Chindex International Inc. Reports Second Quarter FY 2009 Financial Results

-- Company reports profitability in both operating divisions --

-- Demand for products and services has not been impacted by financial crisis --

BETHESDA, Md., Nov. 10 /Xinhua-PRNewswire/ -- Chindex International, Inc. (Nasdaq: CHDX), a leading independent American provider of Western healthcare products and services in the People's Republic of China, today announced financial results for the second quarter of fiscal year 2009.

Revenue for the second quarter of fiscal year 2009 increased 17% to $38.1 million from $32.7 million in the second quarter of fiscal year 2008, reflecting growth in inpatient and outpatient services in its hospital division and increasing demand for products and services. Revenue growth in the second quarter of fiscal year 2009 was impacted by lower than expected patient volume due to disruptions in travel and tourism related to the Olympics.

During the quarter, the Company recorded income from operations of $1.6 million, as compared to income from operations of $2.6 million for the same quarter last year. Costs and expenses for the second quarter of fiscal year 2009 increased 22% to $36.5 million as compared with $30.0 million for the prior period.

Roberta Lipson, President and CEO of Chindex, commented, "We are pleased by the turnaround in our medical products business. Profitability in the division was better than expected this quarter and, as we announced last week, our revenue projections for the remainder of the year exceed our prior expectations. During the recent quarter, revenue in the healthcare services division continued to be impacted by the disruption in patterns of business travel and tourism related to the Olympics, but we do not expect this impact to continue. As we announced last week, we are increasingly optimistic about our prospects for the second half of fiscal 2009 and expect our medical products revenue to be weighted heavily toward the later part of the fiscal year."

As disclosed previously, the Company recognized a noncash expense of $0.6 million or $0.04 per share for the change in the fair value of the derivative portion of investments in $40 million (principal value) of Certificates of Deposits (CDs) linked to various equity indices and foreign currency markets. This was a result of the significant disruptions in the world financial and credit markets. Although there was no risk to the principal portion of the investment, given an unfavorable outlook for these investments in the

near-term, in October 2008 the Company redeemed the CD's and reinvested the funds in traditional deposits with guaranteed returns.

The Company recorded a $0.3 million provision for taxes, or an effective tax rate of 22.6%, in the three months ended September 30, 2008 as compared to a provision for taxes of $0.8 million, or an effective tax rate of 34.0%, for the three months ended September 30, 2007. The provision for income taxes was positively impacted this quarter by the recognition of benefit from losses in certain entities, partially offset by the negative effect of losses in entities for which we cannot recognize benefit.

The net income for the quarter ended September 30, 2008 was $0.9 million, or $0.05 per diluted share. This compares to net income of $1.6 million for the quarter ended September 30, 2007.

Net income of $0.9 million, or $0.05 per diluted share, for the quarter includes a $0.6 million or $0.04 per share expense related to the development of the United Family Healthcare network and a noncash expense of $0.6 million, or $0.04 per share for the change in the fair value of certain derivatives associated with our investments, which was a result of the dramatic drop in markets worldwide.

Medical Products division business results:

For the second quarter of fiscal year 2009, revenue increased 9% to $19.0 million from $17.6 million for the prior year quarter. Revenue during the period included two robotic surgical systems.

Expenses for the Medical Products division increased 23.3% to $5.3 million from $4.3 million for the prior year quarter. Increased expenses during the period were a result of increased sales activity concurrent with and in advance of expected greater increases in sales.

Gross profit for the Medical Products division increased to $5.9 million from $4.6 million in the prior year's second quarter, representing an increase in gross profit margin to 31% from 26% in the prior year's second quarter. The gross profit margin in the current period was above historical averages due in part to higher margins on certain contract shipments which accounted for a significant portion of total division revenue in the period.

Healthcare Services division business results:

For the second quarter of fiscal year 2009, revenue increased 26% to $19.1 million from $15.1 million for the prior year quarter. The increase in revenue is attributable to growth in both inpatient and outpatient services provided in the Beijing and Shanghai markets. Revenue growth, however, continued to be negatively impacted during the July and August months due to disruptions in travel and tourism related to the Olympics.

During the period, operating costs increased 38% to $18.0 million from $13.1 million in the prior year quarter. The increase in costs was primarily due to an increase in salary expense, resulting from the renegotiation of multi-year physician contracts and an expected ramp-up in personnel needed to meet the increasing demand for services in Beijing and Shanghai, to costs related to the new clinic in Guangzhou, which opened in early October, and to other costs related to the development of the United Family Healthcare network.

Fiscal 2009 Outlook:

Lipson stated, "Regarding the remainder of fiscal 2009, with continued progress in the Medical Products division, as we noted last week we are more enthusiastic about our prospects for the second half of the year. We now expect Medical Products revenue of $50.0-$55.0 million for the second half of the year and are now reporting profitability in the division on a quarterly basis earlier than expected.

"In the Healthcare Services division, we believe this quarter's results are reflective of the well-publicized business slowdown related to the Olympics. However, since the conclusion of the games, we have seen revenue levels return to normal and we continue to expect an increase in annual revenues of approximately 30% over fiscal 2008. Operating margins have been negatively impacted in the recent quarters primarily as a result of increased expense related to renewal of multi-year contracts for physicians in the existing markets of Beijing and Shanghai as well as development expenses for new UFH facilities. We expect to continue to see development expenses impact operations at similar levels over the next several quarters as operations in the new Guangzhou clinic get underway. Operating margins in existing markets will be slightly lower than expected due to larger than anticipated increases in compensation as reported in our first quarter results.

"Although we remain enthusiastic about our full-year operating results, we were disappointed with the effects of global economic events on our investments in certain CDs. As noted above, we have redeemed the CDs and will incur an early redemption penalty of $1.1 million which will be partially offset on the income statement by the reversal of $0.6 million of CD investment discounts previously recorded for a net charge in the third quarter of $0.5 million or an estimated $0.03 per diluted share in the third quarter of fiscal 2009. The reinvested funds will provide us a better yield over the term of the investment in the current environment.

"To date, we have not seen an impact on the demand for our products and services as a result of the world-wide financial crisis. Given the policies implemented by China in response to the crisis, we are optimistic that our business growth opportunities will not be substantially impacted by the current situation."

Fiscal 2009 Second Quarter Conference Call

Management will host a conference call today at 8:00 am ET to discuss financial results.

To participate in the conference call, international callers dial

719-325-4797 and domestic callers dial 877-879-6174 approximately 10 minutes before the conference call is scheduled to begin.

The telephone replay will be available on the day of the call at (international) 719-457-0820 and (domestic) 888-203-1112 and continue to be available through November 26, 2008.

This call is also being webcast and will be accessible through Chindex's website http://ir.chindex.com/events.cfm . The event will be archived and available for replay through February 10, 2009.

About Chindex International, Inc.

Chindex is an American healthcare company that provides healthcare services and supplies medical capital equipment, instrumentation and products to the Chinese marketplace, including Hong Kong. Healthcare services are provided through the operations of its United Family Hospitals and Clinics, a network of private primary care hospitals and affiliated ambulatory clinics in China. The Company's hospital network currently operates in Beijing, Shanghai, Guangzhou and Wuxi. The Company sells medical products manufactured by various major multinational companies, including Siemens AG and Intuitive Surgical, for which the Company is the exclusive distribution partner for the sale and servicing of color ultrasound systems and surgical robotic systems respectively. It also arranges financing packages for the supply of medical products to hospitals in China utilizing the export loan and loan guarantee programs of both the U.S. Export-Import Bank and the German KfW Development Bank. With twenty-seven years of experience, approximately 1,200 employees, and operations in China, Hong Kong, the United States and Germany, the Company's strategy is to expand its cross-cultural reach by providing leading edge healthcare technologies, quality products and services to Greater China's professional communities. Further company information may be found at the Company's websites, http://www.chindex.com and http://www.unitedfamilyhospitals.com .

Safe Harbor Statement

Statements made in this press release relating to plans, strategies, objectives, economic performance and trends and other statements that are not descriptions of historical facts may be forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the "Securities Act"), and Section 21E of the Securities Exchange Act of 1934, as amended (the "Exchange Act"). Forward-looking information is inherently subject to risks and uncertainties, and actual results could differ materially from those currently anticipated due to a number of factors, which include, but are not limited to, the factors set forth under the heading "Risk Factors" in our annual report on Form 10-K for the year ended March 31, 2008, updates and additions to those "Risk Factors" in our interim reports on Form 10-Q, Forms 8-K and in other documents filed by us with the Securities and Exchange Commission from time to time. Forward-looking statements may be identified by terms such as "may", "will", "should", "could", "expects", "plans", "intends", "anticipates", "believes", "estimates", "predicts", "forecasts", "potential", or "continue" or similar terms or the negative of these terms. 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. We have no obligation to update these forward-looking statements.

Financial Summary Attached

CONSOLIDATED CONDENSED STATEMENTS OF OPERATIONS

(in thousands except share and per share data)

(Unaudited)

Three months ended Six months ended

September 30, September 30,

2008 2007 2008 2007

Product sales $19,041 $17,550 $31,538 $28,762

Healthcare services

revenue 19,069 15,102 38,641 30,661

Total revenue 38,110 32,652 70,179 59,423

Cost and expenses

Product sales costs 13,187 12,916 23,083 21,285

Healthcare services

costs 16,666 12,106 32,401 23,970

Selling and marketing

expenses 3,265 2,782 5,724 5,466

General and

administrative

expenses 3,344 2,233 6,570 4, 723

Income from operations 1,648 2,615 2,401 3,979

Other (expenses) and

income

Interest expense (253) (187) (479) (374)

Interest income 321 74 789 141

Miscellaneous

(expense) - net (603) (21) (596) (47)

Income before income

taxes 1,113 2,481 2,115 3,699

Provision for income

taxes (251) (843) (1,415) (1,251)

Net income $862 $1,638 $700 $2,448

Net income per common

share - basic $.06 $.15 $.05 $.22

Weighted average shares

outstanding - basic 14,400,655 11,163,020 14,360,758 10,999,713

Net income per common

share - diluted $.05 $.13 $.04 $.20

Weighted average shares

outstanding - diluted 16,042,327 12,492,771 16,126,008 12,450,241

CONSOLIDATED CONDENSED BALANCE SHEETS

(in thousands except share data)

September 30, March 31,

2008 2008

(Unaudited)

ASSETS

Current assets:

Cash and cash equivalents $36,886 $79,258

Restricted cash 40 1,123

Investments 19,795

Trade accounts receivable, less

allowance for doubtful accounts of

$4,212 and $3,940, respectively

Product sales receivables 13,559 12,098

Patient service receivables 9,943 9,085

Inventories, net 11,040 9,796

Deferred income taxes 1,758 1,656

Other current assets 3,326 3,294

Total current assets 96,347 116,310

Noncurrent investments 19,604 --

Property and equipment, net 20,186 18,428

Noncurrent deferred income taxes 114 --

Other assets 2,036 1,241

Total assets $138,287 $135,979

LIABILITIES AND STOCKHOLDERS' EQUITY

Current liabilities:

Short-term debt and vendor financing $435 $82

Current portion of capitalized leases 36 36

Accounts payable 6,496 11,097

Accrued expenses 11,703 11,064

Other current liabilities 5,217 3,177

Income taxes payable 172 349

Total current liabilities 24,059 25,805

Long-term debt, vendor financing and

convertible debentures 23,823 22,556

Long-term portion of capitalized leases 5 22

Long-term deferred tax liability -- 208

Total liabilities 47,887 48,591

Commitments and contingencies

Stockholders' equity:

Preferred stock, $.01 par value,

500,000 shares authorized, none

issued -- --

Common stock, $.01 par value,

28,200,000 shares authorized,

including 3,200,000 designated

Class B:

Common stock - 13,452,007 and 13,074,593

shares issued and outstanding at September

30, 2008 and March 31, 2008, respectively 135 131

Class B stock - 1,162,500 shares issued

and outstanding at September 30, 2008 and

March 31, 2008, respectively 12 12

Additional paid in capital 94,150 92,586

Accumulated other comprehensive income 2,954 2,210

Accumulated deficit (6,851) (7,551)

Total stockholders' equity 90,400 87,388

Total liabilities and stockholders'

equity $138,287 $135,979

SEGMENT INFORMATION

The Company operates in two businesses: Healthcare Services and Medical Products. The Company evaluates performance and allocates resources based on profit or loss from operations before income taxes, not including foreign exchange gains or losses. The following segment information has been provided per Statement of Financial Accounting Standards No. 131, "Disclosures about Segments of an Enterprise and Related Information:" (in thousands)

Healthcare Medical

Services Products Total

As of September 30, 2008:

Assets $95,172 $43,115 $138,287

For the three months ended

September 30, 2008:

Sales and service revenue $19,069 $19,041 $38,110

Gross Profit n/a * $5,854 n/a

Gross Profit % n/a * 31 % n/a

Income from operations before

foreign exchange $1,052 $582 $1,634

Foreign exchange gain 14

Income from operations $1,648

Other (expense), net (535)

Income before income taxes $1,113

Healthcare Medical

Services Products Total

As of March 31, 2008:

Assets $93,727 $42,252 $135,979

For the three months ended

September 30, 2007:

Sales and service revenue $15,102 $17,550 $32,652

Gross Profit n/a * $4,634 n/a

Gross Profit % n/a * 26 % n/a

Income from operations before

foreign exchange $2,040 $304 $2,344

Foreign exchange gain 271

Income from operations $2,615

Other(expense), net (134)

Income before income taxes $2,481

Healthcare Medical

Services Products Total

As of September 30, 2008:

Assets $95,172 $43,115 $138,287

For the six months ended

September 30, 2008:

Sales and service revenue $38,641 $31,538 $70,179

Gross Profit n/a * $8,455 n/a

Gross Profit % n/a * 27 % n/a

Income (loss) from operations

before foreign exchange $3,827 ($1,554) $2,273

Foreign exchange gain 128

Income from operations $2,401

Other (expense), net (286)

Income before income taxes $2,115

Healthcare Medical

Services Products Total

As of March 31, 2008:

Assets $93,727 $42,252 $135,979

For the six months ended

September 30, 2007:

Sales and service revenue $30,661 $28,762 $59,423

Gross Profit n/a * $7,477 n/a

Gross Profit % n/a * 26 % n/a

Income (loss) from operations

before foreign exchange $4,838 $(1,201) $3,637

Foreign exchange gain 342

Income from operations $3,979

Other (expense), net (280)

Income before income taxes $3,699

* Gross profit margins are not routinely calculated in the healthcare

industry.