American Dental Partners, Inc. (NASDAQ: ADPI) announced financial results today for the quarter ended March 31, 2009.

Comparing actual results for the first quarter of 2009 and pro forma results for the first quarter of 2008 (see "Litigation Settlement Accounting" and "Supplemental Operating Data" tables for an explanation of the pro forma results):

--  Net revenue was $69,385,000 as compared to pro forma net revenue of
    $70,055,000.
--  Earnings from operations were $5,949,000 as compared to pro forma
    earnings from operations of $5,454,000.
--  Net earnings were $1,421,000 as compared to pro forma net earnings of
    $1,694,000.
--  Diluted net earnings per share were $0.11 as compared to pro forma
    diluted net earnings per share of $0.13.
--  Diluted cash net earnings per share were $0.21 as compared to pro
    forma diluted cash net earnings per share of $0.23.
    

Operating Results

Patient revenue of the Company's affiliated dental group practices was $106,757,000 for the quarter, which includes $100,633,000 from dental group practices which are affiliated with the Company by means of service agreements and $6,124,000 from Arizona's Tooth Doctor for Kids. Same market patient revenue growth was (1.0)% for the quarter and (1.8)% excluding in-market affiliations.

Cash flow from operations was $6,842,000 for the quarter. Capital expenditures were $1,794,000. Amounts paid for affiliations and acquisitions, including contingent amounts and affiliation costs, amounted to $224,000 for the quarter. The Company completed two de novo facilities and one in-market affiliation during the quarter which generated approximately $33,000 of patient revenue from date of affiliation for the quarter and is expected to generate patient revenue of approximately $390,000 on an annualized basis.

The Company recognized $379,000 in stock-based compensation expense, $245,000 net of tax or $0.02 per diluted share, during the quarter as compared to $526,000, $321,000 net of tax or $0.02 per diluted share, for the prior year's same quarter.

The Company's revolving credit facility and term loan, both of which are senior secured facilities, mature on January 20, 2010 and accordingly have been classified as a current liability as of March 31, 2009. The Company continues to explore financing alternatives with its existing lenders and potential lenders, which include extensions to existing facilities and alternative sources of capital, with the long term interests of the Company's shareholders in mind.

Litigation Settlement Accounting

The Company's 2008 financial results reflect income and expenses, including non-cash items, required by generally accepted accounting principles associated with the February 29, 2008 settlement of litigation among PDG, P.A. ("PDG"), PDHC, Ltd., one of the Company's subsidiaries, and the Company. In addition to its 2008 actual results, the Company has provided a pro forma financial presentation to exclude the income and expense items related to the litigation settlement.

Cash net earnings and cash earnings from operations are non-GAAP financial measures. In accordance with the requirement of SEC Regulation G, please see the attached financial tables for a presentation of the most comparable GAAP measures and the reconciliation to the nearest GAAP measure and all additional reconciliations required by Regulation G.

For further discussion of these events and a comprehensive review of the first quarter ended March 31, 2009, the Company will host its previously announced conference call on Thursday, April 30, 2009 at 9:00 a.m. EDT, which will be broadcast live over the Internet at www.amdpi.com. The call will be hosted by Gregory A. Serrao, Chairman, President and Chief Executive Officer. To access the webcast, participants should visit the Investor Relations section of the website at least fifteen minutes prior to the start of the conference call to download and install any necessary audio software. A replay of the webcast will be available at www.amdpi.com approximately two hours after the call through 6:00 p.m. EDT, Thursday, May 7, 2009.

American Dental Partners is one of the nation's leading business partners to dental group practices. The Company is affiliated with 26 dental group practices which have 243 dental facilities with approximately 2,120 operatories located in 18 states.

"Safe Harbor" Statement under the Private Securities Litigation Reform Act of 1995: With the exception of the historical information contained in this news release, the matters described herein contain "forward-looking" statements that involve risk and uncertainties that may individually or collectively impact the matters herein described, including but not limited to the Company's risks associated with its ability to refinance its credit facilities on satisfactory terms, overall or regional economic conditions, dependence upon affiliated dental practices, contracts its affiliated practices have with third-party payors, dependence upon service agreements and government regulation of the dental industry, the impact of any terminations or potential terminations of such contracts and the Company's acquisition and affiliation strategy, which are detailed from time to time in the "Risk Factors" section of the Company's SEC reports, including the annual report on Form 10-K for the year ended December 31, 2008.


                          AMERICAN DENTAL PARTNERS, INC.

                              FINANCIAL HIGHLIGHTS
                     (in thousands, except per share amounts)
                                   (unaudited)

                                                       Three Months Ended
                                                            March 31,
                                                      --------------------
                                                         2009       2008
                                                      ---------   --------

Net revenue                                            $ 69,385   $ 79,811
Operating expenses:
   Salaries and benefits                                 29,566     35,501
   Lab fees and dental supplies                          10,293     11,981
   Office occupancy expenses                              8,499      9,013
   Other operating expenses                               6,578      6,772
   General corporate expenses                             3,360      3,630
   Depreciation expense                                   2,715      2,774
   Amortization of intangible assets                      2,425      2,387
   Litigation settlement (gain) expense                       -    (30,127)
                                                      ---------   --------
       Total operating expenses                          63,436     41,931
                                                      ---------   --------
Earnings from operations                                  5,949     37,880
   Interest expense, net                                  3,370      2,455
                                                      ---------   --------
Earnings before income taxes                              2,579     35,425
   Income taxes                                           1,021     13,760
                                                      ---------   --------
Consolidated net earnings                                 1,558     21,665
   Noncontrolling interest                                  137        140
                                                      ---------   --------
Net earnings                                          $   1,421   $ 21,525
                                                      =========   ========

Net earnings per common share:
   Basic                                              $    0.11   $   1.68
                                                      =========   ========
   Diluted                                            $    0.11   $   1.65
                                                      =========   ========
Weighted average common shares outstanding:
   Basic                                                 12,935     12,839
                                                      =========   ========
   Diluted                                               12,994     13,084
                                                      =========   ========




                          AMERICAN DENTAL PARTNERS, INC.

                              FINANCIAL HIGHLIGHTS
                                 (in thousands)
                                  (unaudited)

                                                   March 31,   December 31,
                                                     2009          2008
                                                  -----------   -----------
ASSETS
Current assets:
   Cash and cash equivalents                      $     6,568   $     6,626
   Accounts receivable, net                            27,888        25,875
   Other current assets                                10,539        12,183
                                                  -----------   -----------
       Total current assets                            44,995        44,684
                                                  -----------   -----------

Property and equipment, net                            53,485        54,542
                                                  -----------   -----------
Other non-current assets:
   Goodwill                                            76,122        76,122
   Intangible assets, net                             173,295       175,527
   Other assets                                         2,345         2,378
                                                  -----------   -----------
       Total non-current assets                       251,762       254,027
                                                  -----------   -----------
       Total assets                               $   350,242   $   353,253
                                                  ===========   ===========

LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
   Accounts payable and accrued expenses          $    30,447   $    30,819
   Other current liabilities                              215            81
   Current maturities of debt                         126,149           196
                                                  -----------   -----------
       Total current liabilities                      156,811        31,096
                                                  -----------   -----------
Non-current liabilities:
   Long-term debt                                         293       131,441
   Other liabilities                                   43,823        43,634
                                                  -----------   -----------
       Total non-current liabilities                   44,116       175,075
                                                  -----------   -----------
       Total liabilities                              200,927       206,171
                                                  -----------   -----------

Noncontrolling Interest                                 1,173           584

Commitments and contingencies
Stockholders' equity                                  148,142       146,498
                                                  -----------   -----------
       Total liabilities and stockholders' equity $   350,242   $   353,253
                                                  ===========   ===========




                          AMERICAN DENTAL PARTNERS, INC.
                           SUPPLEMENTAL OPERATING DATA
   (in thousands, except per share amounts and selected statistical data)
                                  (unaudited)

                   Pro forma consolidated statement of income
                    for the three months ended March 31, 2008


                              Three Months Ended March 31, 2008
                                     Pro Forma Adjustments
                                 ----------------------------
                                  Settlement     Management     Pro Forma
                      Actual      Assets (a)     Services (b)      2008
                    -----------  ------------    ------------  ------------


Net revenue         $    79,811  $      6,423    $      3,333  $     70,055
Operating expenses
   Salaries and
    benefits             35,501         3,755             852        30,894
   Lab fees and
    dental supplies      11,981         1,301               -        10,680
   Office occupancy
    expenses              9,013           863              60         8,090
   Other operating
    expenses              6,772           252             108         6,412
   General corporate
    expenses              3,630             -               -         3,630
   Litigation
    expenses            (30,127)      (30,127)(c)           -             -
                    -----------  ------------    ------------  ------------
EBITDA                   43,041        30,379           2,313        10,349
   Depreciation           2,774           252              14         2,508
   Amortization           2,387             -               -         2,387
                    -----------  ------------    ------------  ------------
Earnings from
 operations              37,880        30,127           2,299         5,454
   Interest expense,
    net                   2,455             -               -         2,455
                    -----------  ------------    ------------  ------------
Earnings before
 income taxes            35,425        30,127           2,299         2,999
   Income taxes          13,760                                       1,165
                    -----------                                ------------
Consolidated
 earnings                21,665                                       1,834
   Noncontrolling
    interest                140                                         140
                    -----------                                ------------
Net earnings             21,525                                       1,694
Amortization of
 service agreements,
 net of tax               1,351                                       1,351
                    -----------                                ------------
Cash net
 earnings (d)       $    22,876                                $      3,045
                    ===========                                ============

Diluted net earnings
 per common share   $      1.65                                $       0.13
                    ===========                                ============
Diluted cash net
 earnings per common
 share (d)          $      1.75                                $       0.23
                    ===========                                ============


(a) Includes expense reimbursement associated with (i) 25 dental facilities
    transferred to PDG as part of litigation settlement and (ii) PDG
    doctors who practiced temporarily in the six dental facilities retained
    by the Company.
(b) The Company provided management services to PDG through September 30,
    2008. Includes interim management fee revenue, expenses associated with
    providing such services, and salaries and benefits expense, including
    severance, of management staff who were terminated as a result of
    realigning the Company's Minnesota-based management team.
(c) Includes gain on disposal of assets of $30,763,000 and professional
    fees associated with PDG litigation of $636,000.
(d) Cash net earnings and diluted cash net earnings per share are not
    measures of financial performance under GAAP. Cash net earnings
    excludes amortization expense related to intangible assets, net of tax.
    The Company incurs significant amortization expense related to its
    service agreements while many companies, both in the same industry and
    other industries, no longer amortize a significant portion of their
    intangible assets pursuant to Statement of Financial Accounting
    Standards No. 142 - Goodwill and Other Intangible Assets. The Company
    believes that cash net earnings and diluted cash net earnings per share
    are important financial measures for understanding its relative
    financial performance.




                          AMERICAN DENTAL PARTNERS, INC.
                           SUPPLEMENTAL OPERATING DATA
    (in thousands, except per share amounts and selected statistical data)
                                  (unaudited)

                  Change in consolidated statement of income
              for the three months ended March 31, 2009 and 2008


                                              Actual   Pro Forma   Change
                                               2009       2008
                                            ---------  ---------  --------


Net revenue                                 $  69,385  $  70,055        -1%
Operating expenses
   Salaries and benefits                       29,566     30,894        -4%
   Lab fees and dental supplies                10,293     10,680        -4%
   Office occupancy expenses                    8,499      8,090         5%
   Other operating expenses                     6,578      6,412         3%
   General corporate expenses                   3,360      3,630        -7%
                                            ---------  ---------  --------
EBITDA                                         11,089     10,349         7%
   Depreciation                                 2,715      2,508         8%
   Amortization                                 2,425      2,387         2%
                                            ---------  ---------  --------
Earnings from operations                        5,949      5,454         9%
   Interest expense, net                        3,370      2,455        37%
                                            ---------  ---------  --------
Earnings before income taxes                    2,579      2,999       -14%
   Income taxes                                 1,021      1,165       -12%
                                            ---------  ---------  --------
Consolidated net earnings                       1,558      1,834       -15%
   Noncontrolling interest                        137        140        -2%
                                            ---------  ---------  --------
Net earnings                                    1,421      1,694       -16%
Amortization of service agreements,
 net of tax                                     1,361      1,351         1%
                                            ---------  ---------  --------
Cash net earnings (e)                       $   2,782  $   3,045        -9%
                                            =========  =========  ========

Diluted net earnings per common share       $    0.11  $    0.13       -15%
                                            =========  =========  ========
Diluted cash net earnings per common share  $    0.21  $    0.23        -9%
                                            =========  =========  ========


(e) Cash net earnings and diluted cash net earnings per share are not
    measures of financial performance under GAAP. Cash net earnings
    excludes amortization expense related to intangible assets, net of tax.
    The Company incurs significant amortization expense related to its
    service agreements while many companies, both in the same industry and
    other industries, no longer amortize a significant portion of their
    intangible assets pursuant to Statement of Financial Accounting
    Standards No. 142 - Goodwill and Other Intangible Assets. The Company
    believes that cash net earnings and diluted cash net earnings per share
    are important financial measures for understanding its relative
    financial performance.



                          AMERICAN DENTAL PARTNERS, INC.
                           SUPPLEMENTAL OPERATING DATA
    (in thousands, except per share amounts and selected statistical data)
                                  (unaudited)


                          Selected statistical data


                                                    March 31,     March 31,
                                                      2009          2008
                                                    ---------     ---------

Number of dental facilities                               243           244
Number of operatories (f)                               2,120         2,099
Number of affiliated dentists (g)                         542           550


(f) An operatory is an area where dental care is performed and generally
    contains a dental chair, a hand piece delivery system and other
    essential equipment.
(g) Includes full-time equivalent general or specialty dentists employed by
    or contracted with the affiliated practices, including Arizona's Tooth
    Doctor for Kids.



         Patient revenue and same market patient revenue growth (h)


                                              Three Months Ended
                                                   March 31,
                                              -------------------     %
                                                2009      2008     Change
                                              --------- --------- --------
Patient revenue of affiliated practices:
   Platform dental group practices
    affiliated with us in both periods of
    comparison                                $ 106,271 $ 107,301     -1.0%
   Platform dental group practices that
    affiliated with us during periods of
    comparison                                      486        73    565.8%
                                              --------- --------- --------
Total patient revenue                           106,757   107,374     -0.6%
Patient revenue of Arizona's Tooth Doctor
 for Kids                                         6,124     6,122      0.0%
                                              --------- --------- --------
Patient revenue of platform dental group
 practices affiliated with us by means of
 service agreements                             100,633   101,252     -0.6%
Amounts due to us under service agreements       62,560    62,795     -0.4%
                                              --------- --------- --------
Amounts retained by platform dental group
 practices affiliated with us by means of
 service agreements                           $  38,073 $  38,457     -1.0%
                                              ========= ========= ========


(h) Includes patient revenue of affiliated dental group practices which are
    not consolidated with the Company's financial results and patient
    revenue of Arizona's Tooth Doctor for Kids which is consolidated with
    the Company?s financial results.

Contacts: Gregory A. Serrao Chairman, President and Chief Executive Officer 781-224-0880 Breht T. Feigh Executive Vice President, Chief Financial Officer and Treasurer 781-224-0880 American Dental Partners, Inc. 401 Edgewater Place, Suite 430 Wakefield, MA 01880 Phone: 781/224-0880 Fax: 781/224-4216

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