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Form 10-Q BIRNER DENTAL MANAGEMENT For: Mar 31

May 13, 2016 12:31 PM EDT

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, 2016

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 2, 2016
Common Stock, no par value
 
1,860,261
 

 

 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.
21
     
PART II - OTHER INFORMATION
 
     
Item 2.
21
     
Item 6.
22
     
 
23
 
2

PART I - FINANCIAL INFORMATION

ITEM 1.  FINANCIAL STATEMENTS

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

ASSETS
 
December 31,
2015
   
March 31,
2016
 
CURRENT ASSETS:
           
Cash
 
$
258,801
   
$
525,598
 
Accounts receivable, net of allowance for doubtful accounts of approximately $390,000 and $390,000, respectively
   
3,043,655
     
3,482,873
 
Note receivable
   
34,195
     
34,195
 
Deferred tax asset
   
275,907
     
287,875
 
Income tax receivable
   
73,878
     
-
 
Prepaid expenses and other assets
   
575,770
     
799,862
 
                 
Total current assets
   
4,262,206
     
5,130,403
 
                 
PROPERTY AND EQUIPMENT, net
   
9,808,014
     
9,182,513
 
                 
OTHER NONCURRENT ASSETS:
               
Intangible assets, net
   
7,565,648
     
7,354,507
 
Deferred charges and other assets
   
155,741
     
155,741
 
Note receivable
   
55,002
     
47,755
 
                 
Total assets
 
$
21,846,611
   
$
21,870,919
 
                 
LIABILITIES AND SHAREHOLDERS’ EQUITY
               
                 
CURRENT LIABILITIES:
               
Accounts payable
 
$
2,920,998
   
$
2,246,412
 
Accrued expenses
   
1,547,915
     
980,154
 
Accrued payroll and related expenses
   
2,330,398
     
2,703,232
 
Income taxes payable
   
-
     
150,709
 
Current maturities of long-term debt
   
1,500,000
     
2,000,000
 
                 
Total current liabilities
   
8,299,311
     
8,080,507
 
                 
LONG-TERM LIABILITIES:
               
Deferred tax liability, net
   
2,242,800
     
2,050,984
 
Long-term debt
   
8,707,578
     
9,117,598
 
Other long-term obligations
   
949,554
     
1,037,025
 
                 
Total liabilities
   
20,199,243
     
20,286,114
 
                 
SHAREHOLDERS' EQUITY:
               
Preferred Stock, no par value, 10,000,000 shares authorized; none outstanding
   
-
     
-
 
Common Stock, no par value, 20,000,000 shares authorized; 1,861,106 and 1,860,261 shares issued and outstanding, respectively
   
1,446,182
     
1,484,029
 
Retained earnings
   
201,186
     
100,776
 
                 
Total shareholders' equity
   
1,647,368
     
1,584,805
 
                 
Total liabilities and shareholders' equity
 
$
21,846,611
   
$
21,870,919
 

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,
 
   
2015
   
2016
 
REVENUE:
           
Dental practice revenue
 
$
15,388,974
   
$
15,366,543
 
Capitation revenue
   
1,198,550
     
1,064,690
 
     
16,587,524
     
16,431,233
 
                 
DIRECT EXPENSES:
               
Clinical salaries and benefits
   
9,944,817
     
9,870,950
 
Dental supplies
   
745,484
     
725,273
 
Laboratory fees
   
810,377
     
871,615
 
Occupancy
   
1,474,673
     
1,566,805
 
Advertising and marketing
   
160,887
     
158,870
 
Depreciation and amortization
   
1,109,871
     
1,020,091
 
General and administrative
   
1,257,765
     
1,403,210
 
     
15,503,874
     
15,616,814
 
                 
Contribution from dental offices
   
1,083,650
     
814,419
 
                 
CORPORATE EXPENSES:
               
General and administrative
   
1,075,005
(1)    
876,906
(1)
Depreciation and amortization
   
55,335
     
62,799
 
                 
OPERATING LOSS
   
(46,690
)
   
(125,286
)
Interest expense, net
   
28,516
     
39,322
 
 
               
LOSS BEFORE INCOME TAXES
   
(75,206
)
   
(164,608
)
Income tax benefit
   
(29,330
)
   
(64,198
)
                 
NET LOSS
 
$
(45,876
)
 
$
(100,410
)
                 
Net loss per share of Common Stock - Basic
 
$
(0.02
)
 
$
(0.05
)
                 
Net loss per share of Common Stock - Diluted
 
$
(0.02
)
 
$
(0.05
)
                 
Cash dividends per share of Common Stock
 
$
0.22
   
$
-
 
                 
Weighted average number of shares of Common Stock and dilutive securities:
               
Basic
   
1,859,689
     
1,860,482
 
                 
Diluted
   
1,859,689
     
1,860,482
 

(1)
Corporate expenses - general and administrative includes $80,773 and $46,707 of stock-based compensation expense pursuant to ASC Topic 718 for the quarters ended March 31, 2015 and 2016, 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, 2015
   
1,861,106
   
$
1,446,182
   
$
201,186
   
$
1,647,368
 
Purchase and retirement of Common Stock
   
(845
)
   
(8,860
)
   
-
     
(8,860
)
Stock-based compensation expense
   
-
     
46,707
     
-
     
46,707
 
Net loss
   
-
     
-
     
(100,410
)
   
(100,410
)
                                 
BALANCES, March 31, 2016
   
1,860,261
   
$
1,484,029
   
$
100,776
   
$
1,584,805
 

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, 
 
   
2015
   
2016
 
CASH FLOWS FROM OPERATING ACTIVITIES:
           
Net loss
 
$
(45,876
)
 
$
(100,410
)
Adjustments to reconcile net loss to net cash provided by operating activities:
               
Depreciation and amortization
   
1,165,206
     
1,082,890
 
Stock-based compensation expense
   
80,773
     
46,707
 
Provision for doubtful accounts
   
175,142
     
234,920
 
Benefit from deferred income taxes
   
(223,738
)
   
(203,784
)
Changes in assets and liabilities:
               
Accounts receivable
   
(696,963
)
   
(674,138
)
Prepaid expenses and other assets
   
(83,472
)
   
(224,092
)
Deferred charges and other assets
   
2,300
     
-
 
Accounts payable
   
(414,439
)
   
(674,586
)
Accrued expenses
   
(195,620
)
   
(158,318
)
Accrued payroll and related expenses
   
382,595
     
372,834
 
Income taxes payable (receivable)
   
189,258
     
224,587
 
Other long-term obligations
   
(2,172
)
   
87,471
 
Net cash provided by operating activities
   
332,994
     
14,081
 
                 
CASH FLOWS USED IN INVESTING ACTIVITIES:
               
Capital expenditures
   
(187,388
)
   
(246,248
)
Note receivable
   
6,826
     
7,247
 
Net cash used in investing activities
   
(180,562
)
   
(239,001
)
                 
CASH FLOWS PROVIDED BY (USED IN) FINANCING ACTIVITIES:
               
Advances – line of credit
   
7,070,628
     
6,761,108
 
Repayments – line of credit
   
(6,684,030
)
   
(5,851,088
)
Purchase and retirement of Common Stock
   
-
     
(8,860
)
Common stock cash dividends
   
(409,131
)
   
(409,443
)
Net cash provided by (used in) financing activities
   
(22,533
)
   
491,717
 
                 
NET CHANGE IN CASH
   
129,899
     
266,797
 
CASH, beginning of period
   
310,229
     
258,801
 
CASH, end of period
 
$
440,128
   
$
525,598
 

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,
 
   
2015
   
2016
 
             
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
           
             
Cash paid for interest
 
$
35,925
   
$
50,759
 
Cash paid for income taxes
 
$
5,150
   
$
-
 
Cash received for income taxes
 
$
-
   
$
85,000
 
                 
NON-CASH ITEMS:
               
Repayments - line of credit with Compass Bank
 
$
-
   
$
10,617,598
 

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, 2016

(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, 2015.

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, 2016 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, 2016 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, 2016.

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 $82,000 in principal amount was outstanding at March 31, 2016.  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, 2016 or December 31, 2015.
.
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 remained constant at approximately $211,000 for the quarters ended March 31, 2016 and 2015.

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, 2016 and 2015.

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, 2016 and 2015 was approximately $47,000 and $81,000, 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, 2016 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, 2016 for the expected option term.
 
9

Recent Accounting Pronouncements

In May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“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 August 2015, the FASB issued ASU No. 2015-14, which deferred the effective date of ASU 2014-09 until annual reporting periods beginning after December 15, 2017, including interim periods within that reporting period.  ASU No. 2014-09 may 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.  The Company plans to adopt ASU 2014-09 beginning January 1, 2018 and is currently evaluating the impact these changes will have on its 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 consolidated financial statements. 

In February 2016, FASB issued ASU No. 2016-02, Leases (Topic 842).  Under the new guidance, lessees will be required to recognize assets and liabilities on the balance sheet for the rights and obligations created by all leases with terms of more than 12 months.  ASU 2016-02 is effective for fiscal years beginning after December 15, 2018.  The Company is currently evaluating the impact ASU 2016-02 will have on its consolidated financial statements. 

In March 2016, FASB issued ASU No. 2016-09, Improvements to Employee Share-Based Payment Accounting.  The objective of the new guidance is to simplify the accounting for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities and classification of the statement of cash flows.   ASU 2016-09 is effective for fiscal years beginning after December 15, 2016, and interim periods within those fiscal years.   Early adoption of ASU 2016-09 is permitted.  The Company is currently evaluating the impact ASU 2016-09 will have on its consolidated financial statements.

(3) LOSS PER SHARE

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


   
Quarters Ended March 31,
 
   
2015
   
2016
 
   
Net Loss
   
Shares
   
Per Share
Amount
   
Net Loss
   
Shares
   
Per Share
 Amount
 
                                     
Basic EPS
 
$
(45,876
)
   
1,859,689
   
$
(0.02
)
 
$
(100,410
)
   
1,860,482
   
$
(0.05
)
                                                 
Effect of Dilutive Stock Options
   
-
     
-
     
-
     
-
     
-
     
-
 
                                                 
Diluted EPS
 
$
(45,876
)
   
1,859,689
   
$
(0.02
)
 
$
(100,410
)
   
1,860,482
   
$
(0.05
)

For the quarters ended March 31, 2016 and 2015, options to purchase 544,666 and 478,935 shares, respectively, of the Company’s common stock (“Common Stock”) were not included in the computation of diluted EPS because their effect was anti-dilutive.

(4) STOCK-BASED COMPENSATION PLANS

The Company’s 2005 Equity Incentive Plan, as amended (“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.  As of March 31, 2016, there were 312,672 vested options and 131,994 unvested options granted under the 2005 Plan that remained outstanding in accordance with their terms and there were no shares available for issuance under the 2005 Plan due to its termination.
 
10

The Company’s shareholders approved the 2015 Equity Incentive Plan (“2015 Plan”) on June 9, 2015.  The 2015 Plan replaces the 2005 Plan.  The maximum number of shares of Common Stock that may be delivered to participants and their beneficiaries under the 2015 Plan is 200,000.  The 2015 Plan provides for the grant of incentive stock options, stock appreciation right awards, restricted stock awards, stock unit awards and other stock-based awards to eligible recipients.  The objectives of the 2015 Plan are to attract and retain the best possible candidates for positions of responsibility and provide for additional performance incentives by providing eligible employees with the opportunity to acquire equity in the Company.  The 2015 Plan is administered by a committee of two or more outside directors from the Company’s Board of Directors (the “Committee”). The Committee determines the eligible individuals to whom awards under the 2015 Plan may be granted, as well as the time or times at which awards will be granted, the number of shares subject to awards to be granted to any eligible individual, the term of the award, vesting terms and conditions and any other terms and conditions of the grant in addition to those contained in the 2015 Plan.  Each grant under the 2015 Plan will be confirmed by and subject to the terms of an award agreement.  As of March 31, 2016, there were 100,000 unvested options granted under the 2015 Plan and 100,000 shares available for issuance under the 2015 Plan.

A summary of option activity as of March 31, 2016, 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, 2016
   
455,666
   
$
16.82
   
$
12.55 - $19.75
     
4.2
   
$
-
 
Granted
   
95,000
   
$
10.11
   
$
10.04 - $11.11
                 
Cancelled
   
(6,000
)
 
$
12.74
   
$
12.74 - $12.74
                 
                                         
Outstanding at March 31, 2016
   
544,666
   
$
15.70
   
$
10.04 - $19.75
     
4.4
   
$
-
 
                                         
Exercisable at March 31, 2016
   
312,672
   
$
17.78
   
$
12.55 - $19.75
     
3.2
   
$
-
 

No options were granted during the quarter ended March 31, 2015.  The weighted average grant date fair values of options granted was $1.74 per share during the quarter ended March 31, 2016.  As of March 31, 2016, there was approximately $281,000 of total unrecognized compensation expense related to non-vested stock options, which is expected to be recognized over a weighted average period of 2.55 years.

(5)
DIVIDENDS

The Company has declared and paid the following quarterly cash dividends.

Date Dividend Paid
 
Quarterly Dividend Paid
per Share
 
January 2014; April 2014; July 2014; October 2014
 
$
0.22
 
January 2015; April 2015; July 2015; October 2015
       
January 2016
       

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, credit agreement restrictions, state corporate law restrictions, results of operations and such other factors that the Company’s Board of Directors may consider relevant.  On March 29, 2016, the Company entered into a new Loan and Security Agreement with Guaranty Bank and Trust Company (the “Credit Facility”).  Through the remainder of 2016, dividends are prohibited under the Credit Facility.  Beginning in 2017, dividends are permitted so long as the pro forma fixed charge coverage ratio is greater than 1.20 to 1.00 after giving effect to the dividend.
 
11

(6)
LINE OF CREDIT

On March 29, 2016, the Company entered into the Credit Facility.  The Credit Facility consists of a $2.0 million revolving line of credit and a $10.0 million reducing revolving loan.  The revolving line of credit matures on March 31, 2018.  The reducing revolving loan matures on March 31, 2021 and requires mandatory reductions of $500,000 per calendar quarter beginning July 1, 2016.  The reducing revolving loan allows the Company to drawdown, repay and re-draw loans advanced to it within the available balance.  Interest varies between LIBOR plus 2.90% and LIBOR plus 2.25% depending on the Company’s funded debt-to-EBITDA ratio.  As of March 31, 2016, the revolving line of credit rate was 3.33% and the reducing revolving loan rate was 3.33%.  There is no commitment fee or origination fee on the Credit Facility.  At March 31, 2016, the Company had approximately $1.1 million of borrowings outstanding under the revolving line of credit and approximately $863,000 available for borrowing under the Credit Facility.  The Company had $10.0 million of borrowings outstanding under the reducing revolving loan.  The Credit Facility is collateralized by substantially all of the assets of the Company and requires the Company to comply with certain affirmative and negative covenants, including maintaining (i) a funded debt-to-EBITDA ratio of no more than 2.50 to 1.00 for the period ending June 30, 2016, declining to 2.00 to 1.00 for the twelve months ending September 30, 2017 and 1.90 to 1.00 thereafter, (ii) net worth of at least $1.0 million (increased by 25% of any net income after taxes of the Company in 2016 and thereafter), and (iii) a fixed charge coverage ratio of not less than 1.35 to 1.00.  At March 31, 2016, the Company was in compliance with the Credit Facility covenants.  Through the remainder of 2016, dividends are prohibited under the Credit Facility.  Beginning in 2017, dividends are permitted so long as the pro forma fixed charge coverage ratio is greater than 1.20 to 1.00 after giving effect to the dividend.

On March 30, 2016, the Company terminated its credit facility with Compass Bank.  The Company repaid the outstanding $10.6 million principal amount plus accrued interest under the Credit Agreement with Compass Bank with borrowings under the new Credit Facility.

(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, 2016 and 2015.
 
12

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, 2015 and March 31, 2016 by level within the fair value hierarchy:

   
December 31, 2015
Fair Value Measurement Using
   
March 31, 2016
Fair Value Measurement Using
 
   
Level 1
   
Level 2
   
Level 3
   
Level 1
   
Level 2
   
Level 3
 
                                     
Contingent Liabilities Balance
 
$
-
     
-
   
$
321,000
   
$
-
     
-
   
$
321,000
 
 
Contingent Liabilities
 
As part of an Office acquisition completed in 2009, the Company recorded contingent liabilities to recognize an estimated amount to be paid as part of the acquisition agreement.  These contingent liabilities are recorded at estimated fair values as of the date of acquisition, are payable beginning after four years from the acquisition date and are calculated at a multiple of the then trailing twelve-months operating cash flows.  The Company remeasures the contingent liability to fair value each reporting date until the contingency is resolved.  Any changes to the fair value are recognized into the income statement when determined.  As of March 31, 2016, approximately $321,000 of contingent liabilities were recorded on the consolidated balance sheets in other long-term obligations.

 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, 2015, 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, 2016 and 2015. 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 69 Offices in Colorado, New Mexico and Arizona staffed by 79 general dentists and 33 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.
 
13

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.

The Company opened a de novo Office in Commerce City, Colorado in January 2016.  The Company does not intend to open any additional de novo Offices during 2016.  Instead, it will focus on gaining profitability in it most recently opened Offices and its existing facilities, filling excess capacity in its Offices, and paying down bank debt.

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, 2015.  There have been no significant 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.

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.
 
14

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. 

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.
 
15

Results of Operations

For the quarter ended March 31, 2016, revenue decreased $156,000, or 0.9%, to $16.4 million compared to $16.6 million for the quarter ended March 31, 2015.  For the quarter ended March 31, 2016, net loss increased $54,000 to $(100,000), or $(.05) per share, compared to $(46,000), or $(0.02) per share, for the quarter ended March 31, 2015.

The increase in net loss is attributable to the Company’s two most recently opened de novo Offices, which opened during the third quarter of 2015 and the first quarter of 2016.  The Company’s de novo Offices typically take a period of time after opening before they generate positive net income.  These two Offices had a net loss of $(261,000) for the quarter ended March 31, 2016.

During the quarter ended March 31, 2016, the Company generated $14,000 of cash from operations.  During this period, the Company had capital expenditures of approximately $246,000 and paid dividends of approximately $409,000.

The Company’s earnings before interest, taxes, depreciation, amortization and stock-based compensation expense (“Adjusted EBITDA”) decreased $195,000, or 16.3%, to $1.0 million for the quarter ended March 31, 2016 compared 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 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 benefit to net loss as in the following table:

   
Quarters
Ended March 31,
 
   
2015
   
2016
 
RECONCILIATION OF EBITDA:
           
Net loss
 
(45,876
)
 
(100,410
)
Add back:
               
Depreciation and amortization - Offices
   
1,109,871
     
1,020,091
 
Depreciation and amortization - Corporate
   
55,335
     
62,799
 
Stock-based compensation expense
   
80,773
     
46,707
 
Interest expense, net
   
28,516
     
39,323
 
Income tax benefit
   
(29,330
)
   
(64,198
)
                 
Adjusted EBITDA
 
$
1,199,289
   
$
1,004,312
 

Significantly contributing to the decrease in Adjusted EBITDA during the quarter ended March 31, 2016 was negative Adjusted EBITDA from the Company’s two most recently opened de novo Offices.  These two Offices had negative Adjusted EBITDA of $210,000 for the quarter ended March 31, 2016.
 
16

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,
 
   
2015
   
2016
 
             
Revenue
   
100.0
%
   
100.0
%
                 
Direct Expenses:
               
Clinical salaries and benefits
   
60.0
%
   
60.1
%
Dental supplies
   
4.5
%
   
4.4
%
Laboratory fees
   
4.9
%
   
5.3
%
Occupancy
   
8.9
%
   
9.5
%
Advertising and marketing
   
1.0
%
   
1.0
%
Depreciation and amortization
   
6.7
%
   
6.2
%
General and administrative
   
7.6
%
   
8.5
%
     
93.5
%
   
95.0
%
                 
Contribution from dental offices
   
6.5
%
   
5.0
%
                 
Corporate Expenses:
               
General and administrative
   
6.5
%(1)
 
5.3
%(1)
Depreciation and amortization
   
0.3
%
   
0.4
%
                 
Operating loss
   
( 0.3
)%
   
( 0.8
)%
                 
Interest expense
   
0.2
%
   
0.2
%
 
               
Loss before income taxes
   
( 0.5
)%
   
( 1.0
)%
Income tax benefit
   
( 0.2
)%
   
( 0.4
)%
                 
Net loss
   
( 0.3
)%
   
( 0.6
)%

(1)
Corporate expenses - general and administrative includes $80,773 and $46,707 of stock-based compensation expense pursuant to ASC Topic 718 for the quarters ended March 31, 2015 and 2016, respectively.
 
17

Quarter Ended March 31, 2016 Compared to Quarter Ended March 31, 2015:
 
Revenue

For the quarter ended March 31, 2016, revenue decreased $156,000, or 0.9%, to $16.4 million compared to $16.6 million for the quarter ended March 31, 2015.  The Company believes that dentist transition contributed to this decrease.  Two de novo Offices, which opened during the third quarter of 2015 and the first quarter of 2016, accounted for an increase of $197,000 in revenue during the quarter ended March 31, 2016 compared to the quarter ended March 31, 2015.

Direct expenses

Clinical salaries and benefits. For the quarter ended March 31, 2016, clinical salaries and benefits decreased $74,000, or 0.7%, to $9.9 million compared to the quarter ended March 31, 2015.  Clinical salaries decreased $246,000 at the 67 Offices open during each full quarter, reflecting the elimination of support employees at certain Offices and  restructured bonus programs, both of which occurred in the fourth quarter of 2015.  The two de novo Offices accounted for an additional $172,000 of clinical salaries and benefits during the quarter ended March 31, 2016.  As a percentage of revenue, clinical salaries and benefits increased to 60.1% for the quarter ended March 31, 2016 compared to 60.0% for the quarter ended March 31, 2015.

Dental supplies. For the quarter ended March 31, 2016, dental supplies decreased to $725,000 compared to $745,000 for the quarter ended March 31, 2015, a decrease of $20,000, or 2.7%.  Dental supplies decreased $36,000 at the 67 Offices open during each full quarter while the two de novo Offices accounted for an additional $16,000 of dental supplies during the quarter ended March 31, 2016.  As a percentage of revenue, dental supplies decreased to 4.4% for the quarter ended March 31, 2016 compared to 4.5% for the quarter ended March 31, 2015.

Laboratory fees. For the quarter ended March 31, 2016, laboratory fees increased to $872,000 compared to $810,000 for the quarter ended March 31, 2015, an increase of $62,000, or 7.6%.  Laboratory fees increased $51,000 at the 67 Offices open during each full quarter.  The increase in laboratory fees is attributable to increases in periodontal procedures and surgically placed dental implants.  Additionally, the two de novo Offices accounted for $11,000 of laboratory fees during the quarter ended March 31, 2016.  As a percentage of revenue, laboratory fees increased to 5.3% for the quarter ended March 31, 2016 compared to 4.9% for the quarter ended March 31, 2015.

Occupancy. For the quarter ended March 31, 2016, occupancy expense increased to $1.6 million compared to $1.5 million for the quarter ended March 31, 2015, an increase of $92,000, or 6.2%.  The two de novo Offices accounted for an additional $129,000 of occupancy expense during the quarter ended March 31, 2016 while occupancy expense decreased $37,000 at the 67 Offices open during each full quarter.  As a percentage of revenue, occupancy expense increased to 9.5% for the quarter ended March 31, 2016 compared to 8.9% for the quarter ended March 31, 2015.

Advertising and marketing. For the quarter ended March 31, 2016, advertising and marketing expenses decreased to $159,000 compared to $161,000 for the quarter ended March 31, 2015, a decrease of $2,000, or 1.3%.  Advertising and marketing expenses decreased $13,000 at the 67 Offices open during each full quarter while the two de novo Offices accounted for an additional $11,000 of advertising and marketing expenses during the quarter ended March 31, 2016.  As a percentage of revenue, advertising and marketing expenses remained constant at 1.0% for the quarters ended March 31, 2016 and 2015.  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, 2016, depreciation and amortization expenses attributable to the Offices decreased to $1.0 million compared to $1.1 million for the quarter ended March 31, 2015, a decrease of $90,000, or 8.1%.  There was a decrease of $140,000 in depreciation and amortization expenses attributable to the 67 Offices open during each full quarter.  Additionally, the two de novo Offices accounted for $50,000 of depreciation and amortization expenses during the quarter ended March 31, 2016.  As a percentage of revenue, depreciation and amortization expenses attributable to the Offices decreased to 6.2% for the quarter ended March 31, 2016 compared to 6.7% for the quarter ended March 31, 2015.

General and administrative-Offices.  For the quarter ended March 31, 2016, general and administrative expenses attributable to the Offices increased to $1.4 million compared to $1.3 million for the quarter ended March 31, 2015, an increase of $145,000, or 11.6%.  The increase in general and administrative expenses is attributable to increases of $60,000 in bad debt expense and $23,000 in travel and entertainment expenses at the 67 Offices open during each full quarter.  The two de novo Offices accounted for an additional $69,000 of general and administrative expenses during the quarter ended March 31, 2016.  As a percentage of revenue, general and administrative expenses increased to 8.5% for the quarter ended March 31, 2016 compared to 7.6% for the quarter ended March 31, 2015.
 
18

Contribution from dental Offices

As a result of revenue decreasing $156,000 and direct expenses increasing $113,000 during the quarter ended March 31, 2016, contribution from dental Offices decreased $269,000, or 24.8%, to $814,000 for the quarter ended March 31, 2016 compared to $1.1 million for the quarter ended March 31, 2015.  As a percentage of revenue, contribution from dental Offices decreased to 5.0% for the quarter ended March 31, 2016 compared to 6.5% for the quarter ended March 31, 2015.

Corporate expenses

Corporate expenses - general and administrative. For the quarter ended March 31, 2016, corporate expenses – general and administrative decreased to $877,000 compared to $1.1 million for the quarter ended March 31, 2015, a decrease of $198,000, or 18.4%.  This decrease is attributable to decreases of $81,000 in corporate wages, $35,000 in travel and entertainment expenses, $34,000 related to stock-based compensation pursuant to ASC Topic 718 and $17,000 in professional fees.  As a percentage of revenue, corporate expenses - general and administrative decreased to 5.3% for the quarter ended March 31, 2016 compared to 6.5% for the quarter ended March 31, 2015.

Corporate expenses - depreciation and amortization. For the quarter ended March 31, 2016, corporate expenses - depreciation and amortization increased to $63,000 compared to $55,000 for the quarter ended March 31, 2015, an increase of $7,000, or 13.5%.  This increase is attributable to computer software added to the corporate office.  As a percentage of revenue, corporate expenses – depreciation and amortization increased to 0.4% for the quarter ended March 31, 2016 compared to 0.3% for the quarter ended March 31, 2015.

Operating loss

As a result of the matters discussed above, the Company’s operating loss increased by $79,000 to $(125,000) for the quarter ended March 31, 2016 compared to $(47,000) for the quarter ended March 31, 2015.  As a percentage of revenue, operating loss increased to (0.8%) for the quarter ended March 31, 2016 compared to (0.3%) for the quarter ended March 31, 2015.

Interest expense, net

For the quarter ended March 31, 2016, interest expense, net increased to $39,000 compared to $29,000 for the quarter ended March 31, 2015, an increase of $11,000, or 37.9%.  This increase in interest expense, net was caused by a higher interest rate on the Credit Facility.  As a percentage of revenue, interest expense remained constant at 0.2% for the quarters ended March 31, 2016 and 2015.

Net loss

As a result of the above, the Company’s net loss was $(100,000) for the quarter ended March 31, 2016 compared to $(46,000) for the quarter ended March 31, 2015, an increase of $54,000.  Net loss for the quarter ended March 31, 2016 was net of income tax benefit of $(64,000), while net loss for the quarter ended March 31, 2015 was net of income tax benefit of $(29,000).  The effective tax rate remained constant at 39.0% for the quarters ended March 31, 2016 and 2015. As a percentage of revenue, net loss increased to (0.6%) for the quarter ended March 31, 2016 compared to (0.3%) for the quarter ended March 31, 2015.

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, 2016, the Company had a working capital deficit of approximately $3.0 million, retained earnings of $101,000 and a cash balance of $526,000.

On March 29, 2016, the Company entered into a new Loan and Security Agreement with Guaranty Bank and Trust Company (“the Credit Facility”).  The Credit Facility consists of a $2.0 million revolving line of credit and a $10.0 million reducing revolving loan.  The revolving line of credit matures on March 31, 2018.  The reducing revolving loan matures on March 31, 2021 and requires mandatory reductions of $500,000 per calendar quarter beginning July 1, 2016.  The reducing revolving loan allows the Company to drawdown, repay and re-draw loans advanced to it within the available balance.  Interest varies between LIBOR plus 2.90% and LIBOR plus 2.25% depending on the Company’s funded debt-to-EBITDA ratio.  As of March 31, 2016, the revolving line of credit rate was 3.33% and the reducing revolving loan rate was 3.33%.  There is no commitment fee or origination fee on the Credit Facility.  At March 31, 2016, the Company had approximately $1.1 million of borrowings outstanding under the revolving line of credit and approximately $863,000 available for borrowing under the Credit Facility.  The Company had $10.0 million of borrowings outstanding under the reducing revolving loan.  The Credit Facility is collateralized by substantially all of the assets of the Company and requires the Company to comply with certain affirmative and negative covenants, including maintaining (i) a funded debt-to-EBITDA ratio of no more than 2.50 to 1.00 for the period ending June 30, 2016, declining to 2.00 to 1.00 for the twelve months ending September 30, 2017 and 1.90 to 1.00 thereafter, (ii) net worth of at least $1.0 million (increased by 25% of any net income after taxes of the Company in 2016 and thereafter), and (iii) a fixed charge coverage ratio of not less than 1.35 to 1.00.  At March 31, 2016, the Company was in compliance with the Credit Facility covenants.  Through the remainder of 2016, dividends are prohibited under the Credit Facility.  Beginning in 2017, dividends are permitted so long as the pro forma fixed charge coverage ratio is greater than 1.20 to 1.00 after giving effect to the dividend.
 
19

On March 30, 2016, the Company terminated its credit facility with Compass Bank.  The Company repaid the outstanding $10.6 million principal amount plus accrued interest under the Credit Agreement with Compass Bank with borrowings under the new Credit Facility.

Net cash provided by operating activities was approximately $14,000 and $333,000 for the quarters ended March 31, 2016 and 2015, respectively.  During the quarter ended March 31, 2016, excluding net loss and after adding back non-cash items, the Company’s cash provided by operating activities consisted primarily of increases of approximately $225,000 in income taxes payable and $87,000 in other long-term obligations, offset by an increase in accounts receivable of approximately $674,000, a decrease in accounts payable and accrued expenses of approximately $460,000 and an increase in prepaid expenses and other assets of approximately $224,000.  During the quarter ended March 31, 2015, excluding net 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.

Net cash used in investing activities was approximately $239,000 and $181,000 for the quarters ended March 31, 2016 and 2015, respectively.  For the quarter ended March 31, 2016, the Company invested approximately $246,000 in capital expenditures, including approximately $121,000 for a de novo Office that opened during the first quarter of 2016 and $56,000 related to one Office that was converted to digital radiography, offset by a decrease in a note receivable of $7,000.  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 a note receivable of $7,000.

Net cash provided by financing activities was approximately $492,000 for the quarter ended March 31, 2016 and net cash used in financing activities was approximately $23,000 for the quarter ended March 31, 2015.  During the quarter ended March 31, 2016, net cash provided by financing activities was comprised of approximately $910,000  in net advances under the Credit Facility after giving effect to the repayment of the Compass Bank credit facility, offset by approximately $409,000 for the payment of dividends.  Partially contributing to the net advances under the new Credit Facility was a requirement that the Company leave excess cash at Compass Bank to satisfy outstanding checks.  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 Compass Bank credit facility. 

As of March 31, 2016, 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
 
$
11,117,598
   
$
2,000,000
   
$
5,117,598
   
$
4,000,000
   
$
-
 
Operating lease obligations
   
17,130,700
     
4,093,951
     
6,538,781
     
3,760,021
     
2,737,947
 
Total
 
$
28,248,298
   
$
6,093,951
   
$
11,656,379
   
$
7,760,021
   
$
2,737,947
 

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 debt service requirements for at least the next 12 months.  In order to meet its long-term liquidity or capital needs, the Company may need to issue additional equity and debt securities, subject to market and other conditions.  In addition, the Company may engage in an equity financing.  There can be no assurance that such additional financing will be available on terms acceptable to the Company or at all. The failure to raise the funds necessary to finance its future cash requirements could adversely affect the Company’s ability to pursue its strategy or remain listed on Nasdaq and could negatively affect its operations in future periods.
 
20

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, 2016.  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, 2016.

There has been no change in the Company’s internal control over financial reporting during the three months ended March 31, 2016 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 following chart provides information regarding Common Stock purchased by the Company during the period January 1, 2016 through March 31, 2016.

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 (1)
   
Approximate
Dollar Value
of Shares That
May Yet Be
Purchased
Under the
Plans or
Programs (1)
 
January 1, 2016 through January 31, 2016
   
845
(2)
 
 
$
10.49
     
845
   
$
876,000
 
February 1, 2016 through February 29, 2016
   
-
       
-
     
-
   
$
876,000
 
March 1, 2016 through March 31, 2016
   
-
       
-
     
-
   
$
876,000
 
Total
   
845
     
$
10.49
     
845
         

(1) 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, 2016, the dollar value of shares that may be purchased under the stock repurchase program was approximately $876,000.

(2) During January 2016, the Company repurchased a total of 845 shares of its Common Stock because it was an attractive investment.
 
21

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.
   
10.1
Loan and Security Agreement, dated as of March 29, 2016, between the Company and Guaranty Bank and Trust Company, incorporated by reference to Exhibit 10.47 to the Company’s Annual Report on Form 10-K, as filed with the Securities and Exchange Commission on March 30, 2016
   
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.
 
22

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, 2016
     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, 2016
     By:
/s/ Dennis N. Genty
 
 
Name:
Dennis N. Genty
 
  Title:
Chief Financial Officer, Secretary, and Treasurer
   
(Principal Financial and Accounting Officer)
 
23

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.
   
10.1
Loan and Security Agreement, dated as of March 29, 2016, between the Company and Guaranty Bank and Trust Company, incorporated by reference to Exhibit 10.47 to the Company’s Annual Report on Form 10-K, as filed with the Securities and Exchange Commission on March 30, 2016
   
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.
 
 
24


Exhibit 31.1

CERTIFICATION

I, Frederic W.J. Birner, certify that:

1.
I have reviewed this quarterly report on Form 10-Q of Birner Dental Management Services, Inc.;

2.
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.
Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.
The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a)
Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b)
Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c)
Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d)
Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.
The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a)
All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

 
b)
Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

May 13, 2016
By:       
/s/ Frederic W.J. Birner
 
 
Name: 
Frederic W.J. Birner
 
 
Title:    
Chief Executive Officer
 
 



Exhibit 31.2

CERTIFICATION

I, Dennis N. Genty, certify that:

1.
I have reviewed this quarterly report on Form 10-Q of Birner Dental Management Services, Inc.;

2.
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.
Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.
The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 
a)
Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b)
Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c)
Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d)
Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.
The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a)
All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

b)
Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

May 13, 2016
By:       
/s/ Dennis N. Genty
 
Name:
Dennis N. Genty
 
Title:
Chief Financial Officer

 


Exhibit 32.1

CERTIFICATIONS PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002
(18 U.S.C. SECTION 1350)

In connection with the Quarterly Report on Form 10-Q of Birner Dental Management Services, Inc., a Colorado corporation (the “Company”), for the quarter ended March 31, 2016, as filed with the Securities and Exchange Commission (the “Report”), the undersigned, who are the Chief Executive Officer and the Chief Financial Officer of the Company, respectively, do each hereby certify, pursuant to § 906 of the Sarbanes-Oxley Act of 2002 (18 U.S.C. § 1350), that to his knowledge:

 
1.
The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m, or 78o(d)); and

2.
The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 
Date:
 
May 13, 2016
 
         
 
By:
 
/s/ Frederic W.J. Birner
 
 
Name:
 
Frederic W.J. Birner
 
 
Title:
 
Chief Executive Officer
 
         
 
By:
 
/s/ Dennis N. Genty
 
 
Name:
 
Dennis N. Genty
 
 
Title:
 
Chief Financial Officer
 
 


v3.4.0.3
Document and Entity Information - shares
3 Months Ended
Mar. 31, 2016
May. 02, 2016
Document and Entity Information [Abstract]    
Entity Registrant Name BIRNER DENTAL MANAGEMENT SERVICES INC  
Entity Central Index Key 0000948072  
Current Fiscal Year End Date --12-31  
Entity Well-known Seasoned Issuer No  
Entity Voluntary Filers No  
Entity Current Reporting Status Yes  
Entity Filer Category Smaller Reporting Company  
Entity Common Stock, Shares Outstanding   1,860,261
Document Fiscal Year Focus 2016  
Document Fiscal Period Focus Q1  
Document Type 10-Q  
Amendment Flag false  
Document Period End Date Mar. 31, 2016  
v3.4.0.3
CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED) - USD ($)
Mar. 31, 2016
Dec. 31, 2015
CURRENT ASSETS:    
Cash $ 525,598 $ 258,801
Accounts receivable, net of allowance for doubtful accounts of approximately $390,000 and $390,000, respectively 3,482,873 3,043,655
Note receivable 34,195 34,195
Deferred tax asset 287,875 275,907
Income tax receivable 0 73,878
Prepaid expenses and other assets 799,862 575,770
Total current assets 5,130,403 4,262,206
PROPERTY AND EQUIPMENT, net 9,182,513 9,808,014
OTHER NONCURRENT ASSETS:    
Intangible assets, net 7,354,507 7,565,648
Deferred charges and other assets 155,741 155,741
Note receivable 47,755 55,002
Total assets 21,870,919 21,846,611
CURRENT LIABILITIES:    
Accounts payable 2,246,412 2,920,998
Accrued expenses 980,154 1,547,915
Accrued payroll and related expenses 2,703,232 2,330,398
Income taxes payable 150,709 0
Current maturities of long-term debt 2,000,000 1,500,000
Total current liabilities 8,080,507 8,299,311
LONG-TERM LIABILITIES:    
Deferred tax liability, net 2,050,984 2,242,800
Long-term debt 9,117,598 8,707,578
Other long-term obligations 1,037,025 949,554
Total liabilities 20,286,114 20,199,243
SHAREHOLDERS' EQUITY:    
Preferred Stock, no par value, 10,000,000 shares authorized; none outstanding 0 0
Common Stock, no par value, 20,000,000 shares authorized; 1,861,106 and 1,860,261 shares issued and outstanding, respectively 1,484,029 1,446,182
Retained earnings 100,776 201,186
Total shareholders' equity 1,584,805 1,647,368
Total liabilities and shareholders' equity $ 21,870,919 $ 21,846,611
v3.4.0.3
CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED) (Parenthetical) - USD ($)
Mar. 31, 2016
Dec. 31, 2015
CURRENT ASSETS:    
Allowance for doubtful accounts $ 390,000 $ 390,000
SHAREHOLDERS' EQUITY:    
Preferred Stock, par value (in dollars per share) $ 0 $ 0
Preferred Stock, authorized (in shares) 10,000,000 10,000,000
Preferred Stock, outstanding (in shares) 0 0
Common Stock, par value (in dollars per share) $ 0 $ 0
Common Stock, authorized (in shares) 20,000,000 20,000,000
Common Stock, issued (in shares) 1,860,261 1,861,106
Common Stock, outstanding (in shares) 1,860,261 1,861,106
v3.4.0.3
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) - USD ($)
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
REVENUE:    
Dental practice revenue $ 15,366,543 $ 15,388,974
Capitation revenue 1,064,690 1,198,550
Total Revenue 16,431,233 16,587,524
DIRECT EXPENSES:    
Clinical salaries and benefits 9,870,950 9,944,817
Dental supplies 725,273 745,484
Laboratory fees 871,615 810,377
Occupancy 1,566,805 1,474,673
Advertising and marketing 158,870 160,887
Depreciation and amortization 1,020,091 1,109,871
General and administrative 1,403,210 1,257,765
Total Direct Expenses 15,616,814 15,503,874
Contribution from dental offices 814,419 1,083,650
CORPORATE EXPENSES:    
General and administrative [1] 876,906 1,075,005
Depreciation and amortization 62,799 55,335
OPERATING LOSS (125,286) (46,690)
Interest expense, net 39,322 28,516
LOSS BEFORE INCOME TAXES (164,608) (75,206)
Income tax benefit (64,198) (29,330)
NET LOSS $ (100,410) $ (45,876)
Net loss per share of Common Stock - Basic (in dollars per share) $ (0.05) $ (0.02)
Net loss per share of Common Stock - Diluted (in dollars per share) (0.05) (0.02)
Cash dividends per share of Common Stock (in dollars per share) $ 0 $ 0.22
Weighted average number of shares of Common Stock and dilutive securities:    
Basic (in shares) 1,860,482 1,859,689
Diluted (in shares) 1,860,482 1,859,689
[1] Corporate expenses - general and administrative includes $80,773 and $46,707 of stock-based compensation expense pursuant to ASC Topic 718 for the quarters ended March 31, 2015 and 2016, respectively.
v3.4.0.3
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) (Parenthetical) - USD ($)
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
General and Administrative Expenses [Member]    
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]    
Stock based compensation expense $ 46,707 $ 80,773
v3.4.0.3
CONDENSED CONSOLIDATED STATEMENT OF SHAREHOLDERS' EQUITY (UNAUDITED) - 3 months ended Mar. 31, 2016 - USD ($)
Common Stock [Member]
Retained Earnings [Member]
Total
BALANCES at Dec. 31, 2015 $ 1,446,182 $ 201,186 $ 1,647,368
BALANCES (in shares) at Dec. 31, 2015 1,861,106   1,861,106
Increase (Decrease) in Stockholders' Equity [Roll Forward]      
Purchase and retirement of Common Stock $ (8,860) 0 $ (8,860)
Purchase and retirement of Common Stock (in shares) (845)    
Stock-based compensation expense $ 46,707 0 46,707
Net loss 0 (100,410) (100,410)
BALANCES at Mar. 31, 2016 $ 1,484,029 $ 100,776 $ 1,584,805
BALANCES (in shares) at Mar. 31, 2016 1,860,261   1,860,261
v3.4.0.3
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($)
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
CASH FLOWS FROM OPERATING ACTIVITIES:    
Net loss $ (100,410) $ (45,876)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization 1,082,890 1,165,206
Stock-based compensation expense 46,707 80,773
Provision for doubtful accounts 234,920 175,142
Benefit from deferred income taxes (203,784) (223,738)
Changes in assets and liabilities:    
Accounts receivable (674,138) (696,963)
Prepaid expenses and other assets (224,092) (83,472)
Deferred charges and other assets 0 2,300
Accounts payable (674,586) (414,439)
Accrued expenses (158,318) (195,620)
Accrued payroll and related expenses 372,834 382,595
Income taxes payable (receivable) 224,587 189,258
Other long-term obligations 87,471 (2,172)
Net cash provided by operating activities 14,081 332,994
CASH FLOWS USED IN INVESTING ACTIVITIES:    
Capital expenditures (246,248) (187,388)
Note receivable 7,247 6,826
Net cash used in investing activities (239,001) (180,562)
CASH FLOWS PROVIDED BY (USED IN) FINANCING ACTIVITIES:    
Advances - line of credit 6,761,108 7,070,628
Repayments - line of credit (5,851,088) (6,684,030)
Purchase and retirement of Common Stock (8,860) 0
Common stock cash dividends (409,443) (409,131)
Net cash provided by (used in) financing activities 491,717 (22,533)
NET CHANGE IN CASH 266,797 129,899
CASH, beginning of period 258,801 310,229
CASH, end of period 525,598 440,128
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:    
Cash paid for interest 50,759 35,925
Cash paid for income taxes 0 5,150
Cash received for income taxes 85,000 0
NON-CASH ITEMS:    
Repayments - line of credit with Compass Bank $ 10,617,598 $ 0
v3.4.0.3
UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
3 Months Ended
Mar. 31, 2016
UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS [Abstract]  
UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(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, 2015.

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, 2016 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, 2016 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.
v3.4.0.3
SIGNIFICANT ACCOUNTING POLICIES
3 Months Ended
Mar. 31, 2016
SIGNIFICANT ACCOUNTING POLICIES [Abstract]  
SIGNIFICANT ACCOUNTING POLICIES
(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.
 
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, 2016.

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 $82,000 in principal amount was outstanding at March 31, 2016.  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, 2016 or December 31, 2015.
.
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 remained constant at approximately $211,000 for the quarters ended March 31, 2016 and 2015.

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, 2016 and 2015.

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, 2016 and 2015 was approximately $47,000 and $81,000, 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, 2016 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, 2016 for the expected option term.
 
Recent Accounting Pronouncements

In May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“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 August 2015, the FASB issued ASU No. 2015-14, which deferred the effective date of ASU 2014-09 until annual reporting periods beginning after December 15, 2017, including interim periods within that reporting period.  ASU No. 2014-09 may 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.  The Company plans to adopt ASU 2014-09 beginning January 1, 2018 and is currently evaluating the impact these changes will have on its 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 consolidated financial statements. 

In February 2016, FASB issued ASU No. 2016-02, Leases (Topic 842).  Under the new guidance, lessees will be required to recognize assets and liabilities on the balance sheet for the rights and obligations created by all leases with terms of more than 12 months.  ASU 2016-02 is effective for fiscal years beginning after December 15, 2018.  The Company is currently evaluating the impact ASU 2016-02 will have on its consolidated financial statements. 

In March 2016, FASB issued ASU No. 2016-09, Improvements to Employee Share-Based Payment Accounting.  The objective of the new guidance is to simplify the accounting for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities and classification of the statement of cash flows.   ASU 2016-09 is effective for fiscal years beginning after December 15, 2016, and interim periods within those fiscal years.   Early adoption of ASU 2016-09 is permitted.  The Company is currently evaluating the impact ASU 2016-09 will have on its consolidated financial statements.
v3.4.0.3
LOSS PER SHARE
3 Months Ended
Mar. 31, 2016
LOSS PER SHARE [Abstract]  
LOSS PER SHARE
(3)LOSS PER SHARE

The Company calculates earnings (loss) per share (“EPS”)  in accordance with ASC Topic 260.
 
  
Quarters Ended March 31,
 
  
2015
  
2016
 
  
Net Loss
  
Shares
  
Per Share
Amount
  
Net Loss
  
Shares
  
Per Share
 Amount
 
                   
Basic EPS
 
$
(45,876
)
  
1,859,689
  
$
(0.02
)
 
$
(100,410
)
  
1,860,482
  
$
(0.05
)
                         
Effect of Dilutive Stock Options
  
-
   
-
   
-
   
-
   
-
   
-
 
                         
Diluted EPS
 
$
(45,876
)
  
1,859,689
  
$
(0.02
)
 
$
(100,410
)
  
1,860,482
  
$
(0.05
)

For the quarters ended March 31, 2016 and 2015, options to purchase 544,666 and 478,935 shares, respectively, of the Company’s common stock (“Common Stock”) were not included in the computation of diluted EPS because their effect was anti-dilutive.
v3.4.0.3
STOCK-BASED COMPENSATION PLANS
3 Months Ended
Mar. 31, 2016
STOCK-BASED COMPENSATION PLANS [Abstract]  
STOCK-BASED COMPENSATION PLANS
(4)STOCK-BASED COMPENSATION PLANS

The Company’s 2005 Equity Incentive Plan, as amended (“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.  As of March 31, 2016, there were 312,672 vested options and 131,994 unvested options granted under the 2005 Plan that remained outstanding in accordance with their terms and there were no shares available for issuance under the 2005 Plan due to its termination.
 
The Company’s shareholders approved the 2015 Equity Incentive Plan (“2015 Plan”) on June 9, 2015.  The 2015 Plan replaces the 2005 Plan.  The maximum number of shares of Common Stock that may be delivered to participants and their beneficiaries under the 2015 Plan is 200,000.  The 2015 Plan provides for the grant of incentive stock options, stock appreciation right awards, restricted stock awards, stock unit awards and other stock-based awards to eligible recipients.  The objectives of the 2015 Plan are to attract and retain the best possible candidates for positions of responsibility and provide for additional performance incentives by providing eligible employees with the opportunity to acquire equity in the Company.  The 2015 Plan is administered by a committee of two or more outside directors from the Company’s Board of Directors (the “Committee”). The Committee determines the eligible individuals to whom awards under the 2015 Plan may be granted, as well as the time or times at which awards will be granted, the number of shares subject to awards to be granted to any eligible individual, the term of the award, vesting terms and conditions and any other terms and conditions of the grant in addition to those contained in the 2015 Plan.  Each grant under the 2015 Plan will be confirmed by and subject to the terms of an award agreement.  As of March 31, 2016, there were 100,000 unvested options granted under the 2015 Plan and 100,000 shares available for issuance under the 2015 Plan.

A summary of option activity as of March 31, 2016, 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, 2016
  
455,666
  
$
16.82
  
$
12.55 - $19.75
   
4.2
  
$
-
 
Granted
  
95,000
  
$
10.11
  
$
10.04 - $11.11
         
Cancelled
  
(6,000
)
 
$
12.74
  
$
12.74 - $12.74
         
                     
Outstanding at March 31, 2016
  
544,666
  
$
15.70
  
$
10.04 - $19.75
   
4.4
  
$
-
 
                     
Exercisable at March 31, 2016
  
312,672
  
$
17.78
  
$
12.55 - $19.75
   
3.2
  
$
-
 

No options were granted during the quarter ended March 31, 2015.  The weighted average grant date fair values of options granted was $1.74 per share during the quarter ended March 31, 2016.  As of March 31, 2016, there was approximately $281,000 of total unrecognized compensation expense related to non-vested stock options, which is expected to be recognized over a weighted average period of 2.55 years.
v3.4.0.3
DIVIDENDS
3 Months Ended
Mar. 31, 2016
DIVIDENDS [Abstract]  
DIVIDENDS
(5)
DIVIDENDS

The Company has declared and paid the following quarterly cash dividends.

Date Dividend Paid
 
Quarterly Dividend Paid
per Share
 
January 2014; April 2014; July 2014; October 2014
 
$
0.22
 
January 2015; April 2015; July 2015; October 2015
    
January 2016
    

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, credit agreement restrictions, state corporate law restrictions, results of operations and such other factors that the Company’s Board of Directors may consider relevant.  On March 29, 2016, the Company entered into a new Loan and Security Agreement with Guaranty Bank and Trust Company (the “Credit Facility”).  Through the remainder of 2016, dividends are prohibited under the Credit Facility.  Beginning in 2017, dividends are permitted so long as the pro forma fixed charge coverage ratio is greater than 1.20 to 1.00 after giving effect to the dividend.
v3.4.0.3
LINE OF CREDIT
3 Months Ended
Mar. 31, 2016
LINE OF CREDIT [Abstract]  
LINE OF CREDIT
(6)
LINE OF CREDIT

On March 29, 2016, the Company entered into the Credit Facility.  The Credit Facility consists of a $2.0 million revolving line of credit and a $10.0 million reducing revolving loan.  The revolving line of credit matures on March 31, 2018.  The reducing revolving loan matures on March 31, 2021 and requires mandatory reductions of $500,000 per calendar quarter beginning July 1, 2016.  The reducing revolving loan allows the Company to drawdown, repay and re-draw loans advanced to it within the available balance.  Interest varies between LIBOR plus 2.90% and LIBOR plus 2.25% depending on the Company’s funded debt-to-EBITDA ratio.  As of March 31, 2016, the revolving line of credit rate was 3.33% and the reducing revolving loan rate was 3.33%.  There is no commitment fee or origination fee on the Credit Facility.  At March 31, 2016, the Company had approximately $1.1 million of borrowings outstanding under the revolving line of credit and approximately $863,000 available for borrowing under the Credit Facility.  The Company had $10.0 million of borrowings outstanding under the reducing revolving loan.  The Credit Facility is collateralized by substantially all of the assets of the Company and requires the Company to comply with certain affirmative and negative covenants, including maintaining (i) a funded debt-to-EBITDA ratio of no more than 2.50 to 1.00 for the period ending June 30, 2016, declining to 2.00 to 1.00 for the twelve months ending September 30, 2017 and 1.90 to 1.00 thereafter, (ii) net worth of at least $1.0 million (increased by 25% of any net income after taxes of the Company in 2016 and thereafter), and (iii) a fixed charge coverage ratio of not less than 1.35 to 1.00.  At March 31, 2016, the Company was in compliance with the Credit Facility covenants.  Through the remainder of 2016, dividends are prohibited under the Credit Facility.  Beginning in 2017, dividends are permitted so long as the pro forma fixed charge coverage ratio is greater than 1.20 to 1.00 after giving effect to the dividend.

On March 30, 2016, the Company terminated its credit facility with Compass Bank.  The Company repaid the outstanding $10.6 million principal amount plus accrued interest under the Credit Agreement with Compass Bank with borrowings under the new Credit Facility.
v3.4.0.3
DISCLOSURES ABOUT FAIR VALUE OF FINANCIAL INSTRUMENTS
3 Months Ended
Mar. 31, 2016
DISCLOSURES ABOUT FAIR VALUE OF FINANCIAL INSTRUMENTS [Abstract]  
DISCLOSURES ABOUT FAIR VALUE OF FINANCIAL INSTRUMENTS
(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, 2016 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, 2015 and March 31, 2016 by level within the fair value hierarchy:

  
December 31, 2015
Fair Value Measurement Using
  
March 31, 2016
Fair Value Measurement Using
 
  
Level 1
  
Level 2
  
Level 3
  
Level 1
  
Level 2
  
Level 3
 
                   
Contingent Liabilities Balance
 
$
-
   
-
  
$
321,000
  
$
-
   
-
  
$
321,000
 
 
Contingent Liabilities
 
As part of an Office acquisition completed in 2009, the Company recorded contingent liabilities to recognize an estimated amount to be paid as part of the acquisition agreement.  These contingent liabilities are recorded at estimated fair values as of the date of acquisition, are payable beginning after four years from the acquisition date and are calculated at a multiple of the then trailing twelve-months operating cash flows.  The Company remeasures the contingent liability to fair value each reporting date until the contingency is resolved.  Any changes to the fair value are recognized into the income statement when determined.  As of March 31, 2016, approximately $321,000 of contingent liabilities were recorded on the consolidated balance sheets in other long-term obligations.
v3.4.0.3
SIGNIFICANT ACCOUNTING POLICIES (Policies)
3 Months Ended
Mar. 31, 2016
SIGNIFICANT ACCOUNTING POLICIES [Abstract]  
Basis of Presentation/Basis of Consolidation
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

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.
 
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, 2016.

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
Note Receivable

A note receivable was created as part of a dental Office acquisition, of which approximately $82,000 in principal amount was outstanding at March 31, 2016.  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, 2016 or December 31, 2015.
Intangible Assets
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 remained constant at approximately $211,000 for the quarters ended March 31, 2016 and 2015.

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, 2016 and 2015.
Stock-Based Compensation Expense
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, 2016 and 2015 was approximately $47,000 and $81,000, 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, 2016 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, 2016 for the expected option term.
Recent Accounting Pronouncements
Recent Accounting Pronouncements

In May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“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 August 2015, the FASB issued ASU No. 2015-14, which deferred the effective date of ASU 2014-09 until annual reporting periods beginning after December 15, 2017, including interim periods within that reporting period.  ASU No. 2014-09 may 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.  The Company plans to adopt ASU 2014-09 beginning January 1, 2018 and is currently evaluating the impact these changes will have on its 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 consolidated financial statements. 

In February 2016, FASB issued ASU No. 2016-02, Leases (Topic 842).  Under the new guidance, lessees will be required to recognize assets and liabilities on the balance sheet for the rights and obligations created by all leases with terms of more than 12 months.  ASU 2016-02 is effective for fiscal years beginning after December 15, 2018.  The Company is currently evaluating the impact ASU 2016-02 will have on its consolidated financial statements. 

In March 2016, FASB issued ASU No. 2016-09, Improvements to Employee Share-Based Payment Accounting.  The objective of the new guidance is to simplify the accounting for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities and classification of the statement of cash flows.   ASU 2016-09 is effective for fiscal years beginning after December 15, 2016, and interim periods within those fiscal years.   Early adoption of ASU 2016-09 is permitted.  The Company is currently evaluating the impact ASU 2016-09 will have on its consolidated financial statements.
v3.4.0.3
LOSS PER SHARE (Tables)
3 Months Ended
Mar. 31, 2016
LOSS PER SHARE [Abstract]  
Earnings/(loss) per share calculation
The Company calculates earnings (loss) per share (“EPS”)  in accordance with ASC Topic 260.
 
  
Quarters Ended March 31,
 
  
2015
  
2016
 
  
Net Loss
  
Shares
  
Per Share
Amount
  
Net Loss
  
Shares
  
Per Share
 Amount
 
                   
Basic EPS
 
$
(45,876
)
  
1,859,689
  
$
(0.02
)
 
$
(100,410
)
  
1,860,482
  
$
(0.05
)
                         
Effect of Dilutive Stock Options
  
-
   
-
   
-
   
-
   
-
   
-
 
                         
Diluted EPS
 
$
(45,876
)
  
1,859,689
  
$
(0.02
)
 
$
(100,410
)
  
1,860,482
  
$
(0.05
)
v3.4.0.3
STOCK-BASED COMPENSATION PLANS (Tables)
3 Months Ended
Mar. 31, 2016
STOCK-BASED COMPENSATION PLANS [Abstract]  
Summary of option activity
A summary of option activity as of March 31, 2016, 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, 2016
  
455,666
  
$
16.82
  
$
12.55 - $19.75
   
4.2
  
$
-
 
Granted
  
95,000
  
$
10.11
  
$
10.04 - $11.11
         
Cancelled
  
(6,000
)
 
$
12.74
  
$
12.74 - $12.74
         
                     
Outstanding at March 31, 2016
  
544,666
  
$
15.70
  
$
10.04 - $19.75
   
4.4
  
$
-
 
                     
Exercisable at March 31, 2016
  
312,672
  
$
17.78
  
$
12.55 - $19.75
   
3.2
  
$
-
 
v3.4.0.3
DIVIDENDS (Tables)
3 Months Ended
Mar. 31, 2016
DIVIDENDS [Abstract]  
Dividends payable
The Company has declared and paid the following quarterly cash dividends.

Date Dividend Paid
 
Quarterly Dividend Paid
per Share
 
January 2014; April 2014; July 2014; October 2014
 
$
0.22
 
January 2015; April 2015; July 2015; October 2015
    
January 2016
    
v3.4.0.3
DISCLOSURES ABOUT FAIR VALUE OF FINANCIAL INSTRUMENTS (Tables)
3 Months Ended
Mar. 31, 2016
DISCLOSURES ABOUT FAIR VALUE OF FINANCIAL INSTRUMENTS [Abstract]  
Fair value, assets and liabilities measured on recurring basis
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, 2015 and March 31, 2016 by level within the fair value hierarchy:

  
December 31, 2015
Fair Value Measurement Using
  
March 31, 2016
Fair Value Measurement Using
 
  
Level 1
  
Level 2
  
Level 3
  
Level 1
  
Level 2
  
Level 3
 
                   
Contingent Liabilities Balance
 
$
-
   
-
  
$
321,000
  
$
-
   
-
  
$
321,000
 
v3.4.0.3
SIGNIFICANT ACCOUNTING POLICIES (Details) - USD ($)
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
Dec. 31, 2015
Note Receivable [Abstract]      
Outstanding principal amount of note receivables $ 82,000    
Maturity date Oct. 31, 2018    
Interest rate on notes receivable 6.00%    
Allowance for doubtful accounts $ 0   $ 0
Intangible Assets [Abstract]      
Life of the management agreement 40 years    
Amortization period for contract 25 years    
Amortization expense $ 211,000 $ 211,000  
Impairment of Long-Lived and Intangible Assets [Abstract]      
Impairment of long-lived and intangible assets 0 0  
Stock Options [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Stock based compensation expense $ 47,000 $ 81,000  
v3.4.0.3
LOSS PER SHARE (Details) - USD ($)
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
Net income/(loss), diluted [Abstract]    
Net loss, basic EPS $ (100,410) $ (45,876)
Effect of dilutive stock options 0 0
Net loss, diluted EPS $ (100,410) $ (45,876)
Weighted average number of shares outstanding reconciliation [Abstract]    
Weighted average number of shares, basic EPS (in shares) 1,860,482 1,859,689
Effect of dilutive stock options, shares (in shares) 0 0
Weighted average number of shares outstanding, diluted EPS (in shares) 1,860,482 1,859,689
Earnings per share, basic and diluted [Abstract]    
Earnings per share, basic EPS (in dollars per share) $ (0.05) $ (0.02)
Effect of dilutive stock option (in dollars per share) 0 0
Per share amount - diluted EPS (in dollars per share) $ (0.05) $ (0.02)
Antidilutive securities (in shares) 544,666 478,935
v3.4.0.3
STOCK-BASED COMPENSATION PLANS (Details) - Stock Options [Member]
3 Months Ended 12 Months Ended
Mar. 31, 2016
USD ($)
Administrator
$ / shares
shares
Mar. 31, 2015
shares
Dec. 31, 2015
USD ($)
$ / shares
shares
Options outstanding [Rollforward]      
Outstanding, beginning balance (in shares) | shares 455,666    
Granted (in shares) | shares 95,000 0  
Cancelled (in shares) | shares (6,000)    
Outstanding, ending balance (in shares) | shares 544,666   455,666
Exercisable (in shares) | shares 312,672    
Options weighted average exercise price [Roll Forward]      
Outstanding, beginning balance (in dollars per share) $ 16.82    
Granted (in dollars per share) 10.11    
Cancelled (in dollars per share) 12.74    
Outstanding, ending balance (in dollars per share) 15.70   $ 16.82
Exercisable (in dollars per share) $ 17.78    
Options, additional disclosures [Abstract]      
Outstanding, weighted average remaining contractual term 4 years 4 months 24 days   4 years 2 months 12 days
Outstanding, aggregate intrinsic value | $ $ 0   $ 0
Exercisable, weighted average remaining contractual term 3 years 2 months 12 days    
Exercisable, aggregate intrinsic value | $ $ 0    
Total unrecognized compensation expense | $ $ 281,000    
Weighted average period for recognition 2 years 6 months 18 days    
Minimum [Member]      
Range of Exercise Prices [Abstract]      
Outstanding, beginning of period (in dollars per share) $ 12.55    
Granted (in dollars per share) 10.04    
Cancelled (in dollars per share) 12.74    
Outstanding, end of period (in dollars per share) 10.04   $ 12.55
Exercisable (in dollars per share) 12.55    
Maximum [Member]      
Range of Exercise Prices [Abstract]      
Outstanding, beginning of period (in dollars per share) 19.75    
Granted (in dollars per share) 11.11    
Cancelled (in dollars per share) 12.74    
Outstanding, end of period (in dollars per share) 19.75   $ 19.75
Exercisable (in dollars per share) $ 19.75    
2005 Plan [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Shares available for issuance (in shares) | shares 0    
Vested options (in shares) | shares 312,672    
Unvested options (in shares) | shares 131,994    
2015 Equity Incentive Plan [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Shares available for issuance (in shares) | shares 100,000    
Minimum number of plan administrators | Administrator 2    
Unvested options (in shares) | shares 100,000    
Maximum number of shares of Common Stock that can be delivered under the plan (in shares) | shares 200,000    
Options, additional disclosures [Abstract]      
Weighted average grant date fair value of options (in dollars per share) $ 1.74    
v3.4.0.3
DIVIDENDS (Details)
3 Months Ended
Mar. 29, 2016
Dec. 31, 2015
$ / shares
Sep. 30, 2015
$ / shares
Jun. 30, 2015
$ / shares
Mar. 31, 2015
$ / shares
Dec. 31, 2014
$ / shares
Sep. 30, 2014
$ / shares
Jun. 30, 2014
$ / shares
Mar. 31, 2014
$ / shares
Dec. 31, 2013
$ / shares
Dividends Payable [Line Items]                    
Quarterly Dividend Paid per Share (in dollars per share)   $ 0.22 $ 0.22 $ 0.22 $ 0.22 $ 0.22 $ 0.22 $ 0.22 $ 0.22 $ 0.22
Date Dividend Paid   Jan. 31, 2016 Oct. 31, 2015 Jul. 31, 2015 Apr. 30, 2015 Jan. 31, 2015 Oct. 31, 2014 Jul. 31, 2014 Apr. 30, 2014 Jan. 31, 2014
Minimum [Member]                    
Dividends Payable [Line Items]                    
Pro forma fixed charge coverage ratio 1.20                  
v3.4.0.3
LINE OF CREDIT (Details) - USD ($)
3 Months Ended
Mar. 30, 2016
Mar. 29, 2016
Mar. 31, 2016
Mar. 31, 2015
Long-term Debt [Line Items]        
Repayments of lines of credit     $ 5,851,088 $ 6,684,030
Minimum [Member]        
Long-term Debt [Line Items]        
Pro forma fixed charge coverage ratio   1.20    
Line of Credit [Member]        
Long-term Debt [Line Items]        
Debt instrument net worth minimum   $ 1,000,000    
Percentage of net worth increased from net income   25.00%    
Repayments of lines of credit $ 10,600,000      
Line of Credit [Member] | Maximum [Member]        
Long-term Debt [Line Items]        
Debt To EBITDA ratio for the twelve months ending June 30, 2016   2.50    
Debt To EBITDA ratio for the twelve months ending September 30, 2017   2.00    
Debt To EBITDA ratio after September 30, 2017   1.90    
Line of Credit [Member] | Minimum [Member]        
Long-term Debt [Line Items]        
Fixed charge coverage ratio, Period one   1.35    
Pro forma fixed charge coverage ratio   1.20    
Domestic Line Of Credit Due March 2018 [Member]        
Long-term Debt [Line Items]        
Maximum borrowing capacity   $ 2,000,000    
Amount outstanding     1,100,000  
Amount available for borrowing     $ 863,000  
Line of credit interest rate     3.33%  
Maturity date     Mar. 31, 2018  
Domestic Line Of Credit Due March 2021 [Member]        
Long-term Debt [Line Items]        
Amount outstanding   10,000,000    
Quarterly payment of loan payable   $ 500,000    
Line of credit interest rate     3.33%  
Maturity date     Mar. 31, 2021  
LIBOR Borrowing Rate [Member] | Domestic Line Of Credit Due March 2018 [Member] | Maximum [Member]        
Long-term Debt [Line Items]        
Basis spread on variable rate   2.90%    
LIBOR Borrowing Rate [Member] | Domestic Line Of Credit Due March 2018 [Member] | Minimum [Member]        
Long-term Debt [Line Items]        
Basis spread on variable rate   2.25%    
LIBOR Borrowing Rate [Member] | Domestic Line Of Credit Due March 2021 [Member] | Maximum [Member]        
Long-term Debt [Line Items]        
Basis spread on variable rate   2.90%    
LIBOR Borrowing Rate [Member] | Domestic Line Of Credit Due March 2021 [Member] | Minimum [Member]        
Long-term Debt [Line Items]        
Basis spread on variable rate   2.25%    
v3.4.0.3
DISCLOSURES ABOUT FAIR VALUE OF FINANCIAL INSTRUMENTS (Details) - USD ($)
3 Months Ended
Mar. 31, 2016
Dec. 31, 2015
Contingent Liabilities [Abstract]    
Number of years until the contingent liability becomes payable 4 years  
Number of trailing months of operating cash flow used to determine contingent liability 12 months  
Fair Value, Measurements, Recurring [Member] | Fair Value, Inputs, Level 1 [Member]    
Liabilities, Fair Value Disclosure [Abstract]    
Contingent Liabilities Balance $ 0 $ 0
Fair Value, Measurements, Recurring [Member] | Fair Value, Inputs, Level 2 [Member]    
Liabilities, Fair Value Disclosure [Abstract]    
Contingent Liabilities Balance 0 0
Fair Value, Measurements, Recurring [Member] | Fair Value, Inputs, Level 3 [Member]    
Liabilities, Fair Value Disclosure [Abstract]    
Contingent Liabilities Balance $ 321,000 $ 321,000
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