INTERWEST HOME MEDICAL INC
10KSB, 1999-12-17
HOME HEALTH CARE SERVICES
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                     U.S. SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549


                                   FORM 10-KSB


            [X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
                         SECURITIES EXCHANGE ACT OF 1934
                  For the fiscal year ended September 30, 1999

                                       OR

          [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
                         SECURITIES EXCHANGE ACT OF 1934
                         Commission file number 0-14189


                          INTERWEST HOME MEDICAL, INC.
           (Name of Small Business Issuer as specified in its charter)

                      Utah                               87-0402042
        --------------------------------             ---------------------
        (State or other jurisdiction of               (I.R.S. employer
         incorporation or organization)                identification No.)


                                 235 East 6100 South
                                 Salt Lake City, UT

                                     (Zip Code)
                                     84107-7349
                                 -----------------
                      (Address of principal executive offices)

          Issuer's telephone number, including area code:  (801) 261-5100


     Securities registered pursuant to Section 12(b) of the Exchange Act:  None

     Securities registered pursuant to Section 12(g) of the Exchange Act: No Par
Value Common Stock

      Check whether the Issuer (1) has filed all reports required to be filed by
Section 13 or 15(d) of the Exchange  Act during the  preceding 12 months (or for
such shorter period that the registrant was required to file such reports),  and
(2) has been subject to such filing requirements for the past 90 days. Yes x/ No
 .

      Check if there is no disclosure  of delinquent  filers in response to Item
405 of  Regulation  S-B  contained  in  this  form,  and no  disclosure  will be
contained, to the best of Issuer's knowledge, in definitive proxy or information
statements  incorporated  by  reference  in Part III of this Form  10-KSB or any
amendment to this Form 10-KSB.

      The Issuer's  revenues for the fiscal year ended  September  30, 1999 were
$33,262,000.

      As of December 1, 1999, 4,089,029 shares of the Issuer's common stock were
issued and  outstanding of which  1,918,226 were held by  non-affiliates.  As of
December 1, 1999,  the aggregate  market value of shares held by  non-affiliates
(based upon the closing price reported by the NASD's SmallCap Market System of $
3.13) was approximately $ 6,004,047.


                     DOCUMENTS INCORPORATED BY REFERENCE:  NONE


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                                         1

<PAGE>




                                    PART I

ITEM 1.  DESCRIPTION OF BUSINESS

General

      Interest  Home  Medical,   Inc.  and  subsidiaries   ("Interwest"  or  the
"Company")  provide  a  diversified  range  of home  health  care  services  and
products.  The Company  currently  conducts its business from  twenty-nine  (29)
locations in the States of Utah, Colorado,  Idaho, Arizona,  Nevada,  California
and Alaska and serves over 22,000  customers.  The Company  divides its products
and services into three general categories:

            1. Home Oxygen and Respiratory Care Services.  The Company primarily
      provides oxygen and other respiratory  therapy services to patients in the
      home.  Interwest Home Medical has more than 30  respiratory  therapists on
      staff whose focus is training and monitoring patients in the proper use of
      home  oxygen  equipment,  nebulizers  and  unit  dose  medications,  apnea
      monitors, sleep disorder equipment,  ventilators,  home phototherapy,  and
      other respiratory services.

            2. Home Medical Equipment and Supplies.  The Company provides a wide
      variety of home medical  equipment  including items such as hospital beds,
      manual and powered wheelchairs, patient lifts, commodes, bathroom aids and
      safety equipment, powered scooters, walkers, canes, and other home medical
      supplies.

            3.   Rehabilitation    Services.   The   Company   provides   custom
      rehabilitation  equipment  and services  which  include  custom fitted and
      adaptive   wheelchairs,   seating  systems,   home  and  workplace  lifts,
      specialized beds, and physical therapy equipment.

      Many of Interwest's  customers suffer from chronic  obstructive  pulmonary
disease ("COPD"),  such as emphysema,  chronic bronchitis or asthma, and require
supplemental  oxygen or other respiratory therapy services in order to alleviate
the symptoms and  discomfort  of  respiratory  dysfunction.  Others  suffer from
causes incident to aging or debilitating  conditions which require  recuperation
in a non-critical care setting.  Some of the Company's  customers have permanent
disabilities  which require adaptive equipment to allow the individual to attain
and acceptance degree of independence.

      The Company's  business is impacted by extensive  political,  economic and
regulatory influences, which continue to subject the health care industry in the
United States to fundamental change. During fiscal 1998,  significant changes to
the  Medicare  system of  reimbursement  were  enacted  in  connection  with the
Balanced  Budget Act of 1997 ( "BBA").  Reductions in Medicare  oxygen  services
reimbursement  rates which  resulted  from the BBA have had and are  expected to
continue  to  have  an  adverse  impact  on the  Company's  current  and  future
operations.  Recent  regulatory  changes  proposed by the Health Care  Financing
Administration  ("HCFA"), if enacted,  could result in additional changes in the
system of Medicare  reimbursement.  The uncertainty of the outcome of additional
legislative  and  regulatory  changes facing the industry have had a significant
impact on the industry.

       The  Company's  revenues  are  generated  from  selling and renting  home
medical  equipment  and  supplies  and from  providing  a variety of services to
customers.  Revenues  and income for the last five fiscal  years were as follows
(all in 000's):

                                      2

<PAGE>




                            1999        1998       1997        1996       1995
                          --------    --------   --------    --------   -------
Revenues                  $33,262    $28,636     $24,845    $22,426     $17,829

Pre-tax Income Before      $2,660     $1,961      $1,479       $697      $1,486
Accounting Charge
Net Income                 $1,861     $1,426        $657       $595      $1,346

      Currently,  revenues are divided between sales and equipment rentals.  For
the fiscal years ended  September 30, 1999 and 1998 rentals  represented 55% and
49%  of  total  revenues  while  sales  were  45%  and  51% of  total  revenues,
respectively.

      The Company  completed 18 acquisitions and one merger in both existing and
new markets  between fiscal 1996 and 1999,  including one  acquisition in fiscal
1999. As a result of the  uncertainty  of the outcome of additional  legislative
and regulatory changes in the system of Medicare reimbursement,  the Company may
in the foreseeable future slow its growth through acquisition.

Industry Overview

      The  importance  of  home  health  care  is  increasing  as  a  result  of
significant   economic   pressures  within  the  health  care  industry.   Total
expenditures within the health care industry,  which have increased at twice the
rate of inflation in recent years, were approximately $1.3 trillion in 1997. The
ongoing  pressure to contain health care costs,  while  maintaining high quality
care, is  accelerating  the growth of alternate  site care,  such as home health
care,  that reduces  hospital  admissions  and lengths of hospital  stays.  Home
health care,  one of the fastest  growing  segments of the health care industry,
had estimated total expenditures in 1997 of approximately $37 billion, including
$25 billion for nursing and related  patient  services,  $6 billion for infusion
therapy services,  $3.5 billion for home respiratory  therapy  services,  and $2
billion for durable medical equipment.

      The growth in home  health  care is also due to  increased  acceptance  by
payors, patients and the medical community, including physicians,  hospitals and
other  providers.  Home  health  care  often  results in lower  costs,  which is
increasingly  important  under managed  care. In addition,  home health care has
grown  rapidly as a result of (i)  advances  in medical  technology,  which have
facilitated  the  delivery of  services in  alternate  sites,  (ii)  demographic
trends, such as the increasing  proportion of the population over the age of 65,
and (iii) a strong  preference  among  patients to receive  health care in their
homes.

      The home health care industry has been highly fragmented and characterized
by  local  providers  that  typically  do not  offer a  comprehensive  range  of
cost-effective  services and products.  These local  providers often do not have
the capital  necessary to expand their  operations  or the range of services and
products  offered,  which  limits  their  ability to compete  for  managed  care
contracts and other referrals and to realize  efficiencies in their  operations.
As managed care has become more prevalent,  payors increasingly are seeking home
health care providers that offer cost-effective,  comprehensive services in each
market served,  which further inhibits the ability of local providers to compete
effectively.  As a result of these economic and competitive pressures,  the home
health care  industry is  undergoing  rapid  consolidation,  a trend the Company
expects to continue.


                                      3

<PAGE>



Strategy

      The Company's  objective is to increase its market share through  internal
growth  and  acquisitions.  Interwest  focuses  primarily  on growth  within its
existing  geographic  markets,  which the  Company  believes is  generally  more
profitable than adding additional  operating centers in new geographic  markets.
In  addition,  the Company  expands into new  geographic  markets on a selective
basis, either through acquisitions or by opening new operating centers,  when it
believes such expansion will enhance its business. Management seeks to establish
a regional  concentration of centers in order to develop the market  penetration
and critical mass necessary to position the Company as a cost-effective provider
of  selective  home  medical  equipment  services  to  managed  care  and  other
third-party payors.

      The Company has encountered collection difficulties from acquired Accounts
Receivable due to: (i) failure to document  initial  service  authorizations  or
continued  service  authorizations  in required time frames,  (ii)  inability to
retain  or  adequately  replace  billing   representatives   with  knowledgeable
personnel due to the complex billing  requirements  encountered in the industry,
and (iii)  difficulties  in  converting  data  from  acquired  companies  to the
Company's  accounting and billing system.  Consequently,  the Company intends to
restrict acquisition of Accounts Receivable in the future.

      The Company  believes the market for home  respiratory and durable medical
equipment  services is highly  fragmented on both a national and regional basis,
and most participants are "mom and pop" companies with limited market share. The
Company believes by combining small  participants  into a single larger company,
product  purchasing,  accounting,  claims  processing  and  marketing  could  be
centralized  and  aggregate  operations  would be more  efficient.  The  Company
estimates there are over 3,000 home respiratory and/or durable medical equipment
companies suitable and available for acquisition. The Company intends to grow in
part by acquiring some of these companies. As a result of the uncertainty of the
outcome  of  additional  legislative  and  regulatory  changes  in the system of
Medicare  reimbursement,  the  Company  may in the  foreseeable  future slow its
growth through acquisition and concentrate primarily upon internal growth.

      The Company's  business  strategy is to develop an efficient and effective
organization  that  specializes  in providing  selected  home medical  equipment
services and products.  The  Company's  future growth is projected to be derived
from two principal sources: (i) increased services and product sales and rentals
from its existing  operations,  and (ii) revenues  generated by businesses which
may be acquired in the future. During the last six years, the Company's revenues
increased by  approximately  $20.8  million to $33.3  million for the year ended
September 30, 1999 from $12.5 million for the year ended September 30, 1994.

      During fiscal 1999 Interwest acquired the assets of one (1) other business
which  contributed  to the 16% net increase of fiscal 1999  revenues over fiscal
1998 revenues.  The total purchase price paid by the Company for the acquisition
was approximately $4.1 million paid in cash and notes. The operation acquired in
1999 had aggregate annualized revenues of approximately $7.2 million at the time
of acquisition.  This  acquisition  was integrated  with the Company's  existing
operation in Denver, Colorado.

     During  fiscal  1998  Interwest  acquired  the  assets  of five  (5)  other
businesses  and  sold  assets  and  operations  of one  business  all  of  which
contributed  to the 15% net  increase of fiscal 1998  revenues  over fiscal 1997
revenues. The total purchase price paid by the Company for such acquisitions was
approximately  $4.4  million paid in cash,  notes and  assumption  of debt.  The
operations  acquired in 1998 had aggregate  annualized revenues of approximately
$7.5  million at the time of  acquisition.  These  acquisitions  resulted in the
addition of 4 new branches.

                                      4

<PAGE>



Products and Services Offered to Customers

      The  Company  provides a wide  variety  of home  respiratory  and  durable
medical  equipment  products  and  services on a sale or monthly  rental  basis.
Customers are usually referred by a physician, hospital discharge planner, other
medical   professional,   or  insurance   contract.   The   Company's   customer
representative  obtains the necessary medical and insurance coverage information
and  coordinates  the  delivery of the  Company's  services  and products to the
patient.  The  services  provided  include  delivering  and  installing  medical
equipment, training patients and their care givers in the proper use of products
in the home, monitoring patients' compliance with their individualized treatment
plans, reporting to the physician and/or managed care organization,  maintaining
equipment  and  processing  claims to third party payors.  The customer  remains
under  the  physician's  care  and  medical  supervision.  The  Company  employs
respiratory  therapists  who are licensed  where  required by applicable  law to
perform training and other support functions.

      The following table sets forth the percentage of net revenues  represented
by each line of business for the periods presented:

                                                     Percent of Revenues
                                               1999  1998  1997  1996  1995
                                             --------------------------------

   Home oxygen and respiratory care services    62    55    44    39    39
   Home medical equipment and supplies          32    34    29    28    30
   Rehabilitation products                       6    11    27    33    31
                                                 -    --    --    --    --

                    Total                      100   100   100   100   100
                                               ===   ===   ===   ===   ===

      Home Oxygen and Respiratory Care Services.  Industry-wide home respiratory
market  revenues  were an  estimated  $3.5  billion in 1998,  having grown by an
estimated 8% to 10% per year over the last five years.  This growth reflects the
significant increase in the number of persons afflicted with chronic obstructive
pulmonary  disease  ("COPD"),  which is attributable,  to a large extent, to the
increasing proportion of the population over the age of 65.

      The Company's home oxygen and respiratory care services  primarily consist
of:

      o     Oxygen systems to assist  patients with  breathing.  There are three
            types  of  oxygen  systems:  (i)  oxygen  concentrators,  which  are
            stationary  units that filter  ordinary  air to provide a continuous
            flow of oxygen;  (ii) liquid  oxygen  systems,  which are  portable,
            thermally-insulated  containers  of liquid  oxygen;  and (iii)  high
            pressure  oxygen  cylinders,  which  are used for  portability  with
            oxygen concentrators. Oxygen systems are used to treat patients with
            chronic   obstructive   pulmonary   disease,   cystic  fibrosis  and
            neurologically-related respiratory problems.

      o     Nebulizers and prescribed medications to deliver aerosol medications
            to  patients.  Nebulizers  are used to treat  patients  with asthma,
            COPD,   cystic  fibrosis  and   neurologically-related   respiratory
            problems.


                                      5

<PAGE>



      o     Home  ventilators  to  sustain  a  patient's   respiratory  function
            mechanically in cases of severe  respiratory  failure when a patient
            can no longer breathe normally.

      o     Non-invasive  positive  pressure  ventilation  ("NPPV")  to  provide
            nocturnal  ventilatory  support for neuromuscular and COPD patients.
            This therapy improves  daytime  function and decreases  incidents of
            acute illness.

      o     Continuous  positive  airway pressure  ("CPAP")  therapy to maintain
            open  airways in patients  suffering  from  obstructive  sleep apnea
            ("OSA") by providing airflow at prescribed pressures during sleep.

      o     Apnea  monitors  to monitor  and warn  parents of apnea  episodes in
            newborn infants as a preventive  measure against sudden infant death
            syndrome.

      o     Home sleep screenings and studies to detect sleep disorders and the
            magnitude of such disorders.

      o     Home  phototherapy  which provides UV light to help newborn  systems
            eliminate above normal levels of bilirubin.

      The  Company   provides   technicians   who  deliver  and/or  install  the
respiratory  care  equipment,  instruct the patient in its use,  refill the high
pressure  and  liquid  oxygen  systems  as  necessary  and  provide   continuing
maintenance of the equipment.

      Home Medical  Equipment and Supplies.  These products include patient room
equipment  (such as  hospital  beds,  patient  lifts and  commodes),  manual and
powered wheelchairs,  ambulatory aids (such as walkers and canes), bathroom aids
and safety equipment, and various medical supplies. The Company maintains retail
stores and showrooms  where  customers may select from  alternatives  the needed
products  and/or  supplies.  The products  offered by the Company range in price
from a few cents to customized wheelchairs priced at $20,000 and above.

      Rehabilitation  Products.  The  Company  is one  of a  limited  number  of
providers of adaptive rehabilitation  equipment.  Its rehabilitation  technology
specialists  work in  conjunction  with  physicians,  physical and  occupational
therapists,  special education teachers, case managers and association personnel
to  design  and  adapt  wheelchairs  and  other  therapy  equipment  for  use by
physically  challenged  persons.  During 1998, the Company sold or substantially
reduced its provision of rehabilitation products in all branches except for Utah
and Alaska due to payment or profitability difficulties.

      The Company's rehabilitation services include custom fitting, adapting and
repairing  wheelchairs  and related  seating  systems for persons  affected with
cerebral  palsy,  muscular  dystrophy  and its related  conditions,  spinal cord
injuries,  head injuries,  arthritis,  and other disabling diseases. The Company
also sells and installs  specialized  wheelchair elevators and stairway lifts in
commercial  buildings  primarily through  successful  competitive bids which are
installed and maintained by a few trained service  technicians who are certified
through a national dealer organization. Some of the Company's facilities include
a national  "Certified Repair Center" which provides  warranty,  maintenance and
repair services for most home medical equipment.


                                      6

<PAGE>



Organization and Operations

      Management.  The Company is managed at the executive  level as a system of
locally managed businesses.  The Company seeks to address the local market needs
of the home health care industry through its branch office network.  Each branch
office  conducts  local  marketing  efforts,  negotiates  contracts  with  local
referral  sources,  recruits  personnel and coordinates  patient care. Since the
provision  of home health  care  services is  generally  a local  business,  the
Company  provides  its  branch  office  managers  with  training,  comprehensive
policies and procedures and standardized  operating systems, while allowing them
sufficient  autonomy to address  local  needs.  Incentive  plans are designed to
reward  performance  based upon revenue  increases,  earnings  contribution  and
accounts receivable collection primarily for branch teams. The central corporate
office provides support in marketing, sales and staff training, contracting with
managed care organizations, purchasing and accounting functions.

       Information Systems.  Each of the Company's branch locations are equipped
with computer systems that are on-line with the central corporate computer.  The
software is provided and maintained by an industry leading software vendor. This
system  has  enabled  the  Company to  standardize  operating  processes,  track
operating performance by branch, control and manage accounts receivable, process
customer orders, improve inventory management,  reduce administrative  overhead,
facilitate  interbranch  communications  and gather statistical data in order to
provide patient management  information to managed care organizations.  Medicare
and  many   third-party   payor  claims  are  billed   electronically,   thereby
facilitating  the  collection of accounts  receivable.  The Company also focuses
upon quickly  integrating  the information  systems of acquired  businesses as a
part of its overall integration efforts.

      The Company  currently sells and rents equipment and/or provides  services
from the following retail locations:

                                                 Year Opened
      State       City                            Or Acquired
     -----------------------------------------------------------
      Colorado    Colorado Springs                  1995
                  Denver                            1994
                  Greeley                           1996
                  Fort Collins                      1996
                  Fort Morgan                       1996

      Idaho       Boise                             1987
                  Idaho Falls                       1991
                  Twin Falls                        1994

      Nevada      Las Vegas/Henderson               1992
                  Reno                              1996
                  Fallon                            1996

      Utah        Murray (Main Office)              1978
                  Ogden                             1989
                  Pleasant Grove                    1983
                  Price                             1988

                                      7

<PAGE>



                  Salt Lake Downtown                1995
                  Vernal                            1994
                  St. George                        1996
                  Cedar City                        1997
                  Logan                             1998
                  Midvale (Service center)          1998

      California  Quincy                            1997
                  Chester                           1997

      Alaska      Anchorage                         1997

      Regional   Interwest Home Pharmacy(mail-order)1997

      Arizona     Phoenix (2)                       1998
                  Mesa                              1998
                  Scottsdale                        1998

Sales and Marketing

      The Company  believes the sales and marketing skills of its employees have
been  instrumental in its growth to date and are critical to its future success.
The Company  emphasizes to its  employees the  importance of patient base growth
and retention by providing  quality  service to physicians  and their  patients.
Approximately 50 of the Company's  employees are actively  involved in sales and
marketing  either in full or in part, of the  Company's  products to health care
organizations and other customers.  Key marketing  targets include,  but are not
limited   to,   managed   care   organizations,   hospital-based   health   care
professionals, physicians and their staffs, home care agencies, private practice
therapists and case managers. Sales representatives receive regular clinical and
technical  training to represent the  Company's  major product lines of products
and services.  The Company's sales  representatives  maintain  continual contact
with medical professionals in order to strengthen these relationships.

      Given the shift toward managed  health care, an integral  component of the
Company's  overall sales strategy is to seek preferred  provider  contracts with
various  managed  care  organizations.  Managed  care  organizations  have grown
substantially in terms of the percentage of the population covered by such plans
and their influence over an increasing portion of the health care economy. These
contracts  typically  designate  the  Company  as one  of a  limited  number  of
preferred  providers of certain  services in selected areas but do not establish
an exclusive relationship. The Company currently has approximately 100 preferred
provider  agreements  that are both local and  regional in scope to provide home
medical  equipment  services and supplies to the  beneficiaries of these managed
care  entities.  Total  revenue  generated  from these  agreements  amounted  to
approximately  21% and 24% of total  revenues for the years ended  September 30,
1999 and 1998,  respectively.  Approximately  85% of the  revenues  acquired  in
fiscal 1999 is expected to come from managed care agreements;  consequently, the
Company expects total revenues for fiscal 2000 to approach 28%.

      During  fiscal 1999 and 1998 the  Company  terminated  relationships  with
certain  managed  care  organizations  and is in the  process of  reviewing  its
managed care contracts The Company's  contracts with managed care  organizations
will change from time to time as either the Company or a managed care

                                      8

<PAGE>



organization  determines  not to continue with such  contract.  The Company will
continue  to  enter   additional   managed  care  contracts  with  managed  care
organizations  seeking new providers.  As a result, the Company's  relationships
with its managed care referral  sources may continue to change.  There can be no
assurance the Company will be able to successfully  maintain  existing  referral
sources  or  develop  and  maintain  new  referral  sources.  The  loss  of  any
significant  referral sources or the failure to develop any new referral sources
could have a material  adverse  effect on the Company's  financial  condition or
results of operations.

       Quality of service is emphasized  throughout  the Company's  organization
both in the hiring and  training  of its  clinical  personnel  and the manner in
which its home  health  care  services  are  delivered.  Quality  assurance  and
training are directed and monitored by a Director of Quality Improvement, who is
an experienced health care professional.  The Company has received accreditation
from  the  Joint  Commission  on   Accreditation  of  Healthcare   Organizations
("JCAHO"),  a nationally recognized  organization that has established voluntary
standards for the provision of home health care services.  The Company  believes
the JCAHO  accreditation  of its branch  offices is an  important  factor in its
sales and marketing efforts.  Accreditation by JCAHO (the program began in 1988)
is one of the few indicators that referral sources have for judging the standard
of quality of a home health care provider and is increasingly being considered a
prerequisite  for entering into contracts with managed care  organizations.  The
Company was the first company located west of the Mississippi  River to complete
its  accreditation,  which  occurred  in 1988.  As of December  1999,  16 of the
Company's  branches are accredited by JCAHO, and 12 satellite or retail branches
are not separately accredited as they are managed by an accredited branch. JCAHO
does not accredit mail-order pharmacy operations and accordingly,  the Company's
respiratory   mail-order   pharmacy   operations   are  not  eligible  for  such
accreditation.  Upon  acquiring  companies in existing or new regions  which are
non-accredited,  the  Company  may  choose to have a  particular  company/branch
undergo the JCAHO  accreditation  process,  generally  within twelve to eighteen
months after acquisition.

Reimbursement for Services

      A  substantial  percentage  of the  Company's  revenues  are derived  from
payments  made by third party payors  including  Medicare,  Medicaid and private
insurance  companies.  For  the  years  ended  September  30 as  indicated,  the
Company's revenues from payor sources were allocated as follows:

      Payor                                  Percent of Total Revenues

                                   1999     1998     1997     1996     1995
                                   ----     ----     ----     ----     ----

      Medicare                       36       33      30        28       33
      Medicaid                       10        6       6         9        6
      Managed care organizations     21       24      20        18       17
      Private insurance companies    12       12      20        19       18
      Private pay (includes patient
          copays)                    15       17      17        18       19
      Over-the-counter sales          6        8       7         8        7
                                   ----     ----    -----     ----     ----

            Total                   100      100      100      100      100
                                    ===      ===      ===      ===      ===

      Reimbursement is a complicated process which involves submission of claims
to multiple payors, each having its own claims documentation  requirements.  The
Company has substantial  expertise at processing  claims and continues to create
and improve systems to manage third-party reimbursements,

                                      9

<PAGE>



produce clean claims and obtain timely  reimbursements  by  third-party  payors.
Currently,  the Company electronically submits over 55% of its billings to third
party payors.  The billing and claims  processing  departments work closely with
reimbursement  officers  at branch  locations  and  third-party  payors  and are
responsible for the review of patient  coverage,  the adequacy and timeliness of
documentation   and  the   follow-up   with   third-party   payors  to  expedite
reimbursement payments.

      The Company has achieved  increased  operating revenue in home respiratory
and other medical equipment  operations despite increased regulation and certain
reimbursement reductions (see further discussion under "Government Regulation").
While the increased  regulation tends to reduce the amount of reimbursement from
government  sources for  individual  cases,  the Company  believes the continued
increased  regulation also benefits the Company by reducing the competition from
joint  ventures  and fee  revenue  sharing  arrangements,  which the Company has
historically avoided.

      The Company's levels of operating  revenue and  profitability,  like other
health care  companies,  are affected by the  continuing  efforts of third-party
payors to contain or reduce  health care costs by lowering  reimbursement  rates
and increasing case management  review of services.  Home health care,  which is
generally  less costly to  third-party  payors  than  hospital-based  care,  has
benefitted from those cost containment  objectives.  However, as expenditures in
the home health care market continue to grow, initiatives are increasingly aimed
at reducing the health care delivery  costs at  non-hospital  sites.  Changes in
reimbursement policies by third-party payors, or the reduction in or elimination
of such  reimbursement  programs,  could have a material  adverse  impact on the
Company's revenues. Various state and federal health care reform initiatives may
lead to additional changes in reimbursement programs.

Purchasing

      Each branch office is responsible  for determining its inventory needs and
submitting  requisitions  to a  centralized  purchasing  department.  Using this
input,  personnel  located at the  Company's  headquarters  select and  purchase
virtually all equipment and supplies.  Purchased inventory is shipped by vendors
to the specific location  instructed by the Company. In fiscal 1999, the Company
purchased  products from over 600  suppliers.  The Company  believes it has good
relationships with its suppliers and has alternative  sources to purchase nearly
all the products it provides to customers.

      The Company is an authorized  dealer of The MED Group,  Lubbock,  Texas, a
national organization of home medical equipment service providers. The MED Group
arranges national pricing  agreements with certain  manufacturers,  assists with
national  networks and  contracting  with managed care  organizations,  conducts
specialty  training programs and provides certain marketing  materials and other
services for its  dealers.  The  arrangement  is annually  renewable  and may be
canceled  by either  party with  sixty (60) days  written  notice.  The  Company
intends to continue its participation for the foreseeable future.

      Interwest  Home  Medical has no  long-term  contracts  for the purchase of
inventory  although it has pricing  agreements with several  suppliers,  many of
which are  arranged  through  its  affiliation  with The MED Group.  The Company
believes its relationships with suppliers are good and that alternative  sources
of supply exist,  at similar costs and on similar terms for most of the products
purchased.



                                      10

<PAGE>



Competition

      The home  respiratory  and  durable  medical  equipment  market  is highly
competitive and  fragmented.  The barriers to enter into the market are low and,
accordingly, competition is intense. While there are four national providers and
approximately  ten  regional  providers,  the  vast  majority  of the  Company's
competition  comes from small,  locally  owned firms.  Quality of service is the
single most  important  competitive  factor.  Other  competitive  factors in the
market are the ability to develop and maintain  contractual  relationships  with
managed care organizations,  price of services,  ease of doing business with the
provider,  the mix of products  and  services  offered and the  reputation  with
referring persons.  The Company believes it competes  effectively in each of its
lines of business with respect to these factors.

      Other  types of health care  providers  including  hospitals,  home health
agencies,  physicians  and new  health  "super  stores"  have  entered,  and may
continue to enter, the Company's various lines of business. However, the Company
believes  its wide  variety of home  medical  equipment  products  and  services
broadens  its  appeal  to  managed  care  organizations  and local  health  care
professionals.

      The entire  health  care and medical  product and service  market is under
pressure to reduce  costs and  increase  efficiencies.  The  Company  intends to
attempt to reduce costs and increase  efficiencies  through its growth strategy.
The Company  believes it currently  competes  effectively in the market and will
continue  to take all action  necessary  to remain  competitive.  Certain of the
Company's  competitors  and potential  competitors  have  significantly  greater
financial, technical and marketing and sales resources than the Company and may,
in certain  locations,  possess  licenses  or  certificates  that permit them to
provide services that the Company cannot currently  provide nor has any plans to
provide. There can be no assurance that the Company will not encounter increased
competition in the future that could limit the Company's  ability to maintain or
increase its  business  which could  adversely  affect the  Company's  operating
results.

Governmental Regulation

      The Company's  business is subject to extensive  federal,  state and local
regulation.

      The operations of the Company's  branches are subject to federal and state
laws  covering the  repackaging  and  dispensing  of drugs  (including  oxygen),
operating   of   pharmacies   and   regulating   of   interstate   motor-carrier
transportation. Certain of the Company's employees are subject to state laws and
regulations governing the professional practice of respiratory therapy, pharmacy
and nursing.

      As a provider of services  under the Medicare and Medicaid  programs,  the
Company is subject to the  Medicare  and  Medicaid  fraud and abuse laws.  These
laws, among other things, prohibit any payment, kickback or rebate in return for
the referral of Medicare or Medicaid  patients.  Violations of these  provisions
may result in civil and criminal  penalties and exclusion from  participation in
the Medicare and Medicaid programs.

      Health care is an area of extensive and dynamic regulatory change. Changes
in the law or new interpretations of existing laws can have a dramatic effect on
permissible  activities,  the relative costs associated with doing business, and
the amount of  reimbursement by government and third-party  payors.  The Omnibus
Budget  Reconciliation  Act of 1987  ("OBRA  1987")  created six  categories  of
durable medical equipment for purposes of reimbursement  under the Medicare Part
B program.  There is a separate fee schedule for each  category.  OBRA 1987 also
controls whether durable medical equipment products will be

                                      11

<PAGE>



paid for on a rental  or sale  basis and  established  fixed  payment  rates for
oxygen  service  as  well  as a  15-month  rental  ceiling  on  certain  medical
equipment.  An interim final rule implementing the payment methodology under the
fee schedules  recently was published in the Federal Register.  Payment based on
the fee schedules is effective with covered items  furnished on or after January
1, 1989.  Generally,  Medicare  pays 80% of the lower of the  supplier's  actual
charge for the item or the fee schedule amount,  after adjustment for the annual
deductible amount.  OBRA 1990 made changes to Medicare Part B reimbursement that
were  implemented in 1991. The  substantive  change was the  standardization  of
Medicare rates for certain equipment categories.  Laws and regulations often are
adopted to regulate new products, services and industries.

      The Balanced Budget Act of 1997 ("BBA"),  enacted in August 1997,  reduces
the Medicare  national  payment  limits for oxygen and oxygen  equipment used in
home  respiratory  therapy  by 30%,  with 25%  effective  January 1, 1998 and an
additional 5% effective January 1, 1999 from the 1997 fee schedule.  Compounding
these reductions is a freeze on reimbursement  rates for all other equipment and
supplies  through  2002.  The BBA also reduces  payments  for covered  drugs and
biologicals to 95 percent of the average  wholesale  price of such covered items
for  each of the  years  1998  through  2002.  Approximately  22% and 21% of the
Company's  total  revenues for the years ended  September 30, 1999 and 1998 were
derived from the provision of oxygen services to Medicare patients. The Balanced
Budget Refinement Act of 1999 ("BBRA") enacted November of 1999 lifts the freeze
on  reimbursement  rates  imposed in the BBA and  provides  a modest  annual CPI
increase of 0.3% for 2001 and 0.6% for 2002.

      The BBA also extends to the Health Care Financing  Administration ("HCFA")
authority  to  alter  certain   reimbursement  rates  that  are  not  inherently
reasonable  ("IR").  BBRA  suspends  HCFA's IR authority  until such time as the
General  Accounting  Office  ("GAO")  issues its report on the  subject  and the
Secretary of Health and Human Services  ("HHS")publishes a final rule for use of
this  authority.  The GAO  report is slated to be issued in the  spring of 2000.
HCFA is to consider  industry  input when  developing  this rule and it is to be
published in the Federal  Register.  Congress has stipulated that the final rule
must  reflect  the  use  of  a  "sound  costing  methodology"  and  the  use  of
statistically  "valid and reliable data." The Company  anticipates that Congress
and state  legislatures  will continue to review and assess  alternative  health
care  delivery  and  payment  systems  and may in the future  propose  and adopt
legislation  effecting  fundamental  changes in the health care delivery system.
The  Company  cannot  predict  the  ultimate  timing,  scope  or  effect  of any
legislation concerning health care reform. Any proposed Federal legislation,  if
adopted,  could result in  significant  changes in the  availability,  delivery,
pricing and  payment  for health  care  services  and  products.  Various  state
agencies also have undertaken or are considering  significant health care reform
initiatives.  Although  it is not  possible  to predict  whether any health care
reform  legislation  will be adopted  or, if adopted,  the exact  manner and the
extent to which the Company will be affected, it is likely that the Company will
be affected in some fashion,  and there can be no assurance that any health care
reform legislation, if and when adopted, will not have a material adverse effect
on the  Company's  business,  financial  condition,  cash  flows or  results  of
operations.

      The BBA  authorizes  the HHS to  conduct  up to five  competitive  bidding
demonstration  projects for the  acquisition  of durable  medical  equipment and
requires that one such project be established  for oxygen and oxygen  equipment.
Each demonstration  project is to be operated over a three-year period and is to
be  conducted in not more than three  competitive  acquisition  areas.  The only
project  announced  as of December 1, 1999 is being  conducted  in Polk  County,
Florida.  Additionally,  the  Company  anticipates  it will be  required to have
surety bonds of at least $50,000 for each durable medical equipment company that
it operates.


                                      12

<PAGE>



      The BBA also  contained  a  provision  requiring  that only a Home  Health
Agency  ("HHA") can bill for durable  medical  equipment and home oxygen therapy
services provided to beneficiaries  enrolled in a Medicare approved plan of care
beginning  October 1, 2000.  BBRA  reverses  this  provision  allowing  Medicare
beneficiaries  using durable medical  equipment and home oxygen therapy services
to continue to use their provider of choice.

         Fraud and Abuse Laws.  The Company is subject to Federal and state laws
prohibiting  direct or indirect  payments  for patient  referrals  for items and
services  reimbursed  under Medicare,  Medicaid and state programs as well as in
relation to private  payors.  The  Company  also is subject to Federal and state
laws governing certain financial  relationships  with physicians and other fraud
and abuse laws prohibiting the submission of false claims.

         The Federal  Medicare and Medicaid  "Anti-kickback  Statute"  prohibits
certain conduct  involving  improper payments in connection with the delivery of
items or services covered by a number of Federal and state health care programs.
Among  other  things,  these  prohibitions  apply to anyone  who  knowingly  and
willfully  solicits,  receives,  offers,  or pays any remuneration in return for
referring an individual to another person for the  furnishing,  or arranging for
the furnishing, of any item or service that may be paid, in whole or in part, by
the Medicare,  Medicaid or other Federal health care programs.  To date,  courts
have  interpreted  the  Anti-kickback  Statute  to  apply  to a broad  range  of
financial  relationships  between  providers  and  referral  sources,  including
physicians and other direct health care providers, as well as persons who do not
have a direct role in the provision of health care  services.  Violations of the
statute may result in criminal  penalties,  including fines of up to $25,000 and
imprisonment   for  up  to  five  years  for  each  violation,   exclusion  from
participation in the Medicare and Medicaid  programs,  and civil penalties of up
to $50,000 and treble the amount of  remuneration  for each  violation.  The BBA
increases  accountability  and strengthens  program integrity through additional
fraud and abuse penalties.

         HHS's  Office of  Inspector  General  ("OIG") has  adopted  regulations
creating  "safe  harbors" from Federal  criminal and civil  penalties  under the
Anti-kickback  Statute by identifying  certain types of ownership  interests and
other financial arrangements that do not appear to pose a threat of Medicare and
Medicaid program abuse. Additional safe harbors have also been proposed, and the
OIG has recently  solicited  proposals for developing new and modifying existing
safe  harbors.  Transactions  covered by the  Anti-kickback  Statute that do not
conform to an  applicable  safe harbor are not  necessarily  in violation of the
Anti-kickback  Statute,  but such  arrangements  would risk  scrutiny and may be
subject to civil sanctions or criminal enforcement action.

         The  Federal  self-referral  or  "Stark  Law"  provides  that  where  a
physician has a "financial  relationship"  with a provider of "designated health
services"  (including,  among other things,  parenteral  and enteral  nutrients,
equipment  and  supplies,   outpatient   prescription  drugs  and  home  medical
equipment,  which are  products  and  services  provided  by the  Company),  the
physician is  prohibited  from  referring a Medicare  patient to the health care
provider,  and that  provider  is  prohibited  from  billing  Medicare,  for the
designated health service.  The Stark Law has certain statutory  exceptions.  In
August  1995,  regulations  were issued  pursuant to the Stark Law as it existed
prior  to  significant  amendments  enacted  in  1993.  The  preamble  to  these
regulations states that HCFA intends to rely on the language and interpretations
in the  regulations  when reviewing  compliance  under the Stark Law, as amended
(the "Amended Stark Law"). Certain exceptions from the referral prohibitions are
available  under the Amended  Stark Law,  including  the referral of patients to
providers  owned by  certain  qualifying  publicly-traded  companies  in which a
referring  physician  owns an  investment  security.  At this time,  the Company
believes that its investments  will qualify for the  publicly-traded  securities
exception because it has shareholder equity of at least $75,000,000. Submission

                                      13

<PAGE>



of a claim  that a  provider  knows or  should  know is for  services  for which
payment is  prohibited  under the Amended  Stark Law, and which does not meet an
exception could result in refunds of any amounts  billed,  civil money penalties
of not more than $15,000 for each such service  billed,  and possible  exclusion
from the Medicare program. In addition, a state cannot receive Federal financial
participation payments under the Medicaid program for designated health services
furnished  to an  individual  on the basis of a  physician  referral  that would
result in a denial of payment under Medicare if Medicare covered the services to
the same extent as under a state Medicaid plan.

         A number of  Federal  laws  impose  civil and  criminal  liability  for
knowingly  presenting or causing to be presented a false or fraudulent claim, or
knowingly  making a false statement to get a false claim paid or approved by the
government.  Under one such law,  the "False  Claims  Act,"  civil  damages  may
include an amount that is three times the amount of claims  falsely  made or the
government's actual damages,  and up to $10,000 per false claim. In addition,  a
civil penalty of up to $15,000 may be assessed for engaging in other  activities
prohibited  by this  statute.  Actions  to enforce  the False  Claims Act may be
commenced  by a private  citizen on behalf of the Federal  government,  and such
private  citizens  receive  between 15 and 30 percent  of the  recovery.  Recent
government  efforts have been made (with mixed success) to assert that any claim
resulting from a relationship in violation of the  Anti-kickback  Statute or the
Amended Stark Law is false or fraudulent under the False Claims Act. The Company
carefully monitors its submissions of Medicare and Medicaid claims and all other
claims for reimbursement to assure that they are not false or fraudulent, and as
noted  above,   believes  that  it  is  in  substantial   compliance   with  the
Anti-kickback Statute or the Amended Stark Law.

         The OIG instituted "Operation Restore Trust" ("ORT") in May 1995 in the
five states with the highest Medicare  expenditures  (California,  Florida,  New
York,  Texas and  Illinois)  and has since been  expanded  to all fifty  states.
Operation  Restore  Trust is  intended to counter  health care fraud,  waste and
abuse in targeted areas that HHS believes to be particularly vulnerable to fraud
and abuse, including home health care, nursing homes and home medical equipment.
The OIG also has issued "Fraud Alerts" relating to improper  business  practices
in the provision of medical  supplies to nursing homes, and is expected to issue
additional  Fraud  Alerts in the  future as a means of  advising  the  public of
suspect  business  arrangements  and practices in the health care  industry.  In
addition,  providers of home medical  equipment,  wound care  supplies and other
products  and  services  are  expected to be subject to  increased  scrutiny for
practices involving fraud and abuse.

         Many states,  including the states in which the Company operates,  have
adopted statutes and regulations  prohibiting payments for patient referrals and
other types of financial  arrangements with health care providers,  which, while
similar in  certain  respects  to the  Federal  legislation,  vary from state to
state.  Sanctions for  violating  these state  restrictions  may include loss of
licensure  and civil and  criminal  penalties.  Certain  states  also have begun
requiring  health  care  practitioners  and/or  other  providers  to disclose to
patients any financial relationship with a provider, including advising patients
of the availability of alternative providers.

         The  Company  continues  to review all  aspects of its  operations  and
believes that it is in substantial  compliance  with all material  respects with
applicable provisions of the Anti-kickback Statute, the Amended Stark Law, False
Claims and applicable  state laws,  although  because of the broad and sometimes
vague nature of these laws, there can be no assurance that an enforcement action
will not be brought against the Company or that the Company will not be found to
be in  violation  of one or more of these  provisions.  The  Company  intends to
monitor developments under these Federal and state fraud and abuse laws. At this
time,  the  Company  cannot   anticipate   what  impact,   if  any,   subsequent
administrative or judicial interpretation of

                                      14

<PAGE>



the applicable  Federal and state fraud and abuse laws may have on the Company's
business, financial condition, cash flows or results of operations.

      As part of  ORT,  HHS has  contracted  with  ChoicePoint,  an  independent
organization, to conduct on-site surveys of home respiratory and durable medical
equipment  companies  in order to  determine  compliance  with  certain  minimum
standards of  participation  as required by HHS. As of December 1, 1999, most of
the Company's  locations had been visited by  representatives of ChoicePoint and
no notices of deficiency had been received by the Company.

      On June 3,  1998,  HHS  issued a  federal  Medicare  regulation,  commonly
referred to as the Incentive Program for Fraud and Abuse Information, which will
make citizens who alert  Medicare of possible  acts of fraud and abuse  eligible
for rewards if their  information  leads  directly  to the  recovery of Medicare
money. The program was launched in 1999 and will reward the individual reporting
the fraud the lesser of 10% of the recovered payment or $1,000.

      Management believes that the Company operations are in material compliance
with  applicable  laws.  In July 1999,  the OIG  published  the "OIG  Compliance
Program Guidance for the Durable Medical Equipment,  Prosthetics,  Orthotics and
Supply  Industry".  The  Company  has begun a process to  complete  a  corporate
compliance program designed to accomplish the goals of the OIG model guidelines.
However,   the  Company  is  unable  to  predict  what   additional   government
regulations,  if any,  affecting its business may be enacted in the future,  how
existing  or future laws and  regulations  might be  interpreted  or whether the
Company  will be able to comply  with such  laws and  regulations  either in the
markets in which it presently  conducts,  or wishes to commence,  business.  The
Company  also is subject to routine and  periodic  surveys and audits by various
governmental agencies.

Year 2000 Compliance

      The  Company  installed  software  upgrades  for its  accounting  and data
processing  systems in the fourth  fiscal  quarter of 1998 that are warranted by
the vendor to be Y2K compatible.  The Company also uses  ancillary,  third party
computer software to electronically  submit medical claims to certain payors. In
the event that the use of this  software  is impacted  by the Y2K  problem,  the
Company's  contingency  plan  includes  the  submission  of paper claims to such
payors.  The Company  does not believe that this  software  will have a material
effect on the Company's  ability to receive  payment for services  rendered.  In
addition,  the Company has determined that some of its telephone systems require
software  upgrades  and has begun  efforts to upgrade  its  remaining  telephone
systems or purchase  compatible  systems as necessary.  The  aggregate  costs to
upgrade  systems  for Y2K  compliance  appear  to be  below  $100,000,  of which
approximately  $75,000 has been incurred as of September  30, 1999,  and will be
amortized over five years.
There do not appear to be any other material internal issues at this time.

      The Company has  communicated  with its primary vendors and has determined
that all are making significant  progress toward their Y2K compliance,  and that
the Company has  sufficient  alternatives  to obtain Y2K compliant  products and
services. In addition,  the Company has reviewed Y2K product compliance listings
provided  by the FDA and  exchanged  equipment  that  may be  questionable  with
equipment that has been  determined to be Y2K  compliant.  In the event that the
Company  identifies  specific  equipment that is not Y2K compliant,  or that the
Company is unable to determine the status of such items, the Company will remove
such items from service and replace them with  therapeutically  comparable,  Y2K
compliant  equipment from alternate  vendors.  The Company does not believe that
the scope and cost of exchanging  non-compliant  equipment  will have a material
impact on the Company's financial position.

                                      15

<PAGE>




      The Company is highly dependent upon certain government and private payors
for payment of claims for services and  equipment  provided by the Company.  The
Company is in the process of  determining  the Year 2000  compliance of computer
systems  used by third party payors to process  claims for medical  services and
equipment submitted by the Company for payment. The Company cannot be assured of
the timely remediation of third party claims processing and payment systems. The
failure by a significant third party payor to correct Year 2000 problems, to the
extent  that such  issues  delay or  prevent  timely or  appropriate  payment of
claims, could have a material impact on the Company's cash flow from operations.
The Company is  monitoring  the Year 2000  progress of Medicare Part B carriers,
and other  government  agencies  and private  payors with which the Company does
significant  business,  to determine  the potential  impact to the Company.  The
Company is also in the process of  determining  the  contingency  plans of these
payors to release  payments  to  providers  such as the  Company in the event of
claims  processing  system  failures.  Such plans may include  cash  advances to
providers  based on  historical  payment  trends or  processing  claims on paper
rather than in an electronic format.

      The  financial  institutions  with  whom  the  Company  has  its  material
relationships have represented to the Company that their Y2K compliance programs
are substantially completed.

 Insurance

      In recent  years,  participants  in the health  care  market  have  become
subject to an increasing number of malpractice and product  liability  lawsuits,
many of which involve large claims and significant defense costs. As a result of
the liability risks inherent in the Company's  lines of business,  including the
risk of liability due to the negligence of health care professionals employed by
or otherwise  under  contract to the Company,  the Company  maintains  liability
insurance  intended  to  cover  such  claims.   While  management  believes  the
manufacturers  of the equipment it sells or rents  currently  maintain their own
insurance,  and in some cases the Company has received evidence of such coverage
and has  been  added by  endorsement  as  additional  insured,  there  can be no
assurance  that such  manufacturers  will continue to do so, that such insurance
will be adequate or available  to protect the Company,  or that the Company will
not  have  liability  independent  of that of such  manufacturers  and/or  their
insurance  coverage.  There can be no assurance that the coverage  limits of the
Company's  insurance  policies will be adequate,  or that the Company can obtain
liability insurance in the future on acceptable terms or at all.

      The Company currently has in force general liability insurance,  including
professional  and products  liability,  with coverage limits of $4.0 million per
occurrence  and in  the  aggregate  annually  (with  no  deductible  either  per
occurrence  or in the aggregate  annually).  The  Company's  insurance  policies
provide coverage on an "occurrence"  basis, have certain  immaterial  exclusions
from coverage and are subject to annual renewal.

Environmental Matters

      Medical  facilities  are subject to a wide  variety of federal,  state and
local  environmental  and  occupational  health and safety laws and regulations,
such  as  air  and  water  quality  control   requirements,   waste   management
requirements and requirements for training  employees in the proper handling and
management of hazardous materials and wastes. The typical branch office facility
operations  include,  but  are not  limited  to,  the  handling,  use,  storage,
transportation,  disposal  and/or  discharge of  hazardous,  toxic,  infectious,
flammable and other hazardous  materials,  wastes,  pollutants or  contaminates.
These activities may result

                                      16

<PAGE>



in injury to individuals or damage to property or the environment and may result
in legal liability, damages, injunctions, fines, penalties or other governmental
agency  actions.  The Company is not aware of any pending or threatening  claim,
investigation  or enforcement  action  regarding  environmental  issues which if
determined  adversely  to the  Company,  would have an adverse  effect  upon the
capital  expenditures,  earnings,  or competitive  position of the Company.  The
annual costs of compliance  with  environmental  laws are not  considered by the
Company to be material.

Employees

      As  of  December  1999,  the  Company  had   approximately  410  full-time
equivalent employees. The Company's employees are not currently represented by a
labor union or other labor  organization.  As the Company's  business  grows, it
will hire  additional  employees as may be  reasonably  necessary to conduct its
business.  The Company  believes the relations  between its  management  and its
employees are good.


ITEM 2.  PROPERTIES

Headquarters

      The Company's  headquarters and retail facilities are located in Salt Lake
City,  Utah.  The Company  leases a 26,000 square foot facility at 235 East 6100
South. The facilities are leased from a third party pursuant to a lease expiring
December 21, 2008.  The Company has options to renew the lease for an additional
15  years.  Rent is  currently  $14,871  per  month on a triple  net  basis  and
increases to $18,000 per month in July 2007.

Other Retail and Office Facilities

      In addition to its  headquarters,  the Company  leases  twenty-eight  (28)
other  facilities  which range in size from 1,000  square feet to 24,000  square
feet.  Most of these  leases are for terms of three-to  five years and most have
renewal options.  The aggregate annual lease payments for these other facilities
were $665,000 for the year ended  September 30, 1999. See further  disclosure in
Note 8 - Lease Obligations in the financial statements.

Real Property Owned

      The  Company  owns five  acres of  undeveloped  property  in Provo,  Utah,
approximately 40 miles south of Salt Lake City.

      At September 30, 1998,  the Company owned a  three-level  office  building
known as the  Securities  Savings  and Loan  Building  located at 170 South Main
Street,  Pleasant Grove, Utah. The building was sold on October 15, 1998 for 20%
cash and a  six-month  note for the  balance  that was paid in April  1999.  The
building consisted of approximately 9,500 square feet and was originally used as
a bank.  As of September 30, 1998,  the building was leased to various  tenants.
The leases were net leases  whereby the tenants paid monthly rents which totaled
approximately $6,000 per month, and the Company paid taxes and insurance.

      The Company  intends to sell the remaining  parcel and use the proceeds as
working capital.  There are no material liens or other  limitations on ownership
of any property held by the Company other than a

                                      17

<PAGE>



general  lien from the  Company's  bank under the  general  credit line which is
disclosed in the financial statements as Note 7 - Long Term Debt.


ITEM 3.  LEGAL PROCEEDINGS

      In April 1998, Link Medical,  Inc. ("Link")  commenced  litigation against
the Company and several  other  parties  which was filed in the  District  Court
County, County of Arapahoe, Colorado. Link contended that Interwest defaulted on
a Promissory Note and breached the terms of the Asset Purchase Agreement entered
into  between Link and  Interwest  on December 20, 1996.  Link sought to recover
$600,000,  plus  interest  at 8% per  annum,  and  attorney's  fees  and  costs.
Interwest  believed that it owed no  additional  money to Link because there had
been a material failure of  consideration  under the terms of the Asset Purchase
Agreement,  or in the alternative,  because  Interwest entered into the Purchase
Agreement  based  on  fraudulent  misrepresentation.   Interwest  also  filed  a
Counterclaim  against Link alleging breach of contract and breach of covenant of
good faith and fair  dealing,  and  intentional  intervention  with  contractual
rights,  and sought to recover at least $500,000 plus interest,  attorney's fees
and  costs.  In  addition,  Interwest  filed  Cross  Claims  against  the  other
Defendants and third party claims against the principal shareholders in Link and
another  related  party.  Those claims were varied in nature,  but included such
things as breach of contract,  breach of various non-compete agreements,  breach
of the Uniform Trade Secret Act, and conspiracy, and generally sought to recover
at least $500,000.  The parties settled the litigation  which was dismissed with
prejudice  in July 1999 with the Company  paying  $120,000  which had been fully
covered by accrued reserves.

      In June 1998, American Springs  Development  ("ASD") commenced  litigation
against the Company which was filed in the Fourth  District Court in Provo,  UT.
ASD claimed that the Company breached a warranty of title in connection with the
sale of real  property,  and that it had suffered  damages it estimated to be at
least $50,000. The Company counterclaimed against the ASD alleging that the deed
should be reformed  and  denying any  liability.  ASD  remained  indebted to the
Company for the purchase price of the property which, as of December 1998 was in
a past due amount of approximately  $168,500. The parties settled the litigation
as of June 30, 1999 with ASD paying the balance of the note minus $10,000.

      In October 1998,  Interwest was served with an Amended  Complaint filed by
Buckeye  Welding Supply  Company  ("Buckeye")  in district  Court,  Weld County,
Colorado.  Buckeye  contends that Interwest owes it $113,546 on open account and
for the fair market value of certain  oxygen  cylinders  (allegedly in excess of
$60,000)  which Buckeye  contends  Interwest  has not returned to it.  Interwest
denies  that it owes  Buckeye  the amount of the claim and has also  ascertained
that it has returned to Buckeye all oxygen cylinders owned by Buckeye. Interwest
has filed Cross Claims against Link for breach of the Asset Purchase  Agreement,
dated  December 20, 1996, and for  indemnification,  seeking to hold Link liable
for any amounts that Interwest may be required to pay to Buckeye.

      From  time to time the  Company  is  subject  to  routine  litigation  and
regulatory  proceedings.  The Company cooperates with regulatory  authorities in
order to resolve issues and refers routine litigation to insurance companies and
defense counsel as appropriate.



                                      18

<PAGE>

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

      No matters were submitted to the Company's  shareholders for a vote during
the last quarter of the year ended September 30, 1999.


ITEM 5. MARKET FOR THE REGISTRANT'S COMMON STOCK AND RELATED SECURITY HOLDER
        MATTERS

      The  Company's  common stock is currently  traded in the  over-the-counter
market and is quoted on the National  Association of Security  Dealer's SmallCap
Market  System under the Symbol IWHM.  Currently  there is only limited  trading
activity  in the  Company's  common  stock and the  quotations  set forth  below
reflect  such  activity.  There can be no  assurance  that  quotations  will not
fluctuate  greatly  in the future in the event  trading  activity  increases  or
decreases.  The  information  contained in the following table was obtained from
the NASD and from various  broker-dealers  and shows the range of representative
bid prices for the Company's common stock for the periods indicated.  The prices
represent  quotations between dealers and do not include retail mark,  mark-down
or commission and do not necessarily represent actual transactions:

                                                   Bid Price
            1999(1)
                                          High        Low
            First Quarter                 $3.63       $2.44
            Second Quarter                $5.00       $2.50
            Third Quarter                 $3.50       $2.50
            Fourth Quarter                $3.75       $2.50

            1998(1)
                                          High        Low
            First Quarter                 $4.19       $2.75
            Second Quarter                $4.00       $2.75
            Third Quarter                 $4.13       $3.50
            Fourth Quarter                $3.81       $2.75


            (1) Calendar  Quarters.


Shares Issued in Unregistered Transactions

      During the last three fiscal years,  the Company  issued its securities in
non-registered  transactions  pursuant to the exemption provided by Section 4(2)
of the Securities Act of 1933, as amended.  The Company did not pay a commission
or any finders fees in  connection  with such  transactions  nor did any general
solicitation   occur  in  any  transaction.   The  securities   issued  in  such
transactions (all with restrictive legends) were as follows:

      In March 1995,  the Company  issued 300,000 shares of Series "A" preferred
stock in connection with the acquisition of Mountain  Rehabilitation  Equipment,
Inc.  ("MRE") to the  shareholders of MRE in exchange for all of the outstanding
shares of MRE. In August 1997, these preferred stock shares were

                                      19

<PAGE>



converted  to 112,500  shares of common  stock in  accordance  with the  formula
stated in the signed Purchase Agreement and in the Company's Amended Articles of
Incorporation.

      In January 1997,  the Company  issued  105,140  shares of common stock for
$450,000  and  warrants to purchase an  additional  105,140  shares to Merlin G.
Kirby,  M.D., in connection with an Option Agreement  executed in November 1996.
The  warrants  may be  exercised  at $4.28  per share if paid  during  the first
warrant year,  $4.75 per share if paid during the second warrant year, and $5.25
if paid during the third warrant year.  The Option  Agreement  became  effective
November 22, 1996 and was terminated as of October 12, 1998.

      In August  1997,  the Company  issued  465,000  shares of common  stock in
connection with the acquisition of Northwest Homecare,  Inc. to the shareholders
of NHI in exchange for all of the outstanding shares of NHI.

      In September  1997,  the Company  completed  issuance of 57,126  shares of
common stock for $244,500 and warrants to purchase an  additional  57,126 shares
to Jerry D. Kennett,  M.D., in connection with an Option  Agreement  executed in
November  1996.  The warrants may be exercised at $4.28 per share if paid during
the first warrant year,  $4.75 per share if paid during the second warrant year,
and $5.25 if paid during the third warrant  year.  The Option  Agreement  became
effective November 22, 1996 and was terminated as of October 12, 1998.

      In September  1997,  the Company  issued 50,992 shares of common stock for
$20,000 to James U. Jensen in connection with a Stock Option Agreement purchased
from Interwest Medical Equipment  Distributors,  Inc., a predecessor company, in
November 1987.

      In January  1998,  the Company  issued  8,484  shares of common  stock for
$36,312 and warrants to purchase an additional 8,484 shares to Jeffrey F. Poore,
D.D.S., in connection with an Option Agreement  executed September 30, 1997. The
warrants may be  exercised  at $4.28 per share if paid during the first  warrant
year,  $4.75 per share if paid during the second warrant year, and $5.25 if paid
during  the third  warrant  year.  The Option  Agreement  was  terminated  as of
September 30, 1998.

      In January  1998,  the Company  issued  5,000  shares of common  stock for
$21,400 and warrants to purchase an additional  5,000 shares to James U. Jensen,
in connection with an Option Agreement executed September 30, 1997. The warrants
may be exercised at $4.28 per share if paid during the first warrant year, $4.75
per share if paid during the second  warrant year,  and $5.25 if paid during the
third warrant  year.  The Option  Agreement  was  terminated as of September 30,
1998.

      In January 1998,  the Company issued 500 shares of common stock for $2,140
and  warrants to  purchase  an  additional  500 shares to Jerald L.  Nelson,  in
connection with an Option  Agreement  executed  September 30, 1997. The warrants
may be exercised at $4.28 per share if paid during the first warrant year, $4.75
per share if paid during the second  warrant year,  and $5.25 if paid during the
third warrant  year.  The Option  Agreement  was  terminated as of September 30,
1998.


                                      20

<PAGE>



Holders

      As of  December  1, 1999,  there  were  4,089,029  shares of common  stock
outstanding and  approximately  765  stockholders of record of common stock. The
number of  stockholders  of record does not include an  indeterminate  number of
stockholders  whose  shares are held by brokers  in  "street  name."  Management
believes  there are in excess of 800  beneficial  stockholders  of the Company's
common stock.


Dividends

      The Company has not paid any cash  dividends  since its inception and does
not anticipate or contemplate  paying  dividends in the foreseeable  future.  In
addition,  the Company has a bank credit  agreement  which limits the payment of
dividends.  It is the present  intention of  management to utilize all available
funds for the development of the Company's business.


ITEM 6. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATION

        The Company's revenue and income are derived from a diversified range of
home health care  products and  services.  The Company  divides its products and
services into three general  categories:  (1) home oxygen and  respiratory  care
services,  (2)  home  medical  equipment  and  supplies  and (3)  rehabilitation
services.

        The Company's objective is to increase its market share through internal
growth  and  acquisitions.  Interwest  focuses  primarily  on growth  within its
existing  geographic  markets,  which the  Company  believes is  generally  more
profitable than adding additional operating centers in new markets. In addition,
the Company  expands into new geographic  markets on a selective  basis,  either
through acquisitions or by opening new operating centers,  when it believes such
expansion  will enhance its business.  Management  seeks to establish a regional
concentration of centers in order to develop the market penetration and critical
mass necessary to position the Company as a cost-effective provider of selective
home medical equipment services to managed care and other third-party payors.

        As a result of the uncertainty of the outcome of additional  legislative
and regulatory changes in the system of Medicare reimbursement,  the Company may
in the  foreseeable  future slow its growth through  acquisition and concentrate
primarily upon internal growth.

Net Revenues

        Net revenues  increased 16% from  $28,636,000  in 1998 to $33,262,000 in
1999.  Approximately  $3.4 million or 12% of the increase was  generated by same
store  growth  from  continuing  product  lines.  The  increase  was  offset  by
approximately  $1.0 million or 4% of fiscal 1998's  revenues  which were sold or
terminated  due to the  Company's  focus to provide more  respiratory  services.
Approximately  $2.2 million or 8% of the increase in revenues was contributed by
acquired operations.

        Net sales increased 4% from  $14,495,000 in 1998 to %15,033,000 in 1999.
Approximately  $1.2 million of net sales or 8% of the increase was  generated by
same store  growth from  continuing  product  lines.  The increase was offset by
approximately $1.0 million or 7% of fiscal 1998's net sales, primarily of

                                      21

<PAGE>



rehabilitation  products,  which  were  sold or  terminated.  Approximately  $.3
million  or 3% of  the  increase  of  net  sales  was  contributed  by  acquired
operations.  The same  store  increases  were  due  primarily  due to  increased
marketing efforts in the Company's core respiratory products.

        Net rental revenue increased 29% from $14,144,000 in 1998 to $18,229,000
in 1999.  Approximately  $1.9 million or 13% increase of net rental  revenue was
contributed  by  acquired  operations  and  approximately  $2.2  million  or 16%
increase  of net rental  revenue  was  generated  by same store  growth.  Rental
revenue as a percentage  of total  revenue  increased to 55% at 1999 compared to
49% at 1998. Sales revenue had a corresponding reduction to 45% in 1999 from 51%
in 1998. The Company's  strategy has been to increase its rental revenue because
of higher gross margins.  Management has targeted acquisitions whose product mix
is primarily respiratory rental revenue.  Additionally, the Company has expanded
its marketing staff, emphasizing development of the respiratory rental market.

        Home oxygen and respiratory  care services,  home medical  equipment and
rehabilitation products revenues (both sales and rentals) represent 62%, 32% and
6%,  respectively,  in 1999 compared to 55%, 34% and 11% in 1998,  respectively.
Increases  in home  oxygen  and  respiratory  care  services  and  home  medical
equipment product lines are due primarily to increased  strategic focus on these
segments in both  marketing  and  acquisitions.  The decrease in  rehabilitation
products  revenue  is due  primarily  to the  strategic  exit by the  Company in
markets where reimbursement rates and/or payment terms are inadequate.

        The Balanced Budget Act of 1997 ("BBA") was signed into law on August 5,
1997. The legislation, among other things, reduces Medicare expenditures by $115
billion over five years. The BBA reduces Medicare payment amounts for oxygen and
oxygen  equipment  furnished  after  January 1,  1998,  to 75 percent of the fee
schedule  amounts in effect during 1997.  Payment  amounts for oxygen and oxygen
equipment  furnished  after January 1, 1999, and each subsequent year thereafter
are reduced to 70 percent of the fee schedule amounts in effect during 1997. The
BBA reduced revenue to the Company approximately  $750,000 in fiscal 1998 and an
additional $460,000 in fiscal 1999.

        The BBA freezes the consumer Price Index (U.S. urban average) update for
covered  items of durable  medical  equipment for each of the years 1998 through
2002 while  limiting fees for  parenteral  and enteral  nutrients,  supplies and
equipment to 1995 reasonable charge levels over the same period. The BBA reduces
payment  amounts for covered drugs and  biologicals to 95 percent of the average
wholesale  price of such covered  items for each of the years 1998 through 2002.
However,  the Omnibus  Budget Bill  ("BBRA")  enacted in November 1999 lifts the
freeze  imposed in the BBA and provides a modest annual CPI increase of 0.3% for
2001 and 0.6% for 2002.

Gross Margins

        Gross  margins  were 65.0% in 1999 and 63.0% in 1998.  Gross margin from
net rental  revenue was 82% in 1999  compared to 81% in 1998.  Gross margin from
net sales revenue was 47% in 1999 compared to 46% in 1998. The increase in gross
margin is primarily due to increases in rental revenue,  with higher margins, as
percentage of total revenue  partially offset by lower margins on rental revenue
due to the BBA  reduction  in  payment  for home  oxygen  services  provided  to
Medicare  beneficiaries.  Additionally,  the  increase in gross  margin from net
sales is primarily due to the  elimination of certain low margin  products.  The
managed  care  market  fosters  competition  which has had an adverse  effect on
reimbursement rate with resultant decrease in margins on rental revenue.


                                      22

<PAGE>



Selling, General and Administrative Expenses

        Selling,  general and  administrative  expenses  have  increased  20% to
$18,296,000 for fiscal 1999 from $15,253,000 for fiscal 1998.  Selling,  general
and  administrative  expenses increased as a percentage of net revenues to 55.0%
in 1999 from 53.3% in 1998 due to increased  staffing and efforts to improve the
collection of both acquired receivables and ongoing increases in receivables due
to internal revenue increases.

Interest Expense

        Interest  expense  decreased  5% to $991,000 in fiscal 1999  compared to
$1,046,000 in fiscal 1998. Interest expense as a percentage of revenue decreased
to 3.0% for 1999 from 3.7% for 1998. The Company's  interest expense consists of
interest on borrowings under its bank credit  agreement,  its capital  equipment
line of credit and bank/seller  financing  agreements to fund acquisitions.  The
decrease was primarily  attributable  to  reductions in the prime  interest rate
offset by payments on long term debt and  approximately  $4.1 million of new and
assumed  borrowings to fund acquisition  activities  during fiscal 1999, most of
which was funded at the end of September 1999.

Non-recurring Items

        During the first quarter of fiscal 1999, the Company sold, for $545,000,
a building that had been leased to several independent parties,  with a basis of
$447,000.  After  commissions  and  closing  costs,  the  Company  recognized  a
non-recurring  gain of $67,000.  During the third  quarter of fiscal  1999,  the
Company sold, for $105,000, a home that had been 75% owned by the Company,  with
a basis of $49,000 After commissions and closing costs, the Company recognized a
non-recurring gain of $50,000.

Acquisitions

        In  fiscal  1999,  the  Company  acquired  certain  operating  assets of
HealthCor  Holdings,  Inc.'s Denver home medical equipment services  operations.
The  operations  acquired in fiscal 1999 had  aggregate  annualized  revenues of
approximately  $7.2  million  at the  time  of  acquisition.  The  cost  of this
acquisition was approximately  $4.1 million and was allocated to acquired assets
as follows:  $.1  million to current  assets and $4.0  million to  property  and
equipment; the Company did not acquire accounts receivable. This acquisition was
integrated with the Company's current operation in Denver.

        In fiscal 1998, the Company acquired, in unrelated transactions, certain
operating assets of 5 local competitors.  The operations acquired in fiscal 1998
had aggregate  annualized  revenues of approximately $8.0 million at the time of
acquisition.  The cost of these  acquisitions was approximately $4.4 million and
was  allocated to acquired  assets as follows:  $1.9 million to current  assets,
$1.6  million to property  and  equipment,  and $.9 million to  goodwill.  These
acquisitions resulted in the addition of 4 new operating branches.

Liquidity and Capital Resources

        At  September  30,  1999 and  1998 the  Company's  working  capital  was
$9,504,000 and $2,613,000,  respectively, an increase of $6,891,000 or 264%. The
increase is primarily due to a new long term credit

                                      23

<PAGE>



agreement  with a  financial  institution  that  converted  the  majority of the
Company's credits into a single six-year line of credit.

        The  Company's  primary  needs  for  capital  are to fund  acquisitions,
purchase rental equipment,  and cover debt service payments.  For the year ended
September 30, 1999, net cash provided by operating  activities was $2,701,000 as
compared to  $2,854,000  for the year ended  September  30,  1998, a decrease of
$153,000 or 5%.  Significantly  contributing to cash provided from operations in
fiscal 1999 were  increased  income and non cash  expenses of  depreciation  and
amortization. A significant portion of the Company's assets consists of accounts
receivable from third party payors that provide  reimbursement  for the services
provided  by the  Company.  The Company has  encountered  billing  delays in its
efforts to integrate trade receivables from acquisition activities during fiscal
1998 and to receive  payments  from  certain  managed  care  organizations.  The
Company includes accounts receivable as security for its lines of credit.

        Net  cash  used in  investing  activities  amounted  to  $4,215,000  and
$1,752,000  for the years  ended  September  30,  1999 and  1998,  respectively.
Activity  in the  year  ended  September  30,  1999  included  the  purchase  of
$4,100,000 of assets acquired from HealthCor  Holdings,  Inc., and the Company's
investment in capital equipment of $1,945,000.

        Net cash provided in financing activities amounted to $1,618,000 for the
year  ended  September  30,  1999  compared  to  $1,750,000  used  in  financing
activities  for the year ended  September  30, 1998.  Activity in the year ended
September 30, 1999 included the Company's  proceeds of $3,147,000 from long-term
obligations  primarily due to the acquisition of assets from HealthCor Holdings,
Inc., and payments of $3,430,000 related to long-term obligations.

        As of September 30, 1999, the Company's  principal  sources of liquidity
consisted  of $9.5  million of working  capital and  approximately  $4.2 million
available on its $18 million  revolving  line of credit.  The Company has an $18
million  revolving  operating line of credit with its principal bank expiring on
July 31,  2005.  The maximum  principal  amount will be reduced by $600,000 on a
quarterly basis,  beginning September 30, 2000 and continuing on the last day of
each quarter thereafter. Borrowing under the Company's line of credit is secured
and limited to 80% of the net book value of eligible equipment,  75% of eligible
accounts receivable and 50% of eligible inventory plus $4 million or 3 times the
Company's EBITDA for the most recently preceding 12 months.  Interest is payable
monthly at the bank's prime lending rate minus .25%.  As of September,  30, 1999
and 1998, $13,024,000 and $4,491,000, respectively, were outstanding under lines
of credit.  The  increase is primarily  due to the new line of credit  described
above that  replaced  previous  lines of credit and term loans and  acquisitions
which  contributed to additional  borrowings under the Company's working capital
credit facilities.

        The Company  anticipates that capital  expenditures for fiscal 2000 will
be  approximately  $2.5  million.  The Company  believes that it will be able to
generate  sufficient funds internally,  together with funds that may be borrowed
under its credit  facilities,  to meet its anticipated  short-term and long-term
capital requirements for the foreseeable future.

        The Company's  future  liquidity  will continue to be dependent upon its
operating  cash flow and management of accounts  receivable.  The Company is not
aware of any  impact on  liquidity  due to  pending  litigation  arising  in the
ordinary course of business.


                                      24

<PAGE>



Financial Condition

        Net accounts receivable increased 17% to $12,225,000 from $10,447,000 at
September  30,  1999  and  1998,  respectively.  Approximately  one-half  of the
increase is due to receivables  from the  acquisition in Denver,  revenue growth
from  existing  stores  during  the  year  and  collection  delays   encountered
integrating  trade  receivables from acquisition  activities during fiscal 1998.
Collection delays contributed to the Company's average days sales in receivables
increasing  to  122  days  from  111  days  at  September  30,  1999  and  1998,
respectively.  However, days sales in receivables at September 30, 1999 and 1998
decreased to 111 from 123,  respectively.  The recent  decrease in days sales in
receivables  is due  to  substantial  increases  in the  Company's  billing  and
collections  staff  throughout  the fiscal  year.  The  allowance  for  doubtful
accounts decreased to $1,594,000 from $1,760,000 at September 30, 1999 and 1998,
respectively  due  to  substantial  writeoffs  of  uncollectible  accounts  from
acquisitions during fiscal 1998.

        Inventories decreased 20% to $3,007,000 from $3,771,000 at September 30,
1999  and  1998,  respectively.   Inventories  decreased  $764,000  during  1999
primarily  as a result of a shift in product mix toward  rentals  revenue  which
requires lower inventory levels.

        At  September  30,  1999,  the Company had notes  receivable,  including
current  portion,  of $187,000  compared to $617,000 at September 30, 1998.  The
decrease is due to payments.  The notes receivable  originated from the sales of
undeveloped  real  estate,  an  apartment  complex  and sale of  rehab  business
operations.

        At September 30, 1999, the Company held property and  equipment,  net of
depreciation,  used  in  its  business  amounting  to  $11,097,000  compared  to
$6,745,000  at  September  30, 1998.  The increase in property and  equipment is
attributable  to the  fair  market  value  of  assets  acquired  in  acquisition
activities and patient rental  equipment  purchased to support  increased rental
revenue.

        Current  liabilities  decreased  47% to $6,916,000 at September 30, 1999
from $12,959,000 at September 30, 1998. Correspondingly,  current assets grew 5%
to  $16,420,000  from  $15,572,000.  The  decrease  in  current  liabilities  is
primarily due to a new long term credit  agreement with a financial  institution
that converted  majority of the Company's credits into a single six-year line of
credit.  The  increase in current  assets is due  primarily  to increases in net
accounts  receivable  due to acquired  operations,  revenue growth from existing
stores  during  the  year  and  billing  delays  encountered  integrating  trade
receivables  from acquisition  activities  during fiscal 1998. The allowance for
doubtful accounts  decreased to $1,594,000 from $1,760,000 at September 30, 1999
and 1998,  respectively due to substantial  writeoffs of uncollectible  accounts
from acquisitions during fiscal 1998 that were previously provided for.

Option Agreements

        On December 9, 1996, the Company  entered into an option  agreement with
eight private  investors.  The terms of the agreement  provide the investors the
right to  purchase,  pursuant to options and  warrants,  up to an  aggregate  of
1,170,714  newly issued common shares at prices  ranging from $4.28 to $7.00 per
share.  If the  optionees  elected to exercise  their rights in full,  the total
proceeds to the Company would be approximately $5.9 to 6.5 million.  On December
19, 1996, the investors paid $100,000 option fee providing the right to exercise
options to purchase  162,500  shares of common stock at a price $4.28 within 180
days.  During the year ended  September 30, 1997,  the  optionees  exercised the
option by paying  $694,500 in exchange for 162,266  shares of the Company common
stock and issuance of warrants for 162,266 shares of

                                      25

<PAGE>



common stock exercisable for three years at $4.28 during the first warrant year,
$4.75  during the second  year,  and $5.25 during the third  warrant  year.  The
Company  still holds the second  $100,000  option fee and owes 21,263 shares and
warrants  for 21,263  shares of common stock  exercisable  for three years (from
June 30, 1997) at $4.78 during the first warrant  year,  $5.25 during the second
year,  and $5.75 during the third warrant year.  All of the terms of this option
agreement have expired without any further exercise.

        On September 30, 1997, the Company entered into an option agreement with
each of its outside Directors. The terms of the agreements provide the Directors
the right to purchase,  pursuant to options and warrants,  up to an aggregate of
198,000  newly issued  common  shares at prices  ranging from $4.28 to $7.00 per
share.  If each  Director  elected to  exercise  his  rights in full,  the total
proceeds  to the  Company  would be  approximately  $1.02 to $1.12  million.  On
October 10, 1997, each Director paid a $1,000 option fee providing each Director
the right to exercise  options to  purchase  8,250  shares of common  stock at a
price $4.28  within 180 days.  During the year ended  September  30,  1998,  the
Directors  exercised  options by paying $59,852 in exchange for 13,984 shares of
the Company  common stock and  issuance of warrants for 13,984  shares of common
stock  exercisable for three years at $4.28 during the first warrant year, $4.75
during the second year, and $5.25 during the third warrant year. As of September
30,  1998,  all of the terms of this option  agreement  had expired  without any
further exercise.

        There  have  been no other  significant  changes  in  capitalization  or
financial  status  during  the past two  years  that  are not  reflected  in the
financial statements.

Inflation

        Inflation continues to apply modest upward pressure on the cost of goods
and services  provided by Interwest  Home Medical.  Because of  restrictions  on
reimbursement  by  government  and private  medical  insurance  programs and the
pressures to contain the costs of such programs, the Company bears the risk that
reimbursement rates set by such programs will not keep pace with inflation.

Year 2000

        The Company  installed  software  upgrades for its  accounting  and data
processing  systems in the fourth  fiscal  quarter of 1998 that are warranted by
the vendor to be Y2K compatible.  The Company also uses  ancillary,  third party
computer software to electronically  submit medical claims to certain payors. In
the event that the use of this  software  is impacted  by the Y2K  problem,  the
Company's  contingency  plan  includes  the  submission  of paper claims to such
payors.  The Company  does not believe that this  software  will have a material
effect on the Company's  ability to receive  payment for services  rendered.  In
addition,  the Company has determined that some of its telephone systems require
software  upgrades  and has begun  efforts to upgrade  its  remaining  telephone
systems or purchase  compatible  systems as necessary.  The  aggregate  costs to
upgrade  systems  for Y2K  compliance  appear  to be  below  $100,000,  of which
approximately  $75,000 has been incurred as of September  30, 1999,  and will be
amortized over five years.
There do not appear to be any other material internal issues at this time.

        The Company has communicated with its primary vendors and has determined
that all are making significant  progress toward their Y2K compliance,  and that
the Company has  sufficient  alternatives  to obtain Y2K compliant  products and
services. In addition,  the Company has reviewed Y2K product compliance listings
provided  by the FDA and  exchanged  equipment  that  may be  questionable  with
equipment that has been  determined to be Y2K  compliant.  In the event that the
Company identifies specific equipment that is

                                      26

<PAGE>



not Y2K compliant, or that the Company is unable to determine the status of such
items,  the Company  will remove such items from  service and replace  them with
therapeutically  comparable, Y2K compliant equipment from alternate vendors. The
Company  does not believe  that the scope and cost of  exchanging  non-compliant
equipment will have a material impact on the Company's financial position.

        The Company is highly  dependent  upon  certain  government  and private
payors for payment of claims for services and equipment provided by the Company.
The  Company  is in the  process  of  determining  the Year 2000  compliance  of
computer  systems  used by third  party  payors to process  claims  for  medical
services and equipment submitted by the Company for payment.  The Company cannot
be  assured of the timely  remediation  of third  party  claims  processing  and
payment systems.  The failure by a significant third party payor to correct Year
2000  problems,  to the  extent  that such  issues  delay or  prevent  timely or
appropriate  payment of claims,  could have a material  impact on the  Company's
cash flow from  operations.  The Company is monitoring the Year 2000 progress of
Medicare Part B carriers,  and other government agencies and private payors with
which the Company does significant  business,  to determine the potential impact
to  the  Company.  The  Company  is  also  in the  process  of  determining  the
contingency  plans of these payors to release  payments to providers such as the
Company  in the event of  claims  processing  system  failures.  Such  plans may
include  cash  advances  to  providers  based on  historical  payment  trends or
processing claims on paper rather than in an electronic format.

        The  financial  institutions  with  whom the  Company  has its  material
relationships have represented to the Company that their Y2K compliance programs
are substantially completed.


Forward Outlook and Risks

        From time to time,  the Company may publish  forward-looking  statements
relating  to  such  matters  as  anticipated  financial  performance,   business
prospects,  technological  development,  new products,  research and development
activities and similar matters. The Private Securities  Litigation Reform Act of
1995 provides a safe harbor for forward-looking  statements.  In order to comply
with the terms of the safe harbor,  the Company  notes that a variety of factors
could cause the Company's  actual  results and  experience to differ  materially
from the  anticipated  results  or other  expectations  expressed  in any of the
Company's  forward- looking  statements.  The risks and  uncertainties  that may
affect the  operations,  performance,  development  and results of the Company's
business  include,  but are not  limited to, the  following:  (a) the failure to
obtain  additional  borrowed  and/or  equity  capital  on  favorable  terms  for
acquisitions and expansion; (b) adverse changes in federal and state laws, rules
and   regulations   relating  to  home  health  care  industry,   to  government
reimbursement  policies, to private industry reimbursement policies and to other
matters affecting the Company's  industry and business;  (C) the availability of
appropriate   acquisition   candidates   and  the   successful   completion   of
acquisitions;  (d) the demand for the Company's  products and services;  and (e)
other  risks  detailed  in the  Company's  Securities  and  Exchange  Commission
filings.

        This  Form  10-KSB  contains  and  incorporates  by  reference   certain
"forward-looking statements" within the meaning of Section 27A of the Securities
Act and Section 21E of the Exchange  Act with  respect to results of  operations
and  businesses  of the  Company.  All  statements,  other  than  statements  of
historical facts, included in this Form 10-KSB, including those regarding market
trends, the Company's  financial position,  business strategy,  projected costs,
and  plans  and   objectives   of   management   for  future   operations,   are
forward-looking  statements.  In general,  such statements are identified by the
use of  forward-  looking  words  or  phrases  including,  but not  limited  to,
"intended," "will," "should," "may," "expects,"  "expected,"  "anticipates," and
"anticipated"  or  the  negative  thereof  or  variations   thereon  or  similar
terminology. These

                                      27

<PAGE>



forward-looking  statements  are based on the  Company's  current  expectations.
Although  the  Company  believes  that  the   expectations   reflected  in  such
forward-looking  statements are reasonable,  there can be no assurance that such
expectations  will  prove  to be  correct.  Because  forward-looking  statements
involve  risks and  uncertainties,  the  Company's  actual  results could differ
materially.  Important  factors  that  could  cause  actual  results  to  differ
materially from the Company's expectations are disclosed hereunder and elsewhere
in this Form 10-KSB.  These  forward-looking  statements represent the Company's
judgment as of the date of this Form  10-KSB.  All  subsequent  written and oral
forward-looking  statements  attributable to the Company are expressly qualified
in their entirety by the Cautionary Statements. The Company disclaims,  however,
any intent or obligation to update its forward-looking statements.

        High  Leverage.  As  of  September  30,  1999,  the  Company  had  total
stockholder's  equity of $11.2 million and total  indebtedness of $21.1 million.
Accordingly, the Company's balance sheet is highly leveraged. This, in turn, has
important   consequences  to  the  Company.  The  Company's  ability  to  obtain
additional financing may be impaired. Additionally, a substantial portion of the
Company's  cash  flows  from  operations  may be  dedicated  to the  payment  of
principal and interest on its indebtedness, thereby reducing the funds available
for operations. The Company's leverage will substantially increase the Company's
vulnerability  to changes in the  industry or adverse  changes in the  Company's
business.  See "Liquidity and Capital  Resources" and the Company's  fiscal 1998
consolidated financial statements, included herein.

     Changing  Regulatory  Environment.  The  Company's  business  is subject to
extensive  federal,  state  and  local  regulation.   Political,   economic  and
regulatory  influences  are  subjecting  the health care  industry in the United
States to fundamental change. See "Government Regulation."

        Changes in System of Medicare Reimbursement.  The BBA provided for a 25%
reduction in home oxygen  reimbursement  from Medicare effective January 1, 1998
and a further  reduction  of 5%  effective  January 1, 1999.  Compounding  these
reductions was a freeze on consumer price index updates for the next five years.
Approximately 15% of the Company's net revenues were derived from  reimbursement
of oxygen  services prior to this reduction in  reimbursement.  The reduction in
oxygen  reimbursement  during fiscal 1998 and 1999 had an adverse  impact on the
Company's net revenues and results of operations. Additionally, payments will be
frozen  for  durable  medical  equipment,   excluding  orthotic  and  prosthetic
equipment,  and payments for certain  reimbursable drugs and biologicals will be
reduced.  However,  the Omnibus  Budget Bill  ("BBRA")  enacted in November 1999
lifts the freeze imposed in the BBA and provides a modest annual CPI increase of
0.3%  for  2001  and  0.6%  for  2002.  See  "Reimbursement  for  Services"  and
"Government Regulation."

        Slow  Reimbursements.  At September 30, 1999,  approximately  32% of the
Company's net revenues were derived from managed care and other non-governmental
third  party  payors.  The  increase  in the length of time  required to collect
receivables owed by managed care and other  non-governmental  third party payors
is an  industry-wide  issue. A continuation  of the lengthening of the amount of
time required to collect accounts receivables from managed care organizations or
other payors or the Company's  inability to decrease days net sales  outstanding
could have a material  adverse  effect on the Company's  financial  condition or
results  of  operations.  During  fiscal  1998 and 1999 the  Company  terminated
relationships  with certain managed care  organizations and is in the process of
reviewing  its  managed  care  contracts.  There  can be no  assurance  that the
Company's  days net sales  outstanding  will not  continue  to increase if these
payors  continue to delay or deny payments to the Company for its services.  See
"Reimbursement for Services" and "Liquidity and Capital Resources."


                                      28

<PAGE>



        Pricing  Pressures.  Medicare,  Medicaid  and  other  payors,  including
managed care organizations and traditional indemnity insurers, are attempting to
control  and limit  increases  in health  care costs  and,  in some  cases,  are
decreasing  reimbursement  rates.  While the Company's net revenues from managed
care and other  non-governmental  payors  have  increased  and are  expected  to
continue to increase,  payments  per service  from  managed  care  organizations
typically  have been lower than Medicare fee schedules  and  reimbursement  from
other payors,  resulting in reduced profitability on such services.  Other payor
and employer groups,  including Medicare,  are exerting pricing pressure on home
health  care  providers,  resulting  in  reduced  profitability.   Such  pricing
pressures  could  have a  material  adverse  effect on the  Company's  financial
condition  or results of  operations.  During  fiscal  1998 and 1999 the Company
terminated  relationships  with certain managed care organizations and is in the
process of reviewing its managed care  contracts.  See "Sales and Marketing" and
"Government Regulation."

        Risks Related to Goodwill.  At September 30, 1999  unamortized  goodwill
resulting from  acquisitions was  approximately  $4.4 million,  or approximately
13.7% of total assets. Goodwill is the excess of cost over the fair value of the
net assets of businesses  acquired.  There can be no assurance  that the Company
will ever realize the value of such goodwill.  This goodwill is being  amortized
on a  straight-line  basis over 5 to 40 years.  The  Company  will  continue  to
evaluate on a regular basis whether events or  circumstances  have occurred that
indicate  all or a portion of the  carrying  amount of goodwill may no longer be
recoverable,  in which  case an  additional  charge  to  earnings  would  become
necessary.  Although  at  September  30,  1999 the net  unamortized  balance  of
goodwill is not considered to be impaired under  generally  accepted  accounting
principles,   any  such  future  determination  requiring  the  write-off  of  a
significant portion of unamortized goodwill could have a material adverse effect
on the Company's financial condition or results of operations.

        Risks  Associated  with  Acquisitions.  While the Company  completed six
acquisitions between fiscal 1998 and 1999, as a result of the uncertainty of the
outcome  of  additional  legislative  and  regulatory  changes  in the system of
Medicare reimbursement,  the Company has slowed its growth through acquisitions.
See "Strategy." Management believes that as a result of Medicare legislative and
regulatory  changes and managed care and other competitive  pressures,  the home
health care industry will continue to consolidate.

        The  Company  has  encountered  collection  difficulties  from  acquired
Accounts   Receivable   due  to:  (i)  failure  to  document   initial   service
authorizations or continued service authorizations in required time frames, (ii)
inability  to  retain  or  adequately  replace  billing   representatives   with
knowledgeable  personnel due to the complex billing requirements  encountered in
the industry, and (iii) difficulties in converting data from acquired company to
the Company's accounting and billing system.  Consequently,  the Company intends
to restrict acquisition of Accounts Receivable in the future.

        When evaluating  acquisitions,  the Company focuses  primarily on growth
within its existing geographic markets,  which the Company believes is generally
more profitable than adding  additional  operating  centers in new markets.  See
"Strategy." In attempting to make acquisitions,  the Company competes with other
providers,  some of which have greater financial  resources than the Company. In
addition,  since the  consideration  for acquired  businesses  may involve cash,
notes or the issuance of shares of common stock,  options or warrants,  existing
stockholders  may  experience  dilution  in the value of their  shares of common
stock in connection with such  acquisitions.  There can be no assurance that the
Company  in  the  future  will  be  able  to  negotiate,  finance  or  integrate
acquisitions  without  experiencing  adverse  consequences  that  could  have  a
material  adverse  effect on the  Company's  financial  condition  or results of
operations.  Acquisitions involve numerous short and long-term risks,  including
loss of referral sources, diversion of management's attention, failure to retain
key personnel, loss of net revenues of the acquired

                                      29

<PAGE>



companies,   inability  to  integrate  acquisitions   (particularly   management
information systems) without material  disruptions and unexpected expenses,  the
possibility of the acquired businesses becoming subject to regulatory sanctions,
potential   undisclosed   liabilities  and  the  continuing  value  of  acquired
intangible assets.  There can be no assurance that any given acquisition will be
consummated,  or if  consummated,  will  not  materially  adversely  affect  the
Company's financial condition or results of operations. Additionally, because of
matters  discussed  herein that may be beyond the control of the Company,  there
can be no assurance that suitable acquisitions will continue to be identified or
that acquisitions can be consummated on acceptable terms.

        Competition.  The home  medical  equipment  services  industry is highly
competitive and includes  national,  regional and local  providers.  The Company
competes  with a large number of companies in all areas in which its  operations
are located.  The  Company's  competitors  include  major  national and regional
companies,  hospital-owned companies, and numerous local providers. Some current
and potential competitors have or may obtain significantly greater financial and
marketing resources than the Company.  Accordingly,  other companies,  including
managed care organizations,  hospitals, long-term care providers and health care
providers that currently are not serving the home health care market, may become
competitors.  As a result, the Company could encounter increased  competition in
the future that may limit its ability to maintain or increase  its market  share
or otherwise  materially  adversely affect the Company's  financial condition or
results of operations.

        Regulatory  Compliance.  The Company is subject to extensive  regulation
which govern financial and other arrangements  between  healthcare  providers at
both the federal and state level.  At the federal  level,  such laws include (i)
the  Anti-Kickback  Statute,  which  generally  prohibits  the  offer,  payment,
solicitation  or  receipt of any  remuneration  in return  for the  referral  of
Medicare and Medicaid patients or the purchasing, leasing, ordering or arranging
for any good,  facility  services  or items for which  payment can be made under
Medicare and Medicaid,  federal and state health care programs, (ii) the Federal
False Claims Act,  which  prohibits  the  submission  for payment to the federal
government of fraudulent claims, and (iii) "Stark  legislation," which generally
prohibits, with limited exceptions,  the referrals of patients by a physician to
providers  of  "designated  health  services"  under the  Medicare  and Medicaid
programs,  including  durable  medical  equipment,  where  the  physician  has a
financial  relationship  with the provider.  Violations of these  provisions may
result in civil and criminal  penalties,  loss of licensure and  exclusion  from
participation  in the  Medicare  and  Medicaid  programs.  Many states have also
adopted statutes and regulations which prohibit provider  referrals to an entity
in which the provider has a financial  interest,  remuneration or  fee-splitting
arrangements between health care providers for patient referrals and other types
of  financial   arrangements   with  health  care  providers.   See  "Government
Regulation."

     The federal  government,  private  insurers and various  state  enforcement
agencies  have  increased  their  scrutiny of provider  business  practices  and
claims,  particularly  in the areas of home health care services and products in
an effort to identify and prosecute  parties  engaged in fraudulent  and abusive
practices. In May 1995, the Clinton Administration  instituted Operation Restore
Trust  ("ORT"),  a health  care fraud and abuse  initiative  focusing on nursing
homes, home health care agencies and durable medical equipment  companies.  ORT,
which initially focused on companies located in California,  Florida,  Illinois,
New York and Texas, the states with the largest Medicare  populations,  has been
expanded to all fifty states.  See  "Government  Regulation."  While the Company
believes  that it is in  material  compliance  with such  laws,  there can be no
assurance that the practices of the Company,  if reviewed,  would be found to be
in full compliance with such laws or interpretations of such laws.


                                      30

<PAGE>



     While the Company believes that it is in material compliance with the fraud
and abuse and  self-referral  laws, there can be no assurance that the practices
of the Company,  if reviewed,  would be found to be in full compliance with such
requirements,  as such requirements ultimately may be interpreted.  Although the
Company does not believe it has violated any fraud and abuse laws,  there can be
no assurance that future related  legislation,  either health care or budgetary,
related regulatory changes or interpretations of such regulations, will not have
a material adverse effect on the future operations of the Company.

Recent Accounting Pronouncements

The  Financial   Accounting  Standards  Board  has  issued  Statement  No.  132,
"Employers' Disclosures about Pensions and Other Postretirement  Benefits" which
is effective  for years  beginning  after  December 15, 1998. It is not expected
that the adoption of this statement will have a material impact on the Company's
financial statements.



                                      31

<PAGE>



ITEM 7.  FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

                         Index to Financial Statements

Interest Home Medical, Inc.  Financial Statements                         Page

      Report of Independent Accountants ....................................33

      Consolidated Balance Sheets...........................................34
        September 30, 1999 and 1998

      Consolidated Statements of Income.....................................36
        Years ended September 30, 1999 and 1998

      Consolidated Statements of Stockholders' Equity.......................37
        Years ended September 30 , 1999 and September 30, 1998

      Consolidated Statements of Cash Flows.................................38
         Years ended September 30, 1999 and 1998

      Notes to Consolidated Financial Statements............................41


                                      32

<PAGE>



                         INDEPENDENT AUDITOR'S REPORT





To the Board of Directors of
Interwest Home Medical, Inc.


We have audited the  accompanying  consolidated  balance sheet of Interwest Home
Medical,  Inc.  and  subsidiaries,  as of September  30, 1999 and 1998,  and the
related consolidated  statements of income,  stockholders' equity and cash flows
for the years  then  ended.  These  consolidated  financial  statements  are the
responsibility of the Company's management.  Our responsibility is to express an
opinion on these consolidated financial statements based on our audits.

We  conducted  our  audits  in  accordance  with  generally   accepted  auditing
standards.  Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement.  An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements.  An audit also includes
assessing the  accounting  principles  used and  significant  estimates  made by
management,  as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.

In our opinion,  such consolidated  financial  statements present fairly, in all
material respects,  the financial  position of Interwest Home Medical,  Inc. and
subsidiaries  as of  September  30,  1999 and  1998,  and the  results  of their
operations  and their cash flows for the years  then  ended in  conformity  with
generally accepted accounting principles.


                                    TANNER + CO.





Salt Lake City, Utah
November 24, 1999

                                      33

<PAGE>




















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





                                                    1999        1998
                                                ------------------------
         Assets

Current assets:
   Cash and cash equivalents                    $    357,000 $   253,000
   Accounts receivable, net of allowance for
     doubtful accounts of $1,594,000 and
     $1,760,000                                   12,225,000  10,447,000
   Inventories                                     3,007,000   3,771,000
   Current portion of notes receivable                54,000     243,000
   Other current assets                               77,000     157,000
   Deferred tax asset                                700,000     701,000
                                                ------------------------

            Total current assets                  16,420,000  15,572,000

Notes receivable                                     133,000     374,000
Investment in undeveloped real estate                 76,000     125,000
Investment in office buildings                             -     447,000
Property and equipment - net                      11,097,000   6,745,000
Intangible assets, net                             4,422,000   4,967,000
Other assets                                         192,000     151,000
                                                ------------------------










                                                $ 32,340,000 $28,381,000
                                                ========================




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


See accompanying notes to consolidated financial statements.



                                   34

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

- ------------------------------------------------------------------------------
                                              Consolidated Balance Sheet

                                                           September 30,
- ------------------------------------------------------------------------------





                                                    1999        1998
                                                ------------------------
         Liabilities and Stockholders' Equity

Current liabilities:
   Checks written in excess of cash in bank     $  1,735,000 $   771,000
   Current portion of long-term debt               1,791,000   3,246,000
   Notes payable                                           -   4,491,000
   Accounts payable                                2,293,000   2,800,000
   Accrued expenses                                  743,000     767,000
   Income taxes payable                              354,000     884,000
                                                ------------------------

            Total current liabilities              6,916,000  12,959,000
                                                ------------------------

Deferred tax liability                               958,000     416,000

Long-term debt                                    13,273,000   5,674,000
                                                ------------------------

            Total liabilities                     21,147,000  19,049,000

Commitments and contingencies                              -           -

Stockholders' equity:
   Preferred stock, $.01 par value, 10,000,000
shares                                                     -           -
     authorized and -0- shares issued and
outstanding
   Common stock, no par value; 50,000,000 shares
     authorized, 4,089,029 shares issued and       3,299,000   3,299,000
outstanding
   Retained earnings                               7,894,000   6,033,000
                                                ------------------------

         Total stockholders' equity               11,193,000   9,332,000
                                                ------------------------

                                                $ 32,340,000 $28,381,000
                                                ========================





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


See accompanying notes to consolidated financial statements.



                                   35

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                                        Consolidated Statement of Income

                                               Years Ended September 30,
- ------------------------------------------------------------------------------





                                                    1999        1998
                                                ------------------------
Revenue:
   Net sales                                    $ 15,033,000 $14,492,000
   Net rental income                              18,229,000  14,144,000
                                                ------------------------

            Total revenue                         33,262,000  28,636,000

Cost of sales and rental                          11,684,000  10,582,000
                                                ------------------------

            Gross profit                          21,578,000  18,054,000
                                                ------------------------

Selling, general and administrative expenses      18,296,000  15,253,000
                                                ------------------------

            Income from operations                 3,282,000   2,801,000

Other income (expense):
   Gain on sale of assets                            126,000           -
   Interest income                                   243,000     206,000
   Interest expense                                 (991,000) (1,046,000)
                                                ------------------------

            Income before income taxes             2,660,000   1,961,000

Income tax benefit (expense):
   Current                                          (256,000)   (846,000)
   Deferred                                         (543,000)    311,000
                                                ------------------------

            Total income taxes                      (799,000)   (535,000)
                                                ------------------------

            Net income                          $  1,861,000 $ 1,426,000
                                                ========================

            Net income per share:
               Basic                            $      .45    $    .35
                                                ========================

               Fully diluted                    $      .45    $    .35
                                                ========================



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


See accompanying notes to consolidated financial statements.



                                   36

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                          Consolidated Statement of Stockholders' Equity

                                 Years Ended September 30, 1999 and 1998
- ------------------------------------------------------------------------------







                             Preferred Stock      Common Stock       Retained
                           ---------------------------------------
                             Shares    Amount   Shares    Amount     Earnings
                           ----------------------------------------------------


Balance, October 1, 1997       -      $   -   $4,074,249 $3,239,000  $4,607,000

Issuance of common stock       -          -       14,780     60,000       -

Net income                     -          -        -           -      1,426,000
                           ----------------------------------------------------

Balance, September 30, 1998    -          -    4,089,029  3,299,000   6,033,000


Net income                     -          -        -           -      1,861,000
                           ----------------------------------------------------

Balance September 30, 1999     -      $   -    4,089,029 $3,299,000  $7,894,000
                           ====================================================






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


See accompanying notes to consolidated financial statements.



                                   37

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                                    Consolidated Statement of Cash Flows

                                               Years Ended September 30,
- ------------------------------------------------------------------------------




                                                      1999         1998
                                                 --------------------------
Cash flows from operating activities:
   Reconciliation of net income to net cash
     provided by operating activities:
      Net income                                $  1,861,000 $ 1,426,000
      Adjustments to reconcile net income to
        net cash provided by operating activities:
         Depreciation and amortization             2,555,000   2,042,000
         Gain on settlement of litigation            (96,000)          -
         (Gain) loss on sale of assets              (126,000)     28,000
         (Increase) decrease in:
            Accounts receivable, net              (1,778,000) (1,884,000)
            Inventories                              764,000     164,000
            Other current assets                      80,000      16,000
            Other assets                             (41,000)     40,000
            Deferred tax asset                         1,000    (460,000)
         Increase (decrease) in:
            Accounts payable                        (507,000)    439,000
            Accrued expenses                         (24,000)    173,000
            Income taxes payable                    (530,000)    721,000
            Deferred income taxes                    542,000     149,000
                                                ------------------------

               Net cash provided by
               operating activities                2,701,000   2,854,000
                                                ------------------------

Cash flows from investment activities:
   Collection of notes receivable                    430,000      93,000
   Proceeds from sale of property and equipment      787,000     437,000
   Proceeds from sale of investment in office
building and                                         613,000           -
     undeveloped real estate
   Increase in investment in office building               -     (11,000)
   Purchase of property and equipment             (6,045,000) (2,071,000)
   Purchase of intangible assets                           -    (200,000)
                                                ------------------------

               Net cash used in
               investing activities               (4,215,000) (1,752,000)
                                                ------------------------



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

See accompanying notes to consolidated financial statements.



                                   38

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                                    Consolidated Statement of Cash Flows
                                                               Continued


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




                                                    1999        1998
                                                ------------------------

Cash flows from financing activities:
   Checks written in excess of cash                964,000     (171,000)
   Proceeds from notes payable                   6,836,000  (12,677,000)
   Payments on notes payable                    (5,899,000)  13,805,000
   Proceeds from long-term debt                  3,147,000       44,000
   Payments on long-term debt                   (3,430,000)  (2,811,000)
   Issuance of common stock                          -           60,000
                                                ------------------------

            Net cash provided by (used in)
            financing activities                 1,618,000   (1,750,000)
                                                ------------------------

            Net increase (decrease) in cash        104,000     (648,000)

Cash, beginning of year                            253,000      901,000
                                                ------------------------

Cash, end of year                               $  357,000   $  253,000
                                                ========================


Supplemental disclosure of cash flow information: Cash paid during the year for:

         Interest                               $   971,000  $ 1,021,000
                                                ========================

         Income taxes                           $  786,000   $   125,000
                                                ========================





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


See accompanying notes to consolidated financial statements.



                                   39

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                                    Consolidated Statement of Cash Flows
                                                               Continued


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


Supplemental schedule of non-cash investing and financing activities:

1999

o  The Company  financed the purchase of property and equipment in the amount of
   $1,079,000 with long term debt.

o  The Company  re-financed  its note payable and certain of its long-term  debt
   with a new financing arrangement in the amount of $10,499,000.

o  The Company settled  litigation,  and as a result was relieved of debt in the
   amount of $480,000 related to a prior  acquisition.  As a result, the Company
   also wrote down goodwill  associated  with this  acquisition in the amount of
   $384,000. The Company recognized a gain of $96,000 on the transaction.

o  The Company acquired  property and equipment in the amount of $4,100,000 with
   long-term debt of $400,000 and cash of $3,700,000.

1998

o  The Company acquired assets and assumed certain liabilities from companies in
   Utah and Arizona for long-term  debt. The net assets  purchased for long-term
   debt consist of the following:


Accounts receivable, net                              $  1,348,000
Inventory                                                  491,000
Note receivable                                             13,000
Property and equipment                                   1,548,000
Intangible assets                                          744,000
Other assets                                                23,000
Accounts payable and accrued liabilities                   (31,000)
                                                      ------------

   Net assets purchased with long-term debt           $  4,136,000
                                                      ============

o  The Company  sold a segment of its  business in Nevada to the former owner of
   the business in exchange for a note receivable in the amount of $250,000.

o  The Company  also  financed  the  purchase of property  and  equipment in the
   amount of $515,000 with long-term debt.

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


See accompanying notes to consolidated financial statements.



                                   40

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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



                              Notes to Consolidated Financial Statements

                                             September 30, 1999 and 1998
- ------------------------------------------------------------------------------


1.  Organization and Summary of Significant Accounting Policies

Description of Business
Interwest Home Medical  Equipment,  Inc., and  subsidiaries  ("Interwest" or the
"Company")  provides  a  diversified  range of home  health  care  services  and
products.  The Company  currently  conducts its business from  twenty-nine  (29)
locations in the States of Utah, Colorado,  Idaho, Nevada,  California,  Alaska,
and Arizona.  The Company  divides its products and services  into three general
categories:  (1) home oxygen and  respiratory  care  services,  (2) home medical
equipment and supplies, and (3) rehabilitation services.


Principles of Consolidation
The  consolidated  financial  statements  include the financial  information  of
Interwest  Home  Medical,  Inc.,  and its wholly owned  subsidiaries  (Interwest
Medical Equipment Distributors,  Inc., Interwest Home Pharmacy,  Inc., Interwest
Home Medical - Alaska,  Inc., and Interwest Home Medical - Arizona,  Inc.).  All
material  intercompany   transactions  and  balances  have  been  eliminated  in
consolidation of the companies.


Cash and Cash Equivalents
For  purposes  of the  statement  of  cash  flows,  the  Company  considers  all
short-term  securities  purchased  with an original  maturity of three months or
less to be cash equivalents.

Inventories
Inventories  consist of medical  equipment  and  supplies  held for sale and are
stated at the lower of average cost (FIFO basis) or market.

Investments in Undeveloped Real Estate
Investments  in  undeveloped  real  estate are  recorded at the lower of cost or
market.  When it is determined  that future  estimated cash flows are lower than
recorded values for long-term investments, these investments are written down to
estimated  net fair market value and the amount of the  write-down  is accounted
for as a current period loss.

Investment in real estate consists of one parcel of undeveloped  land located in
the state of Utah in Utah County.





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



                                   41

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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



1,  Organization and Summary of Significantn Accounting Policies Continued

Property and Equipment
Property and equipment, consisting of rental equipment, equipment, furniture and
fixtures,  vehicles and leasehold  improvements  is stated at  historical  cost.
Depreciation  and amortization is computed using the  straight-line  method over
estimated useful lives of the assets or the term of the lease agreements.


Intangible Assets
Intangible  assets,  consisting of purchased  customer  lists,  supplier  lists,
non-competition  agreements  and  goodwill  are  stated  at  cost.  The  Company
evaluates  goodwill and other  intangible  assets by using an  operating  income
realization  test. In addition,  the Company considers the effects of changes in
the business environment,  including competitive pressures,  market changes, and
technological  and  regulatory  changes.  Amortization  is  computed  using  the
straight-line  method over five to forty years,  or the term of the  non-compete
agreement.


Income Taxes
The  Company  accounts  for  income  taxes  under  the  provision  of  SFAS  109
"Accounting  for Income Taxes." This method requires the recognition of deferred
tax liabilities and assets for the expected future tax consequences of temporary
differences  between tax bases and financial reporting bases of other assets and
liabilities.


Revenue Recognition Revenues are recognized as follows:

   o              Patient revenues are recognized net of contractual adjustments
                  related to third party payers when services are rendered.  The
                  amount  paid by a third  party  payer  is  dependent  upon the
                  benefits included in the patient's policy.

   o              Other revenues are recognized as the services are
                  rendered or the sales are made.


Net Income Per Share
Net  income  per  share is based  on  weighted  average  shares  outstanding  of
approximately  4,089,000 and 4,085,000  shares for the years ended September 30,
1999 and 1998,  respectively.  There is no difference on earnings per share on a
fully  diluted  basis under the Treasury  Stock  method as the weighted  average
shares  outstanding are essentially the same for both standard and fully diluted
shares outstanding.



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



                                   42

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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



1,  Organization and Summary of Significant Accounting Policies Continued

Concentration of Credit Risk
Financial  instruments which potentially subject the Company to concentration of
credit risk consist  primarily  of trade  receivables.  In the normal  course of
business, the Company provides credit terms to its customers.  Accordingly,  the
Company  performs  ongoing  credit  evaluations  of its  customers and maintains
allowances for possible losses which, when realized,  have been within the range
of management's expectations.

The Company's  customer base consists  primarily of  individuals  in the Western
United States.  Substantially  all revenues are from these  customers.  Accounts
receivable  include  those of the  individuals  and their  third  party  payors,
including  insurance  companies,   Medicare,  Medicaid  and  other  governmental
agencies.  Revenues covered by Medicare, which is a third party payor, accounted
for  approximately  36% and 33% of total  revenues  received for the years ended
September 30, 1999 and 1998, respectively.

Use of Estimates in the  preparation of Financial  Statements The preparation of
financial statements in conformity with generally accepted accounting principles
requires  management to make estimates and assumptions  that affect the reported
amounts  of assets and  liabilities  and  disclosure  of  contingent  assets and
liabilities at the date of the financial  statements and the reported amounts of
revenues and expenses during the reporting  period.  Actual results could differ
from those estimates.

Reclassification
Certain amounts in the financial  statements for 1998 have been  reclassified to
conform with the current year presentation.

2.  Acquisitions
During the year ended September 30, 1999 the Company  acquired certain assets of
a company which was accounted for as a purchase and, accordingly, is included in
the  consolidated  financial  statements  since  its  date of  acquisition.  The
purchase price of $4,100,000,  was financed through cash and long-term debt, has
been  allocated to the assets of the Company  based upon their  respective  fair
market values. There was no excess purchase price over assets acquired.

The following  unaudited pro forma consolidated  results of operations have been
prepared as if the 1999  acquisition  had  occurred at the  beginning  of fiscal
1999:


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



                                   43

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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




                                        Pro Forma
                                        Results of
                                        Operations
                                       ------------
                                           1999
                                       ------------

   Total revenue                       $ 40,450,000

   Total expenses                      $ 38,350,000
                                       ------------

   Net income                          $  2,100,000
                                       ============

   Net income per share                $       0.51
                                       ============

The pro forma  consolidated  results do not purport to be  indicative of results
that would have  occurred  had the  acquisitions  been in effect for the periods
presented,  nor do they  purport to be  indicative  of the results  that will be
obtained in the future.


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



                                   44

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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




2.  Acquisitions Continued
During the year ended  September 30, 1998 the Company  acquired  five  companies
which were  accounted  for as purchases  and,  accordingly,  are included in the
consolidated  financial  statements since their respective dates of acquisition.
The aggregate  purchase  price of  $4,385,000,  which was financed  through cash
resources and long-term  debt,  has been  allocated to the assets of the Company
based upon their respective fair market values. The excess of the purchase price
over  assets  acquired of $944,000  has been  included in goodwill  and is being
amortized over periods of ten to forty years.

The following  unaudited pro forma consolidated  results of operations have been
prepared as if the 1998  acquisitions  had  occurred at the  beginning of fiscal
1998:


                                        Pro Forma
                                        Results of
                                        Operations
                                       ------------
                                           1998
                                       ------------

   Total revenue                       $ 32,209,000

   Total expenses                      $ 30,597,000
                                       ------------

   Net income                          $  1,612,000
                                       ============

   Net income per share                $       0.39
                                       ============

The pro forma  consolidated  results do not purport to be  indicative of results
that would have  occurred  had the  acquisitions  been in effect for the periods
presented,  nor do they  purport to be  indicative  of the results  that will be
obtained in the future.


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



                                   45

<PAGE>


                   INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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




3.  Notes Receivable
Notes receivable consist of the following at September 30, 1999 and 1998:


                                                   1999        1998
                                               ------------------------

Notes receivable in connection
with the sale of a segment of the
business due in monthly
installments of $5,633, including
interest at 8.5%.  The note is due
in October 2002 and is unse$ured                  187,000  $  231,000



Mortgage receivable,  due in
monthly installments of $1,765,
including interest at 9.5%,
maturing March 1, 2000, secured
by apartment building                                 -       194,000

Note receivable in connection with
the sale of property.  The note was
due in March 1997, including
interest of 9%, and is secured by
real estate                                           -       179,000



Note receivable acquired in
connection with the purchase of
another company, due in 1998                          -        13,000
                                               ------------------------

                                                  187,000     617,000

Less current portion                               54,000     243,000
                                               ------------------------

                                               $  133,000  $  374,000
                                               ========================




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



                                   46

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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




4.  Property and
Equipment
Property and equipment at September 30, 1999 and 1998 consist of the following:


                                      Life         1999          1998
                               --------------------------------------------

Rental equipment                   3-10 years   $15,990,000   $10,514,000
Equipment and signs                3-10 years     1,417,000     1,095,000
Furniture and fixtures             3-10 years       498,000       412,000
Vehicles                            2-5 years     1,021,000       636,000
Leasehold improvements              3-5 years       322,000       501,000
                               --------------------------------------------

                                                 19,248,000    13,158,000

Less accumulated
  depreciation and
  amortization                                    8,151,000     6,413,000
                                              -----------------------------

                                                $11,097,000    $6,745,000
                                              =============================



5.  Intangible Assets
Intangible assets at September 30, 1999 and 1998 consist of the following:


                                  Life                            1998
                               ------------------------------------------------

Goodwill                        5-40 years     $4,557,000      $4,958,000
Noncompete agreements            5-7 years        399,000         399,000
Other                              5 years         30,000          30,000
                                              ---------------------------------

                                                4,986,000       5,387,000

Less accumulated
  amortization                                    564,000         420,000
                                              ---------------------------------

                                               $4,422,000      $4,967,000
                                              =================================



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



                                   47

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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


6.  Notes Payable
Notes payable at September 30, and 1998, consist of the following:


                                              1999               1998
                                          -------------------------------


Line of credit in the amount of
$4,350,000  payable to a financial
institution due February 12, 1999;
with interest payments at the bank's
prime rate (8.25% at September  30,
1998) minus 0.50% payable quarterly,
secured  by  accounts receivable and
inventory                                 $       -         $  3,691,000


Line of credit in the amount of
$1,000,000  payable to a financial
institution due August 30, 1999,  with
interest at prime (8.25% at September
30, 1998) minus 0.50% payable quarterly;
secured by accounts receivable and
inventory                                         -              800,000

                                          -------------------------------
                                          $       -         $  4,491,000
                                          ===============================




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



                                   48

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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


7.  Long-term Debt
Long-term debt at September 30, 1999 and 1998, consists of the following:

                                              1999               1998
                                          ----------------------------------

Note  payable to a bank  requiring
quarterly  principal  payments of
$600,000, beginning  September 30, 2000.
The total  borrowing  available under
the note is $18  million.  Monthly
interest  payments are due at a rate of
the bank's prime rate (8.25% at September
30, 1999) minus .25%, secured by accounts
receivable, inventory and equipment.       $ 13,024,000       $       -

Notes  payable  in  connection  with
the  acquisition  of  companies
requiring aggregate monthly payments of
$25,049 including interest at rates of
8% to 9%, unsecured                             501,000            894,000

Note payable in connection with
the acquisition of a company
requiring a single payment in
March, 2000, including interest
8%, unsecured                                   400,000               -

Installment contracts payable in
aggregate monthly installments totaling
$2,069 including interest ranging from
10% to 10.99%, secured by vehicles               24,000             78,000


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



                                   49

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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

                                               1999               1998
                                          ----------------------------------


7.  Long-term Debt Continued

Notes  payable  to a bank  requiring
aggregate  monthly  payments  of
$183,558 including interest at a rate of
8.0% to prime (8.25% at September 30,
1998) plus 1.25%, secured by accounts
receivable, inventory and equipment              -              6,388,000

Note  payable  to a company  in
connection  with the  acquisition
of a company requiring  annual payments
of $200,000 plus interest at a rate of
8%, secured by property and equipment.
This amount was settled in 1999.                 -               600,000

Notes payable requiring aggregate monthly
payments of $21,741 including interest
at prime (8.25% at September 30, 1998)
plus 1.25% to 13%, secured by equipment          -               367,000


Capital lease obligations (see note 8)       1,115,000           593,000
                                          ----------------------------------

                                            15,064,000         8,920,000

Less current portion                         1,791,000         3,246,000
                                          ----------------------------------

Long-term debt                             $13,273,000        $5,674,000
                                          ==================================



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



                                   50

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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



7.  Long-term Debt Continued
Future maturities of long-term debt at September 30, 1998 were as follows:


Year ending September 30:
   2000                                $  1,791,000
   2001                                   2,791,000
   2002                                   2,609,000
   2003                                   2,576,000
   2004                                   2,473,000
   Thereafter                             2,824,000
                                       -------------

                                       $ 15,064,000
                                       =============



8.  Lease Obligations
The  Company  leases  certain  equipment  under terms  accounted  for as capital
leases. The Company also leases small equipment under  noncancellable  operating
leases.  At September 30, 1999 and 1998, the total cost of all assets  currently
under  capital  lease is  $1,752,000  and  $969,000,  respectively.  Accumulated
amortization at that date amounted to $623,000 and $351,000,  respectively.  The
following summarizes future minimum lease payments under leases at September 30,
1999:


                                       Operating   Capital
Year Ending September 30:               Leases     Leases
                                    ------------------------

                  2000               $  864,000   $ 595,000
                  2001                  673,000     217,000
                  2002                  473,000     191,000
                  2003                  368,000     189,000
                  2004 and thereafter   664,000      75,000
                                    ------------------------

                                    $ 3,042,000   1,267,000
                                    ============

Less amounts representing interest                  152,000
                                                ------------

Present value of future minimum
  lease payments                               $  1,115,000
                                               =============



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



                                   51

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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



8.  Lease Obligations Continued
Total rent expense for operating leases was approximately  $894,000 and $925,000
for the years ended September 30, 1999, and 1998, respectively.


9.  Income Taxes
The  provisions  for income  taxes  differ  from the amount  computed at federal
statutory rates as follows:


                                    1999        1998
                                ------------------------

Tax at statutory rates         $ (904,000)  $(667,000)
State tax                        (130,000)   (117,000)
Change in valuation allowance     328,000     279,000
Other                             (93,000)    (30,000)
                                -------------------------

                               $ (799,000)  $(535,000)
                                =========================


The deferred  income tax benefit  (liability)  for the years ended September 30,
1999 and 1998 is as follows:


                                  1999        1998
                              ------------------------
Short-term:
   Allowance for bad debts    $ 590,000  $  669,000
   Employee benefits             70,000      56,000
   Deferred gain                      -     (43,000)
   Other                         40,000      19,000
                              ------------------------

   Deferred tax asset         $ 700,000  $  701,000
                              ========================




                                       1999         1998
                                   --------------------------
Long-term:
   Depreciation                    $ (958,000)   $  (416,000)
   Net operating loss carryforward    275,000        603,000
   Valuation allowance               (275,000)      (603,000)
                                   --------------------------

   Deferred tax liability         $  (958,000)   $  (416,000)
                                   --------------------------



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



                                   52

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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



9.  Income Taxes Continued
At September 30, 1999, the Company has  approximately  $742,000 of net operating
losses to use to offset future income.  These net operating losses expire in the
years 2000 through 2009. A valuation  allowance has been established for the net
operating loss due to certain  limitations that may effect its  utilization.  If
certain substantial changes in the Company's ownership should occur, there would
be an annual limitation of the amount of net operating loss carryforwards  which
could be utilized.


It is not possible to estimate the utilization of carrying forward the available
net operating  losses to future periods to offset income.  The amount of the net
operating losses which can be used are limited by the future  operations and the
tax laws in effect at the time of the  utilization.  Consequently,  a  valuation
allowance has been established to offset any tax asset.


10.  Fair Value of Financial Instruments
None of the Company's financial  instruments are held for trading purposes.  The
Company estimates that the fair value of all financial  instruments at September
30, 1999 and 1998, does not differ materially from the aggregate carrying values
of its financial  instruments  recorded in the  accompanying  balance sheet. The
estimated fair value amounts have been determined by the Company using available
market  information  and  appropriate  valuation   methodologies.   Considerable
judgement is  necessarily  required in  interpreting  market data to develop the
estimates of fair value,  and,  accordingly,  the estimates are not  necessarily
indicative  of the amounts that the Company  could  realize in a current  market
exchange.


11.  401(K)Savings Plan
The Company has a  contributory  401(K)  savings plan covering all employees who
are at least 21 years of age,  work at least  1,000  hours per year,  and have a
minimum of one year of service to the Company.  All contributions by the Company
are fully  discretionary.  The Company made contributions of $70,000 and $50,000
in 1999 and 1998, respectively.



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



                                   53

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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



12.  Stock Options and Warrants Employee Options
In February 1995, the Company adopted a stock option plan. Under the plan, stock
options  aggregating  312,500 shares of common stock may be granted to employees
and other persons to purchase the Company's  common stock.  No individual may be
granted stock options exceeding  $100,000 fair market value in any one year. The
stock options vest at varying rates, are exercisable within the time or upon the
events  determined by the option  agreement and terminate  after five years from
the date of grant for stockholders  owing more than 10 percent of all classes of
stock and after 10 years for all  others.  At  September  30,  1999,  options to
purchase 218,750 shares remain unexercised under this agreement.


Director Options
In February 1995, the Company adopted a stock option plan. Under the plan, stock
options aggregating 75,000 shares of common stock may be granted to non-employee
directors to purchase the Company's  common stock.  No individual may be granted
more than one stock option per year, nor more than 11,000 shares on the exercise
of all  options  granted  pursuant  to this  agreement.  The stock  options  are
exercisable  within six months  after the grant  date and  terminate  after five
years from the date of grant. At September 30, 1999,  options to purchase 19,500
shares remained unexercised under this agreement.


On September 30, 1997, the Company entered into an option agreement with each of
its outside  Directors.  The terms of the  agreements  provide the Directors the
right to  purchase,  pursuant to options and  warrants,  up to an  aggregate  of
198,000  newly issued  common  shares at prices  ranging from $4.28 to $7.00 per
share.  If each  Director  elected to  exercise  his  rights in full,  the total
proceeds  to the  Company  would be  approximately  $1.02 to $1.12  million.  On
October 10, 1997, each Director paid a $1,000 option fee providing each Director
the right to exercise  options to  purchase  8,250  shares of common  stock at a
price of $4.28 within 180 days.  During the year ended  September 30, 1998,  the
Directors  exercised  options by paying  approximately  $60,000 in exchange  for
13,984  shares of the Company  common stock and issuance of warrants for 13, 984
shares of common  stock  exercisable  for three years at $4.28  during the first
warrant year,  $4.75 during the second year,  and $5.25 during the third warrant
year. As of September 30, 1998,  all of the terms of this options  agreement had
expired without any further exercise.


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



                                   54

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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



12.  Stock Options and Warrants Continued
In addition,  the Company has issued options to purchase an aggregate of 120,000
shares to three board members.  The options are  exercisable  beginning one year
after issuance and terminated five years from the date of grant. As of September
30, 1999, none of the options were exercised.


Other
During  November  1996,  the Company  entered  into an  agreement  with  several
investors  to sell up to  1,170,714  shares of the  Company's  common  stock for
prices  ranging  from $4.28 to $7.00 per  share.  As part of the  agreement  the
investors  when they  purchase each share of common stock they receive a warrant
to purchase an additional  share of common stock at the same price.  During 1997
the  Company  issued  162,266  shares  of  common  stock  plus  warrants  for an
additional  162,266  shares of common  stock  exercisable  for 3 years at yearly
prices of $4.28 in the first year, to $5.25 in year three.  The Company holds an
option fee of $100,000  whereby the Company owes 21,263  shares of the Company's
common stock plus  warrants to purchase  another  21,263 shares of the Company's
common stock at an additional price of $4.78 to $5.75 per share through 2000. No
warrants had been exercised and the agreement was terminated as of September 30,
1998.


During March 1998,  the Company  entered into a stock  option  agreement  with a
consultant.  The stock  option  agreement  granted  options to purchase  17, 500
shares of common stock  exercisable for 8 years.  Options to purchase 11,666 and
5,834 shares of common stock are  exercisable at $3.50 and $4.00,  respectively.
At September 30, 1999 no options had been exercised under this agreement.

The Company also has options  outstanding  to an  individual  to purchase  5,000
shares at an exercise  price of $4.00 per share.  The options expire in February
2000.

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



                                   55

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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



12.  Stock Options and Warrants Continued
A schedule  of the options and  warrants  at  September  30, 1999 and 1998 is as
follows:


                             Number of
                       ---------------------- Price Per
                         Options   Warrants     Share
                       ------------------------------------

Outstanding at
  October 1, 1997        274,984    183,529   $2.50 - 5.52
   Granted               209,766     13,984    3.00 - 4.28
   Exercised             (13,984)      -       4.00 - 4.28
   Expired               (85,016)      -       4.00 - 4.28
                       ------------------------------------

Outstanding at
  September 30, 1998     385,750    197,513    2.50 - 5.52
   Granted                  -          -            -
   Exercised                -          -            -
   Expired                (5,000)      -            -
                       ------------------------------------

Outstanding at
  September 30, 1999     380,750    197,513  $ 2.50 - 5.52
                       ====================================




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



                                   56

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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




13.  Stock-Based
Compensation
The  Financial   Accounting   Standards  Board  issued  Statement  of  Financial
Accounting  Standards No. 123,  "Accounting for Stock-Based  Compensation"  (FAS
123)  which  established   financial  accounting  and  reporting  standards  for
stock-based  compensation.  The new  standard  defines  a fair  value  method of
accounting  for an employee  stock  option or similar  equity  instrument.  This
statement  gives entities the choice  between  adopting the fair value method or
continuing to use the intrinsic value method under  Accounting  Principles Board
(APB) Opinion No. 25 with footnote  disclosures  of the pro forma effects if the
fair  value  method  had been  adopted.  The  Company  has opted for the  latter
approach. Accordingly, no compensation expense has been recognized for the stock
option plans. Had compensation  expense for the Company's stock option plan been
determined based on the fair value at the grant date for awards in 1999 and 1998
consistent  with  the  provisions  of FAS No.  123,  the  Company's  results  of
operations would have been reduced to the pro forma amounts indicated below:


                                          September 30,
                                   --------------------------
                                         1999        1998
                                   --------------------------

Net Income - as reported           $  1,861,000  $ 1,426,000
Net Income - pro forma             $  1,789,000  $ 1,301,000
Earnings per share - as reported   $       0.45  $       .35
Earnings per share - pro forma$    $       0.42  $       .32
                                   --------------------------



The fair value of each option  grant is estimated at the date of grant using the
Black-Scholes option pricing model with the following assumptions:


                                         September 30,
                                    -----------------------
                                        1999        1998
                                    -----------------------

Expected dividend yield              $    -      $    -
Expected stock price volatility          44%          42%
Risk-free interest rate                 4.4%         4.4%
Expected life of options                1-5 years  1-5 years
                                    -----------------------



The weighted average fair value of options  outstanding during 1999 and 1998 are
$1.49 and $1.44 per share, respectively.


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



                                   57

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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



13.  Stock-Based Compensation Continued
The following table summarizes information about fixed stock options outstanding
at September 30, 1999:


                        Options Outstanding              Options Exercisable
              ------------------------------------------------------------------
                             Weighted
                              Average
                 Number      Remaining    Weighted      Number       Weighted
   Range of    Outstanding  Contractual    Average    Exercisable    Average
   Exercise        at          Life       Exercise         at        Exercise
    Prices       9/30/99      (Years)       Price       9/30/99       Price
- --------------------------------------------------------------------------------
$ 2.50 to 4.28   362,734       1.96       $ 3.75        291,065     $  3.84
  4.75 to 5.52   176,766        .58         4.79        176,766        4.79
- --------------------------------------------------------------------------------

$ 2.50 to 5.52   539,500       1.51      $  4.09        467,831    $   4.20
===============================================================================



14.  Employee Stock Purchase Plan
During the year ended  September 30, 1996, the Company  adopted a Stock Purchase
Plan (the "Plan"). The Plan is designed to provide employees of the Company with
an  opportunity  to  purchase  shares  of the  Company's  common  stock  through
accumulated payroll deductions.  The purchase price may be established at 85% of
the fair market  price.  The number of shares which may be  purchased  under the
Plan is  500,000.  At  September  30, 1999 and 1998,  28,525 and 16,751  shares,
respectively, of common stock had been cumulatively purchased under the plan.


15.  Commitments and Contingencies
In October 1991, an officer of the Company retired and a trust was created which
purchased  429,544  shares of the  Company's  common stock from the officer.  In
exchange  for the  stock,  a note was  entered  into  between  the trust and the
retired officer in the principal  amount of $305,000.  The note requires monthly
payments over ten years of $4,000, including principal and interest at an annual
rate of 8  percent.  Certain  employees  of the  Company  have  entered  into an
agreement to purchase the shares of stock from the trust under similar terms. At
the employees' option,  shares can be issued as they are purchased.  The Company
has guaranteed the collectibility of amounts due the trust by the employees. The
outstanding balance of the note was $85,100 at September 30, 1999.


Litigation
The  Company is  involved  in  certain  litigation  related  to normal  business
operations.  Management  believes that sufficient reserves have been accrued and
there will not be any material effect upon the Company's financial condition.


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



                                   58

<PAGE>


                           INTERWEST HOME MEDICAL, INC. AND SUBSIDIARIES

                              Notes to Consolidated Financial Statements
                                                               Continued

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



15.  Commitments and Contingencies Continued

Government Regulation
The health care industry, in which the Company operates, is regulated by Federal
and State government  authorities,  and has been the subject of certain scrutiny
in recent years. A number of laws and regulations  have been passed and put into
effect  during the past several years which impact the Company and its industry.
Specifically,  a significant  amount of accounts  receivable  is collected  from
Federal  Medicare and State  Medicaid  programs.  The Company is also subject to
Medicare and Medicaid rate adjustments on services  provided.  Beginning January
1, 1998, Medicare reduced its oxygen reimbursement rate by 25%. An additional 5%
reduction was effective  January 1, 1999.  Management has taken what it believes
to be  appropriate  steps to  mitigate  any  financial  impact on the  Company's
financial  condition  related to the changes and  regulations of the health care
industry.

16.  Preferred Stock
Preferred stock has voting rights of one vote for one share. The preferred stock
is  convertible  at the option of the holder  into  common  stock based upon the
trading value of the common stock. The conversion rate varies from one share for
one share up to  receiving  three shares of common stock for one share of common
stock.  At September  30, 1999 and 1998 there were no shares of preferred  stock
issued and outstanding.

17.  Sale of Office Building and Undeveloped Real Estate
During the year ended  September  30,  1999,  the Company  sold a building and a
portion  of its  investment  in  undeveloped  real  estate  with a book value of
$496,000.  The  proceeds  from the sale of $613,000  was  received in cash.  The
resulting gain on the sale was $117,000.

18.  Recent Accounting Pronouncements
The  Financial   Accounting  Standards  Board  has  issued  Statement  No.  132,
"Employers' Disclosures about Pensions and Other Postretirement  Benefits" which
is effective  for years  beginning  after  December 15, 1998. It is not expected
that the adoption of this statement will have a material impact on the Company's
financial statements.


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



                                   59

<PAGE>





ITEM 8.  CHANGES AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE

      NONE.

                                PART III

ITEM 9.     DIRECTORS, EXECUTIVE OFFICERS, PROMOTERS AND CONTROL PERSONS;
COMPLIANCE WITH SECTION 16(a) OF THE EXCHANGE ACT.

      A.  Identification  of  Directors  and  Executive  Officers.  The  current
directors  and  officers  of the  Company,  who will serve until the next annual
meeting of shareholders  or until their  successors are elected or appointed and
qualified, are set forth below:

      Name                          Age         Position
     --------------------------------------------------------------------
      James E. Robinson             48          CEO /President/Chairman
      James U. Jensen               55          Director
      Dr. Jeffrey F. Poore          51          Director
      Jerald L. Nelson              57          Director
      Que H. Christensen            44          COO/Vice President
      Serena Falgoust               52          Secretary

     James E.  Robinson.  Mr.  Robinson has been president and a director of the
Company since February 1995. Mr.  Robinson has been President (CEO) and Chairman
of the Board of Interwest  Medical  Equipment  Distributors,  Inc. since October
1982. He also acted as Treasurer until 1990. Mr. Robinson graduated from Brigham
Young  University  with a Master of Accountancy  degree in 1975. He worked until
July 1977 with Haskins & Sells at which time he joined  Robinson's  Medical Mart
(a  predecessor  company  to  Interwest  Medical)  as  its  Vice  President  and
Treasurer.  Mr.  Robinson  was elected to the Board of Directors of the National
Association of Medical  Equipment  Suppliers  (NAMES) in 1984 where he served as
Treasurer from 1986 until 1990, Chair from 1990 to 1991, Immediate Past-Chairman
from 1991 to 1992, and continues as an  "Ex-Officer"  Board member.  He was also
elected to the Board of Directors of Medical Equipment  Distributors,  Inc. (The
MED Group) in 1985 and served as its Chair from 1988 until  1992.  Mr.  Robinson
has been  active in many  local,  regional,  and  national  organizations  which
represent individuals with disabilities. He is currently serving as the Chair of
the Utah Assistive Technology Foundation (UATF).

     James U.  Jensen.  Mr.  Jensen has been a  director  of the  Company  since
February 1995. Mr. Jensen has been Vice  President,  Corporate  Development  and
Legal Affairs for NPS  Pharmaceuticals,  Inc.  since July 1991. He was Secretary
and a director of Interwest  Medical Equipment  Distributors,  Inc. from 1987 to
1995.  From  1988 to July  1991  Mr.  Jensen  was a  partner  in the law firm of
Woodbury,  Jensen, Kesler & Swinton,  P.C.  concentrating on technology transfer
and  licensing  and  corporate  finance.  From 1983 until July 1985 he served as
outside general counsel for a software  company.  From July 1985 to October 1986
he served as it's Chief Financial  Officer.  From 1980 to 1983 Mr. Jensen served
as General  Counsel and  Secretary of  Dictaphone  Corporation,  a subsidiary of
Pitney  Bowes,  Inc. He serves as a director  of NPS  Pharmaceuticals,  Inc.,  a
public  company  and of Wasatch  Advisors  Funds,  Inc.,  a publicly  registered
investment company. Mr. Jensen received a B.A. in  English/Linguistics  from the
University of Utah and a J.D. and an M.B.A. degree from Columbia University.

                                   60

<PAGE>

      Jeffrey F. Poore D.D.S. Dr. Poore has been a director of the Company since
February 1995. Presently,  Dr. Poore is a court appointed receiver and custodian
over several companies. Dr. Poore was previously President, CEO, and Chairman of
the Board of Healthchair  Group,  Inc. He served as President of CompHealth from
1995 through 1996. He is also a 20-year  veteran of the health care industry and
an early champion of the concept of managed care.  Prior to joining  CompHealth,
he coordinated mergers, acquisitions and development in the office of the CEO at
FHP International, Inc., a health maintenance organization. During his tenure at
FHP he also directed staff in the organization's  operational finance, financial
services, marketing, sales, medical, PPO/IPA, and contracting divisions. He also
has experience as a health care lobbyist and provider.  He was in private dental
practice for many years.  He earned his DDS from Loyola  Medical Center in 1976,
and a BA in Economics from Brigham Young University in 1971.

     Jerald L. Nelson Ph.D.  Dr. Nelson served as a director of the Company from
April 1990 to February 1995, and was reappointed a director in August,  1995. In
1997, he was  instrumental  in starting a long distance  phone  company,  Family
Telecommunications, Inc., which was recently sold to I-Link, Inc., a Utah based,
publicly  traded  telecommunications  firm. He graduated  from the University of
Utah with a B.A. in business and holds a Ph.D. in Economics  from North Carolina
State  University.  Dr.  Nelson has over twenty- five years of  experience as an
economist, business executive and financial analyst. His career began in 1972 in
NYC with TWA.  Later he  advised  Fortune  500 firms as a  consultant  with Date
Resources,  Inc. and then directed planning efforts at U.S. Industries,  Inc. He
has served on numerous Boards of Directors  including  Arrow  Dynamics,  Gentner
Communications  and One-2-One  Communications,  where he also served as Chairman
and CEO.

     Que H.  Christensen,  CPA. Mr.  Christensen was appointed an officer of the
Company in February 1995. Mr.  Christensen  joined Interwest  Medical  Equipment
Distributors, Inc. as the controller in October 1990. He has been an officer and
director of Interwest Medical Equipment  Distributors,  Inc. since October 1991.
From  1980 to 1988 he worked as a CPA for Main  Hurdman  and KPMG Peat  Marwick.
From 1988 to 1990 he was vice president of a Utah based  financial  institution.
Mr. Christensen graduated from the University of Utah with a Bachelor of Science
degree in Accounting in 1980.

     Serena J. Falgoust. Mrs. Falgoust was appointed Secretary of the Company in
January  1998.  Mrs.  Falgoust  has been  involved  with the  Company  since the
organization   of   Beacon   Financial   in  1983  and   previously   served  as
Secretary/Treasurer  from 1984 to 1990 and from 1993 to 1995.. She is a graduate
of Utah Valley State College with a degree in Business Management and has worked
in the business of credit and collection management since 1973.

      B.    Significant Employees.  None

      C.  Family  Relationships.  There  are no family  relationships  among the
Company's officers and directors.

      D. Other  Involvement  in Certain  Legal  Proceedings.  There have been no
events under any  bankruptcy  act, no criminal  proceedings  and no judgments or
injunctions  material to the  evaluation  of the ability  and  integrity  of any
director or executive officer during the last five years.


                                   61

<PAGE>



      E.  Compliance With Section 16(a).  Section 16 of the Securities  Exchange
Act of 1934  requires  the filing of reports for sales of the  Company's  common
stock made by officers, directors and 10% or greater shareholders. A Form 4 must
be filed within ten days after the end of the calendar  month in which a sale or
purchase occurred. Based upon the review of the Form 4's filed with the Company,
no disclosure is required relating late filings.

ITEM 10.    EXECUTIVE COMPENSATION

      The  following  table sets forth the  aggregate  compensation  paid by the
Company for services rendered during the last three years to the Company's Chief
Executive  Officer  and to  the  Company's  most  highly  compensated  executive
officers other than the CEO, whose annual salary and bonus exceeded $100,000:


<TABLE>
<CAPTION>
                             SUMMARY COMPENSATION TABLE
                                 Annual Compensation
                                ---------------------
                                                     Commissions                 Restrict
                                                         and       Other Annual   Stock   Options/
                                                       Bonuses    Compensation    Awards    SAR's
Name and Principal Position      Year      Salary        ($)           ($)         ($)       (#)
- -----------------------------   ------   ----------   ---------- --------------- -------  ---------
<S>                              <C>      <C>          <C>             <C>        <C>     <C>
James E. Robinson                1999     $175,000     $36,735         (2)        -0-       -0-
President/CEO                    1998     $150,000     $36,735         (2)        -0-       -0-
                                 1997     $150,000     $15,750         (2)        -0-     50,000(1)
Que H. Christensen
Vice President/COO(3)            1999     $115,000     $23,265         (2)        -0-       -0-
                                 1998     $ 95,000     $23,265         (2)        -0-       -0-
                                 1997     $ 95,000     $ 9,975         (2)        -0-     25,000(1)
</TABLE>



      (1) These  Options were granted under the  Company's  1995 Employee  Stock
      Option Plan. No SAR's have been granted by the Company.

      (2)  Does not  include  the  value  of  perquisites  provided  to  certain
      executive  officers  which in the  aggregate  did not exceed the lesser of
      $50,000 or 10% of such officer's salary and bonus.

      (3) In December 1997, Mr.  Christensen  was promoted to Vice President and
      Chief Operating Officer (COO) from Chief Financial Officer.

Stock Options

      There  were no options  granted  during  fiscal  1999 or 1998 to the named
executive officers.

      The following table sets forth information concerning the number and value
of options held at September 30, 1999 by each of the named  executive  officers.
No options held by such executive officers were exercised during 1999.

                                   62

<PAGE>


                       Option Values at September 30, 1999

                           Number of Unexercised       Value of Unexercised
                                 Options at           In-the-Money Options
                           September 30, 1999 (#)   At September 30, 1999($)(1)
                    -----------------------------------------------------------
Name                   Exercisable  Unexercisable    Exercisable  Unexercisable
James E. Robinson       62,500 (2)      -0-           $62,500 (2)     -0-
                        33,333        16,667           $8,333       $4,167
Que H. Christense       31,250 (2)      -0-           $31,250 (2)     -0-
                        16,667         8,333           $4,167       $2,083

            (1)   An  "In-the-Money"  stock  option is an  option  for which the
                  market  price of the  Company's  common stock  underlying  the
                  option on  September  30,  1998 exceed the option  price.  The
                  value shown represents stock price appreciation since the date
                  of grant. The market price was based upon the closing price of
                  the  Company's  common  stock on the NASD  SmallCap  Market on
                  September 30, 1998 ($3.50 per share).

            (2)   This stock  option was granted at an  exercise  price of $4.00
                  per  share  and was  repriced  by the  Board of  Directors  on
                  October 22, 1998 to an exercise price of $2.50 per share which
                  was the closing  price of the  Company's  common  stock on the
                  NASD  SmallCap  Market  on that  date.  The  values  shown are
                  calculated at the fair market value of the  underlying  shares
                  as of September  30, 1999 ($3.50 per share) minus the exercise
                  price.

1995 Employee Stock Purchase Plan

      On  November  6,  1995,  the  Company's  Board of  Directors  adopted  the
Company's 1995 Stock Purchase Plan (the "Plan"). The Plan is designed to provide
employees of the Company with an opportunity to purchase shares of the Company's
common stock through accumulated  payroll deductions.  The purchase price may be
established  at 85% of the fair market price.  The number of shares which may be
purchased  under the Plan is  500,000.  At December  1, 1999,  28,525  shares of
common stock had been purchased under the plan.

1995 Employee Stock Option Plan

      On  February  24,  1995,  the  Company's  Board of  Directors  adopted the
Company's 1995 Stock Option Plan (the "Plan") which provides for the issuance of
a maximum  312,500  shares of common  stock  pursuant to the exercise of options
granted  under the Plan.  The Options  granted  under the Plan may be  Incentive
Stock  Options  pursuant to Section  422 of the  Internal  Revenue  Code of 1986
("ISO's") or Non-Qualified Stock Options ("NSO's").  The Plan is administered by
the Board of Directors' Compensation Committee. The Option price and terms is to
be set for each  Option by the  Committee  administering  the Plan.  NSO options
granted  under the Plan may have a term not  exceeding  ten years.  ISO  options
granted under the Plan may have a term not exceeding  five years.  The Committee
may  grant  options  to  employees   (including   officers  and  directors,   or
consultants.  Options to purchase  250,000 shares of stock have been granted and
options to purchase 218,750 shares of stock were outstanding as of September 30,
1999.

Compensation of Directors

      The  Company's  non-employee  directors  are paid  $500 for each  Board of
Directors  meeting  attended and $400 for each Committee  Meeting  attended.  On
February 24, 1995, the Company  adopted,  and the  shareholders  approved at the
Annual Meeting on February 16, 1996, the 1995 Non-Employee Director's

                                   63

<PAGE>



Stock Option Plan. The Plan provides that each  non-employee  director who was a
director as of February 24, 1995, or who became a director  thereafter,  was and
will be issued an option to purchase 5,000 shares of the Company's  common stock
at $4.00 per share.  Additionally,  each non-employee  director is automatically
granted an option to purchase 1,500 shares at market prices on April 1st of each
year  commencing  April 1,  1997.  As of April 1,  1997,  the  annual  grant was
terminated  and each  non-employee  director  was  granted an option to purchase
40,000 shares at $4.00 per share with  one-third of the shares  vesting at March
31, 1998 and each additional  one-third  vesting in the two subsequent years. No
initial  options granted by the Company under this plan in 1995 may be exercised
until  the  Company  achieves   cumulative   before-tax  income  of  $1,500,000,
commencing February 22, 1995.

Employment Agreements

      The Company is currently a party to the following Employment Agreements:

            James E.  Robinson.  On May 3, 1995,  the  Company  entered  into an
      Employment  Agreement  with  its  President/CEO,  James E.  Robinson.  The
      Agreement  replaced and superseded a previously  executed  agreement.  The
      Agreement  may be  terminated  by the Company  without  notice and without
      cause.  The Agreement  may be  terminated by Mr.  Robinson upon thirty day
      written  notice.  The  Agreement  provides  for a base  annual  salary  of
      $150,000 and incentive salary based upon pre-tax  profits,  revenue growth
      and   acquisition   incentives.   The   Agreement   contains  a  12  month
      non-competition  restriction following termination and provisions relating
      to death and  disability  during the term of  employment.  The  Company is
      obligated to compensate Mr. Robinson for 120 days past  termination in the
      event the Company terminates the agreement.  The Compensation Committee of
      the  Board of  Directors  amended  the  annual  base  salary  to  $175,000
      effective October 1, 1998.

            Que H.  Christensen.  On May 3, 1995,  the Company  entered  into an
      Employment   Agreement  with  its  Chief   Financial   Officer,   Que  H..
      Christensen.  The Agreement replaced and superseded a previously  executed
      agreement.  The Agreement may be terminated by the Company  without notice
      and without cause. The Agreement may be terminated by Mr. Christensen upon
      thirty day written notice. The Agreement provides for a base annual salary
      of $95,000 and incentive salary based upon pre-tax profits, revenue growth
      and   acquisition   incentives.   The   Agreement   contains  a  12  month
      non-competition  restriction following termination and provisions relating
      to death and  disability  during the term of  employment.  The  Company is
      obligated to compensate Mr.  Christensen  for 90 days past  termination in
      the event the Company terminates the agreement. The Compensation Committee
      of the Board of  Directors  amended  the annual  base  salary to  $115,000
      effective October 1, 1998.

ITEM 11.    SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT

Security Ownership of Certain Beneficial Owners

      The  following  table  sets  forth  information  regarding  shares  of the
Company's  common stock  beneficially  owned as of December 1, 1999 by: (i) each
officer and director of the Company; (ii) all officers and directors as a group;
and (iii) each person known by the Company to beneficially own 5 percent or more
of the outstanding shares of the Company's common stock.

                                   64

<PAGE>




Name                                Amount
and Address                         and Nature              Percent
of Beneficial                       of Beneficial           of Class(1)
Owner                               Ownership               Ownership
- -------------------------------------------------------------------------
James E. Robinson (2)                1,280,250              29.07%
235 East 6100 South
Salt Lake City, UT 84107

James U. Jensen(3)                     152,590               3.20%
420 Chipeta Way
Salt Lake City, UT 84108

Dr. Jeffrey F. Poore(4)                 51,134                .87%
4536 Abinadi Road
Salt Lake City, UT 84124

Jerald L. Nelson(5)                     60,231               1.08%
10242 Ashley Hills Circle
Sandy, UT 84092

Que H. Christensen(6)                  161,802               3.53%
235 East 6100 South
Salt Lake City, UT 84107

Val D. Christianson(7)                 331,812               7.63%
3065 S. 2850 East
Salt Lake City, UT 84107

Charles Davis(8)                       359,396               8.27%
20 Bennington Drive
Colorado Springs, CO 80906

Serena J. Falgoust(9)                   30,820               0.71%
1620 N. 1250 W.
Provo, UT 84604

I-Med Shareholders(10)                 309,094               7.11%
Share Purchase Trust
235 East 6100 South
Salt Lake City, UT 84107

All Officers and Directors           1,671,825              38.47%
  as a Group (6 Persons)


                                   65

<PAGE>



      Unless  otherwise  indicated in the footnotes  below, the Company has been
advised that each person  above has sole voting power over the shares  indicated
above.  All of the  individuals  listed above are officers and  directors of the
Company.

      (1) As of December 1, 1999,  there were 4,089,029  shares of the Company's
      common  stock  issued  and   outstanding.   There  are  also   outstanding
      exercisable  options  and  warrants  to  purchase  257,232  shares  of the
      Company's  common  stock  which  are  owned  by  officers  and  directors.
      Therefore, for purposes of the above set forth chart, 4,346,261 shares are
      deemed to be issued and  outstanding in accordance with Rule 13d-3 adopted
      by the Securities and Exchange  Commission  under the Securities  Exchange
      Act of 1934,  as amended.  This amount does not include  options  owned by
      officers and directors which are not currently exercisable.

      (2) Includes (i) 22,500 shares owned of record by the five children of Mr.
      Robinson  (4,500  shares each);  (ii) 892,798  shares owned by J&J Medical
      Investments,  Ltd.,  (iii) 269,118 shares owned of record by Mr.  Robinson
      and (iv) 95,834 shares which may be acquired by Mr.  Robinson  pursuant to
      stock options which are currently exercisable.

      (3)  Includes  (i) 88,538  shares  owned of record by Mr.  Jensen of which
      55,992 shares were purchased  through the exercise of stock options;  (ii)
      25,886 shares which are beneficially  owned through the I-Med  Shareholder
      Share Purchase  Trust;  and 38,166 shares which may be issued  pursuant to
      other stock options and warrants which are currently exercisable.

      (4)  Includes  9,484  shares  owned of record by Dr.  Poore of which 8,484
      shares were  purchased  through the  exercise of stock  options and 41,650
      shares which may be acquired  pursuant to stock options and warrants which
      are currently exercisable.

      (5) Includes (i) 500 shares which are owned of record by Mr.  Nelson which
      were purchased  through the exercise of stock options;  (ii) 33,666 shares
      which may be issued  pursuant  to stock  options  and  warrants  which are
      currently  exercisable;  and (iii) 26,065 shares which are owned of record
      by Mr. Nelson's spouse.

      (6) Includes (i) 11,000  shares owned of record by Mr.  Christensen;  (ii)
      92,886 shares which are beneficially  owned through the I-Med Shareholders
      Share  Purchase  Trust;  (iii)  10,000  shares owned of record by the four
      children of Mr.  Christensen  (2,500  shares each) and (iv) 47,916  shares
      which may be  acquired  pursuant  to stock  options  which  are  currently
      exercisable.

      (7) Includes (i) 54,328 shares owned of record by Mr. Christianson jointly
      with his  spouse;  (ii)  154,099  shares  which are owned of record by Mr.
      Christianson  jointly  with his  spouse and held in a  brokerage  account;
      (iii)  100,885  shares  which are  beneficially  owned  through  the I-Med
      Shareholders  Share Purchase Trust; and (iv) 22,500 shares owned of record
      by the four children of Mr. Christianson (2,500 shares each) .

      (8)   Includes 197,156 shares owned of record by Mr. Davis and 162,240
      shares owned jointly with his spouse.

      (9) Includes  29,385 shares owned jointly with her spouse and 1,435 shares
      which are owned through the Interwest Home Medical Employee Stock Purchase
      Plan.

      (10) The  I-Med  Shareholders  Share  Purchase  Trust was  established  in
      October   1991  to  purchase   shares  of  Interwest   Medical   Equipment
      Distributors,  Inc.  common  stock from a retiring  officer/employee.  The
      Trust's shares were exchanged for the Company's  shares in connection with
      a merger effected  February 22, 1995. The purchase price is payable in 120
      monthly  payments.  The  purchase  price for the shares is funded by Trust
      participants  who  contribute  monthly  payments  to  purchase  a pro-rata
      portion of such shares.  There are currently 9 persons  purchasing  shares
      pursuant to the Trust  arrangement.  These  persons have the right to vote
      the shares  attributable  to their  pro-rata  portion of the total  shares
      being  purchased  from the Trust.  It is  anticipated  that the Trust will
      distribute shares paid for to the Trust beneficiaries from time-to-time as
      requested by purchasers.  Interwest Medical has guaranteed  payment of the
      unpaid  balance  of the  purchase  price for the shares  purchased  by the
      Trust.

Security Ownership of Management

      See Item 4(a) above.


                                   66

<PAGE>



Changes in Control

      No changes in control of the Company are currently contemplated.

ITEM 12. CERTAIN RELATIONSHIPS AND RELATED PARTY TRANSACTIONS

Board of Directors Stock Option Purchase Plan

      On  September  30,  1997,  the  Company's  Board of  Directors  adopted  a
financing Plan which provides a stock purchase right and warrant  purchase right
to each of its three non-employee directors (the "Holders").  The maximum number
of shares  issuable  under the Plan is 66,000 shares per Holder,  of which up to
33,000 shares per Holder may be purchased as "Purchase  Shares" and up to 33,000
shares per Holder may be purchased as "Warrant Shares".  This Plan is modeled on
a similar financing arrangement earlier negotiated between the Company and third
party  investors.  The  Plan  for the  non-employee  directors  is  intended  to
encourage long term investment in the Company by the non-employee  directors but
is  not  considered  by  the  Company  as  "compensation"  to  the  non-employee
directors.  The prices and terms  provided are deemed fair market value  because
the  Plan  uses  substantially  the same  prices  and  terms as were  previously
negotiated in good faith between the Company and third party investors.

      By October 30, 1997,  each of the Holders had  purchased  the first option
right (the "First Purchase Right") by paying the required $1,000.  This purchase
of the First  Purchase Right entitles each Holder to purchase up to 8,250 shares
of the Company's common stock (the "First Purchase  Shares") at a price of $4.28
per share if purchased on or before April 5, 1998, when the First Purchase Right
expires.  To the extent the Holder purchases shares of the First Purchase Shares
on or before December 29, 1997;  however,  (rather that waiting until the end of
the First  Purchase  Period,  April 5,  1998) the  Holder  is then  entitled  to
exercise a warrant (the "First Purchase Warrant") to purchase the same number of
shares (up to 8,250 shares, the "First Warrant Shares") during the ensuing three
year  period at prices of $4.28 per share  during the first  year,  $4.75 in the
second year, and $5.25 per First Warrant Share during the third year.

      The Plan repeats this arrangement for three additional  Purchase  Periods,
for a total of four such purchase  periods.  The following  Table show the basic
content of the non-employee director financing Plan.

<TABLE>
<CAPTION>
                                      Last Date to  Last Date to       Last Date
             Exercise/Price Shares    Option Fee    Obtain Warrant      without     Warrant Prices
                                                                        Warrants
- --------------------------------------------------------------------------------------------------
<S>               <C>        <C>       <C>           <C>                 <C>        <C>
First Option      $4.28      8,250     10/30/97      12/29/97            4/5/98     $4.28, 4.75,
                                                                                     5.25
Second Option     $4.78      8,250      1/28/98      Date Option Fee     6/9/98     $4.78, 5.25,
                                                     paid + 90 days                  5.75
Third Option      $5.50      8,250      4/26/98      Date Option Fee     9/7/98     $5.50, 6.00,
                                                     paid + 90 days                  6.50
Fourth Option     $6.00      8,250      7/25/98      Date Option Fee    12/6/98     $6.00, 6.50,
                                                     paid + 90 days                  7.00
</TABLE>


      * Warrant  prices change on the annual  anniversary of the date the Option
Fee is paid.

      As of September 30, 1999, Dr. Poore had purchased 8,250 shares, Dr. Nelson
had purchased  500 shares,  and Mr.  Jensen had  purchased  5,000  shares.  Each
director  received  warrants equal to the number of shares  purchased.  No other
option fees were paid and all the remaining  options and warrants had terminated
as a result.

                                   67

<PAGE>



Parents of Company

      The only parents of the Company,  as defined in Rule 12b-2 of the Exchange
Act, are the officers and directors of the Company.  For  information  regarding
the share holdings of the Company's officers and directors, see Item 11.

ITEM 13.    EXHIBITS, FINANCIAL STATEMENTS, SCHEDULES AND REPORTS ON FORM 8-K

  A.  The  Exhibits  which are filed with this Report or which are  incorporated
      herein by reference  are set forth in the Exhibits  Index which appears on
      page 68.

  B.  On  October  12,  1999,  the  Company  filed a Form 8-K to  report  on the
      acquisition of assets from HealthCor Holdings, Inc.



                                   68

<PAGE>



Exhibits to Form 10-KSB
                                                                Sequentially
  Exhibit                                                         Numbered
  Number    Exhibit                                                 Page
  ------    -------                                            --------------
  2.1     Agreement and Plan of Merger -                            N/A
                                                                  -------
          Interwest Medical Equipment Distributors, Inc.
          effective February, 1995.
          (Incorporated by reference to Form 8-K filed
          February 1995)

  2.2     Agreement and Plan of Merger -                            N/A
                                                                  -------
          Mt Rehabilitation Services
          May 1995  (Incorporated by reference
          to Form 8-K dated May 1995)

   3.1    Amended and Restated Articles of Incorporation*           N/A

   3.2    Bylaws*                                                   N/A

  10.1    Form of 1995 Stock Option Plan*                           N/A
                                                                  -------

  10.2    Form of 1995 Non-Employee Directors' Stock Option Plan*   N/A
                                                                  -------

  10.3.   Form of 1995 Stock Purchase Plan*                         N/A
                                                                  -------

  10.4.   Employment Agreement - James E. Robinson*                 N/A
                                                                  -------

  10.5.   Employment Agreement - Val D. Christianson*               N/A
                                                                  -------

  10.6.   Employment Agreement - Que H. Christensen*                N/A
                                                                  -------

  10.7.   Loan Documentation*                                       71

  10.8    Non-employee Director Stock Option Purchase Agreement*    N/A

  11.1    Schedule of Weighted Average Shares                       87
                                                                 --------

  21.1    Subsidiaries of Registrant                                88
                                                                 --------

  23.1    Consent of Independent Accountant                         89
                                                                 --------


  *Attached.
  **Incorporated by reference to Form 10-KSB for year ended September 30, 1997.

                                   69

<PAGE>



                               SIGNATURES

  In accordance with Section 13 or 15(d) of the Securities Exchange Act of 1934,
the Registrant caused this report to be signed on its behalf by the undersigned,
thereunto duly authorized.

                                          Interwest Home Medical, Inc.


Date: December 15, 1999                   By/s/ James E. Robinson
                                            ----------------------------
                                              James E. Robinson
                                              President/CEO

Date: December 15, 1999                   By/s/ Bret A. Hardy
                                            ----------------------------
                                               Bret A. Hardy
                                               Controller
                                               Principal Financial Officer

      In  accordance  with the  Securities  Exchange  Act,  this report has been
signed  below by the  following  persons  on  behalf of the  Company  and in the
capacities and on the dates indicated.

Signature                           Capacity                Date

/s/ James E. Robinson               CEO/Director      December 15, 1999
- ----------------------------
James E. Robinson

/s/ James U. Jensen                 Director          December 15, 1999
- ----------------------------
James U. Jensen

/s/ Dr. Jeffrey F. Poore            Director          December 15, 1999
- ----------------------------
Dr. Jeffrey F. Poore

/s/ Jerald L. Nelson                Director          December 15, 1999
- ----------------------------
Jerald L. Nelson


                                   70






                                  LOAN AGREEMENT


Borrower:INTERWEST HOME MEDICAL, INC.; ET. Al. Lender:ZIONS FIRST NATIONAL BANK
         235 EAST 6100 SOUTH                          HEAD OFFICE/COMMERCIAL
         SALT LAKE CITY, UT  84102                      BANKING
                                                      #1 SOUTH MAIN STREET
                                                      P.O. BOX 25822
                                                      SALT LAKE CITY, UT  84125

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

THIS LOAN AGREEMENT  between  INTERWEST HOME MEDICAL,  INC.,  INTERWEST  MEDICAL
EQUIPMENT  DISTRIBUTORS,  INC.,  INTERWEST HOME PHARMACY,  INC.,  INTERWEST HOME
MEDICAL-ALASKA,  INC., formerly known as NORTHWEST HOMECARE,  INC. and INTERWEST
HOME  MEDICAL-ARIZONA,  INC.  (referred to in this  Agreement  individually  and
collectively  as "Borrower")  and ZIONS FIRST NATIONAL BANK (referred to in this
Agreement  as  "Lender")  is  made  and  executed  on the  following  terms  and
conditions.  Borrower has  received  prior  commercial  loans from Lender or has
applied  to  Lender  for  a  commercial   loan  or  loans  and  other  financial
accommodations,  including  those  which  may be  described  on any  exhibit  or
schedule   attached   to  this   Agreement.   All  such   loans  and   financial
accommodations, together with all future loans and financial accommodations from
Lender to Borrower, are referred to in this Agreement individually as the "Loan"
and  collectively as the "Loans."  Borrower  understands and agrees that: (a) in
granting,  renewing,  or extending any Loan,  Lender is relying upon  Borrower's
representations, warranties, and agreements, as set forth in this Agreement; and
(b) all such Loans shall be and shall remain subject to the following  terms and
conditions of this Agreement.

TERM.  This  Agreement  shall be  effective  as of July 29,  1999 and shall
continue  thereafter  until all  Indebtedness  of  Borrower  to Lender  has been
performed in full and the parties terminate this Agreement in writing.

DEFINITIONS.  The following words shall have the following meanings when used in
this  Agreement.  Terms not otherwise  defined in this Agreement  shall have the
meanings attributed to such terms in the Uniform Commercial Code. All references
to dollar  amounts  shall mean amounts in lawful  money of the United  States of
America.

Agreement.  The  word  "Agreement"  means  this  Loan  Agreement,  as this  Loan
Agreement  may be  amended  or  modified  from time to time,  together  with all
exhibits and schedules attached to this Loan Agreement from time to time.

Account. The word "Account" means a trade account, account receivable,  or other
right to payment for goods sold or services  rendered owing to Borrower (or to a
third party grantor acceptable to Lender).

Account Debtor.  The words "Account Debtor" mean the person or entity obligated
upon an Account.

Advance.  The word "Advance" means a disbursement of Loan funds under this
Agreement.

Borrowing  Base.  The words  "Borrowing  Base" mean as determined by Lender from
time to  time,  the  lesser  of (a)  $18,000,000.00  or such  lesser  amount  as
described in the Note; or (b) the sum of (i) 75.000% of the aggregate  amount of
Eligible  Accounts,  plus (ii)  50.000%  of the  aggregate  amount  of  Eligible
Inventory,  plus (iii) 80.000% of the aggregate  amount of the net book value of
Eligible Equipment,  plus (iv) $4,000,000.00 of additional  allowance which will
reduce  $333,000.00  at the end of each  calendar  quarter  commencing  with the
quarter ending  September 30, 2000, or (c) the amount which when added to all of
Borrower's  indebtedness  which is not  subordinated  in favor of Zions does not
exceed 3 times Borrower's consolidated EBITDA for the most recently preceding 12
months.  For the purposes of this provision and the LEVERAGE  provision,  EBITDA
will be computed on a proforma  basis to include the  historical  EBITDA for the
most recently  preceding 12 months of any acquired  entities adjusted on a basis
satisfactory  to Lender to include  compensation  and other expense  adjustments
which are non-reoccurring in nature.

CERCLA.  The word "CERCLA" means the Comprehensive Environmental Response,
Compensation, and Liability Act of 1980, as amended.

Collateral.  The word  "Collateral"  means and includes  without  limitation all
property and assets granted as collateral  security for a Loan,  whether real or
personal property,  whether granted directly or indirectly,  whether granted now
or in the  future,  and  whether  granted  in the form of a  security  interest,
mortgage, deed of trust,  assignment,  pledge, chattel mortgage,  chattel trust,
factor's lien, equipment trust,  conditional sale, trust receipt,  lien, charge,
lien or title retention  contract,  lease or consignment  intended as a security
device,  or any other security or lien interest  whatsoever,  whether created by
law, contract,  or otherwise.  The word "Collateral" includes without limitation
all collateral described below in the section titled "COLLATERAL."


EBITDA. The phrase "EBITDA" means net earnings excluding  extraordinary gains or
losses as defined by GAP  calculated  before  allowances  for interest  expense,
taxes, depreciation expense and amortization expense.

Eligible  Accounts.  The words  "Eligible  Accounts"  mean, at any time,  all of
Borrower's  Accounts which contain  selling terms and  conditions  acceptable to
Lender. The net amount of any Eligible Account against which Borrower may borrow
shall exclude all returns, discounts, credits, and offsets of any nature. Unless
otherwise agreed to by Lender in writing, Eligible Accounts do not include:

(a) Accounts with respect to which the Account Debtor is an officer, an employee
or agent of Borrower.

(b)  Accounts  with respect to which the Account  Debtor is a subsidiary  of, or
affiliated  with or  related  to  Borrower  or its  shareholders,  officers,  or
directors.

                                        -71-

<PAGE>



(c) Accounts with respect to which goods are placed on  consignment,  guaranteed
sale, or other terms by reason of which the payment by the Account Debtor may be
conditional.


(d) Accounts  with respect to which the Account  Debtor is not a resident of the
United  States,  except to the extent such  Accounts are supported by insurance,
bonds or other assurances satisfactory to Lender.

(e) Accounts with respect to which  Borrower is liable to the Account Debtor for
goods sold or services rendered by the Account Debtor to Borrower.

(f) Accounts which are subject to dispute, counterclaim, or setoff.

(g) Accounts with respect to which the goods have not been shipped or delivered,
or the services have not been rendered, to the Account Debtor.

(h) Accounts with respect to which  Lender,  in its sole  discretion,  deems the
creditworthiness   or  financial   condition   of  the  Account   Debtor  to  be
unsatisfactory.

(i)  Accounts  which have not been paid in full within 120 DAYS from the invoice
date.

(j) That portion of the  Accounts of any single  Account  Debtor  which  exceeds
10.000% of all of Borrower's Accounts.

(k) Accounts with respect to which the Account Debtor is a Canadian resident and
is not a  resident  of  the  following  Canadian  Provinces:  British  Columbia,
Alberta, Saskatchewan,  Manitoba and Ontario, except to the extent such Accounts
are supported by insurance, bonds or other assurances satisfactory to Lender.

(l) Accounts which Lender in its sole discretion reasonably deems ineligible.

Eligible Equipment.  The words "Eligible Equipment" mean, at any time, all of
Borrower's Equipment as defined below except:

(a)  Equipment  which is not owned by  Borrower  free and clear of all  security
interests, liens, encumbrances, and claims of third parties. (b) Equipment which
Lender,  in its sole  discretion,  deems  to be  obsolete,  unsalable,  damaged,
defective, or unfit for operation.

Eligible Inventory.  The words "Eligible Inventory" mean, at any time, all of
Borrower's Inventory as defined below except:

(a)  Inventory  which is not owned by  Borrower  free and clear of all  security
interests, liens, encumbrances, and claims of third parties.

(b)  Inventory  which  Lender,  in its sole  discretion,  deems to be  obsolete,
unsalable, damaged, defective, or unfit for further processing.

(c) Work in progress.

(d)  Inventory  which is not for  direct  resale  including  but not  limited to
packaging, labeling and manufacturing supplies.

(e) Inventory which is prohibited from being sold by any federal, state or local
governmental agency.

(f) Inventory which Lender in its sole discretion reasonably deems ineligible.

Equipment.  The word  "Equipment"  means all of  Borrower's  revenue  generating
assets used or bought for use in Borrower's  business including  equipment which
is presently leased or held for lease and which is not included in inventory.

ERISA.  The word "ERISA" means the Employee Retirement Income Security Act of
1974, as amended.

Event of Default.  The words "Event of Default" mean and include without
limitation any of the Events of Default set forth below in the section titled
"EVENTS OF DEFAULT."

Expiration Date.  The words "Expiration Date" mean the date of termination of
Lender's commitment to lend under this Agreement.

Grantor.  The word "Grantor" means and includes without  limitation each and all
of the persons or entities  granting a Security  Interest in any  Collateral for
the  Indebtedness,  including without  limitation all Borrowers  granting such a
Security Interest.

Guarantor.  The word "Guarantor" means and includes without limitation each and
all of the guarantors, sureties, and accommodation parties in
connection with any Indebtedness.

Indebtedness.  The word "Indebtedness" means and includes without limitation all
Loans, together with all other obligations, debts and liabilities of Borrower to
Lender,  or any one or more of them,  as well as all  claims by  Lender  against
Borrower,  or any  one or more  of  them;  whether  now or  hereafter  existing,
voluntary or involuntary, due or not due, absolute or contingent,  liquidated or
unliquidated;  whether  Borrower  may be liable  individually  or  jointly  with
others; whether Borrower may be obligated as a guarantor,  surety, or otherwise;
whether recovery upon such Indebtedness may be or hereafter may become barred by
any statute of limitations;  and whether such  Indebtedness  may be or hereafter
may become otherwise unenforceable.

Inventory.  The word "Inventory" means all of Borrower's raw materials,  work in
process,  finished  goods,  merchandise,  parts and supplies,  of every kind and
description,  and goods held for sale or lease or furnished  under  contracts of
service in which Borrower now has or hereafter acquires any right,  whether held
by Borrower or others, and all documents of title, warehouse receipts,  bills of
lading,  and all other  documents of every type  covering all or any part of the
foregoing. Inventory includes inventory temporarily out of Borrower's custody or
possession and all returns on Accounts.

Lender.  The word "Lender" means ZIONS FIRST NATIONAL BANK, its successors and
assigns.

Letter of Credit.  The words "Letter of Credit" mean a letter of credit issued
by Lender on behalf of Borrower as described below in the section titled
"Letter of Credit Facility."

Line of Credit. The words "Line of Credit" mean the credit facility described in
the Section titled "LINE OF CREDIT" below.

                                         -72-

<PAGE>




Loan. The word "Loan" or "Loans" means and includes  without  limitation any and
all  commercial  loans and  financial  accommodations  from Lender to  Borrower,
whether now or hereafter  existing,  and however  evidenced,  including  without
limitation  those  loans  and  financial   accommodations  described  herein  or
described  on any exhibit or schedule  attached to this  Agreement  from time to
time.


Note.  The  word  "Note"  means  and  includes  without  limitation   Borrower's
promissory note or notes,  if any,  evidencing  Borrower's  Loan  obligations in
favor of Lender,  as well as any substitute,  replacement or refinancing note or
notes therefor.

Permitted  Liens.  The words  "Permitted  Liens"  mean:  (a) liens and  security
interests securing Indebtedness owed by Borrower to Lender; (b) liens for taxes,
assessments,  or similar  charges either not yet due or being  contested in good
faith; (c) liens of materialmen,  mechanics, warehousemen, or carriers, or other
like liens arising in the ordinary  course of business and securing  obligations
which  are not yet  delinquent;  (d)  purchase  money  liens or  purchase  money
security  interests upon or in any property  acquired or held by Borrower in the
ordinary  course of business to secure  indebtedness  outstanding on the date of
this Agreement or permitted to be incurred under the paragraph of this Agreement
titled  "Indebtedness and Liens";  (e) liens and security interests which, as of
the date of this Agreement, have been disclosed to and approved by the Lender in
writing;  and (f) those  liens and  security  interests  which in the  aggregate
constitute an immaterial and  insignificant  monetary amount with respect to the
net value of Borrower's assets.

Related  Documents.  The words  "Related  Documents"  mean and  include  without
limitation  all  promissory   notes,   credit   agreements,   loan   agreements,
environmental agreements,  guaranties, security agreements,  mortgages, deeds of
trust,  and all other  instruments,  agreements  and  documents,  whether now or
hereafter existing, executed in connection with the Indebtedness.

Security  Agreement.  The words  "Security  Agreement"  mean and include without
limitation any agreements, promises, covenants, arrangements,  understandings or
other agreements,  whether created by law, contract,  or otherwise,  evidencing,
governing, representing, or creating a Security Interest.

Security  Interest.  The words  "Security  Interest"  mean and  include  without
limitation  any  type of  collateral  security,  whether  in the form of a lien,
charge, mortgage, deed of trust, assignment,  pledge, chattel mortgage,  chattel
trust, factor's lien, equipment trust,  conditional sale, trust receipt, lien or
title retention contract, lease or consignment intended as a security device, or
any  other  security  or  lien  interest  whatsoever,  whether  created  by law,
contract, or otherwise.

SARA.  The word "SARA" means the Superfund Amendments and Reauthorization Act of
1986 as now or hereafter amended.


LINE OF CREDIT.  Lender  agrees to make  Advances to Borrower  from time to time
from the date of this Agreement to the Expiration  Date,  provided the aggregate
amount of such  Advances  outstanding  at any time does not exceed the Borrowing
Base.  Within the  foregoing  limits,  Borrower may borrow,  partially or wholly
prepay, and reborrow under this Agreement as follows.


Conditions Precedent to Each Advance. Lender's obligation to make any Advance to
or for the account of Borrower  under this Agreement is subject to the following
conditions precedent, with all documents,  instruments,  opinions,  reports, and
other  items  required  under  this  Agreement  to  be  in  form  and  substance
satisfactory to Lender:


(a) Lender shall have  received  evidence  that this  Agreement  and all Related
Documents  have been duly  authorized,  executed,  and  delivered by Borrower to
Lender.

(b) Lender shall have received such opinions of counsel,  supplemental opinions,
and documents as Lender may request.

(c) The security  interests in the Collateral  shall have been duly  authorized,
created,  and perfected  with first lien priority and shall be in full force and
effect.

(d) All  guaranties  required  by Lender for the Line of Credit  shall have been
executed  by each  Guarantor,  delivered  to  Lender,  and be in full  force and
effect.

(e) Lender,  at its option and for its sole  benefit,  shall have  conducted  an
audit  of  Borrower's  Accounts,   Inventory,   Equipment  books,  records,  and
operations, and Lender shall be satisfied as to their condition.

(f) Borrower shall have paid to Lender all fees,  costs, and expenses  specified
in this Agreement and the Related Documents as are then due and payable.

(g) There  shall not exist at the time of any  Advance a  condition  which would
constitute an Event of Default  under this  Agreement,  and Borrower  shall have
delivered to Lender the compliance certificate called for in the paragraph below
titled "Compliance Certificate."


Making Loan Advances.  Advances under the Line of Credit may be requested orally
by authorized persons.  Lender may, but need not, require that all oral requests
be confirmed in writing.  Each Advance shall be conclusively deemed to have been
made at the request of and for the benefit of Borrower (a) when  credited to any
deposit  account of  Borrower  maintained  with  Lender or (b) when  advanced in
accordance with the instructions of an authorized person. Lender, at its option,
may set a cutoff time,  after which all requests for Advances will be treated as
having been requested on the next succeeding Business Day.

Mandatory Loan Repayments.  If at any time the aggregate principal amount of the
outstanding  Advances  shall exceed the  applicable  Borrowing  Base,  Borrower,
immediately  upon  written or oral  notice from  Lender,  shall pay to Lender an
amount equal to the difference between the outstanding  principal balance of the
Advances and the Borrowing Base. On the Expiration  Date,  Borrower shall pay to
Lender  in full the  aggregate  unpaid  principal  amount of all  Advances  then
outstanding and all accrued unpaid interest,  together with all other applicable
fees, costs and charges, if any, not yet paid.

Loan  Account.  Lender shall  maintain on its books a record of account in which
Lender  shall make entries for each Advance and such other debits and credits as
shall be  appropriate  in  connection  with the credit  facility.  Lender  shall
provide  Borrower  with  periodic  statements  of  Borrower's   account,   which
statements  shall be  considered  to be  correct  and  conclusively  binding  on
Borrower unless Borrower notifies Lender to the contrary within thirty (30) days
after  Borrower's  receipt  of any such  statement  which  Borrower  deems to be
incorrect.


COLLATERAL.  To secure payment of the Line of Credit and performance of all
other Loans,  obligations  and duties owed by Borrower to Lender,  Borrower (and
others,  if required) shall grant to Lender Security  Interests in such property
and assets as Lender may require (the "Collateral"). Lender's Security

                                           -73-

<PAGE>



Interests in the  Collateral  shall be  continuing  liens and shall  include the
proceeds  and  products of the  Collateral,  including  without  limitation  the
proceeds of any insurance.  With respect to the Collateral,  Borrower agrees and
represents and warrants to Lender:



Perfection  of Security  Interests.  Borrower  agrees to execute such  financing
statements and to take whatever other actions are requested by Lender to perfect
and continue  Lender's  Security  Interests in the  Collateral.  Upon request of
Lender,  Borrower will deliver to Lender any and all of the documents evidencing
or constituting  the Collateral,  and Borrower will note Lender's  interest upon
any and all chattel paper if not  delivered to Lender for  possession by Lender.
Contemporaneous with the execution of this Agreement,  Borrower will execute one
or more UCC financing  statements and any similar  statements as may be required
by applicable law, and will file such financing  statements and all such similar
statements in the  appropriate  location or locations.  Borrower hereby appoints
Lender as its  irrevocable  attorney-in-fact  for the purpose of  executing  any
documents necessary to perfect or to continue any Security Interest.  Lender may
at any time, and without  further  authorization  from Borrower,  file a carbon,
photograph,  facsimile, or other reproduction of any financing statement for use
as a financing  statement.  Borrower will reimburse  Lender for all expenses for
the perfection,  termination, and the continuation of the perfection of Lender's
security interest in the Collateral. Borrower promptly will notify Lender of any
change in Borrower's name including any change to the assumed  business names of
Borrower.  Borrower also promptly will notify Lender of any change in Borrower's
Social  Security  Number or Employer  Identification  Number.  Borrower  further
agrees to notify Lender in writing prior to any change in address or location of
Borrower's  principal  governance office or should Borrower merge or consolidate
with any other entity.

Collateral  Records.  Borrower does now, and at all times hereafter shall,  keep
correct and accurate  records of the  Collateral,  all of which records shall be
available to Lender or Lender's  representative  upon demand for  inspection and
copying at any reasonable time. With respect to the Accounts, Borrower agrees to
keep and  maintain  such  records  as  Lender  may  require,  including  without
limitation  information  concerning  Eligible  Accounts and Account balances and
agings. With respect to the Inventory, Borrower agrees to keep and maintain such
records  as  Lender  may  require,   including  without  limitation  information
concerning  Eligible  Inventory and records  itemizing and  describing the kind,
type, quality, and quantity of Inventory, Borrower's Inventory costs and selling
prices,  and the daily  withdrawals and additions to Inventory.  With respect to
the Equipment,  Borrower  agrees to keep and maintain such records as Lender may
require,  including without limitation information concerning Eligible Equipment
and records  itemizing and describing the kind, type,  quality,  and quantity of
Equipment,  Borrower's  Equipment costs, and the daily withdrawals and additions
to Equipment.

Collateral  Schedules.  Concurrently  with the  execution  and  delivery of this
Agreement,  Borrower shall execute and deliver to Lender  schedules of Accounts,
Inventory and Equipment and schedules of Eligible  Accounts,  Eligible Inventory
and  Eligible  Equipment,  in form and  substance  satisfactory  to the  Lender.
Thereafter supplemental collateral schedules shall be delivered according to the
following schedule: AT THE REQUEST OF LENDER.

Representations  and  Warranties  Concerning  Accounts.   With  respect  to  the
Accounts,   Borrower  represents  and  warrants  to  Lender:  (a)  Each  Account
represented by Borrower to be an Eligible Account for purposes of this Agreement
conforms to the requirements of the definition of an Eligible  Account;  (b) All
Account  information  listed on  schedules  delivered to Lender will be true and
correct,  subject to immaterial variance; and (c) Lender, its assigns, or agents
shall have the right at any time and at Borrower's expense to inspect,  examine,
and audit Borrower's records and to confirm with Account Debtors the accuracy of
such Accounts.

Representations  and  Warranties  Concerning  Inventory.  With  respect  to  the
Inventory,  Borrower  represents  and  warrants  to  Lender:  (a) All  Inventory
represented by Borrower to be Eligible  Inventory for purposes of this Agreement
conforms to the  requirements of the definition of Eligible  Inventory;  (b) All
Inventory  values  listed on  schedules  delivered  to  Lender  will be true and
correct,  subject to immaterial variance; (c) The value of the Inventory will be
determined  on a  consistent  accounting  basis;  (d)  Except  as  agreed to the
contrary by Lender in writing,  all  Eligible  Inventory is now and at all times
hereafter  will be in Borrower's  physical  possession  and shall not be held by
others on  consignment,  sale on  approval,  or sale or  return;  (e)  Except as
reflected in the Inventory schedules delivered to Lender, all Eligible Inventory
is now and at all times hereafter will be of good and merchantable quality, free
from  defects;  (f)  Eligible  Inventory  is not now and  will  not at any  time
hereafter  be stored  with a bailee,  warehouseman,  or  similar  party  without
Lender's prior written consent,  and, in such event,  Borrower will concurrently
at the time of bailment cause any such bailee, warehouseman, or similar party to
issue and deliver to Lender, in form acceptable to Lender, warehouse receipts in
Lender's name evidencing the storage of Inventory;  and (g) Lender, its assigns,
or agents shall have the right at any time and at Borrower's  expense to inspect
and  examine  the  Inventory  and to check  and  test  the  same as to  quality,
quantity, value, and condition.

Representations  and  Warranties  Concerning  Equipment.  With  respect  to  the
Equipment,  Borrower  represents  and  warrants  to  Lender:  (a) All  Equipment
represented by Borrower to be Eligible  Equipment for purposes of this Agreement
conforms to the  requirements of the definition of Eligible  Equipment;  (b) All
Equipment  values  listed on  schedules  delivered  to  Lender  will be true and
correct,  subject to immaterial variance; (c) The value of the Equipment will be
determined  on a  consistent  accounting  basis;  (d)  Except  as  agreed to the
contrary by Lender in writing,  all  Eligible  Equipment is now and at all times
hereafter  will be in Borrower's  physical  possession  or in the  possession of
Borrowers'  customers;  (e)  Except  as  reflected  in the  Equipment  schedules
delivered to Lender,  all Eligible  Equipment is now and at all times  hereafter
will be of good and  merchantable  quality,  free  from  defects;  (f)  Eligible
Equipment is not now and will not at any time hereafter be stored with a bailee,
warehouseman,  or similar party without Lender's prior written consent,  and, in
such event,  Borrower will  concurrently  at the time of bailment cause any such
bailee,  warehouseman,  or similar party to issue and deliver to Lender, in form
acceptable to Lender, warehouse receipts in Lender's name evidencing the storage
of Equipment; and (g) Lender, its assigns, or agents shall have the right at any
time and at Borrower's expense to inspect and examine the Equipment and to check
and test the same as to quality, quantity, value, and condition.

Remittance  Account.  Borrower  agrees  that  Lender may at any time in Lender's
reasonable  determination  require Borrower to institute  procedures whereby the
payments and other proceeds of the Accounts shall be paid by the Account Debtors
under a remittance  account or lock box  arrangement  with  Lender,  or Lender's
agent, or with one or more financial institutions designated by Lender. Borrower
further agrees that, if no Event of Default exists under this Agreement, any and
all of  such  funds  received  under  such a  remittance  account  or  lock  box
arrangement shall, at Lender's sole election and discretion,  either be (a) paid
or turned over to  Borrower;  (b)  deposited  into one or more  accounts for the
benefit  of  Borrower  (which  deposit  accounts  shall be subject to a security
assignment in favor of Lender);  (c) deposited into one or more accounts for the
joint benefit of Borrower and Lender (which  deposit  accounts shall likewise be
subject to a security assignment in favor of Lender); (d) paid or turned over to
Lender to be applied to the  Indebtedness  in such order and  priority as Lender
may  determine  within  its  sole  discretion;  or (e)  any  combination  of the
foregoing as Lender shall determine from time to time.  Borrower  further agrees
that,  should one or more Events of Default  exist,  any and all funds  received
under such a remittance  account or lock box arrangement shall be paid or turned
over to  Lender  to be  applied  to the  Indebtedness,  again in such  order and
priority as Lender may determine within its sole discretion.

MULTIPLE  BORROWERS.  This Agreement has been executed by multiple  obligors who
are  referred  to  herein  individually,  collectively  and  interchangeably  as
"Borrower." Unless specifically  stated to the contrary,  the word "Borrower" as
used  in this  Agreement,  including  without  limitation  all  representations,
warranties and covenants, shall include all Borrowers.  Borrower understands and
agrees that, with or without notice to Borrower,  Lender may with respect to any
other  Borrower (a) make one or more  additional  secured or unsecured  loans or
otherwise  extend  additional  credit;  (b) alter,  compromise,  renew,  extend,
accelerate,  or otherwise change one or more times the time for payment or other
terms  any  indebtedness,  including  increases  and  decreases  of the  rate of
interest on the indebtedness; (c) exchange, enforce, waive, subordinate, fail or
decide  not  to  perfect,  and  release  any  security,   with  or  without  the
substitution of new collateral;  (d) release,  substitute,  agree not to sue, or
deal with any one or more of

                                         -74-

<PAGE>



Borrower's  sureties,  endorsers,  or other  guarantors  on any  terms or in any
manner  Lender may choose;  (e)  determine  how,  when and what  application  of
payments and credits shall be made on any indebtedness;  (f) apply such security
and direct the order or manner of sale thereof,  including  without  limitation,
any  nonjudicial  sale  permitted  by  the  terms  of the  controlling  security
agreement or deed of trust, as Lender in its discretion may determine; (g) sell,
transfer,   assign,  or  grant   participations  in  all  or  any  part  of  the
indebtedness;  (h)  exercise  or refrain  from  exercising  any  rights  against
Borrower or others,  or  otherwise  act or refrain  from  acting;  (i) settle or
compromise any indebtedness;  and (j) subordinate the payment of all or any part
of any  indebtedness  of Borrower  to Lender to the  payment of any  liabilities
which may be due Lender or others.

REPRESENTATIONS  AND WARRANTIES.  Borrower represents and warrants to Lender, as
of the  date of this  Agreement,  as of the  date of each  disbursement  of Loan
proceeds, as of the date of any renewal,  extension or modification of any Loan,
and at all times any Indebtedness exists:

Organization.  Borrower  is a  corporation  which  is  duly  organized,  validly
existing,  and in good  standing  under the laws of each  Borrower's  respective
state of  incorporation  and is validly  existing  and in good  standing  in all
states in which  Borrower  is doing  business.  Borrower  has the full power and
authority to own its  properties  and to transact the  businesses in which it is
presently  engaged  or  presently  proposes  to  engage.  Borrower  also is duly
qualified  as a foreign  corporation  and is in good  standing  in all states in
which the  failure to so qualify  would  have a material  adverse  effect on its
businesses or financial condition.

Authorization.  The execution,  delivery,  and performance of this Agreement and
all Related  Documents by Borrower,  to the extent to be executed,  delivered or
performed by Borrower,  have been duly  authorized  by all  necessary  action by
Borrower; do not require the consent or approval of any other person, regulatory
authority or governmental  body; and do not conflict with, result in a violation
of,  or  constitute  a  default  under  (a) any  provision  of its  articles  of
incorporation or organization,  or bylaws,  or any agreement or other instrument
binding upon Borrower or (b) any law, governmental regulation,  court decree, or
order applicable to Borrower.

Financial  Information.  Each financial statement of Borrower supplied to Lender
truly and completely  disclosed Borrower's financial condition as of the date of
the  statement,  and there has been no  material  adverse  change in  Borrower's
financial  condition  subsequent  to the  date  of  the  most  recent  financial
statement supplied to Lender.  Borrower has no material  contingent  obligations
except as disclosed in such financial statements.

Legal  Effect.  This  Agreement  constitutes,  and any  instrument  or agreement
required  hereunder  to be given by Borrower  when  delivered  will  constitute,
legal, valid and binding obligations of Borrower enforceable against Borrower in
accordance with their respective terms.

Properties.  Except for Permitted Liens, Borrower owns and has good title to all
of Borrower's  properties free and clear of all Security Interests,  and has not
executed  any  security  documents  or  financing  statements  relating  to such
properties.  All of Borrower's  properties are titled in Borrower's  legal name,
and Borrower has not used, or filed a financing  statement under, any other name
for at least the last five (5) years.

Hazardous  Substances.  The  terms  "hazardous  waste,"  "hazardous  substance,"
"disposal,"  "release,"  and  "threatened  release," as used in this  Agreement,
shall have the same meanings as set forth in the "CERCLA," "SARA," the Hazardous
Materials  Transportation  Act, 49 U.S.C.  Section 1801,  et seq.,  the Resource
Conservation  and  Recovery  Act,  42 U.S.C.  Section  6901,  et seq.,  or other
applicable state or Federal laws, rules, or regulations  adopted pursuant to any
of the foregoing.  Except as disclosed to and acknowledged by Lender in writing,
Borrower  represents  and  warrants  that:  (a) During the period of  Borrower's
ownership of the  properties,  there has been no use,  generation,  manufacture,
storage,  treatment,  disposal,  release or threatened  release of any hazardous
waste or substance by any person on, under, about or from any of the properties.
(b) Borrower  has no knowledge  of, or reason to believe that there has been (i)
any use, generation,  manufacture,  storage,  treatment,  disposal,  release, or
threatened  release of any hazardous waste or substance on, under, about or from
the  properties  by any prior owners or occupants of any of the  properties,  or
(ii) any  actual or  threatened  litigation  or claims of any kind by any person
relating to such matters. (c) Neither Borrower nor any tenant, contractor, agent
or  other  authorized  user  of any  of  the  properties  shall  use,  generate,
manufacture,  store,  treat,  dispose  of, or  release  any  hazardous  waste or
substance on, under, about or from any of the properties;  and any such activity
shall be conducted in compliance with all applicable  federal,  state, and local
laws,  regulations,  and ordinances,  including  without  limitation those laws,
regulations and ordinances  described above.  Borrower authorizes Lender and its
agents to enter upon the properties to make such inspections and tests as Lender
may deem appropriate to determine compliance of the properties with this section
of the Agreement. Any inspections or tests made by Lender shall be at Borrower's
expense and for Lender's  purposes only and shall not be construed to create any
responsibility  or  liability  on the part of Lender to Borrower or to any other
person.  The  representations  and  warranties  contained  herein  are  based on
Borrower's due diligence in investigating the properties for hazardous waste and
hazardous substances.  Borrower hereby (a) releases and waives any future claims
against  Lender for  indemnity or  contribution  in the event  Borrower  becomes
liable  for  cleanup  or other  costs  under any such  laws,  and (b)  agrees to
indemnify  and  hold  harmless  Lender  against  any  and  all  claims,  losses,
liabilities,  damages,  penalties,  and  expenses  which  Lender may directly or
indirectly  sustain  or suffer  resulting  from a breach of this  section of the
Agreement or as a  consequence  of any use,  generation,  manufacture,  storage,
disposal, release or threatened release of a hazardous waste or substance on the
properties.  The  provisions  of this section of the  Agreement,  including  the
obligation to indemnify,  shall survive the payment of the  Indebtedness and the
termination  or  expiration  of this  Agreement  and  shall not be  affected  by
Lender's  acquisition  of any  interest  in any of the  properties,  whether  by
foreclosure or otherwise.

Litigation  and Claims.  No  litigation,  claim,  investigation,  administrative
proceeding or similar action (including those for unpaid taxes) against Borrower
is pending or  threatened,  and no other event has occurred which may materially
adversely  affect  Borrower's  financial  condition  or  properties,  other than
litigation,  claims,  or other events,  if any, that have been  disclosed to and
acknowledged by Lender in writing.

Taxes.  To the best of  Borrower's  knowledge,  all tax  returns  and reports of
Borrower that are or were required to be filed,  have been filed, and all taxes,
assessments and other governmental  charges have been paid in full, except those
presently  being or to be  contested  by Borrower in good faith in the  ordinary
course of business and for which adequate reserves have been provided.

Lien  Priority.  Unless  otherwise  previously  disclosed  to Lender in writing,
Borrower has not entered into or granted any Security  Agreements,  or permitted
the filing or  attachment  of any Security  Interests on or affecting any of the
Collateral  directly or indirectly  securing  repayment of  Borrower's  Loan and
Note,  that  would  be  prior or that  may in any way be  superior  to  Lender's
Security Interests and rights in and to such Collateral.

Binding Effect.  This Agreement,  the Note, all Security  Agreements directly or
indirectly securing repayment of Borrower's Loan and Note and all of the Related
Documents  are  binding  upon  Borrower as well as upon  Borrower's  successors,
representatives  and assigns,  and are legally  enforceable  in accordance  with
their respective terms.

Commercial  Purposes.  Borrower intends to use the Loan proceeds solely for
business or commercial related purposes.

Employee Benefit Plans. Each employee benefit plan as to which Borrower may have
any liability complies in all material respects with all applicable requirements
of law and regulations,  and (i) no Reportable Event nor Prohibited  Transaction
(as defined in ERISA) has occurred with respect to any

                                         -75-

<PAGE>



such plan, (ii) Borrower has not withdrawn from any such plan or initiated steps
to do so,  (iii) no steps have been taken to terminate  any such plan,  and (iv)
there are no  unfunded  liabilities  other than those  previously  disclosed  to
Lender in writing.

Location of Borrower's  Offices and Records.  Borrower's  place of business,  or
Borrower's  Chief  executive  office,  if  Borrower  has more  than one place of
business,  is located at 235 EAST 6100  SOUTH,  SALT LAKE CITY,  UT  84107-7349.
Unless  Borrower has  designated  otherwise in writing this location is also the
office or offices where Borrower keeps its records concerning the Collateral.

Information.  All information heretofore or contemporaneously herewith furnished
by Borrower to Lender for the purposes of or in connection  with this  Agreement
or any  transaction  contemplated  hereby  is,  and  all  information  hereafter
furnished  by or on behalf of Borrower  to Lender will be, true and  accurate in
every  material  respect  on the date as of which such  information  is dated or
certified;  and none of such information is or will be incomplete by omitting to
state any material fact necessary to make such information not misleading.

Survival of Representations and Warranties. Borrower understands and agrees that
Lender,   without   independent   investigation,   is  relying  upon  the  above
representations and warranties in extending Loan Advances to Borrower.  Borrower
further  agrees  that the  foregoing  representations  and  warranties  shall be
continuing  in nature and shall  remain in full force and effect until such time
as Borrower's  Indebtedness shall be paid in full, or until this Agreement shall
be terminated in the manner provided above, whichever is the last to occur.

AFFIRMATIVE  COVENANTS.  Borrower  covenants  and agrees with Lender  that,
while this Agreement is in effect, Borrower will:

      Litigation.  Promptly inform Lender in writing of (a) all material adverse
      changes in Borrower's  financial  condition,  and (b) all existing and all
      threatened litigation, claims, investigations,  administrative proceedings
      or  similar  actions  affecting  Borrower  or any  Guarantor  which  could
      materially  affect the  financial  condition of Borrower or the  financial
      condition of any Guarantor.

      Financial  Records.  Maintain  its books and  records in  accordance  with
      generally accepted accounting  principles,  applied on a consistent basis,
      and permit Lender to examine and audit Borrower's books and records at all
      reasonable times.

      Additional   Information.   Furnish  such   additional   information   and
      statements,  lists of assets and  liabilities,  agings of receivables  and
      payables, inventory schedules,  budgets, forecasts, tax returns, and other
      reports  with  respect to  Borrower's  financial  condition  and  business
      operations as Lender may request from time to time.

      Insurance.  Maintain  fire and  other  risk  insurance,  public  liability
      insurance,  and such other insurance as Lender may require with respect to
      Borrower's properties and operations, in form, amounts, coverages and with
      insurance  companies  reasonably  acceptable  to  Lender.  Borrower,  upon
      request of Lender,  will  deliver to Lender from time to time the policies
      or  certificates of insurance in form  satisfactory  to Lender,  including
      stipulations that coverages will not be canceled or diminished  without at
      least ten (10) days' prior written notice to Lender. Each insurance policy
      also shall  include an  endorsement  providing  that  coverage in favor of
      Lender will not be impaired in any way by any act,  omission or default of
      Borrower or any other  person.  In connection  with all policies  covering
      assets in which  Lender  holds or is offered a security  interest  for the
      Loans,  Borrower  will  provide  Lender  with such loss  payable  or other
      endorsements as Lender may require.

Insurance Reports.  Furnish to Lender,  upon request of Lender,  reports on each
existing  insurance  policy  showing such  information  as Lender may reasonably
request,  including  without  limitation  the  following:  (a)  the  name of the
insurer; (b) the risks insured; (c) the amount of the policy; (d) the properties
insured;  (e) the then current  property  values on the basis of which insurance
has been  obtained,  and the manner of  determining  those  values;  and (f) the
expiration date of the policy. In addition,  upon request of Lender (however not
more  often  than  annually),   Borrower  will  have  an  independent  appraiser
satisfactory  to Lender  determine,  as  applicable,  the  actual  cash value or
replacement cost of any Collateral.  The cost of such appraisal shall be paid by
Borrower.

Other Agreements.  Comply with all terms and conditions of all other agreements,
whether now or  hereafter  existing,  between  Borrower  and any other party and
notify Lender immediately in writing of any default in connection with any other
such agreements.

Loan  Proceeds.  Use all  Loan  proceeds  solely  for  Borrower's  business
operations, unless specifically consented to the contrary by Lender in writing.

Taxes, Charges and Liens. Pay and discharge when due all of its indebtedness and
obligations,  including without limitation all assessments,  taxes, governmental
charges,  levies and liens,  of every kind and nature,  imposed upon Borrower or
its properties,  income, or profits,  prior to the date on which penalties would
attach,  and all lawful  claims that,  if unpaid,  might become a lien or charge
upon  any of  Borrower's  properties,  income,  or  profits.  Provided  however,
Borrower  will not be required to pay and discharge  any such  assessment,  tax,
charge,  levy,  lien or claim so long as (a) the  legality  of the same shall be
contested in good faith by appropriate proceedings,  and (b) Borrower shall have
established  on its books  adequate  reserves  with  respect  to such  contested
assessment,  tax,  charge,  levy,  lien, or claim in accordance  with  generally
accepted accounting practices.  Borrower, upon demand of Lender, will furnish to
Lender evidence of payment of the assessments, taxes, charges, levies, liens and
claims and will authorize the  appropriate  governmental  official to deliver to
Lender at any time a  written  statement  of any  assessments,  taxes,  charges,
levies, liens and claims against Borrower's properties, income, or profits.

Performance.  Perform and comply with all terms, conditions,  and provisions set
forth in this  Agreement and in the Related  Documents in a timely  manner,  and
promptly  notify Lender if Borrower  learns of the occurrence of any event which
constitutes an Event of Default under this Agreement or under any of the Related
Documents.

Operations.  Maintain executive and management  personnel with substantially the
same  qualifications  and  experience as the present  executive  and  management
personnel;  provide  written  notice to Lender of any  change in  executive  and
management  personnel;  conduct its business affairs in a reasonable and prudent
manner and in compliance with all applicable federal,  state and municipal laws,
ordinances,   rules  and  regulations   respecting  its  properties,   charters,
businesses and operations,  including  without  limitation,  compliance with the
Americans With Disabilities Act and with all minimum funding standards and other
requirements of ERISA and other laws applicable to Borrower's  employee  benefit
plans.

Inspection.  Permit  employees  or agents of  Lender at any  reasonable  time to
inspect  any and all  Collateral  for the Loan or  Loans  and  Borrower's  other
properties and to examine or audit Borrower's books,  accounts,  and records and
to make copies and  memoranda of Borrower's  books,  accounts,  and records.  If
Borrower now or at any time hereafter  maintains any records  (including without
limitation  computer  generated  records and computer  software programs for the
generation of such records) in the possession of a third party,  Borrower,  upon
request of Lender,  shall notify such party to permit Lender free access to such
records at all reasonable times and to provide Lender with copies of any records
it may request, all at Borrower's expense.

Compliance Certificate. Provide Lender with a certificate executed by Borrower's
chief  financial  officer,  or other  officer  or person  acceptable  to Lender,
certifying that the  representations  and warranties set forth in this Agreement
are true and correct as of the date of the certificate and further certifying

                                         -76-

<PAGE>



that, as of the date of the  certificate,  no Event of Default exists under this
Agreement.  Compliance  Certificates  will be provided at the same time Borrower
provides Financial Statements.

Environmental Compliance and Reports. Borrower shall comply in all respects with
all  environmental   protection  federal,   state  and  local  laws,   statutes,
regulations  and  ordinances;  not cause or  permit to exist,  as a result of an
intentional  or  unintentional  action or omission on its part or on the part of
any  third  party,   on  property  owned  and/or   occupied  by  Borrower,   any
environmental  activity where damage may result to the environment,  unless such
environmental activity is pursuant to and in compliance with the conditions of a
permit  issued  by  the  appropriate   federal,   state  or  local  governmental
authorities;  shall  furnish to Lender  promptly and in any event within  thirty
(30) days after receipt thereof a copy of any notice,  summons,  lien, citation,
directive,  letter  or other  communication  from  any  governmental  agency  or
instrumentality  concerning any intentional or unintentional  action or omission
on Borrower's part in connection with any environmental  activity whether or not
there is damage to the environment and/or other natural resources.

Additional  Assurances.  Make,  execute and  deliver to Lender  such  promissory
notes,  mortgages,  deeds of trust,  security agreements,  financing statements,
instruments,  documents  and other  agreements  as Lender or its  attorneys  may
reasonably  request to evidence and secure the Loans and to perfect all Security
Interests.

RECOVERY OF  ADDITIONAL  COSTS.  If the  imposition of or any change in any law,
rule,  regulation or guideline,  or the  interpretation  or  application  of any
thereof by any court or administrative or governmental  authority (including any
request or policy not  having  the force of law)  shall  impose,  modify or make
applicable  any taxes (except U.S.  federal,  state or local income or franchise
taxes imposed on Lender), reserve requirements, capital adequacy requirements or
other  obligations  which would (a) increase the cost to Lender for extending or
maintaining the credit  facilities to which this Agreement  relates,  (b) reduce
the amounts payable to Lender under this Agreement or the Related Documents,  or
(c) reduce the rate of return on Lender's  capital as a consequence  of Lender's
obligations  with  respect to the  credit  facilities  to which  this  Agreement
relates,  then  Borrower  agrees to pay Lender such  additional  amounts as will
compensate  Lender therefor,  within five (5) days after Lender's written demand
for such payment,  which demand shall be  accompanied  by an explanation of such
imposition or charge and a calculation  in reasonable  detail of the  additional
amounts  payable  by  Borrower,  which  explanation  and  calculations  shall be
conclusive in the absence of manifest error.

NEGATIVE  COVENANTS.  Borrower  covenants and agrees with Lender that while this
Agreement is in effect, Borrower shall not, without the prior written consent of
Lender:


Indebtedness  and Liens. (a) Except for trade debt incurred in the normal course
of business and indebtedness to Lender  contemplated by this Agreement,  create,
incur or assume  indebtedness  for borrowed  money,  including  capital  leases,
except  for an amount not to exceed at any one time of  $500,000,  (b) except as
allowed as a Permitted Lien, sell, transfer,  mortgage,  assign,  pledge, lease,
grant a security interest in, or encumber any of Borrower's  assets,  except for
an amount not to exceed at any one time of $500,000,  or (c) sell with  recourse
any of Borrower's accounts, except to Lender.

Continuity of Operations.  (a) Engage in any business  activities  substantially
different  than  those  in  which  Borrower  is  presently  engaged,  (b)  cease
operations,  liquidate,  merge,  transfer, or consolidate with any other entity,
change ownership,  change its name,  dissolve or transfer or sell Collateral out
of the ordinary course of business  without Lender's prior written consent which
will not be  unreasonably  withheld,  (c) pay any dividends on Borrower's  stock
(other than  dividends  payable in its stock),  or (d) purchase or retire any of
Borrower's outstanding shares or alter or amend Borrower's capital structure.

Loans, Acquisitions and Guaranties. (a) Loan, invest in or advance money or
assets,  or (b) incur any  obligation  as surety or guarantor  other than in the
ordinary course of business.


CESSATION OF  ADVANCES.  If Lender has made any  commitment  to make any Loan to
Borrower,  whether  under this  Agreement or under any other  agreement,  Lender
shall have no  obligation to make Loan Advances or to disburse Loan proceeds if:
(a) Borrower or any Guarantor is in default under the terms of this Agreement or
any of the  Related  Documents  or any  other  agreement  that  Borrower  or any
Guarantor  has with Lender;  (b) Borrower or any  Guarantor  becomes  insolvent,
files a  petition  in  bankruptcy  or  similar  proceedings,  or is  adjudged  a
bankrupt;  (c) there occurs a material  adverse  change in Borrower's  financial
condition,  in the financial condition of any Guarantor,  or in the value of any
Collateral  securing  any Loan;  (d) any  Guarantor  seeks,  claims or otherwise
attempts to limit, modify or revoke such Guarantor's guaranty of the Loan or any
other loan with Lender; or (e) Lender in good faith deems itself insecure,  even
though no Event of Default shall have occurred.

CUSTOMER LIST. BORROWER SHALL FURNISH TO LENDER ON A SEMI-ANNUAL BASIS A LIST OF
BORROWER'S  ACCOUNTS  RECEIVABLE   CUSTOMERS  AND  THEIR  ADDRESSES  IN  A  FORM
ACCEPTABLE TO LENDER AT LENDER'S REQUEST.

BORROWING BASE CERTIFICATE. BORROWER SHALL FURNISH TO LENDER A MONTHLY BORROWING
BASE CERTIFICATE CERTIFIED BY AN AUTHORIZED OFFICER/EMPLOYEE OF BORROWER, WITHIN
TWENTY (20) DAYS OF THE END OF EACH MONTH IN A FORM  ACCEPTABLE  TO LENDER.  THE
BORROWING BASE CERTIFICATES SHALL BE ACCOMPANIED BY AN ACCOUNTS RECEIVABLE AGING
REPORT,  AN ACCOUNTS  PAYABLE AGING REPORT AND AN INVENTORY REPORT ALL IN A FORM
ACCEPTABLE TO LENDER.

WAIVER OF CLAIMS.  Borrower  (i)  represents  that they have no  defenses  to or
setoffs  against any  indebtedness or other  obligations  owing to Lender or its
affiliates (the "Obligations"),  nor claims against Lender or its affiliates for
any matter whatsoever, related or unrelated to the Obligations, and (ii) release
Lender and its affiliates from all claims,  causes of action,  and costs, in law
or equity, existing as of the date of this Agreement,  which Borrower has or may
have by reason of any matter of any  conceivable  kind or character  whatsoever,
related or unrelated to the  Obligations,  including the subject  matter of this
Agreement.  This provision  shall not apply to claims for performance of express
contractual obligations owing to Borrower by Lender or its affiliates.

NET WORTH.  BORROWER SHALL NOT PERMIT ITS NET WORTH TO BE LESS THAN $10,000,000,
PLUS 75% OF FUTURE  QUARTERLY NET INCOME (NOT REDUCED BY FUTURE QUARTERLY LOSSES
), PLUS 100% OF FUTURE NET EQUITY ISSUED.

MAXIMUM  DAYS' SALES IN  RECEIVABLES.  BORROWER  SHALL NOT PERMIT ITS DAYS'
SALES IN RECEIVABLES TO EXCEED THE MAXIMUMS SET FORTH BELOW.

                  PERIODS                             DAYS
                  From Closing to 3/31/2000           140
                  From 4/1/2000 to 9/30/2000          125
                  From 10/1/2000 to 3/31/2001         110
                  From 4/1/2001 to 9/30/2001          100
                  From 10/1/2001 and thereafter        90

                                           -77-

<PAGE>



THIS INFORMATION SHALL BE INCLUDED IN BORROWER'S FILINGS WITH THE SECURITIES AND
EXCHANGE COMMISSION OR IF NOT INCLUDED THEREIN, SHALL BE CALCULATED AS FOLLOWS:

DAYS' SALES IN  RECEIVABLES  FOR ANY QUARTER END SHALL BE CALCULATED BY DIVIDING
(A) ANNUALIZED NET SALES FOR SUCH QUARTER INTO (B) NET  RECEIVABLES  OUTSTANDING
AT THE END OF SUCH QUARTER AND  MULTIPLYING THE PRODUCT SO DERIVED BY 365. OR AS
REPORTED.

LEVERAGE.  BORROWER  SHALL MAINTAIN A RATIO OF TOTAL  INDEBTEDNESS  FOR BORROWED
MONEY TO EBITDA AS DEFINED IN THE PARAGRAPH  TITLED  BORROWING  BASE OF NOT MORE
THAN 4.50, AND SHALL MAINTAIN A RATIO OF SENIOR  INDEBTEDNESS FOR BORROWED MONEY
TO EBITDA OF NOT MORE THAN 3.00.  THESE RATIOS WILL BE REDUCED AS FOLLOWS BY THE
PERIODS INDICATED, SEPTEMBER 30, 2001 THROUGH SEPTEMBER 29, 2000, 4.25 AND 2.75;
SEPTEMBER 30, 2002 THROUGH SEPTEMBER 29, 2003, 4.00 AND 2.50; SEPTEMBER 30, 2003
THROUGH  SEPTEMBER  29,  2004,  3.75 AND 2.25;  SEPTEMBER  30,  2004 AND FOR ALL
PERIODS THEREAFTER, 3.50 AND 2.00.

FIXED  CHARGE  COVERAGE.  BORROWER  SHALL  MAINTAIN A MINIMUM  FIXED CHARGE
COVERAGE RATIO (EBITDA MINUS TAX EXPENSE MINUS CAPITAL  EXPENDITURES  RELATED TO
THE  PURCHASE OF FIXED ASSETS NOT ACQUIRED FOR THE PURPOSE OF LEASING OR RENTING
SAME TO  CUSTOMERS TO PRINCIPAL  PAYMENTS  MADE ON LONG TERM DEBT PLUS  INTEREST
PLUS PREFERRED  DIVIDENDS  PAID) OF NOT LESS THAN 2.40 AS OF SEPTEMBER 30, 1999;
2.00 AS OF DECEMBER  31, 1999;  1.60 AS OF MARCH 31,  2000;  1.20 AS OF JUNE 30,
2000 THROUGH JUNE 29, 2001; 1.30 AS OF JUNE 30, 2002 THROUGH JUNE 29, 2003; 1.40
AS OF JUNE 30,  2004  THROUGH  JUNE 29,  2005;  AND 1.50 AS OF JUNE 30, 2005 AND
THEREAFTER.  THIS  CALCULATION  SHALL BE MADE  QUARTERLY  BASED  ON THE  CURRENT
QUARTER AND THE IMMEDIATELY THREE QUARTERS

WORKING  CAPITAL.  BORROWER SHALL MAINTAIN WORKING CAPITAL OF NOT LESS THAN
$9,000,000.  WORKING  CAPITAL  SHALL BE DEFINED AS CURRENT  ASSETS MINUS CURRENT
LIABILITIES.

ACQUISITIONS.  BORROWER SHALL BE PERMITTED TO MAKE ACQUISITIONS SO LONG AS:
A) TOTAL  PURCHASE  PRICE FOR SUCH  ACQUISITIONS  IS LESS  THAN  7.00  TIMES THE
ACQUIRED   ENTITIES'  ADJUSTED  PROFORMA  EBITDA  FOR  THE  TWELVE  (12)  MONTHS
IMMEDIATELY  PRECEDING  THE  ACQUISITION  DATE OF EACH  SUCH  ENTITY.  B)  TOTAL
PURCHASE  PRICE  PAID FOR ANY ONE  ACQUISITION  SHALL  NOT  EXCEED  ONE  MILLION
($1,000,000.00) AND THE AGGREGATE TOTAL PURCHASE PRICE PAID FOR ALL ACQUISITIONS
WITHIN ANY ONE (1) FISCAL YEAR SHALL NOT EXCEED FIVE MILLION ($5,000,000.00). C)
BORROWER  PROVIDES  CERTIFICATION  SATISFACTORY  TO  LENDER  THAT  BORROWER  HAS
COMPLIED WITH ALL REGULATORY  REQUIREMENTS  RELATED TO THE  ACQUISITION.  D) THE
ACQUISITION WILL NOT RESULT IN A DEFAULT OF ANY PROVISION HEREUNDER.

FINANCIAL STATEMENTS.  BORROWER SHALL FURNISH LENDER WITH, AS SOON AS AVAILABLE,
BUT IN NO EVENT LATER THAN ONE HUNDRED  TWENTY  (120) DAYS AFTER THE END OF EACH
FISCAL  YEAR,  BORROWER'S  CONSOLIDATED  BALANCE  SHEET,  INCOME  STATEMENT  AND
STATEMENT OF CASH FLOWS FOR THE YEAR THEN ENDED,  AUDITED BY A CERTIFIED  PUBLIC
ACCOUNTANT  SATISFACTORY  TO LENDER.  IN ADDITION  BORROWER SHALL FURNISH LENDER
WITH,  AS SOON AS  AVAILABLE,  BUT IN NO EVENT  LATER  THAN FORTY FIVE (45) DAYS
AFTER THE END OF EACH QUARTER,  BORROWER'S  BALANCE SHEET,  INCOME STATEMENT AND
STATEMENT  OF CASH FLOWS FOR THE PERIOD THEN ENDED,  PREPARED BY  BORROWER,  AND
CERTIFIED  AS  CORRECT TO THE BEST  KNOWLEDGE  AND  BELIEF OF  BORROWER'S  CHIEF
FINANCIAL OFFICER OR OTHER OFFICER OR PERSON ACCEPTABLE TO LENDER. ALL FINANCIAL
REPORTS  REQUIRED  TO BE  PROVIDED  UNDER THIS  AGREEMENT  SHALL BE  PREPARED IN
ACCORDANCE  WITH  GENERALLY  ACCEPTED  ACCOUNTING   PRINCIPLES,   APPLIED  ON  A
CONSISTENT  BASIS,  AND  CERTIFIED  BY BORROWER AS BEING TRUE AND  CORRECT.  ALL
FINANCIAL  STATEMENTS  SUBMITTED  HEREUNDER SHALL BE ACCOMPANIED BY A COMPLIANCE
CERTIFICATE.

ADDITIONAL  FINANCIAL  INFORMATION.  BORROWER SHALL FURNISH LENDER WITH 8K, 10K,
10Q AND ANY OTHER  REPORTS  AND  FILINGS  WHICH  BORROWER IS REQUIRED TO FILE OR
OTHERWISE  PROVIDE TO THE  UNITED  STATES  SECURITIES  AND  EXCHANGE  COMMISSION
REQUIRED SEC REPORTS WITHIN TEN (10) DAYS OF WHEN SUCH REPORTS ARE FILED.

UNUSED LINE OF CREDIT FEE. BORROWER SHALL PAY A FEE EQUAL TO .40% PER ANNUM
OF THE AVERAGE  UNUSED  BALANCE OF THE LINE OF CREDIT FOR THE PREVIOUS  QUARTER.
THE FIRST  QUARTERLY FEE WILL BE CALCULATED FOR THE PERIOD ENDING  SEPTEMBER 30,
1999.

DELINQUENT REPORTING FEE. Borrower shall pay a late reporting fee of $300.00 for
each day for each financial  statement report that Borrower fails to provide and
a late  reporting  fee of $100.00 for each day for each report,  certificate  or
item other than  financial  statement  reports  which  Borrower  is  required to
provide herein.

RIGHT OF SETOFF.  Borrower grants to Lender a contractual  security interest in,
and hereby  assigns,  conveys,  delivers,  pledges,  and transfers to Lender all
Borrower's right, title and interest in and to, Borrower's  accounts with Lender
(whether checking, savings, or some other account), including without limitation
all accounts  held jointly with someone else and all accounts  Borrower may open
in the  future,  excluding  however  all IRA and Keogh  accounts,  and all trust
accounts for which the grant of a security  interest would be prohibited by law.
Borrower authorizes Lender, to the extent permitted by applicable law, to charge
or setoff all sums owing on the Indebtedness against any and all such accounts.

EVENTS OF  DEFAULT.  Each of the  following  shall  constitute  an Event of
Default under this Agreement:

Default on  Indebtedness.  Failure of Borrower to make any payment when due
on the Loans.

Other Defaults.  Failure of Borrower or any Grantor to comply with or to perform
when due any other term,  obligation,  covenant or  condition  contained in this
Agreement or in any of the Related  Documents,  or failure of Borrower to comply
with or to perform any other term,  obligation,  covenant or condition contained
in any other agreement between Lender and Borrower.

Default in Favor of Third Parties.  Should Borrower or any Grantor default under
any loan, extension of credit, security agreement,  purchase or sales agreement,
or any other  agreement,  in favor of any  other  creditor  or  person  that may
materially  affect any of  Borrower's  property or  Borrower's  or any Grantor's
ability to repay the Loans or perform their  respective  obligations  under this
Agreement or any of the Related Documents.

False Statements. Any warranty, representation or statement made or furnished to
Lender by or on behalf of Borrower or any Grantor  under this  Agreement  or the
Related  Documents is false or  misleading  in any material  respect at the time
made or furnished, or becomes false or misleading at any time thereafter.

                                         -78-

<PAGE>




Defective  Collateralization.  This  Agreement  or any of the Related  Documents
ceases  to be in full  force  and  effect  (including  failure  of any  Security
Agreement to create a valid and perfected Security Interest) at any time and for
any reason.

Insolvency.  The  dissolution or termination of Borrower's  existence as a going
business, the insolvency of Borrower, the appointment of a receiver for any part
of Borrower's property, any assignment for the benefit of creditors, any type of
creditor workout,  or the commencement of any proceeding under any bankruptcy or
insolvency laws by or against Borrower.

Creditor or Forfeiture  Proceedings.  Commencement  of foreclosure or forfeiture
proceedings,  whether by judicial  proceeding,  self-help,  repossession  or any
other method,  by any creditor of Borrower,  any creditor of any Grantor against
any collateral  securing the Indebtedness,  or by any governmental  agency. This
includes a garnishment,  attachment,  or levy on or of any of Borrower's deposit
accounts with Lender. However, this Event of Default shall not apply if there is
a good  faith  dispute by  Borrower  or  Grantor,  as the case may be, as to the
validity or  reasonableness  of the claim which is the basis of the  creditor or
forfeiture proceeding, and if Borrower or Grantor gives Lender written notice of
the creditor or forfeiture  proceeding  and furnishes  reserves or a surety bond
for the creditor or forfeiture proceeding satisfactory to Lender.

Events Affecting  Guarantor.  Any of the preceding events occurs with respect to
any  Guarantor  of any of the  Indebtedness  or any  Guarantor  dies or  becomes
incompetent,  or revokes or disputes the validity  of, or liability  under,  any
Guaranty  of the  Indebtedness.  Lender,  at its option,  may,  but shall not be
required  to,  permit  the  Guarantor's  estate  to assume  unconditionally  the
obligations  arising under the guaranty in a manner satisfactory to Lender, and,
in doing so, cure the Event of Default.

Events Affecting  Co-Borrowers.  Any of the preceding events occurs with respect
to any co-borrower of any of the Indebtedness or any co-borrower dies or becomes
incompetent,  or revokes or disputes the validity of, or liability under, any of
the  Indebtedness.  Lender,  at its option,  may,  but shall not be required to,
permit the co-borrower's estate to assume unconditionally the obligations on the
Indebtedness  in a manner  satisfactory  to Lender,  and,  in doing so, cure the
Event of Default.

Adverse Change.  A material  adverse change occurs in Borrower's  financial
condition,  or Lender  believes  the prospect of payment or  performance  of the
Indebtedness is impaired.

Insecurity.  Lender, in good faith, deems itself insecure.

Right to Cure. If any default, other than a Default on Indebtedness,  is curable
and if Borrower or Grantor, as the case may be, has not been given a notice of a
similar default within the preceding twelve (12) months, it may be cured (and no
Event of Default will have occurred) if Borrower or Grantor, as the case may be,
after receiving  written notice from Lender demanding cure of such default:  (a)
cures the default  within  fifteen (15) days;  or (b) if the cure  requires more
than  fifteen  (15) days,  immediately  initiates  steps which  Lender  deems in
Lender's sole  discretion  to be  sufficient to cure the default and  thereafter
continues and completes all reasonable and necessary steps sufficient to produce
compliance as soon as reasonably practical.

EFFECT OF AN EVENT OF DEFAULT. If any Event of Default shall occur, except where
otherwise provided in this Agreement or the Related  Documents,  all commitments
and  obligations of Lender under this Agreement or the Related  Documents or any
other  agreement  immediately  will terminate  (including any obligation to make
Loan  Advances or  disbursements),  and, at Lender's  option,  all  Indebtedness
immediately  will  become due and  payable,  all  without  notice of any kind to
Borrower,  except that in the case of an Event of Default of the type  described
in the "Insolvency"  subsection above, such acceleration  shall be automatic and
not  optional.  In  addition,  Lender  shall have all the  rights  and  remedies
provided in the Related  Documents or available at law, in equity, or otherwise.
Except as may be  prohibited  by  applicable  law,  all of  Lender's  rights and
remedies  shall be cumulative and may be exercised  singularly or  concurrently.
Election by Lender to pursue any remedy  shall not exclude  pursuit of any other
remedy,  and an  election to make  expenditures  or to take action to perform an
obligation  of  Borrower or of any Grantor  shall not affect  Lender's  right to
declare a default and to exercise its rights and remedies.

MISCELLANEOUS PROVISIONS. The following miscellaneous provisions are a part
of this Agreement:

Amendments. This Agreement, together with any Related Documents, constitutes the
entire understanding and agreement of the parties as to the matters set forth in
this  Agreement.  No  alteration  of or  amendment  to this  Agreement  shall be
effective  unless given in writing and signed by the party or parties  sought to
be  charged  or bound by the  alteration  or  amendment.  Applicable  Law.  This
Agreement  has been  delivered  to Lender and accepted by Lender in the State of
Utah. If there is a lawsuit,  Borrower agrees upon Lender's request to submit to
the jurisdiction of the courts of SALT LAKE County,  the State of Utah.  Subject
to the  provisions  on  arbitration,  this  Agreement  shall be  governed by and
construed in accordance with the laws of the State of Utah.

ARBITRATION DISCLOSURES:

1.  ARBITRATION  IS FINAL AND  BINDING ON THE  PARTIES  AND SUBJECT TO ONLY VERY
LIMITED REVIEW BY A COURT.

2. IN  ARBITRATION  THE PARTIES  ARE  WAIVING  THEIR RIGHT TO LITIGATE IN COURT,
INCLUDING THEIR RIGHT TO A JURY TRIAL.

3. DISCOVERY IN ARBITRATION IS MORE LIMITED THAN DISCOVERY IN COURT.

4.  ARBITRATORS ARE NOT REQUIRED TO INCLUDE FACTUAL  FINDINGS OR LEGAL REASONING
IN THEIR AWARDS.  THE RIGHT TO APPEAL OR TO SEEK  MODIFICATION  OF  ARBITRATORS'
RULINGS IS VERY LIMITED.

5. A PANEL OF  ARBITRATORS  MIGHT INCLUDE AN ARBITRATOR WHO IS OR WAS AFFILIATED
WITH THE BANKING INDUSTRY.

6. IF YOU  HAVE  QUESTIONS  ABOUT  ARBITRATION,  CONSULT  YOUR  ATTORNEY  OR THE
AMERICAN ARBITRATION ASSOCIATION.

(a) Any claim or controversy  ("Dispute") between or among the parties and their
assigns,  including  but not limited to  Disputes  arising out of or relating to
this  agreement,  this  arbitration  provision  ("arbitration  clause"),  or any
related  agreements or  instruments  relating  hereto or delivered in connection
herewith ("Related Documents"), and including but not limited to a Dispute based
on or  arising  from an  alleged  tort,  shall at the  request  of any  party be
resolved by binding  arbitration in accordance  with the applicable  arbitration
rules  of  the  American  Arbitration  Association  (the  "Administrator").  The
provisions of this arbitration clause shall survive any termination,  amendment,
or expiration of this  agreement or Related  Documents.  The  provisions of this
arbitration  clause shall supersede any prior  arbitration  agreement between or
among  the  parties.  If any  provision  of this  arbitration  clause  should be
determined to be unenforceable,  all other provisions of this arbitration clause
shall remain in full force and effect.

                                        -79-

<PAGE>



(b) The arbitration proceedings shall be conducted in Salt Lake City, Utah, at a
place  to  be  determined  by  the  Administrator.  The  Administrator  and  the
arbitrator(s)  shall have the  authority to the extent  practicable  to take any
action  to  require  the   arbitration   proceeding  to  be  completed  and  the
arbitrator(s)' award issued within one hundred fifty (150) days of the filing of
the Dispute with the Administrator.  The arbitrator(s)  shall have the authority
to impose  sanctions on any party that fails to comply with time periods imposed
by the Administrator or the  arbitrator(s),  including the sanction of summarily
dismissing any Dispute or defense with prejudice.  The arbitrator(s)  shall have
the authority to resolve any Dispute regarding the terms of this agreement, this
arbitration  clause or Related  Documents,  including  any claim or  controversy
regarding the arbitrability of any Dispute.  All limitations  periods applicable
to any Dispute or defense,  whether by statute or agreement,  shall apply to any
arbitration  proceeding hereunder and the arbitrator(s) shall have the authority
to decide whether any Dispute or defense is barred by a limitations  period and,
if so, to  summarily  enter an award  dismissing  any Dispute or defense on that
basis. The doctrines of compulsory  counterclaim,  res judicata,  and collateral
estoppel  shall apply to any  arbitration  proceeding  hereunder so that a party
must  state  as a  counterclaim  in the  arbitration  proceeding  any  claim  or
controversy  which  arises  out of the  transaction  or  occurrence  that is the
subject  matter of the  Dispute.  The  arbitrator(s)  may in the  arbitrator(s)'
discretion  and at the  request  of  any  party:  (1)  consolidate  in a  single
arbitration  proceeding any other claim or controversy  involving  another party
that is substantially  related to the Dispute where that other party is bound by
an arbitration clause with the Lender, such as borrowers,  guarantors, sureties,
and owners of collateral; (2) consolidate in a single arbitration proceeding any
other claim or controversy that is substantially similar to the Dispute; and (3)
administer  multiple  arbitration  claims or  controversies  as class actions in
accordance  with  the  provisions  of  Rule 23 of the  Federal  Rules  of  Civil
Procedure.

(c) The  arbitrator(s)  shall be  selected in  accordance  with the rules of the
Administrator from panels maintained by the  Administrator.  A single arbitrator
shall  have  expertise  in the  subject  matter  of  the  Dispute.  Where  three
arbitrators conduct an arbitration proceeding, the Dispute shall be decided by a
majority vote of the three arbitrators, at least one of whom must have expertise
in the  subject  matter  of the  Dispute  and at  least  one of  whom  must be a
practicing  attorney.  The  arbitrator(s)  shall award to the  prevailing  party
recovery of all costs and fees (including attorneys' fees and costs, arbitration
administration  fees and costs, and  arbitrator(s)'  fees).  The  arbitrator(s),
either  during the  pendency  of the  arbitration  proceeding  or as part of the
arbitration award, also may grant provisional or ancillary  remedies,  including
but not limited to an award of injunctive  relief,  foreclosure,  sequestration,
attachment, replevin, garnishment, or the appointment of a receiver.

(d)  Judgment  upon an  arbitration  award may be  entered  in any court  having
jurisdiction,  subject to the following  limitation:  the  arbitration  award is
binding upon the parties only if the amount does not exceed Four Million Dollars
($4,000,000.00);  if the award  exceeds that limit,  either party may demand the
right to a court  trial.  Such a demand  must be  filed  with the  Administrator
within thirty (30) days following the date of the  arbitration  award; if such a
demand is not made within that time period,  the amount of the arbitration award
shall be binding.  The  computation of the total amount of an arbitration  award
shall  include  amounts  awarded  for  attorneys'  fees and  costs,  arbitration
administration fees and costs, and arbitrator(s)' fees.

(e) No  provision  of this  arbitration  clause,  nor the exercise of any rights
hereunder,   shall  limit  the  right  of  any  party  to:  (1)   judicially  or
non-judicially  foreclose  against any real or personal  property  collateral or
other security;  (2) exercise self-help  remedies,  including but not limited to
repossession and setoff rights;  or (3) obtain from a court having  jurisdiction
thereover any  provisional or ancillary  remedies,  including but not limited to
injunctive   relief,   foreclosure,    sequestration,    attachment,   replevin,
garnishment,  or the appointment of a receiver.  Such rights can be exercised at
any time,  before or during initiation of an arbitration  proceeding,  except to
the extent such action is contrary to the  arbitration  award.  The  exercise of
such rights shall not  constitute a waiver of the right to submit any Dispute to
arbitration, and any claim or controversy related to the exercise of such rights
shall be a Dispute  to be  resolved  under the  provisions  of this  arbitration
clause. Any party may initiate  arbitration with the Administrator;  however, if
any party initiates litigation and another party disputes any allegation in that
litigation,  the disputing party--upon the request of the initiating party--must
file a demand for arbitration with the Administrator and pay the Administrator's
filing fee.  The parties may serve by mail a notice of an initial  motion for an
order of arbitration.

(f)  Notwithstanding  the applicability of any other law to this agreement,  the
arbitration  clause,  or Related  Documents  between or among the  parties,  the
Federal  Arbitration  Act,  9  U.S.C.  Section  1 et  seq.,  shall  apply to the
construction and interpretation of this arbitration clause.


Caption  Headings.  Caption  headings in this Agreement are for convenience
purposes  only and are not to be used to interpret or define the  provisions  of
this Agreement.

Consent to Loan Participation.  Borrower agrees and consents to Lender's sale or
transfer,  whether now or later, of one or more  participation  interests in the
Loans to one or more purchasers,  whether related or unrelated to Lender. Lender
may provide,  without any limitation whatsoever,  to any one or more purchasers,
or potential  purchasers,  any  information  or knowledge  Lender may have about
Borrower or about any other matter  relating to the Loan,  and  Borrower  hereby
waives any rights to privacy it may have with respect to such matters.  Borrower
additionally waives any and all notices of sale of participation  interests,  as
well as all notices of any repurchase of such participation interests.  Borrower
also agrees that the  purchasers  of any such  participation  interests  will be
considered as the absolute  owners of such  interests in the Loans and will have
all the rights granted under the participation agreement or agreements governing
the sale of such participation interests.  Borrower further waives all rights of
offset or  counterclaim  that it may have now or later against Lender or against
any purchaser of such a participation  interest and unconditionally  agrees that
either Lender or such  purchaser  may enforce  Borrower's  obligation  under the
Loans irrespective of the failure or insolvency of any holder of any interest in
the Loans.  Borrower further agrees that the purchaser of any such participation
interests  may enforce its  interests  irrespective  of any  personal  claims or
defenses that Borrower may have against Lender.

Costs and Expenses. Borrower agrees to pay upon demand all of Lender's expenses,
including without limitation  reasonable attorneys' fees, incurred in connection
with the  preparation,  execution,  enforcement,  modification and collection of
this Agreement or in connection  with the Loans made pursuant to this Agreement.
Lender  may pay  someone  else to help  collect  the Loans and to  enforce  this
Agreement,  and Borrower  will pay that amount.  This  includes,  subject to any
limits under applicable law,  Lender's  reasonable  attorneys' fees and Lender's
legal  expenses,  whether  or  not  there  is a  lawsuit,  including  reasonable
attorneys'  fees for  bankruptcy  proceedings  (including  efforts  to modify or
vacate  any  automatic  stay  or  injunction),   appeals,  and  any  anticipated
post-judgment  collection  services.  Borrower also will pay any court costs, in
addition to all other sums provided by law.

Notices. All notices required to be given under this Agreement shall be given in
writing,  may be sent by telefacsimile  (unless otherwise  required by law), and
shall be effective  when actually  delivered or when deposited with a nationally
recognized  overnight  courier or  deposited in the United  States  mail,  first
class, postage prepaid, addressed to the party to whom the notice is to be given
at the address  shown above.  Any party may change its address for notices under
this Agreement by giving formal written notice to the other parties,  specifying
that the purpose of the notice is to change the party's  address.  To the extent
permitted by applicable  law, if there is more than one Borrower,  notice to any
Borrower will constitute notice to all Borrowers. For notice purposes,  Borrower
will keep Lender informed at all times of Borrower's current address(es).

Severability.  If a court of competent  jurisdiction finds any provision of this
Agreement to be invalid or unenforceable as to any person or circumstance,  such
finding shall not render that provision invalid or unenforceable as to any other
persons or  circumstances.  If feasible,  any such offending  provision shall be
deemed to be modified  to be within the limits of  enforceability  or  validity;
however, if the offending provision cannot be so modified,  it shall be stricken
and all other  provisions of this  Agreement in all other  respects shall remain
valid and enforceable.

                                         -80-

<PAGE>




Successors and Assigns.  All covenants and agreements  contained by or on behalf
of Borrower shall bind its successors and assigns and shall inure to the benefit
of Lender,  its successors and assigns.  Borrower shall not,  however,  have the
right to assign its rights under this Agreement or any interest therein, without
the prior written consent of Lender.

Survival.  All  warranties,  representations,  and covenants made by Borrower in
this Agreement or in any certificate or other  instrument  delivered by Borrower
to Lender under this  Agreement  shall be considered to have been relied upon by
Lender and will  survive  the making of the Loan and  delivery  to Lender of the
Related Documents, regardless of any investigation made by Lender or on Lender's
behalf.

Time Is of the Essence.  Time is of the essence in the  performance of this
Agreement.

Waiver.  Lender  shall  not be deemed  to have  waived  any  rights  under  this
Agreement unless such waiver is given in writing and signed by Lender.  No delay
or omission  on the part of Lender in  exercising  any right shall  operate as a
waiver of such right or any other  right.  A waiver by Lender of a provision  of
this  Agreement  shall not  prejudice or  constitute a waiver of Lender's  right
otherwise to demand strict compliance with that provision or any other provision
of this Agreement.  No prior waiver by Lender, nor any course of dealing between
Lender and  Borrower,  or between  Lender and any  Grantor,  shall  constitute a
waiver of any of  Lender's  rights or of any  obligations  of Borrower or of any
Grantor  as to any  future  transactions.  Whenever  the  consent  of  Lender is
required  under this  Agreement,  the  granting of such consent by Lender in any
instance shall not constitute  continuing consent in subsequent  instances where
such  consent  is  required,  and in all cases  such  consent  may be granted or
withheld in the sole discretion of Lender.

FINAL AGREEMENT.  Borrower  understands that this Agreement and the related loan
documents are the final expression of the agreement  between Lender and Borrower
and may not be contradicted by evidence of any alleged oral agreement.

EACH  BORROWER  ACKNOWLEDGES  HAVING  READ  ALL  THE  PROVISIONS  OF  THIS  LOAN
AGREEMENT,  AND EACH BORROWER AGREES TO ITS TERMS. THIS AGREEMENT IS DATED AS OF
JULY 29, 1999.

BORROWER:

INTERWEST HOME MEDICAL, INC.

By:________________________________________________________
    JAMES E. ROBINSON, PRESIDENT


INTERWEST MEDICAL EQUIPMENT DISTRIBUTORS, INC., Co-Borrower

By:________________________________________________________
    JAMES E. ROBINSON, PRESIDENT


INTERWEST HOME PHARMACY, INC., Co-Borrower

By:________________________________________________________
    JAMES E. ROBINSON, PRESIDENT


INTERWEST HOME MEDICAL-ALASKA, INC., formerly known as NORTHWEST HOMECARE,INC.,
Co-Borrower

By:________________________________________________________
    PRESIDENT


INTERWEST HOME MEDICAL-ARIZONA, INC., Co-Borrower

By:________________________________________________________
    PRESIDENT

LENDER:
ZIONS FIRST NATIONAL BANK

By:__________________________________________________________
     Authorized Officer

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

LASER PRO, Reg. U.S. Pat. & T.M. Off., Ver. 3.26c (c) 1999 CFI ProServices,
Inc. All rights reserved. [UT-C40 F3.26b INTWEST.LN C3.OVL]

                                    -81-

<PAGE>



                                 PROMISSORY NOTE


Salt Lake City, Utah                                             July 30,1999

$18,000,000.00

     For  value  received,  Interwest  Home  Medical,  Inc.,  lnterwest  Medical
Equipment  Distributors,  Inc.,  lnterwest Home Pharmacy,  Inc.,  lnterwest Home
Medical-Alaska,  Inc., formerly known as Northwest Homecare, Inc., and lnterwest
Home Medical-Arizona,  Inc., (hereinafter collectively referred to as "Borrower,
promises to pay to the order of ZIONS FIRST  NATIONAL  BANK, a national  banking
association  (hereinafter  referred to as "Zions" or  "Lender") at its office in
Salt  Lake  City,   Utah,  the  sum  of  Eighteen  Million  and  00/100  Dollars
($18,000,000.00)  or such  other  principal  balance  as may be  outstanding  or
authorized pursuant to the Loan Agreement of even date herewith between Borrower
and Lender  (the "Loan  Agreement")  in lawful  money of the United  States with
interest thereon at an interest rate hereinafter described. This Promissory Note
evidences a revolving line of credit under which Borrower may repeatedly  borrow
and repay pursuant to the terms  hereunder  provided an event of default has not
occurred.  The initial principal amount available for advances hereunder will be
$18,000,000.00  or such lesser  amount as described in the Loan  Agreement.  The
maximum  principal  amount will be reduced by $600,000.00 on a quarterly  basis,
beginning  September  30, 2000 and  continuing  on the last day of each  quarter
thereafter.

     Payments.  Commencing  September 1, 1999, and continuing on the same day of
each month  thereafter,  accrued  interest on those amounts  advanced  hereunder
shall be due and payable.  In addition,  if at any time the aggregate  principal
amount of outstanding  advances made hereunder  exceed the applicable  Borrowing
Base (as defined in the Loan Agreement),  Borrower,  immediately upon written or
oral notice from Lender,  shall pay to Lender an amount equal to the  difference
between the  outstanding  principal  balance of the advances  and the  Borrowing
Base. In any event,  the unpaid  balance of principal and any accrued but unpaid
interest shall be due and payable no later than July 31, 2005.

     Interest Rate.  Prime Rate means an index which is determined  daily by the
published  commercial  loan variable rate index held by any two of the following
banks:  Chase Manhattan Bank,  Wells Fargo Bank N.A., and Bank of America N.T. &
S.A. In the event no two of the above banks have the same  published  rate,  the
bank having the median rate will  establish  the Prime Rate.  If, for any reason
beyond  the  control  of  Zions,  any  of  the   aforementioned   banks  becomes
unacceptable  as a reference for the purpose of determining  the Prime Rate used
herein, Zions may, five days after posting notice, substitute another comparable
bank for the one determined unacceptable. As used in this paragraph, "comparable
bank" shall mean one of the ten largest  commercial  banks  headquartered in the
United  States of  America.  This  definition  of Prime  Rate is to be  strictly
interpreted  and is not  intended to serve any purpose  other than  providing an
index to determine the variable  interest rate used herein. It is not the lowest
rate at which Zions may make loans to any of its customers, either now or in the
future.

     All advances made hereunder will bear interest through August 31, 2000 at a
variable rate equal to the Prime Rate minus one-quarter percent (.25%) per annum
or a fixed rate equal to thirty (30),  sixty (60), or ninety (90) day LIBOR Rate
plus two and 35/100 percent (2.35%) per annum.  All advances  outstanding  under
this Promissory Note shall accrue interest at the Prime Rate plus the applicable
margin,  except for such amount as Borrower may choose (as provided below) which
amount  shall accrue at a fixed rate equal to the thirty  (30),  sixty (60),  or
ninety (90) day LIBOR Rate plus the applicable margin, for corresponding  thirty
(30),  sixty (60), or ninety (90) day periods.  The rate over or above the Prime
Rate or LIBOR Rate is the  applicable  margin.  The variable  interest rate will
change  immediately  and  automatically  with each change in the Prime Rate. The
applicable  margin  shall  be  determined   quarterly  in  accordance  with  the
calculations  described on Exhibit A. The first quarterly  calculation  shall be
made with the quarter ending June 30, 2000.

     At such times as Borrower may elect, as hereafter provided a portion of the
outstanding  balance may be converted  to a fixed rate of interest  equal to the
thirty  (30),  sixty (60),  or ninety  (90) day London  Interbank  Offered  Rate
(LIBOR) for a period  corresponding to the LIBOR term chosen plus the applicable
margin. Borrower may not choose a period which extends past the maturity date of
this  Promissory  Note.  Upon  expiration of the  applicable  fixed rate period,
Borrower  may elect to have the  Promissory  Note accrue  interest at an elected
LIBOR Rate or the variable rate. if no election is made,  this  Promissory  Note
will  bear  interest  at the  variable  rate  equal to the  Prime  Rate plus the
applicable margin. Borrower shall make all interest rate selections hereunder by
delivering  to Lender in writing  Borrower's  selection of the interest rate not
less than five (5) business  days prior to the  expiration  of any LIBOR period.
Borrower shall not prepay any amounts which accrue interest at a LIBOR rate, nor
may a LIBOR rate be converted  to a variable  rate until the  expiration  of the
LIBOR  rate  period.  In the event that a LIBOR  rate is not  available  on such
dates,  the interest  rate shall be the  applicable  variable  rate.  Zions will
maintain  records,  which may be  computerized,  which will specify the interest
rates payable hereon.  Borrower will promptly notify Zions of any possible error
contained in any records which are provided to Borrower.

     As used herein,  Lender's thirty (30), sixty (60), or ninety (90) day LIBOR
Rate shall mean the rates per annum  quoted by Lender as Lender's  thirty  (30),
sixty  (60),  and ninety  (90) day LIBOR  Rate based upon  quotes for the London
Interbank Offered Rate from the British Bankers Association  Interest Settlement
Rates, Lasser Marshall Inc., or other comparable services. This

                                      -82-

<PAGE>



definition of Lender's thirty (30), sixty (60), or ninety (90) day LIBOR Rate is
to be strictly  interpreted  and is not intended to serve any purpose other than
providing an index to determine the interest rate used herein.  Lender's  thirty
(30),  sixty (60), or ninety (90) day LIBOR Rate may not necessarily be the same
as the quoted offer side in the eurodollar time deposit market by any particular
institution or service applicable to any interest period.

     Not  withstanding  any other  provision  in this  Promissory  Note,  if the
adoption of any applicable law, rule, or regulation,  or any change therein,  or
any change in the  interpretation or administration  thereof by any governmental
authority, central bank, or comparable agency charged with the interpretation or
administration  thereof,  or  compliance by Lender with any request or directive
(whether or not having the force of law) of any such authority, central bank, or
comparable agency shall make it unlawful or impossible for Lender to maintain or
fund  advances  based on Lender's  thirty (30),  sixty (60),  or ninety (90) day
LIBOR Rate,  then upon notice to  Borrower by Lender,  interest  accruing on the
outstanding principal balance under this Promissory Note, together with interest
already  accrued  thereon,  shall,  at the  election of Lender,  be  immediately
converted to the applicable variable rate.

     Notwithstanding  anything  to the  contrary  herein,  if Lender  determines
(which  determination  shall be  conclusive)  that  quotations of interest rates
referred to in the  definition  of Lender's  thirty (30),  sixty (60), or ninety
(90) day LIBOR Rate are not being  provided in the  relevant  amounts or for the
relevant maturities for purposes of Lender's  determining  Lender's thirty (30),
sixty (60),  or ninety (90) day, or if Lender  determines  (which  determination
shall be conclusive)  that Lender's thirty (30),  sixty (60), or ninety (90) day
LIBOR Rate does not accurately cover the cost to Lender of making or maintaining
advances  based on Lender's  thirty (30),  sixty (60),  or ninety (90) day LIBOR
Rate, then Lender shall give notice thereof to Borrower, whereupon, until Lender
notifies  Borrower  that the  circumstances  giving rise to such  suspension  no
longer exist,  the interest rate hereunder  shall be converted to the applicable
variable rate.

     Interest on this  Promissory  Note is computed on a 365/360 simple interest
basis;  that is,  interest  is  computed  by  applying  the ratio of the  annual
interest rate over a year of 360 days,  multiplied by the outstanding  principal
balance,  multiplied  by the  actual  number of days the  principal  balance  is
outstanding.  Borrower will pay Lender at lender's  address  located at #1 South
Main  Street,  Salt  Lake  City,  UT  84101,  or at such  other  place as Lender
maintains Banking Centers.

     Application  of  Payments.  Any and all  payments  by  Borrower  under this
Promissory  Note shall be applied as follows:  first,  to the  repayment  of any
Lender  Expenditures  advanced  by  Lender  hereunder  or  pursuant  to the loan
documents  relating to the Promissory Note;  second,  to the payment of any late
charges;   third,   to  the  payment  of  accrued   interest  on  the  principal
indebtedness;   and  fourth,  to  the  payment  of  the  principal  indebtedness
hereunder.

     Lender's  Expenditures.  Borrower agrees to pay on demand any  expenditures
made by Lender in accordance with the loan documents relating to this Promissory
Note, including,  but not limited to, the payment of taxes,  insurance premiums,
costs of maintenance  and  preservation  of the  collateral,  common expense and
other  assessments  relating  to the  collateral,  and  attorney  fees and costs
incurred in  connection  with any matter  pertaining  hereto or to the  security
pledged to secure the principal  indebtedness  under this Promissory Note or any
portion thereof  (collectively  the "Lender  Expenditures").  At the election of
Lender,  all  Lender  Expenditures  may be added to the  unpaid  balance of this
Promissory  Note  and  become a part of and on a  parity  with the  indebtedness
secured  by the  collateral  and shall  accrue  interest  at such rate as may be
computed from time to time in the manner prescribed in this Promissory Note.

     Zions shall maintain  appropriate  records of advances,  repayments and the
interest rates applicable to the advances.  Such records may consist of computer
records and shall be deemed correct.

     Default.  Borrower will be in default if any of the following happens:  (a)
Borrower  fails to make any payment  when due  hereunder or under any Term Note;
(b) Borrower breaks any promise  Borrower has made to Lender,  or Borrower fails
to comply with or to perform when due any other term,  obligation,  covenant, or
condition  contained in this  Promissory  Note or any agreement  related to this
Promissory Note, or in any other agreement or loan Borrower has with Lender; (c)
Any  representation  or statement  made or furnished to Lender by Borrower or on
Borrower's  behalf is false or misleading in any material  respect either now or
at the time made or furnished;  (d) Borrower  becomes  insolvent,  a receiver is
appointed for any part of Borrower's property,  Borrower makes an assignment for
the benefit of creditors,  or any proceeding is commenced  either by Borrower or
against Borrower under any bankruptcy or insolvency laws; (e) Any creditor tries
to take any of Borrower's  property on or in which Lender has a lien or security
interest (including a garnishment of any of Borrower's accounts with Lender); (o
Any guarantor dies or any of the other events  described in this default section
occurs with respect to any  guarantor of this  Promissory  Note;  (g) A material
adverse change occurs in Borrower's financial condition,  or Lender believes the
prospect of payment or performance of the  indebtedness is impaired;  (h) Lender
in good faith deems itself insecure.

     If any default, other than a default in payment, is curable and if Borrower
has not been given a notice of a breach of the same provision of this Promissory
Note within the preceding twelve (1 2) months,  it may be cured (and no event of
default will have  occurred) if Borrower,  after  receiving  written notice from
Lender  demanding cure of such default:  (a) cures the default within fifteen (1
5) days; or (b) if the cure  requires  more than fifteen (15) days,  immediately
initiates steps which Lender deems in Lender's sole

                                           -83-

<PAGE>



discretion  to be sufficient  to cure the default and  thereafter  continues and
completes all reasonable and necessary steps sufficient to produce compliance as
soon as reasonably practical.

     Lender's  Rights.  Upon  default,  Lender may  declare  the  entire  unpaid
principal  balance  on this  Promissory  Note and all  accrued  unpaid  interest
immediately  due, without notice,  and then Borrower will pay that amount.  Upon
default, including failure to pay upon final maturity, Lender, at it option, may
also, if permitted under applicable law,  increase the variable interest rate on
this Promissory Note 3.000 percentage  points. The interest rate will not exceed
the maximum rate  permitted by  applicable  law.  Lender may hire or pay someone
else to help collect this  Promissory  Note if Borrower  does not pay.  Borrower
also will pay Lender that  amount.  This  includes,  subject to any limits under
applicable law, Lender's reasonable  attorney's fees and Lender's legal expenses
whether  or not there is a lawsuit,  including  reasonable  attorneys'  fees and
legal expenses for bankruptcy proceedings (including efforts to modify or vacate
any automatic stay or injunction),  appeals,  and any anticipated  post-judgment
collection services. If not prohibited by applicable law, Borrower also will pay
any court costs, in addition to all other sums provided by law.

     Right  of  Setoff.  Borrower  grants  to  Lender a  contractual  possessory
security  interest  in, and hereby  assigns,  conveys,  delivers,  pledges,  and
transfers  to  Lender  all  Borrower's  right,  title  and  interest  in and to,
Borrower's  accounts  with  Lender  (whether  checking,  savings,  or some other
account),  including  without  limitation all accounts held jointly with someone
else and all accounts Borrower may open in the future, excluding however all IRA
and Keogh  accounts,  and all trust  accounts  for which the grant of a security
interest would be prohibited by law. Borrower  authorizes  Lender, to the extent
permitted  by  applicable  law,  to  charge  or  setoff  all sums  owing on this
Promissory Note against any and all such accounts.

     If any  payment  of this  Promissory  Note  becomes  due and  payable  on a
Saturday,  Sunday or legal holiday for commercial banks under applicable banking
laws, the maturity thereof shall be extended to the next succeeding business day
and interest  thereon shall be payable at the then  applicable  rate during such
extension.

     Borrower and all endorsers,  sureties, and guarantors hereof hereby jointly
and severally waive presentment for payment,  demand, protest, notice of protest
and of non-payment and of dishonor,  and consent to extensions of time, renewal,
waivers,  or modifications  without notice and further consent to the release of
any collateral or any part thereof, with or without substitution.

     This Promissory Note has been delivered to Lender and accepted by Lender in
the State of Utah. If there is a lawsuit,  Borrower agrees upon Lender's request
to submit to the jurisdiction  and venue of the courts of SALT LAKE County,  the
State of Utah.  This  Promissory  Note shall be  governed  by and  construed  in
accordance  with  the  laws of the  State  of Utah  except  as  modified  by the
arbitration provisions.

Arbitration Disclosures:

     1.  Arbitration  is usually final and binding on the parties and subject to
only very limited review by a court.

     2. The  parties are  waiving  their  right to litigate in court,  including
their right to a jury trial.

     3.  Pre-arbitration  discovery is generally more limited and different from
court proceedings.

     4.  Arbitrators'  awards are not  required to include  factual  findings or
legal  reasoning  and any  party's  right to appeal or to seek  modification  of
rulings by arbitrators is strictly limited.

     5. A  panel  of  arbitrators  might  include  an  arbitrator  who is or was
affiliated with the banking industry.

     6. If you have questions  about  arbitration,  consult your attorney or the
American Arbitration Association.

     Arbitration Provisions:

     (a) Any  controversy  or claim between or among the parties,  including but
not limited to those arising out of or relating to this  Promissory  Note or any
agreements or instruments  relating hereto or delivered in connection  herewith,
and  including  but not limited to a claim  based on or arising  from an alleged
tort,  shall  at the  request  of any  party be  determined  by  arbitration  in
accordance  with the Commercial  Arbitration  Rules of the American  Arbitration
Association.  The arbitration  proceedings shall be conducted in Salt Lake City,
Utah. The arbitrator(s)  shall have the qualifications set forth in subparagraph
(c) hereto. All statutes of limitations which would otherwise be applicable in a
judicial  action  brought by a party shall apply to an  arbitration or reference
proceeding hereunder.

     (b) In any judicial action or proceeding arising out of or relating to this
Agreement  or any  agreements  or  instruments  relating  hereto or delivered in
connection  herewith,  including  but not limited to a claim based on or arising
from  an  alleged  tort,  if  the  controversy  or  claim  is not  submitted  to
arbitration as provided and limited in subparagraph (a) hereto, all decisions of
fact and law shall be determined  by a reference in  accordance  with Rule 53 of
the  Federal  Rules of  Civil  Procedure  or Rule 53 of the Utah  Rules of Civil
Procedures or other  comparable,  applicable  reference  procedure.  The parties
shall  designate to the court the referee(s)  selected under the auspices of the
American Arbitration  Association in the same manner as arbitrators are selected
in Association-sponsored  arbitration proceedings. The referee(s) shall have the
qualifications set forth in subparagraph (c) hereto.



                                           -84-

<PAGE>



     (c)The arbitrator(s) or referee(s) shall be selected in accordance with the
rules of the American  Arbitration  Association  from panels  maintained  by the
Association.  A single  arbitrator  or  referee  shall be  knowledgeable  in the
subject matter of the dispute.  Where three  arbitrators or referees  conduct an
arbitration  or reference  proceeding,  the claim shall be decided by a majority
vote of the  three  arbitrators  or  referees,  at  least  one of  whom  must be
knowledgeable in the subject matter of the dispute and at least one of whom must
be a practicing  attorney.  The arbitrator(s) or referee(s) shall award recovery
of all costs and fees  (including  reasonable  attorneys'  fees,  administrative
fees,  arbitrators' fees, and court costs). The arbitrator(s) or referee(s) also
may grant  provisional  or ancillary  remedies such as, for example,  injunctive
relief, attachment, or the appointment of a receiver, either during the pendency
of the  arbitration  or reference  proceeding or as part of the  arbitration  or
reference award.

     (d) Judgment upon an arbitration  or reference  award may be entered in any
court having jurisdiction,  subject to the following limitation: the arbitration
or  reference  award is binding  upon the  parties  only if the amount  does not
exceed Four  Million  Dollars  ($4,000,000);  if the award  exceeds  that limit,
either  party may commence  legal  action for a court trial de novo.  Such legal
action  must  be  filed  within  thirty  (30)  days  following  the  date of the
arbitration  or reference  award;  if such legal action is not filed within that
time period,  the amount of the arbitration or reference award shall be binding.
The  computation of the total amount of an arbitration or reference  award shall
include amounts awarded for arbitration fees, attorneys' fees, interest, and all
other related costs.

      (e) At Zions option,  foreclosure under a deed of trust or mortgage may be
accomplished either by exercise of a power of sale under the deed of trust or by
judicial foreclosure.  The institution and maintenance of an action for judicial
relief or pursuit of a provisional  or ancillary  remedy shall not  constitute a
waiver  of the right of any  party,  including  the  plaintiff,  to  submit  the
controversy  or claim to arbitration if any other party contests such action for
judicial relief.

     (f)  Notwithstanding  the applicability of other law to any other provision
of this  Promissory  Note,  the Federal  Arbitration  Act, 9 U.S.C. s 1 et seq.,
shall apply to the construction and interpretation of this arbitration  section.
This Promissory Note is secured by Commercial  Security Agreements of even date.
This Promissory Note is made in accordance with a Loan Agreement of even date.

INTERWEST HOME MEDICAL, INC.
By:   JAMES E. ROBINSON
Title:PRESIDENT

INTERWEST MEDICAL  EQUIPMENT DISTRIBUTORS, INC.
By:   JAMES E. ROBINSON
Title:PRESIDENT

INTERWEST HOME PHARMACY, INC.
By:   JAMES E. ROBINSON
Title:PRESIDENT

INTERWEST HOME MEDICAL-ALASKA, INC., formerly known as NORTHWEST HOMECARE, INC.
By:   JAMES E. ROBINSON
Title:PRESIDENT

INTERWEST HOME MEDICAL-ARIZONA, INC.
By:   JAMES E. ROBINSON
Title:PRESIDENT



                                           -85-



                                   Schedule I

                               APPLICABLE MARGINS


If Senior Debt-to-EBITDA Ratio is:      Level of Applicable Margins
- -------------------------------------------------------------------------------

  Greater than 2.5, but less than 3.0            Level I
  Greater than 2.0, but less than 2.5            Level II
             less than 2.0                       Level III

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




                             Applicable Margins
                            --------------------
                     Level I     Level II    Level III
                    -----------------------------------

Applicable Revolver    0%         (.25%)       (.50%)
Prime Margin
Applicable Revolver   2.60%       2.35%        2.10%
LIBOR Margin
                    -----------------------------------




                                           -86-




                                  Exhibit 11.1.

                          INTERWEST HOME MEDICAL, INC.
                       Schedule of Weighted Average Shares


                                         1999       1998          1997
                                    ----------------------------------------

Weighted average shares:
      Issued common shares            4,089,000   4,085,000    3,898,000
      Common stock equivalents           -0-         -0-          63,000
                                   -----------------------------------------
Total weighted average per share      4,089,000   4,085,000    3,961,000
                                   =========================================







                                           -87-



                                       Exhibit 21.1

                                Subsidiaries of Registrant
                      Interwest Medical Equipment Distributors, Inc.
                              Interwest Home Pharmacy, Inc.
                          Interwest Home Medical - Alaska, Inc.
                          Interwest Home Medical - Arizona, Inc.


                                           -88-





                                  EXHIBIT 23.1

                         CONSENT OF INDEPENDENT AUDITORS

      We  consent  to  the  incorporation  by  reference  in  this  Registration
Statement (Form S-8 No. 333-6049) pertaining to the Interwest Home Medical, Inc.
1995 Stock Option Plan; 1995  Non-Employee  Director Stock Option Plan; and 1995
Stock  Purchase  Plan of our report dated  November 24, 1999 with respect to the
consolidated  financial statements of Interwest Home Medical,  Inc., included in
the Annual Report (Form 10-KSB) for the year ended September 30, 1999.



                                    TANNER + CO.



Salt Lake City, Utah
December 15, 1999


                                           -89-


<TABLE> <S> <C>


<ARTICLE>                     5
<LEGEND>
     THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTS FROM
     INTERWEST HOME MEDICAL, INC.'S FINANCIAL STATEMENTS AND IS QUALIRIFED IN
     ITS ENTIRETY BY REFERENCE TO SUCH FINANCIAL STATEMENTS.
</LEGEND>
<MULTIPLIER>                                   1
<CURRENCY>                                     357,000

<S>                             <C>
<PERIOD-TYPE>                   YEAR
<FISCAL-YEAR-END>                              SEP-30-1999
<PERIOD-START>                                 OCT-01-1998
<PERIOD-END>                                   SEP-30-1999
<EXCHANGE-RATE>                                1
<CASH>                                         357,000
<SECURITIES>                                   0
<RECEIVABLES>                                  13,849,000
<ALLOWANCES>                                   1,594,000
<INVENTORY>                                    3,007,000
<CURRENT-ASSETS>                               16,420,000
<PP&E>                                         11,097,000
<DEPRECIATION>                                 0
<TOTAL-ASSETS>                                 32,340,000
<CURRENT-LIABILITIES>                          6,916,000
<BONDS>                                        0
                          0
                                    0
<COMMON>                                       3,299,000
<OTHER-SE>                                     0
<TOTAL-LIABILITY-AND-EQUITY>                   32,340,000
<SALES>                                        15,033,000
<TOTAL-REVENUES>                               33,262,000
<CGS>                                          11,684,000
<TOTAL-COSTS>                                  18,296,000
<OTHER-EXPENSES>                               0
<LOSS-PROVISION>                               0
<INTEREST-EXPENSE>                             991,000
<INCOME-PRETAX>                                2,660,000
<INCOME-TAX>                                   799,000
<INCOME-CONTINUING>                            0
<DISCONTINUED>                                 0
<EXTRAORDINARY>                                0
<CHANGES>                                      0
<NET-INCOME>                                   1,861,000
<EPS-BASIC>                                  .46
<EPS-DILUTED>                                  .46



</TABLE>


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