NEW YORK HEALTH CARE INC
10QSB, 1998-11-13
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                   FORM 10-QSB

(Mark One)

[X]  QUARTERLY REPORT PURSUANT TO SECTION 13 or 15(d) OF THE SECURITIES EXCHANGE
     ACT OF 1934
     For the quarterly period ended: September 30, 1998

[ ]  TRANSITION  REPORT  PURSUANT  TO  SECTION  13 or  15(d)  OF THE  SECURITIES
     EXCHANGE ACT OF 1934 For the transition period from:

                           Commission File No. 1-12451

                           NEW YORK HEALTH CARE, INC.
                 (Name of small business issuer in its charter)

            New York                                     11-2636089
(State or other jurisdiction of             (I.R.S. Employer Identification No.)
 incorporation or organization)

1850 McDonald Avenue, Brooklyn, New York                   11223
(Address of principal executive offices)                 (Zip Code)

         Issuer's telephone number, including area code: (718) 375-6700

     Check  whether  the issuer (1) filed all  reports  required  to be filed by
Section 13 or 15(d) of the  Exchange  Act during the past 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 [ ]

                         (ISSUERS INVOLVED IN BANKRUPTCY
                  PROCEEDINGS DURING THE PRECEDING FIVE YEARS)

     Indicate by check mark whether the  Registrant  has filed all documents and
reports required to be filed by Sections 12, 13 or 15(d) of the Securities under
a plan confirmed by a court.
Yes [ ]   No [ ]

                    APPLICABLE ONLY TO CORPORATE REGISTRANTS

     State the number of shares  outstanding of each of the issuer's  classes of
common equity, as of the latest practicable date: 3,760,000

     Transitional Small Business Disclosure Format (check one);
Yes [ ]   No [X]

<PAGE>

                    NEW YORK HEALTH CARE, INC. AND SUBSIDIARY
                           CONSOLIDATED BALANCE SHEET
                               SEPTEMBER 30, 1998

                                   A S S E T S

                                   (Unaudited)

Current assets:
   Cash and cash equivalents                                        $   140,033
   Accounts receivable, net of allowance for                      
     uncollectible amounts of $167,252                                5,528,026
   Unbilled services                                                    409,440
   Prepaid expenses                                                     193,722
   Due from affiliates                                                    6,475
   Deferred tax assets                                                   45,000
                                                                    -----------
         Total current assets                                         6,322,696
                                                                  
Property and equipment, net                                             306,558
Intangibles                                                           3,057,347
Deposits                                                                 36,401
                                                                    -----------
         Total assets                                               $ 9,723,002
                                                                    ===========
                                                                  
                      LIABILITIES AND SHAREHOLDERS' EQUITY        
                                                                  
Current liabilities:                                              
                                                                  
   Accrued payroll                                                  $   647,884
   Note payable - bank                                                2,400,000
   Current maturities of long term debt                                 485,772
   Accounts payable and accrued expenses                                257,965
   Income taxes payable                                                 106,000
                                                                    -----------
         Total current liabilities                                    3,897,621
                                                                    -----------
Long-term debt, less current maturities                                 577,500
                                                                    -----------
Commitments, contingencies and other comments                     

Shareholders' equity:                                             
   Preferred stock $.01 par value, 2,000,000 shares authorized;   
     480,000 issued and outstanding                                       4,800
   Common stock, $.01 par value, 12,500,000 shares authorized;    
     3,760,000 shares issued                                             37,600
   Additional paid-in capital                                         4,676,157
   Retained earnings                                                    573,278
                                                                    -----------
                                                                      5,291,835
         Less: Treasury stock (30,105 common shares at cost)            (43,954)
                                                                    -----------
         Total shareholders' equity                                   5,247,881
                                                                    -----------
         Total liabilities and shareholders' equity                 $ 9,723,002
                                                                    ===========
                                                                 
                 See accompanying notes to financial statements


<PAGE>

                    NEW YORK HEALTH CARE, INC. AND SUBSIDIARY

                        CONSOLIDATED STATEMENTS OF INCOME

                                   (Unaudited)
<TABLE>
<CAPTION>
                                       For the Three Months Ended     For the Nine Months Ended
                                              September 30,                  September 30,
                                       --------------------------    ---------------------------
                                           1997           1998           1997           1998
                                       -----------    -----------    -----------    ------------
<S>                                    <C>            <C>            <C>            <C>         
Net patient service revenue            $ 3,450,423    $ 5,067,945    $ 9,760,498    $ 14,955,211
                                       -----------    -----------    -----------    ------------
Expenses:
   Professional care of patients         2,463,792      3,442,066      6,867,931      10,303,463
   General and administrative              810,670      1,278,215      2,455,376       3,693,122
   Bad debts expense                        25,000         15,000         45,000          30,000
   Depreciation and amortization            13,424         55,949         36,876         150,149
                                       -----------    -----------    -----------    ------------
         Total operating expenses        3,312,886      4,791,230      9,405,183      14,176,734
                                       -----------    -----------    -----------    ------------
Income from operations                     137,537        276,715        355,315         778,477
                                       -----------    -----------    -----------    ------------
Nonoperating income (expenses):
   Interest income                                         13,000         12,218          44,770
   Other income                              9,185            165         12,748          14,255
   Interest expense                                       (86,971)       (12,995)       (238,408)
   Acquisition costs                       (17,163)                      (17,163)
                                       -----------    -----------    -----------    ------------
         Nonoperating income
            (expenses), net                 (7,978)       (73,806)        (5,192)       (179,383)
                                       -----------    -----------    -----------    ------------
Income before provision for
   income taxes                            129,559        202,909        350,123         599,094
                                       -----------    -----------    -----------    ------------
Provision (credit) for income taxes:
   Current                                  89,700         83,000        197,700         247,000
   Deferred                                (10,500)                      (19,500)
                                       -----------    -----------    -----------    ------------
                                            79,200         83,000        178,200         247,000
                                       -----------    -----------    -----------    ------------
Net income                             $    50,359    $   119,909    $   171,923    $    352,094
                                       ===========    ===========    ===========    ============

Basic and diluted earnings per share   $       .01    $       .03    $       .05    $        .09
                                       ===========    ===========    ===========    ============
Weighted average shares
    outstanding                          3,750,000      3,739,504      3,750,000       3,747,539
                                       ===========    ===========    ===========    ============
Diluted weighted average shares
    outstanding                          3,750,000      3,739,504      3,750,000       3,749,047
                                       ===========    ===========    ===========    ============
</TABLE>

                 See accompanying notes to financial statements

<PAGE>

                    NEW YORK HEALTH CARE, INC. AND SUBSIDIARY
                 CONSOLIDATED STATEMENT OF SHAREHOLDERS' EQUITY
                  FOR THE NINE MONTHS ENDED SEPTEMBER 30, 1998

                                   (Unaudited)
<TABLE>
<CAPTION>
                                                           Preferred
                                   Common Stock              Stock           Additional            Treasury
                               ---------------------    ----------------      Paid-In               Stock     Retained
                                 Shares       Amount    Shares    Amount      Capital     Shares    Amount    Earnings     Total
                               ----------     ------    ------    ------    -----------   ------    ------    ---------   --------
<S>                            <C>           <C>        <C>       <C>       <C>          <C>      <C>         <C>        <C>       
Balance at January 1, 1998     3,750,000     $37,500                        $4,064,807                        $221,184   $4,323,491

Exercise of stock warrants
    on June 2, 1998               10,000         100                            16,150                                       16,250

Issuance of preferred stock
    on August 6, 1998 in
    exchange for promissory
    note ($1.25 per share)                              480,000   $4,800       595,200                                      600,000

Treasury stock purchased
    on June 28, 1998
    ($1.68 per share)                                                                     7,500   $(12,638)                 (12,638)

Treasury stock purchased
    during July and September
    ($1.39 average per share)                                                            22,605    (31,316)                 (31,316)

Net income                                                                                                     352,094      352,094
                               ---------     -------    -------   ------    ----------   ------   --------    --------   ----------

Balance at September 30,
   1998                        3,760,000     $37,600    480,000   $4,800    $4,676,157   30,105   $(43,954)   $573,278   $5,247,881
                               =========     =======    =======   ======    ==========   ======   ========    ========   ==========
</TABLE>

                 See accompanying notes to financial statements.

<PAGE>

                    NEW YORK HEALTH CARE, INC. AND SUBSIDIARY
                      CONSOLIDATED STATEMENTS OF CASH FLOWS
                                   (Unaudited)

                                                     For the Nine Months Ended
                                                         September 30,
                                                     --------------------------
                                                        1997            1998
                                                     -----------    -----------
Cash flows from operating activities:
   Net income                                        $   171,923    $   352,094
   Adjustments to reconcile net income to net cash
     used in operating activities:
       Depreciation and amortization                      46,720        150,149
       Bad debts expense                                  45,000         30,000
       Deferred tax credit                               (19,500)
       Deferred revenue                                                 (36,000)
       Changes in operating assets and liabilities:
         Increase in accounts receivable and 
            unbilled services                         (1,333,416)    (1,171,466)
         Increase in due from affiliates                                 (6,475)
         Decrease (increase) in prepaid expenses          88,801        (68,728)
         Increase in deposits                             (1,243)        (9,602)
         Decrease in accounts receivable due 
            after one year                                              180,604
         Increase in accrued payroll                     103,598        290,410
         Increase (decrease) in accounts 
            payable and accrued expenses                  97,958        (14,566)
         (Decrease) increase in income taxes 
            payable                                      (72,715)         2,967
                                                     -----------    -----------
              Net cash used in operating activities     (872,874)      (300,613)
                                                     -----------    -----------
Cash flows from investing activities:
   Acquisition of fixed assets                           (65,884)      (113,714)
   Payments for the purchase acquisitions and 
      associated costs                                                  572,295
   Costs incurred for future acquisitions                (95,280)        
                                                     -----------    -----------
              Net cash used in investing activities     (161,164)      (686,009)
                                                     -----------    -----------
Cash flows from financing activities:
   Borrowings under notes payable                                     1,250,000
   Repayment of long-term debt                            (3,869)      (267,500)
   Net (charges) proceeds from issuance of common 
     stock                                               (11,976)        16,250
   Purchase of treasury stock                                           (43,954)
                                                     -----------    -----------
              Net cash (used in) provided by 
                 financing activities                    (15,845)       954,796
                                                     -----------    -----------
Net decrease in cash and cash equivalents             (1,049,883)       (31,826)
Cash and cash equivalents at beginning of period       1,188,450        171,859
                                                     -----------    -----------
Cash and cash equivalents at end of period           $   138,567    $   140,033
                                                     ===========    ===========
Supplemental cash flow disclosure: 
  Cash paid during the period for:
     Interest                                        $    12,995    $   238,408
                                                     ===========    ===========
     Income taxes                                    $   228,457    $   301,665
                                                     ===========    ===========
Supplemental schedule of noncash investing 
  and financing activities:
   The Company purchased customer lists,  
      furniture and fixtures and other 
      intangibles which were partially 
      acquired through the issuance 
      of promissory notes                                           $ 1,730,000
                                                                    ===========
   The Company converted long-term debt to 
      480,000 shares of preferred stock                             $   600,000
                                                                    ===========

                 See accompanying notes to financial statements

<PAGE>

                    NEW YORK HEALTH CARE, INC. AND SUBSIDIARY

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

                                   (UNAUDITED)

NOTE 1 - BASIS OF PRESENTATION:

The  accompanying  unaudited  financial  statements,  which  are for an  interim
period,  do  not  include  all  disclosures  provided  in the  annual  financial
statements.  These unaudited financial  statements should be read in conjunction
with the financial  statements and the footnotes thereto contained in the Annual
Report  on  Form  10-KSB  for the  year  ended  December  31,  1997 of New  York
Healthcare,  Inc.  and  Subsidiary  (the  "Corporation"),   as  filed  with  the
Securities and Exchange Commission.

In  the  opinion  of  the  Corporation,  the  accompanying  unaudited  financial
statements  contain all  adjustments  (which are of a normal  recurring  nature)
necessary for a fair  presentation of the financial  statements.  The results of
operations  for the nine months  ended  September  30, 1998 are not  necessarily
indicative of the results to be expected for the full year.

NOTE 2 - EARNINGS PER SHARE:

Basic earnings per share excludes  dilution and is computed by dividing earnings
available to common shareholders by the weighted average number of common shares
outstanding for the period.

Diluted earnings per share is computed by dividing earnings  available to common
shareholders by the weighted average number of common shares outstanding for the
period, adjusted to reflect potentially dilutive securities. The warrants issued
on June 2, 1998 and not  exercised and certain stock options are included in the
diluted  earnings per share during the period that the exercise  price was below
the average  market price.  Certain other options and warrants were not included
in the computation of diluted  earnings per share because the exercise price was
greater than the average market price of the stock.  No dividends are payable on
the Class A  Convertible  Preferred  Stock  until 1999 and are not  cummulative.
Accordingly, the 9% dividends have not been included in the diluted earnings per
share computation.

NOTE 3 - STOCK OPTIONS:

On June 2, 1998, the Corporation  granted 262,000 stock options  pursuant to the
Corporation's  performance incentive plan to key employees at the exercise price
of $1.625 per share. The stock options have an expiration date of 5-10 years. On
June  25,  1998,  the  Corporation  amended  its  Performance   Incentive  Plan,
authorizing  the  reservation of an additional  210,000 shares of $.01 par value
common  stock,  for  each  of two  additional  years,  for a  total  of  420,000
additional shares.

On June 2, 1998, the  Corporation  granted two of its board members a warrant to
purchase up to 10,000  shares of common  stock at a price of $1.625 per share at
any time until June 1, 2008. On June 2, 1998, one of the board members exercised
his warrant and purchased 10,000 shares of common stock at a price of $16,250.


<PAGE>

                    NEW YORK HEALTH CARE, INC. AND SUBSIDIARY

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

                                   (UNAUDITED)

NOTE 4 - TREASURY STOCK:

In June 1998,  the  Corporation  purchased  7,500 shares of common stock for the
treasury at a cost of $12,638 and in July and September, purchased an additional
22,605 shares of common stock for $31,316. The treasury stock is shown at cost.

NOTE 5 - LINE OF CREDIT:

On January 26, 1998, the  Corporation  entered into a $6,000,000  line of credit
with a bank.  The  availability  of the line of credit is based on a formula  of
eligible  accounts  receivable.  The line is  collateralized by all property and
assets of the  Corporation.  The  Corporation  has also  guaranteed  the line of
credit. At September 30, 1998,  $2,400,000 was outstanding.  Certain  borrowings
under the  agreement  bear  interest at prime plus 1/2% (8.75% at September  30,
1998),  and other  borrowings are due between October and December 1998 and bear
interest between 8.1% and 8.2%.

NOTE 6 - ACQUISITIONS:

On February 8, 1998,  the  Corporation  purchased  the customer  lists and other
intangible assets of an additional three offices in the State of New Jersey from
Metro Healthcare  Services,  Inc. for $500,000 cash and a promissory note in the
amount of  $580,000.  The  acquisition  was  accounted  for as a  purchase  and,
accordingly,  the assets  acquired  have been recorded at their  estimated  fair
values at the date of  acquisition.  The excess of cost over fair  values of the
purchased  business has been  allocated to  goodwill,  customer  lists and other
intangible  assets and is being  amortized  over 25 and 10 years,  respectively.
Operating  results  of the  business  have  been  included  in the  consolidated
financial statements of the Corporation since the date of acquisition.

The purchase price of $1,080,000  plus costs incurred in making the  acquisition
($73,000),  aggregating  $1,153,000,  exceeded  the fair value of the net assets
acquired at the date of acquisition  by $1,123,000.  The purchase price has been
allocated  to  furniture  and  fixtures  for  $30,000,  $79,000 was  assigned to
contract value and employee lists and $1,044,000 was assigned to goodwill.

On March 26,  1998,  the  Corporation  purchased  the  customer  lists and other
intangible  assets of another  entity.  The entity is related to the Corporation
through  common  ownership  and  management.  The  aggregate  purchase  price is
$1,150,000.  This amount was paid  through  issuance of a promissory  note.  The
acquisition  was  accounted  for as a  purchase  and,  accordingly,  the  assets
acquired  have  been  recorded  at their  estimated  fair  values at the date of
acquisition.  The excess of cost over fair values of the purchased  business has
been allocated to goodwill,  customer lists and other  intangible  assets and is
being  amortized over 25 and 10 years,  respectively.  Operating  results of the
business  have been  included in the  consolidated  financial  statements of the
Corporation since the date of acquisition.


<PAGE>

                    NEW YORK HEALTH CARE, INC. AND SUBSIDIARY

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

                                   (UNAUDITED)

The purchase price of $1,150,000  plus costs incurred in making the  acquisition
($45,000),  aggregating  $1,195,000  exceeded  the fair  value of the net assets
acquired at the date of acquisition  by $1,175,000.  The purchase price has been
allocated  to  furniture  and  fixtures  for  $10,000;  $55,000 was  assigned to
contract value and employee lists and $1,130,000 was assigned to goodwill.

NOTE 7 - EARNINGS PER SHARE:

Earnings per share are computed as follows:

<TABLE>
<CAPTION>
                                                    For The Three              For The Nine
                                                    Months Ended               Months Ended
                                                    September 30,              September 30,
                                             -------------------------   -----------------------
                                                 1997         1998          1997         1998
                                             ----------   ------------   ----------   ----------
<S>                                          <C>          <C>            <C>          <C>       
Basic and diluted earnings per 
     share (note 2)

Earnings:
     Net income applicable to common stock   $   50,359   $    119,909   $  171,592   $  352,094
                                             ----------   ------------   ----------   ----------
Shares:
     Weighted average number of common
        shares outstanding - basic            3,750,000      3,739,504    3,750,000    3,747,539

     Incremental shares relating to
          stock options and warrants                                                       1,508
                                             ----------   ------------   ----------   ----------
Diluted weight average shares outstanding     3,750,000      3,739,504    3,750,000    3,749,047
                                             ==========   ============   ==========   ==========
Basic earnings per share                     $      .01   $        .03   $      .05   $      .09
                                             ==========   ============   ==========   ==========
Diluted earnings per share                   $      .01   $        .03   $      .05   $      .09
                                             ==========   ============   ==========   ==========

</TABLE>

<PAGE>

                    NEW YORK HEALTH CARE, INC. AND SUBSIDIARY

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

                                   (UNAUDITED)

NOTE 8 - START UP COSTS:

During the nine month period ending September 30, 1998, the Corporation  adopted
Statement  of Position  98-5  "Reporting  on the Costs of Start-Up  Activities."
Start-up  activities  which  include  (i)  one-time  activities  relating to the
introduction  of a  new  product  or  service,  conducting  business  in  a  new
territory,  conducting business with a new class of customer or commencing a new
operation and (ii)  organization  costs,  are expensed as incurred.  The Company
believes that there is no cumulative  effect on the amount of retained  earnings
at December 31, 1998  resulting  from the adoption of SOP 98-5.  During the nine
months ended September 30, 1998, there were no start-up costs.

NOTE 9 - ISSUANCE OF PREFERRED STOCK:

On August 6, 1998, the Board of Directors  created a series of Preferred  Shares
to consist  initially of 480,000 shares of Class A Convertible  Preferred Stock.
The holders of the Class A  Convertible  Preferred  Stock shall be entitled to a
dividend equal to 9% of the purchase price for shares of the Class A Convertible
Preferred Stock before any dividend is paid on Common Stock.  Dividends shall be
payable quarterly commencing with the first calendar quarter of 1999 and are not
cummulative.  The  holders of Class A  Convertible  Preferred  Stock  receive no
preference  on  liquidation.  The  Class A  Convertible  Preferred  Stock may be
converted into one share of common stock at any time.

On August 6, 1998, Heart to Heart Health Care Services, Inc. ("Heart to Heart"),
which is the holder of the  Corporation's  promissory note in the face amount of
$1,150,000  currently  bearing  interest at the rate of 9% per annum,  converted
$600,000 of the principal  amount of that promissory note into 480,000 shares of
the  Corporation's  newly  authorized  Class A Convertible  Preferred Stock at a
conversion  price of $1.25 per share,  each share of which is convertible at any
time into shares of the  Corporation's  $.01 par value  common  stock.  Heart to
Heart is owned by Jerry Braun,  Jacob Rosenberg,  Samson Soroka,  Hirsch Chitrik
and Sid  Borenstein.  Messrs.  Braun,  Rosenberg,  Chitrik  and  Borenstein  are
officers or directors of the  Corporation  and together  with Mr. Soroka are all
principal  shareholders.  The Corporation has therefore  obtained an independent
opinion  that the  terms  and  conditions  of the  transaction  are,  under  the
circumstances, fair to the Corporation.

<PAGE>

     MANAGEMENT'S DISCUSSION & ANALYSIS OF FINANCIAL CONDITION AND RESULTS
                                 OF OPERATIONS

Nine months  ended  September  30,  1998  compared  with the Nine  months  ended
September 30, 1997.

Results of operations

Revenues  for the nine  months  ended  September  30,  1998  increased  53.2% to
approximately  $14,955,000  from  approximately  $9,760,000  for the nine months
ended  September  30,  1997.  Approximately  3.4% or $332,000 of the increase is
attributable  to  increased  hours of service  provided  under  existing and new
contracts in the State of New York.  The  remaining  increase of $4,863,000 is a
result of the  acquisition  of seven  offices  in New Jersey in  December  1997,
February 1998 and March 1998.

Cost of  professional  care of patients for the nine months ended  September 30,
1998 increased 50.0% to approximately  $10,303,000 from approximately $6,868,000
for the nine months ended September 30, 1997. The increase  resulted from hiring
additional  home health care personnel to service the increased  business in New
York and hiring the staff of the seven offices purchased in New Jersey. The cost
of professional  care of patients as a percentage of revenues  decreased 1.5% to
approximately   68.9%  for  the  nine  months  ended  September  30,  1998  from
approximately  70.4% for nine months ended  September 30, 1997. The decrease was
primarily caused by reduced rates of unemployment taxes and workers compensation
insurance as a result of the Company's improved experience ratings.

Selling, general and administrative expenses for the nine months ended September
30,  1998  increased  50.4%  to  approximately   $3,693,000  from  approximately
$2,455,000 for the nine months ended  September 30, 1997. The increase  resulted
primarily from the acquisition of seven offices in New Jersey. Selling,  general
and  administrative  expenses as a percentage of revenue decreased to 24.7% from
25.2% due to allocation of corporate overhead over a larger revenue base.

Interest  expense for the nine months  ended  September  30, 1998  increased  to
approximately  $238,000 as compared to approximately $13,000 for the nine months
ended  September  30,  1997,  primarily  as a result of  increased  borrowing to
finance the purchases of the New Jersey  offices and,  secondarily,  the need to
fund the operations of these offices as the receivables grew to normal levels.

The  provision  for  Federal,  State and Local taxes for the nine  months  ended
September  30, 1998  increased  to  approximately  $247,000  from  approximately
$179,000 for the nine months ended  September  30, 1997.  This  increase is as a
result of increased income for the period.

In view of the  foregoing,  net income for the nine months ended  September  30,
1998 increased  105.2% to  approximately  $353,000 as compared to  approximately
$172,000 for the nine months ended September 30, 1997.

Liquidity and Capital Resources

For the nine months ended  September 30, 1998,  net cash used in operations  was
$301,000  as compared to $873,000  during the nine months  ended  September  30,
1997,  an decrease of $572,000 or 65.5%.  The  $301,000  used in the nine months
ended  September  30, 1998 was  principally  due to the  approximately  $991,000
increase  in  accounts   receivable   and  unbilled   services,   offset  by  an
approximately  $275,000 increase in accounts  payable,  including  payroll,  and
$352,000 in net income.  Significant  portions of the increased  receivables and
payables was from the recently acquired New Jersey offices. The $873,000 used in
the  nine  months  ended   September  30,  1997  was   principally  due  to  the
approximately  $1,333,000 increase in accounts receivable and unbilled services,
offset by an  approximately  $202,000  increase in accrued  payroll and accounts
payable and  approximately  $172,000 in net income.  Net cash used in  investing
activities  approximates  $686,000 primarily for the acquisition of the four New
Jersey  offices.  Net cash provided by financing  activities for the nine months
ended  September 30, 1998 totaled  $955,000  compared to the $16,000 used in the
nine months ended  September 30, 1997.  Approximately  $580,000  

<PAGE>

borrowed  in the  nine  months  ended  September  30,  1998  was  used  for  the
acquisition of four of the offices in New Jersey and  approximately  $300,000 to
fund their operation.

As of September 30, 1998,  approximately  $5,185,000  (approximately 53%) of the
Company's  total assets  consisted of accounts  receivable  from clients who are
reimbursed by third-party payors, as compared to $4,185,000  (approximately 84%)
as of  September  30,  1997, a decrease of 31%.  Such payors  generally  require
substantial  documentation in order to process claims.  The decrease of accounts
receivable from clients who are reimbursed by third-party payors as a percentage
of  total  assets  is the  result  of an  increase  in total  assets  due to the
acquisition of intangible assets purchased with the New Jersey offices.

Days Sales Outstanding  ("DSO") is a measure of the average number of days taken
by the  Company to collect its  accounts  receivable,  calculated  from the date
services are billed. For the nine months ended September 30, 1998, the Company's
DSO was 104,  compared to 116 days for the nine months ended September 30, 1997.
The  improvement of 12 days in DSO is the net effect of combining the New Jersey
DSO's  (which  consist  primarily  of medicaid  billings) of 37 days and the New
York's DSO's which are 133 days.

The Company's liquidity and long-term capital  requirements depend upon a number
of factors,  including the lag time to realize  collections of amounts billed to
clients for services  provided and the rate at which new offices and  facilities
are established and  acquisitions,  if any, are completed.  The Company believes
that the  development  and  start-up  costs for a new  branch  office  aggregate
approximately $100,000, including leasehold improvements, lease deposits, office
equipment,   marketing,   recruiting,  labor  and  operating  costs  during  the
pre-opening  and start-up  phase,  and also the provision of working  capital to
fund  accounts  receivable.  Such  costs will vary  depending  upon the size and
location of each facility and,  accordingly,  may vary  substantially from these
estimates.

The Company is actively pursuing  potential  acquisitions.  Further expansion of
the Company's business may require the Company to incur additional debt or offer
additional  equity  if  internally  generated  funds,  cash on hand and  amounts
available  under its bank credit  facilities  are inadequate to meet such needs.
There can be no assurance that such  additional debt or equity will be available
to the Company, or, if available, will be on terms acceptable to the Company.

Potential Regulatory Changes

There  have  been  news  reports  concerning  potential  changes  in the way the
Government  will reimburse  home health care companies in the future,  including
the   possibility  of   capitation.   While  the  Company  is  not  currently  a
Medicare-Certified  Home Health  Agency  subject to these  changes,  most of the
Company's  referral  sources are and they may be  negatively  impacted by future
legislation which may be adopted to control home health care costs.  While it is
still premature to discern what impact,  if any, the potential  changes may have
on the Company's  operations,  there can be no assurance that future legislation
will not result in reduced reimbursement rates from referral sources.

<PAGE>

Year 2000 Issues

      The "Year 2000" Issue is the result of computer systems and programs using
two digits  rather  than four  digits to define the  applicable  year.  Computer
systems and programs that have date-sensitive  applications may recognize a date
using "00" as the year 1900 rather than the Year 2000. This can result in system
failures or miscalculations causing disruption of operations including,  but not
limited to, complete system failures, erroneous results and inability to process
transactions,  send invoices, make payments or otherwise conduct normal business
activities.

      The Company has initiated a "Year 2000" compliance program in which it has
identified the following areas of significant risk; computer hardware,  computer
software and cash flow.

      The Company  presently  operates  two  independent  computer  networks;  a
Unix-based  system for  payroll  and billing  functions  and a Windows  NT-based
system  for other  accounting,  word  processing  and  database  functions.  The
Company's  billing system is currently being modified by the software vendor and
is  expected to be Year 2000  compliant  during the first  quarter of 1999.  The
Windows  NT-based  system  for  the  Company's  general  ledger  and  accounting
software,  as well as its Microsoft  Office software package for word processing
and database functions, are already Year 2000 compliant.

      The Company has obtained the services of an outside  consultant to make an
inventory of all of its computer hardware and software in all of its offices and
to design  and  implement  a  communications  network  that will link all of the
Company's   facilities  and  computer  systems.  The  principal  focus  of  that
assessment is on the Company's  hardware and operating  systems for its computer
network and  telephone  system,  which have the most  significant  effect on the
Company's ability to conduct business in a normal manner. The new communications
network, and all new hardware and software,  will be Year 2000 compliant. At the
present  time,  the  Company  anticipates  replacing  approximately  25  desktop
computers  which may not function  properly on the Year 2000 compliant  network,
which is expected to be fully operational during the first quarter of 1999.

      The Company has begun formal  communications  with its significant  payors
and vendors to determine  the extent to which the Company may be  vulnerable  to
those third  parties'  failures to  remediate  their own Year 2000  issues.  The
Company's  management  believes  that the failure of such  vendors to  remediate
their  Year 2000  issues in a timely  manner  will not have a  material  adverse
effect upon the Company.  However,  there can be no assurance  that the computer
systems  of such  third  parties  will be  remedied  in a timely  manner or that
failures or  incompatibility  issues arising out of the  remediation  methods of
such third  parties  will not have a  material  adverse  effect on the  Company.
Management  believes  that,  so long as the  Company's  ability to  provide  its
services and process its payroll and billing is  unaffected by Year 2000 issues,
the Company's available line of credit 

<PAGE>

will be  adequate  to sustain  operations  in the event  significant  payors are
temporarily unable to make timely payment of their obligations to the Company.

      At the present  time,  the Company has a Year 2000  remediation  budget of
approximately $50,000;  $25,000 of which is for the replacement of non-compliant
hardware,   $15,000  for  consulting  services  and  $10,000  for  software  and
contingencies.

      The   Company's   assessment  of  its  Year  2000  issues  is  based  upon
management's best estimates,  which have been derived  utilizing  assumptions of
future events,  including the  availability  of certain  resources,  third-party
modification  plans  and other  factors,  and  there  can be no  assurance  that
management's  assessment of the  Company's  Year 2000 issues will not have to be
revised as a result of Year 2000  compliance  problems  which may be revealed in
the future and which could have a material adverse effect on the Company.

<PAGE>

Item 5.  Other Information.

      The following information relates to the period covered by this report and
has not previously been reported on Form 8-K:

      (a) Set forth  below is  information  reporting  the  Registrant's  use of
proceeds of its initial public offering as of September 30, 1998.

            (i) The effective date of the registration  statement for which this
      information is provided (SEC File No. 333-8155) is December 20, 1996.

            (ii) The  first six  digits of the  Registrant's  CUSIP  number  are
      649487.

            (iii) The Registrant's initial public offering commenced on December
      20, 1996 with H.J.  Meyers & Co., Inc. as the  underwriter and resulted in
      the sale of a total of 1,250,000 shares of the Registrant's $.01 par value
      common  stock  for  an  aggregate   offering  price  of  $5,000,000.   The
      overallotment  option of the underwriter for an additional  187,500 shares
      was not exercised.

<PAGE>

            (iv) The amount of expenses incurred for the Registrant's account in
      connection  with the issuance and  distribution  of the  securities of its
      initial public offering consisted of the following, none of which involved
      either direct or indirect payments to affiliates of the Registrant:

        Underwriting discounts and commissions                   $500,000
        Expenses paid to or for underwriters(1)                   150,000
        Other expenses                                            510,966
                                                               ----------
                 Total expenses                                $1,160,966

            The total net offering  proceeds to the  Registrant  after the total
      expenses set forth above was $3,839,034.

            (v) The following is the amount of net offering  proceeds which have
      been used for each of the purposes listed below as of September 30, 1998.

                Acquisition of other businesses                  $2,711,663
                Funding of infusion therapy division (2)         $   45,000
                Funding of pediatric division (3)                      --
                Establishment of new branch offices (4)          $   14,644
                Sales and marketing                              $  143,000
                Establishment of new principal office            $  106,283
                Upgrade of facilities and computer systems       $  113,132
                Working capital (2),(3),(4),(5)                  $  705,312

      The uses and proceeds  described  above and in the footnotes  below do not
represent  a  material  change  in  the  uses  of  proceeds   described  in  the
Registrant's  December 20, 1996 prospectus.  A portion of the proceeds allocated
to acquisition of other  businesses  were used to acquire the home care business
assets of Heart to Heart Healthcare Services,  Inc. ("Heart to Heart"), which is
an affiliate of the Registrant as described in footnote 6 below.

      The Registrant's  current bank credit lines have increased from $3,500,000
to $6,000,000  (after the repayment  noted above) of which  $2,400,000  has been
utilized as of September 30, 1998. The  Registrant  will draw down from its bank
credit lines,  as disclosed in the  prospectus,  to fund the additional  uses of
proceeds which remain unfunded.
- ---------------
1. Expenses paid to or for underwriters  does not include a $72,000 payment made
   to H.J. Meyers & Co., Inc. for the two-year financial consulting services fee
   as disclosed in the Underwriting section in the first paragraph on page 41 of
   the Registrant's December 20, 1996 prospectus.

2. Working  capital  of  approximately  $30,000  has also  been used to fund the
   infusion therapy division receivables.

3. Working capital of approximately  $70,000 has been used to fund the pediatric
   division receivables.

4. The balance of the $500,000 use of proceeds  allocation for  establishing new
   branch  offices has been used for that  purpose in the  acquisition  of other
   businesses.

5. Approximately  $400,000  of  working  capital  has been used to  finance  the
   receivables  of the seven New Jersey branch  offices which were acquired from
   other businesses.

6. Heart to Heart Health is the holder of the  Registrant's  promissory  note in
   the face amount of $550,000  currently bearing interest at the rate of 9% per
   annum  after  having  converted  $600,000  of the  principal  amount  of that
   promissory note into 480,000 shares of the  Registrant's  Class A Convertible
   Preferred Stock at a conversion price of $1.25 per share, each share of which
   is  convertible  at any time into shares of the  Registrant's  $.01 par value
   common stock. Heart to Heart is owned by Jerry Braun, Jacob Rosenberg, Samson
   Soroka,  Hirsch Chitrik and Sid Borenstein (the  "Affiliated  Shareholders").
   Messers. Braun, Rosenberg, Chitrik and Bornstein are officers or directors of
   the Registrant and, together with Mr. Soroka, are all principal shareholders.
   The  Registrant  obtained  an  independent  opinion  that  the  consideration
   received by the Company in the transaction was, under the circumstances, fair
   from  a  financial  point  of  view  to the  Registrant,  not  including  the
   Affiliated Shareholders.

Item 6. EXHIBITS AND REPORTS ON FORM 8-K.

      (a) Exhibits required by item 601 of Regulation S-B.

      Exhibit
      Number                      Description of Exhibit
      ------                      ----------------------

      2.1    Purchase and Sale Agreement dated December 7, 1997 among NYHC
             Newco Paxxon, Inc. and Metro Healthcare Services, Inc.**

      2.2    Purchase and Sale Agreement dated February 8, 1998 among NYHC
             Newco Paxxon, Inc. and Metro Healthcare Services, Inc.***

<PAGE>

      2.3    Purchase and Sale Agreement dated February 25, 1998 among NYHC
             Newco Paxxon, Inc. and Heart to Heart Healthcare Services, Inc.***

      3.1    Certificate of Incorporation of the Company.*

      3.2    Restated Certificate of Incorporation of the Company.*

      3.3    Certificate of Correction of Restated Certificate of Incorporation 
             of New York Health Care, Inc.*

      3.4    Amendment to the Certificate of Incorporation filed 
             October 17, 1996.*

      3.5    By-laws of the Company.*

      3.6    Amendment to the Certificate of Incorporation of the Company filed
             December 4, 1996.*

      3.7    Certificate of Designations, Rights and Preferences of New York 
             Health Care, Inc. Class A Convertible Preferred Stock.*****

      4.1    Form of certificate evidencing shares of Common Stock.*

      4.2    Underwriter's Warrant Agreement and Form of Underwriter's Warrant.*

      10.1   Purchase and Sale Agreement by and between the Company, National
             Medical Homecare, Inc., Jerry Braun and Sam Soroka dated March 18,
             1988.*

      10.2   Lease for 105 Stevens Avenue, White Plains, New York by and
             between the Company and Vincent Rippa as receiver dated October 30,
             1992.*

      10.3   Lease for 175 Fulton Avenue, Suite 30IA, Hempstead, New York by
             and between and the Company and Hempstead Associates Limited
             Partnership dated July 22, 1993.*

      10.4   Deed for 1667 Flatbush Avenue, Brooklyn, New York from Tiara
             Realty Co. to the Company dated April 22, 1994.*

      10.5   Agreement between Jerry Braun, Jacob Rosenberg, Samson Soroka,
             Hirsch Chitrik, Sid Borenstein and the Company dated September 30,
             1988.*

<PAGE>

      10.6   Lease for 49 South Main Street, Spring Valley, New York by and
             between the Company and Joffe Management dated November 1,
             1994.*

      10.7   Agreement for Provisions of Home Health Aide and Personal Care
             Worker Services by and between the Company and Kingsbridge

             Heights Health Facilities Long Term Home Health Care Program dated
             November 2, 1994.*

      10.8   State of New York Department of Health Office of Health Systems
             Management Home Care Service Agency License for the Company
             doing business in Rockland, Westchester and Bronx Counties dated
             May 8, 1995.*

      10.9   State of New York Department of Health Office of Health Systems
             Management Home Care Service Agency License for the Company
             doing business in Dutchess, Orange, Putnam, Sullivan and Ulster
             Counties dated May 8, 1995.*

      10.10  State of New York Department of Health Office of Health Systems
             Management Home Care Service Agency License for the Company
             doing business in Nassau, Suffolk and Queens Counties dated May 8,
             1995.*

      10.11  State of New York Department of Health Office of Health Systems
             Management Home Care Service Agency License for the Company
             doing business in Orange and Rockland Counties dated July 1. 1995.*

      10.12  Lease Renewal for 45 Grand Street, Newburgh, New York by and
             between the Company and Educational and Charitable Foundation of
             Eastern Orange County, Inc. dated July 12, 1995.*

      10.13  Lease for 91-31 Queens Boulevard, Elmhurst, New York by and
             between the Company and Expressway Realty Company dated
             September 15, 1995.*

      10.14  Settlement  Agreement and General Release by
             and between  the  Company and Samson  Soroka
             dated September 28, 1995.*

      10.15  Personal Care Aide Agreement by and between the Company and
             Nassau County Department of Social Services dated October 18,
             1995.*

<PAGE>

      10.16  Lease for 1667 Flatbush Avenue, Brooklyn, New York by and between
             the Company and 1667 Flatbush Avenue LLC dated November 1,
             1995.*

      10.17  State of New York Department of Health Office of Health Systems
             Management Home Care Service Agency License for the Company doing
             business in Bronx, Kings, New York, Queens and Richmond Counties
             dated December 29, 1995.*

      10.18  Home Health Agency Agreement by and between the Company and the
             Center for Nursing and Rehabilitation dated January 1, 1996.*

      10.19  Homemaker and Personal Care Agreements by and between the
             Company and the County of Rockland Department of Social Services
             dated January 1, 1996.*

      10.20  Home Health Aide/ Personal Care Worker Services Agreement by and
             between the Company and Beth Abraham Hospital dated January 12,
             1996.*

      10.21  Homemaker Services Agreement by and between the Company and the
             Orange County Department of Social Services dated February 16,
             1996.*

      10.22  Personal Care Service Agreement by and between the Company and the
             Orange County Department of Social Services dated February 16,
             1996.*

      10.23  Certified Home Health Agency Agreement by and between the
             Company and New York Methodist Hospital dated February 28, 1996.*

      10.24  Employment Agreement by and between the Company and Jacob
             Rosenberg dated March 26, 1996.*

      10.25  Employment Agreement by and between the Company and Jerry Braun
             dated March 26, 1996.*

      10.26  Stock Option Agreement by and between the Company and Jerry Braun
             dated March 26, 1996.*

      10.27  Home Health Agency Agreement by and between the Company and the
             Mount Sinai Hospital Home Health Agency dated April 1, 1996.*

<PAGE>

      10.28  Absolute, Unconditional, Irrevocable and Limited Continuing 
             Guaranty of Payment by and between Jacob Rosenberg and United 
             Mizrahi Bank and Trust Company dated May 9, 1996.*

      10.29  Absolute, Unconditional, Irrevocable and Limited Continuing 
             Guaranty of Payment by and between Jerry Braun and United Mizrahi 
             Bank and Trust Company dated May 9, 1996.*

      10.30  Continuing General Security Agreement by and between the Company
             and United Mizrahi Bank and Trust Company dated May 9, 1996.*

      10.31  Agreement for the Purchase of Accounts Receivable between the
             Company and 1667 Flatbush Avenue LLC dated July 8, 1996.

      10.32  401 (k) Plan for the Company.*

      10.33  Performance Incentive Plan for the Company.*

      10.34  Services Agreement between the Company and Heart to Heart Health
             Care Services, Inc., dated January 1, 1996.

      10.35  Employment Agreement by and between the Company and Gilbert
             Barnett dated August 27, 1996.*

      10.36  Assignment  of lease dated  October 8, 1996, lease dated  
             September 30, 1995 and sublease dated May 1995 among the Company, 
             as tenant, Prime Contracting Design Corp., as assignor, Bellox   
             Realty Corp., as landlord and Nutriplus Corp., as subtenant.*

      10.37  Lease for 6 Gramatan Avenue, Mount Vernon, New York, 10550 by
             and between the Company and 6 Gramatan Avenue Corp. dated
             December 1, 1996.*

      10.38  Form of Financial Consulting Agreement with
             H.J. Meyers & Co., Inc.*

      10.39  Forms of Merger & Acquisition Agreement and Indemnification.*

      10.40  Consulting Agreement by and between the Company and H. Gene
             Berger dated July 30, 1997****

      10.41  Agreement between the Company and Heart To Heart Health Care
             Services, Inc. dated August 6, 1998.*****

      11     Computation of Earnings Per Common Share of the Company.

<PAGE>

- --------------
*     Incorporated  by  reference  to  Exhibits  filed as part of the  Company's
      Registration  Statement on Form SB-2 under File No.  333-08152,  which was
      declared effective on December 20, 1996.

**    Incorporated  by reference to Exhibits filed as part of the Company's Form
      8-K report with an event date of December 8, 1997.

***   Incorporated  by reference to Exhibits filed as part of the Company's Form
      8-K report with an event date of February 8, 1998.

****  Incorporated  by reference to Exhibits filed as part of the Company's Form
      10-KSB report for the year ended December 31, 1997.

***** Incorporated  by reference to Exhibits filed as part of the Company's Form
      10-QSB report for the quarter ended June 30, 1998.

(b)   Reports on Form 8-K. The Company  has not filed reports  during the  third
      quarter ended September 30, 1998.

<PAGE>

                                   SIGNATURES

     Pursuant  to the  requirements  of  Section  13 or 15(d) 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.

November 12, 1998

                                      NEW YORK HEALTH CARE, INC.

                                      By: /s/ David Grossman
                                         ---------------------------------------
                                         David Grossman
                                         Chief Financial and Accounting Officer


                                       9


<TABLE> <S> <C>


<ARTICLE>                     5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE NEW YORK
HEALTH CARE, INC. AND SUBSIDIARY  CONSOLIDATED FINANCIAL STATEMENTS FOR THE NINE
MONTHS ENDED SEPTEMBER 30, 1998 AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO
SUCH FINANCIAL STATEMENTS
</LEGEND>
       
<S>                             <C>
<PERIOD-TYPE>                   9-MOS
<FISCAL-YEAR-END>                                  Dec-31-1998
<PERIOD-END>                                       Sep-30-1998
<CASH>                                                 140,033
<SECURITIES>                                                 0
<RECEIVABLES>                                        5,528,026
<ALLOWANCES>                                          (167,252)
<INVENTORY>                                                  0
<CURRENT-ASSETS>                                     6,322,696
<PP&E>                                                 567,158
<DEPRECIATION>                                         260,600
<TOTAL-ASSETS>                                       9,723,002
<CURRENT-LIABILITIES>                                3,897,621
<BONDS>                                                      0
                                        0
                                              4,800
<COMMON>                                                37,600
<OTHER-SE>                                           5,210,281
<TOTAL-LIABILITY-AND-EQUITY>                         9,723,002
<SALES>                                                      0
<TOTAL-REVENUES>                                    14,955,211
<CGS>                                                        0
<TOTAL-COSTS>                                       10,303,463
<OTHER-EXPENSES>                                     3,873,271
<LOSS-PROVISION>                                        30,000
<INTEREST-EXPENSE>                                     238,408
<INCOME-PRETAX>                                        599,094
<INCOME-TAX>                                           247,000
<INCOME-CONTINUING>                                    352,094
<DISCONTINUED>                                               0
<EXTRAORDINARY>                                              0
<CHANGES>                                                    0
<NET-INCOME>                                           352,094
<EPS-PRIMARY>                                              .09
<EPS-DILUTED>                                              .09
                                              


</TABLE>


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