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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

FORM 10-QSB

(Mark One)

[X]  Quarterly report under Section 13 or 15(d) of the Securities Exchange Act of 1934

For the quarterly period ended June 30, 2006

[ ]  Transition report under Section 13 or 15(d) of the Exchange Act

For the transition period from                              to                             

Commission File Number 000-51228

KBL Healthcare Acquisition Corp. II
(Exact Name of Small Business Issuer as Specified in Its Charter)


Delaware 20-1994619
(State or other Jurisdiction of
Incorporation or Organization)
(I.R.S. Employer
Identification No.)

757 Third Avenue, 21st Floor, New York, New York 10017
(Address of Principal Executive Office)

(212) 319-5555
(Issuer’s Telephone Number, Including Area Code)

Check whether the issuer (1) filed all reports required to be filed by Section 13 or 15(d) of the Exchange Act during the past 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 shell company (as defined in Rule 12b-2 of the Exchange Act). Yes [X]    No [ ]

As of August 14, 2006, 11,200,000 shares of common stock, par value $.0001 per share, were issued and outstanding.

Transitional Small Business Disclosure Format (check one): Yes [ ]    No [X]





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KBL Healthcare Acquisition Corp. II
(a corporation in the development stage)
Condensed Balance Sheet


  As of
June 30, 2006
(unaudited)
As of
December 31,
2005
ASSETS  
 
Current Assets  
 
Cash $ 104,672
$ 649,223
Amounts held in trust  
 
Cash held in trust
286
US Government Securities – Treasury Bill
49,877,308
New York Muni Cash Trust 49,877,596
Accrued Interest – trust fund 1,345,644
403,509
Total held in trust 51,223,240
50,281,103
Due from management 7,745
Due from Officer 19,070
Prepaid expenses 105,833
42,332
Total Current Assets 51,460,560
50,972,658
Computer Equipment, (net of accumulated depreciation of $878 and $217 respectively) 5,732
4,118
Deferred acquisition costs 165,388
Deferred tax asset 447,000
229,000
Total assets $ 52,078,680
$ 51,205,776
LIABILITIES AND STOCKHOLDERS' EQUITY  
 
Current liabilities:  
 
Accounts payable and accrued expenses $ 285,594
$ 41,199
Deferred Trust Income 410,842
222,509
Capital and Income Tax Payable 370,759
172,193
Total Liabilities 1,067,195
435,901
Common Stock, subject to possible conversion, 1,839,080 shares at conversion value 9,828,683
9,828,683
Commitment and Contingency  
 
Stockholders' equity  
 
Preferred stock, $.0001 par value, Authorized
1,000,000 shares; none issued
 
 
Common stock, $.0001 par value Authorized 35,000,000 shares
Issued and outstanding 11,200,000 shares (which include
1,839,080 subject to possible conversion) and 2,000,000
respectively
1,120
1,120
Additional paid-in capital 40,632,501
40,632,501
Income/(Deficit) accumulated during the development stage 549,181
307,571
Total stockholders' equity 41,182,802
40,941,192
Total liabilities and stockholders' equity $ 52,078,680
$ 51,205,776

See Notes to Unaudited Condensed Financial Statements

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KBL Healthcare Acquisition Corp. II
(a corporation in the development stage)

Condensed Statement of Operations
(unaudited)


  For the three
months
April 1, 2006 to
June 30, 2006
For the three
months
April 1, 2005 to
June 30, 2005
For the six
months ended
June 30, 2006
For the six
months ended
June 30, 2005
For the period
December 09,
2004 (inception)
to June 30, 2006
Income:  
 
 
 
 
Interest $ 354,438
$ 177,825
$ 759,185
$ 177,825
$ 1,655,534
Total Income: 354,438
177,825
759,185
177,825
1,655,534
Expenses:  
 
 
 
 
Professional Fees 78,014
9,136
100,204
12,886
162,935
Franchise and Capital Taxes 10,500
47,070
20,875
47,070
57,036
Administrative fees 22,500
17,500
45,000
17,500
107,500
Dues and Subscriptions 4,524
6,563
11,372
6,563
43,207
Insurance 27,500
18,333
55,000
18,333
128,333
Other operating expenses 18,724
14,424
83,601
14,574
140,373
Total expenses 161,762
113,026
316,052
116,926
639,384
Income before provision for income taxes 192,676
64,799
443,133
60,899
1,016,150
Provision for income taxes 87,411
21,265
201,523
21,265
466,969
Net income $ 105,265
$ 43,534
$ 241,610
$ 39,634
$ 549,181
Net income per share basic and
diluted
$ 0.01
$ 0.01
$ 0.02
$ 0.02
$ 0.06
Weighted average shares
outstanding
11,200,000
8,632,967
11,200,000
1,721,854
8,962,390

See Notes to Unaudited Condensed Financial Statements

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KBL Healthcare Acquisition Corp. II
(a corporation in the development stage)

Condensed Statement of Stockholders’ Equity

For the period from December 9, 2004 (inception) to June 30, 2006


  Common Stock Additional
paid-in
Capital
(Deficit)/Income
accumulated
during the
development
stage
Total
  Shares Amount
Sale of 2,000,000 shares of common
stock to initial stockholders as of
December 9, 2004 at $.02857 per share
2,000,000
$ 200
$ 24,800
$
$ 25,000
Net loss for the period
(939
)
(939
)
Balance, December 31, 2004 2,000,000
$ 200
24,800
(939
)
24,061
Sale of 9,200,000 units, net of underwriters’ discount and offering expenses (includes 1,839,080 shares subject to possible conversion) 9,200,000
$ 920
50,436,284
50,437,204
Proceeds subject to possible conversion of 1,839,080 shares
(9,828,683
)
(9,828,683
)
Proceeds from issuance of options
100
100
Net income for the period
308,510
308,510
Balance at December 31, 2005 11,200,000
$ 1,120
$ 40,632,501
$ 307,571
$ 40,941,192
Unaudited:  
 
 
 
 
Net Income for the period
241,610
241,610
Balance at June 30, 2006 11,200,000
$ 1,120
$ 40,632,501
$ 549,181
$ 41,182,802

See Notes to Unaudited Condensed Financial Statements.

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KBL Healthcare Acquisition Corp. II
(a corporation in the development stage)
Statement of Cash Flows
(unaudited)


  For the six
months ended
June 30, 2006
For the six
months ended
June 30, 2005
For the period
December 09, 2004
(inception) to
June 30, 2006
Cash flow from operating activities  
 
 
Net income $ 241,610
$ 39,634
$ 549,181
Adjustments to reconcile net income to net cash used in operating activities:  
 
 
Depreciation 661
878
Deferred tax benefit (218,000
)
(447,000
)
Changes in operating assets/liabilities:  
 
 
Accrued interest income on trust account (942,135
)
(222,252
)
(2,055,238
)
Decrease/(increase) in prepaid expenses (63,501
)
(107,454
)
(105,833
)
(Increase) in due from management (7,745
)
 
(7,745
)
(Increase) in due from officer (19,070
)
(19,070
)
Increase in accrued expenses 104,007
14,200
145,206
Increase in deferred trust income 188,333
44,428
410,842
Increase (decrease) in capital and income tax payable 198,566
68,196
370,759
Net cash flows used in operating activities (517,274
)
(163,248
)
(1,158,020
)
Cash flows from Investing Activities  
 
 
Purchases of equipment (2,275
)
(6,610
)
Payment of deferred acquisition costs (25,000
)
(25,000
)
Increase in cash held in trust (2
)
(288
)
Purchase of treasury bills
(49,168,001
)
(99,044,714
)
Maturity of treasury bills
49,877,000
Net cash flows used in investing activities (27,277
)
(49,168,001
)
(49,199,612
)
Cash flows from financing activities  
 
 
Gross proceeds from public offering
55,200,000
55,200,000
Proceeds from issuance of option
100
100
Proceeds from notes payable, stockholders
100,000
100,000
Payment of notes payable, stockholders
(100,000
)
(100,000
)
Proceeds from sale of shares of common stock
25,000
Payment of offering costs
(4,738,171
)
(4,762,796
)
Net cash provided by financing activities
50,461,929
50,462,304
Net increase in cash (544,551
)
1,130,680
104,672
Cash at beginning of the period 649,223
Cash at the end of the period $ 104,672
$ 1,130,680
$ 104,672
Supplemental schedule of non-cash investing activity:  
 
 
Accrual of deferred acquisition costs 140,388
140,388

See Notes to Unaudited Condensed Financial Statements.

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KBL Healthcare Acquisition Corporation
(a corporation in the development stage)
Notes to Unaudited Financial Statements

1.    Basis of Presentation

The financial statements at June 30, 2006 and for the periods ended June 30, 2006 are unaudited. In the opinion of management, all adjustments (consisting of normal accruals) have been made that are necessary to present fairly the financial position of KBL Healthcare Acquisition Corp. II (the ‘‘Company’’) as of June 30, 2006 and the results of its operations and cash flows for the periods ended June 30, 2006 and 2005. Operating results for the interim period presented are not necessarily indicative of the results to be expected for a full year.

The statements and related notes have been prepared pursuant to the rules and regulations of the U.S. Securities and Exchange Commission. Accordingly, certain information and footnote disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles have been omitted pursuant to such rules and regulations. These financial statements should be read in conjunction with the financial statements that were included in the Company’s Annual Report on Form 10-KSB for the period ended December 31, 2005. The December 31, 2005 balance sheet has been derived from the audited financial statements.

2.    Organization and Business Operations

The Company was incorporated on December 9, 2004 as a blank check company whose objective is to acquire an operating business in the healthcare industry.

The registration statement for the Company’s initial public offering (‘‘Offering’’) was declared effective April 21, 2005. The Company consummated the Offering on April 27, 2005 (see Note 7). The Company’s management has broad discretion with respect to the specific application of the net proceeds of this Offering, although substantially all of the net proceeds of this Offering are intended to be generally applied toward consummating a business combination with an operating business in the healthcare industry (‘‘Business Combination’’). Upon the closing of the Offering, and the underwriters’ over-allotment option, an aggregate of $49,168,000, was deposited in an interest-bearing trust account (‘‘Trust Fund’’) until the earlier of (i) the consummation of a Business Combination or (ii) liquidation of the Company. Under the agreement governing the Trust Account, funds will only be invested in United States ‘‘government securities’’ within the meaning of Section 2(a)(16) of the Investment Company Act of 1940 with a maturity of 180 days or less, or in money market funds meeting certain conditions under Rule 2a-7 promulgated under the Investment Company Act of 1940. At June 30, 2006, the value of the Trust Account amounted to approximately $51,223,240. The remaining net proceeds (not held in the Trust Fund) may be used to pay for business, legal and accounting due diligence on prospective acquisitions and continuing general and administrative expenses.

The Company, after signing a definitive agreement for the acquisition of a target business, will submit such transaction for stockholder approval. In the event that stockholders owning 20% or more of the shares sold in the Offering vote against the Business Combination and exercise their conversion rights described below, the Business Combination will not be consummated. All of the Company’s stockholders prior to the Offering, including all of the officers and directors of the Company (‘‘Initial Stockholders’’), have agreed to vote their 2,000,000 founding shares of common stock in accordance with the vote of the majority in interest of all other stockholders of the Company (‘‘Public Stockholders’’) with respect to any Business Combination. After consummation of a Business Combination, these voting safeguards will no longer be applicable.

With respect to a Business Combination which is approved and consummated, any Public Stockholder who voted against the Business Combination may demand that the Company convert his or her shares. The per share conversion price will equal the amount in the Trust Fund as of two days prior to the consummation of the proposed Business Combination divided by the number of shares of

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KBL Healthcare Acquisition Corporation
(a corporation in the development stage)
Notes to Unaudited Financial Statements

common stock held by Public Stockholders at the consummation of the Offering. Accordingly, Public Stockholders holding 19.99% of the aggregate number of shares owned by all Public Stockholders may seek conversion of their shares in the event of a Business Combination. Such Public Stockholders are entitled to receive their per-share interest in the Trust Fund computed without regard to the shares held by Initial Stockholders. Accordingly, a portion of the net proceeds from the Offering (19.99% of the amount originally held in the Trust Fund) has been classified as common stock subject to possible conversion in the accompanying June 30, 2006 balance sheet and 19.99% of the related interest earned on the Treasury Bill has been recorded as deferred interest.

The Company’s Amended and Restated Certificate of Incorporation provides for mandatory liquidation of the Company in the event that the Company does not consummate a Business Combination within 18 months from the date of the consummation of the Offering, or 24 months from the consummation of the Offering if certain extension criteria have been satisfied. There is no assurance that the Company will be able to successfully effect a Business Combination during this period. This factor raises substantial doubt about the Company's ability to continue as a going concern. The accompanying financial statements are prepared assuming the Company will continue as a going concern. The financial statements do not include any adjustments that might result from the outcome of this uncertainty. In the event of liquidation, it is likely that the per share value of the residual assets remaining available for distribution (including Trust Fund assets) will be less than the initial public offering price per share in the Offering (assuming no value is attributed to the Warrants contained in the Units sold in the Offering discussed in Note 7).

3.    Initial Public Offering

On April 27, 2005, the Company sold 8,000,000 units (‘‘Units’’) in the Offering. On April 29, 2005, the Company sold an additional 1,200,000 Units pursuant to the underwriters’ over-allotment option. Each Unit consists of one share of the Company’s common stock, $.0001 par value, and two Redeemable Common Stock Purchase Warrants (‘‘Warrants’’). Each Warrant will entitle the holder to purchase from the Company one share of common stock at an exercise price of $5.00 commencing the later of the completion of a Business Combination with a target business or one year from the effective date of the Offering and expiring five years from the date of the prospectus. The Warrants will be redeemable, upon prior written consent of EarlyBirdCapital, Inc., at a price of $.01 per Warrant upon 30 days' notice after the Warrants become exercisable, only in the event that the last sale price of the common stock is at least $8.50 per share for any 20 trading days within a 30 trading day period ending on the third day prior to the date on which notice of redemption is given.

In connection with this Offering, the Company issued an option, for $100, to the representative of the underwriters to purchase 400,000 Units at an exercise price of $7.50 per Unit. The Company estimatesthat the fair value of the Option is approximately $876,000 ($2.19 per Unit) using a Black-Scholes option-pricing model. The fair value of the option granted to EarlyBirdCapital was estimated as of the date of grant using the following assumptions: (1) expected volatility of 43.45%, (2) risk-free interest rate of 3.97% and (3) expected life of 5 years. The Option may be exercised for cash or on a ‘‘cashless’’ basis, at the holder's option, such that the holder may use the appreciated value of the Option (the difference between the exercise prices of the Option and the underlying Warrants and the market price of the Units and underlying securities) to exercise the option without the payment of any cash. In addition, the Warrants underlying such Units are exercisable at $6.25 per share.

4.    Deferred Offering Costs

Deferred offering costs consisted principally of legal and underwriting fees incurred through the balance sheet date that are related to the Offering and were charged to capital upon the receipt of the capital raised.

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KBL Healthcare Acquisition Corporation
(a corporation in the development stage)
Notes to Unaudited Financial Statements

5.    Commitment

The Company presently occupies office space provided by an affiliate of an Initial Stockholder. Such affiliate has agreed that, until the acquisition of a target business by the Company, it will make such office space, as well as certain office and secretarial services, available to the Company, as may be required by the Company from time to time. The Company has agreed to pay such affiliate $7,500 per month for such services commencing on the effective date of the Proposed Offering. Through June 30, 2006, the Company has expensed $107, 500 relating to this agreement.

6.    Common Stock

Effective January 26, 2005 and March 24, 2005, the Company's Board of Directors authorized a stock dividend of 0.428571 shares of common stock and 0.6 shares of common stock, respectively, for each outstanding share of common stock. On February 8, 2005, the Company's Certificate of Incorporation was amended to increase the authorized shares of common stock from 15,000,000 to 30,000,000 shares of common stock. Additionally, on March 24, 2005, the Company's Certificate of Incorporation was amended to increase the authorized shares of common stock to 35,000,000 shares of common stock. All references in the accompanying financial statements to the number of shares of stock have been retroactively restated to reflect these transactions.

As of June 30, 2006, 19,600,000 shares of common stock were reserved for issuance upon exercise of redeemable warrants and underwriter’s unit purchase option.

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ITEM 2 – MANAGEMENT'S DISCUSSION AND ANALYSIS OR PLAN OF OPERATION

The following discussion should be read in conjunction with the Company’s Consolidated Financial Statements and footnotes thereto contained in this report.

Forward Looking Statements

The statements discussed in this Report include forward looking statements that involve risks and uncertainties detailed from time to time in the Company’s reports filed with the Securities and Exchange Commission.

We were formed on December 9, 2004, to serve as a vehicle to effect a merger, capital stock exchange, asset acquisition or other similar business combination with an operating business in the healthcare industry. We intend to utilize cash derived from the proceeds of our recently completed public offering, our capital stock, debt or a combination of cash, capital stock and debt, in effecting a business combination.

For the three months ended June 30, 2006, we had a net income of $105,265, attributable to interest income on the trust fund net of organization and formation expenses.

For the three months ended June 30, 2005, we had a net income of $43,534 attributable to organization and formation expenses.

For the six months ended June 30, 2006, we had a net income of $241,610, attributable to interest income on the trust fund net of organization and formation expenses.

For the six months ended June 30, 2005, we had a net loss of $39,634 attributable to organization and formation expenses.

For the period from December 9, 2004 (inception) through June 30, 2006, we had a net income of $549,181, attributable to interest income on the trust fund net of organization and formation expenses.

We consummated our initial public offering on April 27, 2005. On April 29, we consummated the closing of an additional 1,200,000 units that were subject to the underwriters’ over-allotment option. Gross proceeds from our initial public offering were $55,200,000. We paid a total of $4,272,000 in underwriting discounts and commissions, and approximately $491,000 was or will be paid for costs and expenses related to the offering. After deducting the underwriting discounts and commissions and the offering expenses, the total net proceeds to us from the offering were approximately $50,437,000, of which $49,168,000 was deposited into the trust account (or $5.344 per share sold in the offering). The remaining proceeds are available to be used by us to provide for business, legal and accounting due diligence on prospective acquisitions and continuing general and administrative expenses. We will use substantially all of the net proceeds of this offering to acquire a target business, including identifying and evaluating prospective acquisition candidates, selecting the target business, and structuring, negotiating and consummating the business combination. To the extent that our capital stock is used in whole or in part as consideration to effect a business combination, the proceeds held in the trust fund as well as any other net proceeds not expended will be used to finance the operations of the target business. We believe we will have sufficient available funds outside of the trust fund to operate through April 27, 2007, assuming that a business combination is not consummated during that time. From April 27, 2005 through April 27, 2007, we anticipate approximately $280,000 of expenses for legal, accounting and other expenses attendant to the due diligence investigations, structuring and negotiating of a business combination, $180,000 for the administrative fee payable to KBL Healthcare Management Inc. ($7,500 per month for two years), $150,000 for expenses for the due diligence and investigation of a target business, $40,000 of expenses in legal and accounting fees relating to our SEC reporting obligations and $619,000 for general working capital that will be used for miscellaneous expenses and reserves, including approximately $80,000 for director and officer liability insurance premiums. We do not believe we will need to raise additional funds following this offering in order to meet the expenditures required for operating our business. However, we may need to raise additional funds through a private offering of debt or equity securities if such funds are required to consummate a business combination that is presented to us. We would only consummate such a financing simultaneously with the consummation of a business combination.

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Commencing on April 21, 2005 and ending upon the acquisition of a target business, we began incurring a fee from KBL Healthcare Management, Inc., an affiliate of Zachary Berk, O.D., our chairman of the board and president, Marlene Krauss, M.D., our chief executive officer and secretary, and Michael Kaswan, our chief operating officer, of $7,500 per month for providing us with office space and certain general and administrative services. In addition, in January and March 2005, Marlene Krauss advanced an aggregate of $100,000 to us for payment on our behalf of offering expenses.These loans were repaid following our initial public offering from the proceeds of the offering.

ITEM 3.    CONTROLS AND PROCEDURES.

Disclosure controls and procedures are controls and other procedures that are designed to ensure that information required to be disclosed in company reports filed or submitted under the Securities Exchange Act of 1934 (the ‘‘Exchange Act’’) is recorded, processed, summarized and reported, within the time periods specified in the Securities and Exchange Commission’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed in company reports filed or submitted under the Exchange Act is accumulated and communicated to management, including our chief executive officer and treasurer, as appropriate to allow timely decisions regarding required disclosure.

As required by Rules 13a-15 and 15d-15 under the Exchange Act, our chief executive officer and chief operating officer carried out an evaluation of the effectiveness of the design and operation of our disclosure controls and procedures as of June 30, 2006. Based upon their evaluation, they concluded that our disclosure controls and procedures were effective.

Our internal control over financial reporting is a process designed by, or under the supervision of, our chief executive officer and chief operating officer and effected by our board of directors, management and other personnel, to provide reasonable assurance regarding the reliability of our financial reporting and the preparation of our financial statements for external purposes in accordance with generally accepted accounting principles. Internal control over financial reporting includes policies and procedures that pertain to the maintenance of records that in reasonable detail accurately and fairly reflect the transactions and dispositions of our assets; provide reasonable assurance that transactions are recorded as necessary to permit preparation of our financial statements in accordance with generally accepted accounting principles, and that our receipts and expenditures are being made only in accordance with the authorization of our board of directors and management; and provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of our assets that could have a material effect on our financial statements.

During the most recently completed fiscal quarter, there has been no significant change in our internal control over financial reporting that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

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PART II.

OTHER INFORMATION

ITEM 2:    UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

On April 27, 2005, we consummated our initial public offering of 8,000,000 Units, with each unit consisting of one share of our common stock and two warrants, each to purchase one share of our common stock at an exercise price of $5.00 per share. On April 29, 2005, we closed on an additional 1,200,000 units that were subject to the underwriters’ over-allotment option. The units were sold at an offering price of $6.00 per unit, generating total gross proceeds of $55,200,000. EarlyBirdCapital, Inc. acted as lead underwriter. The securities sold in the offering were registered under the Securities Act of 1933 on a registration statement on Form S-1 (No. 333-121610). The Securities and Exchange Commission declared the registration statement effective on April 21, 2005.

We paid a total of $4,272,000 in underwriting discounts and commissions, and approximately $491,000 has been paid for costs and expenses related to the offering.

After deducting the underwriting discounts and commissions and the offering expenses, the total net proceeds to us from the offering were approximately $50,437,000, of which $49,168,000 was deposited into a trust fund (or $5.344 per share sold in the offering) and the remaining proceeds are available to be used to provide for business, legal and accounting due diligence on prospective business combinations and continuing general and administrative expenses.

For a description of the use of the proceeds generated in our initial public offering, see Part I, Item 2 of this Form 10-QSB.

ITEM 6:    EXHIBITS

(a)    Exhibits:

 31.1 – Section 302 Certification by CEO

 31.2 – Section 302 Certification by COO

 32.1 – Section 906 Certification by CEO

 32.2 – Section 906 Certification by COO

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SIGNATURES

In accordance with the requirements of the Exchange Act, the registrant caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

KBL HEALTHCARE
ACQUISITION CORP. II

Dated: August 14, 2006

/s/ Marlene Krauss, M.D.
Marlene Krauss, M.D.
Chief Executive Officer
/s/ Michael Kaswan
Michael Kaswan
Chief Operating Officer

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