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EXCEL - IDEA: XBRL DOCUMENT - BIRNER DENTAL MANAGEMENT SERVICES INCFinancial_Report.xls
EX-31.1 - EXHIBIT 31.1 - BIRNER DENTAL MANAGEMENT SERVICES INCex31_1.htm
EX-31.2 - EXHIBIT 31.2 - BIRNER DENTAL MANAGEMENT SERVICES INCex31_2.htm
EX-32.1 - EXHIBIT 32.1 - BIRNER DENTAL MANAGEMENT SERVICES INCex32_1.htm

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

FORM 10-Q
(Mark One)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 
For the quarterly period ended
 March 31, 2015
 
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.)
 
1777 S. HARRISON STREET, SUITE 1400
 
DENVER, COLORADO
80210
(Address of principal executive offices)
(Zip Code)

(303) 691-0680
(Registrant’s telephone number, including area code)
 
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    No ☐

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).  Yes ☒  No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company.  See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check One):

Large accelerated filer ☐
Accelerated filer ☐ 
Non-accelerated filer ☐
Smaller reporting company
   
(Do not check if a smaller  reporting company)
 
 
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
Yes  No   

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 May 1, 2015
Common Stock, no par value
 
1,859,689
 


BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES
INDEX TO FORM 10-Q
 
PART I - FINANCIAL INFORMATION
 
Item 1
Financial Statements
Page
 
 
 
  3
   
 
4
   
 
5
   
 
6
   
 
8
     
Item 2.
13
     
Item 4.
20
     
PART II - OTHER INFORMATION 
     
Item 2.
20
     
Item 6.
21
     
22
 
2

PART I - FINANCIAL INFORMATION

ITEM 1.  FINANCIAL STATEMENTS
 
BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(UNAUDITED)

ASSETS
 
December 31,
2014
   
March 31,
2015
 
CURRENT ASSETS:
       
Cash and cash equivalents
 
$
310,229
   
$
440,128
 
Accounts receivable, net of allowance for doubtful accounts of approximately $420,000 and $390,000, respectively
   
3,185,136
     
3,706,957
 
Notes receivable
   
34,195
     
34,195
 
Deferred tax asset
   
614,944
     
553,013
 
Prepaid expenses and other assets
   
520,187
     
603,659
 
                 
Total current assets
   
4,664,691
     
5,337,952
 
                 
PROPERTY AND EQUIPMENT, net
   
11,258,025
     
10,491,671
 
                 
OTHER NONCURRENT ASSETS:
               
Intangible assets, net
   
8,410,535
     
8,199,071
 
Deferred charges and other assets
   
160,853
     
158,553
 
Notes receivable
   
82,929
     
76,103
 
                 
Total assets
 
$
24,577,033
   
$
24,263,350
 
                 
LIABILITIES AND SHAREHOLDERS’ EQUITY
               
                 
CURRENT LIABILITIES:
               
Accounts payable
 
$
2,912,162
   
$
2,497,723
 
Accrued expenses
   
1,557,811
     
1,362,191
 
Accrued payroll and related expenses
   
2,511,953
     
2,894,548
 
Income taxes payable
   
6,638
     
195,896
 
                 
Total current liabilities
   
6,988,564
     
6,950,358
 
                 
LONG-TERM LIABILITIES:
               
Deferred tax liability, net
   
2,951,321
     
2,665,652
 
Long-term debt
   
9,833,453
     
10,220,051
 
Other long-term obligations
   
1,046,633
     
1,044,461
 
                 
Total liabilities
   
20,819,971
     
20,880,522
 
                 
SHAREHOLDERS' EQUITY:
               
Preferred Stock, no par value, 10,000,000 shares authorized; none outstanding
   
-
     
-
 
Common Stock, no par value, 20,000,000 shares authorized; 1,859,689 shares issued and outstanding
   
1,214,056
     
1,294,829
 
Retained earnings
   
2,543,006
     
2,087,999
 
                 
Total shareholders' equity
   
3,757,062
     
3,382,828
 
                 
Total liabilities and shareholders' equity
 
$
24,577,033
   
$
24,263,350
 
 
The accompanying notes are an integral part of these condensed consolidated financial statements.
 
3

BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(UNAUDITED)

   
Quarters Ended
March 31,
 
   
2014
   
2015
 
REVENUE:
       
Dental practice revenue
 
$
15,472,734
   
$
15,388,974
 
Capitation revenue
   
1,333,664
     
1,198,550
 
     
16,806,398
     
16,587,524
 
                 
DIRECT EXPENSES:
               
Clinical salaries and benefits
   
9,893,366
     
9,944,817
 
Dental supplies
   
691,692
     
745,484
 
Laboratory fees
   
804,003
     
810,377
 
Occupancy
   
1,458,394
     
1,474,673
 
Advertising and marketing
   
229,925
     
160,887
 
Depreciation and amortization
   
967,263
     
1,109,871
 
General and administrative
   
1,429,905
     
1,257,765
 
     
15,474,548
     
15,503,874
 
                 
Contribution from dental offices
   
1,331,850
     
1,083,650
 
                 
CORPORATE EXPENSES:
               
General and administrative
   
1,169,145
(1) 
   
1,075,005
(1) 
Depreciation and amortization
   
54,640
     
55,335
 
                 
OPERATING INCOME/(LOSS)
   
108,065
     
(46,690
)
Interest expense, net
   
27,194
     
28,516
 
                 
INCOME/(LOSS) BEFORE INCOME TAXES
   
80,871
     
(75,206
)
Income tax expense/(benefit)
   
31,540
     
(29,330
)
                 
NET INCOME/(LOSS)
 
$
49,331
   
$
(45,876
)
                 
Net income/(loss) per share of Common Stock - Basic
 
$
0.03
   
$
(0.02
)
                 
Net income/(loss) per share of Common Stock - Diluted
 
$
0.03
   
$
(0.02
)
                 
Cash dividends per share of Common Stock
 
$
0.22
   
$
0.22
 
                 
Weighted average number of shares of Common Stock and dilutive securities:
               
Basic
   
1,854,455
     
1,859,689
 
                 
Diluted
   
1,864,708
     
1,859,689
 

(1)
Corporate expenses - general and administrative includes $100,430 and $80,773 of stock-based compensation expense pursuant to ASC Topic 718 for the quarters ended March 31, 2014 and 2015, respectively.
 
The accompanying notes are an integral part of these condensed consolidated financial statements.
 
4

BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENT OF SHAREHOLDERS' EQUITY
(UNAUDITED)

   
Common Stock
         
   
Shares
   
Amount
   
Retained
Earnings
   
Shareholders'
Equity
 
           
     
BALANCES, December 31, 2014
   
1,859,689
   
$
1,214,056
   
$
2,543,006
   
$
3,757,062
 
Dividends declared on Common Stock
   
-
     
-
     
(409,131
)
   
(409,131
)
Stock-based compensation expense
   
-
     
80,773
     
-
     
80,773
 
Net loss
   
-
     
-
     
(45,876
)
   
(45,876
)
                                 
BALANCES, March 31, 2015
   
1,859,689
   
$
1,294,829
   
$
2,087,999
   
$
3,382,828
 
 
The accompanying notes are an integral part of these condensed consolidated financial statements.
 
5

BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES       
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(UNAUDITED)

   
Quarters Ended
March 31,
 
   
2014
   
2015
 
CASH FLOWS FROM OPERATING ACTIVITIES:
       
Net income/(loss)
 
$
49,331
   
$
(45,876
)
Adjustments to reconcile net income/(loss) to net cash provided by operating activities:
               
Depreciation and amortization
   
1,021,903
     
1,165,206
 
Stock-based compensation expense
   
100,430
     
80,773
 
Provision for doubtful accounts
   
286,860
     
175,142
 
Benefit from deferred income taxes
   
(303,357
)
   
(223,738
)
Changes in assets and liabilities, net of effects from acquisitions:
               
Accounts receivable
   
(834,199
)
   
(696,963
)
Prepaid expenses and other assets
   
(333,957
)
   
(83,472
)
Deferred charges and other assets
   
-
     
2,300
 
Accounts payable
   
(562,054
)
   
(414,439
)
Accrued expenses
   
(70,283
)
   
(195,620
)
Accrued payroll and related expenses
   
541,643
     
382,595
 
Income taxes payable/(receivable)
   
469,081
     
189,258
 
Other long-term obligations
   
(27,522
)
   
(2,172
)
Net cash provided by operating activities
   
337,876
     
332,994
 
                 
CASH FLOWS USED IN INVESTING ACTIVITIES:
               
Capital expenditures
   
(1,140,348
)
   
(187,388
)
Notes receivable
   
6,697
     
6,826
 
Net cash used in investing activities
   
(1,133,651
)
   
(180,562
)
                 
CASH FLOWS USED IN FINANCING ACTIVITIES:
               
Advances – line of credit
   
7,408,854
     
7,070,628
 
Repayments – line of credit
   
(6,445,916
)
   
(6,684,030
)
Proceeds from exercise of common stock options
   
64,500
     
-
 
Tax benefit of common stock options exercised
   
6,065
     
-
 
Common stock cash dividends
   
(407,565
)
   
(409,131
)
Net cash provided by (used in) financing activities
   
625,938
     
(22,533
)
                 
NET CHANGE IN CASH AND CASH EQUIVALENTS
   
(169,837
)
   
129,899
 
CASH AND CASH EQUIVALENTS, beginning of period
   
469,827
     
310,229
 
CASH AND CASH EQUIVALENTS, end of period
 
$
299,990
   
$
440,128
 
 
The accompanying notes are an integral part of these condensed consolidated financial statements.
 
6

BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(UNAUDITED)

   
Quarters Ended
March 31,
 
   
2014
   
2015
 
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
       
       
Cash paid for interest
 
$
30,630
   
$
35,925
 
Cash paid for income taxes
 
$
9,750
   
$
5,150
 
Cash received for income taxes
 
$
150,000
   
$
-
 
 
The accompanying notes are an integral part of these condensed consolidated financial statements.
 
7

                BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
March 31, 2015

(1) UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

The condensed consolidated financial statements included herein are unaudited and have been prepared by Birner Dental Management Services, Inc. (the “Company”) pursuant to the rules and regulations of the Securities and Exchange Commission (the “SEC”).  Certain information and footnote disclosures normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States (“GAAP”) 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 SEC in the Company’s Annual Report on Form 10-K for the year ended December 31, 2014.

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 March 31, 2015 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 ended March 31, 2015 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

Basis of Presentation/Basis of Consolidation

The accompanying condensed consolidated financial statements have been prepared on the accrual basis of accounting. These financial statements present the financial position and results of operations of the Company and the dental offices (“Offices”), which are under the control of the Company.  The Offices are organized as professional corporations (“P.C.s”) and the Company provides business services to the Offices under long-term management agreements (the “Management Agreements”).  All intercompany accounts and transactions have been eliminated in the consolidation.

The Company treats Offices as consolidated subsidiaries where it has a long-term and unilateral controlling financial interest over the assets and operations of the Offices. The Company maintains control of substantially all of its Offices via the Management Agreements. The Company is a business service organization and does not engage in the practice of dentistry or the provision of dental hygiene services. These services are provided by licensed professionals. Certain key features of these arrangements either enable the Company at any time and in its sole discretion to cause a change in the shareholder of the P.C. (i.e., ''nominee shareholder'') or allow the Company to vote the shares of stock held by the owner of the P.C. and to elect a majority of the board of directors of the P.C.  The accompanying condensed consolidated statements of operations reflect revenue, which is the amount billed to patients less contractual adjustments. Direct expenses consist of all the expenses incurred in operating the Offices and paid by the Company.  Under the Management Agreements, the Company assumes responsibility for the management of most aspects of the Offices' business (the Company does not engage in the practice of dentistry or the provision of dental hygiene services), including personnel recruitment and training; comprehensive administrative, business and marketing support and advice; and facilities, equipment, and support personnel as required to operate the practices.

The Company prepares its consolidated financial statements in accordance with Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) 810, which provides for consolidation of variable interest entities (“VIEs”) of which the Company is the primary beneficiary. The Company has concluded that the P.C.s meet the definition of VIEs as defined by this standard and that the Company is the primary beneficiary of these VIEs.  This conclusion was reached because the Company has the power to direct significant activities of the VIEs and the Company is obligated to absorb losses of and/or provide rights to receive benefits from the VIEs.

Revenue

Revenue is generally recognized when services are provided and is reported at estimated net realizable amounts due from insurance companies, preferred provider and health maintenance organizations (i.e., third-party payors) and patients for services rendered, net of contractual and other adjustments.  Dental services are billed and collected by the Company in the name of the Offices.
 
8

Revenue under certain third-party payor agreements is subject to audit and retroactive adjustments. To the Company’s knowledge, there are no material claims, disputes or other unsettled matters that exist concerning third-party reimbursements as of March 31, 2015.

Most of the Company’s patients are insured under third-party payor agreements. The Company’s billing system generates contractual adjustments for each patient encounter based on fee schedules for the patient’s insurance plan.  The services provided are attached to the patient’s fee schedule based on the insurance the patient has at the time the service is provided.  Therefore, the revenue that is recorded by the billing system is based on insurance contractual amounts. Additionally, each patient at the time of service signs a form agreeing that the patient is ultimately responsible for the contracted fee if the insurance company does not pay the fee for any reason.

Note Receivable

A note receivable was created as part of a dental Office acquisition, of which approximately $110,000 in principal amount was outstanding at March 31, 2015.  The note has equal monthly principal and interest amortization payments and a maturity date of October 31, 2018.  The note bears interest at 6%, which is accrued monthly.  If the note is uncollectible, an allowance for doubtful accounts will be created.  There was no allowance for doubtful accounts for the note as of March 31, 2015 or December 31, 2014.
.
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. 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. The Management Agreement represents the Company's right to manage the Offices during the 40-year term of the Management Agreement. The assigned value of the Management Agreement is amortized using the straight-line method over a period of 25 years.  Amortization was approximately $211,000 and $225,000 for the quarters ended March 31, 2015 and 2014, respectively.

The Management Agreements cannot be terminated by a P.C. without cause, consisting primarily of bankruptcy or material default by the Company.

If facts and circumstances indicate that the carrying value of long-lived and intangible assets may be impaired, the Company will perform an evaluation of recoverability. If an evaluation is required, the estimated future undiscounted cash flows associated with the asset will be compared to the asset’s carrying amount to determine if a write-down to market value or discounted cash flow value is required.  There were no impairment write-downs associated with the Company’s long-lived and intangible assets during the quarters ended March 31, 2015 and 2014.

Stock-Based Compensation Expense

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 condensed consolidated statements of operations for the quarters ended March 31, 2015 and 2014 was approximately $81,000 and $100,000, respectively, related to stock options.  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 ended March 31, 2015 equal to the expected option term. Expected pre-vesting forfeitures were estimated based on historical pre-vesting forfeitures over the most recent periods ended March 31, 2015 for the expected option term.
 
9

Recent Accounting Pronouncements
 
In May 2014, FASB issued ASU No. 2014-09, Revenue from Contracts with Customers (Topic 606).  This update will establish a comprehensive revenue recognition standard for virtually all industries in GAAP.  ASU 2014-09 will change the amount and timing of revenue and cost recognition, implementation, disclosures and documentation.  In April 2015, the FASB voted to propose that ASU 2014-09 be effective for annual reporting periods beginning after December 15, 2017, including interim periods within that reporting period, and can be adopted under the full retrospective method or simplified transition method.  Entities are permitted to adopt the revenue standard early, beginning with annual reporting periods after December 15, 2016.  If the FASB’s proposal is adopted, the Company plans to adopt ASU 2014-09 beginning January 1, 2018 and is currently evaluating the impact these changes will have on its condensed consolidated financial statements. 

In August 2014, FASB issued ASU No. 2014-15, Presentation of Financial Statements-Going Concern (Subtopic 205-40): Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern.  The new standard requires management to perform interim and annual assessments of an entity’s ability to continue as a going concern within one year of the date the financial statements are issued.  ASU 2014-15 is effective for fiscal years beginning after December 15, 2016.  ASU 2014-15 is not expected to have a material effect on the Company’s condensed consolidated financial statements. 

In January 2015, the FASB issued new accounting guidance eliminating from current accounting guidance the concept of extraordinary items, which, among other things, required an entity to segregate extraordinary items considered to be unusual and infrequent from the results of ordinary operations and show the item separately in the income statement, net of tax, after income from continuing operations. This guidance is effective for public entities for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2015. Early adoption is permitted. Adoption of this guidance is not expected to have a significant impact on the Company’s condensed consolidated financial statements.

In April 2015, the FASB issued an accounting update simplifying the presentation of debt issuance costs and requiring that debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct deduction from the carrying amount of that debt liability, consistent with debt discounts. The update did not affect the recognition and measurement guidance for debt issuance costs. This guidance is effective for public entities for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2015. Early adoption is permitted. Adoption of this guidance is not expected to have a significant impact on the Company’s condensed consolidated financial statements.

(3) EARNINGS/(LOSS) PER SHARE

The Company calculates earnings/(loss) per share (“EPS”)  in accordance with ASC Topic 260.

   
Quarters Ended March 31,
 
   
2014
   
2015
 
   
Net Income
   
Shares
   
Per Share Amount
   
Net Loss
   
Shares
   
Per Share Amount
 
                         
Basic EPS
 
$
49,331
     
1,854,455
   
$
0.03
   
$
(45,876
)
   
1,859,689
   
$
(0.02
)
                                                 
Effect of Dilutive Stock Options
   
-
     
10,253
     
-
     
-
     
-
     
-
 
                                                 
Diluted EPS
 
$
49,331
     
1,864,708
   
$
0.03
   
$
(45,876
)
   
1,859,689
   
$
(0.02
)
 
The difference in weighted average shares outstanding between basic EPS and diluted EPS for the quarter ended March 31, 2014 relates to the effect of 10,253 dilutive shares of the Company’s common stock (“Common Stock”) from stock options, which are included in total shares for the diluted earnings per share calculation.  For the quarters ended March 31, 2015 and 2014, options to purchase 478,935 and 386,681 shares, respectively, of Common Stock were not included in the computation of diluted EPS because their effect was anti-dilutive.
 
10

(4) STOCK-BASED COMPENSATION PLANS

The Company’s shareholders approved the 2005 Equity Incentive Plan (as amended, “2005 Plan”) in June 2005.  The Company’s shareholders have approved several amendments to the 2005 Plan to increase the number of authorized shares of Common Stock issuable under the 2005 Plan (i) from 300,000 shares to 425,000 shares in June 2007, (ii) from 425,000 shares to 625,000 shares in June 2009, (iii) from 625,000 shares to 775,000 shares in June 2012, and (iv) from 775,000 shares to 1,025,000 shares in June 2014.  The 2005 Plan terminated on March 17, 2015.  The 2005 Plan provided for the grant of incentive stock options, restricted stock, restricted stock units and stock grants to eligible employees (including officers and employee-directors) and non-statutory stock options to eligible employees, directors and consultants. The objectives of the 2005 Plan were to attract and retain the best personnel and provide for additional performance incentives by providing eligible employees with the opportunity to acquire equity in the Company.  As of March 31, 2015, there were no shares available for issuance under the 2005 Plan due to the termination of the 2005 Plan on March 17, 2015.  The 2005 Plan was administered by a committee of two or more independent directors from the Company’s Board of Directors (the “Committee”). The Committee determined the eligible individuals to whom awards under the 2005 Plan were granted, as well as the time or times at which awards were granted, the number of shares subject to awards 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 March 31, 2015, there were 250,334 vested options and 233,999 unvested options under the 2005 Plan.
 
A summary of option activity as of March 31, 2015, and changes during the quarter 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 January 1, 2015
   
586,833
   
$
17.36
   
$
11.50 - $21.00
     
4.2
   
$
197
 
Cancelled
   
(102,500
)
 
$
19.71
   
$
15.22 - $21.00
                 
                                         
Outstanding at March 31, 2015
   
484,333
   
$
16.79
   
$
11.50 - $19.75
     
4.8
   
$
125
 
                                         
Exercisable at March 31, 2015
   
250,334
   
$
18.48
   
$
11.50 - $19.75
     
3.4
   
$
16
 

No options were granted during the quarters ended March 31, 2015 and 2014.  As of March 31, 2015, there was approximately $338,000 of total unrecognized compensation expense related to non-vested stock options, which is expected to be recognized over a weighted average period of 2.47 years.

(5) DIVIDENDS

The Company has declared and paid the following quarterly cash dividends.
 
Date Dividend Paid
 
Quarterly Dividend Paid
 per Share
 
January 10, 2014; April 11, 2014; July 11, 2014; October 10, 2014
 
$
0.22
 
January 15, 2015; April 17, 2015
       

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 or require the Company to reduce the dividends. Such factors include the Company’s financial position, capital requirements and liquidity, the existence of a stock repurchase program, any loan agreement restrictions, state corporate law restrictions, results of operations and such other factors that the Company’s Board of Directors may consider relevant.
 
(6) LINE OF CREDIT

On September 13, 2013, the Company entered into a Credit Agreement with Compass Bank, which was amended on February 12, 2014 and August 8, 2014 (the “Credit Facility”).  The Credit Facility allows the Company to borrow, on a revolving basis, an aggregate principal amount not to exceed $12.0 million.  Interest is computed at either the lender’s prime rate or at LIBOR rate plus 1.15% in effect from time to time at the Company’s option.  As of March 31, 2015, the Company’s LIBOR borrowing rate was 1.33% and the prime rate borrowing rate was 3.25%.  A commitment fee on the average daily unused amount of the revolving loan commitment is also assessed at a rate of 0.25% per annum, and is payable quarterly in arrears.  At March 31, 2015, the Company had approximately $10.2 million LIBOR rate borrowings outstanding and approximately $1.8 million available for borrowing under the Credit Facility.  The loan matures on September 13, 2016.  The Credit Facility is collateralized by substantially all of the assets of the Company.  The Credit Facility requires the Company to comply with certain affirmative and negative covenants, including maintaining (i) a debt-to-EBITDA ratio of no more than 2.15 to 1.00 for the twelve months ending June 30, 2015, 2.05 to 1.00 for the year ending December 31, 2015, and 2.00 to 1.00 for the twelve months ending June 30, 2016, and (ii) a fixed charge coverage ratio of not less than 1.25 to 1.00.  At March 31, 2015, the Company was in compliance with the Credit Facility covenants. 
 
11

(7) DISCLOSURES ABOUT FAIR VALUE OF FINANCIAL INSTRUMENTS
 
ASC Topic 825, ''Disclosures About Fair Value of Financial Instruments,'' requires disclosure about the fair value of financial instruments. Carrying amounts for all financial instruments included in current assets and current liabilities approximate estimated fair values due to the short maturity of those instruments. The fair values of the Company's long-term debt are based on similar rates currently available to the Company.  The Company believes the book value approximates fair value for the notes receivable.

The Company follows ASC Topic 820, “Fair Value Measurements and Disclosures,” which defines fair value, establishes a framework for using fair value to measure assets and liabilities, and expands disclosures about fair value measurements.  The statement establishes a hierarchy for inputs used in measuring fair value that maximizes the use of observable inputs and minimizes the use of unobservable inputs by requiring that the most observable inputs be used when available.  Observable inputs are inputs that market participants would use in pricing the asset or liability developed based on market data obtained from sources independent of the Company.  Unobservable inputs are inputs that reflect the Company’s assumptions of what market participants would use in pricing the asset or liability developed based on the best information available in the circumstances.  The hierarchy is broken down into three levels based on the reliability of the inputs as follows:
 
  Level 1: Quoted prices are available in active markets for identical assets or liabilities.

Level 2: Quoted prices in active markets for similar assets and liabilities that are observable for the asset or liability; or

Level 3: Unobservable pricing inputs that are generally less observable from objective sources, such as discounted cash flow models or valuations.
 
ASC Topic 820 requires financial assets and liabilities to be classified based on the lowest level of input that is significant to the fair value measurement.  The Company’s assessment of the significance of a particular input to the fair value measurement requires judgment, and may affect the valuation of the fair value of assets and liabilities and their placement within the fair value hierarchy levels. There were no transfers between the fair value hierarchy levels during the quarters ended March 31, 2014 and 2015.

The following table represents the Company’s financial assets and liabilities that were accounted for at fair value on a recurring basis as of December 31, 2014 and March 31, 2015 by level within the fair value hierarchy:
 
   
December 31, 2014
Fair Value Measurement Using
   
March 31, 2015
Fair Value Measurement Using
 
   
Level 1
   
Level 2
   
Level 3
   
Level 1
   
Level 2
   
Level 3
 
                       
Contingent Liabilities Balance
 
$
-
     
-
   
$
421,000
   
$
-
     
-
   
$
421,000
 
 
12

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 Section 27A of the Securities Act of 1933, as amended, Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995. All statements, other than statements of historical fact, 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 of de novo offices 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, 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 year ended December 31, 2014, 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 ended March 31, 2015 and 2014. 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 67 Offices in Colorado, New Mexico and Arizona staffed by 76 general dentists and 37 specialists. The Company derives all of its revenue 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 develops a de novo Office or acquires an existing dental practice.  These responsibilities 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
 
The Company’s critical accounting policies are set forth in its Annual Report on Form 10-K for the year ended December 31, 2014.  There have been no changes to these policies since the filing of that report.
 
Components of Revenue and Expenses
 
Revenue represents the revenue of the Offices, reported at estimated realizable amounts, received from third-party payors and patients for dental services rendered at the Offices, net of contractual and other adjustments.  Substantially all of the Company’s patients are insured under third-party payor agreements.  The Company’s billing system generates contractual adjustments for each patient encounter based on fee schedules for the patient’s insurance plan.  The services provided are attached to the patient’s fee schedule based on the insurance the patient has at the time the service is provided.  Therefore, the revenue that is recorded by the billing system is based on insurance contractual amounts.  Additionally, each patient at the time of service signs a form agreeing that the patient is ultimately responsible for the contracted fee if the insurance company does not pay the fee for any reason.
 
13

Direct expenses consist of clinical salaries and benefits paid to dentists, dental hygienists and dental assistants and the expenses incurred by the Company in connection with managing the Offices, including salaries and benefits of other employees at the Offices, supplies, laboratory fees, occupancy costs, advertising and marketing, depreciation and amortization and general and administrative expenses (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, development and professional services to the Offices.

Under each of the Management Agreements, the Company provides business and marketing services at the Offices, including (i) providing capital, (ii) designing and implementing advertising and marketing programs, (iii) negotiating for the purchase of supplies, (iv) staffing, (v) recruiting, (vi) training of non-dental personnel, (vii) billing and collecting patient fees, (viii) arranging for certain legal and accounting services and (ix) negotiating with managed care organizations. The P.C. is responsible for, among other things, (i) supervision of all dentists, dental hygienists and dental assistants, (ii) complying with all laws, rules and regulations relating to dentists, dental hygienists and dental assistants and (iii) maintaining proper patient records. The Company has made, and intends to make in the future, loans to P.C.s to fund their acquisition of dental assets from third parties in order to comply with state dental practice laws.  Because the Company’s financial statements are consolidated with the financial statements of the P.C.s, these loans are eliminated in consolidation.

Under the typical Management Agreement, 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, dental hygienists and dental assistants 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 to the Office under the Management Agreement, including (i) salaries, benefits and other direct costs of Company employees who work at the Office, (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 on 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 Office are borne by the Company, except for the compensation of the dentists, dental hygienists and dental assistants who work at the Office.  This enables the Company to manage the profitability of the Offices.  Each Management Agreement is for a term of 40 years.  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.

Revenue is derived principally from fee-for-service revenue and revenue from capitated managed dental care plans. Fee-for-service revenue consists of P.C. 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 P.C. 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. Under the Management Agreements, the Company negotiates and administers these 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 Office (other than compensation of dentists, dental hygienists and dental assistants), the risk of over-utilization of dental services at the Office 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. 
 
14

The Company seeks to increase its revenue by increasing the patient volume at existing Offices through effective advertising and marketing programs and by adding additional specialty services.  The Company also seeks to increase revenue by opening de novo Offices and by making selective acquisitions of dental practices.  The Company seeks to supplement fee-for-service revenue with revenue from contracts with capitated managed dental care plans. Although the Company’s fee-for-service business generally provides a greater margin than its capitated managed dental care business, capitated managed dental care business increases 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 contractual terms. In addition, the profitability of capitated 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.

The Company’s policy is to collect any patient co-payments at the time the service is provided.  If the patient owes additional amounts that are not covered by insurance, Offices collect by sending monthly invoices, placing phone calls and sending collection letters.  Interest at 18% per annum is charged on all account balances greater than 60 days old.  Patient accounts receivable that are over 120 days past due and that appear to not be collectible are written off as bad debt, and those in excess of $100 are sent to an outside collections agency.

Results of Operations

For the quarter ended March 31, 2015, revenue decreased $219,000, or 1.3%, to $16.6 million compared to $16.8 million for the quarter ended March 31, 2014.  For the quarter ended March 31, 2015, net income/(loss) decreased $95,000 to $(46,000), or $(0.02) per share, compared to $49,000, or $0.03 per share, for the quarter ended March 31, 2014.

The decrease in net income is attributable to substantial investments by the Company in capital projects resulting in increased depreciation expense and in personnel and their training.  The Company has yet to see revenue increases resulting from these investments.

During the quarter ended March 31, 2015, the Company generated $333,000 of cash from operations.  During this period, the Company had capital expenditures of approximately $187,000, paid dividends of approximately $409,000 and increased total bank debt by approximately $387,000.

The Company’s earnings before interest, taxes, depreciation, amortization and stock-based compensation expense (“Adjusted EBITDA”) decreased $31,000, or 2.5% to $1.2 million for the quarter ended March 31, 2015.  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 this measure 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/(loss) is made by adding depreciation and amortization expense - Offices, depreciation and amortization expense – Corporate, stock-based compensation expense, interest expense, net and income tax expense/(benefit) to net income/(loss) as in the following table:

   
Quarters
Ended March 31,
 
   
2014
   
2015
 
RECONCILIATION OF EBITDA:
       
Net income/(loss)
 
$
49,331
   
(45,876
)
Add back:
               
Depreciation and amortization - Offices
   
967,263
     
1,109,871
 
Depreciation and amortization - Corporate
   
54,640
     
55,335
 
Stock-based compensation expense
   
100,430
     
80,773
 
Interest expense, net
   
27,194
     
28,516
 
Income tax expense/(benefit)
   
31,540
     
(29,330
)
                 
Adjusted EBITDA
 
$
1,230,398
   
$
1,199,289
 
 

15

The following table sets forth the percentages of revenue represented by certain items reflected in the Company’s condensed consolidated statements of operations. 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.  Percentage amounts may not add due to rounding.
 
BIRNER DENTAL MANAGEMENT SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(UNAUDITED)
 
   
Quarters Ended
March 31,
 
   
2014
   
2015
 
         
Revenue
   
100.0
%
   
100.0
%
                 
Direct Expenses:
               
Clinical salaries and benefits
   
58.9
%
   
60.0
%
Dental supplies
   
4.1
%
   
4.5
%
Laboratory fees
   
4.8
%
   
4.9
%
Occupancy
   
8.7
%
   
8.9
%
Advertising and marketing
   
1.4
%
   
1.0
%
Depreciation and amortization
   
5.8
%
   
6.7
%
General and administrative
   
8.5
%
   
7.6
%
     
92.1
%
   
93.5
%
                 
Contribution from dental offices
   
7.9
%
   
6.5
%
                 
Corporate Expenses:
               
General and administrative
   
7.0
%(1)
   
6.5
%(1)
Depreciation and amortization
   
0.3
%
   
0.3
%
                 
Operating income/(loss)
   
0.6
%
   
( 0.3
)%
                 
Interest expense
   
0.2
%
   
0.2
%
 
               
Income/(loss) before income taxes
   
0.5
%
   
( 0.5
)%
Income tax expense/(benefit)
   
0.2
%
   
( 0.2
)%
                 
Net income/(loss)
   
0.3
%
   
( 0.3
)%
 
(1)
Corporate expenses - general and administrative includes $100,430 and $80,773 of stock-based compensation expense pursuant to ASC Topic 718 for the quarters ended March 31, 2014 and 2015, respectively.


16

Quarter Ended March 31, 2015 Compared to Quarter Ended March 31, 2014:
 
Revenue

For the quarter ended March 31, 2015, revenue decreased $219,000, or 1.3%, to $16.6 million compared to $16.8 million for the quarter ended March 31, 2014 due to dentist turnover.  Two de novo Offices, which opened during the second quarter of 2014 and the fourth quarter of 2014, accounted for $278,000 in revenue during the quarter ended March 31, 2015.

Direct expenses
 
Clinical salaries and benefits. For the quarters ended March 31, 2015 and 2014, clinical salaries and benefits remained essentially constant at $9.9 million.  As a percentage of revenue, clinical salaries and benefits increased to 60.0% for the quarter ended March 31, 2015 compared to 58.9% for the quarter ended March 31, 2014.
 
Dental supplies. For the quarter ended March 31, 2015, dental supplies increased to $745,000 compared to $692,000 for the quarter ended March 31, 2014, an increase of $54,000, or 7.8%.  Dental supplies increased $27,000 at the 65 Offices open during each full quarter while the two de novo Offices accounted for an additional $27,000 of dental supplies during the quarter ended March 31, 2015.  As a percentage of revenue, dental supplies increased to 4.5% for the quarter ended March 31, 2015 compared to 4.1% for the quarter ended March 31, 2014.
 
Laboratory fees. For the quarter ended March 31, 2015, laboratory fees increased to $810,000 compared to $804,000 for the quarter ended March 31, 2014, an increase of $6,000, or 0.8%.  The two de novo Offices accounted for $13,000 of laboratory fees during the quarter ended March 31, 2015, while laboratory fees decreased $7,000 at the 65 Offices open during each full quarter.  As a percentage of revenue, laboratory fees increased to 4.9% for the quarter ended March 31, 2015 compared to 4.8% for the quarter ended March 31, 2014.
 
Occupancy. For the quarters ended March 31, 2015 and 2014, occupancy expense remained essentially constant at $1.5 million.  As a percentage of revenue, occupancy expense increased to 8.9% for the quarter ended March 31, 2015 compared to 8.7% for the quarter ended March 31, 2014.
 
Advertising and marketing. For the quarter ended March 31, 2015, advertising and marketing expenses decreased to $161,000 compared to $230,000 for the quarter ended March 31, 2014, a decrease of $69,000, or 30.0%.  For the 65 Offices open during each full quarter, yellow page advertising expenses decreased $54,000 and internet advertising expenses decreased $25,000.  The two de novo Offices accounted for an additional $7,000 of advertising and marketing expenses during the quarter ended March 31, 2015.  As a percentage of revenue, advertising and marketing expenses decreased to 1.0% for the quarter ended March 31, 2015 compared to 1.4% for the quarter ended March 31, 2014.  The Company regularly adjusts its advertising and marketing expenditures in response to market conditions and performance in individual markets.
 
Depreciation and amortization-Offices.  For the quarter ended March 31, 2015, depreciation and amortization expenses attributable to the Offices increased to $1.1 million compared to $967,000 for the quarter ended March 31, 2014, an increase of $143,000, or 14.7%.  The increase in depreciation and amortization expenses is primarily the result of the Company’s ongoing efforts to upgrade the capital assets and tenant improvements in certain of the Company’s Offices.  See “Liquidity and Capital Resources” in this Item 2.  There was an increase of $74,000 in depreciation and amortization expenses attributable to the 65 Offices open during each full quarter.  Additionally, the two de novo Offices accounted for $69,000 of depreciation and amortization expenses during the quarter ended March 31, 2015.  As a percentage of revenue, depreciation and amortization expenses attributable to the Offices increased to 6.7% for the quarter ended March 31, 2015 compared to 5.8% for the quarter ended March 31, 2014.
 
General and administrative-Offices.  For the quarter ended March 31, 2015, general and administrative expenses attributable to the Offices decreased to $1.3 million compared to $1.4 million for the quarter ended March 31, 2014, a decrease of $172,000, or 12.0%.  The decrease in general and administrative expenses is attributable to decreases of $112,000 in bad debt expense, $22,000 in taxes and $16,000 in bio waste disposal at the 65 Offices open during each full quarter.  The two de novo Offices accounted for an increase of $21,000 of general and administrative expenses during the quarter ended March 31, 2015.  As a percentage of revenue, general and administrative expenses decreased to 7.6% for the quarter ended March 31, 2015 compared to 8.5% for the quarter ended March 31, 2014.


17

Contribution from dental Offices
 
As a result of revenue decreasing $219,000 and direct expenses increasing $29,000 during the quarter ended March 31, 2015, contribution from dental Offices decreased $248,000, or 18.6%, to $1.1 million for the quarter ended March 31, 2015 compared to $1.3 million for the quarter ended March 31, 2014.  As a percentage of revenue, contribution from dental Offices decreased to 6.5% for the quarter ended March 31, 2015 compared to 7.9% for the quarter ended March 31, 2014.
 
Corporate expenses
 
Corporate expenses - general and administrative. For the quarter ended March 31, 2015, corporate expenses – general and administrative decreased to $1.1 million compared to $1.2 million for the quarter ended March 31, 2014, a decrease of $94,000, or 8.1%.  This decrease is attributable to a decrease of $150,000 in corporate wages, offset by increases of  $22,000 in professional fees and $16,000 in computer maintenance.  As a percentage of revenue, corporate expenses - general and administrative decreased to 6.5% for the quarter ended March 31, 2015 compared to 7.0% for the quarter ended March 31, 2014.
 
Corporate expenses - depreciation and amortization. For the quarters ended March 31, 2015 and 2014, corporate expenses - depreciation and amortization remained essentially constant at $55,000.  As a percentage of revenue, corporate expenses – depreciation and amortization remained constant at 0.3% for the quarters ended March 31, 2015 and 2014.
 
Operating income/(loss)
 
As a result of the matters discussed above, the Company’s operating income/(loss) decreased by $155,000 to $(47,000) for the quarter ended March 31, 2015 compared to $108,000 for the quarter ended March 31, 2014.  As a percentage of revenue, operating income/(loss) decreased to (0.3%) for the quarter ended March 31, 2015 compared to 0.6% for the quarter ended March 31, 2014.
 
Interest expense, net
 
For the quarter ended March 31, 2015, interest expense increased to $29,000 compared to $27,000 for the quarter ended March 31, 2014, an increase of $2,000, or 4.9%.  As a percentage of revenue, interest expense remained constant at 0.2% for the quarters ended March 31, 2015 and 2014.
 
Net income/(loss)
 
As a result of the above, the Company’s net loss was $(46,000) for the quarter ended March 31, 2015 compared to net income of $49,000 for the quarter ended March 31, 2014, a decrease of $95,000.  Net loss for the quarter ended March 31, 2015 was net of income tax (benefit) of $(29,000), while net income for the quarter ended March 31, 2014 was net of income tax expense of $32,000.  The effective tax rate remained constant at 39.0% for the quarters ended March 31, 2015 and 2014.  As a percentage of revenue, net income/(loss) decreased to (0.3%) for the quarter ended March 31, 2015 compared to 0.3% for the quarter ended March 31, 2014.
 
Liquidity and Capital Resources
 
The Company finances its operations and growth through a combination of cash provided by operating activities and bank credit facilities.  As of March 31, 2015, the Company had a working capital deficit of approximately $1.6 million, retained earnings of $2.1 million and a cash balance of $440,000.
 
On September 13, 2013, the Company entered into a Credit Agreement with Compass Bank, which was amended on February 12, 2014 and August 8, 2014 (the “Credit Facility”).  The Credit Facility allows the Company to borrow, on a revolving basis, an aggregate principal amount not to exceed $12.0 million.  Interest is computed at either the lender’s prime rate or at LIBOR rate plus 1.15% in effect from time to time at the Company’s option.  As of March 31, 2015, the Company’s LIBOR borrowing rate was 1.33% and the prime rate borrowing rate was 3.25%.  A commitment fee on the average daily unused amount of the revolving loan commitment is also assessed at a rate of 0.25% per annum, and is payable quarterly in arrears.  At March 31, 2015, the Company had approximately $10.2 million LIBOR rate borrowings outstanding and approximately $1.8 million available for borrowing under the Credit Facility.  The loan matures on September 13, 2016.  The Credit Facility is collateralized by substantially all of the assets of the Company.  The Credit Facility requires the Company to comply with certain affirmative and negative covenants, including maintaining (i) a debt-to-EBITDA ratio of no more than 2.15 to 1.00 for the twelve months ending June 30, 2015, 2.05 to 1.00 for the year ending December 31, 2015, and 2.00 to 1.00 for the twelve months ending June 30, 2016, and (ii) a fixed charge coverage ratio of not less than 1.25 to 1.00.  At March 31, 2015, the Company was in compliance with the Credit Facility covenants.
 
18

Net cash provided by operating activities was approximately $333,000 and $338,000 for the quarters ended March 31, 2015 and 2014, respectively.  During the quarter ended March 31, 2015, excluding net income/(loss) and after adding back non-cash items, the Company’s cash provided by operating activities consisted of an increase in income taxes payable of approximately $189,000, offset by an increase in accounts receivable of approximately $697,000, a decrease in accounts payable and accrued expenses of approximately $227,000, an increase in prepaid expenses and other assets of approximately $83,000 and a decrease in other long-term obligations of approximately $2,000.   During the quarter ended March 31, 2014, excluding net income and after adding back non-cash items, the Company’s cash provided by operating activities consisted of an increase in income taxes payable of approximately $469,000, offset by an increase in accounts receivable of approximately $834,000, an increase in prepaid expenses and other assets of approximately $334,000, a decrease in accounts payable and accrued expenses of approximately $91,000 and a decrease in other long-term obligations of approximately $28,000.
 
Net cash used in investing activities was approximately $181,000 and $1.1 million for the quarters ended March 31, 2015 and 2014, respectively.  For the quarter ended March 31, 2015, the Company invested approximately $187,000 in capital expenditures, consisting primarily of maintenance capital expenditures, offset by a decrease in notes receivable of $7,000.  For the quarter ended March 31, 2014, the Company invested approximately $1.1 million in capital expenditures, including approximately $802,000 related to remodels and/or relocations of two of its Offices and $148,000 for a de novo Office that opened during the second quarter of 2014, offset by a decrease in notes receivable of $7,000.
 
Net cash used in financing activities was approximately $23,000 for the quarter ended March 31, 2015 and net cash provided by financing activities was approximately $626,000 for the quarter ended March 31, 2014.  During the quarter ended March 31, 2015, net cash used in financing activities was comprised of approximately $409,000 for the payment of dividends, offset by approximately $387,000 in advances under the Credit Facility.  During the quarter ended March 31, 2014, net cash provided by financing activities was comprised of approximately $963,000 in advances under the Credit Facility and $65,000 in proceeds from the exercise of Common Stock options, offset by approximately $408,000 for the payment of dividends. 
 
As of March 31, 2015, the Company had the following debt and lease obligations:
 
       
Payments due by Period
 
   
Total
   
1 year
   
2-3 years
   
4-5 years
   
More than 5
years
 
Debt obligations
 
$
10,220,051
   
$
-
   
$
10,220,051
   
$
-
   
$
-
 
Operating lease obligations
   
16,337,612
     
4,069,281
     
6,136,751
     
3,541,102
     
2,590,478
 
Total
 
$
26,557,663
   
$
4,069,281
   
$
16,356,802
   
$
3,541,102
   
$
2,590,478
 
 
The Company has leased space for two additional de novo Offices.  The two Offices, which are located in Albuquerque, New Mexico and Commerce City, Colorado, are expected to open in 2015.  The Company anticipates it will require approximately $550,000 in capital expenditures to fully equip each de novo Office.  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, debt service requirements and dividend payments for at least the next 12 months. In order to meet its long-term liquidity or capital needs, the Company may issue additional equity or debt securities, subject to market and other conditions or enter into additional term loans or revolving credit facilities.  There can be no assurance that such additional financing will be available on terms acceptable to the Company or at all. 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.
 
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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 March 31, 2015.  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 were effective as of March 31, 2015.

There has been no change in the Company’s internal control over financial reporting during the three months ended March 31, 2015 that has materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.
 
PART II.  OTHER INFORMATION
 
ITEM 2.  UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
 
Issuer Purchases of Equity Securities
 
The Company did not purchase any shares of its Common Stock during the period of January 1, 2015 through March 31, 2015.  The Company’s stock repurchase program has been ongoing for more than five years and there are no expiration dates on any of the plans.  Common Stock repurchases may be made from time to time as the Company’s management deems appropriate.  As of March 31, 2015, the dollar value of shares that may be purchased under the stock repurchase program was approximately $885,000.
 
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ITEM 6.   EXHIBITS
 
Exhibit
Number
 
Description of Document
   
3.1
Amended and Restated Articles of Incorporation, incorporated herein by reference to Exhibits 3.1 and 3.2 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.
   
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/A (SEC File No. 333-36391), as filed with the Securities and Exchange Commission on November 25, 1997.
   
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.
   
101.INS
XBRL Instance Document
   
101.SCH
XBRL Taxonomy Extension Schema Document
   
101.CAL
XBRL Taxonomy Extension Calculation Linkbase Document
   
101.DEF
XBRL Taxonomy Extension Definition Linkbase Document
   
101.LAB
XBRL Taxonomy Extension Label Linkbase Document
   
101.PRE
XBRL Taxonomy Extension Presentation Linkbase Document

*
Furnished herewith.
 
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SIGNATURES
 
Pursuant to the requirements 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:  May 13, 2015
By:
/s/ Frederic W.J. Birner
 
Name:
Frederic W.J. Birner
 
Title:
Chairman of the Board and Chief Executive Officer
   
(Principal Executive Officer)
 
Date:  May 13, 2015
By:
/s/ Dennis N. Genty
 
Name:
Dennis N. Genty
 
Title:
Chief Financial Officer, Secretary, and Treasurer
   
(Principal Financial and Accounting Officer)
 
22

Index of Exhibits

Exhibit
Number
 
Description of Document
   
3.1
Amended and Restated Articles of Incorporation, incorporated herein by reference to Exhibits 3.1 and 3.2 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.
   
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/A (SEC File No. 333-36391), as filed with the Securities and Exchange Commission on November 25, 1997.
   
Rule 13a-14(a) Certification of the Chief Executive Officer.
   
Rule 13a-14(a) Certification of the Chief Financial Officer.
   
Section 1350 Certifications of the Chief Executive Officer and the Chief Financial Officer.
   
101.INS
XBRL Instance Document
   
101.SCH
XBRL Taxonomy Extension Schema Document
   
101.CAL
XBRL Taxonomy Extension Calculation Linkbase Document
   
101.DEF
XBRL Taxonomy Extension Definition Linkbase Document
   
101.LAB
XBRL Taxonomy Extension Label Linkbase Document
   
101.PRE
XBRL Taxonomy Extension Presentation Linkbase Document

*    Furnished herewith.
 
23