UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
(Mark One)
x | | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended September 30, 2006.
OR
o | | 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: 333-124080
INTERDENT SERVICE
CORPORATION
(Exact name of registrant as specified in its charter)
Washington | | 91-1577891 |
(State or other jurisdiction of incorporation or organization) | | (I.R.S. Employer Identification No.) |
| | |
222 No. Sepulveda Blvd., Suite 740, El Segundo, CA | | 90245 |
(Address of principal executive offices) | | (Zip Code) |
Registrant’s telephone number, including area code: (310) 765-2400
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer o Accelerated filer o Non-accelerated filer x
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes o No x
Number of shares of common stock outstanding as of November 9, 2006: 105,521
TABLE OF ADDITIONAL REGISTRANT
Exact Name of Registrant | | State of Incorporation | | I.R.S. Employer Identification Number |
InterDent, Inc. | | Delaware | | 95-4710504 |
INTERDENT SERVICE CORPORATION
TABLE OF CONTENTS
PART I – FINANCIAL INFORMATION
Item 1. Financial Statements.
INTERDENT, INC. AND SUBSIDIARIES
Consolidated Balance Sheets
(dollars in thousands)
| | September 30, 2006 | | December 31, 2005 | |
| | (unaudited) | | | |
Assets | | | | | |
Current assets: | | | | | |
Cash and cash equivalents | | $ | 2,040 | | $ | 1,519 | |
Marketable securities | | 918 | | — | |
Accounts receivable, net of allowances of $2,192 and $1,909 at September 30, 2006 and December 31, 2005, respectively | | 12,217 | | 12,645 | |
Supplies inventory | | 6,306 | | 6,454 | |
Prepaid expenses and other current assets | | 3,266 | | 3,291 | |
Total current assets | | 24,747 | | 23,909 | |
| | | | | |
Property and equipment, net | | 24,460 | | 23,883 | |
Goodwill | | 74,637 | | 74,774 | |
Intangible assets, net | | 14,801 | | 16,006 | |
Other assets | | 5,772 | | 6,247 | |
Total assets | | $ | 144,417 | | $ | 144,819 | |
| | | | | |
Liabilities | | | | | |
Current liabilities: | | | | | |
Accounts payable | | $ | 5,992 | | $ | 8,060 | |
Accrued payroll and related costs | | 9,920 | | 9,461 | |
Accrued interest | | 2,531 | | 393 | |
Other current liabilities | | 8,889 | | 10,336 | |
Current portion of capital lease obligations | | 93 | | 90 | |
Total current liabilities | | 27,425 | | 28,340 | |
| | | | | |
Long-term liabilities: | | | | | |
Capital lease obligations, net of current portion | | 169 | | 239 | |
Senior secured revolving credit facility | | — | | 1,308 | |
Senior secured notes | | 80,000 | | 80,000 | |
Mandatorily redeemable preferred stock | | 4,572 | | 4,088 | |
Deferred compensation liability | | 1,106 | | — | |
Deferred rent and other long-term liabilities | | 1,575 | | 1,052 | |
Accumulated dividends | | 1,337 | | 998 | |
Total long-term liabilities | | 88,759 | | 87,685 | |
Total liabilities | | 116,184 | | 116,025 | |
| | | | | |
Shareholders’ equity | | | | | |
Convertible preferred stock, $0.001 par value, 281,679 shares authorized: | | | | | |
Class A 229,007 shares authorized, 1,000 shares issued and outstanding at September 30, 2006 and December 31, 2005 | | — | | — | |
Class B 52,672 shares authorized, issued and outstanding at September 30, 2006 and December 31, 2005 | | 8,650 | | 8,650 | |
Common stock, $0.001 par value, 981,679 shares authorized: | | | | | |
Class A 229,007 shares authorized, zero shares issued and outstanding at September 30, 2006 and December 31, 2005 | | — | | — | |
Class B 52,672 shares authorized, zero shares issued and outstanding at September 30, 2006 and December 31, 2005 | | — | | — | |
Class C 700,000 shares authorized; 105,521 shares issued and outstanding at September 30, 2006 and December 31, 2005 | | — | | — | |
Additional paid-in capital | | 21,619 | | 21,592 | |
Accumulated deficit | | (2,062 | ) | (1,448 | ) |
Accumulated other comprehensive income | | 26 | | — | |
Total shareholders’ equity | | 28,233 | | 28,794 | |
Total liabilities and shareholders’ equity | | $ | 144,417 | | $ | 144,819 | |
See accompanying condensed notes to consolidated financial statements.
1
INTERDENT, INC.
AND SUBSIDIARIES
Consolidated Statements of Operations
(unaudited, dollars in thousands)
| | Three Months Ended September 30, | | Nine Months Ended September 30, | |
| | 2006 | | 2005 | | 2006 | | 2005 | |
| | | | | | | | | |
Revenues: | | | | | | | | | |
Dental practice net patient service revenue | | $ | 52,444 | | $ | 51,885 | | $ | 162,438 | | $ | 159,276 | |
Other fees | | 150 | | 284 | | 713 | | 865 | |
Total revenues | | 52,594 | | 52,169 | | 163,151 | | 160,141 | |
Costs and expenses: | | | | | | | | | |
Cost of revenues: | | | | | | | | | |
Clinical salaries, benefits, and provider costs | | 25,945 | | 25,569 | | 79,775 | | 77,697 | |
Practice non-clinical salaries and benefits | | 6,936 | | 7,432 | | 21,671 | | 22,436 | |
Dental supplies and lab expenses | | 5,766 | | 5,605 | | 16,859 | | 16,504 | |
Practice occupancy expenses | | 3,710 | | 3,494 | | 10,874 | | 10,121 | |
Practice selling, general and administrative expenses | | 4,002 | | 4,229 | | 12,088 | | 13,049 | |
Provision for doubtful accounts | | 393 | | 456 | | 1,153 | | 1,144 | |
Total cost of revenues | | 46,752 | | 46,785 | | 142,420 | | 140,951 | |
Corporate selling, general and administrative expenses | | 2,496 | | 2,185 | | 8,544 | | 7,313 | |
Stock-based compensation expense | | 7 | | 7 | | 21 | | 20 | |
Depreciation and amortization | | 1,414 | | 1,346 | | 4,239 | | 3,925 | |
Total operating expenses | | 50,669 | | 50,323 | | 155,224 | | 152,209 | |
Operating income | | 1,925 | | 1,846 | | 7,927 | | 7,932 | |
Non-operating (income) expense: | | | | | | | | | |
Interest income | | (31 | ) | (19 | ) | (88 | ) | (30 | ) |
Interest expense | | 2,606 | | 2,605 | | 7,774 | | 7,660 | |
Other income | | — | | — | | (9 | ) | (164 | ) |
Other expense | | 42 | | 30 | | 372 | | 61 | |
Non-operating expense, net | | 2,617 | | 2,616 | | 8,049 | | 7,527 | |
(Loss) income before (benefit) provision for income taxes | | (692 | ) | (770 | ) | (122 | ) | 405 | |
(Benefit) provision for income taxes | | (204 | ) | (367 | ) | 153 | | 193 | |
Net (loss) income | | (488 | ) | (403 | ) | (275 | ) | 212 | |
Accumulated dividends on preferred stock | | (118 | ) | (114 | ) | (339 | ) | (319 | ) |
Net loss income attributed to common stock | | $ | (606 | ) | $ | (517 | ) | $ | (614 | ) | $ | (107 | ) |
See accompanying condensed notes to consolidated financial statements.
2
INTERDENT, INC.
AND SUBSIDIARIES
Consolidated Statements of Cash Flows
(unaudited, dollars in thousands)
| | Nine Months Ended September 30, | |
| | 2006 | | 2005 | |
| | | | | |
Operating activities | | | | | |
Net (loss) income | | $ | (275 | ) | $ | 212 | |
Adjustments to reconcile net (loss) income to net cash provided by operating activities: | | | | | |
Depreciation and amortization | | 4,239 | | 3,925 | |
Provision for revenue adjustments and doubtful accounts | | 1,153 | | 1,144 | |
Loss on dental location dispositions and disposal of assets | | 393 | | 60 | |
Change in deferred taxes | | 301 | | 122 | |
Interest paid in kind | | 484 | | 440 | |
Interest amortization on deferred financing costs and discounted debt | | 639 | | 619 | |
Deferred compensation expense | | 1,106 | | — | |
Stock-based compensation expense | | 27 | | 20 | |
Recognition of deferred revenues | | 305 | | (248 | ) |
Deferred rent and other long-term liabilities | | 523 | | 507 | |
Other | | (6 | ) | — | |
Changes in assets and liabilities: | | | | | |
Accounts receivable | | (725 | ) | 809 | |
Supplies inventory | | 148 | | (400 | ) |
Prepaid expenses and other current assets | | 25 | | 1,670 | |
Other assets | | (322 | ) | (134 | ) |
Accounts payable | | (2,068 | ) | (1,604 | ) |
Accrued payroll and related costs | | 459 | | (358 | ) |
Accrued interest | | 2,138 | | 2,555 | |
Other current liabilities | | (1,682 | ) | (1,596 | ) |
Net cash provided by operating activities | | 6,862 | | 7,743 | |
Investing activities | | | | | |
Marketable securities | | (892 | ) | — | |
Purchase of property and equipment | | (4,004 | ) | (6,964 | ) |
Cash received for trailing acquisition costs and earn-outs | | — | | 67 | |
Net cash used in investing activities | | (4,896 | ) | (6,897 | ) |
Financing activities | | | | | |
Net payments on revolving credit facility | | (1,308 | ) | — | |
Payments on long-term debt and obligations under capital leases | | (66 | ) | (574 | ) |
Changes in bank overdraft balances | | (71 | ) | 1,295 | |
Net cash (used in) provided by financing activities | | (1,445 | ) | 721 | |
Increase in cash and cash equivalents | | 521 | | 1,567 | |
Cash and cash equivalents, beginning of period | | 1,519 | | — | |
Cash and cash equivalents, end of period | | $ | 2,040 | | $ | 1,567 | |
See accompanying condensed notes to consolidated financial statements.
3
1. Our Company
InterDent Service Corporation, the principal operating subsidiary of InterDent, Inc. (collectively, We, InterDent or the Company) provides dental practice management services to multi specialty group dental practices in the United States. Our network of affiliated dental practices seeks to provide comprehensive, convenient and high quality general dentistry as well as dental specialty services such as orthodontics, periodontics, endodontics, pediatric dentistry, prosthodontics and oral surgery. We do not engage in the practice of dentistry, but rather work with affiliated dental practices or professional corporations (PC) to enhance the business operations of their practices. We enter into management service agreements with these affiliated dental practices pursuant to which we provide them, on an exclusive basis, with management and administrative services.
As of September 30, 2006, we provided management services to 128 affiliated dental practices in Arizona, California, Hawaii, Kansas, Nevada, Oklahoma, Oregon and Washington and own and operate one dental laboratory in Oklahoma.
2. Basis of Presentation
Following the rules and regulations of the Securities and Exchange Commission, or SEC, we have omitted footnote disclosures that would substantially duplicate the disclosures in our annual audited financial statements. The accompanying consolidated financial statements should be read in conjunction with the financial statement disclosures from our 2005 Consolidated Financial Statements contained in our 10-K filed April 11, 2006 with the SEC. The same accounting policies are followed in preparing quarterly financial data as are followed in preparing annual data. In the opinion of management, all adjustments necessary for a fair presentation of quarterly operating results are reflected herein and are of a normal, recurring nature.
A reclassification has been made to the 2005 consolidated financial statements to conform to the current period presentation. Accrued interest which was included in other current liabilities is stated separately. The consolidated statement of cash flows reflects a reclassification for the provision for revenue adjustments and doubtful accounts from accounts receivable as well as a reclassification of interest paid in kind from other current liabilities. As a result, the consolidated statement of cash flows for the nine months ended September 30, 2005 reflects a reclassification of $2,995,000 in adjustments to reconcile net (loss) income to net cash provided by operating activities with the corresponding offset in changes in assets and liabilities. There was no change in the net cash provided by operating activities.
We operate in one principal business segment as a provider of dental practice management services to multi specialty group dental practices in the United States.
3. Summary of Significant Accounting Policies
Net revenues
Dental practice net patient service revenue (Net Patient Revenue) represents the consolidated revenue of the affiliated PCs and is recorded when the related work is completed. Revenue related to prepayments, typically for multi-visit procedures, is deferred until the multi-visit procedure is completed. Revenue is recorded at the estimated net realizable amount to be received from patients, third party payors and others, net of a provision for fee schedule adjustments.
Net Patient Revenue includes amounts received under capitated managed care contracts. A portion of these capitated revenue premiums are received at certain wholly-owned subsidiaries that are subject to regulatory review and oversight by various state agencies. The subsidiaries are required to, among other things, file statutory financial statements with the state agencies and maintain minimum tangible net equity balances and restricted deposits. The Company is in compliance with such requirements as of September 30, 2006. Total revenues subject to regulatory review and oversight by various state agencies were $10.8 million and $9.8 million and $32.7 million and $30.0 million for the three and nine months ended September 30, 2006 and 2005, respectively.
4
Stock-based compensation
On January 1, 2006, we adopted Statement of Financial Accounting Standard (SFAS) No. 123R, “Share-Based Payment,” or SFAS 123R. In accordance with SFAS 123R, the Company measures the cost of employee services received in exchange for an award of equity instruments based on the grant-date fair value of the award. That cost is recognized over the period during which an employee is required to provide service in exchange for the award — the requisite service period. No compensation cost is recognized for equity instruments for which employees do not render the requisite service. The Company determines the grant-date fair value of employee share options granted after the adoption of SFAS 123R using the Black-Scholes option-pricing model adjusted for the unique characteristics of these options.
Prior to adoption of SFAS 123R, we accounted for grants under the stock option plan using either the minimum value method as permitted for non-public entities in SFAS No. 123 “Accounting for Stock-Based Compensation,” or SFAS 123, for grants at the market price at the date of the grant or the intrinsic value method for grants issued below the market price at the date of the grant in accordance with Accounting Principles Board Opinion No. 25, “Accounting for Stock Issued to Employees”, or APB 25 adopting the disclosure only provisions of SFAS 123. Entities that used the minimum value method of measuring equity share options prior to adoption of SFAS 123R are to apply SFAS 123R prospectively to awards issued, modified, repurchased, or canceled after adoption and continue to account for any portion of awards outstanding at the date of the initial application using the accounting principles originally applied to those awards. Accordingly, periods prior to the adoption of SFAS 123R will not be restated. Options accounted for under the intrinsic value method will continue to be expensed over the vesting period.
The pro-forma compensation costs for outstanding awards granted prior to adoption of SFAS 123R are presented below:
| | Three Months Ended September 30, | | Nine Months Ended September 30, | |
(in thousands) | | 2006 | | 2005 | | 2006 | | 2005 | |
| | | | | | | | | |
Net (loss) income, as reported | | $ | (488 | ) | $ | (403 | ) | $ | (275 | ) | $ | 212 | |
| | | | | | | | | |
Add: Stock-based employee compensation expense included in reported net income, net of related tax effect | | 4 | | 4 | | 12 | | 12 | |
Deduct: Total stock-based employee compensation expense determined under minimum value based method for all awards, net of related tax effect | | (15 | ) | (31 | ) | (52 | ) | (72 | ) |
| | | | | | | | | |
Net (loss) income, pro forma | | $ | (499 | ) | $ | (430 | ) | $ | (315 | ) | $ | 152 | |
See note 5 for further discussion on stock-based compensation.
Marketable securities
The Company considers its marketable securities as available-for-sale as defined in the SFAS No. 115, “Accounting for Certain Investments in Debt and Equity Securities,” or SFAS 115. These investments are recorded at fair value and are classified as marketable securities in the accompanying consolidated balance sheets as of September 30, 2006. The changes in fair values, net of applicable taxes, are recorded as unrealized gains (losses) as a component of accumulated other comprehensive income in shareholders’ equity. Increases in the fair values for the nine months ended September 30, 2006 were $26,000.
5
Goodwill
The change in goodwill in the nine months ended September 30, 2006 is related to the utilization of pre-emergence deferred tax assets.
Deferred compensation
On January 1, 2006, we adopted an elective non-qualified Deferred Incentive Compensation Retirement Plan (the 2006 Plan) to provide certain employees and affiliated professionals an opportunity to voluntarily defer compensation on a pre-tax basis. Additionally, the Company will make bonus contributions to the 2006 Plan on behalf of our affiliated dentists based on predetermined performance goals. These bonus contributions vest and will be recorded as compensation expense by the Company starting with the period earned through the end of the service period, typically 3 to 4 years. The Company intends to make its first bonus contribution in December 2007.
A rabbi trust is the funding vehicle that is used to hold the deferred compensation amounts that are invested in mutual funds within the trust. Accounting for the 2006 Plan is in accordance with Emerging Issues Task Force (EITF) 97-14 “Accounting for Deferred Compensation Arrangements Where Amounts Earned are Held in a Rabbi Trust and Invested”. The rabbi trust assets held in mutual fund securities are deemed to be “available for sale” with unrealized gains and losses excluded from earnings and reported in a separate component of shareholders’ equity according to SFAS 115 and SFAS 158 “Employers’ Accounting for Defined Benefit Pension and Other Postretirement Plans, an amendment of FASB Statements No. 87, 88 106 and 132R”.
Self-insurance
The Company utilizes high deductible insurance programs for workers’ compensation, professional liability, and substantially all of the employee medical benefit plans. The Company has utilized the medical benefit plan since 2003 and the workers’ compensation and professional liability began in January 2005 and November 2005, respectively. Under these plans, the Company assumed first dollar coverage responsibility and limits its exposure through the use of individual and aggregate stop-loss agreements.
The Company records an estimated liability for self-insured deductibles and claims incurred but not paid based on management’s estimates of the aggregate liability for uninsured claims using actuarial assumptions and historical loss patterns. The reserve for the workers’ compensation and professional liability is recorded in other current liabilities on the balance sheet. The reserve for the employee medical plans is recorded in accrued payroll and related costs. The amounts reserved for claims incurred but not paid are as follows (dollars in thousands):
| | September 30, 2006 | | December 31, 2005 | |
| | (unaudited) | | | |
Workers’ compensation | | $ | 785 | | $ | 441 | |
Professional liability | | 185 | | — | |
Employee medical | | 675 | | 575 | |
Total self-insurance reserve | | $ | 1,645 | | $ | 1,016 | |
Although management believes it has the ability to adequately estimate losses related to claims, it is possible that actual results could differ from recorded self-insurance liabilities.
Use of estimates
The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect reported amounts of assets and liabilities, revenues and expenses and related disclosures of contingent assets and liabilities in the consolidated financial statements and accompanying notes. There is a possibility that actual results may vary significantly from those estimates.
6
Accounting pronouncements
In May 2005, the Financial Accounting Standards Board, or FASB, issued SFAS No. 154, “Accounting Changes and Error Corrections—A Replacement of APB Opinion No. 20 and FASB Statement No. 3” or SFAS 154. SFAS 154 requires that a voluntary change in accounting principle be applied retrospectively with all prior period financial statements presented on the new accounting principle, unless it is impracticable to do so. SFAS 154 also provides that (1) a change in method of depreciating or amortizing a long-lived nonfinancial asset be accounted for as a change in estimate (prospectively) that was affected by a change in accounting principle, and (2) correction of errors in previously issued financial statements shall be termed a “restatement.” SFAS 154 is effective for accounting changes and corrections of errors made in fiscal years beginning after December 15, 2005. The implementation of SFAS 154, effective January 1, 2006 did not have a material impact on the Company’s consolidated financial statements.
On November 10, 2005, FASB issued FASB Staff Position (FSP) No. FAS 123R-3, “Transition Election Related to Accounting for the Tax Effects of Share-Based Payment Awards”. This FSP allows companies using either the modified retrospective or modified prospective application to make a one-time election to adopt the transition method described in the FSP and also allowed companies to take up to one year from the later of its initial adoption of Statement 123R or the effective date of this FSP to evaluate its available transition alternatives and make its one-time election. We are currently evaluating the available transition alternatives and have not yet made a determination of which method we will be using.
In March 2006, the FASB issued EITF No. 06-03, “How Taxes Collected from Customers and Remitted to Governmental Authorities Should Be Presented in the Income Statement (that is, Gross versus Net Presentation)” which requires a reevaluation of existing policies as to gross versus net reporting of taxes and the subsequent disclosure of taxes reported on a gross basis, of significant taxes. The disclosure requirements are effective for interim and annual reporting periods beginning after December 15, 2006. We are in the process of reevaluating existing policies and have not made a decision regarding presentation and disclosure of these taxes in the financial statements in accordance with SFAS 154.
In June 2006, the FASB issued FASB Interpretation No. 48 (“FIN 48”), “Accounting for Uncertainty in Income Taxes—an interpretation of FASB Statement No. 109,” to clarify the accounting for uncertainty in income taxes recognized in the financial statements in accordance with FASB Statement No. 109, “Accounting for Income Taxes”. This Interpretation prescribes a recognition threshold and measurement criteria for the recognition and measurement of a tax position taken or expected to be taken in a tax return. FIN 48 also provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. FIN 48 is effective for years beginning after December 15, 2006. We are currently evaluating the effect that the adoption of FIN 48 will have on our consolidated results of operations and financial condition but do not expect this Interpretation to have a material impact.
In September 2006, the FASB issued SFAS No. 157, “Fair Value Measurements” which clarified the definition of fair value and the methods used to measure fair value, and expanded disclosures about fair value measurements. SFAS is effective for financial statements issued for fiscal years beginning after November 15, 2007, and interim periods within those fiscal years. We do not anticipate any adjustments to the fair value recorded in the financial statements; we forsee that implementation of this SFAS will only expand the existing disclosure of fair value measurements.
In September 2006, the FASB issued SFAS No. 158 requiring employers without publicly traded equity securities to initially apply the requirement to recognize the funded status of the benefit plan and the disclosure requirements as of the end of the fiscal year ending after June 15, 2007. We have elected to early adopt this Statement and the financial statements and disclosures currently reflect the requirements of this statement.
On September 13, 2006, the SEC issued Staff Accounting Bulletin “SAB” No. 108 on “Consideration of the Effects of Prior Year Misstatements in Quantifying Current Year Misstatements for the Purpose of a Materiality Assessment”. This SAB requires registrants to quantify the impact of correcting all misstatements, including both the carryover and reversing effects of prior year misstatements, on the current year financial statements using both the rollover and the iron curtain approach. This SAB is effective for financial statements for fiscal years ending on or after November 15, 2006. We have elected to early adopt this SAB. We have evaluated the impact of the prior year errors under both approaches and no adjustment to the prior year financial statements was deemed necessary as the adjustments under both approaches were considered to be immaterial. Accordingly, this 10-Q does not reflect any amendment of the prior year financial statements and no one-time transitional cumulative effect adjustment has been made to the financial statements.
7
In October 2006, the SEC issued its final rule on “Executive Compensation and Related Person Disclosure”, requiring disclosure of compensation earned by a company’s principal executive officer, principal financial officer and highest paid executive officers and members of its board of directors. This ruling is effective for triggering events that occur on or after November 7, 2006 for Forms 8-K and for fiscal years ending on or after December 15, 2006 for Forms 10-K. We are currently evaluating the disclosure requirements of this ruling.
4. Related Party Transactions
In April 2005, our board of directors authorized the payment of an annual management fee in the amount of $0.25 million to our majority shareholder for certain services to be provided to us for the year and $0.25 million in annual director fees. This agreement is in effect until either party terminates the agreement.
5. Stock-Based Compensation
On April 28, 2005, the Company adopted the InterDent, Inc. Amended and Restated 2003 Stock Option Plan (2003 Stock Option Plan) under which the Company’s Board of Directors (Board) may issue incentive and non-qualified stock options to purchase up to 33,726 shares of the Company’s Class C Common Stock. Stock options issued under the 2003 Stock Option Plan are generally granted with an exercise price equal to the market price of our stock at the date of grant and shall be exercisable up to ten years from the grant date as determined by the Board. Options granted under the 2003 Stock Option Plan typically vest over a 4 year period. The following table summarizes stock option activity as of December 31, 2005 and changes during the nine months ended September 30, 2006.
| | Number of Shares | | Weighted Average Exercise Price | | Weighted Average Remaining Contractual Term (in years) | | Aggregate Intrinsic Value (in thousands) | |
Outstanding at December 31, 2005 | | 33,387 | | $ | 157.76 | | — | | — | |
Granted | | 811 | | 175.52 | | — | | — | |
Exercised | | — | | — | | — | | — | |
Forfeited | | (472 | ) | 153.69 | | — | | — | |
Cancelled | | — | | — | | — | | — | |
Outstanding at September 30, 2006 | | 33,726 | | $ | 157.63 | | 3.4 | | $ | 589 | |
Exercisable at September 30, 2006 | | 22,952 | | $ | 155.56 | | 2.9 | | $ | 458 | |
Under the modified prospective transition method prescribed by SFAS 123R, the Company is required to record compensation expense for all awards granted after the date of adoption. The Company measured stock based compensation using the Black-Scholes option pricing model. The following ranges of assumptions were used to compute employee stock based compensation under SFAS 123R:
Risk free interest rate | | 4.9 | % |
Expected volatility | | 49.0 | % |
Expected dividend yield | | 0 | % |
Expected life (in years) | | 3 | |
Forfeiture rate | | 10 | % |
Weighted average fair value at date of grant | | $ | 66.39 | |
| | | | |
Expected volatility is based upon an appropriate peer group within the Company’s industry sector. The expected life of the awards represents the period of time that management estimates that options granted will be outstanding.
The Company used historical information to estimate forfeitures within the valuation model. The risk-free interest rate for periods within the expected life of the option is based on implied yields on U.S. Government Issues in effect at the time of grant. Compensation cost is recognized over the vesting period using a graded vesting schedule and net of estimated forfeitures.
The Company recognized in the statement of operations $6,000 of stock based compensation under the fair value method in the three and nine months ended September 30, 2006. Stock based compensation under the intrinsic method was $7,000 for the three months ended September 30, 2005 and 2006, and $21,000 for the nine months ended September 30, 2005 and 2006. As of September 30, 2006, there was approximately $36,000 of total employee unrecognized compensation costs related to non-vested stock-based compensation awards granted under the Plan. That cost is expected to be recognized over a weighted average period of approximately 4 years.
8
6. Contingencies
Senior secured revolving credit facility
As of September 30, 2006, our borrowing base was $10.0 million; the amount available has been reduced by $1.6 million for a letter of credit issued to satisfy the requirements of our workers compensation policy. At September 30, 2006, there were no borrowings outstanding and $8.4 million remained available under the Senior Secured Revolving Credit Facility. This facility expires December 2009 and is secured by substantially all of our assets. The negative covenants include, among other items, limits on additional indebtedness, liens, distributions, certain investments and transactions and certain financial covenants to limit capital expenditures and require minimum earnings before interest, taxes, depreciation, and amortization (EBITDA). We were in compliance with these covenants as of September 30, 2006.
Legal
We have been named as a defendant in various lawsuits in the normal course of business, primarily for malpractice claims. We, our affiliated dental practices and associated dentists are insured with respect to dentistry malpractice risks on a claims-made basis. Management believes all of these pending lawsuits, claims, and proceedings against us are without merit or will not have a material adverse effect on our consolidated operating results, liquidity or financial position, or cash flows.
In March 2006 the California Attorney General’s Bureau of Medical Fraud and Elderly Abuse initiated an investigation following our self reporting to Denti-Cal of billing errors we had discovered at one of our affiliated dental practices. We continue to cooperate in the investigation; no material developments occurred during the past quarter.
9
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.
FORWARD LOOKING STATEMENTS
This document includes forward looking statements. Forward looking statements are those that do not relate solely to historical fact. They include, but are not limited to, any statements that may predict, forecast, indicate or imply future results, performance, achievements or events. They may contain words such as “believe,” “anticipate,” “expect,” “estimate,” “intend,” “project,” “plan,” “will,” or words or phrases of similar meaning. They may relate to, among other things, our strengths, strategy, growth plans, operations, revenue, earnings, expenses, financing, sources of liquidity and capital requirements.
Forward looking statements involve risks and uncertainties, including, but not limited to, economic, competitive and governmental factors outside of our control, that may cause actual results to differ materially from trends, plans or expectations set forth in the forward looking statements. Certain factors that might cause such a difference include, among other things, dependence upon our affiliated dental practices and the dental professionals who generate our revenue; access to and cost of capital due to our high leverage ratio; cost containment efforts by third party payors and capitation arrangements; our growth strategy and the terms of our service agreements with affiliated dental practices may reduce the cash we have available for operations and funds available to meet our obligations; the geographic concentration of our operations increases the risk that our operating results will suffer from adverse developments in our principal markets; government regulation of the dental industry and regulatory challenges to our business model; professional liability and other claims that may be made against our affiliated dental practices; our operations and growth plans may be adversely affected by a highly competitive environment; and the interest of the entities affiliated with our majority shareholder may conflict or differ from your interests. For further information about risks which may effect our future operating results, please see the Risk Factors set forth in Item 1A of Part II below. New risks and uncertainties may emerge in the future. It is not possible for us to predict all of these risks or uncertainties, nor can we assess the extent to which any factor, or combination of factors, may cause actual results to differ from those contained in forward looking statements. Given these risks and uncertainties, we urge you to read this document completely with the understanding that actual future results may be materially different from what is expressly stated or implicit in any forward looking statement.
OVERVIEW
We provide practice management services to 128 affiliated multi-specialty group dental practices in the United States. Our network of affiliated dental practices is comprised of approximately 1,250 operatories throughout eight states.
We believe long term growth of the dental care industry in the United States is fueled by, among other things, increased availability of dental insurance, a growing population of older patients who have retained their teeth, and increased interest in cosmetic dentistry. However, certain dental procedures are considered elective or can be deferred and our revenue growth in the short term is subject to fluctuation based on trends in consumer confidence and the effects that will have on patients’ disposable income.
Our strategy to grow our business consists of two initiatives. We seek to drive revenue in our existing affiliated offices through the delivery of consistently good patient service, marketing to attract new patients, improving the physical appearance and infrastructure of offices, and moving our affiliated practices to higher reimbursement plans where appropriate. Additionally, our new office growth strategy seeks to enhance market penetration in existing markets as a primary driver of overall revenue growth.
Our results from 2006 reflect improvement in our revenue and cost of revenue attributed to the stability and productivity of our affiliated dentists, the impact of our growth initiatives and significant efforts to reduce the costs of operations. This improvement is offset by increases in corporate selling, general and administrative expenses related to initiatives in information technology and depreciation expense generated from our increase in capital expenditures in recent years.
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RESULTS OF OPERATIONS FOR THE QUARTERS
ENDED SEPTEMBER 30, 2006 AND 2005
The following table sets forth the consolidated Statement of Operations for the three and nine months ended September 30, 2006 and 2005 and should be used in connection with the narrative of our operations that follows the tables (in thousands):
| | Three Months ended September 30, 2006 | | Three Months ended September 30, 2005 | | Favorable (Unfavorable) | |
| | Amount | | % of Total Revenue | | Amount | | % of Total Revenue | | % Change | |
Total revenues | | $ | 52,594 | | 100.0 | % | $ | 52,169 | | 100.0 | % | 0.8 | % |
| | | | | | | | | | | |
Cost of revenues | | 46,752 | | 88.9 | | 46,785 | | 89.7 | | 0.1 | |
Corporate selling, general and administrative expenses | | 2,503 | | 4.8 | | 2,192 | | 4.2 | | (14.2 | ) |
Depreciation and amortization | | 1,414 | | 2.7 | | 1,346 | | 2.6 | | (5.1 | ) |
Total operating expenses | | 50,669 | | 96.3 | | 50,323 | | 96.5 | | (0.7 | ) |
Operating income | | 1,925 | | 3.7 | | 1,846 | | 3.5 | | 4.3 | |
Other non-operating expense, net | | 42 | | 0.1 | | 30 | | 0.1 | | (40.0 | ) |
Interest expense, net | | 2,575 | | 4.9 | | 2,586 | | 5.0 | | 0.4 | |
Net loss before income tax benefit | | (692 | ) | (1.3 | ) | (770 | ) | (1.5 | ) | 10.1 | |
Income tax benefit | | (204 | ) | (0.4 | ) | (367 | ) | (0.7 | ) | (44.4 | ) |
Net loss | | $ | (488 | ) | (0.9 | )% | $ | (403 | ) | (0.8 | )% | (21.1 | )% |
| | Nine Months ended September 30, 2006 | | Nine Months ended September 30, 2005 | | Favorable | |
| | Amount | | % of Total Revenue | | Amount | | % of Total Revenue | | (Unfavorable) % Change | |
Total revenues | | $ | 163,151 | | 100.0 | % | $ | 160,141 | | 100.0 | % | 1.9 | % |
| | | | | | | | | | | |
Cost of revenues | | 142,420 | | 87.3 | | 140,951 | | 88.0 | | (1.0 | ) |
Corporate selling, general and administrative expenses | | 8,565 | | 5.3 | | 7,333 | | 4.6 | | (16.8 | ) |
Depreciation and amortization | | 4,239 | | 2.6 | | 3,925 | | 2.5 | | (8.0 | ) |
Total operating expenses | | 155,224 | | 95.1 | | 152,209 | | 95.0 | | (2.0 | ) |
Operating income | | 7,927 | | 4.9 | | 7,932 | | 5.0 | | (0.1 | ) |
Other non-operating expense (income), net | | 363 | | 0.2 | | (103 | ) | (0.1 | ) | (452.4 | ) |
Interest expense, net | | 7,686 | | 4.7 | | 7,630 | | 4.8 | | (0.7 | ) |
Net (loss) income before provision for income taxes | | (122 | ) | (0.1 | ) | 405 | | 0.3 | | (130.1 | ) |
Provision for income taxes | | 153 | | 0.1 | | 193 | | 0.1 | | 20.7 | |
Net (loss) income | | $ | (275 | ) | (0.2 | )% | $ | 212 | | 0.1 | % | (229.7 | )% |
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Revenues
For the three and nine month periods ended September 30, 2006, we posted net revenue gains of $0.4 million and $3.0 million, respectively from the same periods last year. The increase in our overall revenue is driven primarily by improved productivity and stability of our affiliated providers and new office growth. We opened 4 new offices, closed 2 existing offices, and relocated two offices in the twelve months ending September 30, 2006.
Our net revenue from offices open for at least one year, or same-office revenue, increased by 1.5% to $155.3 million over the same year to date period last year. The increase in same office revenue is the result of improved productivity and stability of our affiliated providers.
Costs and expenses
Cost of revenues. Cost of revenues consists of costs directly associated with activities of operating and managing the practice facility locations, including regional support departments. The components of cost of revenues are largely variable or semi-variable costs and include clinical and non-clinical salaries and benefits, dental supplies and lab expenses, occupancy, practice selling, general and administrative expenses, and provision for doubtful accounts.
Although our overall cost of revenues increased on a year to date basis, cost of revenues decreased as a percentage of net revenues for the same three and nine month periods last year. The overall cost increases are attributed to net gains in offices open for the same period last year while the primary drivers of the percentage decreases for the three and nine months are as follows:
· Decrease as a percentage of revenue in non clinical salaries and related benefits of 1.0% and 0.7% for the three and nine months, respectively, as we focused on properly staffing offices for the level of business. This decrease was primarily due to a reduction in back office head count. Additional gains were noted through the process of rotating office managers and front office staff between offices to ensure optimum effectiveness of existing personnel.
· Practice selling, general and administrative expenses as a percentage of revenue decreased 0.6% and 0.8% for the three and nine months, respectively resulting from lower marketing expenditures in 2006 as compared to a planned incremental increase in 2005 designed to build brand equity in our newly rebranded practices and to generate new patient growth. We expect to continue this incrementally lower expenditure for marketing for the remainder of 2006.
· The decreases are offset by a 0.3% and 0.4% increase as a percentage of revenue in clinical salaries and benefits and an increase of 0.4% and 0.4% as a percentage of revenue in occupancy costs for the three and nine months, respectively. The increase in clinical salaries and benefits as a percentage of revenue is due to the guaranteed minimum compensation to new affiliated doctors during their initial ramp up period, combined with the typically lower productivity of these new doctors. The PCs customarily provide new dentists with guaranteed minimum compensation for a period of three to six months while they establish their practice. At the end of this period, the affiliated dentists shift to a variable commission model. The guarantees are a residual effect of the increase in doctor turnover that we experienced in late 2005. Our affiliated PCs are also incurring additional clinical costs when they use contract doctors in areas where they are encountering difficulty in recruiting permanent doctors.
The increases in occupancy costs are related to opening new offices and the overall increases in rent, common area maintenance costs, and utilities for existing offices.
Corporate selling, general and administrative expenses. Corporate selling, general and administrative expenses include: corporate salaries, general office costs, investor relations expense, legal and audit fees, general insurance, director and officer liability insurance and other miscellaneous costs at our corporate facilities.
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For the three and nine months ended September 30, 2006 our corporate selling, general and administrative costs increased $0.3 million and $1.2 million, respectively from the same periods last year. This increase is attributed to:
· Additional compensation costs related to an increase in our bonus liability. We also shifted certain support related activities and related headcount from operations to corporate. Such responsibilities primarily include information technology (IT) and chief clinical roles.
· Higher professional services related to continuing IT initiatives and audit costs resulting from a stub period audit in the prior year and a full year audit incurred in 2006.
Depreciation and amortization. Depreciation expense is attributed to depreciation of dental equipment, furniture, fixtures and computer equipment and amortization of leasehold improvements and identifiable intangibles. Depreciation and amortization expense was slightly up for the three and nine months ended September 30, 2006 compared to the same periods last year due to the incremental depreciation and amortization for new equipment and new office expansion.
We expect to continue to incur capital expenditures, primarily as part of our new office expansion program and the on-going remodel or relocation of offices. Because of this, depreciation and amortization expense may increase as a percentage of revenue in future periods depending on the timing and amount of the capital expenditure.
Non-operating expenses
Interest expense. Net interest expense in both periods is a result of $80.0 million in principal of our Senior Secured Notes due 2011, or the Notes, and amortization of deferred financing costs associated with the Notes. Our obligations under the Notes will result in substantial interest expense in future periods. The Notes bear interest at 10 ¾% per year, payable semiannually on June 15 and December 15 of each year. Interest expense also consists of interest on our revolving credit facility, the letter of credit and unused credit line facility.
Other non-operating (income) expense. The increase in other non-operating (income) expense is due to the following transactions: In 2006, we incurred charges for disposal of certain assets relating to prior year office relocation and in 2005 we recovered monies from our insurance carrier relating to a prior year loss.
Income taxes
Provision for income taxes. Our effective tax rate was approximately (29.5%) and 47.7% for the three months ended September 30, 2006 and 2005, respectively and (125.4%) and 47.7% for the nine months ended September 30, 2006 and 2005, respectively. The 2006 income tax provision consists of state minimum taxes and benefits realized from utilizing pre-reorganization deferred taxes. The change in the effective tax rate is due to the payment of certain non-deductible expenses and accrued interest on the mandatorily redeemable preferred stock, which result in permanent differences.
LIQUIDITY AND CAPITAL RESOURCES
Historically, we have financed our operating and capital needs through cash generated by operations and borrowings. Our primary sources of liquidity for the near future will be cash flow from our operations and availability under our $10 million senior secured revolving credit facility. Advances under this facility are limited to the lesser of (i) $10 million or (ii) a borrowing base formula calculated at 0.75 times our trailing 12 month earnings before interest, taxes, depreciation and amortization, or EBITDA, as defined in the agreement. In addition, we are required to maintain a monthly minimum EBITDA, as measured on a trailing 12 month basis, of at least $12 million. We had trailing 12 month EBITDA of $15.0 million as of September 30, 2006 and December 31, 2005, respectively.
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As of September 30, 2006, our borrowing base was $10.0 million and the amount available under our revolving credit facility was $8.4 million. The $1.6 million reduction on the amount available under our revolving credit facility resulted from the issuance on our behalf of a letter of credit in conjunction with our self insured workers’ compensation programs.
Our primary cash requirements include general operating expenses, debt service requirements and capital expenditures. Our Senior Secured Notes are interest only, payable semi-annually in the amount of approximately $4.3 million, or approximately $8.6 million over a 12 month period. We currently anticipate funding interest payments from cash generated by our operations, supplemented as necessary with borrowings under our revolving credit facility. Dividends on the mandatorily redeemable preferred stock accrue annually, and are payable monthly. We are permitted to pay required dividends either in cash (if permitted by other applicable debt covenants) or “in kind” through the issuance of additional shares of the preferred stock. We currently intend to settle the dividends on the preferred stock through additional shares of Class C Preferred Stock.
Under our new office growth strategy we currently plan to open approximately 10 - 15 new dental offices in leased facilities each year, depending upon our liquidity and our ability to identify opportunities that meet our expectations. We expect to fund most of these offices using our cash flow from operations. We may also from time to time consider acquisitions of dental practices, although we have no current plans for any acquisitions.
We believe that our current sources of liquidity will be sufficient to meet our requirements in 2006. However, an unexpected decline in cash flow from operations or in our EBITDA could materially impair our liquidity. In such event, we may not be able to access our revolving credit facility and we may be unable to generate sufficient free cash flow to meet all of our operating requirements. Moreover, the indenture governing our notes and the terms of our senior secured revolving credit facility limit our ability to incur additional indebtedness. As a result, in the event of a material decline in our operating performance, we may encounter substantial difficulty in securing additional sources of liquidity.
Our cash flow sources and uses by operating, investing and financing activities are shown below (in thousands):
| | Nine Months Ended September 30, | |
| | 2006 | | 2005 | |
Net cash provided by operations | | $ | 6,862 | | $ | 7,743 | |
Net cash used in investing activities | | $ | (4,896 | ) | $ | (6,897 | ) |
Net cash (used in) provided by financing activities | | $ | (1,445 | ) | $ | 721 | |
Cash flow from operations. The decrease in cash flow from operations from the same period last year is due to a decrease in net income coupled with a decrease in accounts payable.
Cash flow used in investing activities. Our spending on property and equipment during the first nine months of 2006 decreased $3.0 million from the same period in the prior year. We opened one new office in the nine months ended September 30, 2006 versus opening 4 new offices in the same period prior year. We expect to continue to incur significant capital expenditures, primarily as part of our new office growth strategy and the on-going remodel or relocation of offices. We also invested $0.9 million in marketable securities in conjunction with our deferred compensation program which began in January 2006.
Cash flow from financing activities. The significant decrease in financing activities is due to paying down the outstanding balance on our revolving line of credit and capital leases. Our subordinated seller debt was paid off in 2005. We will pay the remaining balance on the capital lease obligation of $0.3 million as scheduled through March 2009.
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CRITICAL ACCOUNTING POLICIES AND ESTIMATES
Our discussion and analysis of our financial condition and results of operations are based upon our consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States. The preparation of these financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities.
We believe that the estimates, assumptions and judgments involved in the accounting policies described in the “Management’s Discussion and Analysis of Financial Condition and Results of Operations” section of our most recent Annual Report on Form 10-K have the greatest potential impact on our financial statements, so we consider these to be our critical accounting policies. Because of the uncertainty inherent in these matters, actual results could differ from the estimates we use in applying the critical accounting policies. Certain of these critical accounting policies affect working capital account balances, including the policies for revenue recognition, the reserve for uncollectible accounts receivable and inventory balances. These policies require that we make estimates in the preparation of our financial statements as of a given date.
Within the context of these critical accounting policies, we are not currently aware of any reasonably likely events or circumstances that would result in materially different amounts being reported.
Recently Adopted Accounting Pronouncements
In May 2005, the FASB issued SFAS No. 154, “Accounting Changes and Error Corrections—A Replacement of APB Opinion No. 20 and FASB Statement No. 3” or SFAS 154. SFAS 154 requires that a voluntary change in accounting principle be applied retrospectively with all prior period financial statements presented on the new accounting principle, unless it is impracticable to do so. SFAS 154 also provides that (1) a change in method of depreciating or amortizing a long-lived nonfinancial asset be accounted for as a change in estimate (prospectively) that was affected by a change in accounting principle, and (2) correction of errors in previously issued financial statements shall be termed a “restatement.” SFAS 154 is effective for accounting changes and corrections of errors made in fiscal years beginning after December 15, 2005. The implementation of SFAS 154, effective January 1, 2006 did not have a material impact on the Company’s consolidated financial statements.
In September 2006, the FASB issued SFAS No. 158 requiring employers without publicly traded equity securities to initially apply the requirement to recognize the funded status of the benefit plan and the disclosure requirements as of the end of the fiscal year ending after June 15, 2007. We have elected to early adopt this Statement and the financial statements and disclosures currently reflect the requirements of this statement.
On September 13, 2006, the SEC issued Staff Accounting Bulletin “SAB” No. 108 on “Consideration of the Effects of Prior Year Misstatements in Quantifying Current Year Misstatements for the Purpose of a Materiality Assessment”. This SAB requires registrants to quantify the impact of correcting all misstatements, including both the carryover and reversing effects of prior year misstatements, on the current year financial statements using both the rollover and the iron curtain approach. This SAB is effective for financial statements for fiscal years ending on or after November 15, 2006. We have elected to early adopt this SAB. We have evaluated the impact of the prior year errors under both approaches and no adjustment to the prior year financial statements was deemed necessary ad he adjustments under both approaches were considered to be immaterial. Accordingly this 10-Q does not reflect any amendment of the prior year financial statements and no one-time transitional cumulative effect adjustment has been made to the financial statements.
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Accounting Standards Not Yet Adopted by the Company
On November 10, 2005, FASB issued FASB Staff Position (FSP) No. FAS 123R-3, “Transition Election Related to Accounting for the Tax Effects of Share-Based Payment Awards”. This FSP allows companies using either the modified retrospective or modified prospective application to make a one-time election to adopt the transition method described in the FSP and also allowed companies to take up to one year from the later of its initial adoption of Statement 123R or the effective date of this FSP to evaluate its available transition alternatives and make its one-time election. We are currently evaluating the available transition alternatives and have not yet made a determination of which method we will be using.
In March 2006, the FASB issued EITF No. 06-03, “How Taxes Collected from Customers and Remitted to Governmental Authorities Should Be Presented in the Income Statement (that is, Gross versus Net Presentation)” which requires a reevaluation of existing policies as to gross versus net reporting of taxes and the subsequent disclosure of taxes reported on a gross basis, of significant taxes. The disclosure requirements are effective for interim and annual reporting periods beginning after December 15, 2006. We are in the process of reevaluating existing policies and have not made a decision regarding presentation and disclosure of these taxes in the financial statements in accordance with SFAS 154.
In June 2006, the FASB issued FASB Interpretation No. 48 (“FIN 48”), “Accounting for Uncertainty in Income Taxes—an interpretation of FASB Statement No. 109,” to clarify the accounting for uncertainty in income taxes recognized in the financial statements in accordance with FASB Statement No. 109, “Accounting for Income Taxes”. This Interpretation prescribes a recognition threshold and measurement criteria for the recognition and measurement of a tax position taken or expected to be taken in a tax return. FIN 48 also provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. FIN 48 is effective for years beginning after December 15, 2006. We are currently evaluating the effect that the adoption of FIN 48 will have on our consolidated results of operations and financial condition but do not expect this Interpretation to have a material impact.
In September 2006, the FASB issued SFAS No. 157, “Fair Value Measurements” which clarified the definition of fair value and the methods used to measure fair value, and expanded disclosures about fair value measurements. SFAS is effective for financial statements issued for fiscal years beginning after November 15, 2007, and interim periods within those fiscal years. We do not anticipate any adjustments to the fair value recorded in the financial statements; we forsee that implementation of this SFAS will only expand the existing disclosure of fair value measurements.
In October 2006, the SEC issued its final rule on “Executive Compensation and Related Person Disclosure”, requiring disclosure of compensation earned by a company’s principal executive officer, principal financial officer and highest paid executive officers and members of its board of directors. This ruling is effective for triggering events that occur on or after November 7, 2006 for Forms 8-K and for fiscal years ending on or after December 15, 2006 for Forms 10-K. We are currently evaluating the disclosure requirements of this ruling.
Item 3. Quantitative and Qualitative Disclosures About Market Risk.
In the ordinary course of business, we are exposed to interest rate risk. For fixed rate debt, interest rate changes affect the fair value but do not impact earnings or cash flow. Conversely, for floating rate debt, interest rate changes generally do not affect the fair market value but do impact future earnings and cash flow. We do not believe a one percentage point change in interest rates would have a material impact on the fair market value of our fixed rate debt.
Our interest expense is sensitive to changes in the general level of interest rates as our senior secured revolving credit facility has interest rates based upon LIBOR or the prime rate plus the banks’ applicable margins of 1.0% to 3.25%, respectively. At September 30, 2006, there were no outstanding borrowings under this facility. The annual pre-tax earnings and cash flow impact for a one percentage point change in interest rates would not be significant to our operations. The hypothetical change used in this analysis may be different from what actually occurs in the future. We do not presently undertake any specific actions to cover our exposure to interest rate risk and we are not party to any interest rate risk management transactions.
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Item 4. Controls and Procedures
Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) under the Securities Exchange Act of 1934) as of the end of the period covered by this report. Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, also conducted an evaluation of our internal control over financial reporting to determine whether any changes occurred during the first nine months of fiscal 2006 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting. Based upon these evaluations, and solely because of the material weakness in internal control over financial reporting discussed below, the Chief Executive Officer and Chief Financial Officer have concluded that our disclosure controls and procedures were not effective in providing reasonable assurance that information required to be disclosed in the reports we file or submit under the Exchange Act is recorded, processed, summarized and reported as and when required and that such information is accumulated and communicated to management, including the Chief Executive Officer and Chief Financial Officer, in a manner that allows timely decisions regarding required disclosure. However, we believe that the accompanying consolidated financial statements fairly present in all material respects our financial position and results of operations presented in this Form 10-Q.
A material weakness is a control deficiency, or combination of control deficiencies, that results in more than a remote likelihood that a material misstatement of the annual or interim financial statements will not be prevented or detected. While no material misstatement or adjustment was noted, management concluded that we did not maintain effective controls to mitigate the likelihood to less than remote that a material misstatement in our patient service revenue and related accounts receivable process would be prevented or detected, including the estimation and establishment of allowances for bad debts and fee rate change adjustments. Management’s conclusion was based on the effect of limitations of our industry standard dental practice management software on the estimation of our allowances and our need to strengthen the preventative controls surrounding our billing process.
In order to proactively address the material weakness noted above, in mid 2005, we began preparations to implement a new dental practice management system and are in the process of implementing this system and designing new controls and processes in conjunction with our preparations to be compliant with Section 404 of the Sarbanes Oxley Act by December 31, 2007.
There were no changes in the internal control over financial reporting that occurred during the period covered by this report that materially affected, or that are reasonably likely to materially affect, internal control over financial reporting.
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PART II – OTHER INFORMATION
Item 1. Legal Proceedings
We have been named as a defendant in various lawsuits in the normal course of business, primarily for malpractice claims. We, our affiliated dental practices and associated dentists’ are insured with respect to dentistry malpractice risks on a claims-made basis. Management believes all of these pending lawsuits, claims, and proceedings against us are without merit or will not have a material adverse effect on our consolidated operating results, liquidity or financial position, or cash flows.
As previously reported, the California Attorney General’s Bureau of Medical Fraud and Elderly Abuse initiated an investigation following our self reporting to Denti-Cal of billing errors we had discovered at one of our affiliated dental practices. We continue to cooperate in the investigation; no material developments occurred during the past quarter.
Item 1A. Risk Factors
Our ability to manage our business is limited by our lack of control over the dental professionals who generate our revenues.
We provide a number of services designed to enhance the productivity of affiliated dental practices. Our revenues depend upon the success of those dental practices. The success of any dental practice will, to a large extent, depend upon the efforts of the dentists and their professional skills and reputation. We do not employ the dentists nor do we control their clinical practices. While we seek to affiliate with dedicated, well-qualified dentists, we cannot control their delivery of patient care. Our lack of control over all clinical aspects of the delivery of dental services by our affiliated dental practices makes it more difficult for us to improve our performance. As a result, a key determinant of our success is beyond our control to effectively manage.
Our revenue may be adversely affected by third party payor cost containment efforts and capitation arrangements.
A portion of the payments for dental care that is received by our affiliated dental practices is paid or reimbursed under insurance programs, or by third party payors. We are responsible for negotiating the terms of these third party payor arrangements. Third party payors are continually negotiating the fees charged for dental care, with a goal of containing reimbursement and utilization rates. In recent years, we have been able to increase some reimbursement rates. However, we believe that pressure by third party payors to reduce fees and reimbursement rates will continue and will increasingly affect the provision of dental services. This may result in a reduction in per-patient and per-procedure revenue from current levels. Loss of revenue by our affiliated dental practices caused by third party payor cost containment efforts could have a material adverse effect on our business, financial condition and results of operations.
Additionally, some third-party payor contracts are capitated arrangements. Approximately 23% of our revenue was derived from capitated arrangements for the nine months ended September 30, 2006. Under those contracts, the affiliated dental practice receives a capitated payment, calculated on a monthly per-member basis, to provide care to the covered enrollees and generally receives a co-payment from the patient at the time care is provided. These payment methods shift a portion of the risk of providing care from the third party payors to the affiliated dental practices. To the extent that patients covered by these contracts require more frequent or extensive care than is anticipated, there may be a shortfall between the capitated payments received by the affiliated dental practices and the costs to provide the contracted services. These shortfalls may result in our affiliated dental practices being unable to reimburse us for expenses and contribute to our service fees.
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The terms of our service agreements with affiliated dental practices may result in losses which cannot be recovered, thereby reducing our cash flow from operations and the funds we have available to meet our obligations.
Substantially all of our operating revenue is derived from our service agreements with affiliated dental practices. Under these agreements, we assume responsibility for operating expenses of the dental practice, such as salaries and benefits for non-dentist personnel, dental supplies, lab fees, office occupancy costs and marketing expenses. The dental practice is contractually obligated to reimburse us for such expenses and pay us a fee equal to a percentage of their revenue plus a bonus. However, a newly opened dental practice or an under-performing practice may not generate sufficient revenues to fully reimburse us for expenses advanced on behalf of the practice and may not have net revenues to contribute to our service fees. Therefore, we may incur expenses that will not be reimbursed equivalent to the amount of losses incurred by these practices.
The losses we incur as a result of an affiliated practice’s failure to pay our service fees and fully reimburse expenses advanced on its behalf may never be recovered. We have no effective recourse to obtain reimbursement for these losses. We also do not have any guaranties from our affiliated dental practices or affiliated dentists to cover such losses. To the extent that we are unable to collect the amounts due us under our service agreements, our revenues and cash flow may suffer, thereby reducing the funds we have available to pay interest and principal on the notes.
Our operating results may be adversely affected by professional liability or other claims against us or our affiliated dental practices.
Our affiliated dental practices could be exposed to the risk of professional liability and other claims. These claims, if successful, could result in substantial damages that could exceed the limits of any applicable insurance coverage. Our standard professional liability insurance coverage is $1 million per occurrence and $15 million in annual aggregate. Per the terms of the management agreement, we arrange for and pay the cost of the professional liability insurance for our affiliated practices. We also arrange for and pay the cost of the professional liability insurance for the dentists employed by our affiliated dental practices. It is possible that professional liability claims could be asserted against us as well as the affiliated dental practices. If such a claim is brought against an affiliated dental practice or dentist, the professional liability insurance premiums of that affiliated dental practice could materially increase. Also, fees payable to us from an affiliated dental practice could be adversely affected if damages payable by that practice exceed insurance coverage limits. While we attempt to cover both the affiliated practices as well as ourselves from all types of risks and liabilities, we may still be subject to claims that either exceed our coverage limitations or are not covered at all by insurance. In the future, insurance coverage may not be available upon terms satisfactory to us or the coverage may not be adequate to cover losses. In addition, we may be subject to other claims such as claims in which it is alleged that we have been negligent in performing our duties under management services agreements. A successful professional liability claim or any other claim against us or an affiliated dental practice could have a material adverse effect on our available cash.
Our growth strategy may reduce the cash we have available for operations.
Our growth strategy includes expansion through opening new affiliated dental offices as well as the expansion of existing affiliated dental practices. While the cost per new office will vary based on size and region, we estimate that the average office buildout will cost between $0.4 million and $0.6 million. The strategy is to fund these offices with cash flow from operations. Typically each buildout takes between 6 to 9 months. While we will seek to support theses new offices with staffing from existing offices, we still expect to incur losses of approximately $0.1 million during the first year of operations. We believe that the addition of these new offices will provide synergies such as giving us greater purchasing power as well as allowing us to spread fixed overhead across a larger revenue base. The emphasis on growing through opening new offices, however, is a new strategy; previously, our growth strategy emphasized the acquisition of existing practices. We do not have sufficient experience with our new growth strategy to evaluate its effectiveness.
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Opening new affiliated dental offices involves numerous risks, including potentially higher than expected buildout and construction costs, delays in completing the buildouts related to office site selection, permitting and construction difficulties, and the failure to recruit affiliated providers and other key personnel on a timely basis to staff these new offices. Identifying locations in suitable geographic markets and negotiating leases can be a lengthy and costly process. Furthermore, we will need to provide each new office with appropriate non-clinical staff, equipment, furnishings, materials and supplies. Additionally, new offices must be staffed with one or more dentists. Because a new office may be staffed with a dentist with no established patient base, significant advertising and marketing expenditures may be required to attract patients. Revenue for new offices may be less than expected or take longer than expected to reach acceptable levels, and operating costs may be higher than expected, resulting in our inability to operate these new offices profitably within expected timeframes.
The expenses involved in opening new offices and in supporting such offices until they become profitable will consume a significant portion of our cash flow. We believe that most new offices should become profitable within 9 to 15 months of opening. However, as this is a new competency we lack the experience to validate this.
We are highly leveraged, which may impair our ability to obtain additional financing to pursue growth opportunities.
We are highly leveraged which may constrain our ability to obtain additional financing to pursue growth opportunities. Prospective lenders and other providers of capital will consider the extent of our leverage in determining whether to make any funds available to us. Our current leverage ratios effectively limit our ability to obtain additional funding from third parties. We are therefore unlikely to be able to pursue in the near future business opportunities that we cannot finance out of our cash flow. Our current financial leverage effectively precludes us from pursuing significant acquisition opportunities or other opportunities that require a substantial cash payment. Our near term growth may suffer as a result, particularly in comparison with certain competitors who may be better positioned to obtain additional financing.
The geographic concentration of our operations increases the risk that our operating results will suffer from adverse developments in our principal markets.
We provide management services to 128 affiliated dental practices, and own and operate one dental laboratory. The following table illustrates the number of these dental offices we serve in each state on September 30, 2006.
| | Dental | |
State | | Offices | |
California | | 56 | |
Oregon | | 27 | |
Washington | | 13 | |
Nevada | | 10 | |
Arizona | | 10 | |
Hawaii | | 6 | |
Oklahoma | | 5 | |
Kansas | | 1 | |
| | 128 | |
The current geographic concentration of our operations in the western United States, and especially in California and Oregon, increases the risk to us of adverse economic or regulatory developments within these markets.
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In addition, our growth strategy includes focusing our growth within our existing markets. Our current concentration in these markets, as well as our strategy of focused expansion within our existing markets, increases the risk to us that adverse economic or regulatory developments in one or more of these markets may have a material adverse effect on our business, financial condition and operating results.
Our management arrangement with affiliated dental practices could be challenged by a state or dentist under laws regulating the practice of dentistry.
The laws of each state in which we operate contain restrictions on the practice of dentistry and control over the provision of dental services. In the states in which we operate, the statutes regarding the practice of dentistry include broad and vaguely stated restrictions on owning, managing, maintaining and/or operating an office where dental services are performed.
Our management agreements with each affiliated dental practice provide that the affiliated dental practice, and not us, retains responsibility for all activities that are within the scope of a dentist’s license and cannot be performed by a person who is not licensed to practice dentistry in that state. We do not have an ownership interest in any entity that provides dental services. The affiliated dental practices each retain full authority and control with respect to all dental, professional and ethical determinations over the practice.
We do not, and do not intend to, control the practice of dentistry by our affiliated dental practices or their compliance with the regulatory requirements directly applicable to dentists or the practice of dentistry. However, any challenge to our contractual relationships with our affiliated dental practices by dentists or regulatory authorities could result in a finding that could have a material adverse effect on our operations, such as voiding one or more long-term management agreements. Moreover, the laws and regulatory environment may change to restrict or limit the enforceability of our management service agreements. We could be prevented from affiliating with dental practices or providing comprehensive business services to dental practices in one or more states.
We are subject to health care and insurance regulations. Keeping abreast of and in compliance with these laws is costly; failure to comply could result in fines, penalties or exclusion from the Medicare or Medicaid Programs.
Our dental practice affiliates are subject to the Health Insurance Portability and Accountability Act of 1996, or HIPAA. HIPAA regulations include various requirements on privacy and security of patient records. Federal and state regulations, such as Medicare and Medicaid, also contain anti-kickback provisions and restrictions on referrals. Our dental practice affiliates also must comply with federal Occupation Safety and Health Administration Bloodborne Pathogens Standard, which requires them to institute training programs and procedures designed to eliminate or minimize occupational exposure to Hepatitis B Virus (HBV), Human Immunodeficiency Virus (HIV) and other bloodborne pathogens. Our subsidiary, Dedicated Dental, is also subject to the Knox-Keene Healthcare Service Plan Act of the State of California in connection with its managed dental care plan, which requires our subsidiary, among other things, to file periodic financial data and other information with the California Department of Managed Health Care, maintain substantial net equity on its balance sheet and maintain adequate medical, financial and operating personnel. These regulations require consistent monitoring to maintain compliance. Failure to comply with these regulations could result in penalties and fines being imposed.
Entities affiliated with Levine Leichtman Capital Partners, or LLCP hold substantially all of the outstanding voting power of the capital stock of our parent, InterDent, Inc., and their interests may conflict with or be different from your interests.
Entities affiliated with LLCP hold substantially all of the voting power of InterDent, Inc. As a result, these entities affiliated with LLCP hold, and will for the foreseeable future continue to hold, sufficient voting power to direct our actions and affairs, including the election of all of our directors and, except as otherwise provided by law, approving or disapproving all other matters submitted to a vote of stockholders of InterDent, Inc., including a merger, consolidation or sale of assets. These stockholders are permitted to act in their own interests, which may conflict with or be different from your interests.
Furthermore, if these stockholders were to sell their shares to a single or limited group of investors, thereby resulting in those investors’ beneficial ownership of 50% or more of InterDent, Inc.’s voting stock, a change of control could be deemed to have occurred under the terms of the indenture governing the notes, which could, among other things, give rise to an option in favor of each holder of the notes to require us to repurchase all or any part of that holder’s notes.
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Item 6. Exhibits
Set forth below is a list of the exhibits included as part of this quarterly report.
Exhibit Number | | Description |
3.1 | | Restated Articles of Incorporation of InterDent Service Corporation† |
| | |
3.2 | | By-Laws of InterDent Service Corporation† |
| | |
3.3 | | Second Amended and Restated Certificate of Incorporation of InterDent, Inc.† |
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3.4 | | Amended and Restated By-Laws of InterDent, Inc.† |
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4.1 | | Indenture, dated as of December 15, 2004, by and among IDI Acquisition Corp., InterDent Service Corporation, InterDent, Inc., and Wells Fargo Bank as trustee and collateral agent† |
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4.2 | | Registration Rights Agreement by and among IDI Acquisition Corp., InterDent Service Corporation, InterDent, Inc. and Jeffries & Company, Inc. dated December 15, 2004† |
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4.3 | | Amended and Restated Loan and Security Agreement by and among InterDent, Inc. as Parent, InterDent Service Corporation as Borrower, the Lenders that are Signatories thereto as the Lenders, and Wells Fargo Foothill, Inc. as the Arranger and Administrative Agent dated as of December 15, 2004.† |
| | |
4.4 | | InterDent, Inc. Class D Common Stock Purchase Warrant, dated October 8, 2003, issued by InterDent, Inc. to Levine Leichtman Capital Partners II, L.P.†† |
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4.5 | | InterDent, Inc. Class G Common Stock Purchase Warrant, dated December 15, 2004, issued by InterDent, Inc. to Levine Leichtman Capital Partners II, L.P.†† |
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10.1 | | InterDent, Inc. 2003 Stock Option Plan† |
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10.2 | | Employment Agreement, effective January 1, 2004, by and between the Company and Ivar S. Chhina† |
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10.3 | | Amendment 1 to Employment Agreement, effective December 15, 2004, by and between the Company and Ivar S. Chhina† |
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10.4 | | Employment Agreement, effective August 3, 2004, by and between the Company and Robert W. Hill† |
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10.5 | | Purchase Agreement, dated December 10, 2004, by and among IDI Acquisition Corp., InterDent Service Corporation, InterDent, Inc. and Jefferies & Company, Inc.† |
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10.6 | | Amended and Restated Shareholders Agreement, dated as of December 15, 2004, by and among InterDent, Inc., a Delaware Corporation, Levine Leichtman Capital Partners II, L.P., Pleasant Street Investors, LLC, and each other holder of an equity security of the Company† |
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10.7 | | Intercreditor Agreement, dated as of December 15, 2004 among InterDent Service Corporation, the Guarantors from time to time party hereto, Wells Fargo Foothill, Inc. as Credit Agreement Agent under the Credit Agreement and Priority Lien Collateral Agent hereunder, and Wells Fargo Bank, National Association, as Trustee under the Indenture and as Collateral Agent hereunder† |
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10.8 | | Security Agreement, dated as of December 15, 2004, by and between InterDent, Inc. and Wells Fargo Bank, National Association† |
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10.9 | | Security Agreement, dated as of December 15, 2004, by and between InterDent Service Corporation (as survivor from IDI Acquisition Corp) and Wells Fargo Bank, National Association† |
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10.10 | | Stock Pledge agreement, dated as of December 15, 2004, by and between InterDent, Inc. and Wells Fargo Bank, National Association† |
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10.11 | | Stock Pledge agreement, dated as of December 15, 2004, by and between InterDent Service Corporation and Wells Fargo Bank, National Association† |
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10.12 | | Deed of Trust, Assignment of Rents and Leases and Security Agreement, dated as of June 23, 2004, by and from InterDent Service Corporation, “Grantor” to First American Title Insurance Company, “Trustee or “Grantee” for the benefit of Wells Fargo Foothill, Inc., in its capacity as administrative agent, “Beneficiary” or “Grantee”†† |
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10.13 | | Mortgage, Assignment of Rents and Leases, and Security Agreement, dated as of June 23, 2004, by and from InterDent Service Corporation, “Mortgagor” to Wells Fargo Foothill, Inc., in its capacity as administrative agent, “Mortgagee”†† |
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10.14 | | Deed of Trust, Assignment of Rents and Leases and Security Agreement, dated as of December 15, 2004, by and from InterDent Service Corporation, “Grantor” to First American Title Insurance Company, “Trustee or “Grantee” for the benefit of Wells Fargo Bank, National Association, in its capacity as collateral agent, “Beneficiary” or “Grantee”†† |
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10.15 | | Mortgage, Assignment of Rents and Leases, and Security Agreement, dated as of December 15, 2004, by and from InterDent Service Corporation, “Mortgagor” to Wells Fargo Bank, National Association, in its capacity as collateral agent, “Mortgagee”†† |
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10.16 | | Management Services Agreement, dated as of April 1, 2005, by and between InterDent Service Corporation and Levine Leichtman Capital Partners Inc.††† |
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10.17 | | InterDent Deferred Incentive Compensation Retirement Plan. †††† |
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16 | | Letter, dated June 13, 2005, from Ernst & Young LLP to the SEC†† |
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21.1 | | List of subsidiaries† |
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31.1 | | Certification of Chief Executive Officer under Section 302 of the Sarbanes-Oxley Act of 2002 |
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31.2 | | Certification of Chief Financial Officer under Section 302 of the Sarbanes-Oxley Act of 2002 |
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32.1 | | Certification of Chief Executive Officer under Section 906 of the Sarbanes-Oxley Act of 2002 |
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32.2 | | Certification of Chief Financial Officer under Section 906 of the Sarbanes-Oxley Act of 2002 |
† | | Previously filed on April 14, 2005 with the SEC on the Registration Statement on Form S-4 |
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†† | | Previously filed on June 13, 2005 with the SEC on Amendment No. 1 to the Registration Statement on Form S-4 |
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††† | | Previously filed on August 19, 2005 with the SEC on Amendment No. 2 to the Registration Statement on Form S-4. |
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†††† | | Previously filed on May 12, 2006 with the SEC on Form 10-Q. |
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SIGNATURES
In accordance with the requirements of the Exchange Act, the registrant caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
| | | INTERDENT SERVICE CORPORATION |
| | | (Registrant) |
| | | | |
Date: | November 9, 2006 | | By: | /s/ IVAR S. CHHINA | |
| | | | Ivar S. Chhina |
| | | | President, Chief Executive Officer and Chairman |
| | | | |
| | | | |
| | By: | /s/ ROBERT W. HILL | |
| | | | Robert W. Hill |
| | | | Chief Financial Officer, Treasurer and Secretary |
| | | | | | | | |
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SIGNATURES
In accordance with the requirements of the Exchange Act, the registrant caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
| | | INTERDENT, INC. |
| | | (Registrant) |
| | | | |
Date: | November 9, 2006 | | By: | /s/ IVAR S. CHHINA | |
| | | | Ivar S. Chhina |
| | | | President, Chief Executive Officer and Chairman |
| | | | |
| | | | |
| | By: | /s/ ROBERT W. HILL | |
| | | | Robert W. Hill |
| | | | Chief Financial Officer, Treasurer and Secretary |
| | | | | | | | |
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