Attached files

file filename
8-K - LIVE FILING - CHINDEX INTERNATIONAL INChtm_47681.htm
EX-99.2 - EX-99.2 - CHINDEX INTERNATIONAL INCexhibit2.htm

FOR RELEASE May 8, 2013

Contact: ICR, Inc.

Bill Zima

(+86) 10-6583-7511

(646) 328-2510

Chindex International, Inc. Reports First Quarter 2013 Financial Results

Bethesda, Maryland – May 8, 2013 – Chindex International, Inc. (NASDAQ: CHDX), an American health care company providing health care 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 first quarter of 2013 ended March 31, 2013.

First Quarter 2013 Financial Highlights

    Revenue from healthcare services increased 28% to $41.6 million from $32.5 million in the prior year period.

    Adjusted EBITDA rose by 36% to $7.4 million from $5.5 million in the prior year period.

    Development, pre-opening and start-up expense was $2.5 million compared to $3.2 million in the prior year period.

    Income from operations increased 313% to $2.6 million from $625,000 in the prior year period.

    Net loss was $62,000, or $0.00 per diluted share, compared to net loss of $531,000, or $(0.03) per diluted share, in the prior year period.

Roberta Lipson, President and CEO of Chindex, commented, “I’m pleased to have started 2013 with strong top-line, operating income and adjusted EBITDA growth in the first quarter. Results were primarily driven by increased patient traffic at UFH’s expanded network. Our oncology, cardio and neurosurgery surgical units, while still in their early stages of development, are drawing healthy levels of patients and improving profitability as income from operations more than tripled to $2.6 million, and adjusted EBITDA rose by 36% to $7.4 million, representing 18% adjusted EBITDA margin. We continue to experience growing patient demand for healthcare services both among Chinese nationals and expatriates reinforcing our expansion plans to meet the underserved demand for premium private healthcare services in China.”

“During the first quarter, we continued to move forward with our ramp up of new facilities and service lines. The Beijing United Family Rehabilitation Hospital has secured the required regulatory approvals, has staff and equipment in place, and is scheduled to open for Phase I operations in June 2013. Our new facilities and services in Beijing are all ramping up quickly and we are working on future expansion in both areas. In Shanghai, we are working on a new facility in Puxi and evaluating a potential new hospital site as well. Encouraged by the positive response to our newly launched Home Healthcare service in Beijing, we have launched this service in Tianjin at the end of the first quarter and plan to expand the program to Shanghai later this year.”

“We believe Chindex can continue growing at a rapid pace for the remainder of this year. Our strategic priorities will focus on the continued growth of existing facilities, ramping up new facilities and services lines, and expanding across geographies and service offerings. While these efforts may take some time to drive high consolidated growth rates, we reiterate comfort with our full year revenue percentage growth rates in the mid-high twenties and adjusted EBITDA growth in the mid-high teens.”

First Quarter 2013 Financial Results

First quarter 2013 revenue from healthcare services increased 28% to $41.6 million from $32.5 million in the prior year period. These results reflect continued growth of inpatient and outpatient volume across the United Family Healthcare network as well as increasing contributions from the expansion of the Company’s flagship hospital in Beijing. Outpatient services contributed 57% and inpatient services contributed 43% of revenue, compared with 62% and 38%, respectively, in the prior year period. By service line, surgical services contributed 18.1%, OB/GYN contributed 15.8%, pediatrics contributed 8.5%, ancillary services contributed 31.9% and other clinical service lines contributed 25.7% of revenue.

Operating expenses in the first quarter of 2013 increased 22% to $39.0 million from $31.9 million in the prior year period. These costs were primarily driven by the Company’s recently opened expansions as well as development of new facilities. Salaries, wages and benefits in the first quarter of 2013 increased 22% to $22.7 million from $18.6 million in the prior year period, reflecting a 26% increase in headcount to support revenue growth and development activities, including newly recruited staff now on-board in anticipation of the opening of the Beijing United Family Rehabilitation Hospital. Development, pre- and post-opening and start-up expenses were $2.5 million this quarter, compared to $3.2 million for the prior year period. These expenses were driven by development projects across all markets, including particularly the Beijing United Family Rehabilitation Hospital and the ramp-up of Tianjin United Family Hospital. Operating expenses also included certain non-cash expenses including $790,000 of stock-based compensation expense compared to $614,000 for the prior year period.

Adjusted EBITDA in the first quarter of 2013 increased 36% to approximately $7.4 million from $5.5 million in the prior year period. The Adjusted EBITDA results illustrate the consistent and improving profitability and expanding earnings base of existing UFH facilities.  

Income from operations increased to $2.6 million from $625,000 in the prior year period.

The Company recorded a $1.9 million provision for taxes in the first quarter of 2013 compared to $1.3 million in the prior year period. As in past quarters, the current period provision continued to be heavily impacted by losses in development and start-up entities for which the Company cannot currently recognize tax benefits.

Net loss for the quarter ended March 31, 2013 was $62,000, or $0.00 per diluted share, compared to net loss of $531,000, or $(0.03) per diluted share, in the prior year period. For the first quarter of 2013, weighted average diluted shares outstanding were 16.5 million.

As of March 31, 2013, the Company had $31.4 million in unrestricted cash, cash equivalents and investments.

Chindex Medical Limited

For Chindex Medical Limited (CML), a joint venture between Shanghai Fosun Pharmaceutical (Group) Co., Ltd. (“Fosun Pharma”) and Chindex International, Chindex recognized its 49% interest in CML’s net income using the equity method of accounting. In the first quarter ended March 31, 2013, Chindex recognized a loss of $900,000, for its 49% equity in the operating results of CML. This consisted of a loss of $771,000, for the stand-alone net income (loss) of CML (after recognition of stock-based compensation expense) and after deducting $129,000, for the amortization of basis differences attributable to acquired intangibles.

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, equity in earnings (loss) income of unconsolidated affiliate, non-recurring charges for Chindex Medical Limited (CML) joint venture formation. 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.

Conference Call

Management will host a conference call at 8:00 am ET Thursday morning on May 9, 2013 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. The conference ID is 55024835. A webcast and replay 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, Tianjin 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 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, 2012, 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

1

CHINDEX INTERNATIONAL, INC.
CONSOLIDATED CONDENSED STATEMENTS OF OPERATIONS
(in thousands except share and per share data)
(Unaudited)

                         
            Three months ended March 31,
            2013   2012
                 
Healthcare services revenue   $ 41,565     $ 32,512  
                 
       
 
               
Operating expenses                
       
Salaries, wages and benefits
    22,663       17,306  
       
Other operating expenses
    5,715       4,429  
       
Supplies and purchased medical services
    4,965       4,124  
       
Bad debt expense
    979       735  
       
Depreciation and amortization
    2,302       1,492  
       
Lease and rental expense
    2,361       1,749  
       
 
               
      38,985       31,887  
                 
Income from operations     2,580       625  
                 
Other income and (expenses)                
       
Interest income
    248       251  
       
Interest expense
    (102 )     (355 )
       
Equity in (loss) income of unconsolidated affiliate
    (900 )     98  
       
Miscellaneous (expense) — net
    (2 )     (10 )
       
 
               
Income before income taxes     1,824       728  
Provision for income taxes     (1,886 )     (1,259 )
                 
Net loss   $ (62 )   $ (531 )
                 
       
 
               
Net loss per common share — basic   $ .00     $ (.03 )
                 
Weighted average shares outstanding — basic     16,549,761       16,291,792  
                 
     
Net loss per common share — diluted   $ .00     $ (.03 )
                 
Weighted average shares outstanding — diluted     16,549,761       16,291,792  
                 

CHINDEX INTERNATIONAL, INC.
CONSOLIDATED CONDENSED BALANCE SHEETS
(in thousands, except share data)
(Unaudited)

                 
    March 31, 2013   December 31, 2012
ASSETS
               
Current assets:
               
Cash and cash equivalents
  $ 31,353     $ 33,184  
Restricted cash
    1,512       754  
Accounts receivable, less allowance for doubtful accounts of $11,621 and $10,612, respectively
    21,943       19,564   
Receivables from affiliates
    1,901       2,110  
Inventories of supplies, net
    2,434       2,328  
Deferred income taxes
    3,369       3,209  
Other current assets
    5,575       3,798  
 
               
Total current assets
    68,087       64,511  
Restricted cash and sinking funds
    19,212       20,351  
Investment in unconsolidated affiliate
    33,917       34,847  
Property and equipment, net
    98,425       97,952  
Noncurrent deferred income taxes
    906       925  
Other assets
    3,682       3,428  
 
               
Total assets
  $ 224,229     $ 222,450  
 
               
LIABILITIES AND STOCKHOLDERS’ EQUITY
               
Current liabilities:
               
Short-term debt
  $ 1,586     $ 1,586  
Accounts payable
    7,214       9,520  
Payable to affiliates
    1,546       1,334  
Accrued expenses
    18,321       15,540  
Other current liabilities
    9,557       8,558  
Income taxes payable
    2,602       2,772  
 
               
Total current liabilities
    40,826       39,310  
Long-term debt and convertible debentures
    32,108       32,812  
Long-term deferred tax liability
    261       262  
 
               
Total liabilities
    73,195       72,384  
 
               
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 – 15,902,784 and 15,904,836 shares issued and outstanding at March 31, 2013 and December 31, 2012, respectively
    159       159  
Class B stock – 1,162,500 shares issued and outstanding at March 31, 2013 and December 31, 2012, respectively
    12       12  
Additional paid-in capital
    122,899       122,109  
Retained earnings
    18,521       18,583  
Accumulated other comprehensive income
    9,443       9,203  
 
               
Total stockholders’ equity
    151,034       150,066  
 
               
Total liabilities and stockholders’ equity
  $ 224,229     $ 222,450  
 
               

CHINDEX INTERNATIONAL, INC.
CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS
(in thousands)
(Unaudited)

                 
    Three months ended March 31,
    2013   2012
OPERATING ACTIVITIES
               
Net loss
  $ (62 )   $ (531 )
Adjustments to reconcile net income to net cash provided by operating activities:
               
Depreciation and amortization
    2,302       1,651  
Inventory write down
    3       11  
Provision for doubtful accounts
    979       765  
Loss on disposal of property and equipment
    4       5  
Equity in (loss) income of unconsolidated affiliate
    900       (98 )
Deferred income taxes
    (131 )     (126 )
Stock based compensation
    790       614  
Foreign exchange loss
    51       214  
Amortization of debt issuance costs
    2       2  
Amortization of debt discount
    62       62  
Changes in operating assets and liabilities:
               
Restricted cash
          1,052  
Accounts receivable
    (3,300 )     (2,333 )
Accounts receivable from affiliates
    209       (583 )
Inventories of supplies
    (104 )     421  
Other current assets and other assets
    (2,028 )     (1,630 )
Accounts payable, accrued expenses, other current liabilities and deferred revenue
    1,436       1,192  
Accounts payable to affiliates
    212       1,609  
Income taxes payable
    (177 )     99  
 
               
Net cash provided by operating activities
    1,148       2,396  
 
               
INVESTING ACTIVITIES
               
Proceeds from redemption of CDs
          21,970  
Purchases of property and equipment
    (2,610 )     (7,141 )
 
               
Net cash (used in) provided by investing activities
    (2,610 )     14,829  
 
               
FINANCING ACTIVITIES
               
Restricted cash for IFC RMB loan sinking funds
    438       (12,051 )
Repayment of debt
    (787 )      
 
               
Proceeds from exercise of stock options
          16  
 
               
Net cash used in financing activities
    (349 )     (12,035 )
 
               
Effect of foreign exchange rate changes on cash and cash equivalents
    (20 )     10  
 
               
Net (decrease) increase in cash and cash equivalents
    (1,831 )     5,200  
Cash and cash equivalents at beginning of period
    33,184       33,755  
 
               
Cash and cash equivalents at end of period
  $ 31,353     $ 38,955  
 
               
Supplemental disclosures of cash flow information:
               
Cash paid for interest
  $ 18     $  
Cash paid for taxes
  $ 2,189     $ 1,289  
Non-cash investing and financing activities consist of the following:
               
Change in property and equipment additions included in accounts payable
  $ (101 )   $ 216  

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

                 
    Three months ended March 31,
    2013   2012
Consolidated net loss
  $ (62 )   $ (531 )
 
               
Adjustments:
               
Depreciation and amortization
    2,302       1,651  
Provision for income taxes
    1,886       1,259  
Interest expense
    102       124  
Interest and other income, net
    (246 )     (129 )
Development, pre-opening and start-up expense
    2,547       3,203  
Equity in loss (income) of unconsolidated affiliate
    900       (98 )
 
               
 
    7,491       6,010  
 
               
Adjusted EBITDA
  $ 7,429     $ 5,479  
 
               

2