OMEGA HEALTH SYSTEMS INC
SC 13D, 1999-04-12
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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                       UNITED STATES
             SECURITIES AND EXCHANGE COMMISSION
                  Washington, D.C. 20549

                        SCHEDULE 13D
          Under the Securities Exchange Act of 1934


                    OMEGA HEALTH SYSTEMS
                      (Name of Issuer)

                        Common Stock
               (Title of Class of Securities)

                        681931101000
                       (CUSIP Number)

                       RONALD C. COMBS
               102 Woodmont Blvd., Suite 610
                   Nashville, TN   37205
                       (615) 463-8277
          (Name, Address and Telephone Number of Person 
         Authorized to Receive Notices and Communications)

                       April 1, 1999
          (Date of Event which Requires Filing of
                      this Statement)

     If the filing person has previously filed a statement on 
Schedule 13G to report the acquisition which is the subject of 
this Schedule 13D, and is filing this schedule because of Rule 
13d-1(b)(3) or (4), check the following box [ ].


The information required on the remainder of this cover page 
shall not be deemed to be "filed" for the purpose of Section 18 
of the Securities Exchange Act of 1934 ("Act") or otherwise 
subject to the liabilities of that section of the Act but shall 
be subject to all other provisions of the Act (however, see the 
Notes).

CUSIP No. 681931101000


1     NAME OF REPORTING PERSON

      ANDREW W. MILLER

2     CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
      (a) [  ]

      (b) [  ]

3     SEC USE ONLY

4     SOURCE OF FUNDS
       PF

5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED 
      PURSUANT TO ITEMS 2(D) [  ]   OR 2(E) [  ]

6     CITIZENSHIP OR PLACE OR ORGANIZATION

      UNITED STATES

                                    7   SOLE VOTING POWER
              NUMBER OF                      458,492

               SHARES               8   SHARED VOTING POWER
            BENEFICIALLY                       -0-

              OWNED BY              9   SOLE DISPOSITIVE POWER
                                             458,492

              REPORTING            10  SHARED DISPOSITIVE POWER
               PERSON                          -0-
                

11    AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON
       458,492

12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES 
      CERTAIN SHARES    [  ]

13    PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
       5.08%

14    TYPE OF REPORTING PERSON
       IN

NOTES
==========================================
Item 1. Security and Issuer. 
- ------------------------------------------ 
This Statement on Schedule 13D relates to the common stock, par 
value $.06 per share (the "Common Stock"), of Omega Health 
Systems, Inc., a Delaware corporation (the "Company"), whose 
principal executive office is located at 5350 Poplar Ave., Suite 
900, Memphis, TN   38119. 

Item 2. Identity and Background. 
- ------------------------------------------ 
This Statement on Schedule 13D is being filed by Andrew W. 
Miller, Chairman of Omega Health Systems, Inc. (herein after 
referred to as "the Reporting Person") whose principal place of 
business is 102 Woodmont Blvd., Suite 610, Nashville, Tennessee, 
37205.  The Reporting Person is an executive / investor working 
with multiple start up companies and a citizen of the United 
States.  In the last five years, the Reporting Person has not 
been convicted in a criminal proceeding (excluding traffic 
violations or similar misdemeanors) or been a party to a civil 
proceeding of a judicial or administrative body of competent 
jurisdiction and as a result of such proceeding was or is 
subject to a judgment, decree or final order enjoining future 
violations of, or prohibiting or mandating activities subject 
to, federal or state securities laws or finding any violation 
with respect to such laws.   

Item 3. Source and Amount of Funds. 
- ------------------------------------------ 
Personal Funds of the Reporting Person were used to acquire the 
Common Stock for an aggregate purchase price of $1,263,275.

Item 4. Purpose of Transaction.
- ------------------------------------------ 
The Reporting Person has acquired the Common Stock of the 
Company for investment purposes only. 

Item 5. Interest in Securities of the Issuer.
- ------------------------------------------ 
In aggregate, the Reporting Person's beneficial ownership of 
Common Stock of the Company at the date of this Schedule 13D 
filing is 458,492 shares, or 5.08% of the number of shares 
outstanding based on the most recently available information. 
The Reporting Person has sole voting power and disposition 
power. In the last 60 days, the following three (3) transactions 
in the class of securities reported on were effected:
   3/30/99; 10,000 shs purchased @ $3.56 on the open market
   3/31/99;  5,000 shs purchased @ $3.56 on the open market
   4/01/99; 15,000 shs purchased @ $3.60 on the open market


Item 6. Contracts, Arrangements, Understandings or Relationships 
with Respect to the Common Stock of the Issuer.
- ------------------------------------------ 
The Reporting Person has two Stock Purchase Agreements with the 
Company, copies of which are attached hereto as Exhibits 1 and 
2, which, on the terms and conditions set forth therein, give 
him the right to purchase 20,000 shares, in aggregate, of the 
Common Stock from the Company.

Except as described elsewhere in this Statement and as set forth 
in the two Stock Purchase Agreements, copies of which are 
attached hereto as Exhibits 1 and 2, and incorporated herein by 
reference, there exist no contracts, arrangements, 
understandings or relationships (legal or otherwise) among the 
Reporting Person and any person with respect to any securities of 
the Company, including but not limited to transfer or voting of 
any securities of the Company, finder's fees, joint ventures, 
loan or option arrangements, puts or calls, guarantees of 
profits, division of profits or loss, or the giving or 
withholding of proxies. 

Item 7. Material To Be Filed as Exhibits.
- ---------------------------------
EXHIBIT 1

STOCK OPTION AGREEMENT

 THIS STOCK OPTION AGREEMENT ("Option") is entered in as of the 
30th day of December, 1994 ("Option Date") by and between OMEGA 
HEALTH SYSTEMS, INC., a Delaware corporation, (the "Company") 
and Andrew W. Miller (the "Optionee").

 INTRODUCTION
 The Company adopted the 1985 Stock Option Plan (as amended and 
in effect on the date hereof, the "Plan"), in order to attract, 
retain and motivate its Employees and key personnel, including 
non-employee directors, and provide them with an opportunity to 
purchase Common Stock of the Company so as to give them a 
proprietary interest in the Company.  The Company's Board of 
Directors voted to grant Optionee a Non-Qualified Option 
pursuant to the Plan upon the terms and conditions hereinafter 
set forth.
 1.  Option Grant.  The Company hereby grants to the Optionee 
the Option to purchase from the Company 10,000 shares of Common 
Stock of the Company at a purchase price of $4.00 per share (the 
"Option Price") pursuant to the Plan.  In connection with the 
grant of the Option on Common Stock, and severable therefrom, 
the Company hereby grants to the Optionee, 10,000 Stock 
Appreciation Rights as described in paragraph 5 hereof.
 2.  Term.  The Option is exercisable in its entirety on or 
after March 1, 1996, provided that the Optionee is a member of 
the Company's Board of Directors on March 1, 1996, and shall 
expire on December 30, 2000, six years from the date hereof.
 3.  Other Conditions and Limitations.
     (a)  The Option is granted on the condition that the 
purchase of Common Stock hereunder shall be for investment 
purposes and not with a view to resale or distribution, except 
that such condition shall be inoperative if the offering of 
Common Stock subject to the Option is registered under the 1933 
Act or if in the opinion of counsel for the Company such stock 
may be resold without registration.  At the time of the exercise 
of the Option or any installment thereof, the Optionee will 
execute such further agreements as the Company may require to 
implement the foregoing condition and to acknowledge the 
Optionee's familiarity with restrictions on the sale of the 
Shares under applicable securities laws.
     (b)  The Company will furnish upon request of the Optionee 
copies of the Certificate of Incorporation of the Company, as 
amended, and By-Laws of the Company and such publicly available 
financial and other information concerning the Company and its 
business and prospects as may be reasonably requested by the 
Optionee in connection with the exercise of the Option.
     (c)  The Option shall not be transferable otherwise than by 
will or by the laws of descent and distribution, and the Option 
shall be exercisable during the lifetime of the Optionee by the 
Optionee only.  More particularly (but without limiting the 
generality of the foregoing), the Option may not be assigned, 
transferred (except as provided above), pledged or hypothecated 
in any way and shall not be subject to execution, attachment or 
similar process, and any attempt to do so shall be null and void 
and without effect.
 4.  Exercise of Option.  The Option shall be exercisable only 
by delivery of a written notice by the Optionee in person or by 
United States Registered or Certified Mail, Return Receipt 
Requested, to the Company as its principal office.  Payment for 
the Shares shall be tendered in full with the notice and shall 
be made either (a) in cash, (b) by check, (c) if permitted by 
the Board of Directors, by delivery and assignment to the 
Company of shares of Company stock having a fair market value on 
the date of exercise as determined by the Board of Directors of 
the Company equal to the exercise price, (d) the exercise of 
Stock Appreciation Rights, as provided in paragraph 5 hereof, or 
(e) by a combination of (a), (b), (c) and (d).
 5.  Stock Appreciation Rights.  Each Stock Appreciation Right 
shall entitle the Optionee to elect, at any time that any 
portion of this Option remains unexercised for one or more 
Shares, to surrender all or any portion of this Option and 
receive Shares.  The fair market value of such Shares shall be 
equal to the product of (i) the amount by which the fair market 
value of a share of Common Stock on the date of such election 
shall exceed the option price of a share of Common Stock on the 
date of this Option multiplied by (ii) the number of Shares with 
respect to which such election shall have been made.
 6.  Stock Dividends; Stock Splits, Stock Combinations; 
Recapitalizations.  The number, kind and Option Price of the 
shares covered by this Option shall be automatically 
appropriately adjusted to give effect to any stock dividends, 
stock splits, stock combinations, recapitalization and other 
similar changes in the capital structure of the Company after 
the grant of the Option.
 7.  Merger; Sale of Assets; Dissolution.  In the event of a 
merger or similar reorganization as to which the Company is the 
surviving corporation, the number, kind and Option price of the 
shares then subject to the Option may be adjusted as determined 
by the Board of Directors.   In order to permit the Optionee 
acquiring shares upon exercise of an Option to participate, as a 
shareholder of the Company, (1) in a merger in which the Company 
does not survive, a sale of substantially all of the assets of 
the Company, or a sale of at least a majority of the issued and 
outstanding capital stock of the Company, with or to any 
person(s) or entity(ies) not controlling, controlled by or under 
common control with the Company, or (2) in a liquidation of the 
Company, the Company will use its best efforts to give advance 
notice of any such event to Optionee.
 8.  Termination of Option.  In the event that the Optionee 
ceases for any reason to be a Director of the Company at any 
time prior to exercise of the Option in full, the Option shall 
terminate in accordance with the following provisions:
     (a)  If the Optionee's directorship shall have been 
terminated because of Optionee's disability within the meaning 
of Section 22(e)(3) of the Code or Optionee's death, the 
Optionee, or his estate or personal representative may at any 
time within a period of six months after such termination of 
employment, exercise the Option to the extent that the Option 
was exercisable on the date of termination of the Optionee's 
directorship; and
     (b)  If the Optionee's directorship shall have been 
terminated for any reason other than for such disability or 
death, the Optionee may at any time within a period of three 
months after such termination of employment exercise the Option 
to the extent it was exercisable on the date of termination of 
the Optionee's directorship; provided however, that the Option 
may not be exercised to any extent by anyone after the date of 
expiration of the Option as described in Paragraph 2.
 9.  Notice of Disposition of Shares.  The Optionee hereby 
agrees to notify the Company within 7 days if the Optionee 
disposes of any shares of Common Stock acquired on the exercise 
of the Option within one year after the exercise of the Option.
 10.  Rights as Shareholder.  The Optionee shall have no rights 
as a shareholder with respect to the shares subject to the 
Option until the exercise of the Option and the issuance of a 
stock certificate.  No certificates for Shares which are not 
eligible for receipt pursuant to the provisions of paragraph 2 
will be issued.
 11. Miscellaneous.  Nothing herein contained shall impose any 
obligation on the Company or the Optionee with respect to the 
Optionee's continued status as a Director of the Company or upon 
the Optionee to exercise the Option.  The Company makes no 
representation as to the tax treatment to the Optionee upon 
receipt or exercise of the Option or sale or other disposition 
of the Shares covered by the Option.  The Company in its 
discretion, may cause to be made, as a condition precedent to 
the payment of any cash or stock, appropriate arrangements for 
the withholding of any federal, state, local or foreign taxes.
 12.  Relationship to Plan.  The Option has been granted 
pursuant to the Plan, as amended and in effect on the date 
hereof,  and is in all respects subject to its terms, conditions 
and definitions.  The Optionee hereby accepts the Option subject 
to all of the terms and provisions of the Plan and agrees that 
all decisions under and 
interpretations of the Plan by the Board of Directors shall be 
final, binding and conclusive upon the Optionee, his heirs and 
his legal representatives.  
 13.  Governing Law.  This Agreement shall be subject to and 
construed in accordance with the laws of the State of Delaware.
 14.  Legends; Stop Transfer.  The following legends shall 
appear on each Certificate issued pursuant to this Agreement:
THE SHARE OR SHARES REPRESENTED BY THIS CERTIFICATE ARE SUBJECT 
TO RESTRICTIONS ON TRANSFER CONTAINED IN THE STOCK OPTION 
AGREEMENT PURSUANT TO WHICH THIS CERTIFICATE HAS BEEN ISSUED, A 
COPY OF WHICH IS ON FILE IN THE PRINCIPAL OFFICE OF THE COMPANY 
AND WILL BE FURNISHED BY THE COMPANY UPON REQUEST WITHOUT 
CHARGE.

THE SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER 
THE SECURITIES ACT OF 1933.  AS AMENDED (THE "ACT"), AND MAY NOT 
BE TRANSFERRED IN THE ABSENCE OF SUCH REGISTRATION OR AN OPINION 
OF COUNSEL ACCEPTABLE TO THE COMPANY THAT SUCH TRANSFER WILL NOT 
REQUIRE REGISTRATION UNDER SUCH ACT.


To ensure compliance with the terms of this Agreement, the 
Company may issue to its Transfer Agent appropriate stop 
transfer instructions with respect to the Shares purchased by 
the Optionee pursuant to this Option.
 15.  Certain Definitions.  The following terms when used in 
this Option have the following meanings, unless otherwise 
expressly indicated:
 (a)  "Board of Directors" means the Board of Directors of the 
Company or a committee thereof which has been delegated 
authority to take action for the Board with respect to this 
Option.
 (b)  "Code" means the Internal Revenue Code of 1954, as 
amended.      (c)  "Common Stock" means the $.06 par value 
Common Stock of the Company.  
 (d)  "1933 Act means the Securities Act of 1933, as amended.
   (e)  "Plan" means the Company's 1985 Stock Option Plan, as 
amended and in effect on the date hereof.
 (f)  "Shares" shall mean those shares of Company Common Stock 
which were purchased by the Optionee pursuant to this Option.
 IN WITNESS WHEREOF, the Company and the Optionee have executed 
this Agreement in duplicate as of the 24th day of February, 
1995.
     
                          OMEGA HEALTH SYSTEMS, INC.
  
                          BY: /s/Thomas P. Lewis
                             Thomas P. Lewis, President and CEO
    

                    OPTIONEE: /s/Andrew W. Miller
                             Andrew W. Miller

EXHIBIT 2

STOCK OPTION AGREEMENT

 THIS STOCK OPTION AGREEMENT ("Option") is entered in as of the 
8th day of August, 1997 ("Option Date") by and between OMEGA 
HEALTH SYSTEMS, INC., a Delaware corporation, (the "Company") 
and Andrew W. Miller (the "Optionee").

 INTRODUCTION
 The Company adopted the 1985 Stock Option Plan (as amended and 
in effect on the date hereof, the "Plan"), in order to attract, 
retain and motivate its Employees and key personnel, including 
non-employee directors, and provide them with an opportunity to 
purchase Common Stock of the Company so as to give them a 
proprietary interest in the Company.  The Company's Board of 
Directors voted to grant Optionee a Non-Qualified Option 
pursuant to the Plan upon the terms and conditions hereinafter 
set forth.
 1.  Option Grant.  The Company hereby grants to the Optionee 
the Option to purchase from the Company 10,000 shares of Common 
Stock of the Company at a purchase price of $8.50 per share (the 
"Option Price") pursuant to the Plan.  In connection with the 
grant of the Option on Common Stock, and severable therefrom, 
the Company hereby grants to the Optionee, 10,000 Stock 
Appreciation Rights as described in paragraph 5 hereof.
 2.  Term.  The Option is exercisable in its entirety on or 
after August 8, 1999, provided that the Optionee is a member of 
the Company's Board of Directors on August  8, 1999, and shall 
expire on August 8, 2003, six years from the date hereof.
 3.  Other Conditions and Limitations.
     (a)  The Option is granted on the condition that the 
purchase of Common Stock hereunder shall be for investment 
purposes and not with a view to resale or distribution, except 
that such condition shall be inoperative if the offering of 
Common Stock subject to the Option is registered under the 1933 
Act or if in the opinion of counsel for the Company such stock 
may be resold without registration.  At the time of the exercise 
of the Option or any installment thereof, the Optionee will 
execute such further agreements as the Company may require to 
implement the foregoing condition and to acknowledge the 
Optionee's familiarity with restrictions on the sale of the 
Shares under applicable securities laws.
     (b)  The Company will furnish upon request of the Optionee 
copies of the Certificate of Incorporation of the Company, as 
amended, and By-Laws of the Company and such publicly available 
financial and other information concerning the Company and its 
business and prospects as may be reasonably requested by the 
Optionee in connection with the exercise of the Option.
     (c)  The Option shall not be transferable otherwise than by 
will or by the laws of descent and distribution, and the Option 
shall be exercisable during the lifetime of the Optionee by the 
Optionee only.  More particularly (but without limiting the 
generality of the foregoing), the Option may not be assigned, 
transferred (except as provided above), pledged or hypothecated 
in any way and shall not be subject to execution, attachment or 
similar process, and any attempt to do so shall be null and void 
and without effect.
 4.  Exercise of Option.  The Option shall be exercisable only 
by delivery of a written notice by the Optionee in person or by 
United States Registered or Certified Mail, Return Receipt 
Requested, to the Company as its principal office.  Payment for 
the Shares shall be tendered in full with the notice and shall 
be made either (a) in cash, (b) by check, (c) if permitted by 
the Board of Directors, by delivery and assignment to the 
Company of shares of Company stock having a fair market value on 
the date of exercise as determined by the Board of Directors of 
the Company equal to the exercise price, (d) the exercise of 
Stock Appreciation Rights, as provided in paragraph 5 hereof, or 
(e) by a combination of (a), (b), (c) and (d).
 5.  Stock Appreciation Rights.  Each Stock Appreciation Right 
shall entitle the Optionee to elect, at any time that any 
portion of this Option remains unexercised for one or more 
Shares, to surrender all or any portion of this Option and 
receive Shares.  The fair market value of such Shares shall be 
equal to the product of (i) the amount by which the fair market 
value of a share of Common Stock on the date of such election 
shall exceed the option price of a share of Common Stock on the 
date of this Option multiplied by (ii) the number of Shares with 
respect to which such election shall have been made.
 6.  Stock Dividends; Stock Splits, Stock Combinations; 
Recapitalizations.  The number, kind and Option Price of the 
shares covered by this Option shall be automatically 
appropriately adjusted to give effect to any stock dividends, 
stock splits, stock combinations, recapitalization and other 
similar changes in the capital structure of the Company after 
the grant of the Option.
 7.  Merger; Sale of Assets; Dissolution.  In the event of a 
merger or similar reorganization as to which the Company is the 
surviving corporation, the number, kind and Option price of the 
shares then subject to the Option may be adjusted as determined 
by the Board of Directors.   In order to permit the Optionee 
acquiring shares upon exercise of an Option to participate, as a 
shareholder of the Company, (1) in a merger in which the Company 
does not survive, a sale of substantially all of the assets of 
the Company, or a sale of at least a majority of the issued and 
outstanding capital stock of the Company, with or to any 
person(s) or entity(ies) not controlling, controlled by or under 
common control with the Company, or (2) in a liquidation of the 
Company, the Company will use its best efforts to give advance 
notice of any such event to Optionee.
 8.  Termination of Option.  In the event that the Optionee 
ceases for any reason to be a Director of the Company at any 
time prior to exercise of the Option in full, the Option shall 
terminate in accordance with the following provisions:
     (a)  If the Optionee's directorship shall have been 
terminated because of Optionee's disability within the meaning 
of Section 22(e)(3) of the Code or Optionee's death, the 
Optionee, or his estate or personal representative may at any 
time within a period of six months after such termination of 
employment, exercise the Option to the extent that the Option 
was exercisable on the date of termination of the Optionee's 
directorship; and
     (b)  If the Optionee's directorship shall have been 
terminated for any reason other than for such disability or 
death, the Optionee may at any time within a period of three 
months after such termination of employment exercise the Option 
to the extent it was exercisable on the date of termination of 
the Optionee's directorship; provided however, that the Option 
may not be exercised to any extent by anyone after the date of 
expiration of the Option as described in Paragraph 2.
 9.  Notice of Disposition of Shares.  The Optionee hereby 
agrees to notify the Company within 7 days if the Optionee 
disposes of any shares of Common Stock acquired on the exercise 
of the Option within one year after the exercise of the Option.
 10.  Rights as Shareholder.  The Optionee shall have no rights 
as a shareholder with respect to the shares subject to the 
Option until the exercise of the Option and the issuance of a 
stock certificate.  No certificates for Shares which are not 
eligible for receipt pursuant to the provisions of paragraph 2 
will be issued.
 11. Miscellaneous.  Nothing herein contained shall impose any 
obligation on the Company or the Optionee with respect to the 
Optionee's continued status as a Director of the Company or upon 
the Optionee to exercise the Option.  The Company makes no 
representation as to the tax treatment to the Optionee upon 
receipt or exercise of the Option or sale or other disposition 
of the Shares covered by the Option.  The Company in its 
discretion, may cause to be made, as a condition precedent to 
the payment of any cash or stock, appropriate arrangements for 
the withholding of any federal, state, local or foreign taxes.
 12.  Relationship to Plan.  The Option has been granted 
pursuant to the Plan, as amended and in effect on the date 
hereof,  and is in all respects subject to its terms, conditions 
and definitions.  The Optionee hereby accepts the Option subject 
to all of the terms and provisions of the Plan and agrees that 
all decisions under and 
interpretations of the Plan by the Board of Directors shall be 
final, binding and conclusive upon the Optionee, his heirs and 
his legal representatives.  
 13.  Governing Law.  This Agreement shall be subject to and 
construed in accordance with the laws of the State of Delaware.
 14.  Legends; Stop Transfer.  The following legends shall 
appear on each Certificate issued pursuant to this Agreement:
THE SHARE OR SHARES REPRESENTED BY THIS CERTIFICATE ARE SUBJECT 
TO RESTRICTIONS ON TRANSFER CONTAINED IN THE STOCK OPTION 
AGREEMENT PURSUANT TO WHICH THIS CERTIFICATE HAS BEEN ISSUED, A 
COPY OF WHICH IS ON FILE IN THE PRINCIPAL OFFICE OF THE COMPANY 
AND WILL BE FURNISHED BY THE COMPANY UPON REQUEST WITHOUT 
CHARGE.

THE SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER 
THE SECURITIES ACT OF 1933.  AS AMENDED (THE "ACT"), AND MAY NOT 
BE TRANSFERRED IN THE ABSENCE OF SUCH REGISTRATION OR AN OPINION 
OF COUNSEL ACCEPTABLE TO THE COMPANY THAT SUCH TRANSFER WILL NOT 
REQUIRE REGISTRATION UNDER SUCH ACT.


To ensure compliance with the terms of this Agreement, the 
Company may issue to its Transfer Agent appropriate stop 
transfer instructions with respect to the Shares purchased by 
the Optionee pursuant to this Option.
 15.  Certain Definitions.  The following terms when used in 
this Option have the following meanings, unless otherwise 
expressly indicated:
 (a)  "Board of Directors" means the Board of Directors of the 
Company or a committee thereof which has been delegated 
authority to take action for the Board with respect to this 
Option.
 (b)  "Code" means the Internal Revenue Code of 1954, as 
amended.      (c)  "Common Stock" means the $.06 par value 
Common Stock of the Company.  
 (d)  "1933 Act means the Securities Act of 1933, as amended.
 (e)  "Plan" means the Company's 1985 Stock Option Plan, as 
amended and in effect on the date hereof.
 (f)  "Shares" shall mean those shares of Company Common Stock 
which were purchased by the Optionee pursuant to this Option.
 IN WITNESS WHEREOF, the Company and the Optionee have executed 
this Agreement in duplicate as of the 5th day of May, 1998.
     
                          OMEGA HEALTH SYSTEMS, INC.
  
                          BY: /s/Thomas P. Lewis
                             Thomas P. Lewis, President and CEO
    

                    OPTIONEE: /s/Andrew W. Miller
                             Andrew W. Miller



SIGNATURE 
- ------------------------------------------ 
After reasonable inquiry and to the best of my knowledge and 
belief, I certify that the information set forth in this 
statement is true, complete and correct. 

                                   Date: April 9, 1999 

                                   /s/Andrew W. Miller
                                   Andrew W. Miller



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