The date of this Prospectus is May 17, 1995.
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     THIS PROSPECTUS INCORPORATES DOCUMENTS BY REFERENCE WHICH ARE NOT
  PRESENTED HEREIN OR DELIVERED HEREWITH.  THESE DOCUMENTS ARE AVAILABLE
  UPON REQUEST FROM SIERRA HEALTH SERVICES, INC., 2724 NORTH TENAYA WAY,
  LAS VEGAS, NEVADA 89128 (TELEPHONE NUMBER (702) 242-7000)  ATTENTION: 
  SECRETARY.  IN ORDER TO ENSURE TIMELY DELIVERY OF THE DOCUMENTS, ANY
  REQUEST SHOULD BE MADE BY A DATE WHICH IS FIVE BUSINESS DAYS PRIOR TO
  THE DATE ON WHICH THE FINAL INVESTMENT DECISION MUST BE MADE.  SEE
  "INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE."
                              _________________

                            AVAILABLE INFORMATION

     The Company is subject to the informational requirements of the
  Securities Exchange Act of 1934 ("Exchange Act") and in accordance
  therewith files reports, proxy statements and other information with the
  Securities and Exchange Commission ("Commission").  Such reports, proxy
  statements and other information filed by the Company can be inspected
  and copied at the public reference facilities maintained by the
  Commission at 450 Fifth Street, N.W., Washington, D.C. 20549 and at its
  Regional Offices located at Northwestern Atrium Center, 500 West Madison
  Street, Suite 1400, Chicago, Illinois 60661-2511, and 7 World Trade
  Center, 13th Floor, New York, New York 10048.  Copies of such material
  can be obtained at prescribed rates from the Public Reference Section of
  the Commission, Room 1024, 450 Fifth Street, N.W. Plaza,
  Washington, D.C. 20549.  In addition, such reports and proxy statements
  can be inspected at the offices of the New York Stock Exchange, Inc.,
  20 Broad Street, New York, New York 10005.

               INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE

     The following documents filed by the Company with the Commission
  pursuant to the Exchange Act are incorporated herein by reference:

  1. The Company's Annual Report on Form 10-K for the Company's fiscal
     year ended December 31, 1994; and

  2. The description of the Company's Common Stock (including certain
     preferred share purchase rights) registered under the Exchange Act
     contained in the Company's Registration Statements on Form 8-A as
     filed with the Commission on March 31, and July 1, 1994, including
     any amendments or reports filed for the purpose of updating such
     description.

     All reports and other documents filed by the Company with the
  Commission pursuant to Sections 13(a), 13(c), 14 or 15(d) of the
  Exchange Act subsequent to the date of this Prospectus and prior to the
  termination of the offering of the Securities shall be deemed to be
  incorporated herein by reference.  Any statement contained herein or in
  a document all or a portion of which is incorporated or deemed to be
  incorporated by reference herein shall be deemed to be modified or
  superseded for purposes of this Prospectus to the extent that a
  statement contained herein or in any other subsequently filed document
  which also is or is deemed to be incorporated by reference herein or in
  the Prospectus Supplement modifies or supersedes such statement.  Any


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  such statement so modified or superseded shall not be deemed, except as
  so modified or superseded, to constitute a part of this Prospectus.

     The Company will provide without charge to each person to whom a copy
  of this Prospectus has been delivered, on the written or oral request of
  such person, a copy of any and all of the information that has been or
  may be incorporated by reference in this Prospectus (not including
  exhibits to the information that is incorporated by reference unless
  such exhibits are specifically incorporated by reference into the
  information that this Prospectus incorporates).  Written requests for
  such copies should be directed to Sierra Health Services, Inc., 2724
  North Tenaya Way, Las Vegas, Nevada 89128, Attention:  Secretary. 
  Telephone requests may be directed to the Secretary at (702) 242-7189.

                                 THE COMPANY

     The Company is a managed health care company that provides and
  administers the delivery of comprehensive health care programs with an
  emphasis on quality care and cost management. The Company's strategy has
  been to develop and offer a portfolio of managed health care products to
  employer groups and individuals. The Company's broad range of managed
  health care services is provided through its federally qualified health
  maintenance organization ("HMO"), managed indemnity plans, a third-party
  administrative services program for employer-funded health benefit plans
  and workers' compensation medical management programs. Ancillary
  products and services that complement the Company's managed health care
  product lines are also offered. 

     The Company's primary types of coverage are an HMO plan and a managed
  indemnity plan, which includes a preferred provider organization ("PPO")
  option. In 1994, the Company enhanced its product line by introducing
  the first HMO Point of Service plan in Nevada. This new product allows
  members to choose one of the above coverage options when medical
  services are required instead of one plan for the entire year. 

     The Company, a Nevada corporation, has principal executive offices at
  2724 North Tenaya Way, Las Vegas, Nevada 89128 and its telephone number
  is (702) 242-7000.

                               USE OF PROCEEDS

     This Prospectus relates to shares of Common Stock of the Company
  which may be offered, issued and sold by the Company from time to time
  in connection with the acquisition of other businesses or properties,
  and upon exercise or conversion of, warrants, options, convertible
  debt obligations or equity securities or other similar instruments issued 
  by the Company from time to time in connection with any such acquisition.  
  Other than the businesses or properties acquired, there will be no proceeds 
  to the Company from these offerings.

              OUTSTANDING SECURITIES COVERED BY THIS PROSPECTUS

     This Prospectus, as appropriately amended or supplemented, may be
  used from time to time by persons who have received shares of Common
  Stock covered by the Registration Statement in acquisitions of

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  businesses or properties by the Company, or their transferees, and who
  wish to offer and sell such shares (such persons are herein referred to
  as the "Selling Stockholder" or "Selling Stockholders") in transactions
  in which they and any broker-dealer through whom such shares are sold
  may be deemed to be underwriters within the meaning of the Act.  The
  Company intends to attempt to contract with the Selling Stockholders to
  restrict the transfer or resale of all or a portion of such Shares for a
  given period of time or to permit the transfer or sale thereof only with
  the prior written consent of the Company.  The Company may consent to
  the use of this Prospectus for a limited period of time by the Selling
  Stockholders, subject to limitations and conditions which may be varied
  by agreement between the Company and the Selling Stockholders.

          The Company will receive none of the proceeds from any such
  sales.  Any commissions paid or concessions allowed to any broker-
  dealer, and, if any broker-dealer purchases such shares as principal,
  any profits received on the resale of such shares, may be deemed to be
  underwriting discounts and commissions under the Act.  Printing, certain
  legal, filing and other similar expenses of this offering will be paid
  by the Company.  Selling Stockholders will bear all other expenses of
  this offering, including any brokerage fees, underwriting discounts or
  commissions.

     There presently are no arrangements or understandings, formal or
  informal, pertaining to the distribution of the shares as described
  herein.  Upon the Company's being notified by a Selling Stockholder that
  any material arrangement has been entered into with a broker-dealer for
  the sale of shares through a block trade, special offering, exchange
  distribution or secondary distribution, a supplemented Prospectus will
  be filed, pursuant to Rule 424(b) under the Act, setting forth (i) the
  name of each Selling Stockholder and of the participating broker-
  dealer(s), (ii) the number of shares involved, (iii) the price at which
  such shares were sold, (iv) the commissions paid or discounts or
  concessions allowed to such broker-dealer(s), where applicable, (v) that
  such broker-dealer(s) did not conduct any investigation to verify the
  information set out in this Prospectus and (vi) other facts material to
  the transaction.

     Selling Stockholders may sell the shares being offered hereby
  from time to time in transactions (which may involve crosses and block
  transactions) on the New York Stock Exchange or such other securities
  exchange on which the Company's Common Stock may be listed, in
  negotiated transactions or otherwise, at market prices prevailing at the
  time of sale or at negotiated prices.  Selling Stockholders may sell
  some or all of the shares in transactions involving broker-dealers, who
  may act solely as agent and/or may acquire shares as principal.  Broker-
  dealers participating in such transactions as agent may receive
  commissions from Selling Stockholders (and, if they act as agent for the
  purchaser of such shares, from such purchaser), such commissions
  computed in appropriate cases in accordance with the applicable rules of
  the New York Stock Exchange or such other securities exchange on which
  the Company's Common Stock may be listed, which commissions may be
  negotiated rates where permissible under such rules.  Participating
  broker-dealers may agree with Selling Stockholders to sell a specified
  number of shares at a stipulated price per share and, to the extent such
  broker-dealer is unable to do so acting as agent for Selling
  Stockholders, to purchase as principal any unsold shares at the price
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  required to fulfill the broker-dealer's commitment to Selling
  Stockholders.

     In addition or alternatively, Shares may be sold by Selling
  Stockholders and/or by or through other broker-dealers in special
  offerings, exchange distributions or secondary distributions pursuant to
  and in compliance with the governing rules of the New York Stock
  Exchange or such other securities exchange on which the Company's Common
  Stock may be listed, and in connection therewith, commissions in excess
  of the customary commission prescribed by the rules of such securities
  exchange may be paid to participating broker-dealers, or, in the case of
  certain secondary distributions, a discount or concession from the
  offering price may be allowed to participating broker-dealers in excess
  of such customary commission.  Broker-dealers who acquire shares as
  principal thereafter may resell such shares from time to time in
  transactions (which may involve crosses and block transactions and which
  may involve sales to and through other broker-dealers, including
  transactions of the nature described in the preceding two sentences) on
  the New York Stock Exchange or such other securities exchange on which
  the Company's Common Stock may be listed, in negotiated transactions or
  otherwise, at market prices prevailing at the time of sale or at
  negotiated prices, and, in connection with such resales, may pay to or
  receive commissions from the purchasers of such shares.

     The Company may agree to indemnify each Selling Stockholder as an
  underwriter under the Act against certain liabilities, including
  liabilities arising under the Act.  Each Selling Stockholder may
  indemnify any broker-dealer that participates in transactions involving
  sales of the shares against certain liabilities, including liabilities
  arising under the Act.

                         DESCRIPTION OF COMMON STOCK
  GENERAL

     The authorized capital stock of the Company consists of 1,000,000
  shares of Series A Junior Participating Preferred Shares, par value
  $0.01 per share ("Series A Preferred Shares"), and 40,000,000 shares of
  Common Stock, par value $0.005 per share. As of March 31, 1995, there
  were 14,716,984 shares of Common Stock issued and outstanding
  (excluding treasury shares). No Series A Preferred Shares are issued and
  outstanding. 

  COMMON STOCK

     Holders of Common Stock are entitled to one vote per share held of
  record on matters to be voted upon by the stockholders, except in the
  case of an election of directors where cumulative voting is invoked.

     Holders of Common Stock are entitled to receive dividends out of funds
  legally available for distribution when and if declared by the Board of
  Directors and to share ratably in the assets of the Company legally
  available for distribution to its stockholders in the event of
  liquidation, dissolution or winding-up of the Company, subject to
  preferences that may be applicable to any shares of the Company's
  preferred stock then outstanding. 

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     Pursuant to the Company's Shareholder Rights Plan, as described below,
  one right is attached to each share of Common Stock, entitling the
  holder to purchase one one-hundredth of a Series A Preferred Share upon
  the occurrence of certain events. 

     Holders of Common Stock have no subscription, redemption or conversion
  rights. Because the Common Stock is registered under Section 12 of the
  Exchange Act, under Nevada law holders have no preemptive rights to
  acquire unissued shares, treasury shares or securities convertible into
  such shares. 

  PREFERRED STOCK

     The Board is authorized to provide for the issuance of preferred stock
  in one or more series and to fix the rights, preferences, privileges and
  restrictions thereof. Pursuant to such authority and in connection with
  the Company's Shareholder Rights Plan described below, the Company has
  authorized the issuance of Series A Preferred Shares. Each one
  one-hundredth of a Series A Preferred Share (a "Preferred Share
  Fraction") carries voting and dividend rights that are intended to
  produce the equivalent of one share of Common Stock. The voting and
  dividend rights of the Series A Preferred Shares are subject to
  adjustment in the event of dividends, subdivisions and combinations with
  respect to the Common Stock of the Company. Holders of Series A
  Preferred Shares are not entitled to any preemptive rights. 

     The rights of holders of Common Stock will be subject to, and may be
  adversely affected by, the terms of any Series A Preferred Shares that
  may be issued in connection with the Company's Shareholder Rights Plan
  described below. The issuance of Series A Preferred Shares may have the
  effect of delaying, deferring or preventing a change of control of the
  Company without further action by the stockholders and may discourage
  bids for the Common Stock at a premium over the market price. In
  addition, the issuance of Series A Preferred Shares could adversely
  affect the voting rights of holders of Common Stock. Under certain
  circumstances, the issuance of Series A Preferred Shares could adversely
  affect the market price of the Common Stock. The Company is not aware of
  any threatened transaction to obtain control of the Company. 

  SHAREHOLDER RIGHTS PLAN

     On June 14, 1994, the Board of Directors of the Company authorized and
  declared a dividend distribution of one right (a "Right") for each share
  of Common Stock of the Company. The Rights were distributed to the
  holders of record of Common Stock as of the close of business on
  June 30, 1994.  Each Right entitles the registered holder to purchase
  from the Company a unit (a "Unit") consisting of one one-hundredth of a
  Series A Preferred Share, or a combination of securities and assets of
  equivalent value, at a purchase price of $100.00 per Unit, subject to
  adjustment. The detailed terms and conditions of the Rights are set
  forth in the Rights Agreement by and between the Company and Continental
  Stock Transfer & Trust Company, as Rights Agent, filed as an exhibit to
  the Company's Registration Statement on Form 8-A as filed with the
  Commission on July 1, 1994 and effective on September 19, 1994.  See
  "Incorporation of Certain Documents by Reference." 

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     The Rights have certain anti-takeover effects. The Rights will cause
  substantial dilution to a person or group that attempts to acquire the
  Company on terms not approved by the Company's Board of Directors,
  except pursuant to an offer conditioned on a substantial number of
  Rights being acquired. The Rights should not interfere with any merger
  or other business combination approved by the Board of Directors since
  the Rights may be redeemed by the Company at a price of $.02 per Right
  prior to the time that a person or group has acquired beneficial
  ownership of 20% or more of the Common Stock. 

  NEW YORK STOCK EXCHANGE LISTING

     The Company's Common Stock is listed on the New York Stock Exchange.

  TRANSFER AGENT

     Continental Stock Transfer & Trust Company is the transfer agent and
  registrar for the Company's Common Stock.


                            VALIDITY OF SECURITIES

     The validity of the Securities offered will be passed upon for the
  Company and the Selling Stockholders by Morgan, Lewis & Bockius, Los
  Angeles, California.  


                                   EXPERTS

     The Consolidated Financial Statements as of December 31, 1993 and 1994
  and for each of the three years in the period ended December 31, 1994
  incorporated by reference in this Prospectus from the Company's Annual
  Report on Form 10-K for the fiscal year ended December 31, 1994 have
  been audited by Deloitte & Touche LLP, independent auditors, as stated
  in their report which is incorporated by reference herein, and has
  been so incorporated in reliance upon the report of such firm given upon
  their authority as experts in accounting and auditing.
















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  =================================     ================================

  NO  PERSON  IS  AUTHORIZED TO
  GIVE  ANY  INFORMATION  OR TO
  MAKE ANY REPRESENTATIONS  NOT
  CONTAINED OR  INCORPORATED BY
  REFERENCE IN  THIS PROSPECTUS
  AND, IF  GIVEN OR  MADE, SUCH
  I N F O R M A T I O N     O R
  REPRESENTATIONS  MUST NOT  BE                700,000 SHARES
  RELIED  UPON  AS  HAVING BEEN
  AUTHORIZED  BY  THE  COMPANY,
  ANY  SELLING STOCKHOLDERS  OR          SIERRA HEALTH SERVICES, INC.
  ANY  UNDERWRITER,  AGENT   OR                     
  DEALER.  THIS PROSPECTUS DOES
  NOT  CONSTITUTE  AN  OFFER TO                 COMMON STOCK
  SELL OR A  SOLICITATION OF AN                 
  OFFER TO  BUY ANY  SECURITIES
  OTHER THAN THE  SECURITIES IN
  RESPECT    OF    WHICH   THIS
  PROSPECTUS IS DELIVERED OR AN             ___________________ 
  OFFER  OF  ANY  SECURITIES IN             
  ANY   JURISDICTION   TO   ANY                  PROSPECTUS
  PERSON  WHERE  SUCH  AN OFFER
  WOULD BE UNLAWFUL.                        ___________________ 
                                            
                              

  TABLE OF CONTENTS             PAGE
                                ____


  AVAILABLE INFORMATION           2
  INCORPORATION OF CERTAIN 
    DOCUMENTS BY REFERENCE        2
  THE COMPANY                     3
  USE OF PROCEEDS                 3
  OUTSTANDING SECURITIES 
    COVERED BY THIS PROSPECTUS    3
  DESCRIPTION OF COMMON STOCK     4
  VALIDITY OF SECURITIES          6
  EXPERTS                         6               MAY 17, 1995

  =================================     ================================


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