Chindex : Reports Financial Results for Second Quarter and First Half of 2014

Chindex International, Inc. Reports Financial Results for Second Quarter and First Half of 2014

BETHESDA, Md., Aug. 11, 2014 /PRNewswire/ -- Chindex International, Inc. (NASDAQ: CHDX), an American healthcare company providing premium quality healthcare services in China through the operations of United Family Healthcare ("UFH"), a network of private primary care hospitals and affiliated ambulatory clinics, today announced financial results for the second quarter ended June 30, 2014.

Second Quarter 2014 Financial Highlights

• Revenue from healthcare services increased 21% to $55.5 million from $46.0 million in the prior year period.
• Adjusted EBITDA increased 42% to $10.3 million from $7.3 million in the prior year period.
• Income from operations decreased 3% to $1.8 million from $1.9 million in the prior year period.
• Net loss was $693,000, or $(0.04) per diluted share, compared to net loss of $122,000, or $(0.01) per diluted share, in the prior year period.
• Merger transaction expenses were $2.0 million.

Roberta Lipson, President and CEO of Chindex, commented, "The second quarter was characterized by continued expansion of our network of hospitals and clinics, and broadening of our scope of services. The United Family Healthcare Financial Street Clinic opened in May 2014, representing our first facility in western Beijing. Along with our Haidian hospital, which is currently under construction, this is part of our focused effort to reach more patients in Beijing's finance and technology centers."

"Our results this quarter reflect substantial development expenses from these expansion activities as well as expenses related to our pending merger. We are continuing our efforts to strategically expand our network and service scope to bring international-standard, premium healthcare services to more people in China," concluded Ms. Lipson.

Business Updates

As previously announced, the Company has entered into an amended and restated merger agreement (the "Amended Agreement") with a buyer consortium (the "Buyer Consortium") comprised of an affiliate of TPG, an affiliate of Shanghai Fosun Pharmaceutical (Group) Co., Ltd., Ms. Lipson and a merger subsidiary. Pursuant to the Amended Agreement, at the effective time of the merger, the Company will become privately owned and unaffiliated stockholders will be entitled to receive merger consideration of $24.00 per share. As previously announced, the merger is not subject to a financing condition and, assuming the satisfaction of conditions specified in the Amended Agreement, the Company expects the merger to close in the second half of 2014.

Second Quarter 2014 Financial Results

Second quarter 2014 revenue from healthcare services increased 21% to $55.5 million from $46.0 million in the prior year period. These results reflect growth of inpatient and outpatient volume across the United Family Healthcare network as well as increased contributions from the Company's new facilities in Beijing. Overall, outpatient services contributed 57% of revenue while inpatient services contributed 43%, compared with 58% and 42%, respectively, in the prior year period. By service line, surgical services contributed 22.5%; OB/GYN contributed 13.4%; pediatrics contributed 8.2%; ancillary services, including laboratory, radiology and pharmacy, contributed 27.7%; internal medicine contributed 3.4%; emergency room contributed 2.9%; dental contributed 2.8%; family medicine 2.2% and other clinical service lines contributed 16.9% of revenue.

Operating expenses in the second quarter 2014 increased 22% to $53.6 million from $44.1 million in the prior year period. The increase was primarily driven by salaries, wages and benefits expenses, which increased 15% over the second quarter 2013 from $26.8 million to $30.8 million, and merger transaction expenses of $2.0 million, which include fees for legal and other professional services related to the Company's pending merger. The increase in salaries, wages and benefits reflects both an increase in headcount to support revenue growth and development activities for new facilities and services and a new government mandate on increased social benefits. Development, pre- and post-opening and start-up expenses were $3 million, the same as in the prior year period. These expenses were driven by development projects, including expansion of the outpatient clinics at Beijing United Family Hospital and construction of new hospitals in Beijing and Qingdao.

Adjusted EBITDA in the second quarter of 2014 increased 42% to $10.3 million, compared to $7.3 million in the prior year period. The Adjusted EBITDA results show continued growth of the Company's core primary care business as well as growth from recently-expanded surgical services.

Income from operations was $1.8 million, compared to $1.9 million in the prior year period.

The Company recorded a $2.2 million provision for taxes in the second quarter of 2014, compared to the tax provision of $1.7 million in the prior year period. As in past quarters, the current period provision continued to be impacted by a higher tax rate due to losses in development and start-up entities for which the Company cannot currently recognize tax benefits.

Net loss for the quarter ended June 30, 2014 was $693,000, or $(0.04) per diluted share, compared to net loss of $122,000, or $(0.01) per diluted share, in the prior year period. The Company's minority interest in CML represented a loss of $174,000 during the recent period compared to a loss of $387,000 in the prior year period. For the second quarter of 2014, weighted average diluted shares outstanding were 17.8million.

As of June 30, 2014, the Company had $39.3 million in unrestricted cash and cash equivalents.

First Half 2013 Financial Results

During the first half of 2014, revenue from healthcare services increased 20% to $105.3 million from $87.5 million in the prior year period, reflecting growth of inpatient and outpatient volume across the United Family Healthcare network as well as increased contributions from the Company's new facilities in Beijing. Outpatient services contributed 58% of revenue and inpatient services contributed 42% of revenue in the first half of 2014, which represents the same distribution as in the first half of 2013. By service line, surgical services contributed 20.6%, OB/GYN contributed 13.8%, pediatrics contributed 9.0%, ancillary services contributed 28.0%, internal medicine contributed 3.3%, emergency room contributed 2.9%, dental contributed 3.0%, family medicine 2.2% and other services contributed 17.2% of revenue.

Operating expenses for the first half of 2014 increased 26% to $105.0 million from $83.1 million in the prior year period. Development, pre-opening and start up expenses increased to $7.0 million from $5.4million in the prior year. Income from operations for the first half of 2014 was $374,000, compared to $4.5 million in the prior year period. This decrease largely reflects the $5.3 million in merger transaction expenses incurred in the first half of 2014 as compared to $192,000 in merger transaction expenses in the prior year period. Adjusted EBITDA was approximately $19.4million compared to $14.7 million in the prior year period. The Adjusted EBITDA results show continued growth of the Company's core primary care business as well as growth from recently-expanded surgical services.

Provision for taxes was $3.8 million, compared to $3.6 million in the prior year period. Net loss was $4.2 million, or $(0.24) per diluted share, compared to net loss of $184,000, or $(0.01) per diluted share, in the first half of 2013. For the first half of 2014 ended June 30, 2014, weighted average diluted shares outstanding were 17.8million.

Chindex Medical Limited

For Chindex Medical Limited (CML), a joint venture between Shanghai Fosun Pharmaceutical (Group) Co., Ltd. and Chindex International, Chindex recognized its 30% interest in CML's net loss using the equity method of accounting since the acquisition of Alma Lasers, Inc. on May 27, 2013.

In the second quarter of 2014, Chindex recognized a loss of $174,000 for its equity interest in CML. For the first half of 2014, the Company recognized a loss of $524,000 million for its equity interest in CML.

The operating results of CML in the first half of 2014 continued to be negatively impacted by the overall slowdown in the capital medical equipment markets in China as a result of restructuring at the Ministry of Finance, uncertainty surrounding proposed reforms and the disruption to normal hospital purchasing activity due to the government campaign to improve compliance in the public hospitals' purchasing activities.

Non-GAAP Measures

The Company presents Adjusted EBITDA to better illustrate ongoing operational results. Adjusted EBITDA is defined as income (loss) before interest expense, interest and other income, income taxes, depreciation and amortization, and also excludes development, pre-opening and start-up expenses related to new and pending hospitals and clinics and equity in earnings (loss) of unconsolidated affiliate and nonrecurring transaction costs. The Company anticipates recurring development, pre-opening and start-up expense and notes that such expense is a basic element of the long term growth plan. Management believes that providing an Adjusted EBITDA analysis to investors is a helpful metric to better illustrate the Company's operations, including development plans, and changes in presentation from historical periods. The Company uses Adjusted EBITDA for business planning and other purposes. Other companies may calculate Adjusted EBITDA differently, and therefore Chindex's Adjusted EBITDA may not be comparable to similarly titled measures of other companies. Adjusted EBITDA is not a measure of financial performance under U.S. generally accepted accounting principles (GAAP), and should not be considered in isolation or as an alternative to net income (loss), cash flows from operating activities and other measures determined in accordance with GAAP. Items excluded from Adjusted EBITDA are significant and necessary components to the operations of the Company's business, and, therefore, Adjusted EBITDA should only be used as a supplemental measure of operating performance.

About Chindex International, Inc.

Chindex is an American healthcare company providing premium quality healthcare services in China through the operations of United Family Healthcare, a network of private primary care hospitals and affiliated ambulatory clinics. United Family Healthcare currently operates in Beijing, Shanghai, Tianjin and Guangzhou with a future facility under construction in Qingdao. The Company also provides medical capital equipment and products through Chindex Medical Ltd., a joint venture company with manufacturing and distribution businesses serving both domestic China and export markets. With more than thirty years of experience, the Company's strategy is to continue its growth as a leading integrated health care provider in the Greater China region. Further Company information may be found at the Company's website at http://www.chindex.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 the Company's Annual Report on Form 10-K for the year ended December 31, 2013, updates and additions to those "Risk Factors" in the Company's 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 the Company believes that the expectations reflected in the forward-looking statements are reasonable, the Company cannot guarantee future results, levels of activity, performance or achievements. The Company has no obligation to update these forward-looking statements.

Financial Summary Attached

CONTACT: ICR, Inc., Bill Zima, [phone], [phone]

CHINDEX INTERNATIONAL, INC. CONSOLIDATED CONDENSED STATEMENTS OF OPERATIONS (in thousands except share and per share data) (Unaudited)
			Three months ended June 30,				Six months ended June 30,
			2014		2013		2014		2013
Healthcare services revenue			$ 55,453		$ 45,977		$ 105,338		$ 87,542
Operating expenses
	Salaries, wages and benefits		30,786		26,834		58,822		49,497
	Other operating expenses		6,579		5,642		13,019		11,274
	Supplies and purchased medical services		6,970		5,590		12,925		10,555
	Bad debt expense		460		1,140		1,574		2,119
	Depreciation and amortization		3,410		2,353		6,652		4,655
	Lease and rental expense		3,371		2,410		6,636		4,771
	Merger transaction expenses		2,035		109		5,336		192
			53,611		44,078		104,964		83,063
Income from operations			1,842		1,899		374		4,479
Other income and (expenses)
	Interest income		226		241		451		489
	Interest expense		(389)		(226)		(748)		(328)
	Equity in loss of unconsolidated affiliate		(174)		(387)		(524)		(1,287)
	Miscellaneous income - net		40		39		60		37
Income (loss) before income taxes			1,545		1,566		(387)		3,390
Provision for income taxes			(2,238)		(1,688)		(3,820)		(3,574)
Net loss			$ (693)		$ (122)		$ (4,207)		$ (184)
Net loss per common share - basic			$ (.04)		$ (.01)		$ (.24)		$ (.01)
Weighted average shares outstanding - basic			17,813,312		16,582,068		17,750,642		16,566,004
Net loss per common share - diluted			$ (.04)		$ (.01)		$ (.24)		$ (.01)
Weighted average shares outstanding - diluted			17,813,312		16,582,068		17,750,642		16,566,004

CHINDEX INTERNATIONAL, INC. CONSOLIDATED CONDENSED BALANCE SHEETS (in thousands, except share data) (Unaudited)
		June 30, 2014		December 31, 2013
	ASSETS
Current assets:
	Cash and cash equivalents	$ 39,340		$ 33,107
	Restricted cash	1,272		1,286
	Accounts receivable, less allowance for doubtful accounts of $15,775and $14,338, respectively	24,960		23,041
	Receivables from affiliates	1,870		2,897
	Inventories of supplies, net	2,975		2,781
	Deferred income taxes	5,208		4,763
	Other current assets	5,236		3,787
	Total current assets	80,861		71,662
Restricted cash and sinking funds		18,391		19,262
Investment in unconsolidated affiliate		33,559		34,178
Property and equipment, net		115,286		113,838
Noncurrent deferred income taxes		905		811
Other assets		4,186		4,817
	Total assets	$ 253,188		$ 244,568
	LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
	Short-term debt	$ 4,336		$ 3,648
	Accounts payable	12,567		11,705
	Payable to affiliates	2,746		1,977
	Accrued expenses	14,470		17,984
	Other current liabilities	14,526		11,408
	Income taxes payable	2,821		3,658
	Total current liabilities	51,466		50,380
Long-term debt		36,450		26,715
Long-term deferred rent		1,530		1,223
Long-term deferred tax liability		229		231
	Total liabilities	89,675		78,549
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 - 17,100,747 and 16,934,753 shares issued and
	outstanding at June 30, 2014 and December 31, 2013,
	respectively	171		169
	Class B stock - 1,162,500 shares issued and outstanding at
	June 30, 2014 and December 31, 2013, respectively	12		12
	Additional paid-in capital	143,489		140,809
	Retained earnings	8,243		12,450
	Accumulated other comprehensive income	11,598		12,579
	Total stockholders' equity	163,513		166,019
	Total liabilities and stockholders' equity	$ 253,188		$ 244,568

	CHINDEX INTERNATIONAL, INC. CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS (in thousands) (Unaudited)
		Six months ended June 30,
		2014		2013
OPERATING ACTIVITIES
Net loss		$ (4,207)		$ (184)
Adjustments to reconcile net loss to net cash provided by (used in)
	operating activities:
	Depreciation and amortization	6,652		4,655
	Inventory write down	3		10
	Provision for doubtful accounts	1,351		2,119
	Loss on disposal of property and equipment	9		8
	Equity in net loss of unconsolidated affiliate	524		1,287
	Deferred income benefit	(589)		(519)
	Stock based compensation	2,209		2,234
	Foreign exchange loss (gain)	237		(286)
	Amortization of debt issuance costs	272		5
	Amortization of debt discount	-		124
Changes in operating assets and liabilities:
	Accounts receivable	(3,495)		(4,967)
	Receivables from affiliates	1,027		(612)
	Inventories of supplies	(224)		(425)
	Other current assets and other assets	(1,191)		(2,257)
	Accounts payable, accrued expenses, other current liabilities
	and deferred rent	1,119		(4,232)
	Payable to affiliates	769		(12)
	Income taxes payable	(807)		(878)
Net cash provided by (used in) operating activities		3,659		(3,930)
INVESTING ACTIVITIES
	Purchases of property and equipment	(9,137)		(5,899)
Net cash used in investing activities		(9,137)		(5,899)
FINANCING ACTIVITIES
	Restricted cash from IFC RMB loan sinking funds	446		444
	Restricted cash from Exim loan	252		-
	Proceeds from debt	12,000		11,000
	Repayment of debt	(1,469)		(800)
	Repurchase of restricted stock for income tax withholding	(355)		(220)
	Proceeds from exercise of stock options	828		114
Net cash provided by financing activities		11,702		10,538
Effect of foreign exchange rate changes on cash and cash equivalents		9		(87)
Net increase in cash and cash equivalents		6,233		622
Cash and cash equivalents at beginning of period		33,107		33,184
Cash and cash equivalents at end of period		$ 39,340		$ 33,806
Supplemental disclosures of cash flow information:
Cash paid for interest		$ 387		$ 57
Cash paid for taxes		$ 5,197		$ 5,005
Non-cash investing and financing activities consist of the following:
Change in property and equipment additions included in accounts
payable and payable to affiliates		$ (41)		$ 1,691

The table below reconciles our consolidated net (loss) income to Adjusted EBITDA (in thousands)
	Three months ended June 30,			Six months ended June 30,
	2014	2013		2014	2013
Consolidated net loss	($693)	($122)		($4,207)	($184)
Adjustments:
Depreciation and amortization	3,410	2,353		6,652	4,655
Provision for income taxes	2,238	1,688		3,820	3,574
Interest expense	389	226		748	328
Interest and other income, net	-266	-280		-511	-526
Development, pre-opening and start-up expense	3,049	2,895		7,003	5,360
Equity in loss of unconsolidated affiliate	174	387		524	1,287
Nonrecurring transactions costs	2,035	109		5,336	192
	11,029	7,378		23,572	14,870
Adjusted EBITDA	$10,336	$7,256		$19,365	$14,686

SOURCE Chindex International, Inc.

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