TRANSWORLD HEALTHCARE INC
11-K, 1998-05-07
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<PAGE>

                       SECURITIES AND EXCHANGE COMMISSION
                              WASHINGTON, DC 20549

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

                                   FORM 11-K

                                 ANNUAL REPORT
                        PURSUANT TO SECTION 15(D) OF THE

                        SECURITIES EXCHANGE ACT OF 1934

(Mark One):

|X|  ANNUAL REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE
ACT OF 1934 [NO FEE REQUIRED, EFFECTIVE OCTOBER 7, 1996].
For the fiscal year ended                    December 31, 1997

                                                        OR

|_|  TRANSITION REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934 [NO FEE REQUIRED].
For the transition period from                                      to

Commission File number:  1-11570

         A.  Full title of the plan and the address of the plan, if different 
from that of the issuer named below:  Transworld Healthcare, Inc. 401(k) Profit
Sharing Plan

         B. Name of issuer of the securities held pursuant to the plan and the
address of its principal executive office: Transworld Healthcare, Inc.
                                           555 Madison Avenue
                                           New York, New York 10022

<PAGE>


                              REQUIRED INFORMATION

         The following financial statements for the Transworld Healthcare, Inc.
401(k) Profit Sharing Plan (the "Plan") are located beginning on page F-i of
this Annual Report on Form 11-K:

         1.       The Plan's Audited Statements of Net Assets Available for
                  Plan Benefits with Fund Information at December 31, 1997 and
                  1996

         2.       The Plan's Audited Statement of Changes in Net Assets
                  Available for Plan Benefits with Fund Information for the
                  Year Ended December 31, 1997.

                                    EXHIBITS

         The exhibits listed below are filed as part of this Annual Report on
Form 11-K:

Exhibit Number                Title

 23.1*           Consent of Coopers and Lybrand L.L.P, independent accountants
                 of the Plan.



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





                                      -2-
<PAGE>


                                   SIGNATURES

         Pursuant to the requirements of the Securities Exchange Act of 1934,
the trustees have duly caused this annual report to be signed on its behalf by
the undersigned hereunto duly authorized.

                                            TRANSWORLD HEALTHCARE, INC.
                                            401(k) PROFIT SHARING PLAN

Dated: May 4, 1998                          /s/  WAYNE A. PALLADINO
                                            -----------------------
                                            Wayne A. Palladino, Trustee

                                            /s/  GREGORY E. MARSELLA
                                            ----------------------------
                                            Gregory E. Marsella, Trustee




                                      -3-


<PAGE>


TRANSWORLD HEALTHCARE, INC.
401(K) PROFIT SHARING PLAN


INDEX

                                                                 PAGE

Report of Independent Accountants                                1-2

Financial Statements:
   Statements of Net Assets Available for Plan Benefits
     with Fund Information at December 31, 1997 and 1996           3

   Statement of Changes in Net Assets Available for
     Plan Benefits with Fund Information for the Year
     Ended December 31, 1997                                       4

   Notes to the Financial Statements                            5-11

Supplemental Schedules:
   Item 27a-Schedule of Assets Held for Investment
     Purposes at December 31, 1997                                12

   Item 27d-Schedule of Reportable Transactions
     for the Year Ended December 31, 1997                         13


















                                      F-i


<PAGE>


REPORT OF INDEPENDENT ACCOUNTANTS



To the Board of Trustees of the
Transworld HealthCare, Inc.
401(k) Profit Sharing Plan:


We have audited the accompanying statements of net assets available for plan
benefits of the Transworld HealthCare, Inc. 401(k) Profit Sharing Plan (the
"Plan") as of December 31, 1997 and 1996, and the related statement of changes
in net assets available for plan benefits for the year ended December 31, 1997.
These financial statements are the responsibility of the Plan's management. Our
responsibility is to express an opinion on these financial statements based on
our audits.

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

In our opinion, the financial statements referred to above present fairly, in
all material respects, the net assets available for benefits of the Plan as of
December 31, 1997 and 1996 and the changes in net assets available for plan
benefits for the year ended December 31, 1997, in conformity with generally
accepted accounting principles.

Our audits were performed for the purpose of forming an opinion on the basic
financial statements taken as a whole. The supplemental schedules of assets
held for investment purposes and reportable transactions are presented for the
purpose of additional analysis and are not a required part of the basic
financial statements but are supplementary information required by the
Department of Labor's Rules and Regulations for Reporting and Disclosure under
the Employee Retirement Income Security Act of 1974. The Fund Information in
the statement of net assets available for Plan benefits and the statement of
changes in net assets available for Plan benefits are presented for purposes of
additional analysis rather than to present the net assets available for Plan
benefits and changes in net assets available for Plan benefits of each fund.
The supplemental schedules and Fund Information have been subjected to the
auditing procedures applied in the audits of the basic financial statements
and, in our opinion, are fairly stated in all material respects in relation to
the basic financial statements taken as a whole.

                                      F-1
<PAGE>

The supplemental schedule of assets held for investment purposes that
accompanies the Plan's financial statements does not disclose the historical
cost of certain Plan assets held by the Plan's custodian. Disclosure of this
information is required by the Department of Labor's Rules and Regulations for
Reporting and Disclosure under the Employee Retirement Income Security Act of
1974.





New York, New York
April 7, 1998






























                                      F-2


<PAGE>


TRANSWORLD HEALTHCARE, INC.
401(K) PROFIT SHARING PLAN

Statements of Net Assets Available for Plan Benefits with Fund Information
at December 31, 1997 and 1996.


<TABLE>
<CAPTION>
                                                                           1997
                                 ------------------------------------------------------------------------------------
                                 GROWTH
                                  AND     AGGRESSIVE           CURRENT   COMMON STOCK    MONEY
                                 INCOME    GROWTH     GROWTH    INCOME   OF TRANSWORLD   MARKET  PARTICIPANT
                                  FUND      FUND       FUND      FUND   HEALTHCARE, INC   FUND      NOTES       TOTAL
                                 -------- ---------- --------- --------- -------------- -------- ----------   ---------
<S>                              <C>      <C>        <C>       <C>        <C>           <C>       <C>         <C>      
Investments, at fair value:                          
   Mutual funds                  $75,754   $223,214  $180,718   $21,190                                        $500,876
   Common stock of                                                                                           
     Transworld HealthCare, Inc.                                            $36,694                              36,694
   Money market                                                                         $25,484                  25,484
                                 -------- ---------- --------- --------- -------------- -------- ----------   ---------
Total investments                 75,754    223,214   180,718    21,190      36,694      25,484                 563,054
                                 -------- ---------- --------- --------- -------------- -------- ----------   ---------
Receivables:                                                                                                   
   Employer contribution                                                     26,883                              26,883
   Participants'                                                                                               
     contributions                 1,125      3,663     2,541       386                                           7,715
                                 -------- ---------- --------- --------- -------------- --------- ---------   ---------
Total receivables                  1,125      3,663     2,541       386      26,883                              34,598
                                                                                                               
                                 -------- ---------- --------- --------- -------------- --------- ---------   ---------
Participant notes receivable                                                                        $52,494      52,494
                                                                                                               
Transfers                          3,873      7,050     8,306    (1,550)       (509)      (17,170)             
                                 -------- ---------- --------- --------- --------------- --------- --------   ---------
Net assets available                                                                                           
   for Plan benefits             $80,752   $233,927  $191,565   $20,026     $63,068        $8,314   $52,494    $650,146
                                 ======== ========== ========= ========= =============== ========= ========   =========
                                                                                                               
                                                                                                               
                                                                         1996                                  
                                 ------------------------------------------------------------------------------------
                                 GROWTH
                                   AND    AGGRESSIVE           CURRENT   COMMON STOCK    MONEY
                                 INCOME    GROWTH     GROWTH    INCOME   OF TRANSWORLD   MARKET   PARTICIPANT
                                  FUND      FUND       FUND      FUND   HEALTHCARE, INC.  FUND      NOTES       TOTAL
                                 -------- ---------- --------- --------- -------------- -------- ----------   ---------
<S>                              <C>      <C>        <C>       <C>        <C>           <C>       <C>         <C>      
Investments, at fair value: 
   Mutual funds                  $146,172  $248,676  $258,502   $75,721                                        $729,071
   Common stock of                                                                                          
     Transworld HealthCare, Inc.                                            $29,439                              29,439
   Money market                                                                         $29,098                  29,098
                                 -------- ---------- --------- --------- -------------- -------- ----------   ---------
Total investments                146,172    248,676   258,502    75,721      29,439      29,098                 787,608
                                 -------- ---------- --------- --------- -------------- -------- ----------   ---------
                                                                                                               
Receivables:                                                                                                   
   Employer contribution                                                     53,783                              53,783
   Participants'                                                                                              
     contributions                 1,757      4,044     3,362       117         373         195                   9,848
                                 -------- ---------- --------- --------- -------------- -------- ----------   ---------
Total receivables                  1,757      4,044     3,362       117      54,156         195                  63,631
                                 -------- ---------- --------- --------- -------------- -------- ----------   ---------
                                                                                                               
Participant notes receivable                                                                        $8,808        8,808
                                                                                                               
Transfers                          2,966      2,854     3,788       323      (1,743)     (8,188)              
                                 -------- ---------- --------- --------- -------------- -------- ----------   ---------
Net assets available                                                                                          
   for Plan benefits             $150,895  $255,574  $265,652   $76,161     $81,852     $21,105     $8,808     $860,047
                                 ======== ========== ========= ========= ============== ======== ==========   =========
                                                                                                              
</TABLE>                                                
                                                           



THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE FINANCIAL STATEMENTS.
                                  
                                      F-3

<PAGE>

TRANSWORLD HEALTHCARE, INC.
401(K) PROFIT SHARING PLAN

Statement of Changes in Net Assets Available for Plan Benefits with Fund 
Information for the Year Ended December 31, 1997

<TABLE>
<CAPTION>

                                                                        1997
                          -----------------------------------------------------------------------------------------------
                            GROWTH
                             AND       AGGRESSIVE             CURRENT   COMMON STOCK     MONEY
                            INCOME       GROWTH     GROWTH    INCOME    OF TRANSWORLD    MARKET  PARTICIPANT
                             FUND         FUND       FUND      FUND    HEALTHCARE, INC.  FUND      NOTES        TOTAL
                           ---------- ------------ --------- --------- ---------------- ------- ------------ -----------
<S>                        <C>        <C>          <C>       <C>        <C>             <C>     <C>          <C>      
ADDITIONS TO NET ASSETS
   ATTRIBUTED TO:
     Contributions:
        Participants          $49,054     $142,748  $115,752   $12,766       $13,515     $6,020               $339,855
        Employer, net                                                         26,883                            26,883

     Dividend and interest
        income                  9,884                 11,839     4,198                    2,006     $2,119      30,046

     Net appreciation
       (depreciation) in
       fair value of       
       investments             30,572       37,826    38,503       363       (22,666)                           84,598
                           ----------- ------------ -------- ---------- -------------   ------- ---------- -----------
        Total additions        89,510      180,574   166,094    17,327        17,732      8,026      2,119     481,382
                           ----------- ------------ -------- ---------- -------------   ------- ---------- -----------
DEDUCTIONS FROM NET 
ASSETS ATTRIBUTED TO:
     Benefits paid to
        participants         (152,188)    (192,252) (230,702)  (63,293)     (35,319)    (17,529)              (691,283)
                           ------------ ----------- --------- --------- -------------   ------- ---------- -----------
     Total deductions        (152,188)    (192,252) (230,702)  (63,293)     (35,319)    (17,529)              (691,283)
                           ------------ ----------- --------- --------- -------------   ------- ---------- -----------

Net (decrease) increase
  prior to interfund 
  transfers                   (62,678)     (11,678)  (64,608)  (45,966)     (17,587)     (9,503)     2,119    (209,901)

Interfund transfers
                               (7,465)      (9,969)   (9,479)  (10,169)      (1,197)     (3,288)    41,567
                           ------------ ----------- --------- --------- -------------   ------- ---------- -----------

Net (decrease) increase
  in net assets available
  for plan benefits           (70,143)     (21,647)  (74,087)   (56,135)    (18,784)    (12,791)    43,686    (209,901)
                   
Net assets available for
   plan benefits
   beginning of year          150,895      255,574   265,652     76,161      81,852      21,105      8,808     860,047
                           ------------ ----------- --------- --------- -------------   ------- ---------- -----------

Net assets available for
   plan benefits
   end of year                $80,752     $233,927  $191,565    $20,026     $63,068      $8,314    $52,494    $650,146
                           ============ =========== ========= ========= =============   ======= =========== ===========
</TABLE>


THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE FINANCIAL STATEMENTS.




                                      F-4


<PAGE>

TRANSWORLD HEALTHCARE, INC.
401(K) PROFIT SHARING PLAN

NOTES TO THE FINANCIAL STATEMENTS


1.       PLAN DESCRIPTION:

         GENERAL

         The  Transworld  HealthCare,  Inc.  401(k)  Profit  Sharing Plan (the
         "Plan") is a defined contribution plan covering all employees of
         Transworld HealthCare, Inc. (the "Company") with more than one year
         of service of at least 1,000 hours and who have attained the age of
         21. The Plan is subject to the provisions of the Employee Retirement
         Income Security Act of 1974 ("ERISA").

         CONTRIBUTIONS

         The Plan operates as a Salary Reduction Plan. Each participant may
         enter into an agreement with the Company under which the Company will
         reduce the participant's salary by an agreed amount and contribute
         that amount to the Salary Reduction Plan. A participant may elect to
         contribute, in any plan year, from 1% to 15% of their compensation,
         not to exceed the maximum dollar amount allowable in any calendar
         year. The maximum allowable amount for 1997 was $9,500.

         The Company may make an additional matching contribution at its
         discretion. The Company's matching contribution is currently in the
         form of Transworld HealthCare, Inc. common stock. A participant must
         be employed on the last day of the plan year to be eligible to receive
         a matching contribution for that year.

         VESTING

         Participants are immediately vested in their contributions plus actual
         earnings thereon. Vesting in the Company's contribution portion of
         their accounts plus actual earnings thereon is based on years of
         continuous service. A participant is 100 percent vested after seven
         years of credited service. Forfeited nonvested accounts are used to
         reduce future employer contributions.

         INVESTMENT OPTIONS

         Upon enrollment in the Plan, each participant may direct employee
         contributions in 5% increments in any of six investment options.


                                      F-5
<PAGE>

TRANSWORLD HEALTHCARE, INC.
401(K) PROFIT SHARING PLAN

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

1.       PLAN DESCRIPTION (CONTINUED):

         GROWTH AND INCOME FUND - Funds are invested primarily in stocks of
         large-cap companies with a history of stable and improving earnings
         and generally increasing dividend payments.

         AGGRESSIVE GROWTH FUND - Funds are invested in aggressive capital
         growth companies that have demonstrated superior earnings growth.

         GROWTH FUND - Funds are invested primarily in stocks of companies that
         are undervalued relative to the stock market as a whole.

         CURRENT INCOME FUND - Funds are invested to provide high monthly
         income, while maintaining relative stability of principal by investing
         only in U.S. treasuries with maturities of three years or less.

         COMMON STOCK OF TRANSWORLD HEALTHCARE,  INC. - Funds are invested in
         the common stock of Transworld HealthCare, Inc., which is publicly
         traded on the NASDAQ market.

         MONEY MARKET FUND - Funds are invested in money market accounts where
         they can remain or be transferred out to purchase investments in the
         above mentioned funds and/or common stock.

         At the beginning of each quarter, each participant may, upon written
         request, transfer a balance or change investment elections.

         PARTICIPANT NOTES RECEIVABLE

         Each participant may borrow money from their fund accounts from a
         minimum of $1,000 up to a maximum equal to the lesser of $50,000
         reduced by the participant's highest outstanding loan balance during
         the twelve month period ending the day before the date of the loan, or
         50% of the participant's vested interest in the Plan. Loans bear
         interest at a rate commensurate with local prevailing rates. Loan
         principal and interest may not extend beyond five years except in the
         case of purchasing a primary residence, which can extend to a maximum
         of thirty years. Loans must be amortized in substantially level
         payments with payment to be made not less frequently than quarterly.




                                      F-6


<PAGE>



TRANSWORLD HEALTHCARE, INC.
401(K) PROFIT SHARING PLAN

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)


1.       PLAN DESCRIPTION (CONTINUED):

         PAYMENT OF BENEFITS

         Upon termination of service due to death, disability, termination or
         retirement, a participant may elect to receive the payment of benefits
         in three different methods. A participant may receive a lump sum
         amount equal to the value of the participant's vested interest in
         his/her account. A participant may receive a partial distribution or
         periodic payment that may not extend beyond his/her life expectancy
         or, if the participant is married, the joint life expectancy of the
         participant and spouse. Finally, a participant may receive
         substantially equal installments spread over not more than the
         participants life expectancy or, if named, the joint life expectancy
         of the participant or spouse. In no event shall any benefit be paid in
         the form of an annuity.

         FORFEITED ACCOUNTS

         As of December 31, 1997, forfeited nonvested accounts totaled $5,273. 
         These accounts will be used to reduce future employer contributions.

         The aforementioned description of the Plan is provided for general
         informational purposes only. Plan participants should refer to the
         Plan document for further detailed Plan information.


2.       SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES:

         BASIS OF ACCOUNTING

         The financial statements of the Plan have been prepared on the accrual
         basis of accounting.

         INVESTMENT VALUATION

         Investments are held by Salomon Smith Barney, the Custodian of the
         Plan. Investments in common stock traded on a national securities
         exchange are valued at the last reported sales price on the last
         business day of the fiscal year. Investments in mutual funds are
         valued at quoted market prices which represent the net asset value of
         shares held by the Plan on the last business day of the fiscal year.

                                      F-7


<PAGE>



TRANSWORLD HEALTHCARE, INC.
401(K) PROFIT SHARING PLAN

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)


2.       SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED):


         Purchases and sales of investments are recorded on the trade date of
         the transactions. Dividend income is recorded on the ex-dividend date
         and reinvested into the respective fund. Income from other investments
         is recorded as earned on the accrual basis. The average cost basis is
         used in determining gain or loss on Plan investments sold.

         The Plan presents in the statement of changes in net assets available
         for plan benefits, the net appreciation or depreciation in the fair
         value of its investments which consists of the realized gains or
         losses and the unrealized appreciation or depreciation on those
         investments.

         BENEFIT PAYMENTS

         Benefits are recorded when paid.

         INCOME ALLOCATION

         Plan earnings are distributed periodically to participants' individual
         accounts based upon their relative average balances.

         ADMINISTRATIVE EXPENSES

         All expenses  associated with Plan administration are paid by the 
         Company. During 1997 administrative expenses incurred by the Company
         on behalf of the Plan amounted to $15,368.

         USE OF ESTIMATES

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





                                      F-8


<PAGE>


TRANSWORLD HEALTHCARE, INC.
401(K) PROFIT SHARING PLAN

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

2.       SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED):

         RISKS AND UNCERTAINTIES

         The plan provides for various investment fund options which may invest
         in any combination of stocks, fixed income securities, mutual funds,
         and other investment securities. Investment securities are exposed to
         various risks, such as interest rate, market and credit. Due to the
         level of risk associated with certain investment securities and the
         level of uncertainty related to changes in the value of investment
         securities, it is at least reasonably possible that changes in risks
         in the near term would materially affect participants' account
         balances and the amounts reported in the statement of net assets
         available for plan benefits and the statement of changes in net assets
         available for plan benefits.

3.       INVESTMENTS:

         Investments at fair value held by fund type are summarized as follows
at December 31, 1997:

<TABLE>
<CAPTION>

                                 GROWTH
                                   AND     AGGRESSIVE             CURRENT   COMMON STOCK    MONEY
                                 INCOME     GROWTH      GROWTH    INCOME    OF TRANSWORLD   MARKET
                                  FUND       FUND        FUND      FUND   HEALTHCARE, INC.   FUND       TOTAL
                               ---------  ----------  ---------  --------  --------------  --------   --------
<S>                            <C>        <C>          <C>       <C>        <C>            <C>        <C>      
AIM Charter Fund                 $75,754 *                                                             $75,754
AIM Constellation Fund                      $223,214 *                                                 223,214
AIM International Equity Fund                           $55,376 *                                       55,376
AIM Value Fund                                          125,342 *                                      125,342
AIM Limited Maturity         
  Treasury Shares                                                 $21,190                               21,190
Common Stock of              
  Transworld HealthCare, Inc.                                                   $36,694 *               36,694
Salomon Smith Barney         
  Money Funds                                                                               $25,484     25,484
                                =========  ==========  =========  ========  ==============  ========  ========
                                 $75,754    $223,214   $180,718   $21,190       $36,694     $25,484   $563,054
                                =========  ==========  =========  ========  ==============  ========  ========
</TABLE>

- ----------
*  The fair value of individual investments that represent 5% or more of net 
   assets available for Plan benefits.

         Investments at fair value held by fund type are summarized as follows
at December 31, 1996:

<TABLE>
<CAPTION>

                               GROWTH
                                 AND     AGGRESSIVE             CURRENT   COMMON STOCK     MONEY
                               INCOME     GROWTH      GROWTH    INCOME    OF TRANSWORLD    MARKET
                                FUND       FUND        FUND      FUND   HEALTHCARE, INC.    FUND      TOTAL
                              ---------  ----------  ---------  --------  --------------  --------  ---------
<S>                          <C>        <C>          <C>       <C>        <C>             <C>       <C>      
AIM Charter Fund              $146,172 *                                                            $146,172
AIM Constellation Fund                    $248,676 *                                                 248,676
AIM International Equity    
  Fund                                                $84,028 *                                       84,028
AIM Value Fund                                        174,474 *                                      174,474
AIM Limited Maturity        
  Treasury Shares                                               $75,721 *                             75,721
Common Stock of             
  Transworld HealthCare, Inc.                                                   $29,439               29,439      
Salomon Smith Barney        
  Money Funds                                                                              $29,098    29,098
                              ---------  ----------  ---------  --------  --------------  --------  ---------
                              $146,172    $248,676   $258,502   $75,721         $29,439    $29,098  $787,608
                              =========  ==========  =========  ========  ==============  ========  =========
</TABLE>

- ----------
*  The fair value of individual investments that represent 5% or more of net 
   assets available for Plan benefits.

                                      F-9


<PAGE>


TRANSWORLD HEALTHCARE, INC.
401(K) PROFIT SHARING PLAN

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

4.       RELATED PARTY TRANSACTIONS:

         Certain Plan investments are shares of money market funds managed by
         Salomon Smith Barney. Salomon Smith Barney is the custodian and
         investment manager as defined by the Plan and, therefore, these
         transactions qualify as party-in-interest.

         During 1997, the Company  contributed  6,304 shares of common stock  
         (representing  a  contribution  dollar amount of $53,783) to the Plan 
         to fund the employer match.

5.       TAX STATUS:

         The Plan is qualified under Section 401(a) of the Internal Revenue
         Code, and, accordingly, the Plan is exempt from income taxes.

         The Plan obtained its latest determination letter dated January 2,
         1997 in which the Internal Revenue Service stated that the Plan, as
         then designed, was in compliance with the applicable requirements of
         the Internal Revenue Code.

6.       TERMINATION PRIORITIES:

         Although it has not expressed any interest to do so, the Company has
         the right under the Plan to discontinue its contributions at any time
         and to terminate the Plan subject to the provisions of ERISA. In the
         event the Plan is terminated, participants will become 100 percent
         vested in their accounts.

7.       RECONCILIATION OF FINANCIAL STATEMENTS TO FORM 5500:

         The following is a reconciliation of net assets available for plan
         benefits per the financial statements to the Form 5500:

<TABLE>
<CAPTION>

 
                                                                      1997             1996
                                                                 --------------   ---------------
          <S>                                                    <C>              <C>   

          Net assets available for plan benefits
             per the financial statements                           $650,146          $860,047

          Amounts allocated to withdrawing participants              (46,669)              (35)

          Net assets available for plan benefits
                                                                 ==============   ===============
             per the Form 5500                                      $603,477          $860,012
                                                                 ==============   ===============
</TABLE>





                                      F-10


<PAGE>
TRANSWORLD HEALTHCARE, INC.
401(K) PROFIT SHARING PLAN

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)

7.       RECONCILIATION OF FINANCIAL STATEMENTS TO FORM 5500(CONTINUED):

         The following as a reconciliation of benefits paid to participants per
         the financial statements to the Form 5500:
                                                                     1997
                                                                ---------------
          Benefits paid to participants per the
             financial statements                                  $691,283

          Add:  Amounts allocated to withdrawing 
             participants at December 31, 1997                       46,669

          Less:  Amounts allocated to withdrawing                       
             participants at December 31, 1996                          (35)
                                                                ===============
          Benefits paid to participants per the Form 5500          $737,917
                                                                ===============


















                                      F-11


<PAGE>


TRANSWORLD HEALTHCARE, INC.
401(K) PROFIT SHARING PLAN

ITEM 27A - SCHEDULE OF ASSETS HELD FOR INVESTMENT PURPOSES AT
DECEMBER 31, 1997

<TABLE>
<CAPTION>

    FACE VALUE/
      # SHARES                                                                         FAIR
       UNITS                                                            COST          VALUE
- ---------------------                                                ------------   -----------
<S>                                                                  <C>            <C>
MUTUAL FUNDS
- ------------

     6,153.897       * AIM Charter Fund                                           $     75,754
     8,461.480       * AIM Constellation Fund                                          223,214
     3,315.911       * AIM International Equity Fund                                    55,376
     3,866.184       * AIM Value Fund                                                  125,342
     2,104.278       * AIM Limited Maturity Treasury Shares                             21,190
                                                                                    -----------

                       TOTAL MUTUAL FUNDS                                              500,876
                                                                                    -----------

COMMON STOCKS
- -------------

       5,242         * Transworld HealthCare, Inc.                                      36,694
                                                                                    -----------

                       TOTAL COMMON STOCKS                                              36,694
                                                                                    -----------

MONEY MARKET FUNDS
- ------------------

      25,484         * Salomon Smith Barney Money Funds, Inc. CLA    $    25,484        25,484
                                                                     ------------   -----------

                       TOTAL MONEY FUNDS                                  25,484        25,484
                                                                     ------------   -----------

PARTICIPANT NOTES RECEIVABLE
- ----------------------------

                       Participant Notes Receivable                       52,494        52,494
                                                                     ------------   -----------

                       TOTAL PARTICIPANT NOTES RECEIVABLE                 52,494        52,494
                                                                     ------------   -----------

                       TOTAL INVESTMENTS                                            $  615,548
                                                                                    ===========
</TABLE>

- -------------
*-Party-in-interest


The Custodian is not able to provide the Plan with historical cost information
pertaining to certain Plan investments. As a result, the supplemental schedule
of assets held for investment purposes excludes the historical cost of the
Plan's investments.







                                      F-12


<PAGE>


TRANSWORLD HEALTHCARE, INC.
401(K) PROFIT SHARING PLAN

ITEM 27D - SCHEDULE OF REPORTABLE TRANSACTIONS
FOR THE YEAR ENDED DECEMBER 31, 1997

<TABLE>
<CAPTION>

   (a)              (b)                (c)         (d)      (e)          (f)          (g)           (h)          (i)

                                                                            Expense                 Current value
Indentity                                                                  incurred                  of asset on
of party                                Purchase    Selling    Lease         with       Cost of      transaction     Net  
involved   Description of asset          price       price     rental     transaction    asset          date         gain
- --------------------------------------------------------------------------------------------------------------------------
<S>        <C>                          <C>          <C>       <C>       <C>             <C>          <C>            <C>
                                        
*         AIM Value Fund                
           Purchases                     $ 93,782   $   --     $   --     $    --     $ 93,782         $ 93,782   $   --
           Sales                             --      162,162       --          --      132,561          162,162     29,601
                                                                                                     
*         AIM Charter Fund                                                                           
           Purchases                       69,728       --         --          --       69,728           69,728       --
           Sales                             --      170,016       --          --      138,693          170,016     31,323
                                                                                                     
*         AIM Constellation Fund                                                                     
           Purchases                      172,527       --         --          --      172,527          172,527       --
           Sales                             --      213,487       --          --      186,648          213,487     26,839
                                                                                                     
*         AIM Limited Maturity                                                                       
           Fund Purchases                    --         --         --          --         --               --         --
           Sales                             --       73,811       --          --       73,352           73,811        459
                                                                                                     
*         AIM International Equity Fund
           Purchases                       54,512       --         --          --       54,512           54,512       --
           Sales                             --       85,478       --          --       76,897           85,478      8,581
                                                                                                     
*         Transworld HealthCare, Inc.                                                                
          Common Stock Fund                                                                          
           Purchases                       65,090       --         --          --       65,090           65,090       --
           Sales                             --         --         --          --         --               --         --

</TABLE>

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

           *-Party-in-interest



                                      F-13




<PAGE>


                         CONSENT OF INDEPENDENT ACCOUNTANTS

     We consent to the incorporation by reference in the registration
statement of Transworld Healthcare Inc. 401(k) Profit Sharing Plan on 
Form S-8 (File No. 333-49385) of our report dated April 7, 1998, on our audits
of the financial statements and supplemental schedules of Transworld 
Healthcare Inc. 401(k) Profit Sharing Plan as of December 31, 1997 and
1996 and for the year ended December 31, 1997, which report is included
in this Form 11-K.


                                    COOPERS & LYBRAND L.L.P.


New York, New York
May 4, 1998










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