UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 5
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
( ) Check box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. See Instructions 1(b).
(X) Form 3 Holdings Reported
( ) Form 4 Transactions Reported
1. Name and Address of Reporting Person
McClellan, Kathie
c/o Simione Central Holdings
6600 Powers Ferry Road
Atlanta, GA 30339
2. Issuer Name and Ticker or Trading Symbol
Simione Central Holdings, Inc.
SCHI
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Statement for Month/Year
December 1999
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other
(specify below)
Senior Vice President
7. Individual or Joint/Group Reporting (Check Applicable Line)
(X) Form filed by One Reporting Person
( ) Form filed by More than One Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect |
|Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership |
|Date |Code| | Beneficially |(D)or | |
| | | | A/| | Owned at |Indir | |
| | | Amount | D | Price | End of Year |ect(I)| |
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Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned |
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1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of|
Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect |
|or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial |
|cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership |
|ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | |
|Deriva | | | |Date |Expir| | |ficially |Ind| |
|tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| |
|Secu | | | | D |cisa-|Date | of Shares | |End of |ct | |
|rity | | | Amount | |ble | | | |Year |(I)| |
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Option |1.50 |5/12/|A |75,000 |A |(1) |5/12/|Common Stock|75,000 |N/A |75,000 |D | |
| |99 | | | | |2009 | | | | | | |
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Option |2.00 |11/30|A |15,000 |A |(1) |11/30|Common Stock|15,000 |N/A |15,000 |D | |
| |/98 | | | | |/2008| | | | | | |
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Option |11.13 |8/26/|A 3 |15,000 |A |(1) |8/26/|Common Stock|15,000 |N/A |15,000 |D | |
| |97 | | | | |2007 | | | | | | |
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Explanation of Responses:
(1) Option is exercisable in three equal annual installments beginning on the
first anniversary of the transaction date shown above.
SIGNATURE OF REPORTING PERSON
Kathie McClellan
