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Company Contact:
Allen Dodge
Health Grades, Inc.
303-716-0041
adodge@healthgrades.com


For Immediate Release




       Health Grades, Inc. Announces Third Quarter 2008 Results
                    - Net Income of $0.04 Per Share in the Third Quarter 2008 -
                          - 2.0 Million Shares Repurchased Year to Date -

Golden, Colo. (October 30, 2008) – Health Grades, Inc. (NASDAQ: HGRD), the leading independent
healthcare ratings company, today reported financial results for the three months and nine months ended
September 30, 2008.

Ratings and advisory revenue for the three months ended September 30, 2008 increased by approximately
$1.9 million or 24% to $10.0 million compared to the same period of 2007 as a result of growth from the
Provider Services and Internet Business Group products. For the three months ended September 30, 2008
compared to the same period of 2007, Provider Services revenue increased approximately $1.2 million,
Internet Business Group revenue increased approximately $0.6 million and Strategic Health Solutions
revenue increased approximately $0.2 million over this same period.

Operating income for the three months ended September 30, 2008 was approximately $2.0 million compared
to approximately $1.3 million for the three months ended September 30, 2007.

Net income for the three months ended September 30, 2008 was approximately $1.3 million or $0.04 per
diluted share, compared with net income of approximately $1.1 million or $0.03 per diluted share for the
same period of 2007. Net income for the three months ended September 30, 2008 includes a tax expense of
approximately $0.8 million, while net income for the three months ended September 30, 2007 included a tax
expense of approximately $0.7 million. For the three months ended September 30, 2008, the Company’s
effective income tax rate was approximately 37% compared with 39% for the third quarter of 2007.

Provider Services. For the three months ended September 30, 2008, Provider Services revenue, which
principally includes sales of hospital marketing products and quality assessment and improvement products,
was approximately $7.4 million, an increase of approximately $1.2 million, or 19% over the same period of
2007. These increases principally reflect sales of the Company’s marketing products to new hospital clients,
increased sales to existing clients and client retention. For the nine months ended September 30, 2008 and
2007, the Company retained or signed new contracts representing approximately 79% and 72%, respectively,
of the annual contract value of hospitals whose contracts had first or second year anniversary dates.

Internet Business Group. For the three months ended September 30, 2008, Internet Business Group revenue,
which includes revenue from the Company’s physician sponsorship program, the sale of HealthGrades’
quality reports to consumers and website advertising and sponsorship revenue, was approximately $2.1
million, an increase of $0.6 million, or 38% over the same period of 2007. This increase is due principally to
an increase in revenue from the Company’s physician sponsorship agreement with Fresenius Medical Care
North America signed in June 2008. Revenue from advertising increased over the prior year, but was offset
by a decrease in revenue from quality reports to consumers.

Strategic Health Solutions. For the three months ended September 30, 2008, Strategic Health Solutions
revenue, which includes sales of HealthGrades’ quality information to employers, benefit consultants, health
plans and others and sales of the Company’s data, was approximately $0.5 million, an increase of $0.2
million, or 48% over the same period of 2007.

Operating Expenses

Operating expenses increased approximately $0.9 million to $6.5 million for the three months ended
September 30, 2008 from $5.7 million in the three months ended September 30, 2007. Sales and marketing
expenses increased approximately $0.3 million, product development expenses increased approximately $0.5
million, and general and administrative expenses remained consistent compared to the three months ended
September 30, 2007.

Sales and marketing expenses were approximately $2.7 million, a net increase of $0.3 million from
approximately $2.3 million over the third quarter of 2007. The increase is primarily a result of sales and
marketing expenses related to the Company’s Internet sponsorship and advertising initiative.

Product development expenses increased approximately $0.5 million to $1.9 million for the three months
ended September 30, 2008 from approximately $1.3 million in the third quarter of 2007 due to additional
personnel hired to support product development efforts, including both the improvement of existing products
as well as the development of new product offerings such as the Drug Ratings Tool. In addition, the
Company continues to invest in the improvement and expansion of physician data. HealthGrades maintains
physician data on more than 750,000 physicians.

General and administrative expenses were approximately $1.9 million for the three months ended September
30, 2008 and 2007.

Interest Income

Interest income decreased by approximately $0.2 million from approximately $0.3 million for the three
months ended September 30, 2007 to approximately $0.1 million for the three months ended September 30,
2008. Stock repurchases during 2008 have decreased the Company’s cash balances, and a decrease in
interest rates on invested cash also contributed to the decrease in interest income.

Income Taxes



                                                      2
Income taxes increased approximately $0.1 million to approximately $0.8 million for the three months ended
September 30, 2008 from approximately $0.7 million during the three months ended September 30, 2007.
Income taxes increased due to increased operating income for the three months ended September 30, 2008
compared to same period in 2007. For the three months ended September 30, 2008, the effective income tax
rate was approximately 37% compared to 39% for three months ended September 30, 2007. The effective
tax rate decreased primarily because the Company’s non-deductible compensation expense related to
incentive stock options declined relative to total taxable income in the 2008 period compared to the 2007
period.

Cash Position; Stock Repurchases

HealthGrades completed the three months ended September 30, 2008 with approximately $16.4 million in
cash and cash equivalents, a 30% decrease from the balance at December 31, 2007. As a result of the
Company’s acquisition of the WrongDiagnosis.com website on October 13, 2008 for approximately $6.2
million in cash, the Company’s current cash balance is approximately $10.6 million. For the nine months
ended September 30, 2008, the Company has repurchased 2,012,373 shares of its common stock for an
aggregate purchase price of approximately $9.8 million. Since June 22, 2006, the Company has repurchased
3,828,372 shares of its common stock for an aggregate purchase price of approximately $18.7 million.

Outlook

Kerry Hicks, Chairman and Chief Executive Officer of Health Grades, Inc. stated, “We have made important
strides this month toward increasing the value of our Internet offering with the acquisition of
WrongDiagnosis.com and the announcement that we will be Yahoo’s! exclusive provider of physician and
hospital quality information,” said Kerry Hicks, CEO of HealthGrades. “We believe strategic initiatives such
as these further solidify our position as the resource coach to the active patient. This is a position we plan to
continue to strengthen. As we look forward to 2009, we believe we are well positioned to capitalize on the
combined value of our Internet properties.”

Guidance

The Company reaffirmed its updated guidance which was provided on October 14, 2008 for ratings and
advisory revenue in 2008 of $39 million to $40 million, and an operating margin in the range of 17% to 21%.

As previously announced, HealthGrades will hold a conference call, which will also be broadcast live over
the Internet, to discuss third quarter 2008 financial results today at 11:00 a.m. Eastern Time/9:00 a.m.
Mountain Time. The broadcast will be hosted on the Investor Relations section of the Company’s website
located at www.healthgrades.com. Please allow extra time prior to the call to visit the site and download the
streaming media software required to listen to the Internet broadcast. If you would like to participate, please
call (866) 202-4367 at least ten minutes prior to the start time of 11:00 am ET/9:00 am MT on October 30,
2008 and reference the following - Confirmation number: 57927569, Host Name: Allen Dodge, Company:
HealthGrades. The telephone replay will be available one hour after the conclusion of the teleconference at
(888) 286-8010 passcode 76778914 until November 30, 2008.

About Health Grades, Inc.
HealthGrades (NASDAQ: HGRD) is the leading independent healthcare ratings company, providing ratings
and profiles of hospitals, nursing homes and physicians to consumers, corporations, health plans and



                                                       3
hospitals. Millions of consumers and many of the nation’s largest employers, health plans and hospitals rely
on HealthGrades’ independent ratings and decision-support resources to make healthcare decisions based on
the quality and cost of care. More information on the Company can be found at
http://www.healthgrades.com.

This press release contains forward-looking statements, including without limitation statements relating to the Company’s expected
ratings and advisory revenue and operating margin in 2008, strategic initiatives, the value of the Company’s Internet properties,
growth drivers, rate of growth, and management’s expectations and outlook. Actual results may differ materially from those
described in such forward-looking statements due to several factors, including without limitation, significant variance in expected
sales across the Company’s product areas, slower than expected adoption of some of the Company’s newer product areas such as
advertising/sponsorship sales, the Company’s inability to continue increasing sales of its licensing agreements or to complete its
strategic initiatives, a decline in anticipated contract retention rates, the Company’s inability to enter into meaningful contractual
arrangements and to successfully expand certain lines of business and other factors described in the Company’s filings with the
Securities and Exchange Commission, especially the section entitled “Risk Factors” in its 2007 Annual Report on Form 10-K. The
Company does not undertake to update its forward-looking statements.




                                                                  4
HEALTH GRADES, INC.
                                         Condensed Consolidated Statements of Income
                                                        (Unaudited)

                                                           Three Months Ended                    Nine Months Ended
                                                    ______    September 30,__                      September 30,_____
                                                         2008             2007                 2008             2007__
Revenue:
 Ratings and advisory revenue                       $   10,023,373     $    8,103,208    $   28,444,560    $   24,017,268
 Other                                                       6,684              3,564            18,789         3,416,665
 Total revenue                                          10,030,057          8,106,772        28,463,349        27,433,933

Expenses:
 Cost of ratings and advisory revenue                     1,604,983         1,212,626         4,723,125         3,854,384
 Gross margin                                             8,425,074         6,894,146        23,740,224        23,579,549

Operating expenses:
 Sales and marketing                                      2,677,158          2,333,067        7,435,584         6,575,232
 Product development                                      1,889,339          1,346,859        5,291,336         3,925,212
 General and administrative                               1,894,964          1,899,458        5,874,077         5,212,088
 Income from operations                                   1,963,613         1,324,762         5,139,227         7,867,017

Other:
 Loss on disposal of assets and other                            --           (25,268)                --          (25,268)
 Interest income                                             94,428           333,151           422,829         1,042,616
 Interest expense                                               (90)             (414)             (206)            (1,649)
 Minority interest                                           53,069            97,644           237,226            229,647
 Income before income taxes                               2,111,020         1,729,875         5,799,076         9,112,363
 Income taxes                                               789,065           675,178         2,112,452         3,562,546

 Net income                                         $     1,321,955    $    1,054,697    $    3,686,624    $    5,549,817


 Net income per common share (basic)                $          0.05    $         0.04    $         0.14    $          0.19

 Weighted average number of common shares
  used in computation (basic)                            26,705,410        28,708,557        27,132,832        28,668,826

 Net income per common share (diluted)              $          0.04    $         0.03    $         0.12    $          0.16

 Weighted average number of common shares
  used in computation (diluted)                          31,204,195        33,741,661        31,815,692        33,821,947




                                                               5
HEALTH GRADES, INC.
                              Condensed Consolidated Balance Sheets

                                                                     September 30,       December 31,
                                                                         2008                2007
                                                                      (Unaudited)
ASSETS
Cash and cash equivalents                                        $     16,402,265    $     23,369,368
Accounts receivable, net                                                8,487,657           6,935,341
Prepaid expenses and other current assets                                 852,973             836,222
Total current assets                                                   25,742,895          31,140,931

Property and equipment, net                                             2,054,260           1,641,456
Intangible assets, net                                                    266,510             357,128
Goodwill                                                                3,106,181           3,106,181
Deferred income taxes                                                     647,632             689,633
Total assets                                                     $     31,817,478    $     36,935,329

LIABILITIES AND STOCKHOLDERS' EQUITY
Accounts payable                                                 $        180,269    $        326,039
Accrued payroll, incentive compensation and related
  expenses                                                             2,717,178             2,222,970
Accrued expenses                                                          861,884              432,928
Current portion of capital lease obligations                                2,223                1,476
Current portion of deferred rent                                          250,851               68,544
Deferred income                                                        17,302,812           17,739,152
Income taxes payable                                                       88,899               13,843
Deferred income taxes                                                     113,235              113,914
Total current liabilities                                              21,517,351           20,918,866

Long-term portion of capital lease obligations                              1,562               2,387
Long-term portion of deferred rent                                         24,567             229,321
Total liabilities                                                      21,543,480          21,150,574

Commitments and contingencies

Minority interest                                                         10,785               248,011

Stockholders' equity:
Preferred stock, $0.001 par value, 2,000,000 shares
   authorized, no shares issued or outstanding                                  --                  --
Common stock, $0.001 par value, 100,000,000 shares authorized,
   and 51,427,807 and 50,895,623 shares issued as of September
   30, 2008 and December 31, 2007, respectively                           51,427               50,895
Additional paid-in capital                                            97,725,432           96,860,004
Accumulated deficit                                                  (55,030,309)         (58,716,933)
Treasury stock, 23,505,755 and 21,424,236 shares as of
   September 30, 2008 and December 31, 2007, respectively             (32,483,337)     (22,657,222)
Total stockholders' equity                                             10,263,213       15,536,744
Total liabilities and stockholders’ equity                       $     31,817,478    $ 36,935,329




                                                  6

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Health Grades3rd Qtr2008 Earnings

  • 1. Company Contact: Allen Dodge Health Grades, Inc. 303-716-0041 adodge@healthgrades.com For Immediate Release Health Grades, Inc. Announces Third Quarter 2008 Results - Net Income of $0.04 Per Share in the Third Quarter 2008 - - 2.0 Million Shares Repurchased Year to Date - Golden, Colo. (October 30, 2008) – Health Grades, Inc. (NASDAQ: HGRD), the leading independent healthcare ratings company, today reported financial results for the three months and nine months ended September 30, 2008. Ratings and advisory revenue for the three months ended September 30, 2008 increased by approximately $1.9 million or 24% to $10.0 million compared to the same period of 2007 as a result of growth from the Provider Services and Internet Business Group products. For the three months ended September 30, 2008 compared to the same period of 2007, Provider Services revenue increased approximately $1.2 million, Internet Business Group revenue increased approximately $0.6 million and Strategic Health Solutions revenue increased approximately $0.2 million over this same period. Operating income for the three months ended September 30, 2008 was approximately $2.0 million compared to approximately $1.3 million for the three months ended September 30, 2007. Net income for the three months ended September 30, 2008 was approximately $1.3 million or $0.04 per diluted share, compared with net income of approximately $1.1 million or $0.03 per diluted share for the same period of 2007. Net income for the three months ended September 30, 2008 includes a tax expense of approximately $0.8 million, while net income for the three months ended September 30, 2007 included a tax expense of approximately $0.7 million. For the three months ended September 30, 2008, the Company’s effective income tax rate was approximately 37% compared with 39% for the third quarter of 2007. Provider Services. For the three months ended September 30, 2008, Provider Services revenue, which principally includes sales of hospital marketing products and quality assessment and improvement products, was approximately $7.4 million, an increase of approximately $1.2 million, or 19% over the same period of 2007. These increases principally reflect sales of the Company’s marketing products to new hospital clients,
  • 2. increased sales to existing clients and client retention. For the nine months ended September 30, 2008 and 2007, the Company retained or signed new contracts representing approximately 79% and 72%, respectively, of the annual contract value of hospitals whose contracts had first or second year anniversary dates. Internet Business Group. For the three months ended September 30, 2008, Internet Business Group revenue, which includes revenue from the Company’s physician sponsorship program, the sale of HealthGrades’ quality reports to consumers and website advertising and sponsorship revenue, was approximately $2.1 million, an increase of $0.6 million, or 38% over the same period of 2007. This increase is due principally to an increase in revenue from the Company’s physician sponsorship agreement with Fresenius Medical Care North America signed in June 2008. Revenue from advertising increased over the prior year, but was offset by a decrease in revenue from quality reports to consumers. Strategic Health Solutions. For the three months ended September 30, 2008, Strategic Health Solutions revenue, which includes sales of HealthGrades’ quality information to employers, benefit consultants, health plans and others and sales of the Company’s data, was approximately $0.5 million, an increase of $0.2 million, or 48% over the same period of 2007. Operating Expenses Operating expenses increased approximately $0.9 million to $6.5 million for the three months ended September 30, 2008 from $5.7 million in the three months ended September 30, 2007. Sales and marketing expenses increased approximately $0.3 million, product development expenses increased approximately $0.5 million, and general and administrative expenses remained consistent compared to the three months ended September 30, 2007. Sales and marketing expenses were approximately $2.7 million, a net increase of $0.3 million from approximately $2.3 million over the third quarter of 2007. The increase is primarily a result of sales and marketing expenses related to the Company’s Internet sponsorship and advertising initiative. Product development expenses increased approximately $0.5 million to $1.9 million for the three months ended September 30, 2008 from approximately $1.3 million in the third quarter of 2007 due to additional personnel hired to support product development efforts, including both the improvement of existing products as well as the development of new product offerings such as the Drug Ratings Tool. In addition, the Company continues to invest in the improvement and expansion of physician data. HealthGrades maintains physician data on more than 750,000 physicians. General and administrative expenses were approximately $1.9 million for the three months ended September 30, 2008 and 2007. Interest Income Interest income decreased by approximately $0.2 million from approximately $0.3 million for the three months ended September 30, 2007 to approximately $0.1 million for the three months ended September 30, 2008. Stock repurchases during 2008 have decreased the Company’s cash balances, and a decrease in interest rates on invested cash also contributed to the decrease in interest income. Income Taxes 2
  • 3. Income taxes increased approximately $0.1 million to approximately $0.8 million for the three months ended September 30, 2008 from approximately $0.7 million during the three months ended September 30, 2007. Income taxes increased due to increased operating income for the three months ended September 30, 2008 compared to same period in 2007. For the three months ended September 30, 2008, the effective income tax rate was approximately 37% compared to 39% for three months ended September 30, 2007. The effective tax rate decreased primarily because the Company’s non-deductible compensation expense related to incentive stock options declined relative to total taxable income in the 2008 period compared to the 2007 period. Cash Position; Stock Repurchases HealthGrades completed the three months ended September 30, 2008 with approximately $16.4 million in cash and cash equivalents, a 30% decrease from the balance at December 31, 2007. As a result of the Company’s acquisition of the WrongDiagnosis.com website on October 13, 2008 for approximately $6.2 million in cash, the Company’s current cash balance is approximately $10.6 million. For the nine months ended September 30, 2008, the Company has repurchased 2,012,373 shares of its common stock for an aggregate purchase price of approximately $9.8 million. Since June 22, 2006, the Company has repurchased 3,828,372 shares of its common stock for an aggregate purchase price of approximately $18.7 million. Outlook Kerry Hicks, Chairman and Chief Executive Officer of Health Grades, Inc. stated, “We have made important strides this month toward increasing the value of our Internet offering with the acquisition of WrongDiagnosis.com and the announcement that we will be Yahoo’s! exclusive provider of physician and hospital quality information,” said Kerry Hicks, CEO of HealthGrades. “We believe strategic initiatives such as these further solidify our position as the resource coach to the active patient. This is a position we plan to continue to strengthen. As we look forward to 2009, we believe we are well positioned to capitalize on the combined value of our Internet properties.” Guidance The Company reaffirmed its updated guidance which was provided on October 14, 2008 for ratings and advisory revenue in 2008 of $39 million to $40 million, and an operating margin in the range of 17% to 21%. As previously announced, HealthGrades will hold a conference call, which will also be broadcast live over the Internet, to discuss third quarter 2008 financial results today at 11:00 a.m. Eastern Time/9:00 a.m. Mountain Time. The broadcast will be hosted on the Investor Relations section of the Company’s website located at www.healthgrades.com. Please allow extra time prior to the call to visit the site and download the streaming media software required to listen to the Internet broadcast. If you would like to participate, please call (866) 202-4367 at least ten minutes prior to the start time of 11:00 am ET/9:00 am MT on October 30, 2008 and reference the following - Confirmation number: 57927569, Host Name: Allen Dodge, Company: HealthGrades. The telephone replay will be available one hour after the conclusion of the teleconference at (888) 286-8010 passcode 76778914 until November 30, 2008. About Health Grades, Inc. HealthGrades (NASDAQ: HGRD) is the leading independent healthcare ratings company, providing ratings and profiles of hospitals, nursing homes and physicians to consumers, corporations, health plans and 3
  • 4. hospitals. Millions of consumers and many of the nation’s largest employers, health plans and hospitals rely on HealthGrades’ independent ratings and decision-support resources to make healthcare decisions based on the quality and cost of care. More information on the Company can be found at http://www.healthgrades.com. This press release contains forward-looking statements, including without limitation statements relating to the Company’s expected ratings and advisory revenue and operating margin in 2008, strategic initiatives, the value of the Company’s Internet properties, growth drivers, rate of growth, and management’s expectations and outlook. Actual results may differ materially from those described in such forward-looking statements due to several factors, including without limitation, significant variance in expected sales across the Company’s product areas, slower than expected adoption of some of the Company’s newer product areas such as advertising/sponsorship sales, the Company’s inability to continue increasing sales of its licensing agreements or to complete its strategic initiatives, a decline in anticipated contract retention rates, the Company’s inability to enter into meaningful contractual arrangements and to successfully expand certain lines of business and other factors described in the Company’s filings with the Securities and Exchange Commission, especially the section entitled “Risk Factors” in its 2007 Annual Report on Form 10-K. The Company does not undertake to update its forward-looking statements. 4
  • 5. HEALTH GRADES, INC. Condensed Consolidated Statements of Income (Unaudited) Three Months Ended Nine Months Ended ______ September 30,__ September 30,_____ 2008 2007 2008 2007__ Revenue: Ratings and advisory revenue $ 10,023,373 $ 8,103,208 $ 28,444,560 $ 24,017,268 Other 6,684 3,564 18,789 3,416,665 Total revenue 10,030,057 8,106,772 28,463,349 27,433,933 Expenses: Cost of ratings and advisory revenue 1,604,983 1,212,626 4,723,125 3,854,384 Gross margin 8,425,074 6,894,146 23,740,224 23,579,549 Operating expenses: Sales and marketing 2,677,158 2,333,067 7,435,584 6,575,232 Product development 1,889,339 1,346,859 5,291,336 3,925,212 General and administrative 1,894,964 1,899,458 5,874,077 5,212,088 Income from operations 1,963,613 1,324,762 5,139,227 7,867,017 Other: Loss on disposal of assets and other -- (25,268) -- (25,268) Interest income 94,428 333,151 422,829 1,042,616 Interest expense (90) (414) (206) (1,649) Minority interest 53,069 97,644 237,226 229,647 Income before income taxes 2,111,020 1,729,875 5,799,076 9,112,363 Income taxes 789,065 675,178 2,112,452 3,562,546 Net income $ 1,321,955 $ 1,054,697 $ 3,686,624 $ 5,549,817 Net income per common share (basic) $ 0.05 $ 0.04 $ 0.14 $ 0.19 Weighted average number of common shares used in computation (basic) 26,705,410 28,708,557 27,132,832 28,668,826 Net income per common share (diluted) $ 0.04 $ 0.03 $ 0.12 $ 0.16 Weighted average number of common shares used in computation (diluted) 31,204,195 33,741,661 31,815,692 33,821,947 5
  • 6. HEALTH GRADES, INC. Condensed Consolidated Balance Sheets September 30, December 31, 2008 2007 (Unaudited) ASSETS Cash and cash equivalents $ 16,402,265 $ 23,369,368 Accounts receivable, net 8,487,657 6,935,341 Prepaid expenses and other current assets 852,973 836,222 Total current assets 25,742,895 31,140,931 Property and equipment, net 2,054,260 1,641,456 Intangible assets, net 266,510 357,128 Goodwill 3,106,181 3,106,181 Deferred income taxes 647,632 689,633 Total assets $ 31,817,478 $ 36,935,329 LIABILITIES AND STOCKHOLDERS' EQUITY Accounts payable $ 180,269 $ 326,039 Accrued payroll, incentive compensation and related expenses 2,717,178 2,222,970 Accrued expenses 861,884 432,928 Current portion of capital lease obligations 2,223 1,476 Current portion of deferred rent 250,851 68,544 Deferred income 17,302,812 17,739,152 Income taxes payable 88,899 13,843 Deferred income taxes 113,235 113,914 Total current liabilities 21,517,351 20,918,866 Long-term portion of capital lease obligations 1,562 2,387 Long-term portion of deferred rent 24,567 229,321 Total liabilities 21,543,480 21,150,574 Commitments and contingencies Minority interest 10,785 248,011 Stockholders' equity: Preferred stock, $0.001 par value, 2,000,000 shares authorized, no shares issued or outstanding -- -- Common stock, $0.001 par value, 100,000,000 shares authorized, and 51,427,807 and 50,895,623 shares issued as of September 30, 2008 and December 31, 2007, respectively 51,427 50,895 Additional paid-in capital 97,725,432 96,860,004 Accumulated deficit (55,030,309) (58,716,933) Treasury stock, 23,505,755 and 21,424,236 shares as of September 30, 2008 and December 31, 2007, respectively (32,483,337) (22,657,222) Total stockholders' equity 10,263,213 15,536,744 Total liabilities and stockholders’ equity $ 31,817,478 $ 36,935,329 6