Concord Medical Reports Third Quarter 2014 Financial Results

–Reiterates FY14 Financial Forecast–



BEIJING, November 18, 2014 /PRNewswire/ — Concord Medical Services Holdings Limited ("Concord Medical" or the "Company") (NYSE: CCM), an operator of specialty cancer hospitals and the largest network of radiotherapy and diagnostic imaging centers in China, today announced its unaudited consolidated financial results for the third quarter ended September 30, 2014[1].

Third Quarter 2014 Highlights

  • Total net revenue, which consists of net revenues generated from the network business and hospital business, was RMB265.7 million ($43.3 million) in the third quarter of 2014, a 13.6% increase from RMB234.0 million in the third quarter of 2013.
  • Gross profit in the third quarter of 2014 was RMB88.6 million ($14.4 million), a 0.8% increase from RMB87.9 million in the third quarter of 2013.
  • Net income attributable to ordinary shareholders in the third quarter of 2014 was RMB34.5 million ($5.6 million), a 30.3% increase from RMB26.5 million in the third quarter of 2013.
  • Basic and diluted earnings per American Depositary Share ("ADS")[2] in the third quarter of 2014 were RMB0.77 ($0.13) and RMB0.72 ($0.12), respectively, compared with RMB0.59 in the third quarter of 2013.
  • Adjusted EBITDA[3] (non-GAAP) in the third quarter of 2014 was RMB111.4 million ($18.1 million), a 9.4% increase from RMB101.8 million in the third quarter of 2013.

Dr. Jianyu Yang, Chairman and Chief Executive Officer of Concord Medical, stated: "The past quarter was marked by our excellent operational and financial performances. Our top and bottom lines increased by 13.6% and 30.3%, respectively, over the period of the previous year, and the growth rate is also higher. We are seeing more contribution from our network centers, especially from the centers which provide high-end radiotherapy and diagnostic services to our patients, such as CyberKnife and PET-CT centers. It is our corporate strategy to provide the best treatment and services available to our patients. The strategy is paying off and we will continue to pursue the strategy, as we build Concord into a leading operator of cancer specialty hospitals and radiotherapy and diagnostic centers in China."

"During the quarter, we have achieved a great milestone in our corporate strategy. Datong Meizhong Jiahe Cancer Center has received the relevant government approvals. It is the first free-standing cancer specialty hospital in the Concord network. We plan to replicate the model in other cities in China, especially in cities we have existing centers in operation. Thus, we can take advantage of the medical and operational teams in place. The Datong Meizhong Jiahe Cancer Center is expected to open in the first half of 2015. Our business development team is actively exploring similar opportunities in other cities in China."

"Currently, the healthcare reform in China is progressing quickly. The reform is touching upon many historically challenging issues, such as multi-location practice for doctors and equipment licensing to private hospitals. We are very pleased to see that the new government initiatives have brought great feasibility and visibility to our strategic plans. As doctors enjoy more freedom of practice, similar to their foreign counterparts, we will be able to attract more talents to our future hospitals, providing Concord Medical with a strong advantage, as our hospitals will be operated and managed similar to the model of best hospitals in the world."

"Giving the solid operational and financial performance in the first three quarters of the year, we reiterate our full year guidance forecast."

Third Quarter 2014 Results by Segment

Network business

The total number of centers in operation was 141 in 56 cities around China as of September 30, 2014, same as the previous quarter. At the end of this quarter the Company entered into agreements to establish two additional centers.

Net revenues from the network business were RMB143.2 million ($23.3 million) for the third quarter of 2014, representing an increase of 9.2% from RMB131.1 million for the third quarter of 2013, primarily due to the increased contribution from PET-CT and CyberKnife centers.

Gross profit margin of the network business was 50.7% for the third quarter of 2014, as compared with 56.0% for the third quarter of 2013. The lower gross profit margin was primarily due to higher medical consumable expenses during the quarter.

Capital expenditure of the network business was RMB16.7 million ($2.7 million) for the third quarter of 2014, compared with RMB20.9 million in the third quarter of 2013.

Selling expenses in the network business were RMB27.5 million ($4.5 million) for the third quarter of 2014, representing an increase of 11.4% from the third quarter of 2013. The increase was consistent with the higher revenue during the quarter.

General and administrative expenses in the network business were RMB20.1 million ($3.3 million), compared with RMB13.3 million for the third quarter of 2013.The increase was primarily due to higher travel and meeting expenses. During the quarter, the Company collected RMB20 million historical bad debts that were previously written off, resulting in net general and administrative expenses of RMB0.1 million for the quarter.

Accounts receivable from the network business was RMB258.1 million ($42.1 million) as of September 30, 2014, compared to RMB281.9 million as of June 30, 2014. The average period of sales outstanding for accounts receivable, or Days Sales Outstanding (DSO), was 173 days for the third quarter of 2014, compared to 156 days for the second quarter of 2014.

As of September 30, 2014, the Company, not including Chang’an Hospital, had bank credit lines of RMB2,920.0 million ($448.3 million), of which RMB1,065.3 million ($173.6 million) was utilized, inclusive of the IFC loan of $50 million of which $20 million in convertible loans was utilized since Feb 2014. The company is working with IFC for the disbursement of the remaining $30 million in A-Loan currently.

During the third quarter of 2014, the Company handled 7,700 patient treatment cases and 78,829 patient diagnostic cases in the center network, representing a 3.8% decrease and a 0.5% decrease from the third quarter of 2013, respectively.

Hospital business

Net revenues from the hospital business were RMB122.5 million ($20.0 million) for the third quarter of 2014, an increase of 19.0% from the third quarter of 2013. Net revenues from the hospital business for the third quarter of 2014 were comprised of:

  • outpatient revenues of RMB29.7 million ($4.8 million), representing 24% of the net revenues from the hospital business;
  • inpatient revenues of RMB39.3 million ($6.4 million), representing 32% of the net revenues from the hospital business; and
  • medicine revenues of RMB53.5 million ($8.7 million), representing 44% of the net revenues from the hospital business.

Cost of service for the hospital business for the third quarter of 2014 was RMB106.5 million ($17.3 million), of which the medicine cost was RMB44.4 million ($7.2 million) and the medical service cost was RMB62.1 million ($10.1 million).

Gross profit margin of the hospital business was 13.1% for the third quarter of 2014, as compared with 14.0% from the third quarter of 2013. Higher salary and compensation costs to the medical team were the main reasons for the decrease in gross profit margin.

Capital expenditure of the hospital business was RMB8.5 million ($1.4 million) for the third quarter of 2014, compared with RMB6.7 million for the third quarter of 2013.

General and administrative expenses in the hospital business were RMB4.7 million ($0.8 million) for the third quarter of 2014, compared with RMB4.5 million for the third quarter of 2013.

As of September 30, 2014, Chang’an Hospital had accounts receivable of RMB47.0 million ($7.7 million), compared to RMB43.9 million as of June 30, 2014. The number of day sales outstanding was 34 days, compared to 31 days for the second quarter of 2014. The accounts receivable balance was mainly related to medical revenues covered by various government-sponsored insurance programs. Chang’an Hospital settles the balance with the local social insurance bureau on a periodic basis.

Chang’an Hospital received 160,181 outpatients and 8,505 inpatients for the third quarter of 2014. The average bed utilization for the quarter was 85.2%. The average number of days of hospital stay was 8.8 days per patient for the quarter. Chang’an Hospital operated 1,015 beds as of September 30, 2014.

Chang’an Hospital is a leading private-owned for-profit general hospital, located in Xi’an, Shanxi Province. Established in 2002, Chang’an Hospital had 57 departments with over 1,502 medical and non-medical staff as of September 30, 2014.

Recent Developments

On October 27, 2014, the Company announced that it has received relevant government approvals to establish a free-standing radiotherapy cancer center, Datong Meizhong Jiahe Cancer Center ("Datong Center") in Datong City, Shanxi Province.

The Datong Center, a 100%-owned subsidiary of Concord Medical, will provide advanced, best-practice diagnostic and radiotherapy services. The 100 bed facility, once completed, will be the first free-standing center in the Concord Medical network. Construction is expected to begin in November 2014 and the center will be operational in 2015.

The Datong center will be registered as a specialty cancer hospital with all required departments, including radiation, imaging, test laboratory, inpatient, and nursing. This center will apply to join the local social insurance coverage. The Datong center represents an important step of the Company’s broader strategy to build a nationwide chain of free-standing cancer treatment and diagnosis centers in the future.

2014 Outlook

For the 2014 fiscal year, the Company expects earnings in the range of $0.45 to $0.50 per ADS, or $20.3 million to $22.5 million in Net Income Attributable to Ordinary Shareholders. The Company forecasts construction will start on Datong Meizhong Jiahe Cancer Center during 2014.

These estimates are based on current market and operating conditions, are subject to change, and may be impacted positively or negatively by factors outside the Company’s control, including but not limited to macroeconomic events in the markets in which the Company operates. See "Safe Harbor Statement" below for additional information regarding forward-looking statements.

Notes:

[1] This announcement contains translations of certain RMB amounts into U.S. dollars at specified rates solely for the convenience of the reader. Unless otherwise noted, all translations from RMB to U.S. dollars are made at a rate of RMB6.1380 to US$1.00, the effective noon buying rate as of September 30, 2014 in the City of New York for cable transfers of RMB as certified for customs purposes by the Federal Reserve Bank of New York.

[2] Each ADS represents three ordinary shares of the Company.

[3] Definition of adjusted EBITDA: Adjusted EBITDA is defined as net income plus interest, taxes, depreciation and amortization, share-based compensation expenses, changes in fair value of derivatives and other adjustments. Other adjustments include foreign exchange gain (loss), loss from disposal of property, plant and equipment and other income or expense.

Conference Call Information

Concord Medical’s management will hold an earnings conference call at 8:00 a.m. Eastern Time on November 18, 2014 (9:00 p.m. Beijing/Hong Kong time on November 18, 2014).

Dial-in details for the earnings conference call are as follows:

U.S. Toll Free:

1 866 519 4004

International:

65 67239381

U.K. Toll Free:

08082346646

Hong Kong Toll Free:

800-906-601

China Local:

400-620-8038 / 800-819-0121

Passcode:

CCM

A replay of the conference call may be accessed by phone at the following numbers for 7 days:

U.S. Toll Free:

1 855 452 5696

International:

6 12 8199 0299

Conference ID:

30474533

Additionally, a live and archived webcast of this conference call will be available at http://ir.concordmedical.com/.

About Concord Medical

Concord Medical Services Holdings Limited is an operator of specialty cancer hospitals and the largest network of radiotherapy and diagnostic imaging centers in China. As of September 30, 2014, the Company operated a network of 141 centers with 81 hospital partners that spanned 56 cities and 25 provinces and administrative regions in China. Under long-term arrangements with top-tier hospitals in China, Concord Medical provides radiotherapy and diagnostic imaging equipment and manages the daily operations of these centers, which are located on the premises of its hospital partners. The Company also provides ongoing training to doctors and other medical professionals in its network of centers to ensure a high level of clinical care for patients. For more information, please see http://ir.concordmedical.com.

Safe Harbor Statement

This news release may contain "forward-looking" statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and as defined in the U.S. Private Securities Litigation Reform Act of 1995. These forward-looking statements can be identified by terminology such as "anticipate," "believe," "estimate," "expect," "forecast," "intend," "may," "plan," "project," "predict," "should" and "will" and similar expressions. These forward looking statements are based upon management’s current views and expectations with respect to future events and are not a guarantee of future performance. Furthermore, these statements are by their nature, subject to a number of risks and uncertainties that could cause actual performance and results to differ materially from those discussed in the forward-looking statements as a result of a number of factors. Such factors include: the number of new radiotherapy and diagnostic imaging centers opened; the increase in the number of patients in existing centers; the establishment of specialty cancer hospitals; changes in the healthcare industry in China, including changes in the healthcare policies and regulations of the PRC government; technological or therapeutic changes affecting the field of cancer treatment and diagnostic imaging; and possible effects on consumers and hospitals, hospital construction, and suppliers, as a result of inflation and the Chinese government’s policies and actions to control inflation. Further information regarding these and other risks is included in the Company’s filings with the U.S. Securities and Exchange Commission, which are available at www.sec.gov. The Company does not assume any obligation to update any forward-looking statement, except as required by law.

About Non-GAAP Financial Measures

To supplement the consolidated financial statements presented in accordance with United States Generally Accepted Accounting Principles ("GAAP"), Concord Medical uses certain non-GAAP measures. The Company presents certain of its financial information that is adjusted from results based on GAAP to exclude the impact of share-based compensation expense and changes in fair value of derivatives. The Company believes excluding share-based compensation expense and changes in fair value of derivatives from its GAAP financial measures is useful for its management and investors to assess and analyze the Company’s core operating results, as such expense is not directly attributable to the underlying performance of the Company’s business operations and do not impact its current cash earnings. Concord Medical also believes these non-GAAP measures excluding share-based compensation expense and changes in fair value of derivatives are important in helping investors to understand the Company’s current financial performance and future prospects and to compare business trends among different reporting periods on a consistent basis. In addition, Concord Medical also presents the non-GAAP measure of Adjusted EBITDA, which is defined in this announcement as net income plus interest, taxes, depreciation and amortization, share-based compensation expenses, changes in fair value of derivatives and other adjustments. Other adjustments include foreign exchange gain (loss), loss from disposal of property, plant and equipment and other income or expense. Furthermore, Adjusted EBITDA eliminates the impact of items that the Company does not consider to be indicative of the performance of the network business and hospital business. The Company believes investors will similarly use Adjusted EBITDA as one of the key metrics to evaluate its financial performance and to compare its current operating results with corresponding historical periods and with other companies in the healthcare services industry. The presentation of these additional measures should not be considered a substitute for or superior to GAAP results or as being comparable to results reported or forecasted by other companies. The non-GAAP measures have been reconciled to GAAP measures in the attached financial information.

For more information, please contact:

Concord Medical Services

Mr. Adam J. Sun (Chinese and English)
+86 10 5957 5266
adam.sun@concordmedical.com

Mr. Ting Jia (Chinese and English)
+86 10 5903 6688 (ext. 809)
ting.jia@concordmedical.com

Ms. Fang Liu (Chinese and English)
+86 10 5903 6688 (ext. 639)
fang.liu@concordmedical.com

ICR Inc.

In China:
Ms. Rene Jiang
+86 10 6583-7521
rene.jiang@icrinc.com

In the United States:
Mr. William Zima
+1 203-682-8233
William.Zima@icrinc.com

Concord Medical Services Holdings Co., Ltd.

Consolidated Balance Sheets

(in thousands)

December 31, 2013

September 30, 2014

RMB

RMB

US$

(Unaudited)

(Unaudited)

ASSETS

Current assets

Cash and cash equivalents

283,033

246,985

40,239

Restricted cash, current portion

422,140

499,587

81,392

Accounts receivable

313,909

305,076

49,703

Inventories

19,717

20,663

3,366

Prepayments and other current assets

111,480

127,608

20,790

Net investments in direct financing leases, current portion

128,814

130,697

21,293

Deferred tax assets, current portion

10,652

12,211

1,989

Amount due from related parties

10,265

13,322

2,170

Total current assets

1,300,010

1,356,149

220,942

Non-current assets

Property, plant and equipment, net

1,492,573

1,391,981

226,781

Goodwill

292,885

292,885

47,717

Intangible assets, net

116,843

95,923

15,628

Deposits for non-current assets

76,669

88,982

14,497

Net investments in direct financing leases, non-current portion

199,467

141,847

23,110

Deferred tax assets, non-current portion

17,721

16,465

2,682

Equity method investments

217,413

219,217

35,715

Other non-current assets

86,847

54,734

8,917

Prepaid land lease payments

140,201

137,494

22,400

Indemnification assets

59,518

59,518

9,697

Loan to a non-controlling shareholder of a subsidiary

93,410

72,609

11,829

Total non-current assets

2,793,547

2,571,655

418,973

Total assets

4,093,557

3,927,804

639,915

LIABILITIES AND EQUITY

Current liabilities

Short-term bank borrowings

487,964

484,901

79,000

Long-term bank borrowings, current portion

273,310

235,315

38,337

Accounts payable

149,209

161,470

26,307

Accrual for purchase of property, plant and equipment

49,741

37,490

6,108

Obligations under capital leases, current portion

15,133

2,465

Accrued expenses and other liabilities

146,489

248,421

40,473

Income tax payable

48,201

59,784

9,740

Deferred revenue, current portion

15,668

14,789

2,409

Amount due to related parties, current portion

3,217

1,271

207

Deferred tax liabilities, current portion

860

860

140

Total current liabilities

1,174,659

1,259,434

205,186

Non-current liabilities

Long-term bank borrowings, non-current portion

324,974

386,431

62,957

Accrued unrecognized tax benefits & surcharge, non-current portion

67,719

67,719

11,033

Obligations under capital leases, non-current portion

400

29,824

4,859

Other long term liabilities

32,369

44,277

7,214

Amount due to related parties, non-current

26,828

7,528

1,226

Deferred tax liabilities, non-current portion

32,891

38,469

6,267

Total non-current liabilities

485,181

574,248

93,556

Total liabilities

1,659,840

1,833,682

298,742

Commitments and contingencies

EQUITY

Ordinary shares

105

105

17

Treasuary stock

(5)

(4)

(1)

Additional paid-in capital

2,520,338

2,074,125

337,915

Accumulated other comprehensive loss

(15,283)

(11,816)

(1,925)

Accumulated deficit

(383,162)

(286,603)

(46,693)

Total Concord Medical Services Holdings Limited shareholders’ equity

2,121,993

1,775,807

289,313

Noncontrolling interests

311,724

318,315

51,860

Total equity

2,433,717

2,094,122

341,173

Total liabilities and equity

4,093,557

3,927,804

639,915

Concord Medical Services Holdings Limited

Consolidated Statements of Income

(in thousands, except per ADS data)

For The Three Months Ended

September 30, 2013

September 30, 2014

RMB

RMB

US$

Revenues, net of business tax, value-added tax and related surcharges

(Unaudited)

(Unaudited)

(Unaudited)

Network

131,087

143,208

23,331

Hospital-Medicine income

43,833

53,543

8,723

Hospital-Medical service income

59,052

68,941

11,232

Total net revenues

233,972

265,692

43,286

Cost of revenues

Network

(57,659)

(70,649)

(11,510)

Hospital-Medicine cost

(37,263)

(44,404)

(7,234)

Hospital-Medical service cost

(51,177)

(62,072)

(10,113)

Total cost of revenues

(146,099)

(177,125)

(28,857)

Gross profit

87,873

88,567

14,429

Operating expenses

Selling expenses

(24,672)

(27,485)

(4,478)

General and administrative expenses

(17,770)

(4,613)

(752)

Operating income

45,431

56,469

9,199

Interest expenses

(10,893)

(11,799)

(1,922)

Foreign exchange gain, net

465

(982)

(160)

(Loss) gain on disposal of property, plant and equipment

(110)

(330)

(54)

Interest income

4,720

5,111

833

Share of net profit of equity investees

4,094

4,160

678

Other (loss) income, net

203

409

67

Income before income taxes

43,910

53,038

8,641

Income tax expenses

(15,229)

(16,004)

(2,607)

Net income

28,681

37,034

6,034

Net income attributable to noncontrolling interests

2,220

2,538

413

Net income attributable to ordinary shareholders

26,461

34,496

5,621

Earnings per ADS

Basic

0.59

0.77

0.13

Diluted

0.59

0.72

0.12

Weighted average number of ADS outstanding:

Basic

45,006,568

44,945,433

44,945,433

Diluted

45,006,568

48,006,314

48,006,314

Reconciliations of non-GAAP results of operations measures to the nearest comparable GAAP measures (*) (in RMB thousands, unaudited)

For the three months ended September 30, 2013

For the three months ended September 30, 2014

GAAP Measure

Adjustment

Non-GAAP Measure

GAAP Measure

Adjustment

Non-GAAP Measure

Operating income

45,431

2,211

47,642

56,469

2,125

58,594

Net income

28,681

2,211

30,892

37,034

2,125

39,159

Basic earnings per ADS

0.59

0.05

0.64

0.77

0.05

0.82

Diluted earnings per ADS

0.59

0.05

0.64

0.72

0.04

0.76

(*) The only adjustment is share-based compensation.

Reconciliation from net income to adjusted EBITDA(*) (in RMB thousands, unaudited)

For the three months ended

For the three months ended

September 30, 2013

September 30, 2014

Net income

28,681

37,034

Interest expenses, net

6,173

6,688

Income tax expenses

15,229

16,004

Depreciation and amortization

50,110

48,621

Share-based compensation

2,211

2,125

Other adjustments

(558)

903

Adjusted EBITDA

101,846

111,374

(*) Definition of adjusted EBITDA: Adjusted EBITDA is defined as net income plus interest, taxes, depreciation and amortization, share-based compensation expenses and other adjustments. Other adjustments include foreign exchange gain, gain (loss) from disposal of property, plant and equipment and other income or expense.


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