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

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

                               ------------------
                                Amendment No. 1
                                    FORM 10-Q/A

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

                         FOR THE QUARTERLY PERIOD ENDED
                                DECEMBER 31, 1999
                         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 April 17, 2000
Common Stock                                         17,551,076 Shares


<PAGE>

                           TRANSWORLD HEALTHCARE, INC.

                        FIRST QUARTER REPORT ON FORM 10-Q/A


In the original filing of the Company's Quarterly Report on Form 10-Q for the
quarter ended December 31, 1999, the Company presented their U.K. subsidiaries
on a consolidated basis. Subsequent to the original filing the Company has
concluded that effective with the new financing, the investment in the U.K.
subsidiaries should be accounted for under the equity method, retroactive to
October 31, 1999. This amended 10-Q reflects this revised accounting.


                                TABLE OF CONTENTS
                                -----------------

                                     PART I

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

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

          Condensed Consolidated Statement of Operations - For the Three
            Months Ended December 31, 1999 and December 31, 1998.............5

          Condensed Consolidated Statement of Cash Flows - For the Three
            Months Ended December 31, 1999 and December 31, 1998.............6

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

Item 2.   Management's Discussion and Analysis of Financial Condition
            and Results of Operations.......................................15

Item 3.   Quantitative and Qualitative Disclosures about Market Risk........24

                                     PART II

Item 1.   Legal Proceedings.................................................25

Item 6.   Exhibits and Reports on Form 8-K..................................25


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>

                                                                     DECEMBER 31,           SEPTEMBER 30,
                                                                         1999                    1999
                                                                  ------------------      -----------------
                                                                      (Restated)
                                 ASSETS

Current assets:
<S>                                                                      <C>               <C>
  Cash and cash equivalents                                         $    13,197            $      5,158
  Accounts receivable, less allowance for doubtful
    accounts of $18,902 and $19,870, respectively                        11,943                  30,814
  Inventories                                                             1,959                   2,929
  Deferred income taxes                                                   7,572                   6,930
  Prepaid expenses and other assets                                         866                   4,735
                                                                    ------------           -------------
         Total current assets                                            35,537                  50,566

Property and equipment, net                                               2,774                   9,929
Investment in U.K. subsidiaries                                          38,304
Intangible assets, net of accumulated amortization of
    $3,855 and $9,798, respectively                                      18,630                 103,248
Deferred income taxes                                                     6,173                   6,173
Other assets                                                                148                   2,205
                                                                    ------------           -------------
         Total assets                                               $   101,566            $    172,121
                                                                    ============           =============

                  LIABILITIES AND STOCKHOLDERS' EQUITY

Current liabilities:
  Current portion of long-term debt                                 $         6            $      1,364
  Accounts payable                                                        3,032                   5,058
  Accrued expenses                                                        5,083                  14,899
  Income taxes payable                                                    1,684                   3,240
                                                                    ------------           -------------
         Total current liabilities                                        9,805                  24,561

Long-term debt                                                                6                  54,407
Deferred income taxes and other                                           1,310                   1,879
                                                                    ------------           -------------
         Total liabilities                                               11,121                  80,847
                                                                    ------------           -------------

Commitments and contingencies (Note 6)

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                                   (2,866)                   (405)
  Retained deficit                                                      (34,935)                (34,023)
                                                                    ------------           -------------

         Total stockholders' equity                                      90,445                  91,274
                                                                    ------------           -------------

         Total liabilities and stockholders' equity                 $   101,566            $    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

                                                                         -----------------------------------------
                                                                           DECEMBER 31,             DECEMBER 31,
                                                                               1999                     1998
                                                                         -----------------         ---------------
                                                                            (Restated)
<S>                                                                         <C>                       <C>
Revenues:
    Net respiratory, medical equipment and supplies sales                   $   8,638                 $  19,726
    Net infusion services                                                       2,797                     2,423
    Net patient services                                                                                 17,905
                                                                            ----------                ----------
          Total revenues                                                       11,435                    40,054
                                                                            ----------                ----------

Cost of revenues:
    Respiratory, medical equipment and supplies sales                           4,096                    10,826
    Infusion services                                                           2,071                     1,817
    Patient services                                                                                     12,465
                                                                            ----------                ----------
          Total cost of revenues                                                6,167                    25,108
                                                                            ----------                ----------
          Gross profit                                                          5,268                    14,946

Selling, general and administrative expenses                                    6,132                    13,603
                                                                            ----------                ----------

          Operating (loss) income                                                (864)                    1,343

Interest income                                                                   (41)                      (69)
Interest expense                                                                1,178                     1,401
                                                                            ----------                ----------
          (Loss) income before income taxes, equity income
              and extraordinary loss                                           (2,001)                       11

(Benefit) provision for income taxes                                             (655)                        7
Equity in income of and interest income earned
    from U.K. subsidiaries                                                      1,193
                                                                            ----------                ----------
          (Loss) income before extraordinary loss                                (153)                        4

Extraordinary loss on early extinguishment of debt
    (net of income tax benefit of $408)                                          (759)
                                                                            ----------                ----------

          Net (loss) income                                                 $    (912)                $       4
                                                                             ==========                ==========

(Loss) income per share of common stock before
        extraordinary loss:
        Basic and diluted                                                   $   (0.01)                $       -
                                                                            ==========                ==========

Net (loss) income per share of common stock:
        Basic and diluted                                                   $   (0.05)                $       -
                                                                            ==========                ==========

Weighted average number of common shares outstanding:
        Basic                                                                  17,551                    17,536
                                                                            ==========                ==========
        Diluted                                                                17,551                    17,726
                                                                            ==========                ==========

</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>

                                                                                       THREE MONTHS ENDED
                                                                            ------------------------------------------
                                                                              DECEMBER 31,             DECEMBER 31,
                                                                                  1999                     1998
                                                                            -----------------         ----------------
                                                                               (Restated)
<S>                                                                          <C>                       <C>
Cash flows from operating activities:
    Net (loss) income                                                        $       (912)             $          4
    Adjustments to reconcile net (loss) income to net
       cash provided by (used in) operating activities:
            Depreciation and amortization                                             396                     1,372
            Amortization of debt issuance costs                                       209                       264
            Provision for doubtful accounts                                         1,306                     2,027
            Deferred income taxes                                                    (642)
            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                                        (1,624)                   (2,041)
            Increase in inventories                                                  (207)                   (1,033)
            Decrease (increase) in prepaid expenses and other assets                  141                    (1,530)
            (Decrease) increase in accounts payable and other liabilities              (4)                    1,267
                                                                            --------------            --------------
                Net cash (used in) provided by operating activities                  (581)                      330
                                                                            --------------            --------------

Cash flows from investing activities:
    Capital expenditures                                                              (79)                     (844)
    Notes receivable - payments received                                                                         20
    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                                                           (548)
                                                                            --------------            --------------
                Net cash provided by (used in) investing activities                66,990                    (1,372)
                                                                            --------------            --------------

Cash flows from financing activities:
    Payments on long-term debt                                                    (55,759)                      (56)
    Payments for financing fees and issuance costs                                    (15)
                                                                            --------------            --------------
                Net cash used in financing activities                             (55,774)                      (56)
                                                                            --------------            --------------

Effect of exchange rate on cash                                                         2                      (131)
Decrease in cash due to deconsolidation of U.K. subsidiaries                       (2,598)
                                                                            --------------            --------------

Increase (decrease) in cash                                                         8,039                    (1,229)
Cash and cash equivalents, beginning of period                                      5,158                    10,413
                                                                            --------------            --------------
Cash and cash equivalents, end of period                                    $      13,197             $       9,184
                                                                            ==============            ==============
Supplemental cash flow information:
  Cash paid for interest                                                    $       1,178             $       1,140
                                                                            ==============            ==============
  Cash paid for income taxes, net                                           $                         $          12
                                                                            ==============            ==============

</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.    RESTATEMENT:

      In the original filing of the Transworld Healthcare, Inc.'s (the
      "Company") Quarterly Report on Form 10-Q for the quarter ended December
      31, 1999, the Company presented their U.K. subsidiaries on a consolidated
      basis. Subsequent to the original filing the Company has concluded that
      effective with the new financing, the investment in the U.K. subsidiaries
      should be accounted for under the equity method, retroactive to October
      31, 1999. This amended 10-Q reflects this revised accounting (See Note 5).

      The table below contains condensed consolidated financial information as
      previously reported in the original 10-Q filing and as restated in this
      amendment.

      CONDENSED CONSOLIDATED BALANCE SHEET DATA
      -----------------------------------------
      DECEMBER 31, 1999
                                                   Previously
                                                      Filed       Restated
                                                   ------------  ------------
      Total assets                                   $ 213,533     $  99,004
      Total liabilities                                125,650        11,121
      Total stockholder's equity                        87,883        87,883


      CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS DATA
      ---------------------------------------------------
      THREE MONTHS ENDED DECEMBER 31, 1999
                                                   Previously
                                                      Filed       Restated
                                                   ------------  ------------
      Net revenues                                   $  40,282     $  11,435
      Equity in income of and interest income
        earned from U.K. subsidiaries                                  1,193
      Net loss                                            (912)         (912)


2.    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) specialty mail-order pharmaceuticals,
      medical supplies, respiratory therapy and home medical equipment in both
      the U.S. and U.K.; (ii) infusion therapy in the U.S.; and (iii) patient
      services, including nursing and para-professional services in the U.K.

      The Condensed Consolidated Financial Statements presented herein are
      unaudited and include all adjustments (consisting of normal recurring
      adjustments, except as described in Note 4) 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.

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. At December 31, 1999
      and 1998, the Company had outstanding stock options and warrants to
      purchase 4,140 and 3,890 shares, respectively, of common stock ranging in
      price from $2.65 to $12.45 and $4.38 to $12.45 per share, respectively,
      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.

      The weighted average number of shares used in the basic and diluted
      earnings per share computations for the three months ended December 31,
      1999 and 1998 are as follows:


                                                             THREE MONTHS ENDED
                                                                 DECEMBER 31,
                                                           ---------------------
                                                            1999          1998
                                                           ------        ------
    Weighted average number of common
      shares outstanding as used in computation of
      basic EPS of common stock                            17,551         17,536

    Incremental shares of stock options and warrants,
      after application of treasury stock method                             190
                                                           ------         ------
    Shares used in computation of diluted EPS
      of common stock                                      17,551         17,726
                                                           ======         ======

                                     Page 7
<PAGE>

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

4.    COMPREHENSIVE LOSS:

      Components of comprehensive loss include net (loss) income 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 months ended
      December 31, 1999 and 1998:

                                                    THREE MONTHS ENDED
                                                        DECEMBER 31,
                                                ---------------------------
                                                   1999             1998
                                                ----------       ----------
                                                (Restated)
        Net (loss) income                      $    (912)       $       4
         Change in cumulative
            translation adjustment                 (2,461)          (2,219)
                                                ----------       ----------

         Comprehensive loss                     $  (3,373)       $  (2,215)
                                                ==========       ==========

5.    INVESTMENT IN U.K. SUBSIDIARIES:

      On December 20, 1999, the Company's UK 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 does 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 is 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
      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.

      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 will enable the Company to consolidate the U.K.
      subsidiaries for the second quarter ended March 31, 2000.



                                     Page 8
<PAGE>


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

5.    INVESTMENT IN U.K. SUBSIDIARIES (CONTINUED):

      The tables below contains condensed consolidated financial information of
      UK Parent as of December 31, 1999 for the balance sheet data and for the
      three months ended December 31, 1999 for the statement of operations data.

      CONDENSED CONSOLIDATED BALANCE SHEET DATA
      -----------------------------------------

<TABLE>
<CAPTION>

      DECEMBER 31, 1999 (Restated)

<S>                                              <C>              <C>                                  <C>
      Cash and cash equivalents                   $     30,594    Current portion of long term-debt     $      4,204
      Accounts receivable, less allowance                         Other current liabilities                   12,662
        for doubtful accounts of $1,149                 17,921                                         --------------
      Other current assets                               6,643      Total current liabilities                 16,866
                                                  -------------   Long-term debt                              60,639
        Total current assets                            55,158    Notes payable                               33,934
      Property and equipment, net                        7,104    Other liabilities                              553
      Intangible assets, net of accumulated                                                            --------------
        amortization of $6,880                          85,148      Total liabilities                        111,992
      Other assets                                       2,886    Stockholder's equity                        38,304
                                                  -------------                                        --------------
        Total assets                              $    150,296      Total liabilities and
                                                  =============       stockholder's equity              $    150,296
                                                                                                       ==============

</TABLE>


      CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS DATA
      ---------------------------------------------------
      THREE MONTHS ENDED DECEMBER 31, 1999
      Net revenues                                                $    28,847
      Gross profit                                                      8,993
      Operating income                                                  2,442
      Interest expense, net (including $1,203 of intercompany)          1,359
      Tax provision                                                       672
      Net income                                                          411
      Depreciation and amortization                                     1,148


<TABLE>
<CAPTION>

      The components of the Refinancing at December 31, 1999 are as follows:

      FACILITY                                           TOTAL     OUTSTANDING       INTEREST RATE      MATURITY
      --------                                           -----     -----------       -------------      --------
                                                                    (Restated)
<S>                                                    <C>             <C>           <C>               <C>
      SENIOR CREDIT FACILITIES:
      Term loan                                        $  45,245       $    45,245     LIBOR + 2%       Dec. 17, 2005
      Acquisition loan                                    20,199             1,511     LIBOR + 2.75%    Dec. 17, 2006
      Working capital facility                             8,079             4,490     LIBOR + 2%       Dec. 17, 2005
                                                       ---------       -----------
          Total senior credit facilities                  73,523            51,246
      MEZZANINE TERM LOAN                                 16,159            13,597(1)  LIBOR + 7%       Dec. 17, 2007
      SENIOR SUBORDINATED NOTES WITH WARRANTS             36,012            33,934     9.375%           Dec. 17, 2008
                                                       ---------       -----------
      TOTAL REFINANCING                                $ 125,694            98,777
                                                       ==========
          LESS, CURRENT MATURITIES                                           4,204
                                                                       ------------
                                                                       $    94,573
                                                                       ============
</TABLE>
- ----------
(1)  Net of unamortized discount of $2,562.


                                     Page 9
<PAGE>

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

5.    INVESTMENT IN UK SUBSIDIARIES (CONTINUED):

      The mezzanine lenders and the Investors were also issued warrants to
      purchase approximately 2% and 27%, respectively, of the fully diluted
      shares of Transworld Healthcare (UK) Limited ("TW UK"). The exercise price
      of the warrants issued to the Investors (the "Note Warrants") shall equal
      the entire principal amount of the Notes for all Note Warrants in the
      aggregate and must be paid through the tender of Notes to TW UK. The
      exercise price of the warrants issued to the mezzanine lenders in
      aggregate is approximately $131 and they can be exercised at any time
      without condition. The fair value of the 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 Note Warrants or the shares issued
      upon exercise of the Note Warrants (the "Warrant Shares") under certain
      circumstances and in accordance with the terms of the documents covering
      the Notes. The purchase price of the Note 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 Note Warrants and (ii) the exercise price of such Note Warrants.
      The purchase price of the Warrant Shares shall be equal to the fair market
      value of such Warrant Shares.

      Of the net $125,700 proceeds of the Refinancing, $67,372 was used to pay
      down the U.K. subsidiaries existing intercompany loan due to the Company,
      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 December 31, 1999,
      borrowings under the senior credit facilities bore interest at a rate of
      7.72% to 8.47%. Subject to certain exceptions, the senior credit
      facilities contain restrictions, prohibitions and affirmative and negative
      financial covenants customarily found in agreements of this 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 December 31, 1999, borrowings under the mezzanine term loan bore
      interest at a rate of 12.72%.

      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.

6.    DEBT:

      On December 20, 1999, $55,755 of the net proceeds received from the pay
      down of the intercompany loan due from the U.K. subsidiaries was used to
      repay the Company's existing senior indebtedness (the "Credit Facility").
      The remaining $11,617 of proceeds will be used for general corporate
      purposes in the U.S. In connection with the repayment of the Credit
      Facility, the Company recorded a non-cash, after-tax, extraordinary charge
      of $759 during the three months ended December 31, 1999, related to the
      write-off of the deferred financing costs associated with the Credit
      Facility.

                                    Page 10
<PAGE>

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

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 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 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

                                    Page 11
<PAGE>

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

7.    COMMITMENTS AND CONTINGENCIES (CONTINUED):

      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 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, attorney's 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


                                    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):

      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.

8.    OPERATIONS BY BUSINESS SEGMENTS AND GEOGRAPHIC AREAS:

      During the three months ended December 31, 1999, the Company operated in
      the following reportable business segments: (i) U.S. specialty mail-order
      pharmaceuticals and medical supplies


                                    Page 13
<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):

      ("Mail-Order") operations; and (ii) U.S. hi-tech ("Hi-Tech") operations.
      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.

      During the three months ended December 31, 1998, the Company also
      consolidated its U.K. operations, which derived 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.
      Retroactive to October 1, 1999, the U.K. operations are being accounted
      for under the equity method of accounting.

      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 three months ended December 31, 1999 and 1998.


                                               THREE MONTHS ENDED DECEMBER 31,
                                                           1999
                                           =====================================
                                                       (Restated)
                                              U.S.        U.S.
                                           MAIL-ORDER    HI-TECH       TOTAL
                                           ----------  -----------  ----------
     Revenues to unaffiliated customers     $  7,632    $   3,803    $  11,435
                                           =========    =========   ==========
     Segment operating profit               $     29    $      88    $     117
                                           =========    =========
     Corporate expenses                                                   (981)
     Interest expense, net                                              (1,137)
                                                                    ----------
     Loss before income taxes, equity
       income and extraordinary loss                                 $  (2,001)
                                                                    ==========
     Identifiable assets, December
     31, 1999                               $ 26,721    $  11,188    $  37,909
                                           =========    =========
     Investment in U.K. subsidiaries                                    38,304
     Corporate assets                                                   25,353
                                                                    ----------
     Total assets, December 31, 1999                                 $ 101,566
                                                                    ==========



<TABLE>
<CAPTION>
                                                  THREE MONTHS ENDED DECEMBER 31, 1998
                                      -------------------------------------------------------------
                                         U.K.         U.S.        U.S.        U.S.
                                      OPERATIONS   MAIL-ORDER   HI-TECH      TOTAL        TOTAL
                                      -------------------------------------------------------------
<S>                                    <C>          <C>         <C>         <C>         <C>
     Revenues to unaffiliated          $  24,489    $ 12,117    $  3,448    $ 15,565    $  40,054
                                       =========    ========    ========    ========    =========
     Segment operating profit (loss)   $   2,467    $    308    $   (249 )  $     59    $   2,526
                                       =========    ========    ========    ========
     Corporate expenses                                                                    (1,183)
     Interest expense, net                                                                 (1,332)
                                                                                        ---------
     Income before income taxes                                                         $      11
                                                                                        =========
</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 14
<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 U.K. and the 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 United Kingdom ("U.K.") subsidiaries
      obtained an aggregate of $125,700,000 in 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 is
      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
      is accounting for the investment in UK Parent and subsidiaries under the
      equity method, retroactive to October 1, 1999.

      RESULTS OF OPERATIONS

      THREE MONTHS ENDED DECEMBER 31, 1999 (RESTATED) VS. THREE MONTHS ENDED
      DECEMBER 31, 1998

      Revenues. Total reported revenues for the three months ended December 31,
      1999 and 1998 was $11,435,000 and $40,054,000, respectively. This
      represents a decrease of $28,619,000 or 71.5% when comparing the three
      months ended December 31, 1999 to 1998. This decrease relates primarily to
      the change in accounting for the U.K. subsidiaries from consolidation to
      the equity method ($24,489,000). The remaining decrease was primarily
      attributable to declines in revenue experienced by the Mail-Order
      operations ($4,486,000) due to a reduction in the number of patients
      serviced.

      Cost of Revenues. Total reported cost of revenues for the three months
      ended December 31, 1999 and 1998 was $6,167,000 and $25,108,000,
      respectively. This represents a decrease of $18,941,000 when comparing the
      three months ended December 31, 1999 to 1998. As a percentage of total
      revenue, cost of revenues for the three months ended December 31, 1999
      decreased to 53.9% in comparison to 62.7% for the prior period. Cost of
      revenues as a percentage of revenues decreased for respiratory, medical
      equipment and supplies sales operations (47.4% for the three months ended
      December 31, 1999 versus 54.9% for the prior period) and decreased for
      infusion services (74.1% for the three months ended December 31, 1999
      versus 75.0% for the prior period). 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. The decrease in infusion services is due to an increase in
      infusion therapies in the Hi-Tech operations with lower product costs.
      Cost of revenues as a percentage of revenues for patient services was
      69.6% for the three months ended December 31, 1998. There was no revenue
      from patient services in the three months ended December 31, 1999 due to
      the change in accounting for the U.K. subsidiaries.


                                     Page 15
<PAGE>

      Selling, General and Administrative Expenses. Reported selling, general
      and administrative expenses for the three months ended December 31, 1999
      and 1998 was $6,132,000 and $13,603,000, respectively. This represents a
      decrease of $7,471,000 or 54.9% when comparing the three months ended
      December 31, 1999 to 1998. This decrease relates primarily to the change
      in accounting for the U.K. subsidiaries from consolidation to the equity
      method ($5,070,000). The remaining decrease was primarily due to an
      overhead reduction program in the Company's Mail-Order operations
      ($2,064,000) and Hi-Tech operations ($135,000).

      Interest Income. Reported interest income for the three months ended
      December 31, 1999 and 1998 was $41,000 and $69,000, respectively. This
      represents a decrease of $28,000 or 40.6% when comparing the three months
      ended December 31, 1999 to 1998. This decrease was primarily attributable
      to the change in accounting for the U.K. subsidiaries from consolidation
      to the equity method ($38,000).

      Interest Expense. Reported interest expense for the three months ended
      December 31, 1999 and 1998 was $1,178,000 and $1,401,000, respectively.
      This represents a decrease of $223,000 or 15.9% when comparing the three
      months ended December 31, 1999 to 1998. This favorable variance was
      primarily attributable to a lower level of borrowings under the Company's
      senior secured revolving credit facility (the "Credit Facility") combined
      with a reduced borrowing rate.

      (Benefit) Provision for Income Taxes. The Company recorded a benefit for
      income taxes amounting to $655,000 or 32.7% of loss before income taxes
      for the three months ended December 31, 1999 versus a provision of $7,000
      or 63.6% of income before income taxes in the comparable prior period. The
      difference between the 32.7% effective tax rate for the three months ended
      December 31, 1999 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
      $12,575,000 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.


                                     Page 16

<PAGE>


      Equity in Income of and Interest Income Earned from U.K. Subsidiaries.
      Equity in income of U.K. subsidiaries for the three months ended December
      31, 1999 was $411,000, which represents 100% of the net income of the
      Company's U.K. subsidiaries. Interest income earned from U.K. subsidiaries
      for the three months ended December 31, 1999 was $782,000 (net of tax
      provision of $421,000), which represents interest income on an
      intercompany loan, which was repaid on December 20, 1999, concurrent with
      the Refinancing. There was no equity in income of and interest income
      earned from U.K. subsidiaries in the three months ended December 31, 1998
      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 three
      months ended December 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 (Income). As a result of the foregoing, the Company recorded a
      net loss of $912,000 for the three months ended December 31, 1999 compared
      to net income of $4,000 for the three months ended December 31, 1998.

      LIQUIDITY AND CAPITAL RESOURCES

      GENERAL.

      During the three months ended December 31, 1999, the Company utilized
      $581,000 (restated) in operating activities. Cash requirements during the
      three months ended December 31, 1999 for operating activities and capital
      expenditures ($79,000 (restated)), 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
      (restated)).

      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 growth in accounts receivable has been the main
      operating use of cash historically. At December 31, 1999 and September 30,
      1999, $11,943,000 (restated) (11.8% (restated)) and $30,814,000 (17.9%),
      respectively, of the Company's total assets consisted of accounts
      receivable. This represents a decrease of $18,871,000 (restated) or 61.2%
      (restated) when comparing December 31, 1999 to September 30, 1999. This
      decrease relates primarily to the change in accounting for the U.K.
      subsidiaries from consolidation to the equity method ($17,921,000). The
      accounts receivable are substantially due from third-party


                                    Page 17
<PAGE>

      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. As reported, at December
      31, 1999 and September 30, 1999, the Company's average DSOs were 94
      (restated) and 73, respectively. This decrease from December 31, 1999 to
      September 30, 1999 relates primarily to the change in accounting for the
      U.K. subsidiaries from consolidation to the equity method.

      REFINANCING.

      General. As described more fully below, on December 20, 1999, the
      Company's U.K. subsidiaries, UK Parent and its subsidiary Transworld
      Healthcare (UK) Limited ("TW UK") obtained the Refinancing, denominated in
      pounds sterling, which aggregates approximately $125,700,000 at December
      31, 1999. The Refinancing consists of a $73,523,000 senior collateralized
      term and revolving credit facility (the "Senior Credit Facility"),
      $16,159,000 in mezzanine indebtedness (the "Mezzanine Loan") and
      $36,012,000 principal amount of senior subordinated notes (the "Notes").
      Through a pay down of an existing intercompany loan due to the Company
      from its U.K. subsidiaries, $55,755,000 of the net proceeds of the
      Refinancing was used to repay the Company's existing Credit Facility and
      $11,617,000 was provided to the Company for general corporate purposes in
      the U.S. The balance of the proceeds of Refinancing is 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)
      $45,245,000 term loan A, maturing December 17, 2005, (ii) $20,199,000
      acquisition term loan B, maturing December 17, 2006 which may be drawn
      upon during the first three years following closing, and (iii) $8,079,000
      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 equal to LIBOR plus 2% to 2.75% per annum. As of
      May 1, 2000, TW UK had outstanding borrowings of $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

                                    Page 18
<PAGE>

      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
      $36,012,000 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.

      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

                                    Page 19
<PAGE>

      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.

      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 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

                                    Page 20
<PAGE>

      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.

      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 National Health Service ("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.

                                    Page 21
<PAGE>

      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. 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 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 $325,000, 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 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 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

                                    Page 22
<PAGE>

      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 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

                                    Page 23
<PAGE>
      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 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.

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. subsidiaries 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 and its U.K. subsidiaries are 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's U.K.
      subsidiaries 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 U.K. subsidiaries' Senior Subordinated Notes ($33,934,000 at December
      31, 1999) mature on December 31, 2008 and bear interest at a fixed rate of
      9.375%. The table below represents the expected maturity of the U.K.
      subsidiaries' variable rate debt and their weighted average interest rates
      at December 31, 1999.

                                 WEIGHTED
                    EXPECTED      AVERAGE
      FISCAL        MATURITY       RATE
      ------        -------------------------
      2000       $ 2,262,000   LIBOR +2%
      2001         4,525,000   LIBOR +2%
      2002         5,656,000   LIBOR +2%
      2003         6,787,000   LIBOR +2%
      2004         9,351,000   LIBOR +2.02%
      thereafter  36,263,000   LIBOR +3.9%
                 -----------
                 $64,844,000   LIBOR +3.07%
                 ===========


The aggregate fair value of the U.K. subsidiaries' debt was approximately
$101,139,000 at December 31, 1999.






                                     Page 24
<PAGE>

                                     PART II

ITEM  1. LEGAL PROCEEDINGS

      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 $325,000, 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 financial position, cash flows, or results of
      operations.

ITEM  6. EXHIBITS AND REPORTS ON FORM 8-K

    (a)   Exhibits.

               27   Financial Data Schedule

    (b)   Reports on Form 8-K.

               None.



                                    Page 25
<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 26
<PAGE>

                                  EXHIBIT INDEX

Exhibit                                 Description

27                                      Financial Data Schedule





                                    Page 27



<TABLE> <S> <C>

<PAGE>



<ARTICLE> 5
<MULTIPLIER> 1,000

<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                          SEP-30-2000
<PERIOD-START>                             OCT-01-1999
<PERIOD-END>                               DEC-31-1999
<CASH>                                          13,197
<SECURITIES>                                         0
<RECEIVABLES>                                   11,943
<ALLOWANCES>                                    18,902
<INVENTORY>                                      1,959
<CURRENT-ASSETS>                                35,537
<PP&E>                                           8,666
<DEPRECIATION>                                   5,892
<TOTAL-ASSETS>                                 101,566
<CURRENT-LIABILITIES>                            9,805
<BONDS>                                              0
                                0
                                          0
<COMMON>                                           176
<OTHER-SE>                                      90,269
<TOTAL-LIABILITY-AND-EQUITY>                   101,566
<SALES>                                         11,435
<TOTAL-REVENUES>                                11,435
<CGS>                                            6,167
<TOTAL-COSTS>                                    6,167
<OTHER-EXPENSES>                                     0
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                               1,137
<INCOME-PRETAX>                                    285
<INCOME-TAX>                                       438
<INCOME-CONTINUING>                              (153)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                  (759)
<CHANGES>                                            0
<NET-INCOME>                                     (912)
<EPS-BASIC>                                     (0.05)
<EPS-DILUTED>                                   (0.05)





</TABLE>


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