TRANSWORLD HEALTHCARE INC
S-3, 1997-06-23
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<PAGE>   1
      As filed with the Securities and Exchange Commission on June 20, 1997
                                                 Registration No. 333-
================================================================================


                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

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

                                    FORM S-3
                             REGISTRATION STATEMENT
                                      UNDER
                           THE SECURITIES ACT OF 1933

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

                           TRANSWORLD HEALTHCARE, INC.
             (Exact name of registrant as specified in its charter)

<TABLE>
<S>                                   <C>                                                                      <C>
            New York                                          75 Terminal Avenue                                    13-3098275
(State or other jurisdiction of                            Clark, New Jersey 07066                               (I.R.S. Employer
 incorporation or organization)                                 (908) 340-1144                                  Identification No.)
                                             (Address, including zip code, and telephone number,
                                      including area code, of registrant's principal executive offices)
</TABLE>

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

                               Wayne A. Palladino
                           Transworld HealthCare, Inc.
                               75 Terminal Avenue
                             Clark, New Jersey 07066
                                 (908) 340-1144
           (Name, address, including zip code, and telephone number,
            including area code, of registrant's agent for service)

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

    Copies of all communications, including communications sent to agent for
                          service, should be sent to:

                            Leslie J. Levinson, Esq.
                             Baer Marks & Upham LLP
                                805 Third Avenue
                            New York, New York 10022
                                 (212) 702-5700

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

APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO THE PUBLIC: From time to
time after the effective date of this Registration Statement as determined by
market conditions and other factors.


If the only securities being registered on this Form are being offered pursuant
to dividend or interest reinvestment plans, please check the following box. / /

If any of the securities being registered on this Form are to be offered on a
delayed or continuous basis pursuant to Rule 415 under the Securities Act of
1933, other than securities offered only in connection with dividend or interest
reinvestment plans, check the following box. /X/

If this Form is filed to register additional securities for an offering pursuant
to Rule 462(b) under the Securities Act, please check the following box and list
the Securities Act registration statement number of the earlier effective
registration statement for the same offering. / /

If this Form is a post-effective amendment filed pursuant to Rule 462(c) under
the Securities Act, check the following box and list the Securities Act
registration statement number of the earlier effective registration statement
for the same offering. / /

If delivery of the prospectus is expected to be made pursuant to Rule 434,
please check the following box. / /

                         CALCULATION OF REGISTRATION FEE
<TABLE>
<CAPTION>
=======================================================================================================
                                               Proposed
Title of each class                             maximum        Proposed maximum
  of securities              Amount to be    offering price    aggregate offering         Amount of
to be registered              registered       per share             price             registration fee
- -------------------------------------------------------------------------------------------------------
<S>                         <C>              <C>               <C>                     <C>
Common Stock, $0.01 par
  value(1)(2)..........       1,100,000          $6.50            $7,150,000             $2,166.66
=======================================================================================================
</TABLE>

(1)    Such 1,100,000 shares of Common Stock are issuable upon the exercise, in
       full, of warrants issued to the Holders (as defined herein). The exercise
       price of each warrant is $6.50 per share.

(2)    Pursuant to Rule 416(a), this Registration Statement also covers an
       indeterminable number of additional shares as may become issuable in
       accordance with the terms of the warrants.

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

       THE REGISTRANT HEREBY AMENDS THIS REGISTRATION STATEMENT ON SUCH DATE OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE A FURTHER AMENDMENT WHICH SPECIFICALLY STATES THAT THIS REGISTRATION
STATEMENT SHALL THEREAFTER BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(A) OF
THE SECURITIES ACT OF 1933 OR UNTIL THIS REGISTRATION STATEMENT SHALL BECOME
EFFECTIVE ON SUCH DATE AS THE COMMISSION, ACTING PURSUANT TO SAID SECTION 8(A),
MAY DETERMINE.
================================================================================
<PAGE>   2
Information contained herein is subject to completion or amendment. A
registration statement relating to these securities has been filed with the
Securities and Exchange Commission. These securities may not be sold nor may
offers to buy be accepted prior to the time the registration statement becomes
effective. This prospectus shall not constitute an offer to sell or the
solicitation of an offer to buy nor shall there be any sale of these securities
in any State in which such offer, solicitation or sale would be unlawful prior
to registration or qualification under the securities laws of any such State.

                   Subject to Completion, Dated June 20, 1997

PROSPECTUS

                           TRANSWORLD HEALTHCARE, INC.

           1,100,000 SHARES OF COMMON STOCK UNDERLYING PUBLIC WARRANTS

         This Prospectus relates to 1,100,000 shares (the "Shares") of common
stock, $.01 par value (the "Common Stock"), of Transworld Healthcare, Inc., a
New York corporation (the "Company"), issuable upon exercise of the Company's
outstanding public common stock purchase warrants (the "Public Warrants"). Each
Public Warrant entitles the holder thereof (the "Holder") to purchase one share
of Common Stock at an exercise price of $6.50, subject to adjustment in certain
circumstances, at any time until December 6, 1997. See "Description of
Securities."

         The Public Warrants were issued as part of units (the "Public Units")
in the Company's initial public offering on December 7, 1992, each Public Unit
consisting of one share of Common Stock and one Public Warrant. The Common Stock
and the Public Warrants are traded separately and quoted on the Nasdaq National
Market under the symbols "TWHH" and "TWHHW," respectively. On June 18, 1997, the
last sale prices of the Common Stock and the Public Warrants as reported on the
Nasdaq National Market were $10 1/16 and $4 1/8, respectively. See "Description
of Securities."

         No underwriter is being utilized by the Company in connection with this
offering. The Company is bearing all costs relating to the registration,
offering and sale of the Shares covered by this Prospectus, other than
commissions or discounts of underwriters, broker-dealers or agents.

                                  -----------

          THE SECURITIES OFFERED HEREBY INVOLVE A HIGH DEGREE OF RISK.
                          SEE "RISK FACTORS" ON PAGE 2.

                                   -----------

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

         The Holders and any person participating in the distribution of the
Common Stock offered hereby will be subject to applicable provisions of the
Securities Exchange Act of 1934, as amended (the "Exchange Act"), and the rules
and regulations thereunder, including Regulation M, which provisions may limit
the timing of purchases and sales of the Common Stock. See "Plan of
Distribution."

         The Shares offered hereby may be offered and sold from time to time
pursuant to Rule 415 under the Securities Act of 1933 (the "Securities Act"), by
the Holders in transactions on the Nasdaq National Market, in negotiated
transactions, or a combination of such methods of sale. The Shares may be sold
at market prices prevailing at the time of sale, at prices related to such
prevailing market prices or at negotiated prices. The Holders may effect such
transactions by selling the Shares directly to purchasers or through
underwriters or broker-dealers who may act as agents or principals. Such
underwriters and broker-dealers may receive compensation in the form of
discounts, concessions or commissions from the Holders or the purchasers of the
Shares for whom such underwriters or broker-dealers may act as agent or to whom
they sell as principal, or both (which compensation as to a particular
underwriter or broker-dealer may be in excess of customary compensation). See
"Plan of Distribution."

                The date of this Prospectus is             , 1997
<PAGE>   3
                                  RISK FACTORS

         This Prospectus contains certain forward-looking statements and
information that are based on the beliefs of management as well as assumptions
made by and information currently available to management. The statements
contained in this Prospectus relating to matters that are not historical facts
are forward-looking statements that involve risks and uncertainties, including,
but not limited to, future demand for the Company's products and services,
general economic conditions, government regulation, competition and customer
strategies, capital deployment, the impact of pricing and reimbursement and
other risks and uncertainties. Should one or more of these risks or
uncertainties materialize, or should underlying assumptions prove incorrect,
actual results may vary materially from those described herein as anticipated,
believed, estimated or expected.

         The Shares being offered hereby involve a high degree of risk. Prior to
making an investment, prospective investors should carefully consider the
following factors as well as other information described elsewhere in this
Prospectus or incorporated herein by reference, relating to the business of the
Company and this offering.


DEPENDENCE UPON REIMBURSEMENT BY THIRD-PARTY PAYORS; DELAYS IN REIMBURSEMENT

         Substantially all of the Company's revenues are received from
third-party payors such as private insurance companies, self-insured employers,
health maintenance organizations ("HMOs") and governmental payors under Medicare
and Medicaid programs. The level of revenues and profitability of the Company,
like those of other health care companies, is affected by the continuing efforts
of third-party payors to contain or reduce the costs of health care by lowering
reimbursement or payment rates, increasing case management review of services
and negotiating reduced contract pricing and reimbursement caps. Government
reimbursement programs are subject to statutory and regulatory changes,
retroactive rate adjustments, administrative rulings and governmental funding
restrictions, any of which may materially increase or decrease payments received
by the Company for its services. In addition to being subject to frequent
changes in Federal and state laws governing Medicare and Medicaid coverage and
reimbursement policies, the Company is subject to governmental audit of the
reimbursements it receives under Medicare and Medicaid programs. Any significant
audit adjustment could have a material adverse effect on the Company's business,
financial condition, cash flows or results of operations. A significant
reduction in the coverage or payment rates of governmental or private
third-party payors or in the percentage of the Company's services delivered to
privately-insured patients, from whom the Company receives higher reimbursement
than from patients enrolled in Medicare or Medicaid, would have a material
adverse effect on the Company's revenues and profitability. There can be no
assurance that payments under governmental and private third-party payor
programs will remain at levels comparable to present levels or will, in the
future, be sufficient to cover the costs allocable to patients eligible for
reimbursement pursuant to such programs.

         Medicare has released a policy relating to the coverage of respiratory
medications, which may reduce the number of patients qualifying for Medicare
coverage. This policy sets specific reimbursement rates for compounded, generic
and branded respiratory medications and requires, effective December 1, 1996,
that only licensed pharmacies may bill Medicare for certain Medicare reimbursed
medications, including, but not limited to, respiratory medications. While the
implementation of this policy should reduce the overall number of competitors in
the respiratory medications market over the next year or so, the Company cannot
predict at this time the extent of the positive or negative effect that this
policy may have on the number of patients serviced by the Company, its
pharmacy-based operations or the marketing opportunities created thereby.


                                       -2-
<PAGE>   4
         The United States Department of Health and Human Services ("HHS") is
studying, among other things, the feasibility of changing the Medicare
reimbursement system for home health care from cost reimbursement to prospective
payment (i.e., a fixed fee for services rendered per episode of illness). The
impact of such a change, if implemented, on the Company's results of operations
cannot be predicted at this time and will depend, to a large extent, on the
reimbursement methodology ultimately established. For the Company's fiscal year
ended October 31, 1996, approximately 49.8% and 11.8%, respectively, of the
Company's revenues were directly attributable to Medicare and Medicaid programs.
The United States Congress and President Clinton have each proposed significant
reductions in Medicare and Medicaid spending in connection with efforts to
balance the budget of the United States. Although the Company cannot predict
whether these or other Federal or state cost containment proposals will be
adopted, the adoption of any such proposals could have a material adverse effect
on the Company's business, financial condition, cash flows and results of
operations.

         The Company generally collects payments from third-party payors within
an average of four months after services are rendered, but pays its accounts
payable and employees currently. Government payors, such as Medicaid programs
and, to a lesser extent, the Medicare program, tend to process claims more
slowly than private third-party payors. Delays in reimbursement may cause
working capital constraints on the Company's operations. In the past, the
Company has been able to obtain financing through bank borrowings and internally
generated funds to meet its working capital requirements. However, there can be
no assurance that bank borrowings or other suitable methods of financing will be
available when needed or, if available, will be on terms acceptable to the
Company. Any substantial delays in reimbursement could adversely affect the
Company's business, financial condition, cash flows and results of operations.


PENDING ACQUISITIONS; ACQUISITION AND EXPANSION STRATEGY; INTEGRATION OF NEW
BUSINESSES

         The Company has entered into the Merger Agreement (as defined herein)
to acquire the balance of Health Management, Inc.'s ("HMI") common stock not
already owned by it. Completion of the acquisition of such HMI common stock (the
"HMI Acquisition") is subject to the satisfaction of various closing conditions,
including approval of the lenders under the Credit Facility (as defined herein),
receipt of certain regulatory approvals and approval by HMI shareholders. There
can be no assurance that the Merger Agreement will be completed in a timely
manner or at all. According to HMI, if the Merger Agreement is not consummated
or HMI does not continue satisfactory relationships with its suppliers, it is
likely that HMI will seek protection under the Federal bankruptcy laws. See
"Recent Developments."

         In addition, in June 1994, the Company entered into two stock purchase
agreements, as amended, to acquire all of the issued and outstanding capital
stock of VIP Health Services, Inc. and Kwik Care, Ltd. (collectively, the "VIP
Companies"). The VIP Companies provide temporary nursing and related home health
care services in the City of New York and surrounding areas through both a
licensed and Medicare certified agency. The consummation of the acquisition of
the VIP Companies is subject to, among other things, various conditions
including the receipt of necessary governmental approvals (including the
submission and approval of a plan of financing), the approval of the lenders
under the Credit Facility, the accuracy at closing of various representations
and warranties and the compliance by the sellers with certain covenants and
agreements contained in the stock purchase agreements. The Company cannot
predict when or whether all of the requisite consents and approvals will be
obtained or whether the transaction will ultimately be consummated.



                                       -3-
<PAGE>   5
         On May 28, 1997 the board of directors of Transworld HealthCare (UK)
Limited ("Transworld UK"), a wholly owned subsidiary of the Company, and the
board of directors of Omnicare plc ("Omnicare") reached agreement on the terms
of a recommended cash offer to acquire all the issued and to be issued capital
stock of Omnicare. Omnicare provides respiratory equipment and services to home
care patients in the United Kingdom under the terms of contracts and licenses
with various United Kingdom National Health Service ("NHS") agencies. Omnicare
also dispenses and supplies a range of medical and surgical products,
principally ostomy products, to patients at home, as well as providing those
patients with advisory and other services through its network of regional care
centers. Completion of the transaction is subject to various conditions. The
Company cannot predict when or whether the conditions to this transaction will
be satisfied and when or whether the acquisition of Omnicare will be
consummated.

         Approximately $162 million (67.9%) of the Company's pro forma total
revenues for the year ended October 31, 1996 are attributable to HMI. Failure to
complete the acquisitions of HMI, the VIP Companies and Omnicare would have a
material adverse effect on the Company's near-term growth. HMI has been
experiencing certain financial and operational difficulties.

         A principal component of the Company's business strategy involves
acquiring other alternate site health care providers that can be integrated with
its existing businesses. Since June 1992, the Company has completed the
acquisition of ten (10) alternate site health care providers. The Company's
ability to continue to expand its operations depends on a number of factors,
including the availability of desirable locations for additional facilities, the
availability of acquisition candidates and the ability of the Company to finance
such expansion. Although the Company frequently explores acquisition
possibilities, there can be no assurance that it will make any additional
acquisitions or will be able to obtain additional financing for acquisitions or
the development of additional facilities. The Company's $100 million senior
secured credit facility (the "Credit Facility") requires the consent of the
lenders in order to consummate acquisitions and there can be no assurance that
any required consents can or will be obtained. The Company's acquisition
strategy places significant demands on the Company's management, financial and
other resources and there can be no assurance that the Company will be able to
successfully integrate pending or future acquisitions or that the Company's
acquisition and expansion strategy will ultimately prove profitable to the
Company.


EXTENSIVE U.S. HEALTH CARE REGULATORY ENVIRONMENT

         The Company's business is subject to extensive Federal and state
regulation. Federal regulation covers, among other things, Medicare and Medicaid
billing and reimbursement, reporting requirements, certification standards for
certain home health agencies and other types of health care providers,
limitations on ownership and other financial relationships between a provider
and its referral sources and approval by the Food and Drug Administration of the
safety and efficacy of pharmaceuticals and medical devices. In addition, the
requirements that the Company must satisfy to conduct its businesses vary from
state to state. The Company believes that its operations comply with applicable
Federal and state laws and regulations in all material respects. However,
changes in the law or new interpretations of existing laws could have a material
adverse effect on permissible activities of the Company, the relative costs
associated with doing business and the amount of reimbursement for the Company's
products and services paid by government and other third-party payors. The
unavailability of formal advance rulings in most regulated areas subjects the
Company to possible subsequent adverse interpretations and rulings in this
regard.



                                       -4-
<PAGE>   6
         Political, economic and regulatory influences are subjecting the health
care industry in the United States to fundamental change. Although Congress has
failed to pass comprehensive health care reform legislation, 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, including alternate site health care. 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 Federal Medicare and Medicaid Anti-Kickback Statute (the
"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 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 civil and criminal penalties, including
fines of up to $25,000 for each violation, exclusion from participation in the
Medicare and Medicaid programs and imprisonment for up to five (5) years.

         The Federal "Stark Law," as amended (the "Amended 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, home health services, radiation
therapy, outpatient prescription drugs and home medical equipment, which are
products and services provided by the Company), the physician is prohibited from
referring a Medicare or Medicaid patient to the health care provider, and the
provider is prohibited from billing Medicare or Medicaid, for the designated
health service. Submission of a claim that a provider knows or should know is
for services for which payment is prohibited under the Amended Stark Law 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 Medicare and
Medicaid programs.

         The Office of Inspector General ("OIG") of HHS instituted "Operation
Restore Trust" in May 1995 in the five states with the highest Medicare
expenditures (California, Florida, New York, Texas and Illinois). 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 has issued "Fraud Alerts" relating to improper business practices in home
health care and 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 health care, 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.



                                       -5-
<PAGE>   7
         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 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 complies in all material respects with applicable provisions of
the Anti-kickback Statute, the Amended Stark Law 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. At this time, the Company cannot anticipate what impact, if
any, subsequent administrative or judicial interpretation of the applicable
Federal and state laws may have on the Company's business, financial condition,
cash flows or results of operations.


EXTENSIVE UNITED KINGDOM HEALTH CARE REGULATORY ENVIRONMENT

         Upon completion of the acquisition of Omnicare, a portion of the
Company's operations will be based in the United Kingdom and subject to United
Kingdom health care regulations. Omnicare's businesses are subject to detailed
licensing regulations and price controls. The United Kingdom health care
industry is dominated by the NHS and the timing and extent of further growth in
the private health care services market cannot be projected with any degree of
certainty. Substantially all of Omnicare's revenue is derived, directly or
indirectly, through NHS reimbursements. There can be no assurance that changes
in United Kingdom health care regulations will not have a material adverse
effect on Omnicare and, upon completion of the acquisition, the Company's
financial condition. See "-- Risks Associated with International Sales" and
"Recent Developments."


RISKS ASSOCIATED WITH INTERNATIONAL SALES

         If the Company completes the acquisition of Omnicare and consequently
commences international operations, the Company will become subject to the risks
inherent in international business activities, including unexpected changes in
regulatory requirements, tariffs, customs, duties, political risks and the
burdens of compliance with foreign laws and regulations. Moreover, any
significant fluctuation in the foreign currency exchange rates between the
currencies of the United States and the United Kingdom may adversely affect the
Company's business activities in the United Kingdom or the Company's business,
results of operations and financial condition in general. See "Recent
Developments."


COMPETITION

         The health care industry is highly competitive and includes a large
number of providers. The Company competes with hospitals, nursing homes and
other businesses that provide all types of health care services, many of which
are larger and more established companies with significantly greater resources
and access to capital and greater name recognition than the Company. There are
relatively few barriers to entry in the markets that the Company serves.


                                       -6-
<PAGE>   8
         The Company's operations depend, to a significant degree, on its
ability to recruit and retain qualified health care personnel. Competition from
other companies in the alternate site health care industry for qualified
personnel is intense, and there can be no assurance that the Company will be
able to recruit or retain qualified personnel in the future. Any failure by the
Company to recruit or retain qualified personnel could have a material adverse
effect on its business, financial condition, cash flows or results of
operations.


DEPENDENCE ON RELATIONSHIPS WITH REFERRAL SOURCES

         The development and growth of the Company's business depends to a
significant extent on its ability to establish close working relationships with
hospitals, clinics, nursing homes, physician groups, HMOs and other health care
payors and providers. Although the Company believes that it has established
adequate relationships in the markets in which it operates, there can be no
assurance that existing relationships can be successfully maintained or that
additional relationships can be successfully developed and maintained in
existing and future markets.


SUPPLIERS

         The Company purchases its equipment and supplies, including drugs, home
medical equipment, nutritional solutions and other materials required in
connection with its therapies and specialized mail-order pharmacy and medical
supplies operations, from various suppliers.

         HMI currently purchases Sandimmune(R) and Clozaril(R), drugs
manufactured solely by Novartis, A.G., principally through wholesalers. If HMI
were unable to purchase Sandimmune(R) or Clozaril(R) for any reason, its results
of operations would be materially and adversely affected. In addition, as a
result of HMI's recent financial condition, it has been subject to less
favorable credit terms and credit limitations from certain of its suppliers.
Decreased credit availability and less favorable credit terms can have a
material adverse impact on results of operations and cash flows. However, upon
completion of the merger, HMI will be a wholly-owned subsidiary of the Company
and management anticipates that HMI's suppliers will resume customary credit
policies at that time. See "Recent Developments."


CHANGES IN TREATMENT

         Certain of the Company's services and products, as well as certain of
the services and products provided by HMI, are largely dependent on physicians
continuing to prescribe the administration of certain drugs and services
provided by the Company or HMI and the continued reimbursement of such products
and services by third party payors, as the case may be. Alternative drug
delivery systems or services and alternative drugs may affect the continued
utilization of certain services or products. The Company cannot predict the
ultimate impact of any such changes on its or HMI's business, nor can it predict
the nature of future medical advances or their eventual impact on the Company's
or HMI's business.


DEPENDENCE ON KEY MANAGEMENT AND HEALTH CARE PROFESSIONALS

         The Company is highly dependent upon its senior management team,
including Timothy M. Aitken, its Chairman and Chief Executive Officer, and its
staff of health care professionals. Mr. Aitken


                                       -7-
<PAGE>   9
entered into a renewable one-year employment agreement with the Company in
January 1997. Competition for qualified management personnel and health care
professionals is substantial. The inability to attract and to retain qualified
personnel could adversely affect the Company's business, financial condition,
cash flows and results of operations. See "Recent Developments."


SHARES ELIGIBLE FOR FUTURE SALE; OUTSTANDING WARRANTS AND OPTIONS

         As of June 18, 1997, there are an aggregate of 15,120,660 shares of
Common Stock outstanding. Of such shares, 5,705,327 shares are generally freely
transferable without restriction or further registration under the Securities
Act, and the remaining shares are "restricted securities" as that term is
defined in Rule 144 under the Securities Act and may be sold only pursuant to a
registration statement under the Securities Act or an applicable exemption from
registration thereunder. See "Description of Securities."

         Sales of a substantial number of shares of Common Stock in the public
market following this Offering could adversely effect prevailing market prices
for the Common Stock. The Company has granted registration rights to (i) holders
of warrants or shares covering an aggregate of 320,000 shares of Common Stock
(giving effect to the exercise of the warrants but without giving effect to any
anti-dilution adjustments) issued or issuable upon the exercise of warrants
issued to the representative of the Company's initial public offering (the "IPO
Representative's Warrants"), (ii) Paribas Principal, Inc., an affiliate of
Banque Paribas, the agent of the Company's prior senior secured credit facility
with respect to 425,000 shares of Common Stock, (iii) Hyperion TW Fund L.P. (the
"Fund") with respect to 4,116,456 shares of Common Stock and (iv) Hyperion
Partners II L.P. ("HPII") with respect to 5,298,877 shares of Common Stock as
well as 3,000,000 shares of Common Stock issuable upon exercise of the warrants
held by it. The Company has also entered into a stock purchase agreement with
HPII with respect to an additional 1,234,176 shares of Common Stock, which
shares will also be subject to a registration rights agreement with HPII. See
"Recent Developments."

         The sale of Common Stock pursuant to such registration rights and the
registration statement of which this Prospectus is a part, may adversely effect
the prevailing market price of the Shares.

         As of the date of this Prospectus: 3,000,000 shares of Common Stock are
issuable upon exercise of warrants issued to HPII (the "HPII Warrants") in
connection with the Company's financings under a unit purchase agreement (the
"Unit Purchase Agreement") between the Company and HPII consummated in May and
July 1996; 1,100,000 shares of Common Stock are issuable upon exercise of the
Public Warrants; 216,681 shares of Common Stock are issuable upon exercise of
the IPO Representative's Warrants (giving effect to the exercise of the Public
Warrants included in the IPO Representative's Warrants and any anti-dilution
adjustments); and 90,000 shares of Common Stock are issuable upon exercise of
other warrants. Also, in connection with a prior acquisition, the Company has
entered into a stock price support arrangement whereby payments made by the
Company under this arrangement may, at the Company's option, be made in shares
of Common Stock.


NO SPECIFIC USE OF PROCEEDS; BROAD DISCRETION IN USE OF PROCEEDS

         The Company has not designated any specific use for the net proceeds
from the exercise of the Public Warrants hereunder. Rather, the Company intends
to use the net proceeds primarily for general corporate purposes, including
working capital and potential acquisitions and strategic investments.


                                       -8-
<PAGE>   10
Accordingly, management will have significant flexibility in applying the net
proceeds hereunder. See "Use of Proceeds."


POSSIBLE VOLATILITY OF STOCK PRICE

         The market price for the Common Stock could be subject to significant
fluctuations in response to variations in the Company's quarterly financial
performance, changes in analysts' earnings estimates and general conditions in
the health care and alternate site health care industries. The market price of
the Common Stock has fluctuated over the last two years and is likely to
continue to fluctuate in the future. In addition, the Nasdaq National Market
has, from time to time, experienced significant price and volume fluctuations
that are unrelated or disproportionate to the operating performance of
individual companies. Additional Common Stock becoming eligible for sale under
Rule 144 of the Securities Act or otherwise may affect the volatility of the
market price for Common Stock. See "-- Shares Eligible for Future Sale;
Outstanding Warrants and Options."



                                       -9-
<PAGE>   11
                                 USE OF PROCEEDS

         The Company will not receive any proceeds from the sale of the Shares,
but will receive proceeds from the exercise of the Public Warrants. The actual
number of Public Warrants to be exercised and the amount of proceeds received
therefrom cannot be predicted with any degree of certainty. If all of the Public
Warrants are exercised, the Company will receive net proceeds of approximately
$7,118,000. The Company intends to utilize the net proceeds from the exercise of
the Public Warrants for general corporate purposes, including possible
acquisitions. Aside from the agreements to acquire HMI and the VIP Companies and
the offer to acquire the capital stock of Omnicare, the Company has not entered
into agreements with respect to any other acquisitions. Pending the use of
proceeds, the Company may repay a portion of any outstanding indebtedness under
its Credit Facility and make temporary investments in bank certificates of
deposit, short-term interest-bearing investments, prime commercial paper, United
States government obligations, money market funds or other short-term
securities.




                                      -10-
<PAGE>   12
                                   THE COMPANY

         The Company is a leading provider of a broad range of alternate site
health care services and products. The Company provides the following services
and products to patients in their homes or in an outpatient setting: (i) patient
services, including nursing and para-professional services and
radiation/oncology therapy; (ii) infusion therapy; and (iii) specialty
pharmaceutical and medical supplies, home medical equipment and respiratory
therapy (including disease state management products such as respiratory and
diabetic medications and supplies, wound care dressings and ostomy and orthotic
products). During the Company's fiscal year ended October 31, 1996, the Company
derived 25.1% of its revenues from patient services, 13.1% of its revenues from
infusion therapy and 61.8% of its revenues from specialized mail-order sales,
home medical equipment and respiratory therapy. The Company's home health care
and alternate site patient operations are concentrated in New York, New Jersey,
Florida and Maryland, and the Company's specialty pharmaceutical and medical
supplies operations provide products to patients nationwide. The Company
believes that as a full-service alternate site health care provider it can be
more responsive and flexible in dealing with the needs of referral sources,
patients and attending physicians, distinguishing it from competitors who
provide a more limited range of services.

         The Company's principal executive offices are located at 75 Terminal
Avenue, Clark, New Jersey 07066, and the Company's telephone number is (908)
340-1144.


                               RECENT DEVELOPMENTS

         On November 13, 1996, the Company entered into several agreements
providing for the acquisition of HMI by the Company in a series of transactions
described herein. HMI, based in Buffalo Grove, Illinois, is a provider of
integrated pharmacy management services to patients with chronic medical
conditions and to health care professionals, drug manufacturers and third-party
payors involved in such patients' care. For the year ended April 30, 1996 and
the nine months ended January 31, 1997 (unaudited), HMI reported $158,860,000
and $120,030,000 of net sales and net losses of ($10,927,000) and ($31,348,000),
respectively. Included in the net loss for the year end April 30, 1996 are
charges of $16,840,000, resulting from: (i) a write-off of medical device
inventory ($2,840,000); (ii) an additional provision reflecting a change in the
estimation of the allowance for doubtful accounts ($8,400,000); (iii) costs
associated with organizational consolidation and other cost reduction programs
($3,600,000); and (iv) professional fees related to certain shareholder
litigation and restatement of fiscal 1995 financial statements ($2,000,000).
Included in the net loss for the nine months ended January 31, 1997 are charges
of $21,588,000, resulting from: (i) an additional provision reflecting a change
in estimation of the allowance for doubtful accounts ($10,000,000); (ii) costs
associated with overpayments from New York State Medicaid ($1,400,000); (iii)
costs and other expenses related to the closing or sale of three retail
pharmacies, including a goodwill write-off ($2,813,000); and (iv) costs
estimated for the settlement of lawsuits ($7,375,000).

         On November 13, 1996, the Company acquired from HMI's senior lenders
(collectively, the "Lenders") for a purchase price of $21,262,500, the senior
secured indebtedness of HMI under the credit agreement (the "HMI Credit
Agreement") dated March 31, 1995 between HMI, its subsidiaries and the Lenders.
In addition, subject to the terms and conditions of an agreement between the
Company and HMI dated November 13, 1996, as amended (the "Supplemental
Agreement"), the Company also agreed to lend to HMI from time to time, but only
until completion of the Stock Purchase Agreement (as defined below), up to
$5,000,000 for working capital purposes. HMI is currently in default under the
HMI Credit Agreement, but the Company has determined to forbear from exercising
its remedies under the HMI Credit Agreement until July 15, 1997. As of January
13, 1997, the Company had advanced


                                      -11-
<PAGE>   13
$4,649,285 to HMI for working capital purposes. On November 13, 1996, the
Company and HMI also entered into a stock purchase agreement, as amended (the
"Stock Purchase Agreement"), pursuant to which the Company acquired on January
14, 1997, 8,964,292 newly issued shares of HMI common stock representing
approximately 49% of HMI's outstanding common stock for a cash purchase price of
$8,964,292, which actual cash outlay was reduced by the $4,649,285 advanced for
working capital purposes pursuant to the Supplemental Agreement.

         On November 13, 1996, the Company and HMI also entered into an
agreement and plan of merger, as subsequently amended (the "Merger Agreement"),
whereby HMI will be acquired by the Company at a purchase price of $.30 per
share for each outstanding share of HMI common stock not already owned by the
Company. Consummation of the HMI Acquisition is subject to the satisfaction of
various conditions, including approval of the lenders under the Credit Facility,
receipt of certain regulatory approvals and approval by HMI's shareholders.

         On November 13, 1996, HMI also issued to the Company an option (the
"Option"), exercisable until January 14, 1998, to purchase newly issued shares
representing up to an additional 2% of HMI's then outstanding common stock for a
purchase price of $1.00 per share (less amounts advanced pursuant to the
Supplemental Agreement and not deducted under the Stock Purchase Agreement). At
the closing of the Stock Purchase Agreement, the Company and HMI also entered
into a registration rights agreement providing for the registration under the
Securities Act, commencing on the earlier of June 30, 1997 or the date on which
the Merger Agreement is terminated, of the shares of HMI common stock acquired
by the Company pursuant to the Stock Purchase Agreement and issuable upon
exercise of the Option.

         The Company plans to undertake a detailed review of productivity
enhancing opportunities, as well as the carrying value of various assets, at
certain operations and subsidiaries of HMI. Accordingly, goodwill associated
with the acquisition of HMI will be reviewed for potential impairment, if any.
The Company anticipates that this review may result in restructuring and other
charges in the latter part of 1997. Based on the preliminary status of this
review, it is not currently practicable to estimate the amount of charges, if
any, that may result from these reviews.

         In connection with the Company's pending acquisition of HMI, HPII has
purchased certain of HMI's trade payables aggregating approximately $18,000,000
at various discounts. The Company and HPII have entered into a stock purchase
agreement pursuant to which HPII will purchase at closing 1,234,176 shares of
Common Stock at a purchase price of $9.875 per share (representing an aggregate
purchase price of $12,187,488) in exchange for the assignment to the Company of
certain of such trade payables. Closing of the transaction is subject to, among
other things, approval of the Company's shareholders. The shares of Common Stock
issued pursuant to this agreement are also covered by the existing registration
rights agreement with HPII.

         On January 8, 1997, the Company entered into a stock purchase agreement
with HPII pursuant to which HPII agreed, subject to the conditions stated
therein, to purchase 898,877 shares of Common Stock at a purchase price of
$11.125 per share for an aggregate purchase price of $10,000,000 (the
"Additional Shares"). The closing of the sale of the Additional Shares occurred
on April 21, 1997. The Additional Shares are also covered by the existing
registration rights agreement with HPII. See "Risk Factors -- Shares Eligible
for Future Sale; Outstanding Warrants and Options."

         Effective March 26, 1997, the Company entered into a stock purchase
agreement with the Fund, an affiliate of HPII, pursuant to which the purchaser
agreed, subject to the conditions stated therein, to purchase 4,116,456 shares
of the Company's Common Stock (the "March Shares") at a purchase price of $9.875
per share for an aggregate purchase price of $40,650,000. The closing of the
sale of the


                                      -12-
<PAGE>   14
March Shares occurred on April 21, 1997. At the closing, the Company and the
Fund entered into a registration rights agreement containing substantially the
same terms and conditions as those contained in the existing registration rights
agreement with HPII.

         On May 28, 1997 the board of directors of Transworld UK and the board
of directors of Omnicare reached agreement on the terms of a recommended cash
offer to acquire all the issued and to be issued capital stock of Omnicare.
Omnicare provides respiratory equipment and services to home care patients in
the United Kingdom under the terms of contracts and licenses with various United
Kingdom NHS agencies. Omnicare also dispenses and supplies a range of medical
and surgical products, principally ostomy products, to patients at home, as well
as providing those patients with advisory and other services through its network
of regional care centers. Transworld UK has received irrevocable undertakings to
accept its offer from the only Director of Omnicare to hold Omnicare shares and
from Stanton Industries Limited, representing in the aggregate, 4,249,500 shares
or 35.9% of Omnicare's issued capital stock. Transworld UK also acquired
1,765,000 Omnicare shares from HPII on May 28, 1997 for $2,856,500. Accordingly,
Transworld UK owns, or has received irrevocable undertakings to accept the offer
in respect of, an aggregate of 6,014,500 shares, representing 50.8% of
Omnicare's issued capital stock. Completion of the transaction is subject to
various conditions.



                                      -13-
<PAGE>   15
                 INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE

         The following information, filed by the Company with the Securities and
Exchange Commission (the "Commission") pursuant to the Exchange Act, is
incorporated herein by reference:

         1. The Company's Annual Report on Form 10-K for the fiscal year ended
October 31, 1996;

         2. The Company's Quarterly Report on Form 10-Q for the quarter ended
January 31, 1997, as filed with the Commission on or about March 14, 1997;

         3. The Company's Quarterly Report on Form 10-Q for the quarter ended
April 30, 1997, as filed with the Commission on or about June 13, 1997;

         4. The Company's Report on Form 8-K dated October 28, 1996, filed with
the Commission on or about November 12, 1996;

         5. The Company's Report on Form 8-K dated November 13, 1996, filed with
the Commission on or about November 26, 1996;

         6. The Company's Report on Form 8-K dated January 14, 1997, filed with
the Commission on or about January 22, 1997;

         7. Amendment No. 1 on Form 8-K/A to the Company's Report on Form 8-K
dated January 14, 1997, filed with the Commission on or about March 21, 1997;

         8. Amendment No. 2 on Form 8-K/A to the Company's Report on Form 8-K
dated January 14, 1997, filed with the Commission on or about March 27, 1997;

         9. The Company's Report on Form 8-K dated April 1, 1997, filed with the
Commission on or about April 16, 1997;

         10. The Company's Report on Form 8-K dated April 21, 1997, filed with
the Commission on or about May 6, 1997;

         11. Amendment No. 3 on Form 8-K/A to the Company's Report on Form 8-K
dated January 14, 1997, filed with the Commission on or about June 10, 1997; and

         12. The description of the Common Stock contained in the Company's
Registration Statement on Form 8-A filed on November 25, 1992 under the Exchange
Act, including any amendment or report filed for the purpose of updating such
description.

         All documents filed by the Company pursuant to Sections 13(a), 13(c),
14 or 15(d) of the Exchange Act, subsequent to the date of this Prospectus and
prior to the termination of this Offering, shall be deemed to be incorporated by
reference into this Prospectus and to be a part hereof from the date of filing
of such documents.

         Any statement contained herein or in a document incorporated or deemed
to be incorporated by reference herein shall be deemed to be modified or
superseded for purposes of this Prospectus to the extent that a statement
contained herein or in any subsequently filed document which also is or is
deemed to be incorporated by reference herein modifies or supersedes such
statement. Any such statement so


                                      -14-
<PAGE>   16
modified or superseded shall not be deemed, except as so modified or superseded,
to constitute a part of this Prospectus.

         The Company will provide without charge to each person to whom this
Prospectus is delivered, including any beneficial owner, upon the written or
oral request of such person, a copy of any or all of the foregoing documents
incorporated herein by reference (other than the exhibits to such documents).
Requests should be directed to the Company, 75 Terminal Avenue, Clark, New
Jersey 07066, Attention: Wayne A. Palladino, telephone number (908) 340-1144.



                                      -15-
<PAGE>   17
                            DESCRIPTION OF SECURITIES

GENERAL

         The Company's authorized capital stock currently consists of 30,000,000
shares of Common Stock and 2,000,000 shares of preferred stock, par value $.01
per share (the "Preferred Stock"). As of June 18, 1997, there were 15,120,660
shares of Common Stock issued and outstanding (held by approximately 206
holders). No shares of Preferred Stock are issued or outstanding.

         On December 7, 1992, the Company offered in its initial public offering
1,600,000 Public Units, each Public Unit consisting of one share of Common Stock
and one Public Warrant. As of June 18, 1997, there were 1,100,000 Public
Warrants issued and outstanding.

         The Common Stock and the Public Warrants are quoted on the Nasdaq
National Market under the symbols "TWHH" and "TWHHW," respectively.


PREFERRED STOCK

         The Preferred Stock may be issued in series, and shares of each series
will have such rights and preferences as are fixed by the Board of Directors in
resolutions authorizing the issuance of that particular series. In designating
any series of Preferred Stock, the Board of Directors may, without further
action by the holders of shares of Common Stock, fix the number of shares
constituting that series and fix the dividend rights, dividend rate, conversion
rights, voting rights (which may be greater or lesser than the voting rights of
the Common Stock), rights and terms of redemption (including any sinking fund
provisions), and the liquidation preferences of the series of Preferred Stock.
Holders of any series of Preferred Stock, when and if issued, may have priority
claims to dividends and to any distributions upon liquidation of the Company,
and other preferences over the holders of the Common Stock.

         The Board of Directors may issue a series of Preferred Stock without
action by the shareholders of the Company. The issuance of Preferred Stock may
adversely affect the rights of the holders of shares of Common Stock. For
example, the issuance of Preferred Stock may be used as an "anti-takeover"
device without further action on the part of the shareholders. In addition, the
issuance of Preferred Stock may dilute the voting power of holders of shares of
Common Stock (such as by issuing Preferred Stock with supervoting rights) and
may render more difficult the removal of current management, even if such
removal may be in the shareholders' best interests. The Company has no current
plans to issue any Preferred Stock.


COMMON STOCK

         Each share of Common Stock entitles the holder thereof to one vote.
Holders of Common Stock have equal ratable rights to dividends from funds
legally available therefor, when, as and if declared by the Board of Directors
and are entitled to share ratably, as a single class, in all of the assets of
the Company available for distribution to holders of Common Stock upon the
liquidation, dissolution or winding up of the affairs of the Company. Holders of
Common Stock do not have preemptive, subscription or conversion rights. There
are no redemption or sinking fund provisions for the benefit of holders of the
Common Stock in the Company's Restated Certificate of Incorporation. All
outstanding shares of Common Stock are, and those shares of Common Stock
issuable upon exercise of the Public Warrants hereunder will be, validly issued,
fully paid and non-assessable.


                                      -16-
<PAGE>   18
PUBLIC WARRANTS

         The Holder of each Public Warrant is entitled, upon payment of the
exercise price of $6.50 per share, to purchase one Share of Common Stock. The
Public Warrants are exercisable at any time until December 6, 1997, provided
that at such time a current prospectus relating to the Shares is in effect and
the Shares are qualified for sale or exempt from qualification under applicable
state securities laws.

         The Public Warrants contain provisions that protect the Holders thereof
against dilution by adjustment of the exercise price upon the occurrence of
certain events, such as stock dividends, stock splits, mergers, a sale of
substantially all of the Company's assets and other extraordinary events.

         The Company is not required to issue fractional shares of Common Stock,
and in lieu thereof, will make a cash payment based upon the current market
value of such fractional shares. The Holders of the Public Warrants do not
possess any rights as shareholders of the Company unless and until they exercise
the Public Warrants. During late 1993 and early 1994, the Company purchased an
aggregate of 500,000 Public Warrants in the open market.


CERTAIN OTHER WARRANTS

         IPO Representative's Warrants. In December 1992, in connection with the
Company's initial public offering, the Company issued IPO Representative's
Warrants to purchase 160,000 Public Units to the representative of the
underwriters in that offering. Pursuant to the terms thereof, holders of the IPO
Representative's Warrants were entitled to purchase 160,000 shares of Common
Stock at an exercise price of $6.60 per share, and an additional 160,000 shares
(through the exercise of the warrant component of the Public Units included in
the IPO Representative's Warrants) at an exercise price of $10.40 per share
(currently $10.30 per share giving effect to certain anti-dilution adjustments).
As of June 18, 1997, holders of the IPO Representative's Warrants have purchased
104,872 shares. As a result of the effect of anti-dilution provisions contained
in the IPO Representative's Warrants, as of June 18, 1997 there were 216,681
shares of Common Stock issuable upon exercise of the balance of the IPO
Representative's Warrants (including through the exercise of the warrant
component of the Public Units included in the IPO Representative's Warrants).

         The Company has agreed with the holders of the IPO Representative's
Warrants that, until December 14, 1997, upon the written demand of holders
representing a majority of those warrants, it will use its best efforts to
register under the Securities Act on two separate occasions, the securities
issuable upon exercise of those warrants. In addition, until December 7, 1999,
the Company has agreed to provide certain "piggyback" registration rights for
the holders of the IPO Representative's Warrants. Holders of the IPO
Representative's Warrants covering an aggregate of 160,000 shares of Common
Stock exercised their piggyback registration rights, and, as a result such
shares were included in registration statements filed with the Commission in
June and August of 1995.

         HPII Warrants. Pursuant to the Unit Purchase Agreement, the Company
issued the HPII Warrants to purchase an aggregate of 3,000,000 shares of Common
Stock at an exercise price of $12.45 per share. The HPII Warrants expire on the
fifth anniversary from the date of issuance and are non-redeemable by the
Company. The HPII Warrants contain anti-dilution provisions and are subject to a
registration rights agreement. See "Risk Factors -- Shares Eligible for Future
Sale; Outstanding Warrants and Options."



                                      -17-
<PAGE>   19
THE COMPANY'S TRANSFER AGENT AND WARRANT AGENT

         The Company's Transfer Agent for the Common Stock and Warrant Agent for
the Public Warrants is American Stock Transfer & Trust Company, New York, New
York.




                                      -18-
<PAGE>   20
                              PLAN OF DISTRIBUTION

         The sale of the Shares by the Holders upon exercise of the Public
Warrants may be effected in transactions on the Nasdaq National Market, in
negotiated transactions, or a combination of such methods of sale. The Shares
may be sold at market prices prevailing at the time of sale, at prices related
to such prevailing market prices or at negotiated prices. The Holders may effect
such transactions by selling the Shares directly to purchasers or through
underwriters or broker-dealers who may act as agents or principals. Such
underwriters or broker-dealers may receive compensation in the form of
discounts, concessions or commissions from the Holders or the purchasers of the
Shares for whom such underwriters or broker-dealers may act as agent or to whom
they sell as principal, or both (which compensation as to a particular
underwriter or broker-dealer may be in excess of customary compensation).

         Under applicable rules and regulations under the Exchange Act, subject
to certain exceptions, certain persons engaged in a distribution of securities
may not simultaneously engage in market making activities with respect to such
securities for a period of one (1) business day (if such securities have an
average daily trading volume ("ADTV") over a two month period of $100,000 and
the public float value of the issuer's equity securities is $25 million or more)
or five (5) business days (in all other cases), prior to the day of the pricing
of the securities that are the subject of the distribution. Trading in "actively
traded securities" by persons other than the issuer (or selling stockholder) and
affiliates is exempt from such restrictions. "Actively traded securities" are
securities with an ADTV of $1 million issued by issuers with a public float of
at least $150 million. In addition, and without limiting the foregoing, the
Holders and any other person participating in such distribution will be subject
to applicable provisions of the Exchange Act, including without limitation,
Rules 100 through 105 of Regulation M promulgated under the Exchange Act, which
provisions may limit the timing of purchases and sales of any of the Shares by
the Holders and any other such shareholders.

         The Company has agreed to pay for all of the expenses incident to the
registration, offering and sale of the Shares to the public other than
commissions or discounts of underwriters, broker-dealers or agents.

         An investor may only purchase the Shares being offered hereby if such
Shares are qualified for sale or are exempt from registration under the
applicable state securities laws of the state in which such prospective
purchaser resides. The Company has not registered or qualified the Shares under
any state securities laws and, unless the sale of Shares to a particular
investor is exempt from registration or qualification under applicable state
securities laws, the sale of such Shares to an investor may not be effected
until such Shares have been registered or qualified with applicable state
securities authorities.

         Upon any exercise of the Public Warrants after December 14, 1993, the
Company has agreed to pay RAS Securities Corp. ("RAS"), the underwriter of the
Company's initial public offering, a fee of 4% of the aggregate Public Warrant
exercise price if the exercise of the Public Warrants was solicited by RAS, as
designated in writing on the Warrant Certificate subscription form, and the
payment of such solicitation fee is not in violation of Regulation M promulgated
under the Exchange Act, the rules and regulations of the National Association of
Securities Dealers, Inc. or applicable state securities laws. Notwithstanding
the above, the warrant agreement covering the Public Warrants provides that
payment of the solicitation fee is not mandatory during any week that such
amounts payable, as reported by the Company's warrant agent, are in the
aggregate less than $1,000, and the obligation to make such payments is
suspended until the aggregate amount payable is at least $1,000.



                                      -19-
<PAGE>   21
                    INDEMNIFICATION OF DIRECTORS AND OFFICERS

         As permitted under the Business Corporation Law of the State of New
York, the Company's Restated Certificate of Incorporation provides that a
director of the Company will not be personally liable to the Company or its
shareholders for monetary damages for breach of a fiduciary duty owed to the
Company or its shareholders. By its terms and in accordance with the law of the
State of New York, however, this provision does not eliminate or otherwise limit
the liability of a director of the Company for any breach of duty based upon (i)
an act or omission (A) resulting from acts committed in bad faith or involving
intentional misconduct or involving a knowing violation of law or (B) from which
the director personally derived a financial benefit to which he was not legally
entitled, or (ii) an improper declaration of dividends or purchases of the
Company's securities.

         The Company's Restated Certificate of Incorporation and By-Laws provide
that the Company shall indemnify its directors and officers to the fullest
extent permitted by New York law. The Company also has entered into
indemnification agreements with each of its directors and officers.

         Insofar as indemnification for liabilities arising under the Securities
Act may be permitted to directors, officers and controlling persons of the
Company pursuant to the foregoing provisions, or otherwise, the Company has been
advised that, in the opinion of the Commission, such indemnification is against
public policy as expressed in the Securities Act and is, therefore,
unenforceable.


                                  LEGAL MATTERS

         Certain legal matters in connection with this offering will be passed
upon for the Company by Baer Marks & Upham LLP, New York, New York. Leslie J.
Levinson, a partner in such firm, is the Secretary of the Company. In addition,
Mr. Levinson holds options to purchase an aggregate of 19,781 shares of Common
Stock.


                                     EXPERTS

         The consolidated financial statements and financial statement schedule
of the Company as of October 31, 1996 and 1995 and for the three years in the
period ended October 31, 1996 included in the Company's 1996 Annual Report on
Form 10-K incorporated by reference herein, have been audited by Coopers &
Lybrand L.L.P. ("Coopers & Lybrand"), independent accountants, as set forth in
their report thereon. The Company's consolidated financial statements and
financial statement schedule are incorporated herein in reliance on the report
of Coopers & Lybrand, on the authority of said firm as experts in accounting and
auditing.

         The financial statements and schedules of HMI, incorporated by
reference in this Prospectus, have been audited by BDO Seidman, LLP, independent
certified public accountants, to the extent and for the periods set forth in
their reports (which contain an explanatory paragraph regarding HMI's ability to
continue as a going concern) incorporated herein by reference, and are
incorporated herein in reliance upon such reports given upon the authority of
said firm as experts in auditing and accounting.




                                      -20-
<PAGE>   22
                              AVAILABLE INFORMATION

         The Company is subject to the informational requirements of the
Exchange Act and in accordance therewith files reports, proxy statements and
other information with the Commission. The reports, proxy statements and other
information filed by the Company with the Commission can be inspected and copied
at the public reference facilities maintained by the Commission at Room 1024,
450 Fifth Street, N.W., Washington, D.C. 20549, and at the Commission's Regional
Offices at 7 World Trade Center, New York, New York 10048, and 500 West Madison
Street, Suite 1400, Chicago, Illinois 60661. Copies of such material also can be
obtained by mail from the public reference facilities of the Commission at 450
Fifth Street, N.W., Washington, D.C. 20549 at prescribed rates. In addition,
material filed by the Company also is available for inspection at the offices of
the National Association of Securities Dealers, Inc., 1735 K Street, N.W.,
Washington, D.C. 20006. The Company's Common Stock and Public Warrants are
quoted on the Nasdaq National Market. See "Incorporation of Certain Documents by
Reference" and "Description of Securities."

         The Company has filed with the Commission a Registration Statement on
Form S-3 under the Securities Act with respect to the shares of Common Stock
offered by this Prospectus via the Electronic Data Gathering Analysis and
Retrieval system ("EDGAR") and may be found on the Commission's web site at
http://www.sec.gov. This Prospectus does not contain all the information set
forth in or annexed as exhibits to the Registration Statement. For further
information with respect to the Company and the shares of Common Stock offered
by this Prospectus, reference is made to the Registration Statement and to the
financial statements, schedules and exhibits filed as part hereof or
incorporated by reference herein. Copies of the Registration Statement, together
with such financial statements, schedules and exhibits, may be obtained from the
public reference facilities of the Commission at the addresses listed above,
upon payment of the charges prescribed therefor by the Commission. Electronic
filings made via EDGAR are publicly available through the Commission's web site
referenced above. Statements contained in this Prospectus as to the contents of
any contract or other document referred to are not necessarily complete and, in
each instance, reference is made to the copy of such contract or other
documents, each such statement being qualified in its entirety by such
reference. Copies of such contracts or other documents, to the extent that they
are exhibits to this Registration Statement, may be obtained from the public
reference facilities of the Commission, upon the payment of the charges
prescribed therefor by the Commission.



                                      -21-
<PAGE>   23
                          TRANSWORLD HEALTHCARE, INC.

                         INDEX TO FINANCIAL STATEMENTS


<TABLE>
<S>                                                                                                  <C>
UNAUDITED PRO FORMA COMBINED FINANCIAL STATEMENTS

  Pro Forma Combined Balance Sheet - April 30, 1997..................................................   F-4

  Pro Forma Condensed Combined Statement of Operations - Year Ended October 31, 1996.................   F-5 

  Pro Forma Condensed Combined Statement of Operations - Six Months Ended April 30, 1997.............   F-6

  Notes to Pro Forma Combined Balance Sheet..........................................................   F-7

  Notes to Pro Forma Condensed Combined Statement of Operations......................................   F-9
</TABLE>


                                      F-1
<PAGE>   24
               UNAUDITED PRO FORMA COMBINED FINANCIAL STATEMENTS

        The following Unaudited Pro Forma Combined Financial Statements give
effect to: (A) the Company's acquisition on November 13, 1996, of Health
Management, Inc.'s ("HMI") senior secured indebtedness (the "Indebtedness")
under the credit agreement between HMI and its senior lenders (the "HMI Credit
Agreement") for $21,262,500; (B) the Company's acquisition on January 14, 1997
of 8,964,292 newly issued shares (the "Newly Issued Shares") of HMI's common
stock, representing approximately 49% of HMI's outstanding common stock (after
giving effect to the purchase of the Newly Issued Shares) for $1 per share or
$8,964,292, which actual cash outlay was reduced by $4,649,685, advanced to HMI
for working capital purposes between November 12, 1996 and January 14, 1997;
(C) borrowings under the Company's $100 million senior secured revolving credit
facility (the "Credit Facility") to fund the transactions ((A) through (C) are
collectively referred to as the "Initial Transactions"); (D) the proposed
acquisition of the remaining 51% of HMI's outstanding common stock not already
owned by the Company (9,330,182 shares for $.30 per share or $2,799,055; (E)
the payment of the settlement of certain shareholder litigation of HMI; (F) the
issuance of 1,234,176 shares of the Company's Common Stock to Hyperion Partners
II L.P. ("HPII") as consideration for the acquisition of certain trade payables
of HMI previously acquired by HPII (subject to the approval of the Company's
shareholders) ((D) through (F) are collectively referred to as the "Subsequent
Transactions") and (G) the sale on April 21, 1997 of 898,877 shares of the
Company's Common Stock to HPII for a purchase price of $11.125 per share.

        The Unaudited Pro Forma Combined Balance Sheet, as adjusted, presents
the Company's historical unaudited balance sheet as of April 30, 1997 and the
Subsequent Transactions as if they had occurred on April 30, 1997. The Pro
Forma Balance Sheet data for HMI was derived from the HMI Condensed
Consolidated Balance Sheet (unaudited) as of January 31, 1997.

        The Unaudited Pro Forma Condensed Combined Statement of Operations for
the year ended October 31, 1996 presents the historical operations of the
Company and the Initial Transactions as if they had occurred on November 1,
1995. The Unaudited Pro Forma Condensed Combined Statement of Operations for
the year ended October 31, 1996, as adjusted, reflects the Subsequent
Transactions and the sale of the 898,877 shares to HPII as if they had occurred
on November 1, 1995. The equity in losses and the Pro Forma Statement of
Operations of HMI are derived from HMI's historical Statement of Operations for
the twelve months ended October 31, 1996 (unaudited). Such statement was
derived by taking HMI's audited historical Statement of Operations for the year
ended April 30, 1996, subtracting the historical operations for the six months
ended October 31, 1995 and adding the historical operations for the six months
ended October 31, 1996.

        The Unaudited Pro Forma Condensed Combined Statement of Operations for
the six months ended April 30, 1997 presents the historical operations of the
Company (unaudited) and the Initial Transactions as if they had occurred on
November 1, 1995. The Unaudited Pro Forma Condensed Combined Statement of
Operations for the six months ended April 30, 1997, as adjusted, reflects the
subsequent Transactions and the sale of the 898,877 shares to HPII as if they
had occurred on November 1, 1995. The equity in losses and the Pro Forma
Statement of Operations of HMI are derived from HMI's historical Statement of
Operations (unaudited) for the six months ended January 31, 1997.


                                      F-2

<PAGE>   25
        The acquisition of the Newly Issued Shares is accounted for under the
equity method of accounting which will be reversed and fully consolidated upon
the acquisition of the remaining 51% of HMI. Pro forma adjustments include fair
value adjustments required under purchase accounting for the acquired assets
and liabilities of HMI and are subject to revision. The final allocation of
purchase price and the resulting amortization expense in the accompanying
Unaudited Pro Forma Condensed Combined Statement of Operations will differ
from the preliminary estimates due to the final allocation being based on: (i)
actual closing date amounts of assets and liabilities and (ii) final appraised
values of assets and liabilities.

        The Company plans to undertake a detailed review of productivity
enhancing opportunities, as well as the carrying value of various assets, at
certain operations and subsidiaries of HMI, accordingly, goodwill associated
with the acquisition will be reviewed for potential impairment, if any. The
Company anticipates that this review may result in restructuring and other
charges in the latter part of 1997. Based on the preliminary status of this
review, it is not currently practicable to estimate the amount of charges, if
any, that may result from these reviews.

        Pro forma adjustments are based on Management's estimates of the
financial effects of the Initial and Subsequent Transactions on the operations
of the combined companies for the periods presented. The Unaudited Pro Forma
Combined Financial Statements should be read in conjunction with the
accompanying notes and the Company's historical consolidated financial
statements and notes thereto and "Management's Discussion and Analysis of
Financial Condition and Results of Operations" and the historical consolidated
financial statements of HMI and notes thereto which are incorporated by
reference or included in this registration statement on Form S-3. The Unaudited
Pro Forma Combined Statement of Operations does not purport to present the
results of operations of the Company as if the transactions assumed herein
occurred at the beginning of fiscal 1996, nor is it indicative of the results
of operations which may be achieved in the future.


                                      F-3

<PAGE>   26
                           TRANSWORLD HEALTHCARE, INC.
                        PRO FORMA COMBINED BALANCE SHEET
                                 April 30, 1997
                      (In thousands, except per share data)
                                   (Unaudited)

<TABLE>
<CAPTION>
                                                                                  Health
                                                           Transworld            Management,                           Transworld
                                                        HealthCare, Inc.           Inc.                             HealthCare, Inc.
                                                            April 30,            January 31,        Pro Forma          Pro Forma
                                                             1997                   1997            Adjustments        As Adjusted
                                                             ----                   ----            -----------        -----------
<S>                                                     <C>                 <C>              <C>                       <C>
ASSETS
Current assets:
    Cash and temporary investments ...................  $      37,263       $       3,122     $     (7,931)  (a)       $   32,454
Accounts receivable,less allowance
for doubtful accounts.................................         32,599              28,377                 -                60,976
Inventories...........................................          1,985               8,325                 -                10,310
Prepaid income taxes..................................             62               1,327                 -                 1,389
Deferred income taxes.................................              -               2,917           (2,917)  (b)                -
Prepaid expenses and other current assets.............          7,337                 142                 -                 7,479
                                                         ------------       -------------     ------------             ----------
Total current assets..................................         79,246              44,210          (10,848)               112,608

Property & equipment, net.............................          4,084               3,337                 -                 7,421
Advances to and investment in HMI.....................         31,508                   -          (31,508)  (c)                -
Intangible assets, net of accumulated amortization...          43,658              30,767           (5,021)  (d)           69,404
Other assets..........................................          7,001                 141                 -                 7,142
                                                        -------------       -------------     ------------             ----------
Total assets..........................................  $     165,497       $      78,455     $    (47,377)            $  196,575
                                                        =============       =============     ============             ==========

LIABILITIES AND
STOCKHOLDERS' EQUITY
Current liabilities:
Current portion of long-term debt, including
obligations under capital leases and amounts
to affiliates.........................................  $          37       $      31,709     $    (28,350)  (e)       $    3,396
Accounts payable, including amounts to affiliates.....          4,401              20,284          (15,197)  (f)            9,488
Accrued expenses and other current liabilities........          5,607               3,205             2,000  (g)           10,812
Accrued unusual charges and settlement costs..........              -               8,508           (4,550)  (h)            3,958
Acquisitions payable..................................             96                   -                 -                    96
                                                         ------------       -------------     ------------             ----------
Total current liabilities....................                  10,141              63,706          (46,097)                27,750

Long-term debt, including obligations
under capital leases..................................         35,494                 645                 -                36,139
Deferred income taxes and other.......................            651                   -                 -                   651
                                                         ------------       -------------     ------------             ----------
Total liabilities.....................................         46,286              64,351          (46,097)                64,540
                                                         ------------       -------------     ------------             ----------
Stockholders' equity:
Preferred stock, $.01 par value;
authorized 2,000 shares, issued
outstanding-none......................................              -                   -                -                      -
Common stock, $.01 par value;
authorized 30,000 shares, issued
and outstanding -15,104 shares........................            151                 549             (537)  (i)              163
Additional paid-in capital............................        112,799              45,958          (33,783)  (j)          124,974
Retained earnings.....................................          6,261             (32,403)          33,040   (k)            6,898
                                                           ----------       -------------     ------------             ----------
Total stockholders' equity............................        119,211              14,104           (1,280)               132,035
                                                           ----------       -------------     ------------             ----------
Total liabilities and stockholders' equity............     $  165,497       $      78,455     $    (47,377)            $  196,575
                                                           ==========       =============     ============             ==========
</TABLE>





                                       F-4
<PAGE>   27
                          TRANSWORLD HEALTHCARE, INC.
              PRO FORMA CONDENSED COMBINED STATEMENT OF OPERATIONS
                           Year Ended October 31, 1996
                      (In thousands, except per share data)
                                     (Unaudited)


<TABLE>
<CAPTION>
                                                         Year Ended
                                                         October 31,
                                                           1996
                                                         Transworld                  Pro Forma
                                                       HealthCare, Inc.              Adjustments
                                                       ----------------              -----------
<S>                                                  <C>                        <C>
Net revenues . . . . . . . . . . . . . . . . . . .   $         76,304           $              -

Cost of revenues . . . . . . . . . . . . . . . . .             34,680                          -
                                                     ----------------           ----------------
Gross profit . . . . . . . . . . . . . . . . . . .             41,624                          -

Selling, general and administrative
    expenses . . . . . . . . . . . . . . . . . . .             33,552                          -

Non-recurring charges . . . . . . . . . . . . . .                   -                          -
                                                     ----------------           ----------------
Operating income (loss) . . . . . . . . . . . . .               8,072                          -
Settlement and other costs . . . . . . . . . . . .                  -                          -
Interest income . . . . . . . . . . . . . . . . .                 (75)                    (1,410) (a)
Interest expense  . . . . . . . . . . . . . . . .               4,427                      2,116  (b)
Equity in losses of HMI . . . . . . . . . . . . .                   -                     11,235  (c)
                                                     ----------------           ----------------
Income (loss) before income taxes and
    extraordinary loss . . . . . . . . . . . . . .              3,720                    (11,941)
Provision (benefit) for income taxes . . . . . . .              1,702                       (323) (d)
                                                     ----------------           ----------------
          Income (loss) before extraordinary loss    $          2,018           $        (11,618)
                                                     ================           ================

Income per share of common stock
    before extraordinary loss:
    Primary . . . . . . . . . . . . . . . . . . .    $           0.26                          -

    Fully diluted . . . . . . . . . . . . . . . .    $           0.26                          -


Weighted average number of shares
    outstanding:
    Primary . . . . . . . . . . . . . . . . . . .               7,741                          -

    Fully diluted . . . . . . . . . . . . . . . .               7,833                          -
</TABLE>










<TABLE>
<CAPTION>
                                                                             Twelve Months
                                                                                 Ended
                                                                              October 31,
                                                                                  1996
                                                            Transworld          Health                         Transworld
                                                           HealthCare, Inc.     Management,     Pro Forma    HealthCare, Inc
                                                             Pro Forma            Inc.         Adjustments    As Adjusted
                                                             ---------            ----         -----------    -----------
<S>                                                         <C>              <C>                <C>           <C>
Net revenues . . . . . . . . . . . . . . . . . . . . .      $  76,304      $    161,554       $       -       $ 237,858

Cost of revenues . . . . . . . . . . . . . . . . . . .         34,680           127,892               -         162,572
                                                            ---------      ------------       ---------       ---------
Gross profit . . . . . . . . . . . . . . . . . . . . .         41,624            33,662               -          75,286

Selling, general and administrative
    expenses . . . . . . . . . . . . . . . . . . . . .         33,552            45,566          (1,113) (e)     78,005

Non-recurring charges . . . . . . . . . . . . . . . . .             -             7,000               -           7,000
                                                            ---------      ------------       ---------       ---------
Operating income (loss) . . . . . . . . . . . . . . . .         8,072           (18,904)          1,113          (9,719)
Settlement and other costs . . . . . . . . . . . . . .              -             7,200               -           7,200
Interest income . . . . . . . . . . . . . . . . . . . .        (1,485)              (38)          1,410 (f)        (113)
Interest expense  . . . . . . . . . . . . . . . . . . .         6,543             2,917          (2,457) (g)      7,003
Equity in losses of HMI . . . . . . . . . . . . . . . .        11,235                 -         (11,235) (h)          -
                                                            ---------      ------------       ---------       ---------
Income (loss) before income taxes and
    extraordinary loss . . . . . . . . . . . . . . . .         (8,221)          (28,983)         13,395         (23,809)
Provision (benefit) for income taxes . . . . . . . . .          1,379            (3,495)          5,358 (i)       3,242
                                                            ---------      ------------       ---------       ---------
          Income (loss) before extraordinary loss . . .     $  (9,600)     $    (25,488)      $   8,037       $ (27,051)
                                                            =========      ============       =========       =========

Income per share of common stock
    before extraordinary loss:
    Primary . . . . . . . . . . . . . . . . . . . . . .     $   (1.24)                 -              -       $   (2.74)

    Fully diluted . . . . . . . . . . . . . . . . . . .     $   (1.23)                 -              -       $   (2.71)


Weighted average number of shares
    outstanding:
    Primary . . . . . . . . . . . . . . . . . . . . . .         7,741                 -           2,133 (j)       9,874

    Fully diluted . . . . . . . . . . . . . . . . . . .         7,833                 -           2,133 (k)       9,966
</TABLE>



                                      F-5
<PAGE>   28
                           TRANSWORLD HEALTHCARE, INC.
              PRO FORMA CONDENSED COMBINED STATEMENT OF OPERATIONS
                         Six Months Ended April 30, 1997
                      (In thousands, except per share data)
                                   (Unaudited)

<TABLE>
<CAPTION>

                                                            Six Months
                                                              Ended
                                                            April 30,
                                                              1997                                           Transworld
                                                            Transworld                Pro Forma            HealthCare, Inc.
                                                           HealthCare, Inc.          Adjustments             Pro Forma
                                                           ----------------          -----------             ---------
<S>                                                      <C>                       <C>                    <C>
Net revenues . . . . . . . . . . . . . . . . . . . . .   $   40,966                $           -          $     40,966
Cost of revenues . . . . . . . . . . . . . . . . . . .       19,739                            -                19,739
                                                         ----------                -------------          ------------
Gross profit . . . . . . . . . . . . . . . . . . . . .       21,227                            -                21,227
Selling, general and administrative
    expenses . . . . . . . . . . . . . . . . . . . . .       17,004                            -                17,004
Non-recurring charges . . . . . . . . . . . . . . . . .           -                            -                     -
                                                         ----------                -------------          ------------
Operating income (loss) . . . . . . . . . . . . . . . .       4,223                            -                 4,223
Settlement and other costs . . . . . . . . . . . . . .            -                            -                     -
Interest income . . . . . . . . . . . . . . . . . . . .      (1,108)                         301  (a)             (807)
Interest expense  . . . . . . . . . . . . . . . . . . .       2,113                          144  (b)            2,257
Equity in losses of HMI . . . . . . . . . . . . . . . .         296                       13,388  (c)           13,684
                                                         ----------                -------------          ------------
Income (loss) before income taxes and
    extraordinary loss. . . . . . . . . . . . . . . . .       2,922                      (13,833)              (10,911)
Provision (benefit) for income taxes . . . . . . . . .        1,566                         (196) (d)            1,370
                                                         ----------                -------------          ------------
          Income (loss) before extraordinary loss . . .  $    1,356                $     (13,637)         $    (12,281)
                                                         ==========                =============          ============

Income per share of common stock
    before extraordinary loss:
    Primary . . . . . . . . . . . . . . . . . . . . . .  $     0.12                            -             $   (1.08)
    Fully diluted . . . . . . . . . . . . . . . . . . .  $     0.12                            -             $   (1.08)

Weighted average number of shares
    outstanding:
    Primary . . . . . . . . . . . . . . . . . . . . . .      11,360                            -                11,360
    Fully diluted . . . . . . . . . . . . . . . . . . .      11,360                            -                11,360
</TABLE>


<TABLE>
<CAPTION>
                                                                    Six Months
                                                                      Ended
                                                                   January 31,
                                                                     1997
                                                                     Health                                          Transworld
                                                                    Management,                 Pro Forma           HealthCare, Inc
                                                                     Inc.                      Adjustments          As Adjusted
                                                                     ----                      -----------          -----------
<S>                                                             <C>                        <C>                     <C>
Net revenues . . . . . . . . . . . . . . . . . . . . .          $    79,507                $            -          $    120,473
Cost of revenues . . . . . . . . . . . . . . . . . . .               65,364                             -                85,103
                                                                -----------                --------------          ------------
Gross profit . . . . . . . . . . . . . . . . . . . . .               14,143                             -                35,370
Selling, general and administrative
    expenses . . . . . . . . . . . . . . . . . . . . .               30,626                        (1,400)(e)            46,230
Non-recurring charges . . . . . . . . . . . . . . . . .               4,213                             -                 4,213
                                                                -----------                --------------          ------------
Operating income (loss) . . . . . . . . . . . . . . . .             (20,696)                        1,400               (15,073)
Settlement and other costs . . . . . . . . . . . . . .                7,375                             -                 7,375
Interest income . . . . . . . . . . . . . . . . . . . .                   -                           705 (f)              (102)
Interest expense  . . . . . . . . . . . . . . . . . . .               2,014                        (1,466)(g)             2,805
Equity in losses of HMI . . . . . . . . . . . . . . . .                   -                       (13,388)(h)                 -
                                                                -----------                --------------          ------------
Income (loss) before income taxes and
    extraordinary loss. . . . . . . . . . . . . . . . .             (30,085)                       15,549               (25,151)
Provision (benefit) for income taxes . . . . . . . . .                  (25)                        6,220 (i)             7,565
                                                                -----------                --------------          ------------
          Income (loss) before extraordinary loss . . .         $   (30,060)               $        9,329          $    (32,716)
                                                                ===========                ==============          ============

Income per share of common stock
    before extraordinary loss:
    Primary . . . . . . . . . . . . . . . . . . . . . .                   -                             -          $      (2.43)
    Fully diluted . . . . . . . . . . . . . . . . . . .                   -                             -          $      (2.43)

Weighted average number of shares
    outstanding:
    Primary . . . . . . . . . . . . . . . . . . . . . .                   -                         2,088 (j)            13,448
    Fully diluted . . . . . . . . . . . . . . . . . . .                   -                         2,088 (k)            13,448
</TABLE>



                                      F-6
<PAGE>   29

                          TRANSWORLD HEALTHCARE, INC.

                   NOTES TO PRO FORMA COMBINED BALANCE SHEET
                                 April 30, 1997
                     (In thousands, except per share data)
                                  (Unaudited)

<TABLE>

<S>     <C>                                                          <C>
(a)     Cash and temporary investments:
        To record acquisition of 9,329 shares of HMI's common
          stock for $.30 per share.................................. $  (2,799)
        To record payment of settlement of certain shareholder
          litigation................................................    (1,350)
        To record payment of acquisition related costs (legal,
          accounting and investment banking fees)...................    (1,750)
        To record payments on the intercompany debt from HMI to
          the Company in March 1997.................................    (2,032)
                                                                     ---------
                                                                     $  (7,931)
                                                                     =========

(b)     Deferred income taxes:
        To reverse HMI's historical deferred income taxes........... $  (2,917)
                                                                     =========

(c)     Advances to and investment in HMI:
        To eliminate advances to and investments in HMI............. $ (31,508)
                                                                     =========

(d)     Intangible assets, net of accumulated amortization:
        To record goodwill on the acquisition of HMI as follows:
          Purchase price in cash for 8,964 (at $1.00 per share)
            of newly issued shares of HMI representing 49% of
            HMI purchased in January 1997........................... $   8,964
          Purchase price in cash for remaining 9,329 shares of
            HMI (at $.30 per share) representing 51% of HMI
            not already owned by the Company........................     2,799
          Acquisition related costs (legal, accounting and
            investment banking fees; legal and tax contingencies)...     4,500
          Historical liabilities assumed............................    64,351
          Fair value adjustments to historical liabilities assumed..   (10,097)
                                                                     ---------
                Total cost of acquisition...........................    70,517
          Less:
            Historical assets.......................................    78,455
            Fair value adjustments to historical assets (goodwill
              and deferred taxes)...................................   (33,684)
                                                                     ---------
                Goodwill on the acquisition of HMI (thirty year
                  amortization)..................................... $  25,746
                                                                     =========
        Historical HMI goodwill..................................... $ (30,767)
        Acquired goodwill...........................................    25,746
                                                                     ---------
        Adjustment to reduce goodwill to calculated amount.......... $  (5,021)
                                                                     =========
</TABLE>


The Company has selected the thirty-year amortization period for goodwill based
on the likely period of time over which the related economic benefit will be
realized. The Company believes its estimated goodwill life is reasonable given
the continuing movement of patient care to noninstitutional settings, expanding
demand due to demographic trends, the emphasis of the Company on establishing
significant coverage in its local and regional markets, the consistent practice
with other alternate site health care companies and other factors. At the
balance sheet date, management assesses whether there has been permanent
impairment in the value of goodwill and the amount of any impairment by
comparing anticipated undiscounted future cash flows from operating activities
with the carrying value of goodwill. The factors considered by management in
deriving future cash flows include current operating results, trends and
prospects of acquired businesses as well as the effect of demand, competition,
market and other economic factors.

The Company plans to undertake a detailed review of productivity enhancing
opportunities, as well as the carrying value of various assets, at certain
operations and subsidiaries of HMI, accordingly, goodwill associated with the
acquisition will be reviewed for potential impairment, if any. The Company
anticipates that this review may result in restructuring and other charges in
the latter part of 1997. Based on the preliminary status of this review, it is
not currently practicable to estimate the amount of charges, if any, that may
result from these reviews.


                                      F-7

<PAGE>   30
                          TRANSWORLD HEALTHCARE, INC.
            NOTES TO PRO FORMA COMBINED BALANCE SHEET - (Continued)
                                 April 30, 1997
                     (In thousands, except per share data)
                                  (Unaudited)


<TABLE>
<S>    <C>                                                                                              <C>   
(e)    Current portion of long-term debt, including obligations under capital leases and 
         amounts to affiliates:
       To record fair value adjustment (discount) to HMI's senior secured indebtedness...............   $ (7,087)
       To record the elimination of intercompany debt between HMI and the Company, net of discount...    (21,263)
                                                                                                        --------
                                                                                                        $(28,350)
                                                                                                        ========

(f)    Accounts payable, including amounts to affiliates:
       To record fair value adjustment (discount) to certain trade payables of HMI previously
         acquired by HPII and sold to the Company....................................................   $ (3,010)
       To record the elimination of intercompany trade payables between HMI and the Company, net of
         discount....................................................................................    (12,187)
                                                                                                        --------
                                                                                                        $(15,197)
                                                                                                        ========

(g)    Accrued expenses and other current liabilities:
       Accrual of acquisition related costs (legal and tax contingencies)............................   $  2,000
                                                                                                        ========

(h)    Accrued unusual charges and settlement costs:
       To record payment of settlement of certain shareholder litigation.............................   $ (4,550)
                                                                                                        ========

(i)    Common stock:
       To eliminate HMI's historical common stock....................................................   $   (549)
       To record the issuance of 1,234 shares of the Company's Common Stock to HPII ($0.01 per value)
         as consideration for the acquisition of certain trade payables of HMI's previously acquired
         by HPII.....................................................................................         12
                                                                                                        --------
                                                                                                        $   (537)
                                                                                                        ========

(j)    Additional paid-in capital:
       To eliminate HMI's additional paid-in capital.................................................   $(45,958)
       To record the issuance of 1,234 shares of the Company's Common Stock to HPII ($12,187-$12)....     12,175
                                                                                                        --------
                                                                                                        $(33,783)
                                                                                                        ========

(k)    Retained earnings:
       To eliminate HMI's historical retained deficit................................................   $ 32,403
       To reverse equity in losses in HMI............................................................        637
                                                                                                        --------
                                                                                                        $ 33,040
                                                                                                        ========

</TABLE>

                                     F-8

<PAGE>   31
                          TRANSWORLD HEALTHCARE, INC.

                          NOTES TO PRO FORMA CONDENSED
                        COMBINED STATEMENT OF OPERATIONS
                      For the Year Ended October 31, 1996
                     (In thousands, except per share data)
                                  (Unaudited)
<TABLE>
<S>     <C>                                                                                                     <C>

(a)     Interest income:
        To book adjustments to interest income to reflect:
                Interest earned on HMI's senior secured indebtedness under the HMI Credit Agreement, at
                  face value ($28,350) at 9.75%, net of inter-company interest income (49%)..................... $ (1,410)
                                                                                                                 ========
        A change in interest rates by one-eighth of a percent (1/8%) would impact interest income by $18.

(b)     Interest expense:
        To book adjustments to interest expense to reflect interest charged on pro forma debt under the
          Credit Facility as follows:
                Interest expense on cash borrowed to acquire HMI's senior secured indebtedness ($21,263)
                  at 7% (rate at January 31, 1997, net of .5% unused commitment fee)............................ $  1,488
                Interest expense on cash borrowed to acquire 8,964 shares of HMI's common stock for a
                  cash purchase price of $8,964 at 7% (net of .5% unused commitment fee)........................      628
                                                                                                                 --------
                                                                                                                 $  2,116
                                                                                                                 ========

        A change in interest rates by one-eighth of a percent (1/8%) would impact interest expense by $38.

(c)     Equity in losses of HMI:
        To record the amortization of goodwill associated with the stock purchase of 49% of HMI's outstanding
          common stock as follows:
                Purchase price in cash for 8,964 (at $1.00 per share) of newly issued shares of HMI............. $  8,964
                Acquisition related costs (legal, tax and accounting contingencies).............................    1,225
                Historical liabilities assumed (49%)............................................................   31,532
                Fair value adjustments to historical liabilities assumed (49%)..................................   (3,473)
                                                                                                                 --------
                        Total cost of acquisition...............................................................   38,248
                Less:
                        Historical assets (49%).................................................................   38,443
                        Fair value adjustments of historical assets (goodwill and deferred taxes) (49%).........  (16,505)
                                                                                                                 --------
                Goodwill associated with the stock purchase of 49% of HMI's outstanding common stock............ $ 16,310
                                                                                                                 ========

        Amortization of goodwill straight line over thirty years................................................ $    544
        Elimination of HMI's goodwill amortization (49%)........................................................     (595)
        To record 49% of HMI's ($25,488) historical net loss for the twelve months ended October 31, 1996.......   12,489
        To record 49% of pro forma adjustments to HMI's expenses (net of tax effect using HMI's historical
          effective tax rate for the period of 12%) as follows:
                Elimination of transaction related legal expenses (49%).........................................      (11)
                Elimination of inter-company interest expense (49%) on HMI's senior secured indebtedness........   (1,192)
                                                                                                                 --------
                                                                                                                 $ 11,235
                                                                                                                 ========

(d)     Provision (benefit) for taxes:
        Adjustments to tax expense on net taxable income attributable to pro forma adjustments and to reflect a
          consolidated effective tax rate indicative of the combined companies ($706 at 45.8%).................. $   (323)
                                                                                                                 ========
</TABLE>



                                      F-9
<PAGE>   32
                          TRANSWORLD HEALTHCARE, INC.
                          NOTES TO PRO FORMA CONDENSED
                 COMBINED STATEMENT OF OPERATIONS - (Continued)
                      For the Year Ended October 31, 1996
                     (In thousands, except per share data)
                                  (Unaudited)

<TABLE>
<S>    <C>                                                                                                      <C>
(e)    Selling, general and administrative expenses:
       To record the amortization of goodwill associated with the acquisition of HMI ($25,746) straight line
           over thirty years .................................................................................  $    858
       To record pro forma adjustments to HMI's selling, general and administrative expenses as follows:
           Elimination of historical goodwill amortization....................................................    (1,214)
           Elimination of transaction related legal expenses..................................................       (26)
           Elimination of duplicate board of directors expenses...............................................      (166)
           Elimination of chief executive officer expenses....................................................      (350)
           Elimination of duplicate public company expenses...................................................      (215)
                                                                                                                --------
                                                                                                                $ (1,113)
                                                                                                                ========

(f)    Interest income:
       To reverse pro forma interest income earned on HMI's senior secured indebtedness, net of inter-
           company interest income (49%).....................................................................   $  1,410
                                                                                                                ========

       A change in interest rates by one-eighth of a percent (1/8%) would impact interest income by $18.

(g)    Interest expense:
       To eliminate interest expense on HMI's senior secured indebtedness....................................   $ (2,457)
                                                                                                                ========
       A change in interest rages by one-eighth of a percent (1/8%) would impact interest expense by $35.

(h)    Equity in losses of HMI:
       To reverse pro forma equity in losses of HMI..........................................................   $(11,235)
                                                                                                                ========

(i)    Provision (benefit) for taxes:
       Adjustment to tax expense attributable to pro forma adjustments at the statutory rate of 40%...........  $  5,358
                                                                                                                ========

(j)    Primary earnings per share is calculated on the historical 7,741 weighted average shares of common
           stock outstanding plus 899 additional shares sold and 1,234 additional shares issued to HPII......     2,133 shares
                                                                                                                ========

(k)    Fully diluted earnings per share is calculated on the historical 7,833 weighted average shares of
           common stock outstanding plus 899 additional shares sold and 1,234 additional shares issued
           to HPII............................................................................................     2,133 shares
                                                                                                                ========
</TABLE>

        The Company plans to undertake a detailed review of productivity
enhancing opportunities, as well as the carrying value of various assets, at
certain operations and subsidiaries of HMI, accordingly, goodwill associated
with the acquisition will be reviewed for potential impairment, if any. The
Company anticipates that this review may result in restructuring and other
charges in the latter part of 1997. Based on the preliminary status of this
review, it is not currently practicable to estimate the amount of charges, if
any, that may result from this reviews.



                                      F-10

                      
<PAGE>   33
                          TRANSWORLD HEALTHCARE, INC.
                          NOTES TO PRO FORMA CONDENSED
                        COMBINED STATEMENT OF OPERATIONS
                    For the Six Months Ended April 30, 1997
                     (In thousands, except per share data)
                                  (Unaudited)

<TABLE>
<S>        <C>                                                                                                   <C>
(a)        Interest income:
           To book adjustments to interest income to reflect:
                Interest earned on HMI's senior secured indebtedness under the HMI Credit Agreement, at
                    face value ($28,350) at 9.75% from November 1, 1996 through November 12, 1996 ..............  $    (92)
                Elimination of interest earned on cash loaned to HMI for working capital purposes ($4,649)
                    at 9.75% ...................................................................................        54
                Elimination of inter-company interest (49%) of HMI's senior secured indebtedness ...............       339
                                                                                                                   -------
                                                                                                                   $   301
                                                                                                                   =======
           A change in interest rates by one-eighth of a percent (1/8%) would impact interest income by $9.

(b)        Interest expense:
           To book adjustments to interest expense to reflect interest charged on pro forma debt under the
                Credit Facility from November 1, 1996 to the date of actual borrowing as follows:
                    Interest expense on cash borrowed to acquire HMI's senior secured indebtedness ($21,263)
                        at 7.16% (rate at April 30, 1997, net of .5% unused commitment fee) ..................   $    51
                    Interest expense on cash borrowed to loan to HMI for working capital purposes ($4,649)
                        at 7.16% (net of .5% unused commitment fee) ............................................        29
                    Interest expense on cash borrowed to acquire 8,964 shares of HMI's common stock for a
                        cash purchase price of $8,964, which actual cash outlay was reduced by the $4,649
                        advanced for working capital purposes ($4,415) at 7.16% (net of .5% unused commitment
                        fee ....................................................................................        64
                                                                                                                   -------
                                                                                                                   $   144
                                                                                                                   =======

            A change in interest rated by one-eighth of a percent (1/8%) would impact interest expense by $19.

(c)         Equity in losses of HMI:
            To record the amortization of goodwill associated with the stock purchase of 49% of HMI's 
                outstanding common stock as follows:
                    Purchase price in cash for 8,964 (at $1.00 per share) of newly issued shares of HMI ........   $ 8,964
                    Acquisition related costs (legal, tax and accounting contingencies) ........................     1,225
                    Historical liabilities assumed (49%) .......................................................    31,532
                    Fair value adjustments to historical liabilities assumed (49%) .............................    (3,473)
                                                                                                                   -------
                        Total cost of acquisition ..............................................................    38,248
                    Less:
                        Historical assets (49%) ................................................................    38,443
                        Fair value adjustments to historical assets (goodwill and deferred taxes) (49%) ........   (16,505)
                                                                                                                   -------
                            Goodwill associated with the stock purchase of 49% of HMI's outstanding common
                                stock ..........................................................................   $16,310
                                                                                                                   =======

            To record the following for the three months ended January 31, 1997:
                Amortization of goodwill straight line over thirty years .......................................   $   136
                Elimination of HMI's goodwill amortization (49%) ...............................................      (145)
                Elimination of inter-company interest expense (49%) on HMI's senior secured indebtedness .......      (339)
            To reverse 49% of HMI's ($1,299) historical net loss for the three months ended April 30, 1997 .....      (637)
            To record 49% of HMI's ($30,060) historical net loss for the six months ended January 31, 1997 .....    14,729
            To record 49% of pro forma adjustments to HMI's expenses (not tax effected as HMI historically
                booked no tax provision for the period) for the six months ended January 31, 1997 as follows:
                    Elimination of transaction related legal and accounting expenses (49%) .....................       (37)
                    Elimination of transaction related payments to executives (49%) ............................       (74)
                    Elimination of transaction related investment banking fees (49%) ...........................      (245)
                                                                                                                   -------
                                                                                                                   $13,388
                                                                                                                   =======
</TABLE>


                                      F-11

<PAGE>   34
                          TRANSWORLD HEALTHCARE, INC.
                          NOTES TO PRO FORMA CONDENSED
                 COMBINED STATEMENT OF OPERATIONS - (Continued)
                    For the Six Months Ended April 30, 1997
                     (In thousands, except per share data)
                                  (Unaudited)

<TABLE>
<S>    <C>                                                                                                         <C>

(d)    Provision (benefit) for taxes:
       Adjustment to tax expense on net taxable income attributable to pro forma adjustments and to reflect a
            consolidated effective tax rate indicative of the combined companies ($445 at 44%) ..................  $   (196)
                                                                                                                   =========

(e)    Selling, general and administrative expenses:
       To record the amortization of goodwill associated with the acquisition of HMI ($25,746) straight line
            over thirty years ...................................................................................  $    429 

       To record pro forma adjustments to HMI's selling, general and administrative expenses as follows:
            Elimination of historical goodwill amortization .....................................................      (592)
            Elimination of transaction related legal expenses ...................................................       (79)
            Elimination of transaction related payments to executives ...........................................      (150)
            Elimination of transaction related investment banking fees ..........................................      (500)
            Elimination of duplicate board of directors expenses ................................................      (200)
            Elimination of chief executive officer expenses .....................................................      (204)
            Elimination of duplicate public company expenses ....................................................      (104)
                                                                                                                   ---------
                                                                                                                   $ (1,400)
                                                                                                                   =========

(f)    Interest income:
       To eliminate remaining 51% of inter-company interest income earned (actual and pro forma) on HMI's
            senior secured indebtedness under the HMI Credit Agreement, at face value ($28,350) at 9.75% ........  $    705
                                                                                                                   =========

       A change in interest rates by one-eighth of a percent (1/8%) would impact interest income by $9.

(g)    Interest expense:
       To eliminate inter-company interest expense on HMI's senior secured indebtedness under the HMI
            Credit Agreement, at face value ($28,350) and on cash loaned to HMI for working capital purposes.....  $ (1,466)
                                                                                                                   =========

       A change in interest rates by one-eighth of a percent (1/8%) would impact interest income by $21.

(h)    Equity in losses of HMI:
       To reverse pro forma equity in losses of HMI .............................................................  $(13,388) 
                                                                                                                   =========
(i)    Provision (benefit) for taxes:
       Adjustment to tax expense on net taxable income attributable to pro forma adjustments and to reflect a
            consolidated effective tax rate indicative of the combined companies ................................  $  6,220
                                                                                                                   =========

(j)    Primary earnings per share is calculated on the historical 11,083 weighted average shares of common
            stock outstanding plus 1,234 additional shares issued to HPII and 854 additional shares sold to HPII
            on April 21, 1997 as if outstanding for the full six months ended April 30, 1997 ....................     2,088  shares
                                                                                                                   =========

(k)    Fully diluted earnings per share is calculated on the historical 11,085 weighted average shares of common
            stock outstanding plus 1,234 additional shares issued to HPII and 854 additional shares sold to HPII
            on April 21, 1997 as if outstanding for the full six months ended April 30, 1997 ....................     2,088  shares
                                                                                                                   =========

       The Company plans to undertake a detailed review of productivity enhancing opportunities, as well as the 
       carrying value of various assets, at certain operations and subsidiaries of HMI, accordingly, goodwill
       associated with the acquisition will be reviewed for potential impairment, if any. The Company anticipates
       that this review may result in restructuring and other charges in the latter part of 1997. Based on the
       preliminary status of this review, it is not currently practicable to estimate the amount of charges,
       if any, that may result from these reviews.

</TABLE>

                                     F-12

<PAGE>   35
================================================================================

  NO DEALER, SALESMAN OR ANY OTHER PERSON HAS BEEN AUTHORIZED TO GIVE ANY
INFORMATION OR TO MAKE ANY REPRESENTATIONS OTHER THAN THOSE CONTAINED IN THIS
PROSPECTUS, AND, IF GIVEN OR MADE, SUCH INFORMATION OR REPRESENTATIONS MUST NOT
BE RELIED UPON AS HAVING BEEN AUTHORIZED BY THE COMPANY. NEITHER THE DELIVERY OF
THIS PROSPECTUS NOR ANY SALE MADE HEREUNDER SHALL UNDER ANY CIRCUMSTANCES CREATE
AN IMPRESSION THAT THERE HAS BEEN NO CHANGE IN THE AFFAIRS OF THE COMPANY SINCE
THE DATE HEREOF. THIS PROSPECTUS DOES NOT CONSTITUTE AN OFFER TO SELL, OR A
SOLICITATION OF ANY OFFER TO BUY ANY SECURITIES OFFERED HEREBY BY ANYONE IN ANY
JURISDICTION IN WHICH SUCH OFFER OR SOLICITATION IS NOT AUTHORIZED OR IN WHICH
THE PERSON MAKING SUCH OFFER OR SOLICITATION IS NOT QUALIFIED TO DO SO OR TO
ANYONE TO WHOM IT IS UNLAWFUL TO MAKE SUCH OFFER OR SOLICITATION.

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


                                TABLE OF CONTENTS

                                                                 Page

Risk Factors.............................................          2
Use of Proceeds..........................................         10
The Company..............................................         11
Recent Developments......................................         11
Incorporation of Certain Documents by Reference..........         14
Description of Securities................................         16
Plan of Distribution.....................................         19
Indemnification of Directors and Officers................         20
Legal Matters............................................         20
Experts..................................................         20
Available Information....................................         21
Financial Information....................................        F-1

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

                                   PROSPECTUS



                               1,100,000 Shares of

                             Common Stock Underlying

                               Public Warrants of

                           Transworld Healthcare, Inc.





                                             , 1997


================================================================================
<PAGE>   36
                                     PART II


ITEM 14.  OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION.

      The following table sets forth the expenses to be borne by the Company in
connection with the sale and distribution of the Common Stock offered hereby.
All of the amounts shown are estimates (except for the SEC filing fee).


<TABLE>
<S>                                                         <C>
      SEC filing fee.................................       $ 2,166.66
      Legal fees and expenses........................        10,000.00
      Accounting fees and expenses...................        10,000.00
      Printing expenses..............................         5,000.00
      Miscellaneous..................................         5,000.00
                                                            ----------
          Total fees and expenses....................       $32,166.66
                                                            ==========
</TABLE>


ITEM 15.  INDEMNIFICATION OF DIRECTORS AND OFFICERS.

         (i) Article 7 of the Business Corporation Law of the State of New York,
in general, allows corporations to indemnify their officers and directors
against any judgment, fine, settlement and reasonable expenses incurred in any
non-derivative civil or criminal action, or against any settlement and
reasonable expenses in any derivative civil action, if the officer or director
acted in good faith and for a purpose he reasonably believed to be in, or not
opposed to, the best interests of the corporation. In the case of a criminal
action, the officer or director must have had no reasonable cause to believe
that his conduct was unlawful. Partial indemnification is allowed in cases where
the officer or director was partially successful in defeating the claim. Such
Article establishes procedures for determining whether the standard of conduct
has been met in the particular case, for timely notification to shareholders,
for prepayment of expenses and for payment pursuant to a court order or as
authorized by disinterested directors or the shareholders. Article 7 also
provides that it is not exclusive of any other rights to which an officer or
director may be entitled under the certificate of incorporation or by-laws or
pursuant to an agreement, resolution of shareholders or resolution of directors
which are authorized by the certificate of incorporation or by-laws; provided
that no indemnification may be made if a judgment or other final adjudication
adverse to the officer or director establishes that his acts were committed in
bad faith or were the result of active and deliberate dishonesty and were
material to the cause of action so adjudicated, or that he personally gained in
fact a financial profit or other advantage to which he was not legally entitled.

         (ii) Article 8 of the Company's Restated Certificate of Incorporation
and Article 8 of the Company's By-Laws provide generally for indemnification of
all officers and directors to the fullest extent permitted under the
above-referenced New York statute.

         (iii) The Company also has a policy insuring it and its directors and
officers against certain liabilities and has entered into indemnification
agreements with each of its officers and directors.




                                      II-1
<PAGE>   37
ITEM 16.  EXHIBITS.

4.1      Specimen Certificate of Common Stock (incorporated herein by reference
         to Exhibit 4.1 to the Company's Registration Statement (No. 33-50876)
         on Form S-1).

4.2      Warrant Agreement, including form of Warrant, dated December 7, 1992
         (incorporated herein by reference to Exhibit 4.2 to the Company's
         Registration Statement (No. 33-50876) on Form S-1).

5.1*     Opinion of Baer Marks & Upham LLP as to the legality of the securities
         being registered hereby.

23.1*    Consent of Baer Marks & Upham LLP (included in Exhibit 5.1).

23.2*    Consent of Coopers & Lybrand L.L.P., independent accountants of the
         Company.

23.3*    Consent of BDO Seidman, LLP, independent accountants of Health
         Management, Inc.

24*      Power of Attorney (included on page II-4 of this Registration
         Statement).


- ------------------------
*Filed herewith


ITEM 17.  UNDERTAKINGS.

         The Company hereby undertakes:

         (1) To file, during any period in which offers or sales are being made,
a post-effective amendment to this Registration Statement to include any
material information with respect to the plan of distribution not previously
disclosed in this Registration Statement or any material change to such
information in this Registration Statement.

         (2) That, for the purpose of determining any liability under the
Securities Act, each such post-effective amendment shall be deemed to be a new
registration statement relating to the securities offered therein, and the
offering of such securities at that time shall be deemed to be the initial bona
fide offering thereof.

         (3) To remove from registration by means of a post-effective amendment
any of the securities being registered which remain unsold at the termination of
the offering.

         (4) That, for purposes of determining any liability under the
Securities Act, each filing of the Company's annual report pursuant to Section
13(a) or 15(d) of the Exchange Act which is incorporated by reference in this
Registration Statement shall be deemed to be a new registration statement
relating to the securities offered herein, and the offering of such securities
at that time shall be deemed to be the initial bona fide offering thereof.

         Insofar as indemnification for liabilities arising under the Securities
Act may be permitted to directors, officers and controlling persons of the
Company pursuant to the foregoing provisions, or otherwise, the Company has been
advised, that in the opinion of the Commission, such indemnification


                                      II-2
<PAGE>   38
is against public policy as expressed in the Securities Act and is, therefore,
unenforceable. In the event that a claim for indemnification against such
liabilities (other than the payment by the Company of expenses incurred or paid
by a director, officer or controlling person of the Company in the successful
defense of any action, suit or proceeding) is asserted by any director, officer
or controlling person in connection with the securities being registered, the
Company will, unless in the opinion of its counsel the matter has been settled
by controlling precedent, submit to a court of appropriate jurisdiction the
question whether such indemnification by it is against the public policy as
expressed in the Securities Act and will be governed by the final adjudication
of such issue.





                                      II-3
<PAGE>   39
                                   SIGNATURES


          Pursuant to the requirements of the Securities Act, the Registrant
certifies that it has reasonable grounds to believe that it meets all of the
requirements for filing on Form S-3 and has duly caused this Registration
Statement to be signed on its behalf by the undersigned, thereunto duly
authorized, in the Town of Clark, State of New Jersey, on the 20th day of June,
1997.

                          TRANSWORLD HEALTHCARE, INC.


                          By:  /s/ Timothy M. Aitken
                               -------------------------------------------------
                               Timothy M. Aitken
                               Chairman of the Board and Chief Executive Officer


                                POWER OF ATTORNEY

         KNOW ALL MEN BY THESE PRESENTS, that each director and officer whose
signature appears below constitutes and appoints Timothy M. Aitken, Robert W.
Fine and Wayne A. Palladino or either of them, as his true and lawful
attorney-in-fact and agent, with full powers of substitution and
re-substitution, for him in his name, place and stead, to sign in any and all
capacities any and all amendments (including post-effective amendments) to this
Registration Statement on Form S-3 and to file the same, with all exhibits
thereto and other documents in connection therewith, with the Commission,
granting unto such attorneys-in-fact and agents, and each of them, full power
and authority to do and perform each and every act and thing requisite and
necessary to be done, as fully to all intents and purposes as he might or could
do in person, hereby ratifying and confirming all that such attorneys-in-fact
and agents, or any of them, may lawfully do or cause to be done by virtue
hereof.

         Pursuant to the requirements of the Securities Act, this Registration
Statement has been signed by the following persons in the capacities designated
and on the 20th day of June, 1997.

        Signature                               Title

/s/  Timothy M. Aitken                Chairman of the Board and Chief
- --------------------------            Executive Officer (Principal
     Timothy M. Aitken                Executive Officer)


/s/  Robert W. Fine                   President, Chief Operating Officer
- --------------------------            and Director
     Robert W. Fine

/s/  Scott A. Shay                    Director
- --------------------------
     Scott A. Shay

/s/  Wayne A. Palladino               Senior Vice President and Chief
- --------------------------            Financial Officer (Principal Financial
     Wayne A. Palladino               and Accounting Officer)


/s/  Richard A. Yoken                 Director
- --------------------------
     Richard A. Yoken



                                      II-4
<PAGE>   40
                          INDEX TO EXHIBITS FILED WITH
                         FORM S-3 REGISTRATION STATEMENT


<TABLE>
<CAPTION>
EXHIBIT NUMBER      DESCRIPTION                               PAGE NUMBER
- --------------      -----------                               -----------
<S>                 <C>                                       <C>
  5.1               Opinion of Baer Marks & Upham LLP
                    as to the legality of the
                    securities being registered hereby.

  23.1              Consent of Baer Marks & Upham LLP
                    (included in Exhibit 5.1).

  23.2              Consent of Coopers & Lybrand
                    L.L.P., independent accountants of
                    the Company.

  23.3              Consent of BDO Seidman, LLP,
                    independent accountants of Health
                    Management, Inc.

  24                Power of Attorney (included on page
                    II-4 of this Registration
                    Statement).
</TABLE>

<PAGE>   1
                                                             Exhibit 5.1
                                                        



                                                    June 20, 1997



Transworld HealthCare, Inc.
75 Terminal Avenue
Clark, New Jersey  07066

         Re:   Registration Statement on Form S-3

Gentlemen:

         We have acted as your counsel in connection with the offering of up to
1,100,000 Common Shares, par value $.01 per share issuable upon exercise of
public warrants (the "Warrant Shares"), of Transworld HealthCare, Inc. (the
"Company"), pursuant to a Registration Statement on Form S-3 (the "Registration
Statement") under the Securities Act of 1933, as amended (the "Securities Act").

         In connection with the foregoing, we have examined originals or copies,
satisfactory to us, of all such corporate records and of all such agreements,
certificates and other documents as we have deemed relevant and necessary as a
basis for the opinion hereinafter expressed. In such examination, we have
assumed the genuineness of all signatures, the authenticity of all documents
submitted to us as originals and the conformity with the original documents of
all documents submitted to us as copies. As to any facts material to such
opinion, we have relied on certificates of public officials and certificates of
officers or other representatives of the Company.

         Based upon the foregoing, and subject to the qualifications and
limitations contained herein, we are of the opinion that the Warrant Shares,
when issued, delivered and paid for in accordance with the terms of the public
warrants will be validly issued, fully paid and non-assessable.

         We are members of the Bar of the State of New York and are not licensed
or admitted to practice law in any other jurisdiction. Accordingly, we express
no opinion with respect to the laws of any jurisdiction other than the State of
New York. We note that Leslie J. Levinson, a member of this firm, is the
Secretary of the Company.
<PAGE>   2
Transworld Home HealthCare, Inc.
June 20, 1997
Page 2

         Our opinion and the matters expressed herein are as of the date hereof
and we assume no obligation to advise you of any change in any matter set forth
herein after the date hereof.

         We hereby consent to the use of this opinion as an exhibit to the
Registration Statement and to the use of our name under the caption "Legal
Matters" in the Prospectus forming part of the Registration Statement. In giving
such consent, we do not thereby concede that we are in the category of persons
whose consent is required under Section 7 of the Securities Act, or the rules
and regulations thereunder, or that we are "experts" within the meaning of the
Securities Act or such rules and regulations.

                                                 Very truly yours,



                                                 Baer Marks & Upham LLP

<PAGE>   1

                                                                    EXHIBIT 23.2

                       CONSENT OF INDEPENDENT ACCOUNTANTS



We consent to the incorporation by reference in this registration statement of
Transworld HealthCare, Inc. (formerly, Transworld Home Health Care Inc.) on Form
S-3 relating to 1,100,000 shares of Common Stock Underlying Public Warrants
(File No. xxxxxx), of our report dated December 20, 1996, except as to the
information presented in the last five paragraphs in Note 12, for which the date
is January 14, 1997 on our audits of the consolidated financial statements and
financial statement schedule as of October 31, 1996 and 1995, and for each of
the three years in the period ended October 31, 1996, which report is included
in Transworld Home HealthCare, Inc.'s 1996 Annual Report on Form 10-K, which is
incorporated by reference in this Form S-3. Our report on such audits contains
an explanatory paragraph related to the adoption of the provision of the
Financial Accounting Standards Board's Statement of Financial Accounting
Standards No. 109 "Accounting for Income Taxes," in fiscal 1994. We also consent
to the reference to our firm under the caption "Experts".


                                                /s/ Coopers & Lybrand L.L.P.

New York, New York                              Coopers & Lybrand L.L.P.  
June 20, 1997

<PAGE>   1
                                                            Exhibit 23.3



                             CONSENT OF INDEPENDENT
                          CERTIFIED PUBLIC ACCOUNTANTS





Transworld Healthcare, Inc.
Clark, New Jersey


We hereby consent to the incorporation by reference in the Prospectus
constituting a part of this Registration Statement of our reports dated July
22, 1996, except for Note 4(a) which is as of July 26, 1996, relating to the
consolidated financial statements and schedules of Health Management, Inc.
("HMI") (which contains an explanatory paragraph regarding HMI's ability to
continue as a going concern) appearing in the Company's Annual Report on Form
10-K for the year ended April 30, 1996.

We also consent to the reference to us under the caption "Experts" in the 
Prospectus.



/s/ BDO Seidman, LLP

BDO Seidman, LLP

Mitchel Field, New York
June 19, 1997



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