NEW YORK HEALTH CARE INC
10QSB, 1998-08-11
HOME HEALTH CARE SERVICES
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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: June 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>

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

Results of Operations

Six Months Ended June 30, 1998 compared with the Six Months Ended June 30, 1997.

Revenues for the six months ended June 30, 1998 increased 56.7% to approximately
$9,887,000 from approximately $6,310,000 for the six months ended June 30, 1997.
Approximately  7.7% or $483,000 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 $3,094,000 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 six months  ended June 30, 1998
increased 55.8% to approximately  $6,861,000 from  approximately  $4,404,000 for
the six months ended June 30, 1997.  The  increase  resulted  from the hiring of
additional  home health care personnel to service the increased  business in New
York and the hiring of the staff of the seven  offices  purchased in New Jersey.
The cost of professional  care of patients as a percentage of revenues  remained
stable with a decrease of .4% to  approximately  69.4% for the six months  ended
June 30, 1998 from approximately 69.8% for six months ended June 30, 1997.

Selling,  general and administrative  expenses for the six months ended June 30,
1998 increased 46.8% to approximately  $2,415,000 from approximately  $1,645,000
for the six months ended June 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 24.4%  from  26.1% due to
allocation of corporate overhead over a larger revenue base.

Interest expense, net of interest income, for the six months ended June 30, 1998
increased to approximately  $120,000 as compared to approximately $1,000 for the
six months  ended June 30,  1997,  primarily  as a result of the  borrowings  to
finance the purchases of the New Jersey  offices and,  secondarliy,  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 six months ended June
30, 1998 increased to approximately  $164,000 from approximately $99,000 for the
six months ended June 30, 1997. This increase is as a result of increased income
for the period.

<PAGE>

                                       2


In view of the  foregoing,  net income for the six  months  ended June 30,  1998
increased 90.2% to approximately  $232,000 as compared to approximately $122,000
for the six months ended June 30, 1997.

Liquidity and Capital Resources

For the six months ended June 30, 1998, net cash used in operations was $566,000
as compared to $855,000  during the six months ended June 30, 1997,  an decrease
of $289,000 or 51.0%.  The  $566,000  used in the six months ended June 30, 1998
was  principally  due to  the  approximately  $1,072,000  increase  in  accounts
receivable and unbilled services,  offset by approximately  $290,000 increase in
accounts payable,  including  payroll,  and $232,000 in net income.  Significant
portions  of the  increased  receivables  and  payables  was from the New Jersey
offices.  The $855,000 used in the first quarter of 1997 was  principally due to
the  approximately  $1,084,000  increase in  accounts  receivable  and  unbilled
services,  offset by  approximately  $167,000  increase  in accrued  payroll and
accounts  payable and  approximately  $121,000  in net income.  Net cash used in
investing activities  approximates $657,000 primarily for the acquisition of the
four New Jersey offices.  Net cash provided by financing  activities for the six
months  ended June 30, 1998 totaled  $1,107,000  compared to the $14,000 used in
the six months ended June 30, 1997.  Approximately  $500,000 borrowed in the six
months ended June 30, 1998 was used for the  acquisition  of four offices in New
Jersey and approximately $600,000 to fund their operation.

As of  June  30,  1998,  approximately  $5,789,000  (approximately  60%)  of the
Company's  total assets  consisted of accounts  receivable  from clients who are
reimbursed by third-party payors, as compared to $3,657,000  (approximately 72%)
as of June 30,  1997,  an  increase  of 82.0%.  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 recent
purchases of intangible assets.

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 six months ended June 30, 1998,  the Company's DSO
was 109,  compared  to 117 days for the six  months  ended  June 30,  1997.  The
improvement of 8 days in DSO is the net effect of the following;  The New Jersey
DSO's which  consist  primarily of medicaid  billings are 38 days and New York's
DSO's 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 

<PAGE>

                                       3


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 recent  news  reports  concerning  federal  budget  negotiations
regarding 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>

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

                                   A S S E T S

                                   (Unaudited)

Current assets:
   Cash and cash equivalents                                        $    56,332
   Accounts receivable, net of allowance for                    
     uncollectible amounts of $164,770                                5,744,279
   Unbilled services                                                    289,710
   Prepaid expenses                                                     170,291
   Due from affiliates                                                    6,475
   Deferred tax asset                                                    45,000
                                                                    -----------
         Total current assets                                         6,312,087
                                                                
Property and equipment, net                                             308,372
Intangibles                                                           3,080,146
Deposits                                                                 33,466
                                                                
                                                                    -----------
         Total assets                                               $ 9,734,071
                                                                    ===========
                                                                
                      LIABILITIES AND SHAREHOLDERS' EQUITY
                                                             
Current liabilities:
   Accrued payroll                                                  $   592,143
   Note payable - bank                                                2,400,000
   Current maturities of long term debt                                 438,548
   Accounts payable and accrued expenses                                328,405
   Income taxes payable                                                  69,020
                                                                    -----------

         Total current liabilities                                    3,828,116
                                                                    -----------

Long-term debt, less current maturities                               1,346,667
                                                                    -----------

Commitments, contingencies and other comments

Shareholders' equity:
   Preferred stock $.01 par value, 2,000,000 shares
     authorized; no shares issued or outstanding
   Common stock, $.01 par value, 12,500,000 shares
     authorized; 3,760,000 shares issued                                 37,600
   Additional paid-in capital                                         4,080,957
   Retained earnings                                                    453,369
                                                                    -----------
                                                                      4,571,926
         Less: Treasury stock (7,500 common shares at cost)             (12,638)
                                                                    -----------
         Total shareholders' equity                                   4,559,288
                                                                    -----------
         Total liabilities and shareholders' equity                 $ 9,734,071
                                                                    ===========

                 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 Six Months Ended
                                                              June 30,                      June 30,
                                                     --------------------------    --------------------------
                                                        1997            1998          1997            1998
                                                     -----------    -----------    -----------    -----------
<S>                                                   <C>            <C>           <C>             <C>       
Net patient service revenue                           $3,224,041     $5,311,400    $6,310,075      $9,887,266
                                                      ----------    -----------    -----------    -----------
Expenses:
   Professional care of patients                       2,263,031      3,639,736      4,404,139      6,861,397
   General and administrative                            833,096      1,308,841      1,644,706      2,414,907
   Bad debts expense                                       5,000         15,000         20,000         15,000
   Depreciation and amortization                          12,081         56,658         23,452         94,200
                                                     -----------    -----------    -----------    -----------
         Total operating expenses                      3,113,208      5,020,235      6,092,297      9,385,504
                                                     -----------    -----------    -----------    -----------
Income from operations                                   110,833        291,165        217,778        501,762
                                                     -----------    -----------    -----------    -----------
Nonoperating income (expenses):
   Interest income                                         4,039         12,216         12,218         31,770
   Other income                                              876          5,090          3,563         14,090
   Interest expense                                                     (96,330)       (12,995)      (151,437)
                                                     -----------    -----------    -----------    -----------
         Nonoperating income
            (expenses), net                                4,915        (79,024)         2,786       (105,577)
                                                     -----------    -----------    -----------    -----------

Income before provision for
   income taxes                                          115,748        212,141        220,564        396,185
                                                     -----------    -----------    -----------    -----------
Provision (credit) for income taxes:
   Current                                                59,000         93,200        108,000        164,000
   Deferred                                               (2,000)                       (9,000)     
                                                     -----------    -----------    -----------    -----------
                                                          57,000         93,200         99,000        164,000
                                                     -----------    -----------    -----------    -----------
Net income                                           $    58,748    $   118,941    $   121,564    $   232,185
                                                     ===========    ===========    ===========    ===========
Basic and diluted earnings per share                 $       .02    $       .03    $       .03    $       .06
                                                     ===========    ===========    ===========    ===========
Weighted average shares
    outstanding                                        3,750,000      3,753,104      3,750,000      3,751,177
                                                     ===========    ===========    ===========    ===========
Diluted weighted average shares
    outstanding                                        3,750,000      3,757,489      3,750,000      3,753,380
                                                     ===========    ===========    ===========    ===========
</TABLE>

                 See accompanying notes to financial statements


<PAGE>

                    NEW YORK HEALTH CARE, INC. AND SUBSIDIARY
                 CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY
                     FOR THE SIX MONTHS ENDED JUNE 30, 1998

                                   (Unaudited)
<TABLE>
<CAPTION>

                                                                               Treasury
                                       Common Stock            Additional        Stock            
                                   ---------------------        Paid-In    -----------------     Retained 
                                    Shares        Amount        Capital    Shares     Amount     Earnings       Total
                                    ------        ------        -------    ------     ------     --------    ----------
<S>                                <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
Treasury stock purchased
   ($1.68 per share)                                                        7,500    $(12,638)                  (12,638)
Net income                                                                                        232,185       232,185
                                   ---------     -------      ---------     -----    --------    --------    ----------          
Balance at June 30, 1998           3,760,000     $37,600      $4,080,957    7,500    $(12,638)   $453,369    $4,559,288
                                   =========     =======      ==========    =====    ========    ========    ==========
</TABLE>

                 See accompanying notes to financial statements.


<PAGE>

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

                                   (Unaudited)

                                                        For the Six Months Ended
                                                               June 30,
                                                        ------------------------
                                                        1997            1998
                                                        ----            ----

Cash flows from operating activities:
   Net income                                       $   121,564    $   232,185
   Adjustments to reconcile net income to net cash
     used in operating activities:
       Depreciation and amortization                     30,416         97,102
       Bad debts expense                                 20,000         15,000
       Deferred tax credit                               (8,960)
       Deferred revenue                                                (36,000)
       Changes in operating assets and
         liabilities:
         Increase in accounts receivable
           and unbilled services                     (1,084,198)    (1,252,989)
         Increase in due from affiliates                                (6,475)
         Decrease in (increase) prepaid expenses         58,286        (45,297)
         Increase in deposits                            (1,642)        (6,667)
         Decrease in accounts receivable
           due after one year                                          180,604
         Increase in accrued payroll                    142,510        234,669
         Increase in accounts payable
           and accrued expenses                          24,980         55,874
         Decrease in income taxes payable              (157,570)       (34,013)
                                                    -----------    -----------
              Net cash used in operating 
                 activities                            (854,614)      (566,007)
                                                    -----------    -----------
Cash flows from investing activities:
   Acquisition of fixed assets                          (59,856)       (95,280)
   Payments for purchase acquisitions
     and associated costs                                             (581,008)
   Costs incurred for future acquisitions               (25,128)        19,406
                                                    -----------    -----------
         Net cash used in investing activities          (84,984)      (657,182)
                                                    -----------    -----------
Cash flows from financing activities:
   Borrowings under notes payable                                    1,550,000
   Repayment of long-term debt                           (2,025)      (446,250)
   Net charges from issuance of common stock            (11,976)        16,250
   Net charges from purchase of treasury stock                         (12,638)
                                                    -----------    -----------
         Net cash (used in) financing activities        (14,001)     1,107,362
                                                    -----------    -----------
Net decrease in cash and cash equivalents              (953,599)      (115,527)
Cash and cash equivalents at beginning of year        1,188,450        171,859
                                                    -----------    -----------
Cash and cash equivalents at end of year            $   234,851    $    56,332
                                                    ===========    ===========
Supplemental cash flow disclosure:
Cash paid during the period for:
     Interest                                       $    12,995    $   131,436
                                                    ===========    ===========
     Income taxes                                   $   215,062    $   217,513
                                                    ===========    ===========

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.


                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 six months ended June 30, 1998 are not necessarily indicative
of the results to be expected for the full year.

NOTE 2 - EARNINGS PER SHARE:

Basis 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 warrant issued
on June 2, 1998 and not  exercised and certain stock options are included in the
diluted  earnings  per share  because  the  exercise  price is 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.

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:

Treasury stock is shown at cost and consists of 7,500 shares of common stock.

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 June 30, 1998,  $2,400,000  was  outstanding.  Borrowings  under the
agreement are due between July and September 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
($35,000),  aggregating  $1,185,000,  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 $1,120,000 was assigned to goodwill.

NOTE 7 - EARNINGS PER SHARE:

Earnings per share are computed as follows:

                                         For The Three         For The Six
                                          Months Ended         Months Ended
                                            June 30,             June 30,
                                        ---------------      ----------------
                                        1997       1998       1997       1998
                                        ----       ----       ----       ----
Basic and diluted earnings per share
Earnings:
Net income applicable to commmon 
  stock                               $58,748    $118,941   $121,564   $232,185
                                    ---------   ---------  ---------  ---------
Shares:
Weighted average number of common 
  shares outstanding - basic        3,750,000   3,753,104  3,750,000  3,751,177
Incremental shares relating to
  stock options and warrants                        4,385                 2,203
                                    ---------   ---------  ---------  ---------
Diluted weight average shares 
  outstanding                       3,750,000   3,757,489  3,750,000  3,753,380
                                    =========   =========  =========  =========
Basic earnings per share                 $.02        $.03       $.03       $.06
                                         ====        ====       ====       ====
Diluted earnings per share               $.02        $.03       $.03       $.06
                                         ====        ====       ====       ====

NOTE 8 - START UP COSTS:

During the six month  period  ending  June 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 cummulative  effect on the amount of retained earnings
at December 31, 1998  resulting  from the  adoption of Sup 98-5.  During the six
months ended June 30, 1998, there were no start-up costs.

NOTE 9 - SUBSEQUENT EVENTS:

Issuance of Preferred Stock

On August 6, 1998, the Board of Directors  created a series of Preferred  Shares
of  this  Corporation  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.  The  holders of Class A
Convertible Preferred Stock receive no preference on liquidation.

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>
                    NEW YORK HEALTH CARE, INC. AND SUBSIDIARY

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

                                   (UNAUDITED)


The accompanying  unaudited proforma condensed balance sheet gives effect to the
conversion  of the debt to equity as if such  transaction  occurred  on June 30,
1998.

Proforma Adjustments:

(a)  To record the conversion of $600,000 of debt into 480,000 shares of Class A
     Convertible Preferred Stock as a price of $1.25


                 PRO FORMA CONDENSED CONSOLIDATED BALANCE SHEET
                                 June 30, 1998
                                  (Unaudited)

                                     ASSETS
                                                     Proforma
                                    Historical      Adjustments     Proforma
                                    ----------      -----------     --------
Current assets:
  Cash                              $   56,332                     $   56,332
  Accounts receivable                5,744,279                      5,744,279
  Other current assets                 511,476                        511,476
                                    ----------                     ----------
     Total current assets            6,312,087                      6,312,087

Property and equipment, net            308,372                        308,372
Intangibles                          3,080,146                      3,080,146
Deposits                                33,466                         33,466
                                    ----------                     ----------
     Total assets                   $9,734,071                     $9,734,071
                                    ==========                     ==========

                      LIABILITIES AND SHAREHOLDERS' EQUITY

Current liabilites                  $3,828,116                     $3,828,116
                                    ----------                     ----------
Long-term debt, less 
  current maturities                 1,346,667    $(600,000) (a)      746,667
                                    ----------                     ----------
Shareholders' equity:                                             
  Preferred stock                                     4,800 (b)         4,800 
  Common stock                         37,6000                         37,600
  Additional paid-in capital         4,080,957      595,200 (a)     4,676,157
  Retained earnings                    453,369                        453,369
                                    ----------                     ----------
                                     4,571,926                      5,171,926
Less treasury stock                    (12,638)                       (12,638)
                                    ----------                     ----------
     Total shareholders' equity      4,559,288                      5,159,288
                                    ----------                     ----------
     Total liabilities and
       shareholders' equity         $9,734,071                     $9,734,071
                                    ==========                     ==========

<PAGE>

Item 4:  Submission of Matters to a Vote of Security Holders

      The following  matters have been  submitted to a vote of the  Registrant's
security   holders  during  the  period  covered  by  this  report  through  the
solicitation of proxies or otherwise:

      (a) The  Registrant's  annual meeting of shareholders was held on June 25,
1998.

      (b) Proxies for the annual meeting of shareholders were solicited pursuant
to  Regulation  14A  under the  Securities  Exchange  Act of 1934,  there was no
solicitation  in  opposition  to  management's  nominees  as listed in the proxy
statement and all of those nominees were elected.

      (c) The following is a brief  description of each matter voted upon at the
annual  meeting  of  shareholders  together  with the  number of votes cast for,
against, withheld, abstained or broker non- votes as to each such matter:

      (i) The  following  named  persons  received the number of votes set forth
opposite their respective names, the same being a plurality of the votes cast by
holders of shares entitled to vote thereon,  for the directors of the Registrant
for the ensuing year:

Names                      Votes For       Abstained        Broker Non-Votes
- -----                      ---------       ---------        ----------------
Jerry Braun                2,418,209          2,600              11,204
Jacob Rosenberg            2,418,209          2,600              11,204
Hirsch Chitrik             2,418,209          2,600              11,204
Sid Borenstein             2,418,209          2,600              11,204
H. Gene Berger             2,418,209          2,600              11,204
Charles J. Pendola         2,418,209          2,600              11,204

      (ii) A resolution submitted to the shareholders  ratifying an amendment to
the  Registrant's  Performance  Incentive Plan authorizing the reservation of an
additional  210,000 shares of the  Registrant's  $.01 par value common stock for
issuance  under  that  plan  for  each of two  additional  years,  a total of an
additional 420,000 shares, was adopted by the following vote:

      For the resolution  1,515,761  votes;  Against  514,401  votes;  Abstained
      9,875; Broker Non-Votes 860,727.

      (iii) A resolution  submitted to the shareholders  ratifying the selection
M.R. Weiser & Co. LLP as the  Registrant's  independent  auditors for the fiscal
year ending December 31, 1998 was adopted by the following vote:

      For the resolution  2,872,760  votes;  Against  10,200;  Abstained  8,100;
      Broker Non- Votes 9,704.

<PAGE>

      (iv) A resolution submitted to the shareholders  ratifying the adoption of
an amendment to Article III, Section 1 of the Registrant's  by-laws to eliminate
the requirement that all directors be shareholders of the Registrant was adopted
by the following vote:

      For the resolution 1,996,410 votes; Against 35,217 votes; Abstained 8,500;
      Broker Non-Votes 860,637.

      (v) A resolution  submitted to the shareholders  ratifying the adoption of
an amendment to Article III,  Section 2 of the  Registrant's  by-laws to provide
that the minimum  number of  directors of the  Registrant  will be three and the
maximum number will be seven was adopted by the following vote:

      For the resolution 2,876,460 votes; Against 5,100 votes;  Abstained 7,000;
      Broker Non- Votes 12,204.

      (vi) A resolution submitted to the shareholders  ratifying the adoption of
an amendment to Article III, Section 11 of the  Registrant's  by-laws to provide
that  meetings of the Board of Directors  may be called by the  Secretary of the
Registrant  at the  direction  and upon the request of the  President or any two
members  of the Board of  Directors,  and to  provide  that  notice of each such
meeting  be given to each  member of the Board of  Directors  at his last  known
business or residence address at least 24 hours before the meeting either orally
or in writing,  delivered  personally  or by telephone or fax or mail or express
delivery was adopted by the following vote:

      For the  resolution  1,991,762  votes;  Against  13,850  votes;  Abstained
      22,225; Broker Non-Votes 872,927.

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 June 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*                     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 June 30, 1998. None
      of these uses involve  direct or indirect  payments to  affiliates  of the
      Registrant.

           Acquisition of other businesses                      $1,492,708
           Repayment of indebtedness**                          $1,375,000
           Funding of Infusion Therapy Division                 $   30,000
           Sales and Marketing                                  $   37,000
           Establishment of new principal office                $  106,283
           Upgrade of facilities and computer systems           $  113,132
           Working capital                                      $  611,580

      The uses and proceeds  described  above do not represent a material change
in the  uses  of  proceeds  described  in the  Registrant's  December  20,  1996
prospectus.

      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 June 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.

- -----------
*    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.

**   Repayment of  indebtedness  relates to the  repayment of bank credit lines.
     Although  not a line  item in the Use of  Proceeds  table on page 12 of the
     Registrant's  December  20,  1996  prospectus,  the last four  lines of the
     penultimate paragraph in that section notes the following:

         "Depending  upon  the  timing  of the  proposed  expenditures  for  the
         purposes  described in the table set forth above, the Company may use a
         substantial  portion  of the  proceeds  to  reduce or repay in full its
         current bank credit  lines.  In such event,  borrowings  under the bank
         credit lines would then be used to finance the  expenditures  described
         in the table set forth above."

<PAGE>

      (b) The  Registrant  has made the following  recent sales of  unregistered
securities:

            (i) On June 2, 1998,  the  Registrant  issued  warrants  pursuant to
      warrant agreements with each of H. Gene Berger and Charles J. Pendola, who
      are  directors of the  Registrant.  Each warrant  provided that the holder
      could  purchase up to an  aggregate of 10,000  shares of the  Registrant's
      $.01 par value  common  stock at an exercise  price of $1.625 per share at
      any time up until June 1, 2008. On June 10, 1998,  Mr.  Pendola  exercised
      his warrant and purchased 10,000 shares of the $.01 par value common stock
      of the Registrant for an aggregate purchase price of $16,250.

            (ii) On August 6, 1998,  Heart to Heart Health Care  Services,  Inc.
      ("Heart to  Heart"),  which is the holder of the  Registrant'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  Registrant'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
      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 has obtained an
      independent opinion that the consideration  received by the Company in the
      transaction  is, under the  circumstances,  fair from a financial point of
      view to the Registrant, not including the Affiliated Shareholders.

      Exemption from  registration  under the Securities Act of 1933 (the "Act")
is claimed by the  Registrant  for the issuance of the warrants and the sales of
the common  stock and  preferred  stock  referred to above in reliance  upon the
exemption  offered by Section 4(2) of the Act for  transactions  not involving a
public offering.  Each certificate evidencing such warrants and shares of common
stock and preferred  stock bears an appropriate  restrictive  legend,  and "stop
transfer"  orders are  maintained on the  Registrant's  stock  transfer  records
against  each  holder  named  above.   None  of  these   transactions   involved
participation by any underwriter or a broker-dealer.

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.

(b)   Reports on Form 8-K. The Company  filed a Form 8-K/A report report on June
      8, 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.

August 10, 1998

                                      NEW YORK HEALTH CARE, INC.

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


                                       9


                                                                     Exhibit 3.7

            CERTIFICATE OF DESIGNATION OF THE RIGHTS AND PREFERENCES

                    OF CLASS A CONVERTIBLE PREFERRED STOCK OF

                           New York Health Care, Inc.
                             a New York Corporation

      Pursuant to authority  given by the Company's  Articles of  Incorporation,
the Board of  Directors of New York Health  Care,  Inc., a New York  corporation
(the  "Corporation"  or "Company")  has duly adopted the following  recitals and
resolutions on August 6, 1998:

      WHEREAS,  the Articles of Incorporation of this Corporation  provide for a
class of its  authorized  shares known as  "Preferred  Shares,"  comprising  Two
Million (2,000,000) shares issuable from time to time in one or more series; and

      WHEREAS,  the Board of Directors of this  Corporation is authorized to fix
the  number of shares  of any  series of  Preferred  Shares,  to  determine  the
designation   of  any  such  series  and  to  determine  or  alter  the  rights,
preferences,  privileges and restrictions  granted to or imposed upon any wholly
unissued  series of  Preferred  Shares and,  within the limits and  restrictions
stated in any  resolution or  resolutions  of the Board of Directors  originally
fixing the number of shares  constituting  any  series,  to increase or decrease
(but not below the number of shares of any such  series  then  outstanding)  the
number  of shares of any such  series  subsequent  to the issue of share of that
series; and

      WHEREAS, this Corporation desires to issue "Series A Convertible Preferred
Stock"  and it is the  desire of the  Board of  Directors  of this  Corporation,
pursuant  to its  authority  as  aforesaid,  to  fix  the  rights,  preferences,
restrictions  and other matters  relating to the Series A Convertible  Preferred
Stock;

      NOW,  THEREFORE,  BE IT RESOLVED,  that the Board of Directors does hereby
provide  for the  issue of a series  of  Preferred  Shares  of this  Corporation
consisting  of Four Hundred  Eighty  Thousand  (480,000)  shares  designated  as
"Series  A  Convertible  Preferred  Stock"  and  does  hereby  fix  the  rights,
preferences,   restrictions   and  other  matters  relating  to  said  Series  A
Convertible Preferred Stock as follows:

      (a) Dividends.

      The holders of outstanding  Series A Convertible  Preferred Stock shall be
entitled  to  receive  out of funds at the time  legally  available  therefor  a
dividend  equal to 9% of the purchase  price for shares of Series A  Convertible
Preferred  Stock before any dividend is paid on Common  Shares.  Such  dividends
shall be payable quarterly on the first day of each calendar quarter  commencing
with


<PAGE>

the  first  calendar  quarter  of 1999,  when and as  declared  by the  Board of
Directors.  After  dividends on the Series A Convertible  Preferred  Stock shall
have been declared and paid or set apart,  then, if the Board of Directors shall
elect to declare and pay  additional  dividends out of funds  legally  available
therefor,  such additional dividends shall be declared and paid in equal amounts
per share to the holders of Common Shares.

      (b) No Preference on Liquidation.

      (1) In the event of any  liquidation,  dissolution  or  winding  up of the
Corporation,   the  holders  of  Series  A  Convertible   Preferred  Stock  then
outstanding  shall be entitled to be paid out of the assets of this  Corporation
available for distribution to its stockholders  pari passu with all other series
or shares of  Preferred  and Common  Shares,  whether from  capital,  surplus or
earnings.

      (2) A reorganization,  consolidation or merger of this Corporation with or
into any other  corporation or  corporations,  or a sale of all or substantially
all of the assets of this Corporation,  shall not be deemed to be a liquidation,
dissolution  or winding up of this  Corporation  as those terms are used in this
subdivision  (b) and,  in the event of any such  reorganization,  consolidation,
merger of sale of assets,  the Series A  Convertible  Preferred  Stock  shall be
entitled only to the rights provided in the plan or reorganization.

      (c) No Voting Rights.

      The  holders  of the  Series A  Convertible  Preferred  Stock  issued  and
outstanding  shall have no voting  rights or powers to vote upon the election of
directors  or upon any other  matter,  except that such  holders  shall have the
right to notice of meetings and voting rights and powers to vote upon any matter
regarding the Series A Convertible Preferred Stock its rights and preferences.

      (d) Conversion of Series A Convertible Preferred Stock Into Common Stock.

      (1)  Subject to the  provisions  of this  subdivision  (d),  the holder of
record of any share of shares of Series A Convertible Preferred Stock shall have
the right, at his option,  at any time after the date of issuance of said shares
to convert each said share of Series A Convertible  Preferred Stock into one (1)
fully paid and nonassessable  shares of this Corporation's $.01 par value common
stock (the "Common Stock") of the Company.

      (2) Any  holder of a share or shares  of  Series A  Convertible  Preferred
Stock desiring to convert such Series A Convertible  Preferred Stock into Common
Stock shall surrender the certificate or certificates  representing the share or
shares of Series A Convertible Preferred Stock so to be converted, duly endorsed
to the Company,  or in blank,  at the principal  office of the Company and shall
give written  notice to the Company at said office that he elects to convert the
same,  and setting  forth the name of names (with the address or  addresses)  in
which the shares of Common Stock are to be issued.


<PAGE>

      (3) Conversion of Series A Convertible Preferred Stock shall be subject to
the following additional terms and provisions:

            (A) As promptly as practicable after the surrender for conversion of
      any Series A  Convertible  Preferred  Stock,  the Company shall deliver or
      cause to be  delivered  at the  principal  office of the  Company (or such
      other place as may be designated  by the Company),  to or upon the written
      order  of the  holder  of  such  Series  A  Convertible  Preferred  Stock,
      certificates  representing  the shares of Common Stock  issuable upon such
      conversion, issued in such name or names as such holder may direct. Shares
      of the Series A Convertible  Preferred  Stock shall be deemed to have been
      converted as of the close of business on the date of the  surrender of the
      Series A Convertible  Preferred Stock for  conversion,  as provided above,
      and the rights of the holders of such Series A Convertible Preferred Stock
      shall cease at such time, and the person or persons in whose name or names
      the certificates for such shares are to be issued shall be treated for all
      purposes  as having  become  the record  holder or holders of such  Common
      Stock at such time; provided, however, that any such surrender on any date
      when the  stock  transfer  books of the  Company  shall  be  closed  shall
      constitute  the person or persons in whose name or names the  certificates
      for such shares are to be issued as the record  holder or holders  thereof
      for all  purposes at the close of business on the next  succeeding  day on
      which such stock transfer books are open.

            (B) In the event that the  Company  shall at any time  subdivide  or
      combine in a greater or lesser number of shares the outstanding  shares of
      Common  Stock,  the  number  of  shares  of  Common  Stock  issuable  upon
      conversion  of  the  Series  A  Convertible   Preferred   Stock  shall  be
      proportionately  increased in the case of  subdivision or decreased in the
      case of a  combination,  effective in either case at the close of business
      on the date when such subdivision or combination shall become effective.

            (C)  In  the  event  that  the  Company   shall  be   recapitalized,
      consolidated with or merged into any other  corporation,  or shall sell or
      convey to any other  corporation all or substantially  all of its property
      as  entirely,  provision  shall  be  made as  part  of the  terms  of such
      recapitalization,  consolidation,  merger,  sale or conveyance so that any
      holder of Series A Convertible  Preferred Stock may thereafter  receive in
      lieu of the Common Stock otherwise  issuable to him upon conversion of his
      Series A Convertible  Preferred Stock, but at the conversion ration stated
      in this  subdivision (d), the same kind and amount or securities or assets
      as may be distributable upon such recapitalization, consolidation, merger,
      sale or conveyance, with respect to the Common Stock of the Company.

            (D) In the  event  that  the  Company  shall  at any time pay to the
      holders of Common Stock a dividend  payable in Common Stock, the number of
      shares  of  Common  Stock  issuable  upon   conversion  of  the  Series  A
      Convertible Preferred Stock shall be proportionately increased,  effective
      at the close of  business  on the  record  date for  determination  of the
      holders of Common Stock entitled to such dividend.


<PAGE>

            (E) Such  adjustments  shall be made  successively  if more than one
      event listed in asubdivision (d)(3)(B), (C) and (D) hereof shall occur.

            (F) No  adjustment of the  conversion  ratio shall be made by reason
      of:

                  (i) the purchase, acquisition, redemption or retirement by the
            Company or any shares of the Common  Stock or any other class of the
            capital  stock of the  Company,  except as provided  in  subdivision
            (d)(3)(B); or

                  (ii) the  issuance,  other than as  provided  in  subdivisions
            (d)(3)(B) and (D), of any shares of Common Stock of the Company,  or
            of any securities  convertible  into shares of Common Stock or other
            securities of the Company, or of any rights,  warrants or options to
            subscribe  for or  purchase  shares  of the  Common  Stock  or other
            securities  of  the  Company,  or of  any  other  securities  of the
            Company,  provided  that in the event the Company  offers any of its
            securities  or any rights,  warrants or options to subscribe  for or
            purchase  any of its  securities  to the holders of its Common Stock
            pursuant to any preemptive or preferential rights granted to holders
            of Common Stock by the Certificate of  Incorporation of the Company,
            or  pursuant  to any  similar  rights  that may be  granted  to such
            holders of Common Stock by the Board of Directors of the Company, at
            least 20 days prior to the  expiration of any such offer the Company
            shall mail written notice of such offer to the holders of the Series
            A Convertible Preferred Stock then of record; or

                  (iii) any offer by the Company to redeem or acquire  shares of
            its Common Stock by paying or exchanging  therefor  stock of another
            corporation  or the carrying out by the Company of the  transactions
            contemplated by such offer,  provided that at least 20 days prior to
            the  expiration  of any such offer the  Company  shall mail  written
            notice of such  offer to the  holders  of the  Series A  Convertible
            Preferred Stock then of record.

            (G) The Company shall at all times reserve and keep available solely
      for the  purpose of issue upon  conversion  of such  Series A  Convertible
      Preferred Stock, as herein provided, such number of shares of Common Stock
      shall  be  issuable  upon  the  conversion  of all  outstanding  Series  A
      Convertible Preferred Stock.

      (4)  The  issuance  of  certificates  for  shares  of  Common  Stock  upon
conversion  of the Series A  Convertible  Preferred  Stock shall be made without
charge for any tax in respect of such issuance.  However,  if any certificate is
to be issued in a name  other  than that of the holder of record of the Series A
Convertible  Preferred Stock so converted,  the person or persons requesting the
issuance  thereof  shall pay to the  Company  the amount of any tax which may be
payable in respect of any transfer involved in such issuance, or shall establish
to the satisfaction of the Company that such tax has been paid or is not due and
payable.

                                              By Order of the Board of Directors



                                                                   Exhibit 10.41

                    HEART TO HEART HEALTH CARE SERVICES, INC.
                                7 Glenwood Avenue
                              East Orange, NJ 07017

                                                                  August 6, 1998

New York Health Care, Inc.
1850 McDonald Avenue
Brooklyn, NY  11223

      Re: Conversion of $600,000 of Debt into Equity

Gentlemen:

      This letter will serve to confirm the mutual  agreement  between  Heart to
Heart Health Care  Services,  Inc.  ("Heart to Heart") and New York Health Care,
Inc. ("NYHC"), that as a result of recent discussions between Heart to Heart and
New York Health Care, Heart to Heart will convert an aggregate  principal amount
of $600,000 of its March 29, 1998  promissory  note made by NYHC to the order of
Heart to Heart in the face amount of $1,150,000  bearing interest at the current
rate of 9% per  annum  payable  quarterly  into  480,000  shares  of the Class A
Convertible Preferred Stock of NYHC.

      Please confirm your  agreement to the foregoing by signing  acknowledgment
below.

      Thank you for your kind attention.

                                                  Very truly yours,

                                                  HEART TO HEART HEALTH
                                                     CARE SERVICES, INC.
                                                  By:___________________________
                                                         Authorized Officer

ACCEPTED AND AGREED:

NEW YORK HEALTH CARE, INC.

By: ____________________________
      Jerry Braun, President


<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 SIX
MONTHS ENDED JUNE 30, 1998 AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO SUCH
FINANCIAL STATEMENTS
</LEGEND>
       
<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                              DEC-31-1998
<PERIOD-END>                                   JUN-30-1998
<CASH>                                            56,332
<SECURITIES>                                           0
<RECEIVABLES>                                  5,744,279
<ALLOWANCES>                                    (164,770)
<INVENTORY>                                            0
<CURRENT-ASSETS>                               6,312,087
<PP&E>                                           545,822
<DEPRECIATION>                                  (237,540)
<TOTAL-ASSETS>                                 9,734,071
<CURRENT-LIABILITIES>                          3,828,116
<BONDS>                                                0
                                  0
                                            0
<COMMON>                                          37,600
<OTHER-SE>                                     4,521,688
<TOTAL-LIABILITY-AND-EQUITY>                   9,734,071
<SALES>                                                0
<TOTAL-REVENUES>                               9,887,266
<CGS>                                                  0
<TOTAL-COSTS>                                  6,861,397
<OTHER-EXPENSES>                               2,509,107
<LOSS-PROVISION>                                  15,000
<INTEREST-EXPENSE>                               151,437
<INCOME-PRETAX>                                  396,185
<INCOME-TAX>                                     164,000
<INCOME-CONTINUING>                                    0
<DISCONTINUED>                                         0
<EXTRAORDINARY>                                        0
<CHANGES>                                              0
<NET-INCOME>                                     232,185
<EPS-PRIMARY>                                        .06
<EPS-DILUTED>                                        .06
        


</TABLE>


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