NEW YORK HEALTH CARE INC
10QSB, 1999-08-13
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,  1999

[ ]  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:  3,688,230

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

<PAGE>
<TABLE>
<CAPTION>
                       NEW YORK HEALTH CARE, INC. AND SUBSIDIARY
                               CONSOLIDATED BALANCE SHEET
                                     JUNE 30, 1999

                                      A S S E T S

                                      (UNAUDITED)


<S>                                                                        <C>
Current assets:
  Cash and cash equivalents                                                $    98,310
  Accounts receivable, net of allowance for uncollectible
    amounts of $198,000                                                      5,531,981
  Unbilled services                                                            351,470
  Prepaid expenses                                                             158,875
  Due from affiliates                                                            6,876
  Prepaid income taxes and income tax receivable                               353,347
  Deferred tax asset                                                            84,000
                                                                           ------------
      Total current assets                                                   6,584,859

Property and equipment, net                                                    558,065
Intangibles, net                                                             3,000,990
Deposits                                                                        52,751
                                                                           ------------

      Total assets                                                         $10,196,665
                                                                           ============

                        LIABILITIES AND SHAREHOLDERS' EQUITY

Current liabilities:
  Accrued payroll                                                          $ 1,026,191
  Note payable - bank                                                        2,950,000
  Current maturities of long term debt                                         522,187
  Accounts payable and accrued expenses                                        356,458
                                                                           ------------

      Total current liabilities                                              4,854,836
                                                                           ------------

Deferred tax liability                                                          54,000
Long-term debt, less current maturities                                        360,229
                                                                           ------------

                                                                               414,229
                                                                           ------------

Commitments, contingencies and other comments

Shareholders' equity:
  Preferred stock $.01 par value, 2,000,000 shares authorized, including
    Class A Convertible Preferred Stock 480,000; authorized and issued           4,800
  Common stock, $.01 par value, 12,500,000 shares authorized;
    3,750,000 shares issued, 3,688,230 outstanding                              37,500
  Additional paid-in capital                                                 4,659,518
  Retained earnings                                                            297,785
                                                                           ------------
                                                                             4,999,603
  Less: Treasury stock (61,770 common shares at cost)                          (72,003)
                                                                           ------------
      Total shareholders' equity                                             4,927,600
                                                                           ------------

      Total liabilities and shareholders' equity                           $10,196,665
                                                                           ============
</TABLE>

           SEE ACCOMPANYING NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

<PAGE>
<TABLE>
<CAPTION>
                         NEW YORK HEALTH CARE, INC. AND SUBSIDIARY

                           CONSOLIDATED STATEMENTS OF OPERATIONS
                                        (UNAUDITED)


                                      For the Three Months Ended  For the Six Months Ended
                                                June  30,                  June  30,
                                        ------------------------  -------------------------
                                           1998         1999         1998          1999
                                        -----------  -----------  -----------  ------------
<S>                                     <C>          <C>          <C>          <C>
Net patient service revenue             $5,311,400   $5,534,358   $9,887,266   $10,619,403
                                        -----------  -----------  -----------  ------------

Expenses:
  Professional care of patients          3,639,736    3,984,693    6,861,397     7,630,315
  General and administrative             1,308,841    1,599,977    2,414,907     3,079,637
  Bad debts expense                         15,000       43,824       15,000        58,824
  Depreciation and amortization             56,658       74,118       94,200       136,667
                                        -----------  -----------  -----------  ------------
    Total operating expenses             5,020,235    5,702,612    9,385,504    10,905,443
                                        -----------  -----------  -----------  ------------

Income (loss)  from operations             291,165     (168,254)     501,762      (286,040)
                                        -----------  -----------  -----------  ------------

Nonoperating income (expenses):
  Interest income                           12,216                    31,770
  Other income                               5,090                    14,090
  Interest expense                         (96,330)     (79,579)    (151,437)     (162,011)
                                        -----------  -----------  -----------  ------------
    Nonoperating income
       (expenses), net                     (79,024)     (79,579)    (105,577)     (162,011)
                                        -----------  -----------  -----------  ------------

Income (loss) before provision
  (credit) for income taxes                212,141     (247,833)     396,185      (448,051)
                                        -----------  -----------  -----------  ------------

Provision (credit) for income taxes:
  Current                                   93,200     (109,000)     164,000      (200,000)
  Deferred                                               (2,000)                     3,000
                                        -----------  -----------  -----------  ------------
                                            93,200     (111,000)     164,000      (197,000)
                                        -----------  -----------  -----------  ------------

Net income (loss)                          118,941     (136,833)     232,185      (251,051)

Dividends declared on preferred stock                                               13,500
                                        -----------  -----------  -----------  ------------

Net income (loss) applicable to
  common stock                          $  118,941   $ (136,833)  $  232,185   $  (264,551)
                                        ===========  ===========  ===========  ============

Basic and diluted earnings (loss)
  per share                             $      .03   $     (.04)  $      .06   $      (.07)
                                        ===========  ===========  ===========  ============

Weighted average shares outstanding      3,753,104    3,688,230    3,751,177     3,690,235
                                        ===========  ===========  ===========  ============

Diluted weighted average shares
  outstanding                            3,757,489    3,688,230    3,753,380     3,690,235
                                        ===========  ===========  ===========  ============

Dividends declared per share of
  preferred stock                                                              $       .03
                                                                               ============
</TABLE>

           SEE ACCOMPANYING NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

<PAGE>
<TABLE>
<CAPTION>
                                            NEW YORK HEALTH CARE, INC. AND SUBSIDIARY

                                         CONSOLIDATED STATEMENT OF SHAREHOLDERS' EQUITY

                                             FOR THE SIX MONTHS ENDED JUNE 30, 1999
                                                           (UNAUDITED)


                                                         Preferred                         Treasury
                                  Common  Stock             Stock           Additional       Stock
                              ---------------------  ---------------------   Paid-In    -----------------  Retained
                                Shares     Amount     Shares      Amount     Capital    Shares   Amount    Earnings       Total
                              ----------  ---------  ---------  ----------  ----------  ------  ---------  ----------  -----------
<S>                           <C>         <C>        <C>        <C>         <C>         <C>     <C>        <C>         <C>
Balance at January 1, 1999    3,750,000   $ 37,500    480,000   $   4,800   $4,659,518  41,970  $(50,924)  $ 562,336   $5,213,230

Treasury stock purchased
  during January through
  June ($1.06 average per
  share)                                                                                19,800   (21,079)                 (21,079)

Dividends paid on
  preferred stock ($.03 per
  share)                                                                                                     (13,500)     (13,500)

Net loss                                                                                                    (251,051)    (251,051)
                              ----------  ---------  ---------  ----------  ----------  ------  ---------  ----------  -----------

Balance at June 30, 1999      3,750,000   $ 37,500    480,000   $   4,800   $4,659,518  61,770  $(72,003)  $ 297,785   $4,927,600
                              ==========  =========  =========  ==========  ==========  ======  =========  ==========  ===========
</TABLE>

          SEE ACCOMPANYING NOTES TO CONSOLIDATED FINANCIAL STATEMENTS.

<PAGE>
<TABLE>
<CAPTION>
                        NEW YORK HEALTH CARE, INC. AND SUBSIDIARY

                          CONSOLIDATED STATEMENTS OF CASH FLOWS
                                       (UNAUDITED)


                                                                For the Six Months Ended
                                                                        June  30,
                                                                ------------------------
                                                                    1998         1999
                                                                ------------  ----------
<S>                                                             <C>           <C>
Cash flows from operating activities:
  Net income (loss)                                             $   232,185   $(251,051)
  Adjustments to reconcile net income (loss) to net cash
    (used in) provided by operating activities:
      Depreciation and amortization                                  94,200     136,667
      Deferred revenue                                              (36,000)
      Bad debt expense                                               15,000      58,824
      Deferred tax                                                               (7,000)
      Changes in operating assets and liabilities:
        (Increase) decrease in accounts receivable and
           unbilled services                                     (1,252,989)     74,008
        Increase in due from affiliates                              (6,475)       (401)
        Increase in prepaid taxes and income tax receivable                    (353,347)
        Increase in prepaid expenses                                (45,297)    (17,928)
        Increase in deposits                                         (6,667)     (6,899)
        Decrease in accounts receivable due after one year          180,604
        Increase in accrued payroll                                 234,669     461,234
        Increase (decrease) in accounts payable and
           accrued expenses                                          55,874     (23,226)
        Decrease in income taxes payable                            (34,013)    (35,215)
                                                                ------------  ----------
          Net cash (used in) provided by operating activities      (568,909)     35,666
                                                                ------------  ----------

Cash flows from investing activities:
  Acquisition of fixed assets                                       (92,378)   (140,807)
  Payments for the purchase acquisitions and associated costs      (581,008)    (45,700)
  Costs incurred for future acquisitions                             19,406
                                                                ------------  ----------
          Net cash used in investing activities                    (653,980)   (186,507)
                                                                ------------  ----------

Cash flows from financing activities:
  Borrowings under notes payable                                  1,550,000     350,000
  Repayment of long-term debt                                      (446,250)   (258,945)
  Net charges from issuance of common stock                          16,250
  Purchase of treasury stock                                        (12,638)    (21,079)
  Preferred stock dividends paid                                                (13,500)
                                                                ------------  ----------
          Net cash provided by financing activities               1,107,362      56,476
                                                                ------------  ----------

Net decrease in cash and cash equivalents                          (115,527)    (94,365)

Cash and cash equivalents at beginning of period                    171,859     192,675
                                                                ------------  ----------

Cash and cash equivalents at end of period                      $    56,332   $  98,310
                                                                ============  ==========
</TABLE>

                 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, 1998 of New York Health
Care  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, 1999 are not necessarily indicative
of the results to be expected for the full year.

NOTE  2  -  EARNINGS/LOSS  PER  SHARE:

Basic  earnings  or loss 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 or loss 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.  Options
and  warrants were not included in the computation of diluted earnings per share
because  the exercise price was greater than the market price of the stock.  The
Convertible  Preferred  Stock  is  not  included  in  the computation of diluted
earnings  per  share  because  the  effect  is  anti-dilutive.

NOTE  3  -  ACQUISITIONS:

On  February  22,  1999,  the  Corporation  purchased  customer  lists and other
intangible  assets  from  Staff  Builders  Services,  Inc. Shrewsbury office for
$65,000.  The  purchase  price  has been allocated to furniture and fixtures for
$25,000  and  the  remaining  $40,000  to customers lists and other intangibles.

On  June 11, 1999, the Corporation purchased customer lists and other intangible
assets  from  Staff  Builders Services, Inc. Hackensack office for $25,700.  The
purchase  price has been allocated to furniture and fixtures for $20,000 and the
remaining  $5,700  to  customers  lists  and  other  intangibles.

<PAGE>
                    NEW YORK HEALTH CARE, INC. AND SUBSIDIARY

               NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

                                   (UNAUDITED)


NOTE  4  -  TREASURY  STOCK:

In January 1999, the Corporation purchased 18,800 shares of common stock for the
treasury  at  a  cost  of $18,875 and in February, purchased an additional 2,000
shares  of  common  stock  for  $2,204.  The  treasury  stock  is shown at cost.

NOTE  5  -  PREFERRED  STOCK:

On March 31, 1999, the Corporation declared a dividend (amounting to $13,500) to
holders  of  preferred  stock  which  was  paid  in  April  1999.

NOTE  6  -  LINE  OF  CREDIT:

The Corporation has 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.  At
June 30, 1999, the Corporation  was overadvanced on this line of credit based on
the  formula.  The line is  collateralized  by all  property  and  assets of the
Corporation. The Corporation has also guaranteed the line of credit. At June 30,
1999,  $2,950,000 was outstanding.  Borrowings under the agreement bear interest
at 1/2% above the prime rate per annum (8.25% at June 30, 1999).

NOTE  7  -  LONG-TERM  DEBT  -  RELATED  PARTY:

Included in long-term debt and current maturities of long-term debt are $166,666
and  $191,667,  respectively,  due  to  a  related  party.

<PAGE>
                    NEW YORK HEALTH CARE, INC. AND SUBSIDIARY

               NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

                                   (UNAUDITED)


NOTE  8  -  SUPPLEMENTAL  CASH  FLOW  DISCLOSURES:

<TABLE>
<CAPTION>
                                                         Six  Months  Ended
                                                               June  30,
                                                        --------------------
                                                           1998       1999
                                                        ----------  --------
<S>                                                     <C>         <C>

Supplemental cash flow disclosure:
  Cash paid during the period for:
    Interest                                            $  131,436  $163,570
                                                        ==========  ========

    Income taxes                                        $  217,513  $184,195
                                                        ==========  ========


Supplemental schedule of noncash investing and
  financing activities:
    The Company purchased customer lists,
    furniture and fixtures and other intangibles which
    were partially acquired by the issuance of
    promissory notes.                                   $1,730,000
                                                        ==========
</TABLE>


NOTE  9  -  SUBSEQUENT  EVENTS

Long-Term Debt - Related Party:

The Company failed to make a princial and interest payment to  a  related  party
(see Note 7) due July  1,  1999.

Preferred  Stock:

On July 29, 1999, the Board of Directors authorized an increase in the number of
shares  of  Class  A Convertible Preferred Stock from 480,000 to 590,375 shares.
The  holders  of the Preferred Stock shall be entitled to a dividend equal to 9%
of  the  purchase  price  for the Preferred Stock before any dividend is paid on
Common  Stock.  Dividends  may  be  declared  quarterly at the discretion of the
Board  of  Directors  and  are  not  cumulative.  The holders of Preferred Stock
receive  no  preference on liquidation and such shares may be converted into one
share  of  Common  Stock  at  any  time.

<PAGE>
                    NEW YORK HEALTH CARE, INC. AND SUBSIDIARY

               NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

                                   (UNAUDITED)


On  July 29, 1999, Heart to Heart Health Care Services, Inc. ("Heart to Heart"),
which  is  the  holder  of the Corporation's promissory note (see Note 7) in the
face amount of $550,000, bearing  interest  at  the rate of 9% per annum at June
30, 1999, converted $100,000 of the principal amount of the promissory note into
110,375  shares  of  the  Corporation's Class A Convertible Preferred Stock at a
conversion  price  of  $.91 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 also
officers  or  directors of the Corporation and together with Mr. Soroka, are all
shareholders.

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,
1999.

Proforma  Adjustments:

(a)     To  record  the  conversion  of  $100,000 of debt into 110,375 shares of
Class  A  Convertible  Preferred  Stock  at  a  price  of  $.91:

<TABLE>
<CAPTION>
                 PRO FORMA CONDENSED CONSOLIDATED BALANCE SHEET
                                  JUNE 30, 1999
                                   (UNAUDITED)

                                     ASSETS


                                            Proforma
                             Historical   Adjustments   Proforma
                             -----------  ------------  --------
<S>                          <C>          <C>           <C>
Current assets:
  Cash                       $    98,310                $     98,310
  Accounts receivable          5,531,981                   5,531,981
  Other current assets           954,568                     954,568
                             -----------                ------------
    Total current assets       6,584,859                   6,584,859

Property and equipment, net      558,065                     558,065
Intangibles                    3,000,990                   3,000,990
Deposits                          52,751                      52,751
                             -----------                ------------

  Total assets               $10,196,665                $ 10,196,665
                             ===========                =============
</TABLE>

<PAGE>
<TABLE>
<CAPTION>
                    NEW YORK HEALTH CARE, INC. AND SUBSIDIARY

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

                                   (UNAUDITED)

                      LIABILITIES AND SHAREHOLDERS' EQUITY


                                                         Proforma
                                          Historical    Adjustments   Proforma
                                         ------------  -------------  -------------
<S>                                      <C>           <C>            <C>

Current liabilities                      $ 4,854,836                  $  4,854,836
                                         ------------                 -------------

Deferred tax liability                        54,000                        54,000
                                         ------------                 -------------

Long-term debt, less current maturities      360,229   $   (100,000)       260,229
                                         ------------                 -------------

Shareholders' equity:
  Preferred stock                              4,800          1,104          5,904
  Common stock                                37,500                        37,500
  Additional paid-in capital               4,659,518         98,896      4,758,414
  Retained earnings                          297,785                       297,785
                                         ------------                 -------------
                                           4,999,603                     5,099,603
  Less treasury stock                        (72,003)                      (72,003)
                                         ------------                 -------------
    Total shareholders' equity             4,927,600                     5,027,600
                                         ------------                 -------------

    Total liabilities and stockholders'
       equity                            $10,196,665                  $ 10,196,665
                                         ============                 =============
</TABLE>

The  conversion transaction is on substantially the same terms as that which the
Corporation  and Heart to Heart agreed to on August 6, 1998 in which $600,000 of
the promissory note was converted into 480,000 shares of the Class A Convertible
Preferred  Stock.  The  Corporation had obtained an independent opinion that the
consideration  received  by  the  Corporation in that transaction was, under the
circumstances,  fair  to  the  Corporation.

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

SIX  MONTHS  ENDED  JUNE  30, 1999 COMPARED WITH SIX MONTHS ENDED JUNE 30, 1998.

RESULTS  OF  OPERATIONS

Revenues  for the six months ended June 30, 1999 increased 7.4% to approximately
$10,620,000  from  approximately  $9,887,000  for  the six months ended June 30,
1998.  The  increase  is  primarily  the  result  of  a  gain  in  revenue  of
approximately $1,516,000 from the new New York City HRA contract.  Revenues from
offices  located  in  New  Jersey  increased 6.6% or $233,000 as a result of the
offices  purchased  in  the  first quarter of 1998 becoming fully operational in
1999  and  acquisition  of  two  Staff  Builders'  offices,  in  Shrewsbury  and
Hackensack,  in  1999.  Revenues from the New York operations, excluding the HRA
contract, decreased 15.0% or approximately $1,016,000.  The decreased revenue is
the  result  of  one  contract  closing  its  home  care program, another having
regulatory  issues that have since been resolved and decreased hours provided to
various  other  contracts.

Cost  of  professional  care  of patients for the six months ended June 30, 1999
increased  11.2% to approximately  $7,630,000 from approximately  $6,861,000 for
the  six  months  ended  June  30,  1998.  The  increase  resulted  from  hiring
additional  home  health care personnel to service the increased business in New
Jersey  and  the HRA contract, offset by lower staffing needs in New York caused
by  the  decrease  in  revenue.  The  cost of professional care of patients as a
percentage  of revenues increased 2.4% to approximately 71.8% for the six months
ended June 30, 1999 from approximately 69.4% for six months ended June 30, 1998.
The  increase was primarily caused by increased wage rates to home health aides,
outsourcing  of  skilled  nurses  and  therapists,  and  the  effect  of the HRA
contract,  which provides a gross profit margin that is significantly lower than
other  contacts.  In order to contain the growth of direct costs as a percentage
of  revenue,  the Company began reducing hourly pay rates in July to home health
aides  in  areas  where  there  is  a  surplus  of  available  aides.

Selling,  general  and administrative expenses for the six months ended June 30,
1999 increased 27.5% to approximately  $3,080,000 from approximately  $2,415,000
for  the  six  months  ended June 30, 1998. The increase resulted  from New York
Home  Attendant  Agency,  a  new  branch office established at previously sublet
space  adjacent  to  the  Company's  corporate  headquarters  to service the HRA
contract,  and  the  New  Jersey  offices  purchased  in  1998 that became fully
operational  during  the  first  quarter  of  1999.  Selling,  general  and
administrative  expenses as a percentage of revenue increased 4.6% to 29.0% from
24.4%  as a result of increased wages for marketing and business development and
decreased revenue from existing contracts in New York.  The Company is presently
reorganizing  its  operations  at  the  branch  level  and  combining  the
responsibilities  of  certain  positions  in  order  to  reduce  overhead.

<PAGE>
Interest  expense  for  the  six  months  ended  June  30,  1999  increased  to
approximately  $162,000 as compared to approximately $151,000 for the six months
ended  June  30,  1998, primarily as a result of increased borrowing to fund the
newly  generated  receivables  of  New  York  Home  Attendant  Agency.

The  credit for federal, state and local taxes of $197,000 for  the  six  months
ended June 30, 1999 is  the  result  of the loss for the period as compared to a
provision for taxes of  approximately $164,000 for the six months ended June 30,
1998, which  is  a  result  of  income  for  the  period.

In  view  of  the  foregoing,  net  loss  for the six months ended June 30, 1999
amounted to approximately  $251,000 as compared to approximately $232,000 of net
income  for  the  six  months  ended  June  30,  1998.

On  July 29, 1999 the Company converted $100,000 of its note payable to Heart To
Heart Health Care Services, Inc. into 110,375 shares of its Series A Convertible
Preferred  Stock.  This  conversion  will  have a positive effect on future cash
flows  and  increases  the  Company's  tangible  net  worth  to  $2,026,610.

LIQUIDITY  AND  CAPITAL  RESOURCES

For  the  six  months  ended  June 30, 1999, net cash provided by operations was
$36,000  as  compared  to  net cash used of $569,000 during the six months ended
June 30, 1998, an increase of $605,000.  The  $36,000 provided in the six months
ended  June  30,  1999  was  principally due to the $461,000 increase in accrued
payroll,  $74,000  increase  in accounts receivable and $137,000 in depreciation
and  amortization  offset by a $353,000 increase in income tax receivables and a
$251,000  net  loss  for the period.  Cash used in the six months ended June 30,
1998  was  principally  due to an approximately  $1,072,000 increase in accounts
receivable  and unbilled services, offset by an approximately  $290,000 increase
in  accounts  payable,  including  payroll,  and  approximately  $232,000 in net
income.  The increase in accounts receivable in 1998 was primarily the result of
the  acquisition  of  the  New  Jersey  offices.

Net cash used in investing activities for the six months ended June 30, 1999 was
approximately  $187,000 primarily for the acquisition of Staff Builders' offices
in  Shrewsbury  and  Hackensack,  New  Jersey  and  computer  equipment  for the
Company's  new  network.  Net  cash provided by financing activities for the six
months  ended June 30, 1999 totaled  $56,000 compared to the $1,107,000 provided
in  the  six  months  ended  June  30,  1998.

The  $350,000  borrowed in the six months ended June 30, 1999 was primarily used
to  fund the start up of the New York Home Attendant Agency that began servicing
patients on January 6, 1999.  Approximately  $500,000 borrowed in the six months
ended  June  30, 1998 was used for the acquisition of the New Jersey offices and
an  additional  $600,000 was used to fund their newly generated receivables.  As
of  June  30,  1999,  the  Company has borrowings under its line of credit which
exceed  its  availability  formula  by  approximately  $428,000.  The  Company's
management  is currently working with the lender to restructure the availability
formula.  The Company failed to make a July 1, 1999 payment on a note payable to
a related party.  In order to accelerate cash flow, the Company is entering into
an  agreement  with  a third party to sell certain receivables at a discount and
receive  payment  in  120  days.

<PAGE>
As  of  June  30,  1999,  approximately  $5,418,000  (approximately  53%) of the
Company's  total  assets  consisted  of accounts receivable from clients who are
reimbursed by third-party payors, as compared to $5,624,000  (approximately 58%)
as  of  June  30,  1998,  a  decrease  of  5%.  Such  payors  generally  require
substantial  documentation  in  order  to  process  claims.

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, 1999, the Company's DSO
was  99,  compared  to  109  days  for  the six months ended June 30, 1998.  The
improvement  of  10  days  in  DSO is the net effect of combining the New Jersey
DSO's of 47 days and the New York DSO's of 130 days and the HRA contract's DSO's
which  are  currently  69 days.  Once the HRA contract has completed its ramp-up
period,  its  DSO's  are  expected  to  improve  to  approximately  45  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  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>
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
has  been  modified  by  the  software  vendor  and  is expected to be Year 2000
compliant. The Company expects to complete testing of the software by the end of
the third 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 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  links  all  of  the  Company's
facilities  and  computer systems. The principal focus of that assessment was 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 network became fully
operational  in  the  third quarter of 1999. All of the Company's computers have
been  replaced  or upgraded and all hardware and software is believed to be Year
2000  compliant.  The  Company  will  continue  to  reassess  and  test  its
communications  network  and make all necessary changes through the remainder of
1999.

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

<PAGE>
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.  As  of  June 30, 1999 the Company has used approximately $35,000
of  its  Year  2000  budget.

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)     The  Registrant  has made the following recent sale of unregistered
securities:

     On  July  29,  1999,  the  Registrant's  Board  of  Directors authorized an
increase  in  the  authorized  shares  of  the  Registrant's Class A Convertible
Preferred Stock (the "Class A Preferred") from 480,000 shares to 590,375 shares.
Immediately  following that authorization, the Company entered an agreement with
Heart  to  Heart  Health  Care  Services,  Inc. ("Heart to Heart"), which is the
holder  of  the  Registrant's  promissory  note (the "Note") in the current face
amount  of  $550,000 currently bearing interest at the rate of 9% per annum, for
the  conversion  of  $100,000  of the principal amount of that Note into 110,375
shares  of  the Registrant's Class A Convertible Preferred Stock at a conversion
price  of  $.906  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  shareholders.  The conversion transaction is on substantially
the  same  terms  as that which the Registrant and Heart To Heart  agreed-to  on
August  6, 1998 in which  $600,000 of the Note was converted into 480,000 shares
of the Class A Preferred.  The  Registrant  had obtained an independent  opinion
that  the  consideration  received by the Company in that transaction was, 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 Class A Preferred 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  Class  A  Preferred  bears an appropriate restrictive
legend,  and  "stop  transfer"  orders  are maintained on the Registrant's stock
transfer  records  against  each  holder  named  above.  The transaction did not
involve  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.

<TABLE>
<CAPTION>
EXHIBIT  DESCRIPTION
NUMBER   OF EXHIBIT
- -------  ----------------------------------------------------------------------------------------
<S>      <C>
2.1      Purchase and Sale Agreement dated December 7, 1997 among NYHC Newco Paxxon,
         Inc. and Metro Healthcare Services, Inc.**

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

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.*

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

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.*

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

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.*

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

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****

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

10.42    Agreement between the Company and Heart To Heart Health Care Services, Inc. dated
         July 29, 1999.

11       Computation of Earnings Per Common Share of the Company.
<FN>
*     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.
</TABLE>

     (b)     Reports  on Form 8-K.  The Company did not file any reports on Form
             --------------------
8-K/A  during  the  quarter  ended  June  30,  1999.

<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 13, 1999

                                         NEW  YORK  HEALTH  CARE,  INC.


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

<PAGE>

            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  July  29,  1999:

     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 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,  the  Board  of Directors on August 6, 1998 authorized an issue of
480,000  shares  of  "Series A Convertible Preferred Stock" and, pursuant to its
authority  as  aforesaid, fixed the  rights, preferences, restrictions and other
matters  relating  to  the  Series  A  Convertible  Preferred  Stock;  and

     WHEREAS, the Board of Directors desires to increase the number of shares of
its  Series A Convertible Preferred Stock from 480,000 shares to 590,375 shares,
pursuant  to  its authority as aforesaid, and to otherwise continue 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  that  the  issue  of Preferred Shares of this Corporation authorized on
August  6,  1998  designated as "Series A Convertible Preferred Stock" is hereby
increased  to  Five Hundred Ninety Thousand Three Hundred Seventy Five (590,375)
shares  and does hereby continue the rights, preferences, restrictions and other
matters  relating  to  said  Series  A  Convertible  Preferred Stock as follows:

     (A)     DIVIDENDS.

<PAGE>
     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  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.

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

<PAGE>
     (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

<PAGE>

                    HEART TO HEART HEALTH CARE SERVICES, INC.
                                7 GLENWOOD AVENUE
                             EAST ORANGE, NJ  07017


     July  29,  1999


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

     RE:     CONVERSION  OF  $100,000  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  $100,000  of its March 29, 1998 promissory note made by NYHC to the order of
Heart  to  Heart  in the current face amount of $550,000 bearing interest at the
current rate of 9% per annum payable quarterly, into 110,375 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:  /s/
                                         -------------------------------
                                         Authorized  Officer

ACCEPTED  AND  AGREED:

NEW  YORK  HEALTH  CARE,  INC.

By: /s/
    -------------------------------
    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, 1999 AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO SUCH
FINANCIAL  STATEMENTS  FOR  THE  SIX  MONTHS  ENDED  JUNE  30,  1999
</LEGEND>
<MULTIPLIER> 1000

<S>                                     <C>
<PERIOD-TYPE>                           6-MOS
<FISCAL-YEAR-END>                       DEC-31-1999
<PERIOD-START>                          JAN-01-1999
<PERIOD-END>                            JUN-30-1999
<CASH>                                       98310
<SECURITIES>                                     0
<RECEIVABLES>                              5531981
<ALLOWANCES>                               (198000)
<INVENTORY>                                      0
<CURRENT-ASSETS>                           6584859
<PP&E>                                      897291
<DEPRECIATION>                             (339226)
<TOTAL-ASSETS>                            10196665
<CURRENT-LIABILITIES>                      4854836
<BONDS>                                          0
<COMMON>                                     37500
                            0
                                   4800
<OTHER-SE>                                 4927600
<TOTAL-LIABILITY-AND-EQUITY>              10196665
<SALES>                                          0
<TOTAL-REVENUES>                          10619403
<CGS>                                            0
<TOTAL-COSTS>                              7630315
<OTHER-EXPENSES>                           3216304
<LOSS-PROVISION>                             58824
<INTEREST-EXPENSE>                          162011
<INCOME-PRETAX>                            (448051)
<INCOME-TAX>                               (197000)
<INCOME-CONTINUING>                              0
<DISCONTINUED>                                   0
<EXTRAORDINARY>                                  0
<CHANGES>                                        0
<NET-INCOME>                               (251051)
<EPS-BASIC>                                 (.07)
<EPS-DILUTED>                                 (.07)


</TABLE>


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