Edgar Filing: DYNACQ HEALTHCARE INC

Percentage increase/(decrease) from 2007 to 2008

Facility

Net patient service revenue

Form 10-Q

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 February 29, 2008

¨	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: 000-21574

DYNACQ HEALTHCARE, INC.

(Exact name of registrant as specified in its charter)


Nevada		76-0375477
(State or other jurisdiction of incorporation or organization)		(I.R.S. Employer Identification No.)

10304 Interstate 10 East, Suite 369		77029
Houston, Texas (Address of principal executive offices)		(Zip Code)

(713) 378-2000

(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 x No ¨

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 ¨ Accelerated filer ¨ Non-accelerated filer x

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

As of April 7, 2008, the number of shares outstanding of the registrant’s common stock, par value $.001 per share, was 15,820,811.

Table of Contents


		Page
Report of Independent Registered Public Accounting Firm		3

PART I-FINANCIAL INFORMATION

Item 1.	Financial Statements.	4

	Consolidated Balance Sheets as of February 29, 2008 and August 31, 2007	4

	Consolidated Statements of Operations for the three and six months ended February 29, 2008 and February 28, 2007	6

	Consolidated Statements of Cash Flows for the six months ended February 29, 2008 and February 28, 2007	7

	Notes to Consolidated Financial Statements	9

Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations.	15

Item 3.	Quantitative and Qualitative Disclosures About Market Risk.	23

Item 4.	Controls and Procedures.	23

PART II–OTHER INFORMATION

Item 1.	Legal Proceedings.	24

Item 1A.	Risk Factors.	24

Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds.	25

Item 3.	Defaults Upon Senior Securities.	25

Item 4.	Submission of Matters to a Vote of Security Holders.	25

Item 5.	Other Information.	26

Item 6.	Exhibits.	26

Signatures		27

Index of Exhibits		28

- 2 -

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To:	The Stockholders and Board of Directors

Dynacq Healthcare, Inc.

Houston, Texas

We have reviewed the accompanying consolidated balance sheet of Dynacq Healthcare, Inc., as of February 29, 2008, and the related consolidated statements of operations and cash flows for the three-month and six-month periods ended February 29, 2008 and February 28, 2007. These interim financial statements are the responsibility of the Company’s management.

We conducted our reviews in accordance with the standards of the Public Company Accounting Oversight Board (United States). A review of interim financial information consists principally of applying analytical procedures and making inquiries of persons responsible for financial and accounting matters. It is substantially less in scope than an audit conducted in accordance with the standards of the Public Company Accounting Oversight Board (United States), the objective of which is the expression of an opinion regarding the financial statements taken as a whole. Accordingly, we do not express such an opinion.

Based on our reviews, we are not aware of any material modifications that should be made to the accompanying consolidated interim financial statements for them to be in conformity with United States of America generally accepted accounting principles.

We have previously audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidated balance sheet of Dynacq Healthcare, Inc., as of August 31, 2007, and the related consolidated statements of operations, stockholders’ equity, and cash flows for the year then ended not presented herein, and in our report dated November 6, 2007, we expressed an unqualified opinion on those consolidated financial statements. In our opinion, the information set forth in the accompanying consolidated balance sheet as of August 31, 2007, is fairly stated, in all material respects, in relation to the consolidated balance sheet from which it has been derived.

/s/ Killman, Murrell & Company, P.C.

Killman, Murrell & Company, P.C.

Houston, Texas

April 2, 2008

PART I – FINANCIAL INFORMATION

ITEM I – FINANCIAL STATEMENTS

Dynacq Healthcare, Inc.

Consolidated Balance Sheets


	February 29, 2008		August 31, 2007
	(Reviewed)		(Audited)
Assets
Current assets:
Cash and cash equivalents	$	24,752,549	$	5,436,787
Restricted cash		3,889,988		4,388,857
Current portion of accounts receivable, net of contractual allowances of approximately $106,505,000 and $68,187,000 at February 29, 2008 and August 31, 2007, respectively		16,351,310		10,526,365
Accounts receivable – other		—		17,704
Inventories		1,921,685		2,187,486
Prepaid expenses		219,181		430,391
Deferred tax assets		1,339,455		1,057,931
Income taxes receivable		1,225,920		1,519,138

Total current assets		49,700,088		25,564,659
Assets held for sale		—		13,187,738
Property and equipment, net		19,686,153		19,956,711
Long-term portion of accounts receivable, net of contractual allowances of approximately $101,244,000 and $128,981,000 at February 29, 2008 and August 31, 2007, respectively		15,543,621		19,911,300
Other assets		229,146		274,553

Total assets	$	85,159,008	$	78,894,961

See accompanying notes.

Dynacq Healthcare, Inc.

Consolidated Balance Sheets (continued)


	February 29, 2008			August 31, 2007
	(Reviewed)			(Audited)
Liabilities and stockholders’ equity
Current liabilities:
Accounts payable	$	3,842,520		$	4,135,364
Accrued liabilities		4,321,178			5,653,672
Notes payable		466,110			7,526,181
Current portion of capital lease obligation		7,449			9,644
Current taxes payable		5,785,325			534,425

Total current liabilities		14,422,582			17,859,286
Non-current liabilities:
Long-term portion of note payable		494,859			731,401
Long-term portion of capital lease obligation		15,480			18,012
Deferred tax liabilities		71,537			426,327

Total liabilities		15,004,458			19,035,026

Minority interests		363,778			599,015


Commitments and contingencies		—			—
Stockholders’ equity:
Preferred stock, $.01 par value; 5,000,000 shares authorized, none issued or outstanding		—			—
Common stock, $.001 par value; 100,000,000 shares authorized, 15,906,265 and 15,843,557 issued at February 29, 2008 and at August 31, 2007, respectively		15,906			15,844
Treasury stock, 10,000 and -0- shares at February 29, 2008 and August 31, 2007, respectively, at cost		(38,003	)		—
Additional paid-in capital		14,431,973			13,829,616
Accumulated other comprehensive income		389,446			219,520
Retained earnings		54,991,450			45,195,940

Total stockholders’ equity		69,790,772			59,260,920

Total liabilities and stockholders’ equity	$	85,159,008		$	78,894,961

See accompanying notes.

Dynacq Healthcare, Inc.

Consolidated Statements of Operations

(Reviewed)


	Three months ended						Six months ended
	February 29, 2008			February 28, 2007			February 29, 2008			February 28, 2007
Net patient service revenue	$	21,079,865		$	9,281,163		$	34,922,183		$	19,252,408

Costs and expenses:
Compensation and benefits		4,596,493			2,887,770			7,952,803			5,691,826
Medical services and supplies		3,666,306			1,972,623			6,382,697			4,201,498
Other operating expenses		4,289,246			3,921,526			7,990,655			8,806,548
Depreciation and amortization		553,899			565,916			1,090,694			1,219,445

Total costs and expenses		13,105,944			9,347,835			23,416,849			19,919,317

Operating income (loss)		7,973,921			(66,672	)		11,505,334			(666,909	)

Other income (expense):
Rent and other income		102,394			27,697			228,788			59,472
Interest income		36,562			6,996			43,626			21,392
Interest expense		(32,389	)		(103,900	)		(104,583	)		(224,596	)

Total other income (expense), net		106,567			(69,207	)		167,831			(143,732	)

Income (loss) before income taxes, minority interests and extraordinary gain		8,080,488			(135,879	)		11,673,165			(810,641	)
Minority interest in earnings		(46,379	)		(2,827	)		(81,742	)		(22,721	)

Income (loss) before income taxes		8,034,109			(138,706	)		11,591,423			(833,362	)
Provision for income taxes		(3,230,509	)		—			(4,607,937	)		—

Income (loss) from continuing operations		4,803,600			(138,706	)		6,983,486			(833,362	)
Loss from discontinued operations, net of income taxes		(284,469	)		(941,680	)		(30,525	)		(1,250,140	)
Gain on sale of discontinued operations, net of income taxes		2,761,184			—			2,761,184			—
Extraordinary gain, net of income taxes of $49,700, $-0-, $49,700 and $-0-, respectively		81,365			—			81,365			45,244

Net income (loss)	$	7,361,680		$	(1,080,386	)	$	9,795,510		$	(2,038,258	)

Basic earnings (loss) per common share:
Income (loss) from continuing operations	$	0.30		$	(0.01	)	$	0.44		$	(0.05	)
Loss from discontinued operations, net of income taxes		(0.02	)		(0.06	)		—			(0.08	)
Gain on sale of discontinued operations, net of income taxes		0.17			—			0.17			—
Extraordinary gain, net of income tax expense		0.01			—			0.01			—

Net income (loss)	$	0.46		$	(0.07	)	$	0.62		$	(0.13	)

Diluted earnings (loss) per common share:
Income (loss) from continuing operations	$	0.29		$	(0.01	)	$	0.42		$	(0.05	)
Loss from discontinued operations, net of income taxes		(0.02	)		(0.06	)		—			(0.08	)
Gain on sale of discontinued operations, net of income taxes		0.17			—			0.17			—
Extraordinary gain, net of income tax expense		—			—			—			—

Net income (loss)	$	0.44		$	(0.07	)	$	0.59		$	(0.13	)

Basic average common shares outstanding		15,892,984			15,740,711			15,880,158			15,740,711

Diluted average common shares outstanding		16,459,272			15,740,711			16,596,145			15,740,711

See accompanying notes.

Dynacq Healthcare, Inc.

Consolidated Statements of Cash Flows

(Reviewed)


	Six months ended
	February 29, 2008			February 28, 2007
Cash flows from operating activities
Net income (loss)	$	9,795,510		$	(2,038,258	)
Less (income) loss from discontinued operations, net of income taxes		(2,730,659	)		1,250,140

Net income (loss) before discontinued operations		7,064,851			(788,118	)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Extraordinary gain, net of tax		(81,365	)		(45,244	)
Depreciation and amortization		1,090,694			1,219,445
Gain on sale of assets		(28,455	)		—
Deferred income taxes		(733,014	)		—
Minority interests		81,742			22,721
Charge for stock options to employees		248,850			—
Income tax benefit for employees’ exercise of incentive stock options		46,300			—
Changes in operating assets and liabilities:
Restricted cash		498,869			469,000
Accounts receivable		(1,457,266	)		2,395,098
Inventories		265,801			(73,980	)
Prepaid expenses		211,210			225,181
Income taxes receivable		293,218			—
Other assets		40,407			(43,959	)
Accounts payable		(292,844	)		(983,638	)
Accrued liabilities		(1,332,494	)		1,292,388
Income taxes payable		3,528,474			—

Cash provided by continuing activities		9,444,978			3,688,894
Cash used in discontinued activities		(641,775	)		(899,859	)

Net cash provided by operating activities		8,803,203			2,789,035

Cash flows from investing activities
Purchase of property and equipment		(536,319	)		(128,200	)
Proceeds from sale of assets		1,799,477			—
Purchase of accounts receivable – other		—			(312,449	)
Collections on purchased accounts receivable - other		17,704			71,155

Cash provided by (used in) continuing activities		1,280,862			(369,494	)
Cash provided by (used in) discontinued activities		16,430,895			(21,943	)

Net cash provided by (used in) investing activities	$	17,711,757		$	(391,437	)

(Continued)

See accompanying notes.

Consolidated Statements of Cash Flows (continued)


	Six months ended
	February 29, 2008			February 28, 2007
Cash flows from financing activities
Principal payments on notes payable	$	(7,296,613	)	$	(2,963,579	)
Purchase of minority interest		(183,388	)		(119,000	)
Payments on capital lease		(4,727	)		—
Purchase of treasury shares		(38,003	)		—
Proceeds from exercise of stock options		307,269			—

Cash used in continuing activities		(7,215,462	)		(3,082,579	)
Cash used in discontinued activities		—			(77,631	)

Net cash used in financing activities		(7,215,462	)		(3,160,210	)

Effect of exchange rate changes on cash		16,264			16,425

Net increase (decrease) in cash and cash equivalents		19,315,762			(746,187	)
Cash at beginning of period		5,436,787			3,382,332

Cash at end of period	$	24,752,549		$	2,636,145

Supplemental cash flow disclosures
Cash paid during the period for:
Interest	$	149,561		$	235,832

Income taxes	$	1,400,000		$	—

Non cash investing and financing activities
Reduction in accrued liability	$	—		$	(1,400,000	)
Note payable		—			1,400,000
Land cost from foreign currency gains		(229,357	)		(104,266	)
Foreign currency gains		229,357			104,266

	$	—		$	—

See accompanying notes.

Dynacq Healthcare, Inc.

Notes to Consolidated Financial Statements

February 29, 2008

(Reviewed)

Basis of Presentation

The accompanying reviewed consolidated financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete consolidated financial statements. In the opinion of management, all adjustments considered necessary for a fair presentation have been included. All such adjustments are of a normal and recurring nature. The majority of the Company’s expenses are “cost of revenue” items. Costs that could be classified as general and administrative by the Company would include the corporate office costs, including advertising and marketing expenses, which were approximately $2.4 million and $2.3 million for the quarters ended February 29, 2008 and February 28, 2007, respectively, and $3.9 million and $5.2 million for the six months ended February 29, 2008 and February 28, 2007, respectively. These reviewed financial statements should be read in conjunction with the audited financial statements at August 31, 2007. Operating results for the quarter ended February 29, 2008 are not necessarily indicative of the results that may be expected for the year ending August 31, 2008.

The Company is a holding company and through its subsidiaries and its affiliates operates in one line of business. Its strategy is to develop and operate general acute care hospitals that provide principally specialized surgeries. The Company manages these hospitals on an individual basis. The hospitals’ economic characteristics, nature of their operations, regulatory environment in which they operate and the way in which they are managed are all similar. Accordingly, the Company aggregates its hospitals into a single reportable segment as that term is defined by Statement of Financial Accounting Standards (“SFAS”) No. 131 “Disclosures About Segments of an Enterprise and Related Information.”

General

As of February 29, 2008, the Company operated one facility each in the Houston metropolitan area (Pasadena facility) and in the Dallas-Fort Worth area (Garland facility). Dynacq also owns a 70% equity interest in a joint venture formed under the laws of the Peoples Republic of China (the “DeAn Joint Venture”) to construct, own, and operate a hospital in Shanghai, China. The DeAn Joint Venture is currently negotiating a contract for the construction of the hospital, including obtaining governmental approval of the size and scope of services of the hospital.

Assets Held for Sale

The Company sold the West Houston facility in the quarter ended February 28, 2007, the land in The Woodlands, Texas in the quarter ended November 30, 2007 and the Baton Rouge facility in the quarter ended February 29, 2008. The assets related to these facilities have been classified as “Assets held for sale”.

Use of Estimates

The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. The most significant of the Company’s estimates is the determination of revenue to recognize for the services the Company provides and the determination of the contractual allowance. See “Revenue Recognition” below for further discussion. Actual results could differ materially from those estimates used in preparation of these financial statements.

Stock Based Compensation

The Company’s 2000 Stock Incentive Plan (the “Plan”) provides for options and other stock-based awards that may be granted to eligible employees, officers, consultants and non-employee directors of the Company or its subsidiaries. The Company had reserved 5,000,000 shares of common stock for future issuance under the Plan. As of February 29, 2008, there remain 1,917,508 shares which can be issued under the Plan, after giving effect to stock splits and shares issued under the Plan. All awards previously granted to employees under the Plan have been stock options, primarily intended to qualify as “incentive stock options” within the meaning of Section 422 of the Internal Revenue Code (the “Code”). The Plan also permits stock awards, stock appreciation rights, performance units, and other stock-based awards, all of which may or may not be subject to the achievement of one or more performance objectives.

The purposes of the Plan generally are to retain and attract persons of training, experience and ability to serve as employees of the Company and its subsidiaries and to serve as non-employee directors of the Company, to encourage the sense of proprietorship of such persons and to stimulate the active interest of such persons in the development and financial success of the Company and its subsidiaries.

The Plan is administered by the Compensation Committee of the Board of Directors (the “Committee”). The Committee has the power to determine which eligible employees will receive awards, the timing and manner of the grant of such awards, the exercise price of stock options (which may not be less than market value on the date of grant), the number of shares, and all of the terms of the awards. The Company may at any time amend or terminate the Plan. However, no amendment that would impair the rights of any participant with respect to outstanding grants can be made without the participant’s prior consent. Stockholder approval of an amendment to the Plan is necessary only when required by applicable law or stock exchange rules.

For the quarter ended February 29, 2008, there were no equity-based compensation awards granted. Generally, options granted become exercisable in annual installments of 25 percent beginning on the first anniversary date, and expire after five to ten years. The following table summarizes the stock option activities for the six months ended February 29, 2008 (share amounts in thousands):


	Shares		Weighted Average Option Exercise Price Per Share		Weighted Average Grant Date Fair Value Per Share	Aggregate Intrinsic Value⁽¹⁾
Outstanding, August 31, 2007	2,151		$	3.77	—	$	6,053,359
Granted	—			—	—		—
Exercised	(63	)		4.90	—		72,605
Expired or canceled	(110	)		2.75	—		—

Outstanding, February 29, 2008	1,978		$	3.79	—	$	3,322,833

⁽¹⁾

These amounts represent the difference between the exercise price and $5.10, the closing price of Dynacq common stock on February 29, 2008 as reported on the NASDAQ stock market, for all in-the-money options outstanding. For exercised options, intrinsic value represents the difference between the exercise price and the closing price of Dynacq common stock on the date of exercise.

For the three and six months periods ended February 29, 2008, the Company received $40,219 and $307,269, respectively, for stock options exercised. Total tax benefit realized for the tax deductions from stock options exercised was $-0- and $46,300 for the three and six months periods ended February 29, 2008, respectively. There were no stock options exercised or tax benefit realized for the three and six months periods ended February 28, 2007.

The following summarizes information related to stock options outstanding at February 29, 2008, and related weighted average price and life information:


	Options Outstanding				Options Exercisable
Range of Exercise Prices	Shares	Weighted Average Remaining Contractual Life (Years)	Weighted Average Exercise Price		Shares	Weighted Average Exercise Price
	(Share Amounts In Thousands)
$ 2.50 – 2.75	1,205	5.3	$	2.52	—	$	—
$ 4.44 – 5.00	672	5.6		4.78	672		4.78
$12.25	101	0.2		12.25	101		12.25

Total	1,978	5.1	$	3.79	773	$	5.76

Additional information relating to the Plan at February 29, 2008 and August 31, 2007 is as follows (in thousands):


	February 29, 2008	August 31, 2007
Options exercisable	773	847
Options available for grant and reserved common stock shares for stock option plans	1,918	1,808

For the three and six months periods ended February 29, 2008, stock-based compensation expense associated with the Company’s stock options was $124,425 and $248,850, respectively. The total unrecognized compensation expense for outstanding stock options as of February 29, 2008 was $1.6 million, and will be recognized, in general, over 3.3 years. The weighted average number of years to recognize the compensation expense is 1.7 years.

Revenue Recognition

Background

The Company’s revenue recognition policy is significant because net patient service revenue is a primary component of its results of operations. Revenue is recognized as services are delivered. The determination of the amount of revenue to be recognized in connection with the Company’s services is subject to significant judgments and estimates, which are discussed below.

Revenue Recognition Policy

Through the fiscal year ended August 31, 2005, the Company did not participate in managed care contracts. In the quarter ended November 30, 2005, the Company began such participation and currently participates in a small number of managed care contracts. The Company records revenue pursuant to the following policy. The Company has established billing rates for its medical services which it bills as gross revenue as services are delivered. Gross billed revenues are then reduced by the Company’s estimate of the discount (contractual allowance) to arrive at net patient service revenues. Net patient service revenues are based on historical cash collections as discussed below and may not represent amounts ultimately expected to be collected. At such time as the Company can determine that ultimate collections have exceeded or have been less than the revenue recorded on a group of accounts, additional revenue or reduction in revenue is recorded as a change in estimate during the current period. The Company does adjust current period revenue for actual differences in estimated revenue recorded in prior periods and actual cash collections. As the Company is able to identify specific closed blocks of business, the Company compares the actual cash collections on gross billed charges to the estimated collections that were recorded in revenue. The Company records additional revenue or a reduction in revenue in the current period equal to the difference in the estimate recorded and the actual cash collected.

The Company has recorded additional revenue of $3,835,000 and $4,517,000 during the three and six months ended February 29, 2008 related to amounts collected on Medical Dispute Resolution (“MDR”) accounts receivable. The Company settled various MDR claims for our Pasadena and Garland facilities and collected a total of $15,091,000 for dates of service ranging from 2001 to 2005. This amount represents payments received initially at the time of filing of the claim, additional monies received upon filing the MDR claim and the settlement amount. On these closed MDR accounts receivable, the Company had recognized approximately $10,574,000 as net revenue during the relevant fiscal years when the service was performed. Gross billings on this block of receivables were $20,251,000. Since the Company actually collected $4,517,000 more on this block of receivables, additional revenue of $682,000 and $3,835,000 was recorded in the first and second quarter of the current fiscal year. The amount of additional revenues from MDR settlements reached in the first six months of the current fiscal year may not be indicative of the amounts that may be obtained from settlements reached for the remainder of the fiscal year ending August 31, 2008 or even after that. We are unable to estimate with any certainty the progress of the settlements for the remaining cases.

Contractual Allowance

The Company computes its contractual allowance based on the ratio of the Company’s historical cash collections during the trailing twelve months on a case-by-case basis by operating facility. This ratio of cash collections to billed services is then applied to the gross billed services by operating facility. The following table shows gross revenues and contractual allowances for the three and six months ended February 29, 2008 and February 28, 2007:


	Three months ended						Six months ended
	February 29, 2008⁽¹⁾			February 28, 2007			February 29, 2008⁽¹⁾			February 28, 2007
Gross billed charges	$	33,824,012		$	20,936,883		$	63,855,199		$	46,892,224
Contractual allowance		12,744,147			11,655,720			28,933,016			27,639,816

Net revenue	$	21,079,865		$	9,281,163		$	34,922,183		$	19,252,408

Contractual allowance percentage		38	%		56	%		45	%		59	%

⁽¹⁾	The contractual allowance percentage without the additional revenue discussed above under “Revenue Recognition Policy” would be 49% and 52% respectively for the three and six months periods ended February 29, 2008.

Accounts Receivable

Accounts receivable represent net receivables for services provided by the Company. The estimated accounts receivable not expected to be collected within twelve months of the balance sheet date have been shown as long-term receivables and represent accounts receivable in the MDR process and legal third-party financial class (“LTP”). The contractual allowance is provided as revenue is recognized. At each balance sheet date management reviews the accounts receivable for collectibility. For each operating facility, the historical cash collection percentage (based on cash collections for the last twelve months) of each financial class, except MDR and LTP, is calculated by each aging bucket. These aging bucket specific percentages are then applied to the accounts receivable at each balance sheet date for each aging bucket and financial class to estimate the amount of accounts receivable management expects to collect. All accounts receivable over five months from date of service, except for MDR and LTP, are valued at zero in this balance sheet analysis. Accounts receivable related to MDR and LTP are estimated at 28% collectibility in our balance sheet analysis irrespective of the age of the accounts receivable. The Company initially receives an average of 30 to 35% of gross billed charges either upon filing the insurance claim, or after filing a request for reconsideration to the insurance company. The Company applies these payments received to the gross accounts receivable, but does not adjust the balance on the account. The Company expects to collect on average an additional 28% of the remaining MDR balance. The MDR accounts receivable are written off only after all

collection efforts have failed, including the appeals process of MDR which may take several years. If after the review management believes certain receivables are uncollectible, the receivables are written down to the estimated collectible amount. However, if the estimated amount to be collected is greater than the net accounts receivable as of the balance sheet date, no adjustment is made to accounts receivable (i.e. no additional revenue is booked), due to the length of time it takes to ultimately settle the MDR accounts receivable and the current uncertainty associated with such settlements.

The contractual allowance stated as a percentage of gross receivables at the balance sheet dates is larger than the contractual allowance percentage used to reduce gross billed charges due to the application of partial cash collections to the outstanding gross receivable balances, without any adjustment being made to the contractual allowance. The contractual allowance amounts netted against gross receivables are not adjusted until such time as the final collections on an individual receivable are recognized.

Collections for services provided are generally settled or written off as uncollectible against the contractual allowance within five months of the date of service, except for services provided to injured workers in Texas. Because the Company has in recent years focused on providing services to injured workers in Texas, accounts receivable in the workers’ compensation MDR process have increased.

The MDR process is an established reimbursement resolution process available to providers of healthcare services under the regulations guiding reimbursement for services provided to injured workers in the state of Texas. Accounts generally do not become subject to the MDR process prior to being outstanding for at least 90 days subsequent to patient discharge. For medical services provided to injured workers in the state of Texas, the MDR process is specifically based upon the administrative and statutory regulations promulgated by the Texas Labor Code, the Texas Administrative Code and the Texas Insurance Code. The Company, in conjunction with most of the Texas hospital medical providers, continues its efforts to resolve the pending claims regarding payment for the treatment of injured workers under the Texas workers’ compensation laws. The delays caused by the unexpected and extended abatements of the State Office of Administrative Hearings (SOAH) proceedings for both the inpatient and outpatient cases have added significantly to the age of our accounts receivable for these types of services. If these disputes are ultimately resolved against the Company’s positions, it may have a material adverse effect on the financial statements.

Due to a number of factors outside the Company’s control, including a change in the Company’s reimbursement collection experience associated with potential changes in the reimbursement environment in which the Company operates, it is possible that management’s estimates of patient service revenues could change, which could have a material impact on the Company’s revenue and profitability in the future. It is very difficult for management to quantify with accuracy any reasonably likely effects that a change in estimate could have on the Company’s financial position and results of operations. However, management believes that the most reasonably likely effects that a change in estimate could have on the Company’s financial position and results of operations would be for the Company to collect amounts on accounts receivable greater than what is recorded on the books at February 29, 2008. The amount of such additional collections could range from zero to an amount that could approach $64 million, which represents the ultimate amount that the Company could collect on its MDR accounts receivable as of February 29, 2008 if all were settled in the Company’s favor. In accordance with the Company’s revenue recognition policy, accounts receivable are not written up to amounts ultimately expected to be collected until management can demonstrate that collections on an identifiable group of accounts are more than the revenue which was recorded on the identified group of accounts. Amounts are not written up to management’s estimated amounts due to the length of time it takes to ultimately settle the MDR accounts receivable and the current uncertainty associated with such settlements. Any change in this estimate would impact revenues in the statement of operations and cash in the statement of financial position.

New Fee Guideline for Texas Workers’ Compensation cases

However, if the maximum allowable reimbursement for the procedure performed cannot be calculated using these fee guidelines, then reimbursement shall be determined on a fair and reasonable basis.

Based on this new Fee Guideline, the reimbursement due the Company for workers’ compensation cases will be lower than we previously experienced. Although we have not yet completed our evaluation of the negative impact this will have for cases starting March 1, 2008, we anticipate discontinuing our focus on Texas workers’ compensation cases because of these lower reimbursement rates. Our patient service revenues may decrease as a result of both the decreased number of procedures and the lower reimbursement rates for workers’ compensation procedures still being performed.

Allowance for Uncollectible Accounts

The Company evaluates bad debt expenses periodically and, if needed, sets up an allowance for uncollectible accounts. Theoretically the only bad debts the Company could have are emergency room treatments which are not ultimately paid. These bad debt expenses are written off against the contractual allowance in order to streamline and standardize the charge off procedure. Pursuant to its analysis of bad debt expense, management determined that it no longer needed a separate provision for bad debts and terminated that separate provision effective March 1, 2007. Through the end of the quarter ended February 28, 2007, the Company had estimated uncollectible accounts expense of 1% of gross outpatient revenue. These bad debt expenses (provision for uncollectible accounts) through February 28, 2007 have been combined with “other operating expenses” in the Consolidated Statements of Operations, and the allowance for uncollectible accounts as of February 28, 2007 has been combined with the “contractual allowance” on the Consolidated Balance Sheet.

Discontinued Operations

In 2006, the Company decided to sell the assets related to the Baton Rouge and West Houston facilities, since those operations were not core to our long-term objectives, and were not performing consistently with the expectations the Company had for them at the time the investments were made. The Company also made the decision to sell its land in The Woodlands, Texas, since it no longer intended to build on that site. The Company sold the West Houston facility in the quarter ended February 28, 2007, the land in The Woodlands, Texas in the quarter ended November 30, 2007 and the Baton Rouge facility in the quarter ended February 29, 2008. The assets related to these facilities have been classified as “Assets held for sale”.

The Company has accounted for its Baton Rouge and West Houston facilities as discontinued operations, and has reclassified prior period financial statements to exclude these businesses from continuing operations. A summary of financial information related to the Company’s discontinued operations for the three and six months ended February 29, 2008 and February 28, 2007 is as follows:


	Three months ended						Six months ended
	February 29, 2008			February 28, 2007			February 29, 2008			February 28, 2007
Net patient service revenue	$	219,434		$	2,051,277		$	3,796,025		$	4,573,596
Costs and expenses		(789,496	)		(2,993,002	)		(3,956,217	)		(5,857,018	)
Other income		110,969			45			112,867			33,282

Loss before income taxes		(459,093	)		(941,680	)		(47,325	)		(1,250,140	)
Benefit for income taxes		174,624			—			16,800			—

Loss from discontinued operation, net of income taxes		(284,469	)		(941,680	)		(30,525	)		(1,250,140	)

Gain on sale of discontinued operations		4,448,184			—			4,448,184			—
Provision for income taxes		(1,687,000	)		—			(1,687,000	)		—

Gain on sale of discontinued operations, net of income taxes		2,761,184			—			2,761,184			—

Total income (loss) from discontinued operations, net of income taxes	$	2,476,715		$	(941,680	)	$	2,730,659		$	(1,250,140	)

Minority Interests

The equity of minority investors (minority investors are generally physician groups and other healthcare providers that perform surgeries at the Company’s facilities) in certain subsidiaries of the Company is reported on the consolidated balance sheets as minority interests. Minority interests reported in the consolidated income statements reflect the respective interests in the income or loss of the limited partnerships or limited liability companies attributable to the minority investors (equity interests ranged from 1% to 1.5% at February 29, 2008).

Comprehensive Income (Loss)

Comprehensive income (loss) for the three and six month periods ended February 29, 2008 and February 28, 2007 is as follows:


	Three months ended					Six months ended February 28,
	February 29, 2008		February 28, 2007			February 29, 2008		February 28, 2007
Net income (loss)	$	7,361,680	$	(1,080,386	)	$	9,795,510	$	(2,038,258	)
Foreign currency translation adjustment, net of taxes of $61,650, $-0-, $96,700 and $-0-, respectively		112,557		53,425			169,926		120,691

Comprehensive income (loss)	$	7,474,237	$	(1,026,961	)	$	9,965,436	$	(1,917,567	)

Contingencies

The Company maintains various insurance policies that cover each of its facilities. Specifically, the Company has occurrence malpractice coverage for its Pasadena and Garland facilities. In addition, all physicians granted privileges at the Company’s facilities are required to maintain medical malpractice insurance coverage. The Company also maintains general liability and property insurance coverage for each facility, including flood coverage. The Company does not currently maintain workers’ compensation coverage in Texas. In regard to the Employee Health Insurance Plan, the Company is self-insured with specific and aggregate re-insurance with stop-loss levels appropriate for the Company’s group size. Coverage is maintained in amounts management deems adequate.

The Company is routinely involved in litigation and administrative proceedings that are incidental to its business. Specifically, all judicial review of unsatisfactory determinations of reimbursement amounts due us for our facilities’ fees must be made in the district courts of Travis County, Texas in what can often be a lengthy procedure. Please refer to Revenue Recognition – Accounts Receivable, as well as Business – Government Regulation – Texas and Louisiana Workers’ Compensation Systems and Management’s Discussion and Analysis of Financial Condition and Results of Operations – Revenue Recognition – Accounts Receivable in our Form 10-K for the fiscal year ended August 31, 2007, for a detailed description of the MDR process and our accounts receivable. The Company cannot predict whether any litigation or administrative proceeding to which it is currently a party will have a material adverse effect on the Company’s results of operations, cash flows or financial condition.

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.

This quarterly report on Form 10-Q contains forward-looking statements. In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “should,” “expects,” “intends,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “potential,” or the negative of these terms or other comparable terminology. These statements are only predictions. Actual events or results may differ materially. Such forward-looking statements relate to future events or future financial performance and involve known and unknown risks, uncertainties and other factors that may cause our Company’s actual results, levels of activity, performance or

achievements to be materially different from any future results, levels of activity, performance or achievements expressed or implied by the forward-looking statements, including the risks and uncertainties described in “Risk Factors” in our annual report on Form 10-K for the fiscal year ended August 31, 2007. Although we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, levels of activity, performance, or achievements. You must read the following discussion of the results of our business and our operations and financial condition in conjunction with our reviewed consolidated financial statements, including the notes, included in this quarterly report on Form 10-Q and our audited consolidated financial statements, including the notes, included in our Annual Report on Form 10-K for the fiscal year ended August 31, 2007.

Executive Summary

Update on Assets Held for Sale

In 2006, the Company made the decision to sell the assets related to its Baton Rouge and West Houston facilities and its land in The Woodlands, Texas. The Company sold the West Houston facility in the quarter ended February 28, 2007, the land in The Woodlands, Texas in the quarter ended November 30, 2007 and the Baton Rouge facility in the quarter ended February 29, 2008. The net proceeds and gain on sale of land in The Woodlands, Texas were $1.8 million and $28,000, respectively. The net proceeds and gain on sale of the Baton Rouge facility were $16.5 million and $2.8 million (net of income tax of $1.7 million), respectively.

Update on MDRs

The Company, in conjunction with most of the Texas hospital medical providers, continues its efforts to resolve the pending claims regarding payment for the treatment of injured workers under the Texas workers’ compensation laws. The Company exhausts all of its available avenues in collecting its accounts receivable (particularly in the workers’ compensation arena). This includes the appeal to SOAH or the District Court for workers’ compensation cases where the insurance carrier failed to reimburse the Company in accordance with the rules of reimbursement mandated by Texas state law.

The Company continues to be successful in its pursuit of collections regarding the stop-loss cases pending before SOAH. As of February 29, 2008, approximately 160 of the Company’s pending cases in which the application of the stop-loss methodology was at issue have been decided in the Company’s favor; however nearly all of SOAH’s decisions in these cases have been appealed by the insurance carriers to the District Court. Approximately 150 cases are set for hearing between February and May 2008.

As expected, the declaratory judgment recently issued by the District Court upholding the interpretation of the statute as applied to the stop-loss claims of the Company by SOAH has been appealed by several insurance carriers to the Texas Third Court of Appeals, where it is currently pending. Notably, the agency responsible for drafting and enforcing this fee guideline did not appeal that judgment.

New Fee Guideline for Texas Workers’ Compensation cases

Starting March 1, 2008, Texas Workers’ Compensation 2008 Acute Care Hospital Outpatient and Inpatient Facility Fee Guidelines became effective. The reimbursement amounts are determined by applying the most recently adopted and effective Medicare reimbursement formula and factors as published annually in the Federal Register. However, if the maximum allowable reimbursement for the procedure performed cannot be calculated using these fee guidelines, then reimbursement shall be determined on a fair and reasonable basis.

Listing of Company’s Common Stock on Nasdaq Global Market

Effective with the open of business on February 29, 2008, the Company’s common stock was listed on the Nasdaq Global Market instead of the Nasdaq Capital Market. The trading symbol for the Company’s common stock continues to be DYII.

Repurchase of Common Stock

Of the 500,000 shares authorized to repurchase in January 2002, the Company purchased 10,000 shares in December 2007 at an average cost of $3.80 per share.

On February 29, 2008 the Company’s Board of Directors authorized a program of repurchasing up to 2 million of its outstanding securities from time to time in open market transactions at prevailing prices on NASDAQ. Subsequent to the fiscal quarter ended February 29, 2008, the Company has repurchased 76,954 shares at an average cost of $4.70 per share.

Net Patient Service Revenues

Net patient service revenues for the quarter ended February 29, 2008 increased $11,798,702, or 127%, from the second fiscal quarter of 2007. The increase is primarily due to additional revenues of $3,835,000 recognized in the quarter ended February 29, 2008 on closed MDR accounts receivable and also due to an increase in the number of inpatient cases. The amount of additional revenues from MDR settlements reached in the first six months of the current fiscal year may not be indicative of the amounts that may be obtained from settlements reached for the remainder of the fiscal year ending August 31, 2008 or even after that. We are unable to estimate with any certainty the progress of the settlements for the remaining cases.

Overall, the number of cases increased 194, or 32%, from 608 cases for the fiscal quarter ended February 28, 2007 to 802 cases during the fiscal quarter ended February 29, 2008. However, the number of inpatient cases increased 224, or 172%, from 130 inpatient cases in 2007 to 354 cases in 2008.

Costs and Expenses

Costs and expenses increased $3,758,109, or 40%, in the second fiscal quarter of the current year, compared to that of the prior year, primarily due to an increase in compensation and in medical services and supplies. Compensation increased due to increase in revenues and also due to payout of cash incentive bonuses during the current quarter. Medical services and supplies increases were due to an increase in the number of inpatient cases.

Accounts Receivable

Our accounts receivable are larger and older than those of typical healthcare companies because of our pursuit of additional reimbursements through the MDR process. Please see Accounts Receivable in our Notes to Consolidated Financial Statements, as well as Accounts Receivable in our Form 10-K for the fiscal year ended August 31, 2007 for a more complete discussion. The delays caused by the unexpected and extended reimbursement process have increased our collection costs, including legal fees and expenses associated with collection and reimbursement activities.

Update on Critical Accounting Policies and Estimates

There have been no changes to the critical accounting policies used in our reporting of results of operations and financial position for the quarter ended February 29, 2008. For a discussion of our critical accounting policies see Management’s Discussion and Analysis of Financial Condition and Results of Operations in our Form 10-K for the fiscal year ended August 31, 2007.

Results of Operations


	Three months ended										Six months ended
	February 29, 2008					February 28, 2007					February 29, 2008					February 28, 2007
Net patient service revenue	$	21,079,865		100	%	$	9,281,163		100	%	$	34,922,183		100	%	$	19,252,408		100	%

Costs and expenses:
Compensation and benefits		4,596,493		22			2,887,770		31			7,952,803		23			5,691,826		30
Medical services and supplies		3,666,306		17			1,972,623		21			6,382,697		18			4,201,498		22
Other operating expenses		4,289,246		20			3,921,526		42			7,990,655		23			8,806,548		46
Depreciation and amortization		553,899		3			565,916		6			1,090,694		3			1,219,445		6

Total costs and expenses		13,105,944		62			9,347,835		101			23,416,849		67			19,919,317		103

Operating income (loss)		7,973,921		38			(66,672	)	(1	)		11,505,334		33			(666,909	)	(3	)
Other income (expense), net		106,567		1			(69,207	)	(1	)		167,831		—			(143,732	)	(1	)
Minority interest in earnings		(46,379	)	—			(2,827	)	—			(81,742	)	—			(22,721	)	—

Income (loss) before income taxes		8,034,109		38			(138,706	)	(1	)		11,591,423		33			(833,362	)	(4	)
Provision for income taxes		(3,230,509	)	(15	)		—		—			(4,607,937	)	(13	)		—		—

Income (loss) from continuing operations		4,803,600		23			(138,706	)	(1	)		6,983,486		20			(833,362	)	(4	)
Loss from discontinued operations, net of income taxes		(284,469	)	(1	)		(941,680	)	(10	)		(30,525	)	—			(1,250,140	)	(6	)
Gain on sale of discontinued operations, net of income taxes		2,761,184		13			—		—			2,761,184		8			—		—
Extraordinary gain, net of income tax expense		81,365		—			—		—			81,365		—			45,244		—

Net income (loss)	$	7,361,680		35	%	$	(1,080,386	)	(12	)%	$	9,795,510		28	%	$	(2,038,258	)	(11	)%

Operational statistics (Number of medical procedures)
Inpatient:
Bariatrics		236					63					393					114
Orthopedics		75					58					141					169
Other		43					9					78					17

Total inpatient procedures		354					130					612					300

Outpatient:
Orthopedics		126					76					228					189
Other		322					402					676					803

Total outpatient procedures		448					478					904					992

Total procedures		802					608					1,516					1,292

Three Months Ended February 29, 2008 Compared to the Three Months Ended February 28, 2007

Net patient service revenue increased by $11,798,702, or 127%, from $9,281,163 to $21,079,865, and total surgical cases increased by 32% from 608 cases to 802 cases for the quarters ended February 29, 2008 and February 28, 2007, respectively. Following are the percentage changes in net patient service revenues and number of cases at the hospital facilities:


	Percentage increase from 2007 to 2008
Facility	Net patient service revenue		Cases
Pasadena	156	%	—	%
Garland	107		70
Overall	127		32

The Garland and Pasadena facilities had an increase in inpatient cases due to recruitment of additional physicians. The increase is primarily due to additional revenues of $3,835,000 recognized in the quarter ended February 29, 2008 on closed MDR accounts receivable and also due to an increase in the number of inpatient cases. Overall, the number of cases increased 194, or 32%, from 608 cases for the fiscal quarter ended February 28, 2007 to 802 cases during the fiscal quarter ended February 29, 2008. However, the number of inpatient cases increased 224, or 172%, from 130 inpatient cases in 2007 to 354 cases in 2008. Inpatient cases typically have a higher average reimbursement per case.

According to the Company’s revenue recognition policy, the Company recorded additional revenue of $3,835,000 and $4,517,000 during the three and six months ended February 29, 2008 related to amounts collected on MDR accounts receivable. The Company settled various MDR claims for our Pasadena and Garland facilities and collected a total of $15,091,000 for dates of service ranging from 2001 to 2005. This amount represents payments received initially at the time of filing of the claim, additional monies received upon filing the MDR claim and the settlement amount. On these closed MDR accounts receivable, the Company had recognized approximately $10,574,000 as net revenue during the relevant fiscal years when the service was performed. Gross billings on this block of receivables were $20,251,000. Since the Company actually collected $4,517,000 more on this block of receivables, additional revenue of $682,000 and $3,835,000 was recorded in the first and second quarter of the current fiscal year. The amount of additional revenues from MDR settlements reached in the first six months of the current fiscal year may not be indicative of the amounts that may be obtained from settlements reached for the remainder of the fiscal year ending August 31, 2008 or even after that. We are unable to estimate with any certainty the progress of the settlements for the remaining cases.

Starting March 1, 2008, Texas Workers’ Compensation 2008 Acute Care Hospital Outpatient and Inpatient Facility Fee Guidelines became effective. Based on this new Fee Guideline, the reimbursement due the Company for workers’ compensation cases will be lower than we previously experienced. Although we have not yet completed our evaluation of the negative impact this will have for cases starting March 1, 2008, we anticipate discontinuing our focus on Texas workers’ compensation cases because of these lower reimbursement rates. Our patient service revenues may decrease as a result of both the decreased number of procedures and the lower reimbursement rates for workers’ compensation procedures still being performed.

Excluding the above-mentioned additional revenues, net patient service revenue per case increased $6,237 or 41%, from $15,265 in 2007 to $21,502 in 2008, as well as the number of cases increased by 32%.

The Company computes its contractual allowance based on the ratio of the Company’s historical cash collections during the trailing twelve months to gross billed revenue on a case-by-case basis by operating facility. In compliance with this revenue recognition policy, the Company’s contractual allowance as a percentage of gross patient revenue decreased from 56% in 2007 to 49% (excluding the additional revenue of $3,835,000) in 2008.

Total costs and expenses increased by $3,758,109, or 40%, from $9,347,835 in 2007 to $13,105,944 in 2008. The following discusses the various changes in costs and expenses:

•

Compensation and benefits increased by $1,708,723, or 59%. During the quarter ended February 29, 2008, the Company incurred a $124,425 non-cash pre-tax compensation expense related to employees’ incentive stock options granted in fiscal year 2007. Excluding this non-cash compensation expense, the increase in compensation and benefits in the current fiscal quarter is 55% compared to the prior fiscal year, primarily due to an increase in number of cases, and also due to annual cash incentive bonus paid to employees.

•

Medical services and supplies expenses increased by $1,693,683, or 86%, while the number of surgery cases increased 32%. The increase was primarily due to a 172% increase in the number of inpatient procedures, which typically require more medical services and supplies.

•

Other operating expenses increased by $367,720, or 9%. Even though the net patient service revenue increased by 127%, the marginal increase in other operating expenses was due to the continued efforts made by the Company to reduce costs and expenses.

The income from discontinued operations represents the income at our Baton Rouge facility and, for the quarter ended February 28, 2007, the West Houston facility. The sale of the Baton Rouge facility was completed in December 2007. The net patient service revenues at these facilities decreased $1,831,843, or 89%, from $2,051,277 in 2007 to $219,434 in 2008, and the total surgical cases decreased 86% from 333 cases in 2007 to 46 cases in 2008. The decrease is due to the Baton Rouge facility being in operation for only 14 days in the current fiscal quarter before it was sold. Total costs and expenses of the discontinued operations decreased by $2,203,506, or 74%, from $2,993,002 in 2007 to $789,496 in 2008.

The gain on sale of discontinued operations during the quarter ended February 29, 2008 was $4,448,184. Provision for income taxes on this gain was $1,687,000.

The extraordinary gain, net of income taxes, relates to gains on the purchase of minority interests from certain minority interest holders at an amount less than the net book value of the minority interest liability on the date of purchase.

Six Months Ended February 29, 2008 Compared to the Six Months Ended February 28, 2007

Net patient service revenue increased by $15,669,775, or 81%, from $19,252,408 to $34,922,183 and total surgical cases increased by 17% from 1,292 cases to 1,516 cases for the six months ended February 29, 2008 and February 28, 2007, respectively. Following are the changes in net patient service revenues and number of cases at the hospital facilities:

The Garland and Pasadena facilities had an increase in inpatient cases due to recruitment of additional physicians. The increase is primarily due to additional revenues of $4,517,000 recognized during the six months ended February 29, 2008 on closed MDR accounts receivable and also due to an increase in the number of inpatient cases. Overall, the number of cases increased 224, or 17%, from 1,292 cases for the six months ended February 28, 2007 to 1,516 cases during the six months ended February 29, 2008. However, the number of inpatient cases increased 312, or 104%, from 300 inpatient cases in 2007 to 612 cases in 2008. Inpatient cases typically have a higher average reimbursement per case.

Starting March 1, 2008, Texas workers’ compensation 2008 Acute Care Hospital Outpatient and Inpatient Facility Fee Guidelines became effective. Based on this new Fee Guideline, the reimbursement due the Company for workers’ compensation cases will be lower than we previously experienced. Although we have not yet completed our evaluation of the negative impact this will have for cases starting March 1, 2008, we anticipate discontinuing our

focus on Texas workers’ compensation cases because of these lower reimbursement rates. Our patient service revenues may decrease as a result of both the decreased number of procedures and the lower reimbursement rates for workers’ compensation procedures still being performed.

Excluding the above-mentioned additional revenues, net patient service revenue per case increased $5,155, or 35%, from $14,901 in 2007 to $20,056 in 2008, as well as the number of cases increased by 17%.

The Company computes its contractual allowance based on the ratio of the Company’s historical cash collections during the trailing twelve months to gross billed revenue on a case-by-case basis by operating facility. In compliance with this revenue recognition policy, the Company’s contractual allowance as a percentage of gross patient revenue decreased from 59% in 2007 to 52% (excluding the additional revenue of $4,517,000) in 2008.

Total costs and expenses increased by $3,497,532, or 18%, from $19,919,317 in 2007 to $23,416,849 in 2008. The following discusses the various changes in costs and expenses:

•

Compensation and benefits increased by $2,260,977, or 40%. During the six months period ended February 29, 2008, the Company incurred a $248,850 non-cash pre-tax compensation expense related to employees’ incentive stock options granted in fiscal year 2007. Excluding this non-cash compensation expense, the increase in compensation and benefits in the current period is 35% compared to the prior fiscal year, primarily due to an increase in number of cases, and also due to annual cash incentive bonus paid to employees.

•

Medical services and supplies expenses increased by $2,181,199, or 52%, while the number of surgery cases increased 17%. The increase was primarily due to a 104% increase in the number of inpatient procedures, which typically require more medical services and supplies.

•

Other operating expenses decreased by $815,893, or 9%. Even though the net patient service revenue increased, the marginal decrease in other operating expenses is due to the continued efforts made by the Company to reduce costs and expenses.

The income from discontinued operations represents the income at our Baton Rouge facility and, for the six months period ended February 28, 2007, the West Houston facility. The sale of the Baton Rouge facility was completed in December 2007. The net patient service revenues at these facilities decreased $777,571, or 17%, from $4,573,596 in 2007 to $3,796,025 in 2008, and the total surgical cases also decreased 33% from 685 cases in 2007 to 461 cases in 2008. The decrease is due to the Baton Rouge facility being in operation for the first quarter of the current fiscal year and 14 days in the second quarter of the current fiscal year before it was sold. Total costs and expenses of the discontinued operations decreased by $1,900,801, or 32%, from $5,857,018 in 2007 to $3,956,217 in 2008.

The gain on sale of discontinued operations during the quarter ended February 29, 2008 was $4,448,184. Provision for income taxes on this gain was $1,687,000.

Liquidity and Capital Resources

Our 2007 Annual Report on Form 10-K includes a detailed discussion of our liquidity, contractual obligations and commitments. The information presented below updates and should be read in conjunction with the information disclosed in that Form 10-K.

Cash flow from operating activities

Total cash flow provided by operating activities was $8,803,203 (including $641,775 used in discontinued operations) during the period ended February 29, 2008, primarily due to a net income of $9,795,510, increases in income tax receivable, deferred income taxes and income taxes payable, net, of $3,088,678 and depreciation and amortization of $1,090,694, partially offset by increases in accounts receivable of $1,457,266 due to an increase in net patient service revenues, and decreases in accounts payable and accrued liabilities of $1,625,338.

Cash flow from investing activities

Total cash flow provided by investing activities was $17,711,757 (including $16,430,895 provided by discontinued operations) primarily related to the sale proceeds of the assets of the Baton Rouge facility and the land in The Woodlands, Texas, partially offset by purchases of property and equipment of $536,319.

Cash flow from financing activities

Total cash flow used in financing activities was $7,215,462 during the current period. During the six months ended February 29, 2008, the Company paid down the entire outstanding balance of $7,073,813 under its Credit Agreement and also paid down $222,800 related to the note payable for class action lawsuit settlement. The Company received $307,269 from the exercise of employees’ stock options.

The Company had working capital of $35,277,506 as of February 29, 2008, and maintained a liquid position by a current ratio of approximately 3.45 to 1.

The Company and certain of its subsidiaries on May 27, 2005 entered into a Credit and Security Agreement (the “Credit Agreement”) with Merrill Lynch Capital for a five-year revolving credit facility for up to $10 million, subject to a borrowing base based on eligible accounts receivable and further subject to a $2 million reserve until satisfaction of certain conditions. As of February 29, 2008 and as of the date of this filing, the Company had not drawn any amounts under the Credit Agreement and had the entire $8 million available to it based on its borrowing base at that date. The Company’s obligations are secured by a first priority security interest in all existing and future accounts receivable and accounts receivable-related items, other assets and deposit accounts of certain subsidiaries, a pledge of 75% of equity interest in the operating entities of the Garland and Pasadena facilities and a negative pledge for the equity interests in the Company and other subsidiaries. The real estate holding subsidiaries of Dynacq are not borrowers under the Credit Agreement, and their real estate and equipment assets are not pledged to secure the obligations under such facility.

The Credit Agreement, among other things, requires that the Company maintain certain performance financial covenants, restricts its ability to incur certain additional indebtedness, and contains various customary provisions, including affirmative and negative covenants, representations and warranties and events of default. Please refer to the Form 8-K filed on June 1, 2005 for further reference and information.

We believe we will be able to meet our ongoing liquidity and cash needs for fiscal year 2008 through the combination of available cash, cash flow from operations and borrowings under our Credit Agreement.

Recent Accounting Pronouncements

In December 2007, the Financial Accounting Standards Board issued SFAS No. 141 (revised 2007), “Business Combinations” (“SFAS No. 141(R)”) and SFAS No. 160, “Noncontrolling Interest in Consolidated Financial Statements” (“SFAS No. 160”). These new standards represent the outcome of the FASB’s joint project with the International Accounting Standards Board and are intended to improve, simplify and converge internationally the accounting for business combinations and the reporting of noncontrolling interests in consolidated financial statements.

SFAS No. 141(R) replaces SFAS No. 141, “Business Combinations,” however, it retains the fundamental requirements of the former Statement that the acquisition method of accounting (previously referred to as the

purchase method) be used for all business combinations and for an acquirer to be identified for each business. This Statement defines the acquirer as the entity that obtains control of one or more businesses in the business combination and establishes the acquisition date as the date that the acquirer achieves control. The new standard requires the acquiring entity in a business combination to recognize all (and only) the assets acquired and liabilities assumed in the transaction; establishes the acquisition-date fair value as the measurement objective for all assets acquired and liabilities assumed; and requires the acquirer to disclose to investors and other users all of the information they need to evaluate and understand the nature and financial effect of the business combination.

SFAS No. 160 amends Accounting Research Bulletin No. 51, “Consolidated Financial Statements,” to establish accounting and reporting standards for the noncontrolling interest in a subsidiary and for the deconsolidation of a subsidiary. This Statement clarifies that a noncontrolling interest in a subsidiary is an ownership interest in the consolidated entity that should be reported as equity in the consolidated financial statements. This Statement changes the way the consolidated income statement is presented by requiring net income to be reported at amounts that include the amounts attributable to both the parent and the noncontrolling interest and to disclose those amounts on the face of the income statement. It also aligns the reporting of noncontrolling interest in subsidiaries with the requirements in International Accounting Standard 27.

Both SFAS No. 141(R) and SFAS No. 160 are effective beginning in our fiscal 2010. SFAS No. 141 (R) will be applied to business combinations that are consummated beginning in fiscal 2010, and SFAS No. 160 will be applied prospectively to all noncontrolling interests, including any that arose before fiscal 2010. We are currently evaluating these Statements and have not yet determined their effect on our consolidated financial statements.

Item 3. Quantitative and Qualitative Disclosures About Market Risk.

Market risks relating to the Company’s operations result primarily from changes in interest rates as well as credit risk concentrations. Except for the capital contributions of approximately $9 million to date to the DeAn Joint Venture, the majority of which are in local currency, all of the Company’s contracts are denominated in U.S. dollars and, therefore, the Company has no significant foreign currency risk.

Interest Rate Risk

The Company is exposed to market risk from changes in interest rates on funded debt. The Company had no amounts drawn as of February 29, 2008 and as of the date of this filing under the Credit Agreement. Borrowings under the Credit Agreement bear interest at variable rates based on the LIBOR rate plus 2.85%. Based on the amount outstanding, a 100 basis point change in the applicable interest rates would not have a material impact on the Company’s annual cash flow or income.

The Company’s cash and cash equivalents are invested in money market accounts. Accordingly, the Company is subject to changes in market interest rates. However, the Company does not believe a change in these rates would have a material adverse effect on the Company’s operating results, financial condition and cash flows. There is an inherent rollover risk on these funds as they accrue interest at current market rates. The extent of this risk is not quantifiable or predictable due to the variability of future interest rates.

Credit Risks

The Company’s financial instruments that are exposed to concentrations of credit risk consist primarily of trade receivable from various private insurers. The Company monitors its exposure for credit losses and maintains allowances for anticipated losses, but does not require collateral from these parties.

Item 4. Controls and Procedures.

Under the supervision and with the participation of our management, including our chief executive officer and chief financial officer, we conducted an evaluation to assess the effectiveness of our disclosure controls and procedures over financial reporting as of the end of the period covered by this report, pursuant to Exchange Act Rule

13a-15(e). Based on that evaluation, our chief executive officer and chief financial officer concluded that, as of February 29, 2008, our internal disclosure controls and procedures over financial reporting were effective.

There have been no significant changes in our internal control over financial reporting during the most recently completed fiscal quarter or in other factors that have materially affected, or are reasonably likely to materially affect, our internal controls over financial reporting.

PART II – OTHER INFORMATION

Item 1. Legal Proceedings.

Item 1A. Risk Factors.

The Company’s Risk Factors as disclosed in its Form 10-K for the year ended August 31, 2007 have not changed except that the first paragraph appearing below should be substituted for the fifth risk factor under “Risks Related to Our Business” on page 17 and the second paragraph appearing below should be added as the last entry under “Risks Related to Our Industry” on page 20 of that Form 10-K:

Certain defaults under the DeAn Joint Venture Agreement may place our investment in the China Project at risk.

We were late in making certain of our payments, and the Chinese government has not yet made $3.3 million in its payments, under the DeAn Joint Venture Agreement, each of which resulted in a technical default under that Agreement. Although Dynacq has received no notice of default, the remedies for failure to make a payment under the Joint Venture Agreement include loss of the right to vote on joint venture matters and the requirement to provide additional capital. In addition, Dynacq likely will not be able to meet the timetable for construction on the hospital set forth in the land use right agreement, in which case the land authority has the right to revoke the land use right without compensation to the Joint Venture and take over all construction and fixtures on the land. The Joint Venture may apply for an extension of the land use right, which if granted will require the Joint Venture to sign renewed land use right agreements and pay land premiums as required by the Land Bureau. If the Joint Venture is unsuccessful in obtaining an extension of the land use right, the land use right would be taken back by the government without payment. We are in the process of negotiating with the government, among other matters, the payment by the government of the amounts due under the Agreement, the sale by the government of its interest in the Joint Venture to a third party, and the extension of the dates for construction of the hospital. There can be no assurance that we will be successful in these negotiations, able to complete the construction and development of the China Project in a timely manner, or ultimately recover our investment in the China Project.

Changes to the Fee Guidelines

The Texas Workers’ Compensation 2008 Acute Care Hospital Outpatient and Inpatient Facility Fee Guidelines which became effective March 1, 2008 establish reimbursement amounts for workers’ compensation procedures performed at our facilities. Those amounts are determined by applying the most recently adopted and effective Medicare reimbursement formula and factors as published annually in the Federal Register, including identifying the appropriate ambulatory Payment Classification for outpatient, or Diagnosis Related Group for inpatient, services. The applicable classification or group is used to determine the maximum allowable reimbursement for the procedures performed unless not calculable using Fee Guidelines, in which case reimbursement will be determined

on a fair and reasonable basis. Based on this new Fee Guideline, the reimbursement due the Company for workers’ compensation cases will be lower than we previously experienced. Although we have not yet completed our evaluation of the negative impact this will have for cases starting March 1, 2008, we anticipate discontinuing our focus on Texas workers’ compensation cases because of these lower reimbursement rates. Our patient service revenues may decrease as a result of both the decreased number of procedures and the lower reimbursement rates for workers’ compensation procedures still performed.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds.

Purchases of Equity Securities by the Company


Period	Total Number of Shares Purchased	Average Price per Share		Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs⁽¹⁾	Maxiumum Number of Shares that May Yet be Purchased Under the Publcily Announced Plans or Programs⁽¹⁾
December 1 – December 31, 2007	10,000	$	3.80	460,676	—
January 1 – January 31, 2008	—		—	—	—
February 1 – February 29, 2008	—		—	—	—

Total	10,000			460,676	—

⁽¹⁾

In January 2002, the Company had authorized the repurchase of up to 500,000 shares of common stock. There still remain 39,324 shares to be purchased under this program. However, on February 29, 2008, the Board of Directors authorized a program of repurchasing up to 2 million of its outstanding securities from time to time in open market transactions at prevailing prices on NASDAQ. See Item 5 below for a detailed discussion. Subsequent to the fiscal quarter ended February 29, 2008, the Company has purchased 76,954 shares of common stock as part of this new program at an average cost of $4.70 per share.

Item 3. Defaults Upon Senior Securities.

None.

Item 4. Submission of Matters to a Vote of Security Holders.

Election of Directors and Ratification of Engagement of Independent Auditors

On February 15, 2008, the Company held its Annual Meeting of Stockholders. Each of our directors was reelected to serve until our next annual meeting of shareholders or until his respective successor is elected and qualified. The following table sets forth the results of the voting for the election of directors:


Nominee	For	Withheld	Abstentions and Broker Non-votes
Chiu M. Chan	12,712,373	132,210	—
Philip S. Chan	12,690,903	153,680	—
Stephen L. Huber	12,699,018	145,565	—
Earl R. Votaw	12,815,116	29,467	—
Ping S. Chu	12,815,582	29,001	—
James G. Gerace	12,815,520	29,063	—

The stockholders also ratified the engagement of Killman, Murrell & Company, P.C. as the independent auditors for the fiscal year ending August 31, 2008. The proposal to ratify received 12,834,779 affirmative votes and 8,718 negative votes, with 1,086 votes abstaining.

Item 5. Other Information.

On February 29, 2008 the Company began a program of repurchasing up to 2 million of its outstanding securities from time to time in open market transactions at prevailing prices on NASDAQ. The purchases of Company securities are being made through a broker in accordance with the “safe harbor” provisions of Rule 10b-18 of the Securities Exchange Act of 1934. The Company is making its daily purchases in accordance with each of the following conditions of Rule 10b-18: (i) purchases on any single day are effected from or through only one broker or dealer that is or has access to an electronic communication network or other alternative trading system in order to execute repurchases on behalf of the Company on that day; (ii) purchases are not the opening purchase reported in the consolidated system nor are they effected during the 30 minutes before the scheduled close of the primary trading session on NASDAQ; (iii) purchases are effected at a purchase price that does not exceed the higher of the highest independent bid or the last independent transaction price quoted or reported on NASDAQ at the time that purchase is effected; and (iv) the total volume of shares purchased by or for the Company and any of its affiliates in a single day will not exceed 25% of the average daily trading volume reported for Company stock for the four calendar weeks preceding the week in which the purchase is to be effected. The stock repurchase plan will expire when the maximum number of shares has been repurchased, but may be discontinued by the Company at any time.

Please refer to Item 2 above for purchases of Company securities made during and after the fiscal quarter ended February 29, 2008.

Item 6. Exhibits.


EXHIBIT NO.		IDENTIFICATION OF EXHIBIT
Exhibit 15.1		Awareness Letter of Killman, Murrell & Company, P.C.

Exhibit 23.1		Consent of Killman, Murrell & Company, P.C.

Exhibit 31.1		Certification of Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

Exhibit 31.2		Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

Exhibit 32.1		Certification of Chief Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

Exhibit 32.2		Certification of Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

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.


	DYNACQ HEALTHCARE, INC.

Date: April 8, 2008	By:	/s/ Chiu M. Chan
		Chiu M. Chan
		Chief Executive Officer (duly authorized officer)

Date: April 8, 2008	By:	/s/ Philip S. Chan
		Philip S. Chan
		Chief Financial Officer (principal financial and accounting officer)

INDEX OF EXHIBITS


EXHIBIT NO.		IDENTIFICATION OF EXHIBIT
Exhibit 15.1		Awareness Letter of Killman, Murrell & Company, P.C.

Exhibit 23.1		Consent of Killman, Murrell & Company, P.C.

Exhibit 31.1		Certification of Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

Exhibit 31.2		Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

Exhibit 32.1		Certification of Chief Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

Exhibit 32.2		Certification of Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.