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Chindex International, Inc. Reports First Quarter 2011 Financial Results


News provided by

Chindex International, Inc.

May 09, 2011, 04:01 ET

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BETHESDA, Md., May 9, 2011 /PRNewswire-Asia/ -- Chindex International, Inc. (NASDAQ: CHDX), an American health care company providing health care services in China through the operations of United Family Healthcare, a network of private primary care hospitals and affiliated ambulatory clinics, today announced financial results for the three month period ended March 31, 2011.  

First Quarter 2011 Financial Highlights

  • Revenue from healthcare services increased 14% to $24.2 million from $21.2 million in the prior year period.
  • Loss from operations was $293,000.
  • Net loss was $1.2 million, or $0.08 per diluted share, compared to net income of $0.52 million, or $0.04 per diluted share, in the prior year period.
  • Adjusted EBITDA was $2.4 million. (See reconciliation table below.)
  • Development, pre-opening and start-up expense was $798,000 compared to $413,000 in the prior year period.

The Company is presenting Adjusted EBITDA beginning in the first quarter of 2011 to better illustrate ongoing operations. Adjusted EBITDA is defined as income (loss) before interest expense, income taxes, depreciation and amortization, and also excludes development, pre-opening and start-up expenses related to new and pending hospitals and clinics, equity in loss of unconsolidated affiliate, non-recurring charges for Chindex Medical Limited (CML) joint venture formation and effect of change in corporate cost allocations. 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 EBIDTA 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.

Roberta Lipson, President and CEO of Chindex, commented, "First quarter financial performance reflects revenue growth tempered by the holiday season and the timing of our BJU expansion, as well as non-recurring expense items and increases in corporate expenses related to the joint venture formation. While the Beijing expansion is progressing slower than anticipated due to construction and regulatory timing, we are optimistic that we'll meet our phased opening plans through this year. We also anticipate steady inpatient and outpatient demand across our network."

First Quarter 2011 Financial Results

First quarter 2011 revenue from healthcare services increased 14% to $24.2 million from $21.2 million in the prior year period, reflecting growing inpatient and outpatient volume across the United Family Healthcare network. Outpatient services contributed 62% of revenue and inpatient services contributed 38% of revenue in the first quarter of 2011. This compares to 60% and 40%, respectively, in the year ago period. By service line, surgical services contributed 17.8%, OB/GYN contributed 17.8%, pediatrics contributed 7.6%, ancillary services contributed 33.4% and other services contributed 23.4% of revenue. This additional revenue data is provided in the tables below.

Operating expenses for the three months ended March 31, 2011 increased to $24.5 million from $20.0 million in the prior year period. This reflects a higher than normal level of operating expense of approximately $400,000 due to certain non-recurring legal and professional expenses related primarily to the formation and start up operations of the CML joint venture.  In addition, development, pre-opening and start up expenses rose to $798,000 compared to $413,000 in the prior year period primarily as a result of expenses related to the Company's Beijing and Tianjin projects.

Operating expenses also included certain non-cash expenses including $1.2 million of non-cash stock compensation expense compared to $854,000 in the prior year and increased corporate cost allocations of approximately $325,000 due to the change in business organization when compared to the prior year.

Adjusted EBITDA in the first quarter of 2011 was approximately $2.4 million compared to $2.5 million in the prior year period.

Loss from operations was $293,000 compared to income from operations of $1.1 million in the prior year period.

The Company recorded a $787,000 provision for taxes in the quarter ended March 31, 2011 as compared to a provision for taxes of $791,000 in the prior year period. The provision for taxes this period reflects losses in entities for which the Company could not recognize a tax benefit.

Net loss for the quarter ended March 31, 2011 was $1.2 million, or $0.08 per diluted share. This compares to net income of $515,000 or $0.04 per diluted share, in the prior year period. For the quarter ended March 31, 2011, weighted average diluted shares outstanding were 16.1 million.

As of March 31, 2011, the Company had $81.0 million in cash and cash equivalents and investments.

Chindex Medical Limited

The Chindex Medical Limited joint venture (CML) between FosunPharma and Chindex International began operations on January 1, 2011. The strategic venture merged the former Medical Products division of Chindex International and select medical device companies of FosunPharma. FosunPharma owns 51% and Chindex owns 49% of the CML joint venture. Beginning this quarter, Chindex has deconsolidated CML's operating results and recognizes its 49% interest in CML's net income using the equity method of accounting.

Accordingly, in the first quarter of 2011, other expenses include a $147,000 loss for Chindex's 49% share of the net loss of CML for the quarter.  On a stand-alone basis, the CML joint venture had a net loss of $37,000 for the quarter, which included a stock-based compensation expense charge of $279,000. In recognizing its 49% interest in the net income of CML for the quarter, Chindex also included additional expenses for amortization of certain fair value adjustments made in connection with the formation of the joint venture. CML results in the first quarter of 2011 reflected the weakest budgeted quarter for the joint venture. The Company expects improved results in future quarters which are anticipated to offset the stock-based compensation expense and recurring amortization charges.

The deconsolidation of CML's financial results include the following impacts on the Company's presentation of results:

  • Cost of goods sold, which previously reflected the Medical Products division costs, are no longer broken out on the income statement;
  • Depreciation and amortization expenses, previously consolidated within healthcare services costs, will now be presented as a separate operating expense item to provide greater clarity into the Company's hospital and clinic assets; and
  • General and administrative expenses, which previously included corporate expense and was allocated between both Healthcare Services and Medical Products divisions, is now included in other operating expenses and allocated to the Company's one division, Healthcare Services.

Conference Call

Management will host a conference call at 8:00 am ET on May 10, 2011, to discuss financial results. To participate in the conference call, U.S. domestic callers may dial 1-877-303-9231 and international callers may dial 1-760-666-3567 approximately 10 minutes before the conference call is scheduled to begin. A telephone replay will be available from the day of the call until May 17, 2011, by dialing (U.S. domestic) 1-800-642-1687 or (international) 1-706-645-9291, passcode 65853259. A webcast of the earnings call will be accessible via Chindex's website at http://ir.chindex.com/events.cfm.

About Chindex International, Inc.

Chindex is an American health care company providing health care 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 and Guangzhou. 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 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 our Transition Report on Form 10-K for the nine months ended December 31, 2010, 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.

Contact:

ICR, LLC


Ashley De Simone


(646) 277-1227

Financial Summary Attached

CHINDEX INTERNATIONAL, INC.

CONSOLIDATED CONDENSED STATEMENTS OF OPERATIONS

(Unaudited)

(in thousands except share and per share data)



Three months ended March 31,

2011

2010

Revenue



      Healthcare services revenue

$24,185

$21,168

      Product sales

-

20,088

            Total revenue

24,185

41,256





Operating expenses




Healthcare services:




      Salaries, wages and benefits

14,755

12,378


      Other operating expenses

4,319

3,298


      Supplies and purchased medical services

2,635

2,120


      Bad debt expense

432

339


      Depreciation and amortization

1,137

880


      Lease and rental expense

1,200

976


24,478

19,991

     Products:



            Product sales costs

-

14,553

            Product selling and other operating expenses

-

5,579


-

20,132

            Total operating expenses

24,478

40,123

(Loss) income from operations

(293)

1,133




Other (expenses) and income




Interest income

142

137


Interest expense

(103)

(199)


Equity in loss of unconsolidated affiliate

(147)

-


Miscellaneous (expense) income - net

(42)

235

(Loss) income before income taxes

(443)

1,306

Provision for income taxes

(787)

(791)

Net (loss) income

$(1,230)

$515





Net (loss) income per common share - basic

$(.08)

$.04

Weighted average shares outstanding - basic

16,075,847

14,721,901





Net (loss) income per common share - diluted

$(.08)

$.04

Weighted average shares outstanding - diluted

16,075,847

16,188,973


CHINDEX INTERNATIONAL, INC.

CONSOLIDATED CONDENSED BALANCE SHEETS

(in thousands except share data)


March 31, 2011

(unaudited)

December 31,

2010

ASSETS



Current assets:



Cash and cash equivalents

$42,600

$32,007

Restricted cash

300

300

Investments

37,074

37,631

Accounts receivable, less allowance for doubtful accounts of $7,253 and $6,748, respectively

11,019

11,601

   Receivables from affiliates

1,270

9.330

Inventories, net

1,432

1,413

Deferred income taxes

3,574

3,242

Other current assets

2,785

3,856

Total current assets

100,054

99,380

Restricted cash and sinking funds

990

980

Investments

1,329

2,439

Investment in unconsolidated affiliate

32,107

31,756

Property and equipment, net

38,437

37,099

Noncurrent deferred income taxes

160

108

Other assets

2,449

2,411

Total assets

$175,526

$174,173

LIABILITIES AND STOCKHOLDERS' EQUITY



Current liabilities:



Accounts payable

$2,710

$4,038

Payable to affiliates

1,181

-

Accrued expenses

9,343

8,541

Other current liabilities

3,521

3,874

Income taxes payable

1,890

2,147

Total current liabilities

18,645

18,600

Long-term debtand convertible debentures

23,231

23,070

Long-term deferred tax liability

431

431

Total liabilities

42,307

42,101

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 – 15,323,041 and 15,310,426 shares issued and

        outstanding at March 31, 2011 and December 31, 2010, respectively

153

153

     Class B stock – 1,162,500 shares issued and outstanding at March 31, 2011

        and December 31, 2010, respectively

12

12

  Additional paid-in capital

117,268

115,815

Accumulated other comprehensive income

5,726

4,802

Retained earnings

10,060

11,290

    Total stockholders' equity

133,219

132,072

    Total liabilities and stockholders' equity

$175,526

$174,173


CHINDEX INTERNATIONAL, INC.

CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS

(in thousands)



Three months ended March 31,


2011

2010

OPERATING ACTIVITIES



Net (loss) income

$                (1,230)

$                515

Adjustments to reconcile net income to net cash provided by operating activities:



    Depreciation and amortization

1,137

980

    Provision for demonstration inventory

-

137

    Inventory write down

(1)

83

    Provision for doubtful accounts

432

495

    Loss on disposal of property and equipment

49

20

    Equity in loss of unconsolidated affiliate

147

-

    Deferred income taxes

(354)

548

    Stock based compensation

1,202

854

    Foreign exchange (gain) loss

(19)

825

    Amortization of debt issuance costs

2

2

    Amortization of debt discount

63

62

    Non-cash charge for change in fair value of warrants

-

(224)

Changes in operating assets and liabilities:



    Restricted cash

-

(340)

    Accounts receivable

264

6,476

    Accounts receivable from affiliates

8,060

-

    Inventories

(3)

(1,188)

    Other current assets and other assets

1,070

431

    Accounts payable, accrued expenses, other current liabilities and deferred revenue

5,001

(131)

    Accounts payable to affiliates

1,181

-

    Income taxes payable

(278)

(721)

Net cash provided by operating activities

16,723

8,824

INVESTING ACTIVITIES



    Purchases of short-term investments and CDs

(20,265)

-

    Proceeds from redemption of CDs

21,987

20,800

    Purchases of property and equipment

(8,064)

(3,243)

Net cash (used in) provided by investing activities

(6,342)

17,557

FINANCING ACTIVITIES



    Proceeds from debt, vendor financing and convertible debentures

-

(83)

    Repayment of debt, sinking fund deposits and vendor financing

-

(212)

    Repurchase of restricted stock for income tax withholding

-

(1)

    Proceeds from exercise of stock options and warrants

114

90

Net cash provided by (used in) financing activities

114

(206)

Effect of foreign exchange rate changes on cash and cash equivalents

98

719

Net increase in cash and cash equivalents

10,593

26,894

Cash and cash equivalents at beginning of period

32,007

20,293

Cash and cash equivalents at end of period

$                 42,600

$            47,187




Supplemental disclosures of cash flow information:



Cash paid for interest

$                           -

$                 641

Cash paid for taxes

$                   1,418

$              4,770




Non-cash investing and financing activities consist of the following:



Property and equipment additions included in accounts payable

$                   5,921

$                 532

Cashless exercise of warrants at fair value

$                           -

$                 800

Exercise of warrants at fair value

$                           -

$                (201)


The table below reconciles our consolidated net income to Adjusted EBITDA (in thousands).













Three Months Ended March 31,










2011


2010








Consolidated net income (loss) 

$(1,230)


$515








Adjustments:





Depreciation and amortization

1,137


880


Provision for income taxes

787


791


Interest expense 

103


199


Interest and other income / expense, net

(100)


(372)


Development, pre-opening and start-up expense

798


413


Equity in earnings (loss) of unconsolidated affiliate

147


-


Non-recurring charges for CML JV formation

400


-


Effect of change in corporate cost allocations

325


-





3,597


1,911








Adjustments to exclude Medical Products Division:





Medical Products revenue


-


(20,088)


Medical Products cost of products sold

-


14,553


Medical Products selling and operating expenses

-


5,579





-


44








Adjusted EBITDA 

$2,367


$2,470










Three months ended March 31,



2011


2010

Inpatient/Outpatient revenue percentages





Inpatient services as percent of net revenue

38%


40%


Outpatient services as percent of net revenue

62%


60%



100%


100%













Three months ended March 31,



2011


2010

Net revenue by service line:





Surgical services

17.8%


17.7%


OB/GYN

17.8%


19.7%


Pediatrics

7.6%


8.8%


Ancillary services





Laboratory

10.4%


10.5%


Radiology

11.3%


12.1%


Pharmacy

11.7%


11.8%


All other services

23.4%


19.4%



100%


100%

SOURCE Chindex International, Inc.

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