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EXHIBIT 15.1
INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
AWARENESS LETTER
Securities and Exchange Commission
Washington, D.C. 20549
We are aware that our report dated January 10, 2007 on our review of the interim consolidated financial statements of Dynacq Healthcare, Inc. as of and for the three month periods ended November 30, 2006 and 2005 and included in this Form 10-Q for the quarter ended November 30, 2006 is incorporated by references in the Company’s Registration Statement No. 333-72756. Pursuant to Rule 436(c) under the Securities Act of 1933, this report should not be considered as part of the Registration Statement prepared or certified by us within the meaning of Sections 7 and 11 of that Act.
| /s/ Killman, Murrell & Company, P.C. |
| Killman, Murrell & Company, P.C. |
| Houston, Texas |
| January 11, 2007 |