SIERRA HEALTH SERVICES INC
SC 13G, 1999-02-12
HOSPITAL & MEDICAL SERVICE PLANS
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                  SCHEDULE 13G

             Information Statement Pursuant to Rules 13d-1 and 13d-2
                    Under the Securities Exchange Act of 1934
                               (Amendment No. 11)*

                          Sierra Health Services, Inc.
                                (Name of Issuer)

                                  Common Stock
                         (Title of Class of Securities)

                                   826322-10-9
                                 (CUSIP Number)



     *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 13G

CUSIP No. 826322-10-9

1  NAME OF REPORTING PERSON
    S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

         Anthony M. Marlon, M.D.

2  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*                  (A) |_|
                                                                      (B) |_|
- -------------------------------------------------------------------------------
3  SEC USE ONLY

- -------------------------------------------------------------------------------
4  CITIZENSHIP OR PLACE OF ORGANIZATION
         United States of America

                                          5   SOLE VOTING POWER
   NUMBER OF                       2,542,753 shares of Common Stock at 12/31/98
     SHARES
  BENEFICIALLY                6    SHARED VOTING POWER
    OWNED BY                        -0- at 12/31/98
      EACH
    REPORTING                   7   SOLE DISPOSITIVE POWER
     PERSON                        2,542,753 shares of Common Stock at 12/31/98
      WITH
                                          8   SHARED DISPOSITIVE POWER
                                                 -0- at 12/31/98

9  AGGREGATE  AMOUNT  BENEFICIALLY  OWNED BY EACH REPORTING  PERSON
                     2,542,753 shares of Common  Stock at 12/31/98

- -------------------------------------------------------------------------------
10   CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
        CERTAIN  SHARES* |X|    See Item 4 of attached Schedule 13G
- -------------------------------------------------------------------------------
11    PERCENT OF CLASS  REPRESENTED  BY AMOUNT IN ROW (9)
         9.3% of outstanding class at 12/31/98
- -------------------------------------------------------------------------------
12  TYPE OF REPORTING PERSON*
         IN
- -------------------------------------------------------------------------------
                      *SEE INSTRUCTIONS BEFORE FILLING OUT!

Item 1.  (a)      Name of Issuer:

                           Sierra Health Services, Inc.

                  (b)      Address of Issuer's Principal Executive Offices:

                           2724 North Tenaya Way
                           Las Vegas, Nevada  89128

Item 2.  (a)      Name of Person Filing:

                           Anthony M. Marlon, M.D.  ("Dr. Marlon")

                  (b)      Address of Principal Business Office or, if none, 
                           Residence:

                           2724 North Tenaya Way
                           Las Vegas, Nevada  89128

                  (c)      Citizenship:

                           United States of America

                  (d)      Title of Class of Securities:

                           Common Stock, $.005 par value

                  (e)      CUSIP Number:

                           826322-10-9

     Item 3. This  statement  is filed  pursuant  to Rule  13d-1(c).  Items 3(a)
through 3(h) are, therefore, inapplicable.

Item 4.  Ownership

                  (a)      Amount Beneficially Owned:

     Dr. Marlon may be deemed to  beneficially  own  2,542,753  shares of Common
Stock at December 31, 1998. The number of shares reported as beneficially  owned
includes  2,329,003  shares  held  indirectly  through  a total  of four  trusts
established by Dr. Marlon and his wife, and 1,500 shares held indirectly through
a limited partnership (the  "Partnership").  Dr. Marlon may be deemed to have or
share  voting power  and/or  dispositive  power over the shares held by the four
trusts and, therefore, to have beneficial ownership with respect to such shares.
Dr. Marlon, as managing general partner of the Partnership,  has sole voting and
dispositive power over the shares held by the Partnership.  Dr. Marlon disclaims
beneficial  ownership as to the shares held by the four  trusts,  other than the
1,135,341  shares held by the Marlon Family Trust (a revocable trust of which he
is a trustee). The number of shares reported as beneficially owned also includes
212,250 shares that Dr. Marlon has a right to acquire within 60 days of December
31, 1998, upon exercise of options.  Dr. Marlon's beneficial  ownership does not
include  163,054 shares held in three trusts for the benefit of family  members,
the trustee of each of which is Erin E. MacDonald,  and does not include 652,648
shares held by the AMM & RM Family Limited


     Partnership,  the general  partner of which is a trust for the benefit of a
family member;  the trustees of that trust are Ms.  MacDonald,  William Godfrey,
and  Jeannine  M. Zeller  (daughter  of Dr.  Marlon).  Dr.  Marlon's  beneficial
ownership  also does not include  102,750  shares subject to stock options which
are not currently  exercisable  and will not become  exercisable  within 60 days
after December 31, 1998.

      (b)      Percent of Class:

             9.3% of the class of Common Stock outstanding at December 31, 1998

      (c)      Number of shares as to which Dr. Marlon has:

                    (i)  sole power to vote or to direct the vote:
                         2,542,753 shares of Common Stock at December 31, 1998 
                         (see Item 4(a) above.)

                   (ii) shared power to vote or to direct the vote: -0- shares 
                        of Common Stock at December 31, 1998

                  (iii)  sole power to dispose or to direct the disposition of:
                         2,542,753 shares of Common Stock at December 31, 1998 
                         (see Item 4(a) above.)

                   (iv)  shared power to dispose or to direct the disposition 
                         of:
                         -0- shares of Common Stock at December 31, 1998

Item 5.  Ownership of Five Percent or Less of a Class

                  Not applicable.

Item 6.  Ownership of More than Five Percent on Behalf of Another Person

                  Not applicable.



Item 7.  Identification and Classification of the Subsidiary Which Acquired
the Security Being Reported on By the Parent Holding Company

                  Not applicable.

Item 8.  Identification and Classification of Members of the Group

                  Not applicable.

Item 9.  Notice of Dissolution of Group

                  Not applicable.

Item 10.          Certification.

     Not applicable. This statement is filed pursuant to Rule 13d-1(c).

     The filing of this Amendment to Schedule 13G and amendments hereto, and the
statements  herein and therein,  shall not be construed as an admission that any
filing  person or any other  person  named  herein is, for  purposes  of Section
13(d),  13(g), 16(a), or 16(b) under the Exchange Act, or for any other purpose,
the  beneficial  owner of any of the  securities  described  herein or  therein,
except to the extent  that a natural  person is  reported  as having  voting and
dispositive power, and thus beneficial  ownership for purposes of Sections 13(d)
and 13(g), over securities owned directly by such person.

                                                    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.


February 12, 1999                         
         Date


/s/ Anthony M. Marlon, M.D.        
ANTHONY M. MARLON, M.D.
         Name/Title






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