birner10q_8102007.htm
 



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

FORM 10-Q
(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, 2007 

OR
 

[  ]
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from  _________ to ________

Commission file number 0-23367

BIRNER DENTAL MANAGEMENT SERVICES, INC.
(Exact name of registrant as specified in its charter)
 


COLORADO
 
84-1307044
(State or other jurisdiction of incorporation or organization)
 
(IRS Employer
Identification No.)

 
3801 EAST FLORIDA AVENUE, SUITE 508
DENVER, COLORADO
 
 
80210
(Address of principal executive offices)
 
(Zip Code)

(303) 691-0680
(Registrant’s telephone number, including area code)
 

N/A
(Former name, former address and former fiscal year, if changed since last report)
 

Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes    X     No __

Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer (as defined in Rule 12b-2 of the Exchange Act).

Large accelerated filer   ____                                 Accelerated filer  ____                                 Non-accelerated filer      X   

Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes ___    No     X             

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.
 
Class
 
 
Shares Outstanding as of August 10, 2007
Common Stock, without par value
 
2,124,145






BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES
 
INDEX TO FORM 10-Q


 
Item 1.
Financial Statements
Page
     
 
Unaudited Condensed Consolidated Balance Sheets as of December 31, 2006 and June 30, 2007
 
   
3
 
Unaudited Condensed Consolidated Statements of Income for the Quarters and Six Months Ended June 30, 2006 and 2007
4
     
 
Unaudited Condensed Consolidated Statements of Shareholders’ Equity as of June 30, 2007
5
     
 
Unaudited Condensed Consolidated Statements of Cash Flows for the Six Months Ended June 30, 2006 and 2007
6
     
 
Unaudited Notes to Condensed Consolidated Financial Statements
8
     
Item 2.
Management’s Discussion and Analysis of Financial Condition and Results of Operations
14
     
Item 3.
Quantitative and Qualitative Disclosures About Market Risk
23
     
Item 4.
Controls and Procedures
23
     
     
PART II - OTHER INFORMATION
 
     
     
Item 1.
Legal Proceedings
24
     
Item 1A.
Risk Factors
24
     
Item 2.
Unregistered Sales of Equity Securities and Use of Proceeds
24
     
Item 4.
Submission of Matters to a Vote of Security Holders
24
     
Item 6.
Exhibits
25
     
Signatures
 
26

 
- 2 -


PART I - FINANCIAL INFORMATION

ITEM 1.  FINANCIAL STATEMENTS
 
 
BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES
 
CONDENSED CONSOLIDATED BALANCE SHEETS
 
             
   
December 31,
   
June 30,
 
ASSETS
 
2006
   
2007
 
     
**
   
(Unaudited)
 
CURRENT ASSETS:
             
Cash and cash equivalents
  $
888,186
    $
801,205
 
Accounts receivable, net of allowance for doubtful
               
accounts of $288,513 and $295,816 respectively
   
3,103,922
     
3,523,645
 
Deferred tax asset
   
185,671
     
225,777
 
Prepaid expenses and other assets
   
597,283
     
622,592
 
                 
Total current assets
   
4,775,062
     
5,173,219
 
                 
PROPERTY AND EQUIPMENT, net
   
5,592,672
     
5,072,655
 
                 
OTHER NONCURRENT ASSETS:
               
Intangible assets, net
   
12,272,358
     
11,887,154
 
Deferred charges and other assets
   
181,860
     
173,527
 
                 
Total assets
  $
22,821,952
    $
22,306,555
 
                 
LIABILITIES AND SHAREHOLDERS’ EQUITY
               
                 
CURRENT LIABILITIES:
               
Accounts payable
  $
1,648,498
    $
1,722,365
 
Accrued expenses
   
1,398,267
     
1,253,915
 
Accrued payroll and related expenses
   
1,596,770
     
2,036,328
 
Income taxes payable
   
114,016
     
314,396
 
Current maturities of long-term debt
   
953,561
     
1,150,000
 
                 
Total current liabilities
   
5,711,112
     
6,477,004
 
                 
LONG-TERM LIABILITIES:
               
Deferred tax liability, net
   
734,234
     
785,639
 
Long-term debt, net of current maturities
   
6,502,411
     
4,510,867
 
Other long-term obligations
   
326,550
     
291,131
 
                 
Total liabilities
   
13,274,307
     
12,064,641
 
                 
SHAREHOLDERS' EQUITY:
               
Preferred Stock, no par value, 10,000,000 shares
               
authorized; none outstanding
   
-
     
-
 
Common Stock, no par value, 20,000,000 shares
               
authorized; 2,132,461 and  2,120,961 shares issued and
               
outstanding, respectively
   
4,191,349
     
4,126,701
 
Retained earnings
   
5,356,296
     
6,115,213
 
                 
Total shareholders' equity
   
9,547,645
     
10,241,914
 
                 
Total liabilities and shareholders' equity
  $
22,821,952
    $
22,306,555
 
                 
** Derived from the Company’s audited consolidated balance sheet at December 31, 2006.
 
 
The accompanying notes are an integral part of these financial statements

- 3 -

 
BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(UNAUDITED)
 
 
     
Quarters Ended
   
Six Months Ended
 
     
June 30,
   
June 30,
 
     
2006
   
2007
   
2006
   
2007
 
                           
NET REVENUE:
  $
10,091,469
    $
10,378,875
    $
20,231,498
    $
21,217,281
 
                                   
DIRECT EXPENSES:
                               
 
Clinical salaries and benefits
   
3,581,248
     
3,735,091
     
7,270,235
     
7,575,385
 
 
Dental supplies
   
577,569
     
593,981
     
1,153,206
     
1,154,906
 
 
Laboratory fees
   
683,362
     
689,207
     
1,325,258
     
1,369,412
 
 
Occupancy
   
1,094,148
     
1,141,105
     
2,150,881
     
2,274,157
 
 
Advertising and marketing
   
251,979
     
267,317
     
460,933
     
416,078
 
 
Depreciation and amortization
   
528,688
     
610,526
     
1,008,463
     
1,221,079
 
 
General and administrative
   
1,139,053
     
1,119,165
     
2,329,922
     
2,295,661
 
       
7,856,047
     
8,156,392
     
15,698,898
     
16,306,678
 
                                   
 
Contribution from dental offices
   
2,235,422
     
2,222,483
     
4,532,600
     
4,910,603
 
                                   
CORPORATE EXPENSES:
                               
 
General and administrative
    1,141,210 (1)     1,054,125 (1)     2,222,273 (2)     2,300,652 (2)
 
Depreciation and amortization
   
32,446
     
27,275
     
66,642
     
58,103
 
                                   
 
Operating income
   
1,061,766
     
1,141,083
     
2,243,685
     
2,551,848
 
                                   
 
Interest expense (income), net
   
40,467
     
89,166
     
80,087
     
195,319
 
                                   
 
Income before income taxes
   
1,021,299
     
1,051,917
     
2,163,598
     
2,356,529
 
 
Income tax expense
   
398,133
     
439,976
     
838,107
     
961,822
 
                                   
 
Net income
  $
623,166
    $
611,941
    $
1,325,491
    $
1,394,707
 
                                   
                                   
 
Net income per share of Common Stock - Basic
  $
0.27
    $
0.29
    $
0.56
    $
0.66
 
                                   
 
Net income per share of Common Stock - Diluted
  $
0.25
    $
0.26
    $
0.52
    $
0.60
 
                                   
 
Cash dividends per share of Common Stock
  $
0.13
    $
0.15
    $
0.26
    $
0.30
 
                                   
 
Weighted average number of shares of
                               
 
Common Stock and dilutive securities:
                               
 
Basic
   
2,327,419
     
2,123,900
     
2,349,824
     
2,125,131
 
                                   
 
Diluted
   
2,506,790
     
2,310,103
     
2,546,337
     
2,307,829
 
                                   
            ________________________                                     
                                   
(1)
Corporate expense - general and administrative includes $81,030 of equity compensation for a stock award and $78,286 related to stock-based compensation expense in the quarter ended June 30, 2006, and $81,030 of equity compensation expense for a stock award and $100,523 related to stock-based compensation expense in the quarter ended June 30, 2007.
 
 
(2)
Corporate expense - general and administrative includes $162,060 of equity compensation for a stock award and $166,031 related to stock-based compensation expense in the six months ended June 30, 2006, and $162,060 of equity compensation expense for a stock award and $190,587 related to stock-based compensation expense in the six months ended June 30, 2007.
 
 
The accompanying notes are an integral part of these financial statements
 
- 4 -

 

BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY
(UNAUDITED)
 
 
 
Common Stock
 
 
 
 
 
 
 
 
 
 
Shares
 
 
Amount
 
 
 
Retained Earnings
 
 
Shareholders' Equity
 
 
 
 
 
 
 
 
 
 
 
 
BALANCES, December 31, 2006
 
 
2,132,461
 
 
$
4,191,349
 
 
$
5,356,296
 
 
$
9,547,645
 
 
Common Stock options exercised
 
 
20,666
 
 
 
203,050
 
 
 
-
 
 
 
203,050
 
 
Purchase and retirement of Common Stock
 
 
(32,166
)
 
 
(708,188
)
 
 
-
 
 
 
(708,188
)
 
Tax benefit of Common Stock options exercised
 
 
-
 
 
 
87,843
 
 
 
-
 
 
 
87,843
 
 
Dividends declared on Common Stock
 
 
-
 
 
 
-
 
 
 
(635,790
)
 
 
(635,790
)
 
Stock-based compensation expense
 
 
-
 
 
 
352,647
 
 
 
0
 
 
 
352,647
 
 
Net income
 
 
-
 
 
 
-
 
 
 
1,394,707
 
 
 
1,394,707
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
BALANCES, June 30, 2007
 
 
2,120,961
 
 
$
4,126,701
 
 
$
6,115,213
 
 
$
10,241,914
 
 
 
The accompanying notes are an integral part of these financial statements

- 5 -


         
 
 
BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES
 
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
 
(UNAUDITED)
 
   
Six Months Ended
 
   
June 30,
 
   
2006
   
2007
 
CASH FLOWS FROM OPERATING ACTIVITIES:
           
Net income
  $
1,325,491
    $
1,394,707
 
Adjustments to reconcile net income to net
               
cash provided by operating activities:
               
Depreciation and amortization
   
1,075,105
     
1,279,179
 
Stock compensation expense
   
328,091
     
352,647
 
Provision for doubtful accounts
   
181,528
     
295,717
 
Provision for (benefit from) deferred income taxes
    (21,267 )    
11,299
 
Changes in assets and liabilities net of effects
               
from acquisitions:
               
Accounts receivable
    (585,018 )     (715,438 )
Prepaid expenses and other assets
   
49,887
      (25,309 )
Deferred charges and other assets
    (27,615 )    
8,333
 
Accounts payable
    (296,552 )    
73,867
 
Accrued expenses
   
149,492
      (184,620 )
Accrued payroll and related expenses
   
700,409
     
439,558
 
Income taxes payable
   
193,778
     
200,380
 
Other long-term obligations
   
96,113
      (35,418 )
Net cash provided by operating activities
   
3,169,442
     
3,094,902
 
                 
CASH FLOWS FROM INVESTING ACTIVITIES:
               
Capital expenditures
    (973,558 )     (373,960 )
Development of new dental centers
    (1,125,368 )    
-
 
Net cash used in investing activities
    (2,098,926 )     (373,960 )
                 
CASH FLOWS FROM FINANCING ACTIVITIES:
               
Advances – line of credit
   
9,905,538
     
10,431,678
 
Repayments – line of credit
    (9,386,449 )     (11,963,223 )
Repayments – Term Loan
   
-
      (230,000 )
Repayment of long-term debt
    (80,039 )     (33,561 )
Proceeds from exercise of Common Stock options
   
182,286
     
203,050
 
Purchase and retirement of Common Stock
    (1,349,298 )     (708,189 )
Tax benefit of Common Stock options exercised
   
43,297
     
87,844
 
Common Stock cash dividends
    (544,291 )     (595,522 )
Net cash used in financing activities
    (1,228,956 )     (2,807,923 )
                 
NET INCREASE (DECREASE) IN CASH AND
               
CASH EQUIVALENTS
    (158,440 )     (86,981 )
CASH AND CASH EQUIVALENTS, beginning of period
   
921,742
     
888,186
 
CASH AND CASH EQUIVALENTS, end of period
  $
763,302
    $
801,205
 

The accompanying notes are an integral part of these financial statements

- 6 -

 
 
BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES 
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(UNAUDITED)
   
Six Months Ended
 
   
June 30,
 
   
2006
   
2007
 
             
SUPPLEMENTAL DISCLOSURE OF CASH
           
FLOW INFORMATION:
           
             
Cash paid during the year for interest
  $
136,913
    $
247,494
 
Cash paid during the year for income taxes
  $
472,300
    $
662,300
 

 
The accompanying notes are an integral part of these financial statements


- 7 -



BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
June 30, 2007

(1)     UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

The condensed consolidated financial statements included herein have been prepared by Birner Dental Management Services, Inc. (the “Company”) pursuant to the rules and regulations of the Securities and Exchange Commission. Certain information and footnote disclosures normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States have been condensed or omitted pursuant to such rules and regulations, although the Company believes that the disclosures included herein are adequate to make the information presented not misleading. A description of the Company’s accounting policies and other financial information is included in the audited consolidated financial statements as filed with the Securities and Exchange Commission in the Company’s Annual Report on Form 10-K for the year ended December 31, 2006.

In the opinion of management, the accompanying unaudited condensed consolidated financial statements contain all adjustments necessary to present fairly the financial position of the Company as of June 30, 2007 and the results of operations and cash flows for the periods presented.  All such adjustments are of a normal recurring nature.  The results of operations for the quarter and six months ended June 30, 2007 are not necessarily indicative of the results that may be achieved for a full fiscal year and cannot be used to indicate financial performance for the entire year.


(2)     SIGNIFICANT ACCOUNTING POLICIES

Intangible Assets

The Company's dental practice acquisitions involve the purchase of tangible and intangible assets and the assumption of certain liabilities of the acquired dental offices (“Offices”). As part of the purchase price allocation, the Company allocates the purchase price to the tangible and identifiable intangible assets acquired and liabilities assumed, based on estimated fair market values. Costs of acquisition in excess of the net estimated fair value of tangible assets acquired and liabilities assumed are allocated to the management agreement related to the Office (“Management Agreement”). The Management Agreement represents the Company's right to manage the Offices during the 40-year term of the agreement. The assigned value of the Management Agreement is amortized using the straight-line method over a period of 25 years.  Amortization was $194,932 and $194,849 for the quarters ended June 30, 2007 and 2006, respectively. Amortization was $389,808 and $389,597 for the six months ended June 30, 2007 and 2006, respectively.

The Management Agreements cannot be terminated by the related professional corporation without cause, consisting primarily of bankruptcy or material default by the Company.

In the event that facts and circumstances indicate that the carrying value of long-lived and intangible assets may be impaired, an evaluation of recoverability would be performed. If an evaluation were required, the estimated future undiscounted cash flows associated with the asset would be compared to the asset’s carrying amount to determine if a write-down to market value or discounted cash flow value would be required.

Stock Options

On January 1, 2006, the Company adopted Statement of Financial Accounting Standards (“SFAS”) No. 123(R), "Share-Based Payment."  This standard revises SFAS 123, “Accounting for Stock-Based Compensation” and supersedes Accounting Principles Board (“APB”) Opinion 25, “Accounting for Stock Issued to Employees.” Under SFAS 123(R), the Company is required to measure the cost of employee services received in exchange for stock options and similar  awards based on the grant date fair value of the award and recognize this cost in the income statement over the period during which an employee is required to provide service in exchange for the award.


- 8 -


The Company adopted SFAS 123(R) using the modified prospective method. Under this transition method, stock-based compensation expense for the quarter and six months ended June 30, 2007 includes: (i) compensation expense for all stock-based compensation awards granted prior to, but not yet vested as of January 1, 2006, based on the grant date fair value estimated in accordance with the original provision of SFAS 123; and (ii) compensation expense for all stock-based compensation awards granted subsequent to January 1, 2006, based on the grant date fair value estimated in accordance with the provision of SFAS 123(R). The Company recognizes compensation expense on a straight line basis over the requisite service period of the award. Total stock-based compensation expense included in the Company’s statement of income for the quarter ended June 30, 2007 and 2006 was approximately $101,000 and $78,000, respectively. Total stock-based compensation expense included in the Company’s statement of income for the six months ended June 30, 2007 and 2006 was approximately $191,000 and $166,000, respectively. Total stock-based compensation expense was recorded as a component of corporate general and administrative expense.
 
The Black-Scholes option-pricing model was used to estimate the option fair values. The option-pricing model requires a number of assumptions, of which the most significant are expected stock price volatility, the expected pre-vesting forfeiture rate, expected dividend rate and the expected option term (the amount of time from the grant date until the options are exercised or expire). Expected volatility was calculated based upon actual historical stock price movements over the most recent periods ending June 30, 2007 equal to the expected option term. Expected pre-vesting forfeitures were estimated based on actual historical pre-vesting forfeitures over the most recent periods ending June 30, 2007 for the expected option term. The expected option term was calculated using the “simplified” method permitted by Staff Accounting Bulletin 107.
 
Prior to January 1, 2006, the Company accounted for stock options using the intrinsic value method wherein compensation expense was recognized on stock options granted only for the excess of the market price of the Company’s Common Stock over the option exercise price on the date of grant. All options of the Company were granted at amounts equal to or higher than the fair value of the Common Stock, so no compensation expense was recorded.

Income Taxes
 
Effective January 1, 2007, the Company adopted the provisions of FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes (“FIN 48”). FIN 48 clarifies the accounting for uncertainty in income taxes recognized in a company’s financial statements in accordance with FASB Statement No. 109, Accounting for Income Taxes. FIN 48 requires a company to determine whether it is more likely than not that a tax position will be sustained upon examination based upon the technical merits of the position. If the more-likely-than-not threshold is not met, a company must measure the tax position to determine the amount to recognize in the financial statements. The application of income tax law and regulations is inherently complex and subject to change. The Company is required to make many subjective assumptions and judgments regarding the income tax exposures. Changes in these subjective assumptions and judgments can materially affect amounts recognized in the Company’s financial statements.
 
At the adoption date of January 1, 2007 and at June 30, 2007, the Company had no unrecognized tax benefits which would affect the effective tax rate if recognized, and as of June 30, 2007, the Company had no accrued interest or penalties related to uncertain tax positions.
 
On initial application, FIN 48 was applied to all tax positions for which the statute of limitations remained open. The tax year 2006 federal return has been granted an extension to file until September 15, 2007. The tax years 2003-2006 remain open to examination by taxing jurisdictions to which the Company is subject. The IRS report issued in July 2006, made no changes to the return. No other federal or state exams are ongoing or have been performed in the past three years.



- 9 -


(3)     EARNINGS PER SHARE

The Company calculates earnings per share in accordance with SFAS No. 128, “Earnings Per Share.”

   
Quarters Ended June 30,
 
   
2006
   
2007
 
   
Income
   
Shares
   
Per Share Amount
   
Income
   
Shares
   
Per Share Amount
 
Basic EPS:
                                   
Net income available to shares of Common Stock
  $
623,166
     
2,327,419
    $
0.27
    $
611,941
     
2,123,900
    $
0.29
 
                                                 
Effect of dilutive shares of Common Stock from stock options and warrants
   
-
     
179,371
      (0.02 )    
-
     
186,203
      (0.03 )
                                                 
Diluted EPS:
                                               
Net income available to shares of Common Stock
  $
623,166
     
2,506,790
    $
0.25
    $
611,941
     
2,310,103
    $
0.26
 
                                                 

The difference in weighted average shares outstanding between basic earnings per share and diluted earnings per share for the quarters ended June 30, 2007 and 2006 relates to the effect of 186,203 and 179,371 shares, respectively, of dilutive shares of Common Stock from stock options, which are included in total shares for the diluted calculation.

   
Six Months Ended June 30,
 
   
2006
   
2007
 
   
Income
   
Shares
   
Per Share Amount
   
Income
   
Shares
   
Per Share Amount
 
Basic EPS:
                                   
Net income available to shares of Common Stock
  $
1,325,491
     
2,349,824
    $
0.56
    $
1,394,707
     
2,125,131
    $
0.66
 
                                                 
Effect of dilutive shares of Common Stock from stock options and warrants
   
-
     
196,513
      (0.04 )    
-
     
182,698
      (0.06 )
                                                 
Diluted EPS:
                                               
Net income available to shares of Common Stock
  $
1,325,491
     
2,546,337
    $
0.52
    $
1,394,707
     
2,307,829
    $
0.60
 
                                                 
 
The difference in weighted average shares outstanding between basic earnings per share and diluted earnings per share for the six months ended June 30, 2007 and 2006 relates to the effect of 182,698 and 196,513 shares, respectively, of dilutive shares of Common Stock from stock options, which are included in total shares for the diluted calculation.


- 10 -


(4)     STOCK-BASED COMPENSATION PLANS

At the Company’s June 2005 annual meeting of shareholders, the shareholders approved the 2005 Equity Incentive Plan (“2005 Plan”). The 2005 Plan was amended at the June 2007 annual meeting of shareholders to reserve 425,000 shares of Common Stock for issuance. The 2005 Plan provides for the grant of incentive stock options, restricted stock, restricted stock units and stock grants to employees (including officers and employee-directors) and non-statutory stock options to employees, directors and consultants. The objectives of this plan include attracting and retaining the best personnel, providing for additional performance incentives by providing employees with the opportunity to acquire Common Stock. As of June 30, 2007, there were 156,300 shares available for issuance under the 2005 Plan. The exercise price of the stock options issued under the 2005 Plan is equal to the market price, or market price plus 10% for shareholders who own greater than 10% of the Company, at the date of grant. These stock options expire seven years, or five years for shareholders who own greater than 10% of the Company, from the date of the grant and vest annually over a service period ranging from three to five years. The 2005 Plan is administered by a committee of two or more independent directors from the Company’s Board of Directors (the “Committee”). The Committee determines the eligible individuals to whom awards under the 2005 Plan may be granted, as well as the time or times at which awards will be granted, the number of shares to be granted to any eligible individual, the life of any award, and any other terms and conditions of the awards in addition to those contained in the 2005 Plan. As of June 30, 2007, there were 22,335 vested options, 186,365 unvested options, 40,000 vested restricted shares and 20,000 unvested restricted shares outstanding under the 2005 Plan.

The Employee Stock Option Plan (the ''Employee Plan'') was adopted by the Board of Directors effective as of October 30, 1995, and as amended on September 4, 1997, February 28, 2002, and June 8, 2004, reserved 479,250 shares of Common Stock for issuance. The Employee Plan provided for the grant of incentive stock options to employees (including officers and employee-directors) and non-statutory stock options to employees, directors and consultants. The Employee Plan expired by its terms on October 30, 2005. As of June 30, 2007, there were 290,535 vested options outstanding and 34,667 unvested options outstanding under the Employee Plan.

The Dental Center Stock Option Plan (“Dental Center Plan”) was adopted by the Board of Directors effective as of October 30, 1995, and as amended on September 4, 1997, reserved 160,475 shares of Common Stock for issuance. The Dental Center Plan provided for the grant of non-statutory stock options to professional corporations that operate the Offices (“P.C.s”) that are parties to Management Agreements with the Company, and to dentists or dental hygienists who are either employed by or are an owner of the P.C.s. The Dental Center Plan expired by its terms on October 30, 2005. As of June 30, 2007, there were 14,000 vested options outstanding and no unvested options outstanding under the Dental Center Plan.

The Company uses the Black-Scholes pricing model to estimate the fair value of each option granted with the following weighted average assumptions:

   
Quarters Ended
   
Six Months Ended
 
   
June 30,
   
June 30,
 
Valuation Assumptions
 
2006
   
2007 (5)
   
2006
   
2007
 
                         
Expected life (1)
   
4.5
     
-
     
4.7
     
4.5
 
Risk-free interest rate (2)
    5.01 %    
-
      4.88 %     4.75 %
Expected volatility (3)
    49 %    
-
      49 %     58 %
Expected dividend yield
    3.37 %    
-
      3.18 %     3.07 %
Expected Forteiture (4)
    4.47 %    
-
      4.48 %     5.32 %
_____________________________
 
(1)
The expected life, in years, of stock options is estimated using the simplified-method calculation.
(2)
 The risk-free interest rate is based on U.S. Treasury bills whose term is consistent with the expected life of the stock options.
(3)
The expected volatility is estimated based on historical and current stock price data for the Company.
(4) 
 Forfeitures of options granted prior to the Company’s adoption of SFAS 123(R) on January 1, 2006, are recorded as they occur. Forfeitures of options granted since the Company’s adoption of SFAS 123(R) are estimated based on historical experience.
(5)
  The Company did not issue any options during the quarter ended June 30, 2007.
 

- 11 -


A summary of option activity as of June 30, 2007, and changes during the six months then ended, is presented below:
 
   
Number of Options
   
Weighted-Average Exercise Price
   
Range of Exercise Prices
   
Weighted-Average Remaining Contractual Term (years)
   
Aggregate Intrinsic Value (thousands)
 
Outstanding at December 31, 2006
   
563,235
    $
11.63
    $
4.80 - $19.75
             
Granted
   
17,000
    $
21.84
    $
21.75 - $21.85
             
Exercised
    (20,666 )   $
9.83
    $
5.50 - $12.50
             
Forfeited
    (11,667 )   $
13.60
    $
9.66 - $17.61
             
                                     
Outstanding at June 30, 2007
   
547,902
    $
11.97
    $
4.80 - $21.85
     
3.2
    $
6,560
 
                                         
Exercisable at June 30, 2007
   
326,870
    $
8.33
    $
4.80 - $19.37
     
1.9
    $
2,724
 
                                         
 
The weighted average grant date fair values of options granted were $9.16 per option and $6.12 per option during the six months ended June 30, 2007 and 2006, respectively.  Net cash proceeds from the exercise of stock options during the six months ended June 30, 2007 and 2006 were $203,049 and $182,286, respectively. The associated income tax benefit from stock options exercised during the six months ended June 30, 2007 and 2006 was $87,844 and $43,297, respectively. As of the date of exercise, the total intrinsic values of options exercised during the six months ended June 30, 2007 and 2006 were $281,211 and $818,948, respectively. As of June 30, 2007, there was $1.3 million of total unrecognized compensation expense related to non-vested stock options, which is expected to be recognized over a weighted average period of 1.3 years.

(5)     RESTRICTED STOCK GRANT

On July 1, 2005, the Company granted 60,000 shares of restricted Common Stock to the Company’s Chairman and Chief Executive Officer (the “Employee”) under the 2005 Plan. In connection with the grant of restricted stock, the Company agreed to reimburse the Employee an amount equal to the tax liability associated with the grant. Such reimbursement was made by the Company and totaled approximately $586,000 which was recognized as an expense during the third quarter of 2005. As of June 30, 2007, there was approximately $162,000 of unrecognized compensation expense related to the restricted stock grant. The remaining expense is expected to be recognized in 2007.  Beginning June 30, 2007, the Company reclassified amortization of deferred equity compensation to Common Stock.

A summary of the vesting status of the shares of restricted stock as of June 30, 2007, and the changes during the six months then ended, is presented below:

   
Six Months Ended
 
   
June 30, 2007
 
   
Number of Restricted Shares
   
Weighted-Average Grant-Date Fair Value
 
             
Non-vested at December 31, 2006
   
40,000
    $
13.51
 
Granted
   
-
     
-
 
Vested
    (20,000 )    
13.51
 
Forfeited
   
-
     
-
 
Non-vested at June 30, 2007
   
20,000
    $
13.51
 
                 
 
 
- 12 -


(6)     DIVIDENDS

On March 9, 2004, the Company announced a quarterly cash dividend of $.0375 per share. On February 10, 2005, the Company announced an increase in the amount of the quarterly dividend to $.10 per share. On January 10, 2006, the Company announced an increase in the amount of the quarterly dividend to $.13 per share. On January 11, 2007, the Company announced an increase in the amount of the quarterly dividend to $.15 per share. The payment of dividends in the future is subject to the discretion of the Company’s Board of Directors, and various factors may prevent the Company from paying dividends. Such factors include the Board of Directors’ assessment of the Company’s financial position, capital requirements and liquidity, the existence of a stock repurchase program, loan agreement restrictions, results of operations and such other factors the Company’s Board of Directors may consider relevant.

(7)     LINE OF CREDIT

On April 30, 2007, the Company amended its bank line of credit (“Credit Facility”).  The amended Credit Facility decreases the LIBOR rate margin from 1.50% to 1.25% and extends the expiration of the credit agreement from May 31, 2008 to May 31, 2009. The Credit Facility allows the Company to borrow, on a revolving basis, an aggregate principal amount not to exceed $7.0 million at either, or a combination of, the lender’s Base Rate or at LIBOR plus a LIBOR rate margin, at the Company’s option. The lender’s Base Rate computes interest at the higher of the lender’s “prime rate” or the Federal Funds Rate plus one-half percent (0.5%).  The LIBOR option computes interest at the LIBOR rate as of the date such LIBOR Rate loan was made plus a LIBOR rate margin of 1.25%.  A commitment fee of 0.25% on the average daily unused amount of the revolving loan commitment during the preceding quarter is also assessed. The Company may prepay any Base Rate loan at any time and any LIBOR rate loan upon not less than three business days prior written notice given to the lender, but the Company is responsible for any loss or cost incurred by the lender in liquidating or employing deposits required to fund or maintain the LIBOR rate loan.  At June 30, 2007, the Company had $1.5 million outstanding and $5.5 million available for borrowing under the Credit Facility. This consisted of $1.5 million outstanding under the LIBOR rate option and $21,000 outstanding under the Base Rate option. The Credit Facility requires the Company to comply with certain covenants and financial ratios. At June 30, 2007, the Company was in full compliance with all of its covenants under the Credit Facility.
 
(8)     CAPITAL EXPENDITURES
 
The Company’s retained earnings as of June 30, 2007 were approximately $6.1 million, and the Company had  a working capital deficit on that date of approximately $1.3 million. During the six months ended June 30, 2007, the Company had capital expenditures of approximately $374,000 and purchased approximately $708,000 of Common Stock while decreasing total bank debt by approximately $1.8 million.

(9)     DUTCH AUCTION TENDER OFFER AND TERM LOAN
 
On October 5, 2006, the Company accepted for payment, at a purchase price of $21.75 per share, 212,396 shares of its Common Stock that were properly tendered and not withdrawn pursuant to the Company’s “Dutch Auction” tender offer. The 212,396 shares purchased were comprised of the 175,000 shares the Company offered to purchase and 37,396 shares that were purchased pursuant to the Company's right to purchase up to an additional 2% of the outstanding shares as of August 31, 2006, without extending the Dutch Auction tender offer in accordance with applicable securities laws. These shares represented approximately 9.2% of the shares outstanding as of September 30, 2006. The Dutch Auction tender offer was funded from a $4.6 million term loan (“Term Loan”). Under the Term Loan, $2.3 million is borrowed at a fixed interest rate of 7.05% and the remaining $2.3 million is borrowed at a floating interest rate of LIBOR plus 1.5%. The principal amount borrowed will be paid quarterly in 20 equal payments of approximately $230,000 plus interest beginning December 31, 2006. The Term Loan matures on September 30, 2011.  On October 12, 2006, the Company entered into a fixed-for-floating interest rate swap transaction on the Term Loan and in February 2007 designated  it as a cash flow hedge under Statement of Financial Accounting Standards (“SFAS”) No. 133, "Accounting for Derivatives."  Under SFAS 133, the Company is required to recognize all derivatives as either assets or liabilities in the statement of financial position and measure those instruments at fair value unless (i) a hedge of the exposure to changes in the fair value of a recognized asset or liability or an unrecognized firm commitment, (ii) a hedge of the exposure to variable cash flows of a forecasted transaction, or (iii) a hedge of the foreign currency exposure of a net investment in a foreign operation, an unrecognized firm commitment, an available-for-sale security, or a foreign-currency-denominated forecasted transaction. The swap was entered into for purposes other than trading purposes. At June 30, 2007, the Company had $4.1 million outstanding under the Term Loan. The Term Loan requires the Company to comply with certain covenants and financial ratios. At June 30, 2007, the Company was in full compliance with all of its covenants under the Term Loan.


- 13 -


ITEM 2.  MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
 
Forward-Looking Statements
 
The statements contained in this report that are not historical in nature are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements, other than statements of historical facts, included in this report that address activities, events or developments that we expect, believe, intend or anticipate will or may occur in the future, are forward-looking statements. When used in this document, the words “estimate,” “believe,” anticipate,” “project” and similar expressions are intended to identify forward-looking statements. Forward-looking statements are inherently subject to risks and uncertainties, many of which cannot be predicted with accuracy and some of which might not even be anticipated. These forward-looking statements include statements in this Item 2, “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” regarding intent, belief or current expectations of the Company or its officers with respect to the development or acquisition of additional dental practices (“Offices”) and the successful integration of such Offices into the Company’s network, recruitment of additional dentists, funding of the Company’s expansion, capital expenditures, payment or nonpayment of dividends and cash outlays for income taxes and other purposes.

Such forward-looking statements involve certain risks and uncertainties that could cause actual results to differ materially from anticipated results. These risks and uncertainties include regulatory constraints, changes in laws or regulations concerning the practice of dentistry or dental practice management companies, the availability of suitable new markets and suitable locations within such markets, changes in the Company’s operating or expansion strategy, the general economy of the United States and the specific markets in which the Company’s Offices are located or are proposed to be located, trends in the health care, dental care and managed care industries, as well as the risk factors set forth in Item 1A. “Risk Factors” in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2006, this report, and other factors as may be identified from time to time in the Company’s filings with the Securities and Exchange Commission or in the Company’s press releases.
 
General
 
The following discussion relates to factors that have affected the results of operations and financial condition of the Company for the quarters and six months ended June 30, 2006 and 2007. This information should be read in conjunction with the Company’s condensed consolidated financial statements and related notes thereto included elsewhere in this report.
 
Overview
 
The Company was formed in May 1995 and currently manages 60 Offices in Colorado, New Mexico and Arizona staffed by 79 general dentists and 27 specialists. The Company derives all of its Revenue (as defined below) from its Management Agreements with professional corporations (“P.C.s”), which conduct the practice at each Office. In addition, the Company assumes a number of responsibilities when it acquires a new practice or develops a de novo Office, which are set forth in a Management Agreement, as described below.

The Company was formed with the intention of becoming the leading provider of business services to dental practices in Colorado. The Company’s growth and success in the Colorado market led to its expansion into the New Mexico and Arizona markets. The Company’s growth strategy is to focus on greater utilization of existing physical capacity through recruiting more dentists and support staff and through development of de novo Offices and selective acquisitions.
 
Critical Accounting Policies
 
In June 2006, the Financial Accounting Standards Board (“FASB”) issued FASB Interpretation No. (“FIN”) 48, “Accounting for Uncertainty in Income Taxes—An Interpretation of FASB Statement No. 109,” which prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The Company adopted the provisions of FIN 48 on January 1, 2007 and has analyzed filing positions in its federal and state jurisdictions where the Company is required to file income tax returns, as well as for all open tax years in these jurisdictions. The Company believes its income tax filing positions and deductions will be sustained under audit and believes it does not have significant uncertain tax positions that, in the event of adjustment, will result in a material effect on its results of operations or financial position. See Note 2 to Condensed Consolidated Financial Statements, Significant Accounting Policies.

- 14 -



The Company’s critical accounting policies are set forth in its Annual Report on Form 10-K for the year ended December 31, 2006.  Except for FIN 48, there have been no changes to these policies since the filing of that report.
 
Components of Revenue and Expenses
 
Total dental group practice revenue (“Revenue”) represents the revenue of the Offices reported at estimated realizable amounts, received from dental plans, other third-party payors and patients for dental services rendered at the Offices.  The Company’s Revenue is derived principally from fee-for-service revenue and managed dental care revenue. Fee-for-service revenue consists of revenue received from indemnity dental plans, preferred provider plans and direct payments by patients not covered by any third-party payment arrangement. Managed dental care revenue consists of revenue received from capitated managed dental care plans, including capitation payments and patient co-payments. Capitated managed dental care contracts are between dental benefits organizations and the P.C.s.

Net revenue represents Revenue less amounts retained by the Offices. The amounts retained by the Offices represent amounts paid as compensation to employed dentists and hygienists. The Company’s net revenue is dependent on the Revenue of the Offices. Direct expenses consist of the expenses incurred by the Company in connection with managing the Offices, including salaries and benefits for personnel other than dentists and hygienists, dental supplies, dental laboratory fees, occupancy costs, advertising and marketing, depreciation and amortization and general and administrative (including office supplies, equipment leases, management information systems and other expenses related to dental practice operations). The Company also incurs personnel and administrative expenses in connection with maintaining a corporate function that provides management, administrative, marketing, advertising, development and professional services to the Offices.

Under each of the Management Agreements, the Company manages the business and marketing aspects of the Offices, including (i) providing capital, (ii) designing and implementing marketing and advertising programs, (iii) negotiating for the purchase of supplies, (iv) staffing, (v) recruiting, (vi) training of non-dental personnel, (vii) billing and collecting certain fees for dental services provided by the Offices, (viii) arranging for certain legal and accounting services, and (ix) negotiating with third party payors. Under the Management Agreements, the P.C. is responsible for, among other things (i) supervision of all dentists and dental hygienists, (ii) complying with all laws, rules and regulations relating to dentists and dental hygienists, and (iii) maintaining proper patient records.  The Company has made, and intends to make in the future, loans to P.C.s in Colorado, New Mexico and Arizona to fund their acquisition of dental assets from third parties in order to comply with the laws of such states.

Under the typical Management Agreement used by the Company, the P.C. pays the Company a management fee equal to the “Adjusted Gross Center Revenue” of the P.C. less compensation paid to the dentists and dental hygienists employed at the Office of the P.C.  Adjusted Gross Center Revenue is comprised of all fees and charges booked each month by or on behalf of the P.C. as a result of dental services provided to patients at the Office, less any adjustments for uncollectible accounts, professional courtesies and other activities that do not generate a collectible fee.  The Company’s costs include all direct and indirect costs, overhead and expenses relating to the Company’s provision of management services at each Office under the Management Agreement, including (i) salaries, benefits and other direct costs of employees who work at the Office (other than dentist and hygienist salaries), (ii) direct costs of all Company employees or consultants who provide services to or in connection with the Office, (iii) utilities, janitorial, laboratory, supplies, advertising and other expenses incurred by the Company in carrying out its obligations under the Management Agreement, (iv) depreciation expense associated with the P.C.’s assets and the assets of the Company used at the Office, and the amortization of intangible asset value relating to the Office, (v) interest expense on indebtedness incurred by the Company to finance any of its obligations under the Management Agreement, (vi) general and malpractice insurance expenses, lease expenses and dentist recruitment expenses, (vii) personal property and other taxes assessed against the Company’s or the P.C.’s assets used in connection with the operation of the Office, (viii) out-of-pocket expenses of the Company’s personnel related to mergers or acquisitions involving the P.C., (ix) corporate overhead charges or any other expenses of the Company, including the P.C.’s pro rata share of the expenses of the accounting and computer services provided by the Company, and (x) a collection reserve in the amount of 5.0% of Adjusted Gross Center Revenue.  As a result, substantially all costs associated with the provision of dental services at the Offices are borne by the Company, except for the compensation of the dentists and hygienists who work at the Offices of the P.C.s. This enables the Company to manage the profitability of the Offices.  Each Management Agreement is for a term of 40 years. Further, each Management Agreement generally may be terminated by the P.C. only for cause, which includes a material default by or bankruptcy of the Company. Upon expiration or termination of a Management Agreement by either party, the P.C. must satisfy all obligations it has to the Company.


- 15 -


Under the Management Agreements, the Company negotiates and administers the capitated managed dental care contracts on behalf of the P.C.s.  Under a capitated managed dental care contract, the dental group practice provides dental services to the members of the dental benefits organization and receives a fixed monthly capitation payment for each plan member covered for a specific schedule of services regardless of the quantity or cost of services to the participating dental group practice obligated to provide them.  This arrangement shifts the risk of utilization of these services to the dental group practice providing the dental services.  Because the Company assumes responsibility under the Management Agreements for all aspects of the operation of the dental practices (other than the practice of dentistry) and thus bears all costs of the P.C.s associated with the provision of dental services at the Offices (other than compensation of dentists and hygienists), the risk of over-utilization of dental services at the Offices under capitated managed dental care plans is effectively shifted to the Company. In addition, dental group practices participating in a capitated managed dental care plan often receive supplemental payments for more complicated or elective procedures. In contrast, under traditional indemnity insurance arrangements, the insurance company pays whatever reasonable charges are billed by the dental group practice for the dental services provided. Under a preferred provider plan, the dental group practice is paid for dental services provided based on a fee schedule that is a discount to the usual and customary fees paid under an indemnity insurance agreement.

The Company seeks to increase its fee-for-service business by increasing the patient volume at existing Offices through effective marketing and advertising programs and by opening de novo Offices. The Company seeks to supplement this fee-for-service business with revenue from contracts with capitated managed dental care plans.  Although the Company’s fee-for-service business generally is more profitable than its capitated managed dental care business, capitated managed dental care business serves to increase facility utilization and dentist productivity.  The relative percentage of the Company’s Revenue derived from fee-for-service business and capitated managed dental care contracts varies from market to market depending on the availability of capitated managed dental care contracts in any particular market and the Company’s ability to negotiate favorable contract terms.  In addition, the profitability of managed dental care Revenue varies from market to market depending on the level of capitation payments and co-payments in proportion to the level of benefits required to be provided.
 
Results of Operations
 
For the quarter ended June 30, 2007, Revenue increased $535,000, or 3.7%, to $15.1 million compared to $14.6 million for the quarter ended June 30, 2006.  For the quarter ended June 30, 2007, net revenue increased $287,000, or 2.8%, to $10.4 million compared to $10.1 million for the quarter ended June 30, 2006.

For the quarter ended June 30, 2007, net income decreased 1.8% to $612,000, or $.26 per share compared to $623,000, or $.25 per share for the quarter ended June 30, 2006.

For the six months ended June 30, 2007, Revenue increased $1.7 million, or 5.8%, to $30.8 million compared to $29.1 million for the six months ended June 30, 2006.  For the six months ended June 30, 2007, net revenue increased $986,000, or 4.9%, to $21.2 million compared to $20.2 million for the six months ended June 30, 2006.

For the six months ended June 30, 2007, net income increased 5.2% to $1.4 million, or $.60 per share compared to $1.3 million, or $.52 per share for the six months ended June 30, 2006.

The Company continues to generate strong cash flow from operations.  During the first six months of 2007, the Company purchased $708,000 of its outstanding Common Stock, invested $374,000 in capital expenditures, paid $596,000 in dividends, and repaid $264,000 of long term debt while decreasing borrowings under its Credit Facility by $1.5 million.

Revenue is total dental group practice revenue generated at the Company’s Offices from professional services provided to its patients. Amounts retained by dental Offices represents compensation expense to the dentists and hygienists and is subtracted from total dental group practice revenue to arrive at net revenue. The Company reports net revenue in its financial statements to comply with Emerging Issues Task Force Issue No. 97-2, Application of SFAS No. 94 (Consolidation of All Majority Owned Subsidiaries) and APB Opinion No. 16 (Business Combinations) to Physician Practice Management Entities and Certain Other Entities With Contractual Management Arrangements. Revenue is not a U.S. generally accepted accounting principles (“GAAP”) measure. The Company discloses Revenue and believes it is useful to investors because it is a critical component for management’s evaluation of Office performance. However, investors should not consider this measure in isolation or as a substitute for net revenue, operating income, cash flows from operating activities or any other measure for determining the Company’s operating performance that is calculated in accordance with generally accepted accounting principles. The following table reconciles Revenue to net revenue.

- 16 -



   
Quarters Ended
   
Six Months Ended
 
   
June 30,
   
June 30,
 
   
2006
   
2007
   
2006
   
2007
 
                         
Total dental group practice revenue
  $
14,566,435
    $
15,101,800
    $
29,146,349
    $
30,835,494
 
Less - amounts retained by dental Offices
    (4,474,966 )     (4,722,925 )     (8,914,851 )     (9,618,213 )
                                 
Net revenue
  $
10,091,469
    $
10,378,875
    $
20,231,498
    $
21,217,281
 
                                 
 
The following table sets forth the percentages of net revenue represented by certain items reflected in the Company’s condensed consolidated statements of income. The information contained in the following table represents the historical results of the Company. The information that follows should be read in conjunction with the Company’s condensed consolidated financial statements and related notes thereto contained elsewhere in this report.
 
BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES
 
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
 
(UNAUDITED)
 
 
   
Quarters Ended
   
Six Months Ended
 
   
June 30,
   
June 30,
 
   
2006
   
2007
   
2006
   
2007
 
                         
NET REVENUE:
    100.0 %     100.0 %     100.0 %     100.0 %
                                 
DIRECT EXPENSES:
                               
Clinical salaries and benefits
    35.5 %     36.0 %     35.9 %     35.7 %
Dental supplies
    5.7 %     5.7 %     5.7 %     5.4 %
Laboratory fees
    6.8 %     6.6 %     6.6 %     6.5 %
Occupancy
    10.8 %     11.0 %     10.6 %     10.7 %
Advertising and marketing
    2.5 %     2.6 %     2.3 %     2.0 %
Depreciation and amortization
    5.2 %     5.9 %     5.0 %     5.8 %
General and administrative
    11.3 %     10.8 %     11.5 %     10.8 %
      77.8 %     78.6 %     77.6 %     76.9 %
                                 
Contribution from dental offices
    22.2 %     21.4 %     22.4 %     23.1 %
                                 
CORPORATE EXPENSES:
                               
General and administrative
    11.3 %     10.2 %     11.0 %     10.8 %
Depreciation and amortization
    0.3 %     0.3 %     0.3 %     0.3 %
                                 
Operating income
    10.5 %     11.0 %     11.1 %     12.0 %
                                 
Interest expense
    0.4 %     0.9 %     0.4 %     0.9 %
                                 
Income before income taxes
    10.1 %     10.1 %     10.7 %     11.1 %
Income tax expense
    3.9 %     4.2 %     4.1 %     4.5 %
                                 
Net income
    6.2 %     5.9 %     6.6 %     6.6 %
 
 
- 17 -


Quarter Ended June 30, 2007 Compared to Quarter Ended June 30, 2006:
 
Net revenue. For the quarter ended June 30, 2007, net revenue increased $287,000, or 2.8%, to $10.4 million compared to $10.1 million for the quarter ended June 30, 2006. This increase is primarily attributable to net revenues generated from the addition of three de novo Offices opened either during the quarter ended June 30, 2006 or after June 30, 2006.

Clinical salaries and benefits. For the quarter ended June 30, 2007, clinical salaries and benefits increased $154,000, or 4.3%, to $3.7 million compared to $3.6 million for the quarter ended June 30, 2006. This increase was primarily due to additional employees at the three de novo Offices opened either during the quarter ended June 30, 2006 or after June 30, 2006 and annual wage increases that became effective February 1, 2007. As a percentage of net revenue, clinical salaries and benefits increased to 36.0% for the quarter ended June 30, 2007 compared to 35.5% for the quarter ended June 30, 2006.
 
Dental supplies. For the quarter ended June 30, 2007, dental supplies increased to $594,000 compared to $578,000 for the quarter ended June 30, 2006, an increase of $16,000 or 2.8%. This increase was primarily related to the addition of the three de novo Offices opened either during the quarter ended June 30, 2006 or after June 30, 2006.  As a percentage of net revenue, dental supplies remained constant at 5.7% for the quarter ended June 30, 2007 and 2006.
 
Laboratory fees. For the quarter ended June 30, 2007, laboratory fees increased to $689,000 compared to $683,000 for the quarter ended June 30, 2006, an increase of $6,000 or 0.9%. As a percentage of net revenue, laboratory fees decreased to 6.6% for the quarter ended June 30, 2007 compared to 6.8% for the quarter ended June 30, 2006.
 
Occupancy. For the quarter ended June 30, 2007, occupancy expense increased $47,000 or 4.3% to $1.1 million.  This increase was primarily due to the three de novo Offices opened either during the quarter ended June 30, 2006 or after June 30, 2006 and increased rental payments resulting from the renewal of Office leases at current market rates for Offices whose leases expired subsequent to June 30, 2006. As a percentage of net revenue, occupancy expense increased to 11.0% for the quarter ended June 30, 2007 compared to 10.8% for the quarter ended June 30, 2006.
 
Advertising and marketing. For the quarter ended June 30, 2007, advertising and marketing expense increased to $267,000 compared to $252,000 for the quarter ended June 30, 2006, an increase of $15,000 or 6.1%.  This increase is attributable to the Company starting a television advertising campaign in the Denver, Colorado market in March 2007. As a percentage of net revenue, advertising and marketing expense increased to 2.6% for the quarter ended June 30, 2007 compared to 2.5% for the quarter ended June 30, 2006.
 
Depreciation and amortization-Offices. For the quarter ended June 30, 2007, depreciation and amortization expenses attributable to the Offices increased to $611,000 compared to $529,000 for the quarter ended June 30, 2006, an increase of $82,000 or 15.5%. The increase in the Company’s depreciable asset base is a result of purchasing tenant improvements and new equipment for three de novo Offices. As a percentage of net revenue, depreciation and amortization increased to 5.9% for the quarter ended June 30, 2007 compared to 5.2% for the quarter ended June 30, 2006.

General and administrative-Offices. For the quarters ended June 30, 2007 and 2006, general and administrative expenses attributable to the Offices remained constant at $1.1 million. As a percentage of net revenue, general and administrative expenses decreased to 10.8% for the quarter ended June 30, 2007 compared to 11.3% for the quarter ended June 30, 2006.
 
Contribution from dental Offices.   As a result of the above, contribution from dental Offices remained constant at $2.2 million for the quarters ended June 30, 2007 and 2006. As a percentage of net revenue, contribution from dental Offices decreased to 21.4% for the quarter ended June 30, 2007 compared to 22.2% for the quarter ended June 30, 2006.
 
Corporate expenses - general and administrative. For the quarters ended June 30, 2007 and 2006, corporate expenses - general and administrative remained constant at $1.1 million. As a percentage of net revenue, corporate expenses - general and administrative decreased to 10.2% for the quarter ended June 30, 2007 compared to 11.3% for the quarter ended June 30, 2006.
 
Corporate expenses - depreciation and amortization. For the quarter ended June 30, 2007, corporate expenses - depreciation and amortization decreased to $27,000 compared to $32,000 for the quarter ended June 30, 2006, a decrease of $5,000 or 15.9%. The decrease is related to the decrease in the Company’s depreciable asset base. As a percentage of net revenue, corporate expenses – depreciation and amortization remained constant at 0.3% for the quarter ended June 30, 2007 and 2006.
 

- 18 -


 
Operating income.   As a result of the matters discussed above, the Company’s operating income remained constant at $1.1 million for the quarters ended June 30, 2007 and 2006. As a percentage of net revenue, operating income increased to 11.0% for the quarter ended June 30, 2007 compared to 10.5% for the quarter ended June 30, 2006.
 
Interest expense. For the quarter ended June 30, 2007, interest expense increased to $89,000 compared to $40,000 for the quarter ended June 30, 2006, an increase of $49,000. This increase in interest expense is attributable to the addition of a Term Loan to finance the Dutch Auction tender offer completed in October 2006. As a percentage of net revenue, interest expense increased to 0.9% for the quarter ended June 30, 2007 compared to 0.4% for the quarter ended June 30, 2006.
 
Net income.   As a result of the above, the Company reported net income of $612,000 for the quarter ended June 30, 2007 compared to net income of $623,000 for the quarter ended June 30, 2006. Net income for the quarter ended June 30, 2007 was net of income tax expense of $440,000, while net income for the quarter ended June 30, 2006 was net of income tax expense of $398,000. As a percentage of net revenue, net income decreased to 5.9% for the quarter ended June 30, 2007 compared to 6.2% for the quarter ended June 30, 2006.
 
Six Months Ended June 30, 2007 Compared to Six Months Ended June 30, 2006:
 
Net revenue. For the six months June 30, 2007, net revenue increased $986,000, or 4.9%, to $21.2 million compared to $20.2 million for the six months ended June 30, 2006. This increase is attributable to an increase in net revenue of $178,000 at the 57 Offices that were open during each full quarter and $808,000 in net revenue from the addition of three de novo Offices opened either during the quarter ended June 30, 2006 or after June 30, 2006.

Clinical salaries and benefits. For the six months ended June 30, 2007, clinical salaries and benefits increased $305,000, or 4.2%, to $7.6 million compared to $7.3 million for the six months ended June 30, 2006. This increase was primarily due to additional employees at the three de novo Offices opened either during the quarter ended June 30, 2006 or after June 30, 2006 and annual wage increases that became effective February 1, 2007. As a percentage of net revenue, clinical salaries and benefits decreased to 35.7% for the six months ended June 30, 2007 compared to 35.9% for the six months ended June 30, 2006.
 
Dental supplies. For the six months ended June 30, 2007 and 2006, dental supplies remained constant at $1.2 million.  As a percentage of net revenue, dental supplies decreased to 5.4% for the six months ended June 30, 2007 compared to 5.7% for the six months ended June 30, 2006.
 
Laboratory fees. For the six months ended June 30, 2007, laboratory fees increased to $1.4 million compared to $1.3 million for the six months ended June 30, 2006, an increase of $44,000 or 3.3%. This increase was primarily related to the addition of the three de novo Offices opened either during the quarter ended June 30, 2006 or after June 30, 2006 and increased Revenue. As a percentage of net revenue, laboratory fees decreased to 6.5% for the six months ended June 30, 2007 compared to 6.6% for the six months ended June 30, 2006.
 
Occupancy. For the six months ended June 30, 2007, occupancy expense increased $123,000 or 5.7% to $2.3 million compared to $2.2 million for the six months ended June 30, 2006.  This increase was primarily due to the three de novo Offices opened either during the quarter ended June 30, 2006 or after June 30, 2006 and increased rental payments resulting from the renewal of Office leases at current market rates for Offices whose leases expired subsequent to June 30, 2006. As a percentage of net revenue, occupancy expense increased to 10.7% for the six months ended June 30, 2007 compared to 10.6% for the six months ended June 30, 2006.
 
Advertising and marketing. For the six months ended June 30, 2007, advertising and marketing expense decreased to $416,000 compared to $461,000 for the six months ended June 30, 2006, a decrease of $45,000 or 9.7%.  This decrease is attributable to a shift away from a comprehensive television and print advertising campaign in the Albuquerque, New Mexico and Colorado Springs, Colorado markets in 2006, which commenced in January 2006, to a television advertising campaign in the Denver, CO market which did not commence until March 2007. As a percentage of net revenue, advertising and marketing expense decreased to 2.0% for the six months ended June 30, 2007 compared to 2.3% for the six months ended June 30, 2006.
 
Depreciation and amortization-Offices. For the six months ended June 30, 2007, depreciation and amortization expenses attributable to the Offices increased to $1.2 million compared to $1.0 million for the six months ended June 30, 2006, an increase of $213,000 or 21.1%. The increase in the Company’s depreciable asset base is a result of purchasing tenant improvements and new equipment for three de novo Offices. As a percentage of net revenue, depreciation and amortization increased to 5.8% for the six months ended June 30, 2007 compared to 5.0% for the six months ended June 30, 2006.

- 19 -


 
General and administrative-Offices. For the six months ended June 30, 2007 and 2006, general and administrative expenses attributable to the Offices remained constant at $2.3 million. As a percentage of net revenue, general and administrative expenses decreased to 10.8% for the six months ended June 30, 2007 compared to 11.5% for the six months ended June 30, 2006.
 
Contribution from dental Offices.   As a result of the above, contribution from dental Offices increased $378,000, or 8.3%, to $4.9 million for the six months ended June 30, 2007 compared to $4.5 million for the six months ended June 30, 2006. As a percentage of net revenue, contribution from dental Offices increased to 23.1% for the six months ended June 30, 2007 compared to 22.4% for the six months ended June 30, 2006.
 
Corporate expenses - general and administrative. For the six months ended June 30, 2007, corporate expenses - general and administrative increased to $2.3 million compared to $2.2 million for the six months ended June 30, 2006, an increase of $78,000 or 3.5%. This increase is attributable to an increase in corporate wages and increased stock option expense as a result of additional options issued. As a percentage of net revenue, corporate expenses - general and administrative decreased to 10.8% for the six months ended June 30, 2007 compared to 11.0% for the six months ended June 30, 2006.
 
Corporate expenses - depreciation and amortization. For the six months ended June 30, 2007, corporate expenses - depreciation and amortization decreased to $58,000 compared to $67,000 for the six months ended June 30, 2006, a decrease of $9,000 or 12.8%. The decrease is related to the decrease in the Company’s depreciable asset base. As a percentage of net revenue, corporate expenses – depreciation and amortization remained constant at 0.3% for the six months ended June 30, 2007 and 2006.
 
Operating income.   As a result of the matters discussed above, the Company’s operating income increased to $2.6 million for the six months ended June 30, 2007 compared to $2.2 million for the six months ended June 30, 2006, an increase of $308,000 or 13.7%. As a percentage of net revenue, operating income increased to 12.0% for the six months ended June 30, 2007 compared to 11.1% for the six months ended June 30, 2006.
 
Interest expense. For the six months ended June 30, 2007, interest expense increased to $195,000 compared to $80,000 for the six months ended June 30, 2006, an increase of $115,000. This increase in interest expense is attributable to the addition of the Term Loan to finance the Dutch Auction tender offer completed in October 2006. As a percentage of net revenue, interest expense increased to 0.9% for the six months ended June 30, 2007 compared to 0.4% for the six months ended June 30, 2006.
 
Net income.   As a result of the above, the Company reported net income of $1.4 million for the six months ended June 30, 2007 compared to net income of $1.3 million for the six months ended June 30, 2006, an increase of $69,000 or 5.2%.  Net income for the six months ended June 30, 2007 was net of income tax expense of $962,000, while net income for the six months ended June 30, 2006 was net of income tax expense of $838,000. As a percentage of net revenue, net income remained constant at 6.6% for the six months ended June 30, 2007 and 2006.
 
Liquidity and Capital Resources
 
The Company finances its operations and growth through a combination of cash provided by operating activities and the Credit Facility.  As of June 30, 2007, the Company had a working capital deficit of approximately $1.3 million.
 
Net cash provided by operating activities was approximately $3.1 million and $3.2 million for the six months ended June 30, 2007 and 2006, respectively.  During the 2007 period, excluding net income and after adding back non-cash items, the Company’s cash provided by operating activities consisted primarily of an increase in accounts payable and accrued expenses of approximately $329,000, an increase in income taxes payable of approximately $200,000, offset by an increase in accounts receivable of approximately $715,000 (primarily due to higher Revenue), an increase in prepaid expenses and other assets of approximately $25,000,  and a decrease in other long-term obligations of approximately $35,000. During the 2006 period, excluding net income and after adding back non-cash items, the Company’s cash provided by operating activities consisted primarily of an increase in accounts payable, accrued expenses and accrued payroll  and related expenses of approximately $553,000, an increase in income taxes payable of approximately $194,000, an increase in other long-term obligations of approximately $96,000 and a decrease in prepaid expenses and other assets of approximately $50,000, partially offset by an increase in accounts receivable of approximately $585,000 (primarily due to higher Revenue) and an increase in deferred charges and other assets of approximately $28,000.
 

- 20 -

 
 
Net cash used in investing activities was approximately $374,000 and $2.1 million for the six months ended June 30, 2007 and 2006, respectively. For the six months ended June 30, 2007, the Company invested approximately $374,000 in the purchase of additional equipment. For the six months ended June 30, 2006, the Company invested approximately $974,000 in the purchase of additional property and equipment and approximately $1.1 million in the development of de novo Offices.
 
Net cash used in financing activities was approximately $2.8 million for the six months ended June 30, 2007 and $1.2 million for the six months ended June 30, 2006. During the six months ended June 30, 2007, net cash used in financing activities was comprised of approximately $1.5 million used to pay down the Credit Facility, approximately $708,000 used in the purchase and retirement of Common Stock, approximately $264,000 for the repayment of long-term debt and approximately $596,000 for the payment of dividends, partially offset by approximately $203,000 in proceeds from the exercise of Common Stock options and $88,000 in tax benefit of Common Stock options exercised. During the six months ended June 30, 2006, net cash used in financing activities was comprised of approximately $1.3 million used in the purchase and retirement of Common Stock, approximately $544,000 for the payment of dividends and approximately $80,000 used in the repayment of long-term debt,  partially offset by approximately $519,000 advanced from the Company’s Credit Facility, approximately $182,000 in proceeds from the exercise of Common Stock options and $43,000 in tax benefit of Common Stock options exercised.
 
On April 30, 2007, the Company amended the Credit Facility.  The amended Credit Facility decreases the LIBOR rate margin from 1.50% to 1.25% and extends the expiration of the credit agreement from May 31, 2008 to May 31, 2009. The Credit Facility allows the Company to borrow, on a revolving basis, an aggregate principal amount not to exceed $7.0 million at either, or a combination of, the lender’s Base Rate or at LIBOR plus a LIBOR rate margin, at the Company’s option. The lender’s Base Rate computes interest at the higher of the lender’s “prime rate” or the Federal Funds Rate plus one-half percent (0.5%).  The LIBOR option computes interest at the LIBOR rate as of the date such LIBOR Rate loan was made plus a LIBOR rate margin of 1.25%.  A commitment fee of 0.25% on the average daily unused amount of the revolving loan commitment during the preceding quarter is also assessed. The Company may prepay any Base Rate loan at any time and any LIBOR rate loan upon not less than three business days prior written notice given to the lender, but the Company is responsible for any loss or cost incurred by the lender in liquidating or employing deposits required to fund or maintain the LIBOR rate loan.  At June 30, 2007, the Company had $1.5 million outstanding and $5.5 million available for borrowing under the Credit Facility. This consisted of $1.5 million outstanding under the LIBOR rate option and $21,000 outstanding under the Base Rate option. The Credit Facility requires the Company to comply with certain covenants and financial ratios. At June 30, 2007, the Company was in full compliance with all of its covenants under the Credit Facility.
 
The Company’s retained earnings as of June 30, 2007 were approximately $6.1 million. The Company expects increased costs over the next 12 months as it prepares to comply with Sarbanes-Oxley Act Section 404.
 
On October 5, 2006, the Company entered into a $4.6 million Term Loan to finance its Dutch Auction tender offer. Under the Term Loan, $2.3 million is borrowed at a fixed interest rate of 7.05% and the remaining $2.3 million is borrowed at a floating interest rate of LIBOR plus 1.5%. The principal amount borrowed will be paid quarterly in 20 equal payments of approximately $230,000 plus interest beginning December 31, 2006. The Term Loan expires September 30, 2011. The Company designates this fixed-for-floating interest rate swap as a cash flow hedge under SFAS No. 133. The Term Loan requires the Company to comply with certain covenants and financial ratios. At June 30, 2007, the Company was in full compliance with all of its covenants under the Term Loan.

The Company’s earnings before interest, taxes, depreciation, amortization and non cash expense associated with stock-based compensation (“Adjusted EBITDA”) increased $537,000, or 14.7% to $4.2 million for the six months ended June 30, 2007 compared to $3.6 million for the corresponding six month period in 2006. Although Adjusted EBITDA is not a GAAP measure of performance or liquidity, the Company believes that it may be useful to an investor in evaluating the Company’s ability to meet future debt service, capital expenditures and working capital requirements. However, investors should not consider these measures in isolation or as a substitute for operating income, cash flows from operating activities or any other measure for determining the Company’s operating performance or liquidity that is calculated in accordance with GAAP. In addition, because Adjusted EBITDA is not calculated in accordance with GAAP, it may not necessarily be comparable to similarly titled measures employed by other companies. A reconciliation of Adjusted EBITDA to net income can be made by adding depreciation and amortization expense - offices, depreciation and amortization expense – corporate,  stock-based compensation expense, interest expense, net and income tax expense to net income as in the table below.

- 21 -



   
Quarters
   
Six Months
 
   
Ended June 30,
   
Ended June 30,
 
   
2006
   
2007
   
2006
   
2007
 
RECONCILIATION OF ADJUSTED EBITDA:
                       
Net income
  $
623,166
    $
611,941
    $
1,325,491
    $
1,394,707
 
Depreciation and amortization - Offices
   
528,688
     
610,526
     
1,008,463
     
1,221,079
 
Depreciation and amortization - Corporate
   
32,446
     
27,275
     
66,642
     
58,103
 
Stock-based compensation expense
   
159,316
     
181,553
     
328,091
     
352,647
 
Interest expense, net
   
40,467
     
89,166
     
80,087
     
195,319
 
Income tax expense
   
398,133
     
439,976
     
838,107
     
961,822
 
                                 
Adjusted EBITDA
  $
1,782,216
    $
1,960,437
    $
3,646,881
    $
4,183,677
 
 
As of June 30, 2007, the Company had the following known contractual obligations:
 
         
Payments due by Period
 
   
Total
   
Less than 1 year
   
1-3 years
   
3-5 years
   
More than 5 years
 
Long-term debt obligations
  $
5,660,867
    $
1,150,000
    $
3,360,867
    $
1,150,000
    $
-
 
Operating lease obligations
   
7,956,363
     
2,794,534
     
3,885,734
     
1,251,469
     
24,626
 
Other long-term liabilities reflected on the balance sheet under GAAP
   
372,745
     
81,613
     
204,873
     
85,701
     
558
 
Total
  $
13,989,975
    $
4,026,147
    $
7,451,474
    $
2,487,170
    $
25,184
 
 
The Company from time to time may purchase its Common Stock on the open market. During 2006, the Company, in 67 separate transactions, purchased 305,161 shares of its Common Stock for total consideration of approximately $6.1 million at prices ranging from $15.00 to $21.75 per share. In April 2006, the Company purchased 54,250 shares through a private transaction that was approved by the Board of Directors. On October 5, 2006, the Company purchased, through a Dutch Auction tender offer that was approved by the Board of Directors, 212,396 shares of its Common Stock at $21.75 for total consideration of $4.6 million. During the quarter ended June 30, 2007, the Company, in 2 separate transactions, purchased 12,698 shares of its Common Stock for total consideration of approximately $292,000 at prices ranging from $22.10 to $24.43. On March 16, 2007, the Board of Directors authorized the Company to increase by approximately $679,000 the amount available to make open market purchases of its Common Stock. As of June 30, 2007, approximately $499,000 of the previously authorized amount was available for open market purchases. There is no expiration date on these plans. Such purchases may be made from time to time as the Company’s management deems appropriate.

The Company believes that cash generated from operations and borrowings under its Credit Facility will be sufficient to fund its anticipated working capital needs, capital expenditures and dividend payments for at least the next 12 months. In order to meet its long-term liquidity needs, the Company may issue additional equity and debt securities, subject to market and other conditions. There can be no assurance that such additional financing will be available on terms acceptable to the Company. The failure to obtain the funds necessary to finance its future cash requirements could adversely affect the Company’s ability to pursue its strategy and could negatively affect its operations in future periods.
 

- 22 -


ITEM 3.  QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
 
Market risk represents the risk of loss that may impact the financial position, results of operations or cash flows of the Company due to adverse changes in financial and commodity market prices and rates. Historically, the Company has not used derivative instruments or engaged in hedging activities. On October 12, 2006, the Company entered into a fixed-for-floating interest rate swap transaction on the Term Loan and designated it as a cash flow hedge under SFAS No. 133.

Interest Rate Risk.   The interest payable on the Credit Facility and a portion of the Term Loan is variable based on floating interest rates (either LIBOR or Base Rate) and, therefore is affected by changes in market interest rates. At June 30, 2007, the variable portion outstanding under the Term Loan was $2.1 million and $1.5 million was outstanding under the Credit Facility with either variable LIBOR (6.57%) or Base Rate (8.25%). The Company may repay the Credit Facility and Term Loan balances in full at any time without penalty.  As a result, the Company does not believe that any reasonably possible near-term changes in interest rates would result in a material effect on future earnings, fair values or cash flows of the Company.  The Company estimates that a 1.0% increase in the interest rate on the Credit Facility and Term Loan would have resulted in additional interest expense of approximately $22,000 for the six months ended June 30, 2007.
 
ITEM 4.  CONTROLS AND PROCEDURES
 
Under the supervision and with the participation of the Company’s management, including the Chief Executive Officer and Chief Financial Officer, the Company evaluated the design and operation of its disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) of the Securities Exchange Act of 1934, or the “Exchange Act”) as of June 30, 2007.  On the basis of this review, the Company’s management, including the Chief Executive Officer and Chief Financial Officer, concluded that the Company’s disclosure controls and procedures are designed, and are effective, to give reasonable assurance that the information required to be disclosed by the Company in reports that it files under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the rules and forms of the Securities and Exchange Commission and to ensure that information required to be disclosed in the reports filed or submitted under the Exchange Act is accumulated and communicated to our management, including the Chief Executive Officer and Chief Financial Officer, in a manner  that allows timely decisions regarding required disclosure. There were no changes in the Company’s internal controls over financial reporting that occurred in the six months ended June 30, 2007 that materially affected, or were reasonably likely to materially affect, its internal control over financial reporting.

- 23 -


PART II.  OTHER INFORMATION


ITEM 1.  LEGAL PROCEEDINGS
 
From time to time the Company is subject to litigation incidental to its business. The Company is not presently a party to any material litigation. Such claims, if successful, could result in damage awards exceeding, perhaps substantially, applicable insurance coverage.

ITEM 1A.  RISK FACTORS
 
There have been no material changes in the Company’s risk factors from those disclosed  in the Company’s Annual Report on Form 10-K for the year ended December 31, 2006.

 
ITEM 2.  UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
 
The following chart provides information regarding Common Stock purchases by the Company during the period April 1, 2007 through June 30, 2007.
 
Issuer Purchases of Equity Securities
 
Period
 
Total Number Of Shares Purchased
   
Average Price Paid per Share
   
Total Number Of Shares Purchased as Part of Publicly Announced Plans or Programs
   
Approximate Dollar Value Of Shares That May Yet Be Purchased Under the Plans or Programs
 
April 1, 2007 through April 30, 2007
   
5,000
    $
24.43
     
5,000
    $
669,106
 
May 1, 2007 through May 31, 2007
   
7,698
     
22.10
     
7,698
    $
498,971
 
June  1, 2007 through June 30, 2007
   
-
     
-
     
-
    $
498,971
 
Total
   
12,698
    $
23.02
     
12,698
         

All purchases were made on the open market pursuant to plans that were approved by the Board of Directors. As of June 30, 2007, there was approximately $499,000 available for the purchase of the Company’s Common Stock under such plans that have been approved by the Board of Directors. There is no expiration date on these plans. Purchases under these plans may be made from time to time, as the Company’s management deems appropriate.

 
ITEM 4.  SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
 
(a)
The Company’s Annual Meeting of Shareholders was held on June 5, 2007.
(b)
The following directors were elected at the meeting to serve three-year terms as Class I directors.
 
 
 
For
Withheld Authority
 Abstain
       
Thomas D. Wolf
1,895,276
883
 -
       
Paul E. Valuck, D.D.S.
1,896,076
 83
-
 
 
- 24 -


Continuing Directors
After the meeting, the following director continued to serve his three-year term as a Class II director, which term will expire at the Company’s annual meeting in 2008:

Brooks G. O’Neil

After the meeting, the following directors continued to serve their three-year terms as Class III directors, which terms will expire at the Company’s annual meeting in 2009:

Frederick W.J. Birner

Mark A. Birner

(c)
Other matters voted upon at the meeting and results of those votes are as follow:
 
Authorization to increase the number of shares of common stock available under the 2005 Equity Incentive Plan from 300,000 to 425,000:

             
For
 
Against
 
Abstain
 
Not Voted
             
1,184,054
 
 99,889
 
 2
 
612,214
             


The matters mentioned above are described in detail in the Company’s definitive proxy statement dated April 30, 2007 for the Annual Meeting of Shareholders held on June 5, 2007.
 
ITEM 6.   EXHIBITS
 
Exhibit
 
Number
Description of Document
   
3.1
Amended and Restated Articles of Incorporation, incorporated herein by reference to Exhibit 3.1 to the Company’s Registration Statement of Form S-1 (SEC File No. 333-36391), as filed with the Securities and Exchange Commission on September 25, 1997.
   
3.2
Amended and Restated Bylaws, incorporated herein by reference to Exhibit 3.3 to the Company’s Registration Statement on Form S-1 (SEC File No. 333-36391), as filed with the Securities and Exchange Commission on September 25, 1997.
   
4.1
Reference is made to Exhibits 3.1 and 3.2.
   
4.2
Specimen Stock Certificate, incorporated herein by reference to Exhibit 4.2 to the Company’s Registration Statement on Form S-1 (SEC File No. 333-36391), as filed with the Securities and Exchange Commission on September 25, 1997.
   
10.49
Fifth Amendment of Second Amended and Restated Credit Agreement dated April 30, 2007 between the Registrant and Key Bank of Colorado.
   
31.1
Rule 13a-14(a) Certification of the Chief Executive Officer.*
   
31.2
Rule 13a-14(a) Certification of the Chief Financial Officer.*
   
32.1
Section 1350 Certifications of the Chief Executive Officer and the Chief Financial Officer.*
___________
 
* Filed herewith

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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.
 
 
 
BIRNER DENTAL MANAGEMENT SERVICES, INC.
 
 Date: August 14, 2007    
   By:  /s/ Frederic W.J. Birner 
   Name:  Frederic W.J. Birner
   Title:  Chairman of the Board and Chief Executive Officer
(Principal Executive Officer)
 
 
 Date: August 14, 2007    
   By:  /s/ Dennis N. Genty  
   Name: Dennis N. Genty
   Title: Chief Financial Officer, Secretary, and Treasurer
(Principal Financial and Accounting Officer)
 

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