TIDMCBAY 
 
RNS Number : 3029R 
CBaySystems Holdings Ltd. 
19 August 2010 
 

 
NOT FOR RELEASE, PUBLICATION OR DISTRIBUTION IN WHOLE OR IN PART, DIRECTLY OR 
INDIRECTLY, IN, INTO OR FROM ANY JURISDICTION WHERE TO DO SO WOULD CONSTITUTE A 
VIOLATION OF THE RELEVANT LAWS IN THAT JURISDICTION. 
 
+-----------------------------------+-----------------------------------+ 
| For Immediate Release             |                  August  19, 2010 | 
+-----------------------------------+-----------------------------------+ 
 
                          CBaySystems Holdings Limited 
 
                    ("CBaySystems", "CBay" or "the Company") 
 
                CBay Reports Second Quarter and Half Year Results 
 
CBaySystems Holdings Limited (AIM: CBAY), a leading provider of 
technology-enabled clinical documentation, is pleased to announce its results 
for the second quarter and half year ended June 30, 2010. 
 
All amounts in this announcement are expressed in United States dollars unless 
otherwise stated. 
 
On April 22, 2010, the Company through its subsidiaries, MedQuist and CBay Inc. 
("Purchasers"), completed the acquisition ("Acquisition")of substantially all of 
the assets of Spheris, Inc. ("Spheris") out of bankruptcy and certain of its 
affiliates including the acquisition of the stock of Spheris India Private 
Limited ("SIPL") (collectively with Spheris and SIPL "the Sellers"), pursuant to 
the terms of the Stock and Asset Purchase Agreement entered into between the 
Purchasers and Sellers on April 15, 2010. The financial statements for the 
second quarter and the six months ended June 30, 2010 include the results of the 
Acquisition from April 22, 2010. 
 
The Acquisition provided the Company with an expanded client base, extensive 
operations in both the US and India, and a team of talented executives.  The 
Company has already begun to realize benefits from the Acquisition, including 
the rationalization and integration of Spheris with its MedQuist and CBay 
operations.  The full benefit of the acquisition and integration, however, is 
not expected to be realized until late 2010 or early 2011.  Further, it must be 
noted that the Company may experience continued reductions in post-acquisition 
revenues from the former Spheris customer base through to the end of 2010, as 
CBay incurs the lag effect of customer attrition experienced during 2009 and 
early 2010, in large part due to the adverse impact of Spheris' deteriorating 
financial condition. 
 
Second Quarter Results 
 
Net revenues for the three months ended June 30, 2010 increased $18.1 million or 
19.3% to $112.0 million compared to $93.9 million for the three months ended 
June 30, 2009.  The Acquisition contributed $26.4 million in incremental revenue 
for both the three months and six months ended June 30, 2010, which was offset 
by value-based price reductions and lower product and field service revenues. 
 
Total operating costs and expenses increased by 21.3% to $108.2 million, from 
$89.2 million reported in the second quarter of the prior year, primarily due to 
the inclusion of Spheris' operating costs, and Acquisition related costs of $5.1 
million. Also included in second quarter costs and expenses were legal 
proceedings and settlement expenses and restructuring charges amounting to $1.1 
million and $0.9 million, respectively. 
 
Adjusted EBITDA for the second quarter of 2010 increased by 33.1% to $19.7 
million, compared to $14.8 million for the second quarter of 2009. The Company's 
improved operating performance during the second quarter of 2010 reflects CBay's 
ability to provide an attractive value proposition to the Company's clients, 
increased use of technology, expanded use of offshore labor, and the Company's 
progress in the integration of Spheris.  (For more information regarding 
Adjusted EBITDA and our use of this non-GAAP financial measure, please refer to 
the section titled "Use of non-GAAP Financial Information"). 
 
Interest expense for the three months ended June 30, 2010 increased by $3.1 
million to $5.5 million, primarily due to the debt incurred by MedQuist to 
finance the Acquisition. The Company is currently exploring the refinancing of 
its' and its' subsidiaries debt. 
 
The Company incurred a second quarter 2010 loss attributable to CBaySystems 
Holdings Limited of $1.5 million compared to net income attributable to 
CBaySystems Holdings Limited of $0.4 million for the comparable period of the 
prior year. 
Year-to-Date Results 
 
Net revenues for the six months ended June 30, 2010 increased by $12.1 million 
to $200.6 million, compared to $188.5 million for the six months ended June 30, 
2009. The $26.4 million of incremental revenue from Spheris since the 
Acquisition was offset by value-based price reductions and lower product and 
field service revenues.  Adjusted EBITDA increased $5.7 million to $33.7 
million, compared to $28.0 million in the comparable period. Net income 
attributable to CBaySystems Holdings Limited for the six-months was $0.5 million 
compared to a net loss attributable to CBaySystems Holdings Limited of $2.8 
million reported in the second quarter of the prior year. 
 
Use of non-GAAP Financial Information 
 
Adjusted EBITDA is net income (loss) excluding taxes, interest, equity in income 
of affiliated companies, depreciation, amortization, cost of legal proceedings 
and settlements, acquisition and integration related charges, restructuring 
charges and certain non-recurring accrual reversals. See below for a 
reconciliation of GAAP financial measures to Adjusted EBITDA. 
 
For further information please visit www.cbaysystems.com or contact: 
 
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| CBaySystems Holdings Limited         |                           | 
+--------------------------------------+---------------------------+ 
| Raman Kumar, Vice Chairman and CEO   |    Tel: +91 22 6641 7575  | 
| Clyde Swoger, Chief Financial        |                           | 
| Officer                              |                           | 
| ir@cbaysystems.com                   |                           | 
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|                                      |                           | 
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| Strand Hanson Limited - Nominated    | Tel: +44 (0) 20 7409 3494 | 
| Adviser                              |                           | 
| Rory Murphy                          |                           | 
| Liam Buswell                         |                           | 
+--------------------------------------+---------------------------+ 
|                                      |                           | 
+--------------------------------------+---------------------------+ 
| Buchanan Communications              |                           | 
+--------------------------------------+---------------------------+ 
| Mark Court / Suzanne Brocks          |      Tel: +44 (0) 20 7466 | 
| markc@buchanan.uk.com                |                      5000 | 
| suzanneb@buchanan.uk.com             |                           | 
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|                                      |                           | 
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About CBaySystems Holdings 
 
CBaySystems Holdings Limited is a leading provider of technology-enabled 
clinical documentation services and related revenue cycle solutions. CBay serves 
healthcare providers with a broad range of solutions including voice capture and 
automated speech recognition solutions, medical transcription, document 
management, billing, and coding services.  These services are provided to more 
than 2,400 health systems, hospitals and physician practices throughout the 
United States. The Company's services enable customers to improve the quality 
and timeliness of clinical data and information, reduce operational costs, 
increase physician satisfaction, enhance revenue cycle performance and 
facilitate the adoption and utilization of Electronic Health Record (EHR) 
systems. 
 
CBay is composed of a portfolio of businesses , including CBay Systems & 
Services Inc., CBay Systems (India) Private Ltd, Spheris India Private Ltd., 
Mirrus Systems Inc. and a majority shareholding of approximately 69.5% in 
MedQuist Inc. ("MedQuist"). CBay trades under the CBAY symbol on the AIM of the 
London Stock Exchange, while MedQuist trades under the MEDQ symbol on the 
NASDAQ. 
 
The information contained herein is not for publication or distribution in the 
United States of America. These materials do not contain or constitute an offer 
of securities for sale in the United States. The ordinary shares of the Company 
have not been, and will not be, registered under the US Securities Act or under 
the securities laws of any state of the United States, and are "restricted 
securities" as defined in Rule 144 under the US Securities Act. For so long as 
the ordinary shares are "restricted securities" as defined in Rule 144 under 
the US Securities Act, a purchaser of ordinary shares may not re-offer, re-sell, 
pledge or otherwise transfer ordinary shares except: (i) pursuant to an 
effective registration statement under the US Securities Act, (ii) pursuant to a 
transaction meeting the requirements of Regulation S under the US Securities 
Act; (iii) to a "qualified institutional buyer" as defined in, and in reliance 
on, Rule 144A under the US Securities Act; or (iv) pursuant to an exemption from 
the registration requirements of the US Securities Act provided by Rule 144 
there under or another exemption there from (if available), provided that, in 
the case of a transfer pursuant to (iv) the transferor must deliver an opinion 
of counsel in form and substance reasonably satisfactory to the Company as to 
the availability of such exemption. Pursuant to the Company's memorandum and 
articles of association, the Company is required to refuse to register any 

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