TRANSWORLD HEALTHCARE INC
10-Q, 2000-05-15
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<PAGE>

                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

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

                                    FORM 10-Q
               Quarterly Report Pursuant to Section 13 or 15(d) of
                       The Securities Exchange Act of 1934

                         FOR THE QUARTERLY PERIOD ENDED
                                 MARCH 31, 2000
                         COMMISSION FILE NUMBER 1-11570

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

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

            NEW YORK                                             13-3098275
(State or other jurisdiction of                               (I.R.S. Employer
 incorporation or organization)                              Identification No.)

                  555 MADISON AVENUE, NEW YORK, NEW YORK 10022
               (Address of principal executive offices) (Zip Code)

       Registrant's telephone number, including area code: (212) 750-0064

Indicate by check mark whether the Registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter period that the Registrant was
required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days.

                                 YES [X] NO [ ]

Indicate the number of shares outstanding of each of the issuer's classes of
common stock, as of the latest practicable date.

    Class                                            Outstanding at May 10, 2000
Common Stock                                               17,551,076 Shares


<PAGE>


                           TRANSWORLD HEALTHCARE, INC.

                       SECOND QUARTER REPORT ON FORM 10-Q
                                TABLE OF CONTENTS
                                -----------------

                                     PART I

Item 1. Financial Statements (Unaudited).......................................3

        Condensed Consolidated Balance Sheets - March 31, 2000 and
          September 30, 1999...................................................4

        Condensed Consolidated Statement of Operations - For the Three and
          Six Months Ended March 31, 2000 and March 31, 1999...................5

        Condensed Consolidated Statement of Cash Flows - For the Six Months
          Ended March 31, 2000 and March 31, 1999..............................6

        Notes to Condensed Consolidated Financial Statements...................7

Item 2. Management's Discussion and Analysis of Financial Condition
          and Results of Operations...........................................18

Item 3. Quantitative and Qualitative Disclosures about Market Risk............32

                                     PART II

Item 6. Exhibits and Reports on Form 8-K......................................33

The Private Securities Litigation Reform Act of 1995 provides a "safe harbor"
for forward-looking statements. This Quarterly Report 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 Quarterly Report 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.

                                     Page 2
<PAGE>

                                     PART I

ITEM 1.  FINANCIAL STATEMENTS (UNAUDITED).

The consolidated financial statements of Transworld Healthcare, Inc. (the
"Company") begin on page 4.

                                     Page 3
<PAGE>

TRANSWORLD HEALTHCARE, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS, EXCEPT PER SHARE DATA)
(UNAUDITED)

<TABLE>
<CAPTION>
                                                           MARCH 31,       SEPTEMBER 30,
                                                             2000              1999
                                                          -----------       ----------
                            ASSETS

Current assets:
<S>                                                       <C>               <C>
  Cash and cash equivalents                               $    40,551       $    5,158
  Accounts receivable, less allowance for doubtful
    accounts of $18,949 and $19,870, respectively              29,251           30,814
  Inventories                                                   2,835            2,929
  Deferred income taxes                                         7,883            6,930
  Prepaid expenses and other assets                             5,359            4,735
                                                          -----------       ----------

         Total current assets                                  85,879           50,566

Property and equipment, net                                     9,540            9,929
Intangible assets, net of accumulated amortization of
    $11,467 and $9,798, respectively                          102,589          103,248
Deferred income taxes                                           6,173            6,173
Other assets                                                    5,767            2,205
                                                          -----------       ----------

         Total assets                                     $   209,948       $  172,121
                                                          ===========       ==========

             LIABILITIES AND STOCKHOLDERS' EQUITY

Current liabilities:
  Current portion of long-term debt                       $     4,157       $    1,364
  Accounts payable                                              4,885            5,058
  Accrued expenses                                             13,541           14,899
  Income taxes payable                                          4,131            3,240
                                                          -----------       ----------

         Total current liabilities                             26,714           24,561

Long-term debt                                                 55,690           54,407
Notes payable                                                  35,568
Deferred income taxes and other                                 1,904            1,879
                                                          -----------       ----------

         Total liabilities                                    119,876           80,847
                                                          -----------       ----------

Commitments and contingencies (Note 7)

Stockholders' equity:
  Preferred stock, $.01 par value; authorized
    2,000 shares, issued and outstanding - none
  Common stock, $.01 par value; authorized
    40,000 shares, issued and outstanding 17,551                  176              176
  Additional paid-in capital                                  128,070          125,526
  Accumulated other comprehensive loss                         (3,340)            (405)
  Retained deficit                                            (34,834)         (34,023)
                                                          -----------       ----------

         Total stockholders' equity                            90,072           91,274
                                                          -----------       ----------

         Total liabilities and stockholders' equity       $   209,948       $  172,121
                                                          ===========       ==========
</TABLE>

See notes to condensed consolidated financial statements.

                                     Page 4

<PAGE>

TRANSWORLD HEALTHCARE, INC.
CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS
(IN THOUSANDS, EXCEPT PER SHARE DATA)
(UNAUDITED)

<TABLE>
<CAPTION>
                                                                          THREE MONTHS ENDED           SIX MONTHS ENDED
                                                                       ------------------------     -----------------------
                                                                       MARCH 31,      MARCH 31,     MARCH 31,     MARCH 31,
                                                                          2000          1999          2000          1999
                                                                        -------       -------       -------       -------
<S>                                                                     <C>           <C>           <C>           <C>
Revenues:
    Net patient services                                                $23,371       $20,021       $23,371       $37,926
    Net respiratory, medical equipment and supplies sales                14,359        16,654        22,997        36,380
    Net infusion services                                                 2,978         2,276         5,775         4,699
                                                                        -------       -------       -------       -------
          Total revenues                                                 40,708        38,951        52,143        79,005
                                                                        -------       -------       -------       -------
Cost of revenues:
    Patient services                                                     15,720        13,541        15,720        26,006
    Respiratory, medical equipment and supplies sales                     8,434         9,808        12,530        20,634
    Infusion services                                                     2,106         1,871         4,177         3,688
                                                                        -------       -------       -------       -------
          Total cost of revenues                                         26,260        25,220        32,427        50,328
                                                                        -------       -------       -------       -------
          Gross profit                                                   14,448        13,731        19,716        28,677

Selling, general and administrative expenses                             12,960        13,356        19,092        26,959
                                                                        -------       -------       -------       -------
          Operating income                                                1,488           375           624         1,718

Interest income                                                            (558)          (73)         (599)         (142)
Interest expense                                                          1,778         1,328         2,956         2,729
                                                                        -------       -------       -------       -------
          Income (loss) before income taxes, equity
              income and extraordinary loss                                 268          (880)       (1,733)         (869)

Provision (benefit) for income taxes                                        167            74          (488)           81
Equity in income of and interest income earned
    from U.K. subsidiaries (Note 2)                                                                   1,193
                                                                        -------       -------       -------       -------

          Income (loss) before extraordinary loss                           101          (954)          (52)         (950)

Extraordinary loss on early extinguishment of debt
    (net of income tax benefit of $408)                                                                (759)
                                                                        -------       -------       -------       -------
          Net income (loss)                                             $   101       $  (954)      $  (811)      $  (950)
                                                                        =======      ========       =======       =======

Income (loss) per share of common stock before extraordinary loss:
        Basic                                                           $  0.01       $ (0.05)       $    -       $ (0.05)
                                                                        =======      ========       =======       =======
        Diluted                                                         $  0.01       $ (0.05)       $    -       $ (0.05)
                                                                        =======      ========       =======       =======

Net income (loss) per share of common stock:
        Basic                                                           $  0.01       $ (0.05)      $ (0.05)      $ (0.05)
                                                                        =======      ========       =======       =======
        Diluted                                                         $  0.01       $ (0.05)      $ (0.05)      $ (0.05)
                                                                        =======      ========       =======       =======

Weighted average number of common shares outstanding:
        Basic                                                            17,551        17,549        17,551        17,543
                                                                        =======      ========       =======       =======
        Diluted                                                          17,592        17,549        17,551        17,543
                                                                        =======      ========       =======       =======
</TABLE>

See notes to condensed consolidated financial statements.

                                     Page 5

<PAGE>

TRANSWORLD HEALTHCARE, INC.
CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS
(IN THOUSANDS)
(UNAUDITED)

<TABLE>
<CAPTION>
                                                                                  SIX MONTHS ENDED
                                                                             -------------------------
                                                                             MARCH 31,       MARCH 31,
                                                                               2000            1999
                                                                             ---------       ---------
<S>                                                                          <C>             <C>
Cash flows from operating activities:
    Net loss                                                                 $    (811)      $    (950)
    Adjustments to reconcile net loss to net cash
       (used in) provided by operating activities:
            Depreciation and amortization                                        1,984           2,857
            Amortization of debt discount, financing fees and issuance
             costs                                                                 416             556
            Provision for doubtful accounts                                      3,156           3,710
            Interest in kind                                                       144
            Deferred income taxes                                                 (953)
            Equity in income of U.K. subsidiaries                                 (411)
            Extraordinary loss on early extinguishment of debt                   1,167
    Changes in assets and liabilities excluding the effect of businesses
       acquired and sold:
            Increase in accounts receivable                                     (2,943)         (5,886)
            Decrease in inventories                                                546             432
            Decrease (increase) in prepaid expenses and other assets               182          (1,521)
            Increase in accounts payable and other liabilities                     259           3,519
                                                                             ---------       ---------

                Net cash provided by operating activities                        2,736           2,717
                                                                             ---------       ---------

Cash flows from investing activities:
    Capital expenditures                                                          (443)         (1,520)
    Notes receivable from U.K. subsidiaries - payments received                 58,983
    Advances to U.K. subsidiaries                                                 (304)
    Repayment of advances to U.K. subsidiaries                                   8,390
    Payments for acquisitions - net of cash acquired                              (502)         (2,560)
    Payments on acquisition payable                                                               (132)
    Other, net                                                                                      42
                                                                             ---------       ---------

                Net cash provided by (used in) investing activities             66,124          (4,170)
                                                                             ---------       ---------

Cash flows from financing activities:
    Proceeds from notes payable                                                  2,083
    Payments on long-term debt                                                 (55,761)            (64)
    Borrowing under revolving loan                                                 809
    Payments on revolving loan                                                  (5,307)         (1,500)
    Payments for financing fees and issuance costs                              (2,952)            (18)
    Stock options exercised                                                                         66
                                                                             ---------       ---------

                Net cash used in financing activities                          (61,128)         (1,516)
                                                                             ---------       ---------

Effect of exchange rate on cash                                                   (335)           (394)
Decrease in cash due to deconsolidation of U.K. subsidiaries                    (2,598)
Increase in cash due to reconsolidation of U.K. subsidiaries                    30,594
                                                                             ---------       ---------

Increase (decrease) in cash                                                     35,393          (3,363)

Cash and cash equivalents, beginning of period                                   5,158          10,413
                                                                             ---------       ---------

Cash and cash equivalents, end of period                                     $  40,551       $   7,050
                                                                             =========       =========

Supplemental cash flow information:
  Cash paid for interest                                                     $   2,718       $   2,090
                                                                             =========       =========

  Cash paid for income taxes, net                                            $     394       $     172
                                                                             =========       =========
</TABLE>

See notes to condensed consolidated financial statements.

                                     Page 6
<PAGE>

TRANSWORLD HEALTHCARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(IN THOUSANDS, EXCEPT PER SHARE DATA)
(UNAUDITED)

1.  BASIS OF PRESENTATION:

    Transworld Healthcare, Inc. (the "Company") is a provider of a broad range
    of health care services and products with operations in the United Kingdom
    ("U.K.") and the United States ("U.S."). The Company provides the following
    services and products: (i) patient services, including nursing and
    para-professional services; (ii) specialty mail-order pharmaceuticals,
    medical supplies, respiratory therapy and home medical equipment; and (iii)
    infusion therapy.

    The Condensed Consolidated Financial Statements presented herein are
    unaudited and include all adjustments (consisting of normal recurring
    adjustments) which are, in the opinion of management, necessary for a fair
    presentation of the financial position and results of operations of the
    interim period pursuant to the rules and regulations of the Securities and
    Exchange Commission (the "Commission"). Certain information and footnote
    disclosures normally included in financial statements prepared in accordance
    with accounting principles generally accepted in the U.S. have been
    condensed or omitted. These condensed financial statements should be read in
    conjunction with the Company's Form 10-K for the year ended September 30,
    1999.

2.  PRINCIPLES OF CONSOLIDATION:

    On December 20, 1999, the Company's U.K. subsidiaries obtained new financing
    (the "Refinancing") denominated in pounds sterling, which aggregated
    approximately $125,700 at December 31, 1999. Concurrent with the
    Refinancing, specifically relating to the senior subordinated notes (the
    "Notes"), the Company placed 100% of its ownership interest in Transworld
    Healthcare (UK) Limited ("TW UK") into a voting trust (the "Voting Trust").
    As a result of the establishment of the Voting Trust, the Company would
    initially own 100% of the outstanding voting certificates. The term of the
    Voting Trust is 20 years. The Voting Trust agreement stipulates that the
    composition of the board of directors of TW UK will consist of one person
    designated by the Company, one person appointed by the purchasers of the
    Notes, one representative of TW UK management (currently the Chairman and
    Chief Executive Officer of the Company) and two independent directors. The
    board of directors of TW UK will then vote on substantially all matters
    regarding its operations. G. Richard Green, a director of the Company, is
    the trustee of the Voting Trust.

    As a result of the provisions of the Voting Trust discussed above, the
    Company controlled only 50% of the board of directors and the holders of the
    Notes (the "Investors") have the right to approve or veto the annual budget
    and financial forecast of results of operations and sources and uses of cash
    and any material deviation from such approved budget. Since the Company did
    not hold a majority interest of the board of directors and the Investors
    held substantive rights, principally in the form of their ability to approve
    the annual budget and financial forecast of results of operations and
    sources and uses of cash, it was no longer able to consolidate the U.K.
    subsidiaries into its financial statements although it owns 100% of the
    outstanding shares of the stock of the parent company, Transworld Holdings
    (UK) Limited ("UK Parent"), as of December 31, 1999. Therefore, effective
    with the Refinancing, the Company began accounting for the investment in UK
    Parent and its subsidiaries under the equity method, retroactive to October
    1, 1999. Under the equity method of

                                     Page 7
<PAGE>

TRANSWORLD HEALTHCARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(IN THOUSANDS, EXCEPT PER SHARE DATA)
(UNAUDITED)

2.  PRINCIPLES OF CONSOLIDATION (CONTINUED):

    accounting, the investment is carried at the cost of the acquisition, plus
    additional investments made by the Company and the Company's undistributed
    income or losses of the investment less any amounts being distributed since
    acquisition. Reserves are provided where management determines that the
    investment or equity in earnings is not realizable.

    During the second quarter of fiscal 2000 UK Parent and TW UK have amended
    their Articles of Association to give the Chairman (a Company designee) the
    right to resolve any tie votes of the board of directors and certain
    documents covering the Notes were amended to eliminate the requirement that
    the Investors approve the operating budget. These amendments enabled the
    Company to consolidate the U.K. subsidiaries for the second quarter ended
    March 31, 2000.

    The table below presents pro forma condensed consolidated financial
    information of the Company for the six months ended March 31, 2000 for the
    statement of operations data as if the U.K. subsidiaries had been
    consolidated for the entire six months ended March 31, 2000.

    PRO FORMA CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS DATA
    -------------------------------------------------------------
    SIX MONTHS ENDED MARCH 31, 2000
    Net revenues                                                     $   80,990
    Gross profit                                                         28,709
    Operating income                                                      3,066
    Interest income                                                        (659)
    Interest expense                                                      3,172
    Provision for income taxes                                              605
    Net loss                                                               (811)

3.  EARNINGS PER SHARE:

    Basic earnings per share ("EPS") is computed using the weighted average
    number of common shares outstanding. Diluted EPS is computed using the
    weighted average number of common shares outstanding and dilutive stock
    options and warrants using the treasury stock method. For the six months
    ended March 31, 2000, the Company had an incremental weighted average of 20
    options and warrants which are not included in the diluted calculation as
    the effect of such inclusion would be antidilutive due to a net loss
    position. For the three and six months ended March 31, 1999, the Company had
    an incremental weighted average of 169 and 179, respectively, of options and
    warrants which are not included in the diluted calculation as the effect of
    such inclusion would be antidilutive due to a net loss position. At March
    31, 2000 and 1999, the Company had outstanding stock options and warrants to
    purchase 3,667 and 3,816 shares, respectively, of common stock ranging in
    price from $4.31 to $12.45 per share, for both periods, that were not
    included in the computation of diluted EPS because the exercise price was
    greater than the average market price of the common shares.

                                     Page 8
<PAGE>

TRANSWORLD HEALTHCARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(IN THOUSANDS, EXCEPT PER SHARE DATA)
(UNAUDITED)

3.  EARNINGS PER SHARE (CONTINUED):

    The weighted average number of shares used in the basic and diluted EPS
    computations for the three and six months ended March 31, 2000 and 1999 are
    as follows:

<TABLE>
<CAPTION>
                                                              THREE MONTHS ENDED      SIX MONTHS ENDED
                                                                  MARCH 31,              MARCH 31,
                                                             ---------------------  ---------------------
                                                                2000      1999         2000      1999
                                                               -------   -------      -------   -------
<S>                                                            <C>       <C>          <C>       <C>
    Weighted average number of common shares outstanding
      as used in computation of basic EPS of common stock      17,551    17,549       17,551    17,543
    Incremental shares of stock options and warrants,
      after application of treasury stock method                   41
                                                               -------   -------      -------   -------
    Shares used in computation of diluted EPS of common stock  17,592    17,549       17,551    17,543
                                                               =======   =======      =======   =======
</TABLE>

4.  COMPREHENSIVE LOSS:

    Components of comprehensive loss include net income (loss) and all other
    non-owner changes in equity, such as the change in the cumulative
    translation adjustment, unrealized gains and losses on investments available
    for sale and minimum pension liability. Currency translation is the only
    item of other comprehensive loss impacting the Company. The following table
    displays comprehensive loss for the three and six months ended March 31,
    2000 and 1999:

<TABLE>
<CAPTION>
                                                THREE MONTHS ENDED              SIX MONTHS ENDED
                                                     MARCH 31,                     MARCH 31,
                                            ----------------------------  -----------------------------
                                                2000           1999           2000           1999
                                            -------------  -------------  -------------  --------------
<S>                                              <C>        <C>             <C>            <C>
    Net income (loss)                         $  101        $   (954)       $   (811)      $   (950)

    Change in cumulative translation
      adjustment                                (474)         (3,232)         (2,935)        (5,451)
                                              -------       ---------      ---------       --------
    Comprehensive loss                        $ (373)       $ (4,186)       $ (3,746)      $ (6,401)
                                              =======       =========      =========       ========
</TABLE>

5.  DEBT:

    On December 20, 1999, the Company's U.K. subsidiaries obtained the
    Refinancing denominated in pounds sterling, which aggregates approximately
    $124,281 at March 31, 2000 as follows:

<TABLE>
<CAPTION>
                                                                                                       FINAL
      FACILITY                                           TOTAL     OUTSTANDING   INTEREST RATE       MATURITY
      ---------                                        ----------  ------------ -----------------  -------------
<S>                                                    <C>         <C>             <C>              <C>
      SENIOR CREDIT FACILITIES:
      Term loan                                        $  44,685   $    44,685     LIBOR + 2%       Dec. 17, 2005
      Acquisition loan                                    19,949         1,493     LIBOR + 2.75%    Dec. 17, 2006
      Working capital facility                             7,979                   LIBOR + 2%       Dec. 17, 2005
                                                       ----------  ------------
          Total senior credit facilities                  72,613        46,178
      MEZZANINE TERM LOAN                                 16,101        13,660 (1) LIBOR + 7%       Dec. 17, 2007
      NOTES WITH WARRANTS                                 35,567        35,567     9.375%           Dec. 17, 2008
                                                                   ------------
                                                       ==========
      TOTAL REFINANCING                                $ 124,281        95,405
                                                       ==========
          LESS, CURRENT MATURITIES                                       4,152
                                                                   ------------
                                                                   $    91,253
                                                                   ============
</TABLE>

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

      1) Net of unamortized discount of $2,441.

                                     Page 9
<PAGE>

TRANSWORLD HEALTHCARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(IN THOUSANDS, EXCEPT PER SHARE DATA)
(UNAUDITED)

5.  DEBT (CONTINUED):

    The mezzanine lenders and the Investors were also issued warrants to
    purchase approximately 2% and 27%, respectively, of the fully diluted shares
    of TW UK. The exercise price of the warrants issued to the Investors (the
    "Warrants") shall equal the entire principal amount of the Notes for all
    Warrants in the aggregate and must be paid through the tender of Notes to TW
    UK. The warrants issued to the mezzanine lenders (the "Mezzanine Warrants")
    are detachable and can be exercised at any time without condition for an
    aggregate exercise price of approximately $131. The fair value of the
    Mezzanine Warrants ($2,562) issued to the mezzanine lenders has been
    recorded as a discount to the mezzanine term loan and is being amortized
    over the term of the loan using the interest method.

    The Investors have the right, at their option, to require UK Parent to
    redeem all or any portion of the Notes under certain circumstances and in
    accordance with the terms of the documents covering the Notes. The
    redemption price of the Notes shall be equal to the principal amount of the
    Notes, plus all accrued and unpaid interest.

    The Investors will have the right, at their option, to require UK Parent to
    purchase all or any portion of the Warrants or the shares issued upon
    exercise of the Warrants (the "Warrant Shares") under certain circumstances
    and in accordance with the terms of the documents covering the Notes. The
    purchase price of the Warrants shall be equal to the difference, if a
    positive number, between (i) the fair market value of the Warrant Shares
    which the Investors have the right to acquire upon exercise of such Warrants
    and (ii) the exercise price of such Warrants. The purchase price of the
    Warrant Shares shall be equal to the fair market value of such Warrant
    Shares.

    Of the $124,281 net proceeds of the Refinancing, $55,755 was used to repay
    the Company's existing senior indebtedness (the "Credit Facility"), $11,617
    was provided to the Company for general corporate purposes in the U.S., with
    the balance to be used for acquisitions and working capital in the U.K.

    Repayment of the loans under the senior credit facilities commences on July
    30, 2000 and continues until final maturity. The acquisition loan may be
    drawn upon through December 17, 2002. As of March 31, 2000, borrowings under
    the senior credit facilities bore interest at a rate of 8.08% to 8.83%. The
    senior credit facilities contain restrictions, prohibitions and affirmative
    and negative financial covenants customarily found in agreements of these
    kind.

    The loans under the senior credit facilities are collateralized by, among
    other things, a lien on substantially all of TW UK's assets, a pledge of TW
    UK's ownership interest in its subsidiaries and guaranties by TW UK's
    subsidiaries.

    With respect to the mezzanine term loan interest, LIBOR + 3.5% will be
    payable in cash, with the remaining interest being added to the principal
    amount of the loan. The mezzanine term loan contains terms and conditions
    substantially similar to those contained in the senior credit facilities. As
    of March 31, 2000, borrowings under the mezzanine term loan bore interest at
    a rate of 13.08%.


                                    Page 10
<PAGE>

TRANSWORLD HEALTHCARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(IN THOUSANDS, EXCEPT PER SHARE DATA)
(UNAUDITED)

5.  DEBT (CONTINUED):

    Interest payments on the Notes are subject to restrictions contained in the
    senior credit facilities which require interest on the Notes to be paid
    in-kind through the issuance of additional notes for the first 18 months,
    with payment of interest in cash thereafter subject to meeting certain
    financial tests. The documents covering the Notes provide for customary
    rights for a transaction of this type, including: (i) pre-emptive rights
    with respect to new securities; (ii) rights of first refusal with respect to
    proposed transfers of shares of TW UK; (iii) drag-along rights; (iv)
    tag-along rights; (v) put and call provisions; and (vi) certain corporate
    actions which require the consent of the holder of the Notes.

    In connection with the repayment of the Credit Facility, the Company
    recorded a non-cash, after-tax, extraordinary charge of $759 during the six
    months ended March 31, 2000, related to the write-off of the deferred
    financing costs associated with the Credit Facility.

6.  STOCK INCENTIVE PLAN

    In January, 2000, TW UK adopted a management incentive plan (the "UK Plan").
    Under the UK Plan, a new class of redeemable shares (having a nominal value
    of 0.01p) in the capital of TW UK was created (the "Redeemable Shares").
    Pursuant to the UK Plan 9,800 Redeemable Shares are reserved for. Under the
    UK Plan the Redeemable shares may be issued at their nominal value and with
    an option price set by the board of TW UK (the "Initial Value"). On March 7,
    2000, 9,500 Redeemable Shares were issued with an Initial Value of 105p per
    share. The redemption rights attached to the Redeemable Shares are
    exercisable at any time during the period commencing on the date of a
    qualified public offering in the UK and ending 10 years from the date of
    issuance. The net effect of the exercise of redemption rights is that the
    holder acquires ordinary shares of TW UK at a price per ordinary share equal
    to the Initial Value. The Redeemable Shares do not carry any dividend or
    income rights and do not carry any right to vote at general meetings of TW
    UK. All terms associated with the shares are fixed and the market value of
    an ordinary share of TW UK was less than the Initial Value of 105p therefore
    no compensation expense is recognized.

7.  COMMITMENTS AND CONTINGENCIES:

    On August 20, 1999, Transworld Home HealthCare - Nursing Division, Inc.
    ("TNI") was named a defendant in a suit brought by Teresa Crutcher, in New
    Jersey state court, as administrator of the estate of Aaron Pernell, who was
    an infant and Teresa Crutcher's son. The claim is for wrongful death of
    Aaron Pernell alleged to have been caused by the negligent manner in which a
    TNI home care nurse placed him in an infant car seat. The case was settled
    on December 27, 1999 for $325 and was paid on December 29, 1999 by the
    Company's insurance carrier. Since this settlement was within the policy
    limits of the Company's insurance policies it did not have any effect on the
    Company's consolidated financial position, cash flows, or results of
    operations.

    On April 13, 1998, a shareholder of the Company, purporting to sue
    derivatively on behalf of the Company, commenced a derivative suit in the
    Supreme Court of the State of New York, County of


                                    Page 11

<PAGE>


    New York, entitled Kevin Mak, derivatively and on behalf of Transworld
    Healthcare, Inc., Plaintiff,



















                                    Page 12
<PAGE>

TRANSWORLD HEALTHCARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(IN THOUSANDS, EXCEPT PER SHARE DATA)
(UNAUDITED)

7.  COMMITMENTS AND CONTINGENCIES (CONTINUED):

    vs. Timothy Aitken, Scott A. Shay, Lewis S. Ranieri, Wayne Palladino and
    Hyperion Partners II L.P., Defendants, and Transworld Healthcare, Inc.,
    Nominal Defendant, Index No. 98-106401. The suit alleges that certain
    officers and directors of the Company, and Hyperion Partners II L.P.
    ("HPII"), breached fiduciary duties to the Company and its shareholders, in
    connection with a transaction, approved by a vote of the Company's
    shareholders on March 17, 1998, in which the Company was to issue certain
    shares of stock to HPII in exchange for certain receivables due from Health
    Management, Inc. ("HMI"). The action seeks injunctive relief against this
    transaction, and damages, costs and attorneys' fees in unspecified amounts.
    The transaction subsequently closed and the plaintiff has, on numerous
    occasions, stipulated to extend the defendants' time to respond to this
    suit. The most recent stipulation provides for an extension to July 7, 2000.

    On July 11 and July 22, 1997, the Company's RespiFlow, Inc. ("RespiFlow")
    and MK Diabetic Support Services, Inc. ("MK") subsidiaries, respectively,
    each received a letter (the "Audit Letters") from the U.S. Department of
    Health and Human Services' Office of Audit Services, a division of the
    Office of Inspector General ("OIG"). The Company was subsequently informed
    that the Audit Letters cover its DermaQuest, Inc. subsidiary. The Company
    has produced certain documents and provided related information to the OIG
    and to the U.S. Attorney for the Eastern District of Texas regarding these
    subsidiaries' financial relationships with suppliers of durable medical
    equipment and various other practices including the subsidiaries' practices
    regarding the collection of coinsurance and deductible amounts due from
    Medicare beneficiaries. Additionally, on November 19, 1997, the Company was
    notified by the U.S. Attorney for the Eastern District of Texas that the
    Company, RespiFlow, MK, and various other non-affiliated entities had been
    named defendants in a qui tam action under the Federal False Claims Act. The
    qui tam action was recently partially unsealed and a copy of the complaint
    was provided to the Company. The relator is a private party who has brought
    action on behalf of the Federal government. At present, the Company has
    entered into settlement discussions with the Department of Justice ("DOJ")
    and the OIG in an effort to bring closure to this matter and to avoid the
    expense, disruption and uncertainty of litigation. The counsel for the
    relator has been involved in these settlement discussions as well. At
    present, the Company is not able to determine when a final settlement will
    be reached with the DOJ, the OIG and the relator or whether any proposed
    settlement can be concluded on terms acceptable to the Company. Accordingly,
    the Company is unable to estimate what the potential loss might be at this
    time. In the event that these settlement discussions are unsuccessful, the
    Company will defend vigorously its interest in these matters. As such, the
    Company cannot predict whether the outcome of these actions will have a
    material adverse effect on the Company's consolidated financial position,
    cash flows or results of operations.

    Some of the Company's subsidiaries are Medicare Part B suppliers who submit
    claims to the designated carrier who is the government's claims processing
    administrator. From time to time, the carrier may request an audit of
    Medicare Part B claims on a prepayment or postpayment basis. Some of the
    Company's subsidiaries currently have pending such audits. If the outcome of
    any audit results in a denial or a finding of an overpayment, then the
    affected subsidiary has appeal rights. Some of the subsidiaries currently
    are responding to these audits and pursuing appeal rights in certain

                                    Page 13
<PAGE>

TRANSWORLD HEALTHCARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(IN THOUSANDS, EXCEPT PER SHARE DATA)
(UNAUDITED)

7.  COMMITMENTS AND CONTINGENCIES (CONTINUED):

    circumstances. One such audit of a sample of claims, for which appeal rights
    are being asserted, has resulted in an overpayment determination of
    $418. The Company believes that the submission of additional documentation
    on appeal is likely to result in a substantial reversal of this overpayment
    determination.

    In addition to the above allegations, during the normal course of business,
    the Company continues to carefully monitor and review its submission of
    Medicare, Medicaid and all other claims for reimbursement. The Company
    believes that it is substantially in compliance, in all material respects,
    with the applicable provisions of the Federal statutes, regulations and laws
    and applicable state laws. 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 present, 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 consolidated financial position, cash flows or results of
    operations.

    Effective October 1, 1997, the Company owned 100% of the stock of HMI.

    On July 2, 1998, a former shareholder of HMI purporting to sue on behalf of
    a class of shareholders of HMI as of June 6, 1997, commenced a suit in the
    Delaware Chancery Court, New Castle County, entitled Kathleen S. O'Reilly v.
    Transworld HealthCare, Inc., W. James Nicol, Andre C. Dimitriadis, Dr.
    Timothy J. Triche and D. Mark Weinberg, Civil Action No. 16507-NC. Plaintiff
    alleged that the Company, as majority shareholder of HMI, and the then
    directors of HMI, breached fiduciary duties to the minority shareholders of
    HMI by approving a merger between HMI and a subsidiary of the Company for
    inadequate consideration. Plaintiff demands an accounting, damages,
    attorneys' fees and other payment for other expenses for unspecified
    amounts. The defendants filed a motion to dismiss this action on September
    18, 1998. The Court denied defendants' motion in part and granted the motion
    in part, leaving intact certain claims. Plaintiff has propounded discovery
    requests. The Company's insurer disclaims coverage as to the Company,
    however, the insurer for the Company's HMI subsidiary has accepted coverage
    for the individual defendant former HMI directors. The Company believes that
    it does not have liability and will vigorously defend this action. As such,
    the Company cannot predict whether the outcome of these actions will have a
    material adverse effect on the Company's consolidated financial position,
    cash flows or results of operations.

    By letter dated December 20, 1999, the Company received formal written
    notification of the intent of two plaintiffs to file a civil action in the
    Court of Common Pleas of Allegheny County, Pennsylvania against Transworld
    Healthcare, Inc., Transworld Home Healthcare, Inc., Health Management, Inc.
    and HMI Pennsylvania, Inc. The two plaintiffs, Irwin Hirsch and Lloyd Myers,
    formerly were employees of HMI Pennsylvania, Inc., a subsidiary of the
    Company, and had written employment agreements. Myers also served as an
    officer of HMI. Based upon their former status as employees and as officers,
    both claim entitlement to contractual indemnification from HMI and HMI
    Pennsylvania, Inc. for defense costs and settlement of certain claims made
    against them. In 1994,

                                    Page 14
<PAGE>

TRANSWORLD HEALTHCARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(IN THOUSANDS, EXCEPT PER SHARE DATA)
(UNAUDITED)

7.  COMMITMENTS AND CONTINGENCIES (CONTINUED):

    Hirsch and Myers also sold two retail pharmacies they owned to HMI.

    Hirsch and Myers were named as defendants in an action filed in the United
    States District Court for the Eastern District of New York entitled In re
    Health Management, Inc. Securities Litigation, Master File No. 96 Civ. 0889
    (ADS), which was a class action by shareholders of HMI alleging, among other
    claims against the defendants, fraud in connection with the valuation of
    certain securities. Hirsch and Myers incurred non-reimbursed legal expenses
    of $100 in defending that litigation and, ultimately, settled their
    liability jointly for $1,325, which was non-reimbursed. They demand that
    defendants reimburse to them their non-reimbursed legal fees and the
    settlement amount pursuant to the indemnification provisions of their
    employee contracts.

    In addition to their indemnification claims, Hirsch and Myers also claim
    damages in the amount of $7,000 for losses in connection with the pharmacies
    sale transaction they entered into with HMI under which they sold their
    retail pharmacies to HMI. Hirsch and Myers claim that the pharmacies sale
    transaction was based upon fraudulent misrepresentations by HMI.

    The Company and HMI entities will vigorously defend against these claims.
    The Company believes that Hirsch and Myers' indemnification claims should
    not have any real merit because of testimony given by Hirsch and Myers under
    oath in connection with a criminal trial against Clifford Hotte, a director
    and former officer of HMI. In their testimony, Hirsch and Myers acknowledged
    malfeasance and nonfeasance, which should render their contractual
    entitlement to indemnification void. Even if they are entitled to
    indemnification despite their acknowledgements, they are liable to
    defendants for the economic losses and damages suffered by defendants as a
    result of the malfeasance and nonfeasance. Therefore if the civil actions
    are filed, the Company and HMI entities will aggressively pursue
    counterclaims against Hirsch and Myers for damages which, conservatively,
    are far in excess of their claims, including the claims associated with the
    pharmacies sale transaction.

    The enforcement division of the Commission has issued a formal order of
    investigation relating to matters arising out of HMI's public announcement
    on February 27, 1996 that HMI would have to restate its financial statements
    for prior periods as a result of certain accounting irregularities. HMI is
    fully cooperating with this investigation and has responded to the requests
    of the Commission for documentary evidence.

    The outcomes of certain of the foregoing lawsuits and the investigation with
    respect to HMI are uncertain and the ultimate outcomes could have a material
    adverse affect on the Company.

    The Company is involved in various other legal proceedings and claims
    incidental to its normal business activities. The Company is vigorously
    defending its position in all such proceedings. Management believes these
    matters should not have a material adverse impact on the consolidated
    financial position, cash flows or results of operations.

                                    Page 15
<PAGE>

TRANSWORLD HEALTHCARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(IN THOUSANDS, EXCEPT PER SHARE DATA)
(UNAUDITED)

8.  OPERATIONS BY BUSINESS SEGMENTS AND GEOGRAPHIC AREAS:

    During the six months ended March 31, 2000 and 1999, the Company operated in
    the following reportable business segments: (i) U.K. operations; (ii) U.S.
    specialty mail-order pharmaceuticals and medical supplies ("Mail-Order")
    operations; and (iii) U.S. hi-tech ("Hi-Tech") operations. The U.K.
    operations derive its revenues from nursing and para-professional services,
    mail-order of ostomy, continence and wound care products and oxygen
    concentrators and cylinders throughout the U.K. The Mail-Order operations
    derive its revenues from mail-order of diabetic test strips and glucose
    monitors, respiratory, diabetic, maintenance and other commonly prescribed
    medications, as well as ostomy and orthotic products. The Mail-Order
    operations provide products to patients in their home nationwide and Puerto
    Rico. The Hi-Tech operations derive its revenues from infusion and
    respiratory therapy services and home medical equipment operations
    concentrated in New Jersey and New York.

    The Company uses differences in geographic areas, as well as in products and
    services to identify the reportable segments. The Company evaluates
    performance and allocates resources based on profit and loss from operations
    before corporate expenses, interest and income taxes. Inter segment sales
    are not material. The following tables present certain financial information
    by reportable business segments and geographic areas of operations for the
    six months ended March 31, 2000 and 1999.

<TABLE>
<CAPTION>
                                                                    SIX MONTHS ENDED MARCH 31, 2000
                                                    ----------------------------------------------------------------
                                                        U.K.         U.S.        U.S.        U.S.
                                                     OPERATIONS   MAIL-ORDER   HI-TECH      TOTAL         TOTAL
                                                    ------------- ----------- ----------- ----------- --------------
<S>                                                   <C>           <C>         <C>         <C>         <C>
        Revenues to unaffiliated customers            $  29,604     $ 14,766    $ 7,773     $ 22,539    $  52,143
                                                      ==========   =========   =========   =========    =========

        Segment operating profit (loss)               $   2,754     $  (317)    $   290     $   (27)    $   2,727
                                                      ==========   =========   =========   =========
        Corporate expenses                                                                                (2,104)
        Interest expense, net                                                                             (2,356)
                                                                                                        ---------
        Loss before income taxes, equity income
          and extraordinary loss                                                                        $ (1,733)
                                                                                                        =========
        Identifiable assets, March 31, 2000           $ 148,251     $ 26,571    $ 10,685    $ 37,256    $ 185,507
                                                      ==========   =========   =========   =========
        Corporate assets                                                                                   24,441
                                                                                                        ---------
        Total assets, March 31, 2000                                                                    $ 209,948
                                                                                                        =========


<CAPTION>
                                                                    SIX MONTHS ENDED MARCH 31, 1999
                                                    ----------------------------------------------------------------
                                                        U.K.         U.S.        U.S.        U.S.
                                                     OPERATIONS   MAIL-ORDER   HI-TECH      TOTAL         TOTAL
                                                    ------------- ----------- ----------- ----------- --------------
         Revenues to unaffiliated customers           $  50,368     $ 21,925    $ 6,712     $ 28,637    $  79,005
                                                      ==========   =========   =========   =========    =========

         Segment operating profit (loss)              $   4,614     $  (528)    $  (658)    $ (1,186)   $   3,428
                                                      ==========   =========   =========   =========

         Corporate expenses                                                                               (1,710)
         Interest expense, net                                                                            (2,587)
                                                                                                        ---------
         Loss before income taxes                                                                       $   (869)
                                                                                                        =========
</TABLE>

                                    Page 16
<PAGE>

TRANSWORLD HEALTHCARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(IN THOUSANDS, EXCEPT PER SHARE DATA)
(UNAUDITED)

8.    OPERATIONS BY BUSINESS SEGMENTS AND GEOGRAPHIC AREAS (CONTINUED):

      The following tables present certain financial information by reportable
      business segments and geographic areas of operations pro forma for the six
      months ended March 31, 2000 as if the U.K. subsidiaries had been
      consolidated for the entire six months ended March 31, 2000.

<TABLE>
<CAPTION>
                                                               PRO FORMA SIX MONTHS ENDED MARCH 31, 2000
                                                    ----------------------------------------------------------------
                                                        U.K.         U.S.        U.S.        U.S.
                                                     OPERATIONS   MAIL-ORDER   HI-TECH      TOTAL         TOTAL
                                                    ------------- ----------- ----------- ----------- --------------
<S>                                                   <C>           <C>         <C>         <C>         <C>
        Revenues to unaffiliated customers            $  58,451     $ 14,766    $ 7,773     $ 22,539    $ 80,990
                                                      ==========   =========   =========   =========    =========

        Segment operating profit (loss)               $   4,998     $  (317)    $   290     $   (27)    $  4,971
                                                      ==========   =========   =========   =========

        Corporate expenses                                                                                (1,906)
        Interest expense, net                                                                             (2,512)
                                                                                                        ---------

        Income before income taxes and
          extraordinary loss                                                                            $    553
                                                                                                        =========
</TABLE>

9.    SUBSEQUENT EVENT:

      On April 6, 2000 TW UK acquired all of the issued and outstanding shares
      of Nightingale Nursing Bureau Limited, a London based provider of
      registered nursing and care staff to National Health Service Trust
      Hospitals and the independent sector, with an additional branch in Sydney,
      Australia, for approximately $15,442, plus an additional sum of up to
      approximately $5,600 in deferred consideration dependent upon 2000 and
      2001 Pre-Tax Profits (as defined in the agreement for sale and purchase).
      Approximately $13,762 of the purchase price for the acquisition was paid
      using cash on hand and funds borrowed under the senior credit facilities
      with the approximate remaining $1,680 of consideration being paid in 1,050
      shares of 5 pence par value class A1 common shares of TW UK. The purchase
      price of the acquisition is being allocated on the basis of the fair value
      of the assets acquired (approximately $2,025) with the remaining portion
      attributable to intangible assets. The Company is still evaluating the
      allocation of these intangibles.

                                    Page 17
<PAGE>


      ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
              RESULTS OF OPERATIONS

      GENERAL

      The Company is a provider of a broad range of health care services and
      products with operations in the United Kingdom ("U.K.") and the United
      States ("U.S."). The Company provides the following services and products:
      (i) patient services, including nursing and para-professional services;
      (ii) specialty mail-order pharmaceuticals, medical supplies, respiratory
      therapy and home medical equipment; and (iii) infusion therapy. The
      Company provides these services and products from the following reportable
      business segments: (i) U.K. operations; (ii) U.S. specialty mail-order
      pharmaceuticals and medical supplies ("Mail-Order") operations; and (iii)
      U.S. hi-tech ("Hi-Tech") operations. The Company's U.K. operations include
      the U.K.'s second largest commercial provider of nursing and
      para-professional care to the community and U.K. healthcare institutions,
      the U.K.'s second largest home respiratory supplier as well as a leading
      value-added medical supplies distributor, all with operations located
      throughout the U.K. The Company's Mail-Order operations provide products
      to patients in their home nationwide and in Puerto Rico while its Hi-Tech
      operations are concentrated in New Jersey and New York.

      On December 20, 1999, the Company's U.K. subsidiaries obtained new
      financing (the "Refinancing"). As a result of the provisions of the Voting
      Trust (as defined and described in Liquidity and Capital Resources) the
      Company was no longer able to consolidate the U.K. subsidiaries into its
      financial statements although it owns 100% of the outstanding shares of
      the stock of the parent company, Transworld Holdings (UK) Limited ("UK
      Parent"), as of December 31, 1999. Therefore, effective with the
      Refinancing, the Company began accounting for the investment in UK Parent
      and subsidiaries under the equity method, retroactive to October 1, 1999.
      During the second quarter of fiscal 2000 UK Parent and Transworld
      Healthcare (UK) Limited ("TW UK") have amended their Articles of
      Association to give the Chairman (a Company designee) the right to resolve
      any tie votes of the board of directors and certain documents covering the
      Notes (as defined and described in Liquidity and Capital Resources) have
      been amended to eliminate the requirement that the Investors (as defined
      and described in Liquidity and Capital Resources) approve the operating
      budget. These amendments have enabled the Company to consolidate the U.K.
      subsidiaries as of the second quarter ended March 31, 2000.

      RESULTS OF OPERATIONS

      THREE MONTHS ENDED MARCH 31, 2000 VS. THREE MONTHS ENDED MARCH 31, 1999

      Revenues. Total revenues increased by $1,757,000 or 4.5% to $40,708,000
      for the three months ended March 31, 2000 from $38,951,000 for the three
      months ended March 31, 1999. This increase was primarily attributable to
      increased revenues in the Company's U.K. nursing operations ($3,349,000)
      as a result of continued expansion and an increase in the number of
      patients being serviced. Increases were also experienced in both the U.S.
      Hi-Tech operations ($705,000) and the U.K. medical supplies distributor
      ($376,000) due to increases in the number of patients being serviced.
      Partly offsetting these increases were declines in revenue experienced by
      the Mail-Order operations ($2,673,000) due to a reduction in the number of
      patients serviced.

      Cost of Revenues. Total cost of revenues increased by $1,040,000 to
      $26,260,000 for the three months ended March 31, 2000 from $25,220,000 for
      the three months ended March 31, 1999. Total cost of revenues as a
      percentage of revenues for the three months ended March 31, 2000 remained

                                    Page 18
<PAGE>

      relatively flat at 64.5% as compared to 64.7% for the three months ended
      March 31, 1999. Cost of revenues as a percentage of revenues was also
      relatively flat for patient services (67.3% for the three months ended
      March 31, 2000 versus 67.6% in the prior period) and respiratory, medical
      equipment and supplies sales operations (58.7% for the three months ended
      March 31, 2000 versus 58.9% for the prior period). The cost of revenues as
      a percentage of revenues decreased for infusion services (70.7% for the
      three months ended March 31, 2000 versus 82.2% for the prior period) due
      to an increase in infusion therapies in the Hi-Tech operations with lower
      product costs.

      Selling, General and Administrative Expenses. Selling, general and
      administrative expenses decreased by $396,000 or 3.0% to $12,960,000 for
      the three months ended March 31, 2000 from $13,356,000 for the three
      months ended March 31, 1999. This decrease was primarily due to a overhead
      reduction programs in the Company's Mail-Order operations ($1,423,000) and
      Hi-Tech operations ($66,000). These decreases were offset by higher levels
      of overhead in the U.K. operations due to its continued expansion
      ($1,098,000).

      Interest Income. Interest income increased by $485,000 or 664.4% to
      $558,000 for the three months ended March 31, 2000 from $73,000 for the
      three months ended March 31, 1999. This increase was attributable to
      higher interest income earned on a higher level of funds invested.

      Interest Expense. Interest expense increased by $450,000 or 33.9% to
      $1,778,000 for the three months ended March 31, 2000 from $1,328,000 for
      the three months ended March 31, 1999. This variance was primarily
      attributable to a higher level of borrowings combined with a higher
      borrowing rate.

      Provision for Income Taxes. The Company recorded a provision for income
      taxes amounting to $167,000 or 62.3% of income before income taxes for the
      three months ended March 31, 2000 versus a provision of $74,000 on a loss
      before income taxes of $880,000 in the comparable prior period. The
      difference between the 62.3% effective tax rate for the three months ended
      March 31, 2000 and the statutory tax rate resulted from non-deductible
      expenses, primarily amortization of intangible assets.

      Management believes that it is more likely than not that the Company will
      generate sufficient levels of taxable income in the future to realize the
      $12,340,000 of reported net deferred tax assets comprised of the tax
      benefit associated with future deductible temporary differences and net
      operating loss carryforwards, prior to their expiration (primarily 13
      years or more). This belief is based upon, among other factors, changes in
      operations over the last few years, management's focus on its business
      realignment activities and current business strategies primarily with
      respect to its U.K. operations. Failure to achieve sufficient levels of
      taxable income might affect the ultimate realization of the net deferred
      tax assets. If this were to occur, management is committed to implementing
      tax planning strategies, such as the sale of net appreciated assets of the
      Company to the extent required (if any) to generate sufficient taxable
      income prior to the expiration of these benefits. Should such strategies
      be required, they could potentially result in the sale of a portion of the
      Company's interest in the U.K. operations and repatriation of such
      proceeds to the U.S. Management expects that it is more likely than not
      that future levels of income will be sufficient to realize the deferred
      tax assets, as recorded. The amount of the deferred tax asset considered
      realizable, however, could be reduced in the near term if estimates of
      future taxable income during the carryforward period are reduced.

      Net Income (Loss). As a result of the foregoing, the Company recorded net
      income of $101,000 for the three months ended March 31, 2000 compared to a
      net loss of $954,000 for the three months

                                    Page 19
<PAGE>

      ended March 31, 1999.

      SIX MONTHS ENDED MARCH 31, 2000 VS. SIX MONTHS ENDED MARCH 31, 1999

      Revenues. Total reported revenues for the six months ended March 31, 2000
      and 1999 was $52,143,000 and $79,005,000, respectively. This represents a
      decrease of $26,862,000 or 34.5% when comparing the six months ended March
      31, 2000 to 1999. This decrease relates primarily to the change in
      accounting for the U.K. subsidiaries from consolidation to the equity
      method during the first quarter of fiscal 2000 ($24,489,000). The
      remaining decrease was primarily attributable to declines in revenue
      experienced by the Mail-Order operations ($7,159,000) due to a reduction
      in the number of patients serviced. Partly offsetting the decreases were
      increased revenues in the Company's U.K. nursing operations during the
      second quarter of fiscal 2000 ($3,349,000) as a result of continued
      expansion and an increase in the number of patients being serviced. The
      Hi-Tech operations also experienced an increase in revenues ($1,076,000)
      due to an increase in the number of patients being serviced.

      Cost of Revenues. Total reported cost of revenues for the six months ended
      March 31, 2000 and 1999 was $32,427,000 and $50,328,000, respectively.
      This represents a decrease of $17,901,000 when comparing the six months
      ended March 31, 2000 to 1999. As a percentage of total revenue, cost of
      revenues for the six months ended March 31, 2000 decreased to 62.2% in
      comparison to 63.7% for the prior period. Cost of revenues as a percentage
      of revenues decreased for patient services (67.3% for the six months ended
      March 31, 2000 versus 68.6% for the prior period), for respiratory,
      medical equipment and supplies sales operations (54.5% for the six months
      ended March 31, 2000 versus 56.7% for the prior period) and for infusion
      services (72.3% for the six months ended March 31, 2000 versus 78.5% for
      the prior period). The decline in patient services is primarily due to
      increased billing rates in the U.K. nursing operations as of January 1999.
      The decrease in respiratory, medical equipment and supplies sales
      operations is principally attributable to the change in accounting for the
      U.K. subsidiaries from consolidation to the equity method during the first
      quarter of fiscal 2000. The decrease in infusion services is due to an
      increase in infusion therapies in the Hi-Tech operations with lower
      product costs.

      Selling, General and Administrative Expenses. Reported selling, general
      and administrative expenses for the six months ended March 31, 2000 and
      1999 was $19,092,000 and $26,959,000, respectively. This represents a
      decrease of $7,867,000 or 29.2% when comparing the six months ended March
      31, 2000 to 1999. This decrease relates primarily to the change in
      accounting for the U.K. subsidiaries from consolidation to the equity
      method during the first quarter of fiscal 2000 ($5,070,000). The remaining
      decrease was primarily due to overhead reduction programs in the Company's
      Mail-Order operations ($3,487,000) and Hi-Tech operations ($201,000).
      These decreases were offset by higher levels of overhead in the U.K.
      operations during the second quarter of fiscal 2000 ($1,098,000) due to
      its continued expansion.

      Interest Income. Reported interest income for the six months ended March
      31, 2000 and 1999 was $599,000 and $142,000, respectively. This represents
      an increase of $457,000 or 321.8% when comparing the six months ended
      March 31, 2000 to 1999. This increase was attributable to higher interest
      income earned on a higher level of funds invested ($495,000) offset by to
      the change in accounting for the U.K. subsidiaries from consolidation to
      the equity method during the first quarter of fiscal 2000 ($38,000).

      Interest Expense. Reported interest expense for the six months ended March
      31, 2000 and 1999 was

                                    Page 20
<PAGE>

      $2,956,000 and $2,729,000, respectively. This represents an increase of
      $227,000 or 8.3% when comparing the six months ended March 31, 2000 to
      1999. This variance was primarily attributable to a higher level of
      borrowings combined with a higher borrowing rate during the second fiscal
      quarter when compared to the comparable prior period ($450,000) offset by
      to the change in accounting for the U.K. subsidiaries from consolidation
      to the equity method during the first quarter of fiscal 2000 ($215,000).

      (Benefit) Provision for Income Taxes. The Company recorded a benefit for
      income taxes amounting to $488,000 or 28.2% of loss before income taxes
      for the six months ended March 31, 2000 versus a provision of $81,000 on a
      loss before income taxes and extraordinary loss of $869,000 in the
      comparable prior period. The difference between the 28.2% effective tax
      rate for the six months ended March 31, 2000 and the statutory tax rate
      resulted from non-deductible expenses, primarily amortization of
      intangible assets.

      Management believes that it is more likely than not that the Company will
      generate sufficient levels of taxable income in the future to realize the
      $12,340,000 of reported net deferred tax assets comprised of the tax
      benefit associated with future deductible temporary differences and net
      operating loss carryforwards, prior to their expiration (primarily 13
      years or more). This belief is based upon, among other factors, changes in
      operations over the last few years, management's focus on its business
      realignment activities and current business strategies primarily with
      respect to its U.K. operations. Failure to achieve sufficient levels of
      taxable income might affect the ultimate realization of the net deferred
      tax assets. If this were to occur, management is committed to implementing
      tax planning strategies, such as the sale of net appreciated assets of the
      Company to the extent required (if any) to generate sufficient taxable
      income prior to the expiration of these benefits. Should such strategies
      be required, they could potentially result in the sale of a portion of the
      Company's interest in the U.K. operations and repatriation of such
      proceeds to the U.S. Management expects that it is more likely than not
      that future levels of income will be sufficient to realize the deferred
      tax assets, as recorded. The amount of the deferred tax asset considered
      realizable, however, could be reduced in the near term if estimates of
      future taxable income during the carryforward period are reduced.

      Equity in Income of and Interest Income Earned from U.K. Subsidiaries.
      Equity in income of U.K. subsidiaries for the six months ended March 31,
      2000 was $411,000, which represents 100% of the net income of the
      Company's U.K. subsidiaries for the first quarter of fiscal 2000. Interest
      income earned from U.K. subsidiaries for the six months ended March 31,
      2000 was $782,000 (net of tax provision of $421,000), which represents
      interest income on an intercompany loan, which was repaid on December 20,
      2000, concurrent with the Refinancing. There was no equity in income of
      and interest income earned from U.K. subsidiaries in the six months ended
      March 31, 1999 as the accounting method for the U.K. subsidiaries in
      fiscal 1999 was consolidation.

      Extraordinary Loss on Early Extinguishment of Debt. An extraordinary loss
      (net of tax benefit of $408,000) of $759,000 was recorded in the six
      months ended March 31, 2000, as a result of the write-off of the deferred
      financing costs associated with the early extinguishment of borrowings
      under the Company's existing senior indebtedness (the "Credit Facility").

      Net Loss (Income). As a result of the foregoing, the Company recorded a
      net loss of $811,000 for the six months ended March 31, 2000 compared to
      net loss of $950,000 for the six months ended March 31, 1999.

                                    Page 21
<PAGE>

      PRO FORMA SIX MONTHS ENDED MARCH 31, 2000 VS. HISTORICAL SIX MONTHS ENDED
      MARCH 31, 1999

      The following comparisons of pro forma six months ended March 31, 2000 as
      compared to March 31, 1999 present the pro forma statement of operations
      data as if the U.K. subsidiaries had been consolidated for the entire six
      months ended March 31, 2000.

      Revenues. Total pro forma revenues for the six months ended March 31, 2000
      was $80,990,000 as compared to $79,005,000 for the six months ended March
      31, 1999, which represents an increase of $1,985,000 or 2.5%. This
      increase was primarily attributable to increased revenues in the Company's
      U.K. nursing operations ($7,536,000) as a result of continued expansion,
      increased billing rates beginning January 1, 1999 and an increase in the
      number of patients being serviced. Partly offsetting the increase from the
      U.K. operations were declines in revenue experienced by the Mail-Order
      operations ($7,159,000) due to a reduction in the number of patients
      serviced.

      Cost of Revenues. Pro forma cost of goods sold for the six months ended
      March 31, 2000 was $52,281,000 as compared to $50,328,000 for the six
      months ended March 31, 1999, which represents an increase of $1,953,000.
      On a pro forma basis total cost of revenues as a percentage of revenues
      for the six months ended March 31, 2000 increased to 64.6% from 63.7% for
      the six months ended March 31, 1999. On a pro forma basis cost of revenues
      as a percentage of revenues increased for respiratory, medical equipment
      and supplies sales operations (58.7% for the six months ended March 31,
      2000 versus 56.7% for the prior period), decreased for infusion services
      (72.3% for the six months ended March 31, 2000 versus 78.5% for the prior
      period) and decreased for patient services (67.4% for the six months ended
      March 31, 2000 versus 68.6% in the prior period). The increase in
      respiratory, medical equipment and supplies sales operations is
      attributable to the decrease in revenues in the Mail-Order operations
      which carry a lower cost of revenues as a percentage of revenues (45.9%)
      than the U.K. respiratory, medical equipment and supplies sales operations
      (73.7%). The decrease in infusion services is due to an increase in
      infusion therapies in the Hi-Tech operations with lower product costs. The
      decline in patient services is primarily due to increased billing rates in
      the U.K. nursing operations as of January 1999.

      Selling, General and Administrative Expenses. Pro forma selling, general
      and administrative expenses for the six months ended March 31, 2000 was
      $25,643,000 as compared to $26,959,000 for the six months ended March 31,
      1999, which represents a decrease of $1,316,000 or 4.9%. This decrease was
      primarily due to a overhead reduction programs in the Company's Mail-Order
      operations ($3,487,000) and Hi-Tech operations ($201,000). These decreases
      were offset by higher levels of overhead in the U.K. operations due to its
      continued expansion ($2,375,000).

      Interest Income. Pro forma interest income for the six months ended March
      31, 2000 was $659,000 as compared to $142,000 for the six months ended
      March 31, 1999, which represents an increase of $517,000 or 364.1%. This
      increase was attributable to higher interest income earned on a higher
      level of funds invested.

      Interest Expense. Pro forma interest expense for the six months ended
      March 31, 2000 was $3,172,000 as compared to $2,729,000 for the six months
      ended March 31, 1999, which represents an increase of $443,000 or 16.2%.
      This variance was primarily attributable to a higher level of borrowings
      combined with a higher borrowing rate.

      Provision for Income Taxes. Pro forma provision for income taxes for the
      six months ended March 31, 2000 was $605,000 or 109.4% of income before
      income taxes for the six months ended

                                    Page 22
<PAGE>

      March 31, 2000 versus a provision of $81,000 on a loss before income taxes
      and extraordinary loss of $869,000 in the comparable prior period. The
      difference between the 109.4% effective tax rate for the six months ended
      March 31, 2000 and the statutory tax rate resulted from non-deductible
      expenses, primarily amortization of intangible assets.

      Management believes that it is more likely than not that the Company will
      generate sufficient levels of taxable income in the future to realize the
      $12,340,000 of reported net deferred tax assets comprised of the tax
      benefit associated with future deductible temporary differences and net
      operating loss carryforwards, prior to their expiration (primarily 13
      years or more). This belief is based upon, among other factors, changes in
      operations over the last few years, management's focus on its business
      realignment activities and current business strategies primarily with
      respect to its U.K. operations. Failure to achieve sufficient levels of
      taxable income might affect the ultimate realization of the net deferred
      tax assets. If this were to occur, management is committed to implementing
      tax planning strategies, such as the sale of net appreciated assets of the
      Company to the extent required (if any) to generate sufficient taxable
      income prior to the expiration of these benefits. Should such strategies
      be required, they could potentially result in the sale of a portion of the
      Company's interest in the U.K. operations and repatriation of such
      proceeds to the U.S. Management expects that it is more likely than not
      that future levels of income will be sufficient to realize the deferred
      tax assets, as recorded. The amount of the deferred tax asset considered
      realizable, however, could be reduced in the near term if estimates of
      future taxable income during the carryforward period are reduced.

      Extraordinary Loss on Early Extinguishment of Debt. On a pro forma basis,
      the Company still would have reported an extraordinary loss (net of tax
      benefit of $408,000) of $759,000 in the six months ended March 31, 1999,
      as a result of the write-off of the deferred financing costs associated
      with the early extinguishment of borrowings under the Credit Facility.

      Net Loss. As a result of the foregoing, on a pro forma basis, the Company
      still would have reported a net loss of $811,000 for the six months ended
      March 31, 2000 compared to $950,000 for the six months ended March 31,
      1999.

      LIQUIDITY AND CAPITAL RESOURCES

      GENERAL.

      Cash requirements during the six months ended March 31, 2000 for capital
      expenditures ($443,000), payments for acquisitions ($502,000) and
      financing fees and issuance costs ($2,952,000), payments on revolving loan
      ($5,307,000), as well as the $55,755,000 repayment of the Credit Facility
      were met through funds generated from payments received from, net of
      advances to the U.K. subsidiaries ($67,069,000), proceeds from notes
      payable ($2,083,000) and funds generated from operating activities
      ($2,736,000).

      The Company believes it has adequate capital resources to conduct its
      operations for the next twelve months. The Refinancing has provided funds
      for additional acquisitions in the U.K., subject to the terms of the
      Refinancing agreements. Future acquisitions, if completed could have an
      impact on future cash flow. See "- Refinancing."

      ACCOUNTS RECEIVABLE.

      The Company maintains a cash management program that focuses on the
      reimbursement function, as

                                    Page 23
<PAGE>

      growth in accounts receivable has been the main operating use of cash
      historically. At March 31, 2000 and September 30, 1999, $29,251,000
      (13.9%) and $30,814,000 (17.9%), respectively, of the Company's total
      assets consisted of accounts receivable. The decrease in the accounts
      receivable from fiscal year end is principally due to a reclass of
      $875,000 of accounts receivable resulting from a settlement agreement with
      a payor, as well as the improved collections in the Company's U.K. nursing
      operations and Hi-Tech operations. Of the $875,000 reclassed, $487,000 and
      $388,000, respectively, are included in prepaid expenses and other assets
      and other assets on the balance sheet at March 31, 2000. The accounts
      receivable are substantially due from third-party payors which generally
      require substantial documentation in order to process claims. The
      collection time for accounts receivable is typically the longest for
      services that relate to new patients or additional services requiring
      medical review for existing patients.

      Management's goal is to maintain accounts receivable levels equal to or
      less than industry average, which would tend to mitigate the risk of
      recurrence of negative cash flows from operations by reducing the required
      investment in accounts receivable and thereby increasing cash flows from
      operations. Days sales outstanding ("DSOs") is a measure of the average
      number of days taken by the Company to collect its accounts receivable,
      calculated from the date services are rendered. At March 31, 2000 and
      September 30, 1999, the Company's average DSOs were 65 and 73,
      respectively.

      Amcare Limited and Novacare (UK) Limited (subsidiaries of TW UK), have
      claims against Health Authorities to recover outstanding sums which they
      allege are due in respect of services performed as National Health Service
      ("NHS") dispensing appliance contractors from their respective licensed
      premises across England and Wales. There are two elements, first overdue
      payments and secondly, underpaid on-cost allowances. The sums in dispute
      are approximately $392,000 and $162,000, respectively, for a total of
      approximately $554,000.

      It is believed that it arises out of a wider national dispute between
      Health Authorities and many dispensing appliance contractors over the
      correct interpretation of the statutory-based contractual reimbursement
      provisions in the context of modern distribution and dispensing practices.
      The Health Authorities have clearly indicated a wish to reach commercial
      settlements of their various disputes.

      REFINANCING.

      General. As described more fully below, on December 20, 1999, the
      Company's U.K. subsidiaries, UK Parent and its subsidiary TW UK obtained
      new financing denominated in pounds sterling, which aggregates
      approximately $124,281,000 at March 31, 2000. The new financing consists
      of a $72,613,000 senior collateralized term and revolving credit facility
      (the "Senior Credit Facility"), $16,101,000 in mezzanine indebtedness (the
      "Mezzanine Loan") and $35,567,000 principal amount of senior subordinated
      notes (the "Notes") (each of the foregoing are sometimes referred to
      collectively herein as the "Refinancing"). Of the $124,281,000 net
      proceeds of the Refinancing, $55,755,000 was used to repay the Company's
      existing Credit Facility, $11,617,000 was provided to the Company for
      general corporate purposes, with the balance to be used for acquisitions
      and working capital in the U.K., subject to the terms of the documents
      governing the Refinancing. In connection with the repayment of the
      Company's existing Credit Facility, the Company recorded a non-cash,
      after-tax, extraordinary charge of approximately $759,000 in its first
      quarter of fiscal 2000 relating to the write-off of the deferred financing
      costs associated with the Credit Facility.

      Senior Credit Facility. The Senior Credit Facility consists of a (i)
      $44,685,000 term loan A, maturing December 17, 2005, (ii) $19,949,000
      acquisition term loan B, maturing December 17, 2006 which may be drawn
      upon during the first six years following closing, and (iii) $7,979,000
      revolving facility, maturing December 17, 2005. Repayment of the loans
      commences on July 30, 2000 and continues until final maturity. The loans
      bear interest at rates

                                    Page 24
<PAGE>

      equal to LIBOR plus 2% to 2.75% per annum. As of May 1, 2000, TW UK had
      outstanding borrowings of approximately $49,619,000 under the Senior
      Credit Facility. As of May 1, 2000, borrowings under the Senior Credit
      Facility bore interest at a rate of 8.19% to 8.94%.

      Subject to certain exceptions, the Senior Credit Facility prohibits or
      restricts, among other things, the incurrence of liens, the incurrence of
      indebtedness, certain fundamental corporate changes, dividends (including
      distributions to the Company), the making of specified investments and
      certain transactions with affiliates. In addition, the Senior Credit
      Facility contains affirmative and negative financial covenants customarily
      found in agreements of this kind, including the maintenance of certain
      financial ratios, such as senior interest coverage, debt to earnings
      before interest, taxes, depreciation and amortization, fixed charge
      coverage and minimum net worth.

      The loans under the Senior Credit Facility are collateralized by, among
      other things, a lien on substantially all of TW UK's and its subsidiaries'
      assets, a pledge of TW UK's ownership interest in its subsidiaries and
      guaranties by TW UK's subsidiaries.

      Mezzanine Loan and Mezzanine Warrants. Mezzanine Loan. The Mezzanine Loan
      is a term loan maturing December 17, 2007 and bears interest at the
      rate of LIBOR plus 7% per annum, where LIBOR plus 3.5% will be payable
      in cash, with the remaining interest being added to the principal
      amount of the loan. The Mezzanine Loan contains other terms and
      conditions substantially similar to those contained in the Senior
      Credit Facility. The lenders of the Mezzanine Loan also received
      warrants to purchase 2% of the fully diluted ordinary shares of TW UK.
      As of May 1, 2000, borrowings under the Mezzanine Loan bore interest
      at a rate of 13.08%.

      Mezzanine Warrants. The warrants issued to the mezzanine lenders (the
      "Mezzanine Warrants") are detachable and can be exercised at any time
      without condition for an aggregate exercise price of approximately
      $131,000. The fair value of the Mezzanine Warrants ($2,562,000) issued to
      the mezzanine lenders has been recorded as a discount to the mezzanine
      loan and is being amortized over the term of the loan using the interest
      method.

      Senior Subordinated Notes and Warrants. Notes. The Notes consist of
      $35,567,000 principal amount of senior subordinated notes of UK Parent
      purchased by several institutional investors and certain members of
      management (collectively, the "Investors"), plus equity warrants issued by
      TW UK concurrently with the sale of the Notes (the "Warrants") exercisable
      for ordinary shares of TW UK ("Warrant Shares") representing in the
      aggregate 27% of the fully diluted ordinary shares of TW UK.

      The Notes bear interest at the rate of 9.375% per annum payable quarterly
      in cash subject to restrictions contained in the Senior Credit Facility
      requiring UK Parent to pay interest in-kind through the issuance of
      additional notes ("PIK Notes") for the first 18 months, with payment of
      interest in cash thereafter subject to a fixed charge coverage test
      (provided that whenever interest cannot be paid in cash, additional PIK
      Notes shall be issued as payment in-kind of such interest). The Notes
      mature nine years from issuance.

      UK Parent will not have the right to redeem the Notes and the PIK Notes
      except as provided in, and in accordance with the documents governing the
      issuance of the Notes and Warrants (herein the "Securities Purchase
      Documents"). The redemption price of the Notes and the PIK Notes will
      equal the principal amount of the Notes and the PIK Notes plus all accrued
      and unpaid interest on each.

                                    Page 25
<PAGE>

      The Investors have the right, at their option, to require UK Parent to
      redeem all or any portion of the Notes and the PIK Notes under certain
      circumstances and in accordance with the terms of the Securities Purchase
      Documents. The redemption price of the Notes and the PIK Notes shall be
      equal to the principal amount of the Notes and the PIK Notes, plus all
      accrued and unpaid interest on each.

      UK Parent's redemption obligation of the Notes and the PIK Notes is
      guaranteed by TW UK, which guarantee is subordinated to the existing
      senior indebtedness of TW UK to the same extent as the Notes and the PIK
      Notes are subordinated to senior indebtedness of UK Parent. If UK Parent
      fails to perform in full its obligations following exercise of the
      Investors put of Notes and TW UK fails to perform its obligations as a
      guarantor of such obligations, the Investors shall have the right to among
      other things exercise directly (through the voting trust described below)
      the drag-along rights described without the requirement that the board of
      directors of TW UK first take any action.

      Warrants. The Warrants may be exercised, in whole or in part, at any time,
      unless previously purchased or cancelled upon a redemption of the Notes,
      at the option of the holders prior to the time of maturity of the Notes
      for Warrant Shares representing approximately 27% of TW UK's fully diluted
      ordinary share capital, subject to antidilution adjustment as contained in
      the Securities Purchase Documents.

      The exercise price of the Warrants shall equal the entire principal amount
      of the Notes (other than PIK Notes and excluding any accrued unpaid
      interest) for all Warrants in the aggregate and must be paid through the
      tender of Notes (other than PIK Notes) to TW UK, whereby TW UK shall issue
      to the Investors the appropriate number of Warrant Shares and pay to the
      Investors in cash an amount equal to the principal amount of the PIK Notes
      and all accrued unpaid interest on the Notes and the PIK Notes.

      The Warrants will automatically be exercised for Warrant Shares in the
      event that TW UK consummates a public offering of shares valuing the
      Investors' ordinary shares of TW UK issuable upon a voluntary exercise of
      the Warrants at or above 2.5x the initial investment.

      The Investors will have the right, at their option, to require UK Parent
      to purchase all or any portion of the Warrants or the Warrant Shares under
      certain circumstances and in accordance with the terms of the Securities
      Purchase Documents. The purchase price of the Warrants shall be equal to
      the difference, if a positive number, between (i) the fair market value of
      the Warrant Shares which the Investors have the right to acquire upon
      exercise of such Warrants and (ii) the exercise price of such Warrants.
      The purchase price of the Warrant Shares shall be equal to the fair market
      value of such Warrant Shares.

      UK Parent's purchase obligation of the Warrants is guaranteed by TW UK,
      which guarantee is subordinated to existing senior indebtedness of TW UK.
      If UK Parent fails to perform in full its obligations following exercise
      of the Investors put of Warrants and TW UK fails to perform its
      obligations as a guarantor of such obligations, the Investors shall have
      the right to among other things exercise directly through the voting trust
      the drag-along rights without the requirement that the board of directors
      of TW UK first take any action.

      If UK Parent fails to perform in full its obligations following exercise
      of the Investors put of Warrant Shares, the Investor shall have the right
      to among other things exercise directly through the voting trust the
      drag-along rights without the requirement that the board of directors of
      TW UK first take any action.

                                    Page 26
<PAGE>

      Following an initial public offering and upon exchange of the Warrants,
      the Investors shall be entitled to two demand rights and unlimited
      piggyback registrations with respect to the Warrant Shares. The Warrant
      Shares shall be listed for trading on any securities exchange on which the
      ordinary shares of TW UK are listed for trading.

      All ordinary shares of UK Parent owned by the Company and all ordinary
      shares of TW UK owned by UK Parent will be held in a voting trust (the
      "Voting Trust") for the benefit of the holders of ordinary shares of TW UK
      and the holders of the Warrants, with the trustee of the trust being
      obligated to vote the shares held in trust as follows: (i) to elect to the
      board of directors of TW UK individuals designated in accordance with the
      Securities Purchase Documents and on any other matter, pursuant to
      instructions approved by the required majority of the board of directors
      of TW UK as contemplated by the Securities Purchase Documents; and (ii)
      following the breach by UK Parent and TW UK of their obligations to honor
      an Investor put of Notes, an Investor put of Warrants or an Investor put
      of Warrant Shares, the Investors have the right to exercise drag-along
      rights directly without any action of the board of directors of TW UK on a
      transaction to which such drag-along rights apply pursuant to instructions
      from the Investors. G. Richard Green, a Director of the Company, is the
      trustee of the Voting Trust. The Voting Trust includes provisions to the
      effect that under certain circumstances the shares held in trust shall
      thereafter be voted on all matters, including the election of directors,
      pursuant to instructions from a majority of those members of the board of
      directors of TW UK who are not affiliated or associated with the Company,
      Hyperion Partners II L.P. ("HPII"), or any of their successors.

      The Articles of Association of TW UK and the Securities Purchase Documents
      provide that neither UK Parent nor TW UK will enter into any transaction
      with or make contributions to the Company or UK Parent (except as required
      by the terms of the Notes, the Warrants or the Warrant Shares) in the form
      of dividends, fees, re-charges, loans, guarantees or any other benefit, in
      any form, unless they have been previously agreed upon by all
      shareholders.

      The Securities Purchase Documents also provide that the Investors will
      have the benefit of customary shareholder rights for a transaction of this
      type including, without limitation: (i) pre-emptive rights with respect to
      new securities; (ii) rights of first refusal with respect to proposed
      transfers of ordinary shares of TW UK; (iii) drag-along rights; (iv)
      tag-along rights; and (v) the exercise of voting rights by the holders of
      the Warrants as therein described including the right to elect one
      director to the TW UK board of directors. The Securities Purchase
      Documents also include limitations on TW UK's ability to do the following,
      among others, without the consent of the Investors: (i) issue additional
      equity securities of TW UK; (ii) pay dividends or make other restricted
      payments, except as required by the terms of the Notes, the Warrants or
      the Warrant Shares; (iii) sell, lease or otherwise dispose of assets
      exceeding specified values; (iv) enter into any transactions with
      affiliates; (v) amend the Memorandum or Articles of Association; or (vi)
      merge or consolidate with another entity.

      CONTINGENCIES.

      Some of the Company's subsidiaries are Medicare Part B suppliers who
      submit claims to the designated carrier who is the government's claims
      processing administrator. From time to time, the carrier may request an
      audit of Medicare Part B claims on a prepayment or postpayment basis. Some
      of the Company's subsidiaries currently have pending such audits. If the
      outcome of any audit results in a denial or a finding of an overpayment,
      then the affected subsidiary has appeal rights. Some of the subsidiaries
      currently are responding to these audits and pursuing appeal rights in
      certain

                                    Page 27
<PAGE>

      circumstances. One such audit of a sample of claims, for which appeal
      rights are being asserted, has resulted in an overpayment determination of
      $418,000. The Company believes that the submission of additional
      documentation on appeal is likely to result in a substantial reversal of
      this overpayment determination.

      ACQUISITION OF NIGHTINGALE.

      On April 6, 2000 TW UK acquired all of the issued and outstanding shares
      of Nightingale Nursing Bureau Limited, a London based provider of
      registered nursing and care staff to NHS Trust Hospitals and the
      independent sector, with an additional branch in Sydney, Australia,
      for approximately $15,442,000, plus an additional sum of up to
      approximately $5,600,000 in deferred consideration dependent upon 2000
      and 2001 Pre-Tax Profits (as defined in the agreement for sale and
      purchase). Approximately $13,762,000 of the purchase price for the
      acquisition was paid using cash on hand and funds borrowed under the
      senior credit facilities with the approximate remaining $1,680,000 of
      consideration being paid in 1,050,000 shares of 5 pence par value
      class A1 common shares of TW UK. The purchase price of the acquisition
      is being allocated on the basis of the fair value of the assets
      acquired (approximately $2,025,000) with the remaining portion
      attributable to intangible assets. The Company is still evaluating the
      allocation of these intangibles.

      YEAR 2000.

      The Year 2000 computer issue refers to potential conditions in computer
      programs whereby a two-digit field rather than a four-digit field is used
      to define the applicable year. Unless corrected, some computer programs
      may not appropriately function as of January 1, 2000 because these
      programs will read the "00" in the year 2000 as January 1, 1900. If
      uncorrected, the problem could have resulted in computer system failures
      or equipment and medical device malfunctions (affecting patient diagnosis
      and treatment) thereby disrupting the Company's business operations and
      subjecting the Company to potentially significant legal liabilities. To
      date, there have been no material malfunctions of the Company's systems or
      activities due to Year 2000 issues. However, there can be no assurance
      that unanticipated events still will not occur or that the Company was
      able to identify all Year 2000 issues before problems arise.

      As of May 1, 2000, costs incurred for all efforts of the Company's Year
      2000 action plan amounted to $245,000 and have not been material to the
      Company. These costs have been expensed as incurred and have been funded
      by operating cash flows. Based upon the best estimate by the Company's
      management and the Year 2000 task force, the Company does not expect any
      additional costs associated with the Company's Year 2000 action plan. If
      additional costs are incurred they will also be expensed as incurred and
      be funded by operating cash flow.

      In addition, the Company relies heavily upon third party payors, including
      to a large extent governmental payors such as the NHS in the U.K. and
      Medicare and Medicaid in the U.S. for accurate and timely reimbursement of
      claims, often through the use of electronic data interfaces. Although much
      has been published publicly stating that the government was working to
      solve its own Year 2000 issues in a timely manner, the Company has
      received no assurance that their systems and interfaces were converted
      timely. Failure of any of the Company's third party payors, especially
      governmental payors, to solve their Year 2000 issues could have a material
      adverse effect on the Company's consolidated financial position, cash
      flows, or results of operations.

      There can be no assurance that unanticipated events still will not occur
      or that the Company was

                                    Page 28
<PAGE>

      able to identify all Year 2000 issues before problems arise. In addition,
      the Company has no assurance that third party payors and vendors have or
      had the ability to identify and solve all or substantially all their Year
      2000 issues. Therefore, there can be no assurance that the Year 2000 issue
      still will not have a material adverse effect on the Company's
      consolidated financial position, cash flows or results of operations.

      LITIGATION.

      On April 13, 1998, a shareholder of the Company, purporting to sue
      derivatively on behalf of the Company, commenced a derivative suit in the
      Supreme Court of the State of New York, County of New York, entitled Kevin
      Mak, derivatively and on behalf of Transworld Healthcare, Inc., Plaintiff,
      vs. Timothy Aitken, Scott A. Shay, Lewis S. Ranieri, Wayne Palladino and
      Hyperion Partners II L.P., Defendants, and Transworld Healthcare, Inc.,
      Nominal Defendant, Index No. 98-106401. The suit alleges that certain
      officers and directors of the Company, and HPII, breached fiduciary duties
      to the Company and its shareholders, in connection with a transaction,
      approved by a vote of the Company's shareholders on March 17, 1998, in
      which the Company was to issue certain shares of stock to HPII in exchange
      for certain receivables due from Health Management, Inc. ("HMI"). The
      action seeks injunctive relief against this transaction, and damages,
      costs and attorneys' fees in unspecified amounts. The transaction
      subsequently closed and the plaintiff has, on numerous occasions,
      stipulated to extend the defendants' time to respond to this suit. The
      most recent stipulation provides for an extension to July 7, 2000.

      On July 11 and July 22, 1997, the Company's RespiFlow, Inc. ("RespiFlow")
      and MK Diabetic Support Services, Inc. ("MK") subsidiaries, respectively,
      each received a letter (the "Audit Letters") from the U.S. Department of
      Health and Human Services' Office of Audit Services, a division of the
      Office of Inspector General ("OIG"). The Company was subsequently informed
      that the Audit Letters cover its DermaQuest, Inc. subsidiary. The Company
      has produced certain documents and provided related information to the OIG
      and to the U.S. Attorney for the Eastern District of Texas regarding these
      subsidiaries' financial relationships with suppliers of durable medical
      equipment and various other practices including the subsidiaries'
      practices regarding the collection of coinsurance and deductible amounts
      due from Medicare beneficiaries. Additionally, on November 19, 1997, the
      Company was notified by the U.S. Attorney for the Eastern District of
      Texas that the Company, RespiFlow, MK, and various other non-affiliated
      entities had been named defendants in a qui tam action under the Federal
      False Claims Act. The qui tam action was recently partially unsealed and a
      copy of the complaint was provided to the Company. The relator is a
      private party who has brought action on behalf of the Federal government.
      At present, the Company has entered into settlement discussions with the
      Department of Justice ("DOJ") and the OIG in an effort to bring closure to
      this matter and to avoid the expense, disruption and uncertainty of
      litigation. The counsel for the relator has been involved in these
      settlement discussions as well. At present, the Company is not able to
      determine when a final settlement will be reached with the DOJ, the OIG
      and the relator or whether any proposed settlement can be concluded on
      terms acceptable to the Company. Accordingly, the Company is unable to
      estimate what the potential loss might be at this time. In the event that
      these settlement discussions are unsuccessful, the Company will defend
      vigorously its interest in these matters. As such, the Company cannot
      predict whether the outcome of these actions will have a material adverse
      effect on the Company's consolidated financial position, cash flows or
      results of operations.

      In addition to the above allegations, during the normal course of
      business, the Company continues to carefully monitor and review its
      submission of Medicare, Medicaid and all other claims for

                                    Page 29
<PAGE>

      reimbursement. The Company believes that it is substantially in
      compliance, in all material respects, with the applicable provisions of
      the Federal statutes, regulations and laws and applicable state laws.
      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 present, 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
      consolidated financial position, cash flows or results of operations.

      Effective October 1, 1997, the Company owned 100% of the stock of HMI.

      On July 2, 1998, a former shareholder of HMI purporting to sue on behalf
      of a class of shareholders of HMI as of June 6, 1997, commenced a suit in
      the Delaware Chancery Court, New Castle County, entitled Kathleen S.
      O'Reilly v. Transworld HealthCare, Inc., W. James Nicol, Andre C.
      Dimitriadis, Dr. Timothy J. Triche and D. Mark Weinberg, Civil Action No.
      16507-NC. Plaintiff alleged that the Company, as majority shareholder of
      HMI, and the then directors of HMI, breached fiduciary duties to the
      minority shareholders of HMI by approving a merger between HMI and a
      subsidiary of the Company for inadequate consideration. Plaintiff demands
      an accounting, damages, attorneys' fees and other payment for other
      expenses for unspecified amounts. The defendants filed a motion to dismiss
      this action on September 18, 1998. The Court denied defendants' motion in
      part and granted the motion in part, leaving intact certain claims.
      Plaintiff has propounded discovery requests. The Company's insurer
      disclaims coverage as to the Company, however, the insurer for the
      Company's HMI subsidiary has accepted coverage for the individual
      defendant former HMI directors. The Company believes that it does not have
      liability and will vigorously defend this action. As such, the Company
      cannot predict whether the outcome of these actions will have a material
      adverse effect on the Company's consolidated financial position, cash
      flows or results of operations.

      By letter dated December 20, 1999, the Company received formal written
      notification of the intent of two plaintiffs to file a civil action in the
      Court of Common Pleas of Allegheny County, Pennsylvania against Transworld
      Healthcare, Inc., Transworld Home Healthcare, Inc., Health Management,
      Inc. and HMI Pennsylvania, Inc. The two plaintiffs, Irwin Hirsch and Lloyd
      Myers, formerly were employees of HMI Pennsylvania, Inc., a subsidiary of
      the Company, and had written employment agreements. Myers also served as
      an officer of HMI. Based upon their former status as employees and as
      officers, both claim entitlement to contractual indemnification from HMI
      and HMI Pennsylvania, Inc. for defense costs and settlement of certain
      claims made against them. In 1994, Hirsch and Myers also sold two retail
      pharmacies they owned to HMI.

      Hirsch and Myers were named as defendants in an action filed in the United
      States District Court for the Eastern District of New York entitled In re
      Health Management, Inc. Securities Litigation, Master File No. 96 Civ.
      0889 (ADS), which was a class action by shareholders of HMI alleging,
      among other claims against the defendants, fraud in connection with the
      valuation of certain securities. Hirsch and Myers incurred non-reimbursed
      legal expenses of $100,000 in defending that litigation and, ultimately,
      settled their liability jointly for $1,325,000 which was non-reimbursed.
      They demand that defendants reimburse to them their non-reimbursed legal
      fees and the settlement amount pursuant to the indemnification provisions
      of their employee contracts.

      In addition to their indemnification claims, Hirsch and Myers also claim
      damages in the amount of $7,000,000 for losses in connection with the
      pharmacies sale transaction they entered into with HMI under which they
      sold their retail pharmacies to HMI. Hirsch and Myers claim that the
      pharmacies

                                    Page 30
<PAGE>

      sale transaction was based upon fraudulent misrepresentations by HMI.

      The Company and HMI entities will vigorously defend against these claims.
      The Company believes that Hirsch and Myers' indemnification claims should
      not have any real merit because of testimony given by Hirsch and Myers
      under oath in connection with a criminal trial against Clifford Hotte, a
      director and former officer of HMI. In their testimony, Hirsch and Myers
      acknowledged malfeasance and nonfeasance, which should render their
      contractual entitlement to indemnification void. Even if they are entitled
      to indemnification despite their acknowledgements, they are liable to
      defendants for the economic losses and damages suffered by defendants as a
      result of the malfeasance and nonfeasance. Therefore if the civil actions
      are filed, the Company and HMI entities will aggressively pursue
      counterclaims against Hirsch and Myers for damages which, conservatively,
      are far in excess of their claims, including the claims associated with
      the pharmacies sale transaction.

      The enforcement division of the Securities and Exchange Commission (the
      "Commission") has issued a formal order of investigation relating to
      matters arising out of HMI's public announcement on February 27, 1996 that
      HMI would have to restate its financial statements for prior periods as a
      result of certain accounting irregularities. HMI is fully cooperating with
      this investigation and has responded to the requests of the Commission for
      documentary evidence.

      The outcomes of certain of the foregoing lawsuits and the investigation
      with respect to HMI are uncertain and the ultimate outcomes could have a
      material adverse affect on the Company.

      The Company is involved in various other legal proceedings and claims
      incidental to its normal business activities. The Company is vigorously
      defending its position in all such proceedings. Management believes these
      matters should not have a material adverse impact on the consolidated
      financial position, cash flows or results of operations.

                                    Page 31
<PAGE>

      ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

      FOREIGN CURRENCY EXCHANGE

      The Company faces exposure to adverse movements in foreign currency
      exchange rates. These exposures may change over time as business practices
      evolve and could have a material adverse impact on the Company's
      consolidated financial results. The Company's primary exposure relates to
      non-U.S. dollar denominated sales in the U.K. where the principal currency
      is Pounds Sterling. Currently, the Company does not hedge foreign currency
      exchange rate exposures.

      INTEREST RATE RISK

      The Company's exposure to market risk for changes in interest rates relate
      primarily to the Company's cash equivalents and the U.K. subsidiaries'
      December 20, 1999 Refinancing which includes the Senior Credit Facility
      and Mezzanine Loan. The Company's cash equivalents include highly liquid
      short-term investments purchased with initial maturities of 90 days or
      less. The Company is subject to fluctuating interest rates that may
      impact, adversely or otherwise, its consolidated results of operations or
      cash flows for its variable rate Senior Credit Facility, Mezzanine Loan
      and cash equivalents. In accordance with provisions of the Refinancing, on
      January 25, 2000, the Company hedged the interest rate (LIBOR cap of 9%)
      on approximately $40,775,000 of its floating rate debt in a contract which
      expires June 30, 2003. The approximate notional amount of the contract
      adjusts down (consistent with debt maturity) as follows:

      July 30, 2000           $39,170,000
      December 31, 2000        37,565,000
      June 30, 2001            35,960,000
      December 31, 2001        34,355,000
      June 30, 2002            31,945,000
      December 31, 2002        29,540,000

      The Company's Notes ($35,567,000 at March 31, 2000) mature on December 31,
      2008 and bear interest at a fixed rate of 9.375%. The table below
      represents the expected maturity of the Company's variable rate debt and
      their weighted average interest rates at March 31, 2000.

                         EXPECTED    WEIGHTED AVERAGE
      FISCAL             MATURITY          RATE
                      --------------------------------
      2000            $  2,234,000     LIBOR +2%
      2001               4,468,000     LIBOR +2%
      2002               5,586,000     LIBOR +2%
      2003               6,703,000     LIBOR +2%
      2004               9,236,000     LIBOR +2.02%
      Thereafter         31,611,000    LIBOR +4.19%
                      ------------
                       $ 59,838,000    LIBOR +3.16%
                      ============

      The aggregate fair value of the Company's debt was approximately
$98,630,000 at March 31, 2000.

                                    Page 32
<PAGE>

                                     PART II

      ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K

              (a)  Exhibits.

                   27  Financial Data Schedule

              (b)  Reports on Form 8-K.

                   None.

                                    Page 33
<PAGE>

                                 SIGNATURES

      Pursuant to the requirements of the Securities Exchange Act of 1934, the
Registrant has duly caused this Report to be signed on its behalf by the
undersigned thereunto duly authorized.

Dated:  May 15, 2000

                                       TRANSWORLD HEALTHCARE, INC.

                                       By: /s/ Wayne A. Palladino
                                           -------------------------------------
                                           Wayne A. Palladino
                                           Senior Vice President and Chief
                                           Financial Officer (Principal
                                           Financial Officer and Duly
                                           Authorized to Sign on Behalf of
                                           Registrant)

                                    Page 34
<PAGE>

                                  EXHIBIT INDEX

Exhibit        Description
- -------        -----------

  27           Financial Data Schedule


                                    Page 35

<TABLE> <S> <C>

<PAGE>


<ARTICLE> 5
<MULTIPLIER> 1,000
<CURRENCY> USD

<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                          SEP-30-2000
<PERIOD-START>                             JAN-01-2000
<PERIOD-END>                               MAR-31-2000
<EXCHANGE-RATE>                                      1
<CASH>                                          40,551
<SECURITIES>                                         0
<RECEIVABLES>                                   48,200
<ALLOWANCES>                                    18,949
<INVENTORY>                                      2,835
<CURRENT-ASSETS>                                85,879
<PP&E>                                          20,990
<DEPRECIATION>                                  11,450
<TOTAL-ASSETS>                                 209,948
<CURRENT-LIABILITIES>                           26,714
<BONDS>                                              0
                                0
                                          0
<COMMON>                                           176
<OTHER-SE>                                      89,896
<TOTAL-LIABILITY-AND-EQUITY>                   209,948
<SALES>                                         40,708
<TOTAL-REVENUES>                                40,708
<CGS>                                           26,260
<TOTAL-COSTS>                                   26,260
<OTHER-EXPENSES>                                12,960
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                               1,220
<INCOME-PRETAX>                                    268
<INCOME-TAX>                                       167
<INCOME-CONTINUING>                                101
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                       101
<EPS-BASIC>                                       0.01
<EPS-DILUTED>                                     0.01




</TABLE>


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