INTERWEST HOME MEDICAL INC
SC 13D, 1997-09-16
HOME HEALTH CARE SERVICES
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                                UNITED STATES
                      SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, DC 20549

                                   ----------------

                                 SCHEDULE 13D
                                 (Rule 13d-1)
                   UNDER THE SECURITIES EXCHANGE ACT OF 1934

                            INTERWEST HOME MEDICAL
                               (Name of Issuer)

                          COMMON STOCK, No PAR VALUE
                        (Title of Class of Securities)

                                 461114P 20 9
                                (CUSIP Number)

                              Elizabeth D. Davis
                              7100 Crooked Tree
                           Anchorage, Alaska 99516
                                (907)346-1883
                (Name, address and telephone number of person
               authorized to receive notices and communications)

                              September 5, 1997
           (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>



                                 SCHEDULE 13D

- - - ---------------------------------     --------------------------------
CUSIP NO.    46114P 20 9                        Page 1 of 3
- - - ---------------------------------     --------------------------------

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

       Elizabeth D. Davis         SS# ###-##-#### [optional]
- - - ----------------------------------------------------------------------
2      CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
         (a)_________________________________________
         (b)_________________________________________

- - - ----------------------------------------------------------------------
3      SEC USE ONLY


- - - ----------------------------------------------------------------------
4      SOURCE OF FUNDS*

        PF, SC
- - - ----------------------------------------------------------------------
5      CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
         PURSUANT TO ITEMS 2(d) OR 2(e)                         |_|


- - - ----------------------------------------------------------------------
6      CITIZENSHIP OR PLACE OF ORGANIZATION

        U.S.
- - - ----------------------------------------------------------------------
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH

7.    SOLE VOTING POWER             232,500

8.    SHARED VOTING POWER           0

9.    SOLE DISPOSITIVE POWER        232,500

10.   SHARED DISPOSTIVE POWER       0

- ---------------------------------------------------------------------------


<PAGE>



- - - ----------------------------------------------------------------------
11     AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

         232,500
- - - ----------------------------------------------------------------------
12     CHECK BOX IF THE AGGREGATE AMOUNT IN
          ROW (11) EXCLUDES CERTAIN SHARES*                      |_|

- - - ----------------------------------------------------------------------
13      PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

          5.78%

- - - ----------------------------------------------------------------------
14      TYPE OF REPORTING PERSON*

          IN
- - - ----------------------------------------------------------------------





<PAGE>



Item 1.    Security and Issuer.

      The name of the issuer with  respect to which this  Schedule  13D is being
filed is Interwest Home Medical,  Inc.  (hereinafter  called the "Issuer").  The
address of the Issuer's principal executive offices is 235 East 6100 South, Salt
Lake City UT,  84107-7349.  This statement relates to the Issuer's Common Stock,
no par value (the "Common Stock").


Item 2.    Identity and Background.

     (a)  This  Schedule 13D is being filed on behalf of Elizabeth D. Davis (the
          "Reporting Person").

     (b)  Mrs. Davis' home address is 7100 Crooked Tree, Anchorage, AK 99516.

     (c)  Mrs. Davis is an officer of a subsidiary of the Issuer.

     (d)  Mrs.  Davis has not,  during the last five years,  been convicted in a
          criminal   proceeding   (excluding   traffic   violations  or  similar
          misdemeanors).

     (e)  Mrs.  Davis has not,  during  the last five  years,  been a party to a
          civil  proceeding  of a judicial or  administrative  body of competent
          jurisdiction and as a result of such proceeding was or is subject to a
          judgment,  decree or final order  enjoining  future  violations of, or
          prohibiting  or  mandating  activities  subject  to,  federal or state
          securities laws or finding any violation with respect to such laws.

     (f)  Mrs. Davis is a United States citizen.


Item 3.    Source and Amount of Funds or Other Consideration.

    Beneficial
      Shares       Source and Amount of Funds
      ------         --------------------------
     232,500       These  Shares were issued in a merger  transaction  in 
                   exchange  for shares of a company acquired by the Issuer.



<PAGE>



Item 4.    Purpose of Transaction

      The acquisition of Common Stock has been made by Mrs. Davis for investment
purposes.  Although  Mrs.  Davis has no present  intention to do so, he may make
additional  purchases or make sales of Common Stock either in the open market or
in privately negotiated transactions.

      Except  as set forth in this Item 4,  Mrs.  Davis has no  present  plan or
proposal  that  relates to or would  result in any of the actions  specified  in
clauses (a) through  (j) of Item 4 of the  Schedule  13D.  However,  Mrs.  Davis
reserves the right to propose or  participate in future  transactions  which may
result in one or more of such actions.


Item 5.    Interest in Securities of the Issuer.

     (a)  Mrs. Davis  beneficially owns 232,500 shares of Common Stock (See Item
          3). This represents 5.78% of the issued and outstanding Common Stock.

     (b)  Mrs. Davis has sole voting power and dispositive power with respect to
          the shares of Common Stock.

     (c)  There have been no  transactions in respect of the Common Stock during
          the past 60 days which are required to be reported in this Item 5:

     (d)  No person other than Mrs.  Davis has the right to receive or the power
          to direct the receipt of dividends  from or the proceeds from the sale
          of Common Stock owned beneficially by Mrs. Davis.

     (e)  Not applicable.


Item 6. Contracts, Arrangements, Understandings or Relationships
            with Respect to Securities of the Issuer.

      None


Item 7.   Material to be Filed as Exhibits.

     Agreement and Plan of Merger  between  Issuer,  Northwest  Homecare,  Inc.,
Charles E. Davis and Elizabeth D. Davis dated August 13,1997.


                                    /s/ Elizabeth D. Davis
                                   ------------------------------------------
                                   Elizabeth D. Davis

<PAGE>

      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.


Date:      September 15, 1997             /s/ Elizabeth D. Davis
                                         --------------------------------
                                          Elizabeth D. Davis





<PAGE>














                         AGREEMENT AND PLAN OF MERGER




                                 BY AND AMONG




                          INTERWEST HOME MEDICAL, INC.
                              a Utah Corporation

                                      AND

                           NORTHWEST HOMECARE, INC.
                             a Alaska Corporation


                                      AND

                 THE SHAREHOLDERS OF NORTHWEST HOMECARE, INC.







<PAGE>



                               TABLE OF CONTENTS


ARTICLE I
DEFINITIONS..................................................................1

ARTICLE II
THE MERGER...................................................................4
      2.1.  The Merger.......................................................4
      2.2.  Effective Time...................................................4
      2.3.  Conversion of NWH Securities.....................................4
      2.4.  Effect of Conversion.............................................4
      2.5.  Conversion of Capital Stock of Merger Sub........................4
      2.6.  Exchange of Shares...............................................5
      2.7.  Reorganization...................................................5
      2.8.  Registration Rights . . . . . . . . . . . . . . . . . . . . . .  5
            -------------------

ARTICLE III
THE SURVIVING CORPORATION AND AFFIRMATIVE COVENANTS..........................5
      3.1.  Surviving Corporation............................................5
      3.2.  Articles of Incorporation........................................5
      3.3.  Bylaws...........................................................5
      3.4.  Directors and Officers of NWH....................................6
      3.5.  Effect of Merger.................................................6
      3.6.  Employment Matters ..............................................6
      3.7.  Non-Competition Agreement........................................6

ARTICLE IV
CLOSING......................................................................6
      4.1 Closing............................................................6
      4.2 Documents at Closing...............................................7

ARTICLE V
REPRESENTATIONS AND WARRANTIES OF SHAREHOLDERS AND NWH.......................8
      5.1.  Shareholders.....................................................8
      5.2.  Restricted Shares to be Issued...................................8
      5.3.  Organization.....................................................8
      5.4.  Capitalization.................................................. 8
      5.5.  Reorganization and Securities Related Expenses.................. 9
      5.6.  Authority Relative to this Agreement............................10
      5.7.  Approvals and Consents; Non-Contravention.......................10
      5.8.  Articles of Incorporation and Bylaws............................11
      5.9.  Financial Statements............................................11
      5.10.  No Undisclosed Material Liabilities............................12
      5.11.  Absence of Certain Changes or Events...........................12

                                      i

<PAGE>



      5.12.  Real Property Leaseholds.......................................14
             ------------------------
      5.13.  Accounts Receivables...........................................14
             --------------------
      5.14.  Product Liability..............................................14
             -----------------
      5.15.  Inventory......................................................14
             ---------
      5.16.  Intellectual Property..........................................14
             ---------------------
      5.17.  Litigation and Proceedings.....................................14
             --------------------------
      5.18.  Compliance with Laws, Rules and Regulations....................15
             -------------------------------------------
      5.19.  Business Practices.............................................15
             ------------------
      5.20.  Contracts......................................................15
             ---------
      5.21.  Material Contract Defaults.....................................15
             --------------------------
      5.22.  Taxes and Tax Returns..........................................16
             ---------------------
      5.23.  No Subsidiaries................................................16
             ---------------
      5.24.  Title and Related Matters......................................16
             -------------------------
      5.25.  Insurance .....................................................17
             ----------
      5.26.  Environmental Matters..........................................17
             ---------------------
      5.27.  Employees......................................................18
             ---------
      5.28.  Relationships with Associates and Affiliates...................18
             --------------------------------------------
      5.29.  Brokers........................................................19
             -------
      5.30.  NWH Schedules..................................................19
             -------------
      5.31.  Information....................................................20
             -----------

ARTICLE VI REPRESENTATIONS AND WARRANTIES OF INTERWEST......................20
      6.1.  Organization....................................................21
      6.2.  Capitalization..................................................21
      6.3.  Authority Relative to this Agreement............................21
      6.4.  Reorganization Related Representations..........................21
      6.5.  Approvals and Consents; Non-Contravention.......................22
      6.6.  Financial Statements............................................23
      6.7.  Information.....................................................23
      6.8.  Compliance with Laws, Rules and Regulations.....................24
      6.9.  Brokers.........................................................24
      6.10. Additional Information Available................................24

ARTICLE VII
CONDUCT PRIOR TO CLOSING....................................................24
      7.1.  Conduct of Business.............................................24
      7.2.  Additional Covenants by NWH and NWH Shareholders................24
      7.3.  Access..........................................................25
      7.4.  Compliance with Blue Sky Law....................................26
      7.5.  Disclosure Supplements, Etc.....................................26
      7.6.  Reasonable Efforts..............................................26
      7.7.  Public Announcements............................................26

ARTICLE VIII
CONDITIONS OF SHAREHOLDERS..................................................26

                                      ii

<PAGE>



      8.1.  Representations.................................................26
            ---------------
      8.2.  Compliance......................................................27
            ----------
      8.3.  No Material Adverse Change......................................27
            --------------------------
      8.4.  Certificate of Interwest........................................27
            ------------------------
      8.5.  Absence of Litigation...........................................27
            ---------------------
      8.6.  Employment Agreements...........................................27
            ---------------------
      8.7.  Certificate.....................................................27
            -----------

ARTICLE IX
CONDITIONS OF INTERWEST.....................................................27
      9.1.  Representations.................................................27
      9.2.  Compliance......................................................27
      9.3.  No Material Adverse Change......................................28
      9.4.  Certificates of Shareholders....................................28
      9.5.  Absence of Litigation...........................................28
      9.6.  Good Standing...................................................28
      9.7.  Investment Letters..............................................28
      9.8.  Form 8-K Financial Statements...................................28
      9.9.  Employment Agreements...........................................28
      9.10.  Non-Competition Agreement......................................28
      9.11.  Consents.......................................................28
      9.12.  Certificates...................................................28

ARTICLE X
INDEMNIFICATION, SURVIVAL, TERMINATION AND EXPENSES.........................29
      10.1.  Nature and Survival of Representations.........................29
      10.2.  Indemnification and Payment of Damages by Shareholders.........29
      10.3.  Indemnification and Payment of Damages by Interwest............29
      10.4.  Procedure for Indemnification - Third Party Claims.............30
      10.5.  Procedure for Indemnification - Other Claims...................31
      10.6.  Exclusive Remedies.............................................31
      10.7.  Termination....................................................31

ARTICLE XI
MISCELLANEOUS...............................................................32
      11.1.  Notices........................................................32
      11.2.  Entire Agreement...............................................33
      11.3.  Effect; Assignment.............................................33
      11.4.  Amendments; Waivers............................................33
      11.5.  Further Assurances.............................................33
      11.6.  Headings.......................................................33
      11.7.  Counterparts...................................................33
      11.8.  Severability...................................................33
      11.9.  Governing Law..................................................33
      11.10.  Legal Fees and Expenses.......................................34

                                     iii

<PAGE>




Attachments

Exhibit "A" -     Articles of Merger
Exhibit "B" -     List of NWH Shareholders
Exhibit "C" -     Employment Agreement
Exhibit "D" -     Non-Competition Agreement
Exhibit "E" -     Registration Rights Agreement
Exhibit "F" -     Investment Letter
Exhibit "G-1"-    NWH Legal Opinion
Exhibit "G-2"     Interwest Legal Opinion
Exhibit "H" -     Indemnity Agreement

                                      iv

<PAGE>



                         AGREEMENT AND PLAN OF MERGER


      This  Agreement  and Plan of Merger  ("Agreement")  is  entered  into this
______ day of _______, 1997, by and between Interwest Home Medical, Inc., a Utah
corporation  ("Interwest);  NW Merger  Sub,  Inc.,  a Utah  corporation  and the
wholly-owned subsidiary of Interwest (" Merger Sub"); Northwest Homecare,  Inc.,
an Alaska  corporation,  ("NWH");  and Charles  Davis and Elizabeth  Davis,  the
Shareholders of NWH ("Shareholders").

                                   RECITALS

      The Boards of Directors of Interwest and NWH have each  determined that it
is advisable and in the best interests of their respective shareholders to enter
into  this  Agreement  and to  engage in the  transactions  contemplated  hereby
pursuant to which Merger Sub will merge into NWH; and the outstanding  shares of
the  common  stock of NWH will be  converted  into  shares  of  common  stock of
Interwest; and

      The Shareholders have made certain representations to Interwest concerning
the status, operations and condition of NWH, which representations are contained
in this Agreement; and

      Interwest  has made certain  representations  to NWH and the  Shareholders
concerning   the  status,   operations   and  condition  of   Interwest,   which
representations are contained in this Agreement;

      The Boards of Directors of Interwest, Merger Sub and NWH have approved the
Merger agreed to herein;

                                   AGREEMENT

      In consideration of the mutual agreements, representations, warranties and
covenants  contained  in  this  Agreement,  and  for  other  good  and  valuable
consideration,  the receipt and sufficiency of which is hereby acknowledged, the
parties agree as follows:

                                   Article I
                                  Definitions

      For  purposes of this  Agreement,  the  following  terms have the meanings
specified or referred to in this Section 1:

      "Associate"--when  used to indicate a relationship with any Person,  means
(i) a corporation or  organization  (other than such Person or a  majority-owned
subsidiary  of such Person) of which such person is an officer or partner or is,
directly or indirectly,  the beneficial owner of ten (10) percent or more of any
class of equity securities,  (ii) any trust or other estate in which such Person
has a  substantial  beneficial  interest  or as to which such  Person  serves as
trustee or in a similar capacity, and (iii) any Affiliate of such Person.

      "Affiliate"--of a Person is a Person that directly,  or indirectly through
one or more  intermediaries,  controls,  is  controlled  by, or is under  common
control with, such Person.

      "Contract"--any agreement, contract,  obligation,  promise, or undertaking
(whether  written  or oral and  whether  express  or  implied)  that is  legally
binding.

                                      1

<PAGE>




      "Governmental  Authorization"--any  approval,  consent,  license,  permit,
waiver,  or other  authorization  issued,  granted,  given,  or  otherwise  made
available by or under the authority of any Governmental  Body or pursuant to any
Legal Requirement.

      "Governmental Body"--any:

     (a)  nation,  state,  county,  city,  town,  village,  district,  or  other
          political subdivision of any nature;

     (b)  federal, state, local, municipal, foreign, or other government;

     (c)  governmental or quasi-governmental  authority of any nature (including
          any governmental agency, branch,  department,  official, or entity and
          any court or other tribunal); or

     (d)  body  exercising,   or  entitled  to  exercise,   any  administrative,
          executive,  judicial,  legislative,   police,  regulatory,  or  taxing
          authority or power of any nature.

      "IRC"--the  Internal  Revenue  Code  of  1986 or any  successor  law,  and
regulations  issued by the IRS  pursuant  to the  Internal  Revenue  Code or any
successor law.

      "IRS"--the United States Internal Revenue Service or any successor agency,
and, to the extent relevant, the United States Department of the Treasury.

      "Knowledge"--an  individual  will  be  deemed  to  have  "Knowledge"  of a
particular fact or other matter if:

     (a)  such individual is actually aware of such fact or other matter; or

     (b)  a prudent individual could be expected to discover or otherwise become
          aware of such fact or other  matter  in the  course  of  conducting  a
          reasonably  comprehensive  investigation  concerning  the existence of
          such fact or other matter.

      A Person (other than an individual)  will be deemed to have "Knowledge" of
a particular  fact or other matter if any individual who is serving,  or who has
at any time served, as a director,  officer,  partner,  executor,  or trustee of
such Person (or in any similar  capacity) has, or at any time had,  Knowledge of
such fact or other matter under the foregoing clauses (a) or (b).

      "Legal  Requirement"--any  federal,  state,  local,  municipal,   foreign,
international,  multinational, or other administrative order, constitution, law,
ordinance, principle of common law, regulation, statute, or treaty.

      "Order"--any  award,  decision,  injunction,  judgment,  order,  ruling or
verdict entered, issued, made, or rendered by any court,  administrative agency,
or other Governmental Body or by any arbitrator.

      "Ordinary Course of Business"--an  action taken by a Person will be deemed
to have been taken in the "Ordinary  Course of Business"  only if such action is
consistent  with the past  practices of such Person and is taken in the ordinary
course of the normal day-to-day operations of such Person.

                                      2

<PAGE>



      "Person"--any   individual,    corporation   (including   any   non-profit
corporation),  general or limited partnership,  limited liability company, joint
venture, estate, trust, association,  organization, labor union, or other entity
or Governmental Body.

      "Proceeding"--any  action,  arbitration,  audit,  hearing,  investigation,
litigation, or suit (whether civil, criminal, administrative,  investigative, or
informal)  commenced,  brought,  conducted,  or heard by or before, or otherwise
involving,  any Governmental  Body or arbitrator;  provided,  however,  that any
representation  or warranty  concerning  "Proceedings",  shall,  with respect to
audits and  investigations,  be deemed made only to the  Knowledge  of the party
making such  representation or warranty and such party shall not be deemed to be
required to make any inquiry of any Governmental Body concerning the pendency of
any  investigation  or audit with respect to itself or the subject matter of the
representation

      "Securities  Act"--the  Securities  Act of 1933 or any successor  law, and
regulations and rules issued pursuant to that Act or any successor law.

      "Securities  Exchange Act "-- the  Securities  Exchange Act of 1934 or any
successor  law, and  regulations  and rules  issued  pursuant to that Act or any
successor law.

      "Threatened"--a claim,  Proceeding,  dispute, action, or other matter will
be deemed to have been  "Threatened"  if any demand or  statement  has been made
(orally or in writing) or any notice has been given  (orally or in writing) that
would lead a prudent Person to conclude that such a claim, Proceeding,  dispute,
or other matter is likely to be asserted, commenced, taken, or otherwise pursued
in the future.

      "Transaction"  -- the  Merger  provided  for and  agreed to herein and all
employment  matters,  escrows and other  matters  and  agreements  provided  for
herein.

                                  Article II
                                  The Merger

      2.1. The Merger. Subject to the terms and conditions of this Agreement and
the  Alaska  Corporations  Code  ("Alaska  Statute")  and the  Revised  Business
Corporations  Act of the State of Utah ("Utah  Statute"),  at the Effective Time
(as  defined in Section 2.2 of this  Agreement),  Merger Sub will be merged with
and into NWH (the "Merger") whereupon the separate existence of Merger Sub shall
cease and NWH shall be the surviving corporation ("Surviving Corporation").

      2.2. Effective Time. The Merger shall become effective at 2:00 p.m. on the
day  that  properly  executed  Articles  of  Merger,  substantially  in the form
attached  hereto as Exhibit  "A",  are duly filed  with,  and  accepted  by, the
Division of  Corporations,  Department of Commerce of the State of Utah pursuant
to the Utah  Statute and with the Alaska  Department  of Commerce  and  Economic
Development,  Division of Banking,  Securities and Corporations  pursuant to the
Alaska Statute.  The time and day specified in the preceeding  sentence shall be
referred to in this Agreement as the  "Effective  Time" and the day on which the
Effective Time occurs is referred to in this Agreement as the "Effective Date".

      2.3.  Conversion of NWH  Securities.  At the Effective Time, all shares of
common stock of NWH  outstanding  ("NWH Common Stock")  shall,  by virtue of the
Merger and without any action on the part of the holder thereof,  be converted (
"Converted",  "Conversion"  or "Exchange")  into shares of $.01 par value common
stock of Interwest ("Interwest Common Stock"). Each share of NWH

                                      3

<PAGE>



Common  Stock  outstanding  immediately  prior to the  Effective  Time  shall be
Converted  into 46.5 shares of Interwest  Common Stock.  At the Effective  Date,
there will be 10,000  shares of NWH Common Stock issued and  outstanding  all of
which will be Converted into 465,000 shares of Interwest Common Stock.  Attached
hereto as Exhibit "B", and by this  reference  made a part hereof,  is a list of
the  Shareholders  of NWH which  sets  forth the  number of shares of NWH Common
Stock  owned by each and the number of shares of  Interwest  Common  Stock to be
issued to each Shareholder in the Conversion.

      2.4. Effect of Conversion.  Each share certificate which immediately prior
to the Effective  Time  represented  NWH Common  Stock,  shall be deemed for all
purposes  at and after the  Effective  Time to  evidence  ownership  of,  and to
represent  the number of shares of Interwest  Common Stock into which the shares
of NWH Common Stock  represented by such  certificate  immediately  prior to the
Effective  Time,  have been  Converted  pursuant  to Section  2.3  hereof.  Each
Shareholder of NWH at the Effective Time shall,  until such owner's  certificate
for NWH Common Stock has been surrendered for transfer or exchange,  be entitled
to exercise any voting and other rights with respect  thereto and be entitled to
receive any dividends or other distributions, equivalent to the number of shares
of Interwest Common Stock into which the shares of NWH Common Stock  represented
by such certificate have been Converted.

     2.5.  Conversion of Capital Stock of Merger Sub. At and as of the Effective
Time,  each share of the common stock of Merger Sub shall be converted  into one
share of common stock of the Surviving Corporation.

      2.6.  Exchange  of Shares.  The  exchange of share  certificates  shall be
effected by Interwest.  Interwest shall deliver to the Shareholders certificates
for the shares of Interwest Common Stock to be Exchanged for stock  certificates
representing  all  shares  of NWH  Common  Stock  pursuant  to the terms of this
Agreement.   Each  holder  of  an  outstanding   certificate   or   certificates
representing  NWH  Common  Stock  shall  be  entitled,  upon  surrender  of such
certificate(s)  to  Interwest,  duly endorsed in blank or  accompanied  by stock
powers duly endorsed in blank, to receive a certificate  representing the number
of shares of Interwest  Common Stock into which NWH Common Stock shall have been
Converted pursuant to the Merger. All Interwest stock certificates issued to the
Shareholders at the Effective Time shall contain a legend  substantially  in the
following form:

      THESE  SECURITIES  HAVE NOT BEEN  REGISTERED  UNDER THE  SECURITIES ACT OF
      1933, AS AMENDED,  (THE "ACT") OR ANY STATE  SECURITIES ACT AND MAY NOT BE
      SOLD, PLEDGED OR OTHERWISE  TRANSFERRED UNLESS (A) COVERED BY AN EFFECTIVE
      REGISTRATION  STATEMENT UNDER THE SECURITIES ACT OF 1933, AS AMENDED,  AND
      APPLICABLE STATE SECURITIES ACTS; (B) INTERWEST HAS BEEN FURNISHED WITH AN
      OPINION OF COUNSEL,  BOTH OF WHICH OPINION AND COUNSEL SHALL BE REASONABLY
      ACCEPTABLE TO  INTERWEST,  TO THE EFFECT THAT NO  REGISTRATION  IS LEGALLY
      REQUIRED FOR SUCH TRANSFER; OR (C) THESE SECURITIES ARE SOLD IN COMPLIANCE
      WITH RULE 144 PROMULGATED UNDER THE ACT.

      On the second  anniversary  of the Effective  Date,  the above  referenced
legend  will be removed  from the  Interwest  stock  certificates  delivered  to
Sellers.

     2.7.  Reorganization.  It is the intent of the parties that the Merger will
qualify as a tax-free  reorganization  under  Section  368(a)(1)(A)  and Section
368(a)(2)(E)  of the IRC and will  report the Merger  accordingly  for  federal,
state and local income tax purposes.  The parties acknowledge that no Person has
obtained an advance ruling from the IRS or a legal opinion as to the tax

                                      4

<PAGE>



consequences and effect of the Merger.

                                  Article III
              The Surviving Corporation and Affirmative Covenants

     3.1. Surviving Corporation.  In the Merger, Merger Sub shall merge into NWH
and NWH shall be the Surviving Corporation.

     3.2.  Articles of  Incorporation.  The Articles of  Incorporation of NWH in
effect at the  Effective  Time shall be the  Articles  of  Incorporation  of the
Surviving Corporation until amended in accordance with applicable law.

     3.3. Bylaws. The Bylaws of NWH in effect at the Effective Time shall be the
Bylaws of the Surviving Corporation until amended.

     3.4.  Directors and Officers of NWH. From and after the Effective Time, the
directors and officers of NWH, the Surviving Corporation, shall be as follows:

            Directors                     Officers
            Que H. Christensen            Charles Davis     President
            James E. Robinson             James E. Robinson Vice President
                                          Que H. ChristensenSecretary/Treasurer

      Such officers and directors shall constitute the directors and officers of
the NWH to serve in  accordance  with the Bylaws of NWH until  their  respective
successors have been duly elected or appointed and qualified.

     3.5.  Effect of  Merger.  The Merger  will have the  effects  specified  in
Section  16-10a-1106  of the Utah  Statute and Section  10.06.560  of the Alaska
Statute.

      3.6. Employment Matters. Interwest believes the post-merger success of NWH
is, to some extent,  based upon the continued  services of key employees of NWH.
In connection  therewith,  Interwest shall, at the Effective Time, enter into an
Employment  Agreement with Shareholder Charles Davis in the form attached hereto
as Exhibit "C".

            3.6.1.  Interwest  shall not be  required  to  continue  any current
employee benefit plan of NWH. However,  after the Closing Date,  Interwest shall
offer such  employees  of NWH  continuing  in the business  the  opportunity  to
participate  in the  employee  benefit  plans  generally  available to Interwest
employees.  Accordingly,  such employees of NWH shall be eligible to participate
in any present or future stock option,  stock purchase,  bonus,  retirement,  or
other  employee  benefit  plans of  Interwest  on the same basis as employees of
Interwest occupying comparable  positions.  Except as otherwise provided herein,
no person who was an employee  of NWH prior to the  Closing  Date shall have any
greater rights  incident to his  employment  after the Closing of this Agreement
and the Closing Date.

      3.7.  Non-Competition  Agreements.  Each of the Shareholders shall, at the
Effective  Time,  enter into a  Non-Competition  Agreement with Interwest in the
form attached  hereto as Exhibit "D";  provided,  however,  the  non-competition
agreement  of  Charles  Davis  shall be  included  in the  Employment  Agreement
attached  hereto as  Exhibit  "C" and he shall not be  required  to enter into a
separate Non-Competition Agreement.


                                      5

<PAGE>



      3.8.   Registration   Rights.   Shareholders   shall  be  granted  certain
Registration Rights which entitle Shareholders to have shares of their Interwest
Common Stock registered as set forth in the Registration Rights Agreement in the
form of Exhibit "E" attached  hereto  which shall,  at the  Effective  Time,  be
entered into by Interwest and the Shareholders.

                                  Article IV
                                    Closing

      4.1.  Closing.   Prior  to  the  Effective  Time,  a  pre-closing  of  the
Transaction  shall take place for the purpose of confirming the satisfaction of,
or if  permissible,  waiver of the  conditions set forth in Articles VIII and IX
hereof. The pre-closing may be held telephonically.  The closing (the "Closing")
shall  take place on August 14,  1997 at the  offices of NWH unless a  different
time and  place is  agreed  to by the  parties.  However,  in no event  will the
Closing occur subsequent to September 30, 1997.

     4.2. Documents at Closing. At the Closing, the following transactions shall
occur, all of such transactions being deemed to occur simultaneously:

     4.2.1. The Shareholders and NWH will deliver, or cause to be delivered,  to
Interwest the following:

     (a) Stock certificates for all of the issued and outstanding  stock of NWH
duly endorsed;

     (b) A  certificate  from the Alaska  Department  of Commerce  and  Economic
Development,  Division of Banking, Securities and Corporations dated at or about
the Effective  Date to the effect that NWH is in good standing under the laws of
said state;

     (c) An  Investment  Letter in the form of Exhibit "F" attached  hereto from
each Shareholder  representing  that he or she is acquiring the Interwest Common
Stock for investment purposes only and not with a view to further distribution;

     (d) A legal opinion in the Form of Exhibit G-1 attached hereto;

     (e) Such other  instruments,  documents and certificates as are required to
be  delivered  pursuant  to the  provisions  of this  Agreement  or which may be
reasonably requested in furtherance of the provisions of this Agreement.

     4.2.2. Interwest will deliver or cause to be delivered to the Shareholders:

     (a) Certificates for the Interwest Shares to be issued to the Shareholders;

     (b) A certificate from the Secretary of State of the State of Utah dated at
or about the  Effective  Date to the effect that  Interwest is in good  standing
under the laws of said state;

            (c) A legal opinion in the form of Exhibit G-2 attached hereto; and

            (d)  Such  other  instruments,  documents  and  certificates  as are
      required to be delivered  pursuant to the  provisions of this Agreement or
      which may be reasonably requested in furtherance of the provisions of this
      Agreement.


                                      6

<PAGE>



            4.2.3. The Shareholders and Interwest shall each execute and deliver
at the Closing,  the Employment  Agreement  attached  hereto as Exhibit "C", the
Non-Competition  Agreement  attached  hereto as Exhibit  "D",  the  Registration
Rights  Agreement  attached  hereto as Exhibit "E", and the Indemnity  Agreement
attached hereto as Exhibit "H".


                                   Article V
                Representations and Warranties of Shareholders

      Each of the Shareholders  represents and warrants to Interwest,  except as
disclosed in this Agreement or in the NWH Schedules, that the statements made in
this Article V will be correct and complete at the Effective Time.

      5.1.  Shareholders.  Each of the  Shareholders  is the owner of all of the
issued and  outstanding  shares of the capital  stock of NWH  attributed to such
Shareholder on Exhibit "B" and each  Shareholder has full legal title to all NWH
Common Stock  described in Exhibit "B" as being owned by such  Shareholder  free
from any and all  claims,  liens or other  encumbrances.  Shareholders  have the
unqualified  right to sell,  transfer  and  dispose  of their NWH  Common  Stock
subject to the laws of  bankruptcy,  insolvency and general  creditor's  rights.
Each Shareholder  represents and warrants that, in regards to such Shareholder's
shares of NWH, such Shareholder has the full right and authority to execute this
Agreement and to transfer his or her shares of NWH Common Stock to Interwest.

      5.2. Restricted Shares to be Issued.  Each Shareholder  understands and is
aware that the issuance of Interwest  Common Stock at the Effective Time will be
made without registration under the Securities Act or under any state securities
laws and that the Interwest Common Stock may not be sold or transferred  without
registration under the Securities Act and under applicable state securities laws
or unless an exemption from such  registration  is available.  Each  Shareholder
understands that the investment in the Interwest Common Stock is speculative and
may remain so for an indefinite  period and each Shareholder  hereby  represents
that he or she is able to bear the economic risk of his or her investment in the
Interwest Common Stock.  All certificates  evidencing the Interwest Common Stock
shall bear  appropriate  restrictive  legends in accordance with Section 2.6. At
the Closing,  Shareholders will be granted certain  registration rights pursuant
to the Registration Rights Agreement attached hereto as Exhibit "E".

      5.3. Organization.  NWH is a corporation duly organized,  validly existing
and in good standing under the laws of the State of Alaska and has all requisite
corporate  power and authority to own, lease and operate its assets and to carry
on its  business  as now being  conducted,  except  where the  failure  to be so
existing and in good standing or to have such power and  authority  would not in
the aggregate  have a material  adverse  effect on the  business,  operations or
financial  condition  of NWH  taken  as a  whole.  NWH is duly  qualified  to do
business as a foreign corporation and is in good standing under the laws of each
state or  jurisdiction  which requires such  qualification.  Attached  hereto as
Schedule  5.3,  is a copy of a Good  Standing  Certificate  of NWH issued by the
State of Alaska.

      5.4.  Capitalization.  The entire authorized capital stock of NWH consists
of 10,000 shares of common stock having no par value, of which 10,000 shares are
currently  issued  and  outstanding  and of which not more than  10,000  will be
issued  and  outstanding  at  the  Effective  Time.  There  are  no  outstanding
convertible  securities,  warrants,  options, or commitments of any nature which
may cause authorized but unissued shares of NWH Common Stock to be issued to any
Person.  At the Effective  Time, all issued and  outstanding  shares of NWH will
have been duly authorized, validly

                                      7

<PAGE>



issued,  fully paid,  and  non-assessable,  and not issued in  violation  of the
preemptive or other right of any Person.

      5.5.  Reorganization Related Representations.

            5.5.1.There  is no plan or  intention by the  Shareholders  to sell,
exchange,  or otherwise  dispose of a number of shares of Interwest Common Stock
received  in the  Merger  that  would  reduce  the  Shareholders'  ownership  of
Interwest  stock to a number  of  shares  having a value,  as of the date of the
Merger,  of less than 50% of the value of all of the formerly  outstanding stock
of NWH as of the same date. The NWH Common Stock and shares of Interwest  Common
Stock held by the  Shareholders  and otherwise  sold,  redeemed,  or disposed of
prior or subsequent to the Merger are considered in making this representation.

            5.5.2.NWH  has no plan or  intention to issue  additional  shares of
stock that would result in Interwest losing control of NWH within the meaning of
Section 368(c) of the IRC.

            5.5.3.There  is  no  intercorporate  indebtedness  existing  between
Interwest and NWH, or between Merger Sub and NWH, which was issued, acquired, or
will be settled at a discount.

            5.5.4.At the Effective Time, shares of NWH Common Stock representing
control of NWH as defined in Section 368(c) of the IRC, will be Exchanged solely
for voting stock of Interwest.

            5.5.5.At  the  Effective  Time,  NWH will not have  outstanding  any
warrants,  options,  convertible securities, or any other type of right pursuant
to which any person could  acquire stock in NWH that, if exercised or converted,
would affect Interwest's  acquisition or retention of control of NWH, as defined
in Section 368(c) of the IRC.

     5.5.6.NWH   is  not  an   investment   company   as   defined   in  Section
368(a)(2)(f)(iii) and (iv) of the IRC.

            5.5.7.On the Effective  Date, the fair market value of the assets of
NWH will exceed the sum of its liabilities.

            5.5.8. NWH is not under the jurisdiction of a court in a Title 11 or
similar case within the meaning of Section 368(a)(3)(A) of the IRC.

            5.5.9.    None    of    the    compensation    received    by    any
shareholder-employees  of NWH will be separate  consideration  for, or allocable
to, any of their shares of NWH Common Stock;  and the  compensation  paid to any
shareholder-employees  will  be for  services  actually  rendered  and  will  be
commensurate  with amounts paid to third parties  bargaining at arms-length  for
similar services.

      5.6.  Authority  Relative to this Agreement.  NWH has full corporate power
and  authority  to execute and deliver  this  Agreement  and to  consummate  the
Transaction.  The execution and delivery of this Agreement and the  consummation
of the  Transaction  have  been  duly and  validly  authorized  by the  Board of
Directors of NWH and have or will be duly and validly  authorized  by all of the
Shareholders  and no other corporate  action on the part of NWH are necessary to
authorize this Agreement or to consummate  the  Transaction.  This Agreement has
been  duly  and  validly  executed  and  delivered  by NWH  and by  each  of the
Shareholders  and  constitutes  a valid  and  binding  agreement  of NWH and the
Shareholders,  enforceable  against  each of them in  accordance  with its terms
subject to the laws of bankruptcy,  insolvency,  general  creditor's  rights and
equitable principles.

                                      8

<PAGE>



      5.7.  Approvals and Consents; Non-Contravention.

            5.7.1.  Except  as  provided  in  Section  2.2 and as set  forth  in
Schedule 5.7.1, no material consent, material approval, or other material action
by, or notice to or material  registration or filing with, any Governmental Body
is  required  or  necessary  to be  obtained  by NWH or  either  Shareholder  in
connection with the execution,  delivery or performance of this Agreement by NWH
or either Shareholder or the consummation of the Transaction.

            5.7.2. Except as set forth in Schedule 5.7.2, no consent,  approval,
waiver or other action by any Person under any material  Contract,  to which NWH
or either  Shareholder  is a party or by which  they or any of their  assets are
bound, is required or necessary for the execution,  delivery, and performance of
this Agreement by NWH or the consummation of the  Transaction.  Each Shareholder
represents  with respect to himself or herself and not with respect to the other
Shareholder,  that no consent,  approval,  waiver or other  action by any Person
under any material  Contract to which such Shareholder is a party or by which it
or any of its assets is bound,  is  required  or  necessary  for the  execution,
delivery, and performance of this Agreement by NWH and the Shareholders,  or the
consummation of the Transaction.

            5.7.3. The execution,  delivery, or performance of this Agreement by
NWH and the  Shareholders  and the consummation of the Transaction will not: (i)
violate or conflict with the charter documents or Bylaws of NWH; (ii) violate or
conflict with any law,  regulation or Order applicable to NWH or any Shareholder
or by  which  they  or any of  their  assets  are  bound,  or any  agreement  or
understanding  between any  Governmental  Body, on the one hand,  and NWH on the
other hand; or (iii) violate or conflict with,  result in a breach of, result in
or permit the  acceleration or termination of, or constitute a default under any
material  Contract  to which NWH is a party or by which it or any of its  assets
are bound excluding from the foregoing clauses (ii) and (iii) such violations or
conflicts  which,  in the aggregate,  could not reasonably be expected to have a
material  adverse affect on the business,  operations or financial  condition of
NWH taken as a whole.

            Each Shareholder  represents that, as to himself or herself, and not
as to any other  Shareholder,  the execution,  delivery and  performance of this
Agreement by such  Shareholder  will not: (i) violate or conflict  with any law,
regulation, or Order applicable to such Shareholder or by which it or any of its
assets are bound,  or any agreement or  understanding  between any  Governmental
Body on the one hand and such  Shareholder  on the other hand or (ii) violate or
conflict with, result in a breach of, or result in or permit the acceleration or
termination  of, or  constitute a default  under any material  Contract to which
such  Shareholder  is a party  or by which it or any of its  assets  are  bound,
excluding from the foregoing clause (i) such violations or conflicts which could
not  reasonably be expected to have a material  adverse affect on the ability of
such Seller to consummate the Transactions.

      5.8. Articles of Incorporation and Bylaws. Attached hereto as Schedule 5.8
are true and correct copies of the Articles of Incorporation  and Bylaws of NWH.
Such  Articles of  Incorporation  and Bylaws are in full force and effect and no
amendments are pending. NWH is not in violation of any provision of its Articles
of  Incorporation  or Bylaws.  Schedule 5.8 also  contains all Board of Director
minutes and resolutions and all shareholder  minutes and resolutions of NWH from
January 1, 1994.

     5.9.  Financial  Statements.  Attached hereto as Schedule 5.9 are unaudited
financial  statements of NWH as of June 30,1997 ("NWH  Management  Reports") and
audited  financial  statements of NWH for the years ended  December 31, 1996 and
December 31, 1995  together  with the related  footnotes  and report  thereon of
Tanner + Co. (the "NWH Audited Financial Statements").

                                      9

<PAGE>



The NWH  Management  Reports  and  the  NWH  Audited  Financial  Statements  are
hereafter  referred  to as the "NWH  Financial  Statements."  The NWH  Financial
Statements are correct and complete in all material respects and fairly present,
in  accordance  with  generally  accepted  accounting  principles,  consistently
applied,  the  financial  position  of NWH as of such  dates and the  results of
operations and changes in financial  position for such periods all in accordance
with GAAP (in the case of the NWH  Management  Reports,  GAAP as  applicable  to
quarterly  financial  statements)  subject,  in the  case of the NWH  Management
Reports, to normal recurring year-end adjustments (the effect of which will not,
individually or in the aggregate,  be materially adverse) and the absence of the
notes (that if presented would not differ  materially from those included in the
NWH Audited Financial Statements).

            5.9.1. NWH (i) keeps books, records and accounts that, in reasonable
detail,  accurately and fairly reflect (A) the  transactions and dispositions of
assets of such entity and (B) the value of inventory  calculated  in  accordance
with  GAAP,  and  (ii)  maintains  a  system  of  internal  accounting  controls
sufficient to provide reasonable assurance that (A) transactions are executed in
accordance with management's general or specific authorization, (B) transactions
are recorded as  necessary to permit  preparation  of  financial  statements  in
conformity with GAAP and to maintain  accountability  for assets,  (C) access to
assets is permitted  only in accordance  with  management's  general or specific
authorizations,  and (D) the recorded accountability for assets is compared with
existing  assets at reasonable  intervals and  appropriate  action is taken with
respect to any differences.

            5.9.2.Neither   NWH  nor  any   employee,   agent,   consultant   or
representative  of NWH has made any  payment  of  funds  of NWH or  received  or
retained any funds in violation of any applicable law, rule or regulation.

            5.9.3.Each  Shareholder represents as to himself or herself, and not
the other  Shareholder,  that he or she has not made any payment of funds of NWH
or received or retained any funds in violation of any  applicable  law,  rule or
regulation.

      5.10.  No  Undisclosed  Material  Liabilities.  NWH is not  subject to any
material  liability  ($10,000 or more) of any kind whatsoever  (whether accrued,
absolute,  contingent, or otherwise) that are, individually or in the aggregate,
material to NWH taken as a whole other than:

     (a)  liabilities disclosed or provided for in the most recent NWH Financial
          Statements;

     (b)  liabilities incurred in the Ordinary Course of Business since the date
          of such NWH Financial Statements;

     (c)  liabilities  contemplated  by and arising  under this  Agreement or in
          connection with the Transaction; and

     (d)  liabilities described in Schedule 5.10 attached hereto.

      To the Knowledge of the Shareholders, there is no basis for the imposition
of any other  liabilities  which could reasonably be expected to have a material
adverse effect on the business, properties, assets or operations of NWH taken as
a whole.

     5.11.  Absence of Certain Changes or Events.  Except (i) as contemplated by
this Agreement; and (ii) as disclosed in Schedule 5.11, since December 31, 1996,
NWH has not:


                                      10

<PAGE>



            (a) suffered any change in its business, operations,  properties, or
      condition  (financial  or  otherwise),  or prospects  which has had, or to
      Knowledge  of   Shareholders,   could  reasonably  be  expected  to  have,
      individually  or in  the  aggregate,  a  material  adverse  effect  on the
      business, properties, assets or operations of NWH taken as a whole;

            (b) suffered any damage, destruction or loss (whether or not covered
      by  insurance)  with respect to any of its  properties or assets which has
      had, or to the Knowledge of Shareholders,  could reasonably be expected to
      have,  individually or in the aggregate,  a material adverse effect on the
      business, properties, assets or operations of NWH taken as a whole;

            (c)  except  in  the  Ordinary  Course  of  Business,  incurred  any
      liability or obligation (absolute, accrued, contingent or otherwise) in an
      amount in excess of $10,000;

            (d) changed any of its accounting methods, principles or practices;

            (e) revalued any asset, other than due to depreciation or 
      amortization;

            (f) paid, discharged or satisfied any claim, liability or 
      obligation not reflected in the NWH Financial Statements in an amount in 
      excess of $10,000;

            (g) except in the  Ordinary  Course of  Business,  entered  into any
      commitment or transaction material to NWH taken as a whole in an amount in
      excess of $10,000;

            (h)  declared,  set aside or paid any  dividend or  distribution  in
      respect of any capital stock, or redeemed, purchased or otherwise acquired
      any of these securities or modified its capitalization;

            (i)  increased  or  established  any  bonus,  insurance,  severance,
      deferred compensation,  pension, retirement,  profit sharing, stock option
      (including,  without  limitation,  the  granting of stock  options,  stock
      appreciation  rights,  performance  awards,  or restricted  stock awards),
      stock  purchase or other employee  benefit plan, or otherwise  changed the
      compensation  payable or to become payable to any officer or key employees
      of NWH;

     (j)  except in the Ordinary Course of Business, canceled or written off any
          debts or waived any claims in an amount in excess of $10,000;

            (k)  except in the  Ordinary  Course of  Business,  transferred  any
      assets in an amount in excess of $10,000 or made capital  expenditures and
      commitments in an amount in excess of $10,000 in the aggregate;

            (l) paid or loaned  (other  than  payment of salaries or benefits or
      reimbursement  of expenses) any amount to, or sold,  transferred or leased
      any properties or assets to, or entered into any contract with, any of its
      officers  or  directors,  or  any  Affiliate  or  Associate  of any of its
      officers or directors;

            (m) increased its reserves for bad debts, guaranteed any obligation,
      except in the Ordinary Course of Business, or indemnified any Person; or

            (n) agreed (whether or not in writing) to do any of the foregoing.


                                      11

<PAGE>



     5.12. Real Property  Leaseholds.  NWH leases its facilities pursuant to the
leases  identified in the attached  Schedule 5.12. NWH is not bound by any other
real property leases and NWH does not own any real property.

      5.13. Accounts Receivables. To the Knowledge of Shareholders, all of NWH's
accounts receivable arose in the Ordinary Course of Business,  are "arms length"
and bona fide,  and are correctly  reflected in NWH's books and records.  To the
Knowledge of Shareholders, all of NWH's accounts receivable (net of reserves for
doubtful  accounts  set forth on NWH's  financial  records) are  collectible  in
accordance  with their terms.  To the Knowledge of  Shareholders,  none of NWH's
accounts  receivable  or  contracts is subject to any set off,  counterclaim  or
adjustment  by reason of any product  liability,  breach of warranty,  contract,
accounting error or other claim.

     5.14. Product Liability. To the Knowledge of Shareholders, there is and has
been no  material  defect in and no breach of express or implied  warranties  or
representations  involving any product manufactured,  shipped, sold or delivered
by or on behalf of NWH.

      5.15.  Inventory.  All items of NWH's  inventory and related  supplies are
merchantable or suitable and useable for sale in the ordinary course of business
as first  quality  goods at normal  mark-ups,  none of such items is obsolete or
below  standard  quality  and each  item of such  inventory  reflected  in NWH's
Financial  Statements  and is so reflected  on the basis of a complete  physical
count and is valued at the lower of cost or fair market value in accordance with
generally accepted cash basis accounting principles consistently applied.

      5.16. Intellectual Property. Schedule 5.16 hereto contains a complete list
and  description  of all NWH's United  States and foreign (a) patents and patent
applications;   (b)  trademark  registrations  and  applications  for  trademark
registrations;  (c)  copyright  registrations  and  applications  for  copyright
registrations;  (d)  unregistered  trademarks,  trade names,  service  marks and
copyrights;  and (e)  unpatented  trade  secrets.  NWH wholly owns the exclusive
rights  to all of the  above-described  intellectual  property  and there are no
existing  or  known  threatened  claims  of  any  third  party  challenging  the
ownership,  scope or validity of any of the said intellectual  property;  to the
Knowledge of Shareholders, there is no infringing use by any person or entity of
any of the intellectual  property;  and to the Knowledge of Shareholders,  there
has been no  disclosure  of any of the trade  secrets to any  person  other than
persons who have executed confidentiality/non-competition agreements.


      5.17.  Litigation  and  Proceedings.  Except as set forth in the  Schedule
5.17, there is no claim or Proceeding pending or, to the Knowledge of any of the
Shareholders,  Threatened  against NWH or any  Shareholder,  or any  property or
asset  of  NWH,  by  any  Person  or any  Governmental  Authority  which  (i) is
reasonably likely to have, individually and in the aggregate, a material adverse
effect on the  business,  assets or  operations  of NWH taken as a whole or (ii)
seeks to delay or prevent the  consummation of the  Transaction.  As of the date
hereof,  neither NWH nor any  property or asset of NWH, is subject to any Order.
To the Knowledge of the Shareholders, there is no basis for any claim, action or
Proceeding  against  NWH which could  reasonably  be expected to have a material
adverse effect on the business assets,  operations or financial condition of NWH
taken as a whole.

      5.18.  Compliance  with Laws,  Rules and  Regulations.  Schedule 5.18 sets
forth all material  Governmental  Authorizations  (or  requests or  applications
therefor) pursuant to which NWH carries on its business. To the Knowledge of the
Shareholders,  NWH complies with all applicable federal laws, rules, regulations
and all applicable state and local laws,  rules and regulations  relating to the
operation  of its  business,  except to the  extent  that  non-compliance  could
reasonably  be  expected  to  materially  and  adversely  affect  the  business,
operations, properties, assets or condition of NWH

                                      12

<PAGE>



taken as a whole or except to the extent that non-compliance would not result in
the occurrence of any material liability for NWH taken as a whole.

      5.19 Business Practices. NWH is not engaged in any activity, whether alone
or in  concert  with  one or more  of its  clients,  which  would  constitute  a
violation  of any  federal  laws or the laws of any  state  (including,  but not
limited to, (i)  federal  anti-fraud  and abuse or similar  laws  pertaining  to
Medicare,  Medicaid,  or any other federal  health or insurance  programs;  (ii)
state  laws  pertaining  to  Medicaid  or any other  state  health or  insurance
programs;  (iii) state or federal  laws  pertaining  to  billings  to  insurance
companies, health maintenance organizations,  and other managed care plans or to
insurance fraud; and (iv) federal and state laws relating to collection agencies
and the performance of collection services  prohibiting  fraudulent,  abusive or
unlawful  practices  connected  in any way with the  provision  of  health  care
services,  the billing for such services provided to a beneficiary of any state,
federal or private health or insurance  program or credit  collection  services,
except  for such  violations  which in the  aggregate  would not have a material
adverse  effect on the  asset,  liabilities,  results of  operations,  financial
condition, or prospect of NWH. Without limiting the generality of the foregoing,
NWH has not, directly or indirectly,  paid,  offered to pay or agreed to pay, or
solicited  or  received  any fee,  commission,  sum of money,  property or other
remuneration  to or from any person  which NWH knows or has reason to believe to
have been illegal under any federal or state law.

      5.20.  Contracts.  Schedule 5.20 sets forth a complete and correct list of
all  material  leases and all  material  Contracts to which NWH is a party or by
which any of its  properties  or  assets  are  bound.  To the  Knowledge  of the
Shareholders,  and  subject  to the  laws  of  bankruptcy,  insolvency,  general
creditor's rights, and equitable  principles,  all such leases and Contracts are
valid and  enforceable  in all material  respects.  For purposes of this Section
5.14, a "Material" agreement is an agreement which can reasonably be expected to
involve more than $10,000.

      5.21. Material Contract Defaults. Except as set forth in Schedule 5.21, to
the Knowledge of the Shareholders,  NWH is not in default under the terms of any
outstanding  Contract or lease,  which is material to the business,  operations,
assets,  or condition of NWH, and no event has occurred or  circumstances  exist
which,  with notice or lapse of time or both,  would  constitute a default under
any such Contract or lease other than any defaults which could not reasonably be
expected to have a material adverse effect on the business,  assets,  operations
or financial condition of NWH taken as a whole.

      5.22.  Taxes and Tax Returns.  All Tax Returns with respect to taxes based
upon net income filed by NWH since its January 1, 1993 are set forth in Schedule
5.22 attached  hereto.  NWH has filed all Tax Returns required to be filed by it
and has paid and  discharged  all taxes  shown as due  thereon  and has paid all
taxes when due, other than such payments as are being contested in good faith by
appropriate   Proceedings  and  as  to  which  sufficient   reserves  have  been
established.  Neither the IRS nor any other taxing authority or agency, domestic
or foreign,  is now  asserting  or, to the  Knowledge of the  Shareholders,  has
Threatened to assess against NWH, any  deficiency or claim for additional  taxes
or interest  thereon or penalties in connection  therewith.  NWH has not granted
any  waiver of any  statute of  limitations  with  respect  to, or agreed to any
extension  of the  period  for the  assessment  of,  any tax.  NWH has  properly
reported on Form 1099 all amounts paid to consultants and no consultant or other
person  to whom a  payment  has been  made by NWH  should  be  classified  as an
employee under the IRC.

      All Tax  Returns  filed  by NWH are  true,  correct  and  complete  in all
material  respects and accurately set forth all items to the extent  required to
be reflected or included in such returns by  applicable  law. NWH is not a party
to any tax sharing agreement.

                                      13

<PAGE>



            5.22.1.  The accruals  and reserves for taxes  reflected in the most
recent  balance  sheet  ("NWH  Balance  Sheet")  included  in the NWH  Financial
Statements  are  adequate  to  cover  all  taxes  accruable  through  such  date
(including interest and penalties, if any, thereon) in accordance with generally
accepted accounting  principles  consistently applied. The term "tax" or "taxes"
means  federal  state,  local,  foreign,  and  other  taxes,  including  without
limitation,  income taxes,  estimated taxes,  alternative  minimum taxes, excise
taxes,  sales  taxes,  use  taxes,  value-added  taxes,  gross  receipts  taxes,
withholding  taxes,  stamp  taxes,   transfer  taxes,   windfall  profit  taxes,
environmental  taxes and property taxes,  whether or not measured in whole or in
part by net income,  and all deficiencies,  or other additions to tax, interest,
fines and penalties.

     5.23. No Subsidiaries. NWH has no Subsidiaries and does not own any capital
stock,  security,  partnership  interest,  or other  interest of any kind in any
corporation,  partnership, joint venture, association, limited liability company
or other entity.

      5.24. Title and Related Matters.  NWH has good and marketable title to all
of its assets  which are  reflected  in the NWH  Management  Reports or acquired
after that date (except properties,  interests in properties, and assets sold or
otherwise disposed of since such date in the Ordinary Course of Business),  free
and clear of all mortgages, liens, pledges, charges or encumbrances,  except (i)
statutory liens or claims not yet delinquent;  (ii) such  imperfections of title
and easements as do not and will not  materially  detract from or interfere with
the  present or  proposed  use of the assets or  properties  subject  thereto or
affected thereby or otherwise  materially impair present business  operations on
such properties or in connection  with such assets;  and (iii) such liens as are
described  or  referred  to in  the  NWH  Financial  Statements  or in  the  NWH
Schedules. NWH owns, free and clear of any liens, claims, encumbrances,  royalty
interests and other  restrictions  or limitations of any nature  whatsoever,  or
otherwise  has the  legal  right  to use,  any and all  procedures,  techniques,
business  plans,  methods of management  and other  information  utilized in the
conduct of its  business  or  operations,  whether  or not the value  thereof is
reflected in the NWH Management  Reports.  The offices and equipment of NWH that
are necessary or used in the  operations  of its business are in good  operating
condition and repair, normal wear and tear excepted.

      5.25. Insurance.  NWH currently maintains the insurance policies described
on the attached  Schedule  5.25 which sets out the type of  insurance,  insurer,
policy number,  expiration  date,  whether such insurance is written on a claims
made or occurrence basis, the deductible and policy limit.

      5.26.  Environmental Matters.

            5.26.1.  NWH  (i)  has  not  violated  or is  in  violation  of  any
Environmental  Law;  (ii) has owned or  leased  properties  (including,  without
limitation, soils and surface and ground waters) which are contaminated with any
Hazardous Substance;  (iii) is not liable for any off-site  contamination;  (iv)
actually or  potentially  (other than as a result of a  foreclosure  action of a
mortgage  interest)  or, to the  Knowledge of NWH and the  Shareholders,  is not
liable under any Environmental Law (including,  without  limitation,  pending or
Threatened liens); (v) has not failed to obtain all permits,  licenses and other
authorization  required to be obtained by it under any  Environmental  Law ("NWH
Environmental  Permits");  and (vi) has not failed to be in compliance  with the
NWH Environmental Permits.

            5.26.2.  To the  Knowledge  of  Shareholders,  NWH does not have any
material  Environmental  Liabilities,  and has not had within the five (5) years
preceding the date hereof a material  release of Hazardous  Substances  into the
environment in violation of any Environmental Law or Environmental Permit.

     5.26.3. For the purposes of this Section 5.26, the following terms have the
following

                                      14

<PAGE>



meanings:

            "Environmental Laws" shall mean any and all Federal, state and local
      laws  (including case law),  regulations,  ordinances,  rules,  judgments,
      orders, decrees, codes, plans, injunctions,  permits, concessions, grants,
      franchises, licenses, agreements and governmental restrictions relating to
      (i) human health, the environment or to emissions,  discharges or releases
      of  pollutants,  contaminants,  Hazardous  Substances  or wastes  into the
      environment;  (ii)  the  manufacture,   processing,   distribution,   use,
      treatment,   storage,  disposal,  transport  or  handling  of  pollutants,
      contaminants,  Hazardous  Substances  or wastes or the  clean-up  or other
      remediation  thereof;  or (iii) the  pollution of the  environment  or the
      protection of human health.

            "Environmental  Liabilities"  shall  mean all  liabilities,  whether
      vested or unvested,  contingent or fixed,  which (i) arise under or relate
      to Environmental  Laws and (ii) relate to actions  occurring or conditions
      existing on or prior to the Effective Time.

            "Hazardous Substances" shall mean (i) those substances defined in or
      regulated   under  the   following   federal   statutes  and  their  state
      counterparts,  as  each  may  be  amended  from  time  to  time,  and  all
      regulations  thereunder:  the Hazardous Materials  Transportation Act, the
      Resources  Conservation and Recovery Act, the Comprehensive  Environmental
      Response,  Compensation  and  Liability  Act,  the Clean Air Act, the Safe
      Drinking  Water Act (Clean Water Act),  the Atomic Energy Act, the Federal
      Insecticide,  Fungicide,  and Rodenticide  Act and the Substances  Control
      Act; (ii)  petroleum and petroleum  products  including  crude oil and any
      fractions  thereof;  (iii) natural gas, synthetic gas, natural gas liquids
      and any mixtures thereof; (iv) radon; (v) any other contaminant;  and (vi)
      any  substance  with respect to which a  Governmental  Authority  requires
      environmental investigation, monitoring, reporting or remediation

      5.27.  Employees.  Schedule  5.27 contains a complete and accurate list of
the following  information  for each  employee,  consultant,  representative  or
director of NWH,  including  each employee on leave of absence or layoff status:
employer;  name; job title;  current compensation paid or payable and any change
in compensation since December 31, 1995; vacation accrued;  and service credited
for  purposes of vesting  and  eligibility  to  participate  under any  pension,
retirement, profit-sharing,  thrift-savings, deferred compensation, stock bonus,
stock option, cash bonus,  employee stock ownership (including investment credit
or payroll stock ownership),  severance pay,  insurance,  medical,  welfare,  or
vacation plan,  other employee  pension benefit plan or employee welfare benefit
plan, or any other employee benefit plan or any director plan.

            5.27.1. No employee,  consultant,  representative or director of NWH
is a party to, or is otherwise bound by, any agreement or arrangement, including
any confidentiality,  non-competition,  or proprietary rights agreement, between
such  employee,  consultant,  representative  or director  and any other  Person
("Proprietary Rights Agreement") that in any way materially adversely affects or
could reasonably be expected to materially  adversely affect (i) the performance
of his duties as an  employee  or director of NWH, or (ii) the ability of NWH to
conduct its business. To the Knowledge of Shareholders, no director, officer, or
other key employee of NWH intends to terminate his employment with NWH.

     5.28. Relationships with Associates and Affiliates.  Except as set forth in
Schedule 5.28, no Shareholder  nor any Associate or Affiliate of any Shareholder
has, or since  January 1, 1994 has had, any  interest in any  property  (whether
real, personal, or mixed and whether tangible or

                                      15

<PAGE>



intangible), used in or pertaining to NWH. Except as set forth in Schedule 5.28,
no Shareholder  nor any Associate or Affiliate of any  Shareholder  is, or since
January  1,  1994 has  owned  (of  record  or as a  beneficial  owner) an equity
interest or any other financial or profit interest in, a Person that has (i) had
business dealings or a material  financial interest in any transaction with NWH,
other than business dealings or transactions conducted in the Ordinary Course of
Business  at  substantially   prevailing  market  prices  and  on  substantially
prevailing market terms, or (ii) engaged in competition with NWH with respect to
any line of the  products  or services of NWH (a  "Competing  Business")  in any
market  presently  served  by NWH.  Except  as set forth in  Schedule  5.28,  no
Shareholder  and no Associate or Affiliate of any  Shareholder is a party to any
Contract with, or has any claim or right against, NWH.

     5.29. Brokers.  Neither NWH nor any Shareholder,  has incurred nor will any
of them incur,  any brokerage,  finder's,  or similar fee in connection with the
Transaction.

      5.30. Full Disclosure.  No representation or warranty in this Article V or
in  any  document  delivered  by  NWH  or  either  Shareholder  pursuant  to the
transactions contemplated by this Agreement, and no statement,  certificate,  or
schedule furnished or to be furnished by NWH or either Shareholder,  or pursuant
to the  provisions  of,  this  Agreement  contains  or shall  contain any untrue
statement  of a material  fact or omits or shall  omit to state a  material  act
necessary,  in light of the  circumstances  under which it was made, in order to
make the statements herein or therein not misleading. There is no event, fact or
condition that materially and adversely affects the business,  assets (including
intangible assets), financial condition or results of operations of NWH taken as
a whole,  or that  reasonably  could be expected to do so, that has not been set
forth in this Agreement.


                                  Article VI
                 Representations And Warranties of  Interwest

      Interwest represents and warrants to each Shareholder and to NWH except as
disclosed  in this  Agreement  or in any of the  Interwest  Schedules,  that the
statements made in this Article VI will be correct and complete at the Effective
Time.

      6.1. Organization.  Each of Interwest and Merger Sub is a corporation duly
organized,  validly existing and in good standing under the laws of the State of
Utah and has all  requisite  corporate  power and  authority  to own,  lease and
operate its  properties  and to carry on its  business  as now being  conducted,
except where the failure to be so existing and in good  standing or to have such
power and authority would not in the aggregate have a materially  adverse effect
on the  business,  operations  or financial  condition  of Interwest  taken as a
whole.  Each of Interwest  and Merger Sub is duly  qualified to do business as a
foreign  corporation  and is in good  standing  under the laws of each  state or
jurisdiction which requires such qualification.

      6.2.  Capitalization.  The entire  authorized  capital  stock of Interwest
consists of 50,000,000  shares of common stock, no par value, of which 3,389,081
shares are  currently  issued and  outstanding.  Interwest  also has  10,000,000
shares of  Preferred  Stock  authorized,  $.01 par  value,  300,000 of which are
issued and  outstanding  as Series "A"  Preferred  Stock.  Interwest has granted
various options to employee,  agents, and management which, upon exercise,  will
increase the number of shares of Interwest issued and outstanding.  Such Options
are described in Interwest  Schedule 6.2.  From and at the Effective  Time,  all
issued and outstanding shares of Interwest,  including without limitation, those
delivered  as provided in Article  II, will have been duly  authorized,  validly
issued,  fully paid,  and  non-assessable,  and not issued in  violation  of the
pre-emptive or other

                                      16

<PAGE>



right of any Person.

      6.3.  Authority  Relative to this Agreement.  Each of Interwest and Merger
Sub has the full  corporate  power and  authority  to execute and  deliver  this
Agreement and to consummate the Transaction which includes,  but is not limited,
the issuance of the Interwest  Common Stock to the  Shareholders  in the Merger.
The  execution  and  delivery  of this  Agreement  and the  consummation  of the
Transaction  have been duly and validly  authorized by the Board of Directors of
Interwest and Merger Sub, and no other corporate action on the part of Interwest
or Merger Sub is  necessary  or  required  to  authorize  this  Agreement  or to
consummate the  Transaction.  This Agreement has been duly and validly  executed
and  delivered by Interwest  and Merger Sub and  constitutes a valid and binding
agreement  of  Interwest  and Merger Sub,  enforceable  against  each of them in
accordance with its terms subject to the laws of bankruptcy, insolvency, general
creditor's rights, and equitable principles.

      6.4.  Reorganization Related Representations.

            6.4.1.The  fair market value of the Interwest  Common Stock received
by each Shareholder of NWH in the Merger will be approximately equal to the fair
market value of the NWH Common Stock surrendered in the Exchange.

            6.4.2.Following  the Effective  Time,  NWH will hold at least 90% of
the fair  market  value of its net  assets  and at least 70% of the fair  market
value  of its  gross  assets,  and at  least  90% of the  fair  market  value of
Interwest  Merger  Sub's net assets and at least 70% of the fair market value of
Merger Sub's gross assets held immediately prior to the Merger.  For purposes of
this  representation,  amounts  used by NWH or Merger Sub to pay  reorganization
expenses,  and all redemptions  and  distributions  (except for regular,  normal
dividends)   made  by  NWH  are  included  as  assets  of  NWH  or  Merger  Sub,
respectively, immediately prior to the Effective Time.

            6.4.3.Immediately  prior to the Effective Time, Interwest will be in
control of Merger Sub within the meaning of Section 368(c) of the IRC.

     6.4.4  Interwest  has no plan or intention  to  reacquire  any of its stock
issued in the Merger.

            6.4.5.Interwest  has no plan or intention to liquidate NWH, to merge
NWH with or into another corporation;  to sell or otherwise dispose of the stock
of NWH except for transfers of stock to corporations controlled by Interwest; or
to cause NWH to sell or  otherwise  dispose  of any of its  assets or any of the
assets  acquired from Merger Sub, except for  dispositions  made in the Ordinary
Course of Business or transfers of assets to a corporation controlled by NWH.

            6.4.6.Merger  Sub will have no  liabilities  assumed by NWH and will
not transfer to NWH any assets subject to liabilities in the Merger.

            6.4.7.Following  the Effective  Time, NWH will continue its historic
business or use a  significant  portion of its historic  business  assets in its
business.

            6.4.8.There  is  no  intercorporate  indebtedness  existing  between
Interwest and NWH, or between Merger Sub and NWH, which was issued, acquired, or
will be settled at a discount.

            6.4.9.In the Merger, shares of NWH stock representing control of NWH
as defined in Section  368(c) of the IRC,  will be  Exchanged  solely for voting
stock of Interwest.

                                      17

<PAGE>



     6.4.10.  Interwest  does not own,  nor has it owned  during  the past  five
years, any shares of the stock of NWH.

     6.4.11.  Interwest  is not an  investment  company  as  defined  in Section
368(a)(2)(f)(iii) and (iv) of the IRC.

            6.4.12.    None    of    the    compensation    received    by   any
shareholder-employees  of NWH will be separate  consideration  for, or allocable
to,  any of  their  shares  of NWH  stock;  and  the  compensation  paid  to any
shareholder-employees  will  be for  services  actually  rendered  and  will  be
commensurate  with amounts paid to third parties  bargaining at arms-length  for
similar services.

      6.5.  Approvals and Consents; Non-Contravention.

            6.5.1.  Except as  provided in Section  2.2,  no  material  consent,
material  approval,  or other  material  action  by,  or  notice  to a  material
registration or filing with, any  Governmental  Body is required or necessary to
be  obtained  by  Interwest  or Merger  Sub in  connection  with the  execution,
delivery or  performance  of this  Agreement  by  Interwest or Merger Sub or the
consummation of the transactions contemplated by this Agreement.

            6.5.2.  No consent,  approval,  waiver or other action by any Person
under any  material  Contract to which  Interwest or Merger Sub is a party or by
which they or any of their assets are bound,  is required or  necessary  for the
execution,  delivery,  and  performance of this Agreement by Interwest or Merger
Sub or the consummation of the Transaction.

            6.5.3. The execution,  delivery, or performance of this Agreement by
Interwest or Merger Sub and the consummation of the Transactions contemplated by
this Agreement  will not: (i) violate or conflict with the charter  documents or
Bylaws of  Interwest  or  Merger  Sub (ii)  violate  or  conflict  with any law,
regulation  or Order  applicable  to Interwest or Merger Sub or by which they or
any of their assets are bound, or any agreement  between any Governmental  Body,
on the one hand, and Interwest or Merger Sub on the other hand; or (iii) violate
or conflict with, result in a breach of, result in or permit the acceleration or
termination  of, or  constitute a default  under any material  Contract to which
Interwest  or Merger Sub is a party or by which they or any of their  assets are
bound  excluding  from the foregoing  clauses (ii) and (iii) such  violations or
conflicts  which,  in the aggregate,  could not reasonably be expected to have a
material  adverse affect on the business,  operations or financial  condition of
Interwest taken as a whole.

      6.6 Financial  Statements.  Attached  hereto as Schedule 6.6 are unaudited
consolidated  financial  statements of Interwest  (excluding Merger Sub which is
recently  formed,  has no  assets  and no  liabilities)  as of  March  31,  1997
("Interwest  Management Reports") and audited consolidated  financial statements
for the years ended September 30, 1996 and September 30, 1995, together with the
related footnotes and report thereon of the auditors rendering such reports (the
"Interwest Audited Financial Statements").  The Interwest Management Reports and
the Interwest  Audited  Financial  Statements  are hereafter  referred to as the
"Interwest Financial Statements." The Interwest Financial Statements are correct
and complete in all respects and fairly  present,  in accordance  with generally
accepted accounting principles, consistently applied, the consolidated financial
position of Interwest as of such dates and the results of operations and changes
in financial position for such periods all in accordance with GAAP,  subject, in
the case of the Management  Reports,  to normal  recurring year end  adjustments
(the effect of which will not,  individually or in the aggregate,  be materially
adverse)  and the  absence  of the notes  (that if  presented  would not  differ
materially from those included in the Interwest Audited Financial Statements).


                                      18

<PAGE>



            6.6.1.  Interwest  (i) keeps books,  records and accounts  that,  in
reasonable  detail,  accurately  and fairly  reflect  (A) the  transactions  and
dispositions of assets of such entity and (B) the value of inventory  calculated
in  accordance  with GAAP,  and (ii)  maintains a system of internal  accounting
controls  sufficient to provide  reasonable  assurance that (A) transactions are
executed in accordance with management's general or specific authorization,  (B)
transactions  are  recorded as  necessary  to permit  preparation  of  financial
statements in conformity  with GAAP and to maintain  accountability  for assets,
(C) access to assets is permitted only in accordance with  management's  general
or specific  authorizations,  and (D) the recorded  accountability for assets is
compared with existing assets at reasonable  intervals and appropriate action is
taken with respect to any differences.

            6.6.2.Neither  Interwest  nor any  employee,  agent,  consultant  or
representative  of  Interwest  has made any  payment  of funds of  Interwest  or
received or retained  any funds in  violation  of any  applicable  law,  rule or
regulation.

     6.7. Information.  Interwest has heretofore delivered,  and will deliver as
Schedule 6.7, to  Shareholders  the following  reports filed with the Securities
and Exchange Commission (collectively "Interwest SEC Reports"):

                  Form 10-KSB             9/30/95
                  Form 10-KSB             9/30/96
                  Form 10-QSB             12/31/96
                  Form 10-QSB             3/31/97
                  Annual Report           1996
                  Proxy Statement for Annual
                     Meeting of ShareholdeMarch 27, 1997

      6.8.  Compliance with Laws, Rules and Regulations.  Interwest has made all
filings  ("SEC  Filings")  with  the  United  States   Securities  and  Exchange
Commission  ("SEC") that it has been required to make under the  Securities  Act
and the Securities Exchange Act. The Interwest SEC Filings (including  Interwest
Financial  Statements  contained  therein)  except as  amended,  complied in all
material respects with the requirements of the Securities Act and the Securities
Exchange Act and to the Knowledge of Interwest none of the SEC Filings contained
an untrue  statement  of  material  fact or  omitted  to state a  material  fact
required to be stated therein to make the statements  made therein,  in light of
the circumstances under which they were made, not misleading.

     6.9.  Brokers.  Interwest has not incurred nor will it incur any brokerage,
finder's, or similar fee in connection with the Transaction.

      6.10. No Undisclosed Material Liabilities. Interwest is not subject to any
material liability  ($250,000 or more) of any kind whatsoever  (whether accrued,
absolute,  contingent, or otherwise) that are, individually or in the aggregate,
material to Interwest taken as a whole other than:

     (a)  liabilities  disclosed  or provided  for in the most recent  Interwest
Financial Statements;

     (b) liabilities  incurred in the Ordinary Course of Business since the date
of the Financial Statements;

     (c)  liabilities  contemplated  by and arising  under this  Agreement or in
connection with the Transaction; and

                                      19

<PAGE>



            (d) liabilities described in Schedule 6.10 attached hereto.

      6.11.  Absence of Certain  Changes or Events.  Except for  liabilities (i)
incurred in the Ordinary  Course of Business,  since March 31, 1997;  or (ii) as
disclosed  in  Schedule  6.11,  Interwest  has not  suffered  any  change in its
financial  condition,  operations,  business or  prospects  which has had, or to
Knowledge of Interwest, could reasonably be expected to have, individually or in
the aggregate, a material adverse effect on the business,  properties, assets or
operations of Interwest taken as a whole;

      6.12. Litigation and Proceedings. Except as set forth in the Schedule 6.12
or disclosed in the Interwest SEC Filings,  there are no Proceedings pending or,
to the  Knowledge  of  Interwest,  Threatened  against  Interwest  or any of its
subsidiaries,  or any property or asset of Interwest or any of its  subsidiaries
which (i) is reasonably  likely to have,  individually  and in the aggregate,  a
material adverse effect on the business,  assets or operations of Interwest as a
whole.

      6.13. Full Disclosure.  No representation or warranty in this Article 6 or
in  any  document   delivered  by  Interwest  or  Merger  Sub  pursuant  to  the
transactions contemplated by this Agreement, and no statement,  certificate,  or
schedule furnished or to be furnished by Interwest or Merger Sub in, or pursuant
to the  provisions  of,  this  Agreement  contains  or shall  contain any untrue
statement  of a material  fact or omits or shall  omit to state a  material  act
necessary,  in light of the  circumstances  under which it was made, in order to
make the statements herein or therein not misleading. There is no event, fact or
condition that materially and adversely affects the business,  assets (including
intangible  assets),  financial  condition or results of operations of Interwest
and its  subsidiaries  taken as a whole, or that reasonably could be expected to
do so, that has not been set forth in this Agreement.

      6.14. Additional Information  Available.  Interwest will make available to
each Shareholder the opportunity to ask questions and receive answers concerning
the acquisition of Interwest Common Stock in the Transaction,  and to obtain any
additional   information  which  Interwest  possesses  or  can  acquire  without
unreasonable effort or expense.


                                  Article VII
                           Conduct Prior to Closing

     7.1.  Conduct of Business.  Prior to the Effective  Time, NWH shall conduct
its business only in the Ordinary Course of Business.

      7.2.  Additional  Covenants by NWH and NWH Shareholders.  Between the date
hereof and the Effective Time,  except as contemplated by this Agreement or with
the prior written consent of Interwest,  which consent shall not unreasonably be
withheld, NWH shall not:

     (a)  make any change in its Articles of Incorporation or Bylaws;

     (b)  make  any  change  in  the  authorized  or  issued  shares  except  as
          contemplated by this Agreement;

     (c)  make any payment or  distribution  to  shareholders  (with  respect to
          their stock) or purchase or redeem any shares of capital stock;

     (d)  except  in the  Ordinary  Course of  Business,  mortgage,  pledge,  or
          subject to lien

                                      20

<PAGE>



      or encumbrance any of assets, tangible or intangible;

     (e)  except in the Ordinary Course of Business,  cancel any debts or claims
          or waive any rights of value;

     (f)  except in the Ordinary Course of Business,  incur any  indebtedness or
          guarantees or enter into any  commitment or make any material  capital
          expenditures or investments;

     (g)  make any loan,  accrual  or  arrangement  for or payment of bonuses or
          special  compensation  of any kind or any severance or termination pay
          to, any of its present or former officers or employees;

     (h)  make any material  change in its method of management,  operation,  or
          accounting;

     (i)  except  in the  Ordinary  Course  of  Business,  enter  into any other
          material transactions;

     (j)  except in the  Ordinary  Course  of  Business,  hire any  Person as an
          employee;

            (k)  adopt  any  profit  sharing,   bonus,  deferred   compensation,
      insurance,  pension,  retirement, or other employee benefit plan, payment,
      or  arrangement  made  to,  for,  or  with  its  officers,  directors,  or
      employees;

            (l) grant or agree to grant any options,  warrants,  or other rights
      for its  stocks,  bonds,  or other  corporate  securities  calling for the
      issuance thereof;

            (m) except in the Ordinary Course of Business,  sell or transfer, or
      agree to sell or  transfer,  any of its  assets,  property,  or  rights or
      cancel or agree to cancel, any debts or claims;

            (n) except in the Ordinary  Course of  Business,  make or permit any
      amendment or termination  (other than in accordance with its terms) of any
      material Contract, agreement, or license to which it is a party; or

            (o) agree to do any of the foregoing.

      7.3. Access. NWH shall give access to Interwest (and its auditors, counsel
and other authorized  representatives)  to (i) its premises,  books and records,
including  minute  books and stock  transfer  records,  and (ii) all  contracts,
agreements  and  documents  whether  or  not  listed  in the  Schedules  hereto;
provided,  however,  that any such  investigation  shall not  affect  any of the
representations  and  warranties  hereunder  or the right of any party hereto to
rely  thereon;  and  provided  further,  that  any such  investigation  shall be
conducted in such a manner as not to interfere  unreasonably  with the operation
of the business of NWH.

            7.3.1.  Interwest,  NWH and Shareholders  agree to keep confidential
any information  obtained  pursuant to their respective  inspections  under this
Agreement unless (i) such information is ascertainable from public sources or is
or  becomes   public   other  than   through   the   inspecting   party  or  its
representatives,   or  (ii)  disclosure  of  such  information  is  required  by
applicable  securities  or other laws. In the event of the  termination  of this
Agreement, each of Interwest, NWH, and the Shareholders agree that they will not
disclose, utilize or exploit to their advantage any information

                                      21

<PAGE>



obtained  from the other  pursuant  to its  examinations  under this  Agreement,
unless  necessary to comply with applicable law (with prior notice to the other)
or to enforce its rights hereunder.

      7.4.  Compliance  with Blue Sky Law. The parties  shall  jointly take such
action,  make  such  filings  and pay  such  filing  fees  as may be  reasonably
necessary  to  comply  with all  applicable  state  blue  sky  laws,  rules  and
regulations relating to the issuance of securities in the Transaction.

      7.5.  Disclosure  Supplements,  Etc..  Each  of  Interwest,  NWH  and  the
Shareholders  will promptly notify the others of any material event or change in
the business or operation of Interwest,  Merger Sub or NWH,. respectively.  From
time to time prior to the Effective  Time,  Interwest and NWH will supplement or
amend their respective  Schedules with respect to any matter  hereafter  arising
which,  if existing or occurring at or prior to the date of this Agreement would
have been  required to be set forth or described in an Interwest  Schedule or an
NWH Schedule or which is necessary to complete or correct any information in the
Interwest Schedules or the NWH Schedules or in any representation or warranty of
Interwest,  Merger  Sub,  NWH or  either  Shareholder  which  has been  rendered
inaccurate thereby.

      7.6.  Reasonable  Efforts.  Subject to the provisions  hereof, the parties
hereto shall use their  reasonable  efforts to take,  or cause to be taken,  all
actions,  and to do,  or cause to be  done,  all  things  necessary,  proper  or
advisable  under the provisions of this Agreement and under  applicable laws and
regulations to consummate and make effective the  transactions  contemplated  by
this Agreement.

      7.7. Public Announcements. Prior to the Effective Time, no announcement or
disclosure of the  Transaction  will be made by any party without the consent of
all other  parties,  which shall not be  unreasonably  withheld;  provided  that
Interwest  may make an  announcement  if,  on the  advice of  counsel  and after
reasonable  notice to NWH and to the  Shareholders it is required to do so under
relevant securities laws or NASDAQ rules.


                                 Article VIII
                          Conditions of Shareholders

       The obligation of NWH and the  Shareholders to consummate the Transaction
is subject to the fulfillment by Interwest prior to or as of the Effective Time,
of each of the following conditions, any of which may, at the sole option of NWH
and the Shareholders, be waived:

      8.1.  Representations.  The representations and warranties by or on behalf
of Interwest and Merger Sub contained in this Agreement or in any certificate or
documents  delivered to the  Shareholders  or to NWH pursuant to the  provisions
hereof,  shall be true in all material  respects  when made and at the Effective
Time as though such  representations  and warranties were made at and as of such
time.

     8.2. Compliance. Interwest and Merger Sub shall have performed and complied
in all material respects with all covenants, agreements, and conditions required
by this  Agreement  to be  performed  or complied  with by it prior to or at the
Effective Time.

      8.3. No Material  Adverse  Change.  There shall not have  occurred (i) any
material  adverse  change  since  March 31,  1997 in the  business,  properties,
results of operations,  financial condition or prospects of Interwest taken as a
whole;  or (ii) any loss or  damage  to any of the  properties  of or  assets of
Interwest  taken as a whole which  could  reasonably  be expected to  materially
adversely

                                      22

<PAGE>



affect or impair their ability to conduct after the Transaction the business now
being conducted by it.

      8.4.   Certificate  of  Interwest.   Interwest  shall  have  delivered  to
Shareholders,  a certificate of Interwest,  dated the Effective Time, and signed
by its  President  to the  effect  that  (i)  each  of the  representations  and
warranties of Interwest and Merger Sub contained  herein is true in all material
respects  as of the  Effective  Time;  and (ii)  Interwest  and  Merger Sub have
performed,  in all material  respects,  all  obligations  and complied  with all
covenants  required by this  Agreement to be performed and complied with by them
prior to the Effective Date.

     8.5.  Absence of  Litigation.  There shall not be any material  litigation,
proceeding  or  governmental  investigation  pending,  Threatened  or reasonably
believed by Shareholders to be in prospect pertaining to the Transaction.

     8.6.  Employment  Agreement.  NWH and  Interwest  shall have  executed  and
delivered to Charles Davis the  employment  agreement in the form of Exhibit "C"
hereto.

     8.7.  Registration  Rights  Agreement.  Interwest  shall have  executed and
delivered  to  Shareholders  the  Registration  Rights  Agreement in the form of
Exhibit "E" hereto.

     8.8.  Indemnity  Agreement.  Interwest shall have executed and delivered to
Shareholders the Indemnity Agreement in the form of Exhibit "H" hereto.

     8.9.  Certificate.  All of the  certificates  and documents  referred to in
Article IV shall have been delivered to the Shareholders by Interwest.


                                  Article IX
                            Conditions of Interwest

       The obligation of Interwest to consummate  the  Transaction is subject to
the fulfillment,  by Shareholders and NWH, prior to or as of the Effective Time,
of each of the  following  conditions,  any of which may,  at the sole option of
Interwest, be waived:

      9.1.  Representations.  The representations and warranties by or on behalf
of  Shareholders  contained in this Agreement or in any certificate or documents
delivered  pursuant  to the  provisions  hereof  shall  be true in all  material
respects when made and at the Effective Time as though such  representations and
warranties were made at and as of such time.

     9.2. Compliance.  Shareholders and NWH shall have performed and complied in
all material respects with all covenants, agreements, and conditions required by
this Agreement to be performed or complied with by it prior to or at the Closing
at the Effective Time.

      9.3. No Material  Adverse  Change.  There shall not have  occurred (i) any
material  adverse  change  since  June  30,  1997  in the  business,  prospects,
properties, results of operations, financial condition or prospects of NWH taken
as a whole;  or (ii) any loss or damage to any of the properties of or assets of
NWH taken as a whole which could reasonably be expected to materially  adversely
affect or impair its ability to conduct after the  Transaction  the business now
being conducted by it.

     9.4 Certificates of Shareholders.  Each Shareholder shall have delivered to
Interwest a certificate of each of them dated the Effective Time, signed by each
of the Shareholders to the effect

                                      23

<PAGE>



that (i) each of the  representations  and warranties of shareholders  contained
herein is true in all material  respects as of the Effective  Time; and (ii) NWH
has in all material  respects  performed all  obligations  and complied with all
covenants  required by this  Agreement to be performed  and complied  with by it
prior to the Effective Date.

     9.5.  Absence of  Litigation.  There shall not be any material  litigation,
proceeding  or  governmental  investigation  pending,  Threatened  or reasonably
believed by Interwest to be in prospect pertaining to the Shareholders,  NWH, or
the Transaction except as disclosed in the NWH Schedules.

     9.6 Good  Standing.  NWH will be in good standing in the State of Alaska at
the Effective Time and shall deliver a Certificate of Good Standing to Interwest
at the Effective Time.

     9.7.  Investment  Letters.  The Shareholders  shall deliver to Interwest an
Investment Letter in the Form of Exhibit "F".

     9.8.  Form 8-K  Financial  Statements.  NWH shall  deliver to Interwest its
financial  statements  which meet the  requirements  of Form 8-K as  promulgated
under the Securities Exchange Act.

     9.9. Employment Agreement.  Charles Davis shall have executed and delivered
to Interwest employment agreements in the form of Exhibit "C" hereto.

     9.10.  Non-Competition  Agreement.  The  Shareholders,  except for  Charles
Davis, shall execute and deliver to Interwest, the Non-Competition  Agreement in
the form of Exhibit "D" hereto.

     9.11. Consents. Any notices,  filings,  consents or approvals identified on
the Interwest  Schedules or on the NWH Schedules shall have been filed,  made or
obtained.

     9.12.  Certificate.  All of the certificates  and documents  referred to in
Article  IV  shall  have  been  delivered  to  the  Interwest  by  NWH  and  the
Shareholders.

                                   Article X
              Indemnification, Survival, Termination And Expenses

      10.1.  Nature and Survival of  Representations.  All  representations  and
warranties  made by any party to this Agreement shall survive the Effective Time
for three (3) years and the  covenants and  agreements  herein shall survive the
closing. All of the parties hereto are executing and carrying out the provisions
of this Agreement in reliance  solely on the  representations,  warranties,  and
covenants and  agreements  contained in this  Agreement  and on the  information
contained  in the  Schedules  and  Exhibits  attached  hereto  and not  upon any
investigation which it or he might have made or any  representations,  warrants,
agreement,  promise,  or information,  written or oral, made by another party or
another Person other than as specifically set forth herein.

      10.2.  Indemnification  and  Payment  of  Damages  by  Shareholders.  Each
Shareholder  will  indemnify  and hold  harmless  Interwest and its officers and
directors  (collectively,  the  "Indemnified  Persons"),  and  will  pay  to the
Indemnified Persons the amount of, any loss, liability, claim, damage (including
incidental and consequential damages), expense (including costs of investigation
and defense and reasonable  attorneys' fees) or diminution of value,  whether or
not involving a third-party claim (collectively,  "Damages"),  arising, directly
or indirectly,  from or in connection with (a) any breach of any  representation
or warranty made by such  Shareholder  in this  Agreement or in any  certificate
delivered by such Shareholder  pursuant to this Agreement;  or (b) any breach by
such

                                      24

<PAGE>



Shareholder of any covenant or obligation of such Shareholder in this Agreement;
provided,  however,  that if any  Shareholder has "Knowledge" of a matter giving
rise to a breach of a representation  or warranty and the other Shareholder does
not have Knowledge of such matter,  then the Shareholder  without such Knowledge
shall not be liable to any  extent  to any party on  account  of such  breach of
representation or warranty.  The Shareholders are jointly and severally,  liable
for  damages  with  respect  to  breaches  of  representations,   warranties  or
covenants.  A Shareholder  will not have liability  under Section 10.2 until the
total of all Damages  attributed  to such  Shareholder's  breach with respect to
such matters exceeds $50,000, and then only for the amount by which such Damages
exceed $50,000;  provided,  however,  the maximum amount  Shareholders  shall be
required  to pay  hereunder  for any and all  breaches  of  representations  and
warranties  under this Agreement is Two Million Ninety Two Thousand Five Hundred
Dollars ($2,092,500).

      10.3. Indemnification and Payment of Damages by Interwest.  Interwest will
indemnify  and  hold  harmless   Shareholders   (collectively  the  "Indemnified
Persons"),  and will pay to the  Indemnified  Persons  the amount of any Damages
arising,  directly or indirectly,  from or in connection  with (a) any breach of
any  representation  or warranty  made by Interwest in this  Agreement or in any
certificate  delivered by Interwest or Merger Sub pursuant to this  Agreement or
(b) any breach by Interwest of any covenant or obligation of Interwest or Merger
Sub in this Agreement. Interwest will not have liability under this Section 10.3
until the total of all Damages  attributed  to such breach with  respect to such
matters  exceeds  $50,000,  and then only for the amount by which  such  Damages
exceed  $50,000;  provided,  however,  the  maximum  amount  Interwest  shall be
required  to pay  hereunder  for any and all  breaches  of  representations  and
warranties  under this Agreement is Two Million Ninety Two Thousand Five Hundred
Dollars ($2,092,500).

      10.4.  Procedure for Indemnification--Third Party Claims.

            10.4.1.  Promptly  after  receipt  by an  Indemnified  Person  under
Sections 10.2 or 10.3, of notice of the  commencement of any Proceeding  against
it,  such  Indemnified  Person  will,  if a claim is to be made by it against an
indemnifying party under such Section,  give notice to the indemnifying party of
the  commencement  of such  claim,  and with such  notice  provide a copy of any
demand letter,  summons or applicable  correspondence,  and any information with
respect to insurance which may cover such claim and information  with respect to
any third  party who may be liable to in  connection  therewith.  The failure to
notify the  indemnifying  party will not relieve the  indemnifying  party of any
liability that it may have to any Indemnified Person,  except to the extent that
the indemnifying  party  demonstrates  that it is prejudiced by the indemnifying
party's failure to give such notice.

            10.4.2.  If any Proceeding  referred to in Section 10.4.1 is brought
against  an  Indemnified  Person and it or he gives  notice to the  indemnifying
party of the  commencement  of such  Proceeding,  the  indemnifying  party will,
unless the claim involves  taxes,  be entitled to participate in such Proceeding
and, to the extent that it wishes (unless (i) the  indemnifying  party is also a
party to such  Proceeding and the  Indemnified  Person  determines in good faith
that joint representation would be inappropriate, or (ii) the indemnifying party
fails to provide reasonable assurance to the Indemnified Person of its financial
capacity to defend such Proceeding and provide  indemnification  with respect to
such  Proceeding),  to  assume  the  defense  of such  Proceeding  with  counsel
reasonably  satisfactory  to the  Indemnified  Person and, after notice from the
indemnifying  party to the  Indemnified  Person of its  election  to assume  the
defense of such  Proceeding,  the  indemnifying  party  will not,  as long as it
diligently conducts such defense, be liable to the Indemnified Person under this
Section 10 for any fees of other  counsel or any other  expenses with respect to
the  defense  of such  Proceeding,  in each case  subsequently  incurred  by the
Indemnified Person in connection with the defense of such Proceeding, other than
reasonable  out of pocket  costs of  investigation.  If the  indemnifying  party
assumes the defense of a Proceeding, (i) it will be conclusively established for

                                      25

<PAGE>



purposes of this  Agreement  that the claims made in that  Proceeding are within
the scope of and subject to indemnification; (ii) no compromise or settlement of
such claims may be effected by the  indemnifying  party without the  Indemnified
Person's consent unless (A) there is no finding or admission of any violation of
Legal Requirements or any violation of the rights of any Person and no effect on
any other claims that may be made against the  Indemnified  Person,  and (B) the
sole  relief  provided  is  monetary  damages  that  are  paid  in  full  by the
indemnifying party; and (iii) the Indemnified Person will have no liability with
respect to any  compromise  or settlement  of such claims  effected  without its
consent.  If notice is given to an indemnifying party of the commencement of any
Proceeding  and the  indemnifying  party  does not,  within  ten days  after the
Indemnified  Person's notice is given, give notice to the Indemnified  Person of
its election to assume the defense of such Proceeding,  the  indemnifying  party
will be bound by any determination  made in such Proceeding or any compromise or
settlement effected by the Indemnified Person except that the Indemnified Person
shall give the  indemnifying  party seven days prior  notice of the terms of any
proposed settlement and the Indemnified Person shall not be liable to the extent
that any  Proceeding is conducted in, or the compromise or settlement is entered
into in bad faith.

            10.4.3.  Notwithstanding  the foregoing,  if an  Indemnified  Person
determines  in  good  faith  that  there  is a  reasonable  probability  that  a
Proceeding  is  reasonably  likely  to  materially  adversely  affect  it or its
Affiliates  other  than as a result of  monetary  damages  for which it would be
entitled to indemnification under this Agreement, the Indemnified Person may, by
notice  to the  indemnifying  party,  assume  the  exclusive  right  to  defend,
compromise,  or settle such Proceeding,  but the indemnifying  party will not be
bound by any  determination  of a Proceeding  so defended or any  compromise  or
settlement   effected  without  its  consent  (which  may  not  be  unreasonably
withheld).  The Indemnified  Person shall give the indemnifying party seven days
prior notice of the terms of any proposed  settlement and the Indemnified Person
shall not be liable to the extent that any  Proceeding  is conducted  in, or the
compromise or settlement is entered into in bad faith.

            10.4.4.   Shareholders   hereby   consent   to   the   non-exclusive
jurisdiction  of any  court  in  which  a  Proceeding  is  brought  against  any
Indemnified Person for purposes of any claim that an Indemnified Person may have
under this  Agreement  with respect to such  Proceeding  or the matters  alleged
therein,  and agree that process may be served on  Shareholders  with respect to
such a claim anywhere in the world.

      10.5.   Procedure   for   Indemnification--Other   Claims.   A  claim  for
indemnification for any matter not involving a third-party claim may be asserted
by notice and with such notice provide a copy of any demand  letter,  summons or
applicable  correspondence,  and any information with respect to insurance which
may cover such claim and information  with respect to any third party who may be
liable to an Indemnified Person in connection therewith.  to the party from whom
indemnification is sought.

     10.6. Exclusive Remedies. The indemnification  provisions set forth in this
Article  10 are the sole and  exclusive  remedies  that any  party  may have for
breach of any representation, warranty or covenant.

     10.7.  Termination.  This  Agreement may be terminated at any time prior to
the Effective Time:

            (a)  by the mutual consent of the Shareholders and Interwest;

            (b) by either the  Shareholders  or Interwest if the Effective  Time
      has not occurred by September 30, 1997, or such other date, if any, as the
      parties may agree to in writing;

                                      26

<PAGE>



            (c) by the  Shareholders  or Interwest if any other party refuses or
      fails to perform any covenant or agreement  required to be performed by it
      under this  Agreement  or if any  representation  or warranty of any other
      party proves to have been inaccurate or misleading in any material respect
      at the  time it was made or at the  Effective  Time  and the  other  party
      refuses or fails after notice to correct or make not  misleading  any such
      misrepresentation or warranty; and

            (d) by Interwest or Shareholders for any reason within ten (10) days
      after they have received all of the NWH  Schedules or Interwest  Schedules
      respectively.

      10.8. Effect of Termination.  If this Agreement is terminated as permitted
by Section 10.7 of this Agreement, such termination will be without liability of
any party (or any shareholder,  director,  officer, employee, agent, consultant,
or  representative  of such  party)  to the  other  parties  to this  Agreement;
provided,  that if such  termination  results from the failure of a party to use
its or his best  efforts  to  fulfill  a  condition  to the  performance  of the
obligations  of the other parties or to perform a covenant of this  Agreement or
from a breach by any party to this Agreement, such party will be fully liable up
to a maximum of $5o,000 for any and all damages, costs, and expenses (including,
but not limited to, reasonable  counsel fees) sustained or incurred by the other
parties as a result of such failure or breach.


                                  Article XI
                                 Miscellaneous

      11.1.  Notices.  Any notice  provided for by this  Agreement and any other
notice, demand, or communication that any party may wish to send another will be
in writing  and either  delivered  in Person,  transmitted  by  telecopier  with
receipt  appropriately  confirmed,  or sent by  registered  or certified  United
States  mail,  first class  postage  prepaid,  return  receipt  requested,  in a
properly sealed envelope, and addressed as follows:

      If to Interwest:

                        James E. Robinson
                        235 East 6100 South
                        Salt Lake City, UT 84107

      with a copy to:   A. O. Headman, Jr.
                        Cohne, Rappaport & Segal
                        525 East 100 South, Fifth Floor
                        Salt Lake City, UT 84102

      If to NWH or the Shareholders:

                        Charles Davis
                        3439 East Tudor Road, Suite 39
                        Anchorage, Alaska 99507

      with a copy to:   William G. Pusch
                        Davis Wright Tremain LLP
                        2600 Century Square
                        1501 Fourth Avenue

                                      27

<PAGE>



                        Seattle, WA 98101

      The parties to this  Agreement  may change their  addresses  for notice by
notice  given  in the  manner  provided  above.  Any  notice,  demand,  or other
communication  will be deemed given and  effective as of the date of delivery in
Person or upon  receipt as set forth on the return  receipt.  The  inability  to
deliver because of changed address of which no notice was given or the rejection
or other refusal to accept any notice,  demand, or other communication,  will be
deemed to be the receipt of the notice, demand, or other communication as of the
date of such inability to deliver or the rejection or refusal to accept.

      11.2.  Entire Agreement.  This Agreement,  together with all Schedules and
Exhibits attached to this Agreement or referenced herein, constitutes the entire
agreement between the parties pertaining to the subject matter of this Agreement
and  supersedes  all  prior  agreements,   understandings,   negotiations,   and
discussions,  whether oral or written, of the parties, including but not limited
to the Letter of Intent heretofore  entered into by the parties and there are no
warranties,   representations,  or  other  agreements  between  the  parties  in
connection with the subject matter of this Agreement  except as specifically set
forth in this Agreement.

      11.3. Effect; Assignment. This Agreement and all of the provisions of this
Agreement  will be  binding  and inure to the  benefit  of the  parties  to this
Agreement and their respective  successors and permitted assigns, but, except as
expressly  provided in this  Agreement  neither  this  Agreement  nor any of the
rights,  interests,  or  obligations  under this  Agreement  will be assigned by
operation  of law  (excluding  mergers,  changes of domicile or other  corporate
reorganizations) or otherwise,  by any party to this Agreement without the prior
written  consent  of the other  party.  Nothing  in this  Agreement,  express or
implied,  is intended  to confer upon any Person  other than the parties to this
Agreement and their  respective  successors and permitted  assigns,  any rights,
remedies, or obligations under or by reason of this Agreement.

      11.4. Amendments;  Waivers. No supplement,  modification,  or amendment of
this Agreement will be binding unless executed in writing by all parties to this
Agreement.  No waiver of any of the  provisions of this Agreement will be deemed
or will constitute a waiver of any other provision of this Agreement (regardless
of whether  similar),  nor will any such waiver  constitute a continuing  waiver
unless otherwise expressly provided.

      11.5.  Further  Assurances.  At any time and from time to time,  after the
Effective  Date,  each party will execute such  additional  instruments and take
such  action as may be  reasonably  requested  by the other  party to confirm or
perfect  title to any property  transferred  hereunder or otherwise to carry out
the intent and purposes of this Agreement.

     11.6.  Headings.  The section and subsection headings in this Agreement are
inserted  for  convenience  only and shall not affect in any way the  meaning or
interpretation of this Agreement.

     11.7. Counterparts. This Agreement may be executed simultaneously in two or
more counterparts,  each of which shall be deemed an original,  but all of which
together shall constitute one and the same instrument.

     11.8.  Severability.  If  any  part  of  this  Agreement  is  deemed  to be
unenforceable  the  balance  of the  Agreement  shall  remain in full  force and
effect.

     11.9.  Governing Law. This Agreement  shall be governed for all purposes by
the laws of the  State  of Utah  applicable  to  agreements  executed  and to be
wholly-performed in the State of Utah.

                                      28

<PAGE>


      11.10.  Legal Fees and Expenses.  The  prevailing  party in any proceeding
brought  to  enforce or  interpret  any  provision  of this  Agreement  shall be
entitled to recover its  reasonable  attorney's  fees,  costs and  disbursements
incurred in connection with such proceeding,  including,  but not limited to the
costs of experts,  accountants  and consultants and all other costs and services
reasonably related to the proceeding, including those incurred in any bankruptcy
or appeal, from the non-prevailing party or parties.


      IN WITNESS  WHEREOF,  the parties have executed this Agreement the day and
year first above written.
                                          INTERWEST HOME MEDICAL, INC,
                                          a Utah corporation

Dated: August 13, 1997                    By    /s/ James E. Robinson
                                             ------------------------
                                                 James E. Robinson


                                          NW MERGER SUB, INC,,
                                          a Utah corporation

Dated: August 13, 1997                    By    /s/ James E. Robinson
                                             ------------------------
                                                 James E. Robinson


                                          NORTHWEST HOMECARE, INC.
                                          an Alaska corporation

Dated: August 13, 1997                    By    /s/ Charles E. Davis
                                             -----------------------
                                                  Charles E. Davis

                                          NWH SHAREHOLDERS


Dated:August 13, 1997                     By:   /s/ Charles E. Davis
                                             -----------------------
                                                 Charles E. Davis



Dated:August 13, 1997                     By:   /s/ Elizabeth D. Davis
                                              ------------------------
                                                  Elizabeth D. Davis




                                       29

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