Q2 and Half Year Results -2-


transfer of its securities not made in accordance with the provisions of 
Regulation S (including applicable restrictions on hedging of shares) or the 
registration requirements under the US Securities Act or an available exemption 
there from. 
 
+--------+-------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
|        |                                                                                                             | 
|        |                                CBaySystems Holdings Limited and Subsidiaries                                | 
+--------+-------------------------------------------------------------------------------------------------------------+ 
|        |                     Reconciliation of GAAP financial measures to the non-GAAP measures                      | 
+--------+-------------------------------------------------------------------------------------------------------------+ 
|        |                                              Adjusted EBITDA                                                | 
+--------+-------------------------------------------------------------------------------------------------------------+ 
|        |                                            ( USD, in thousands)                                             | 
+--------+-------------------------------------------------------------------------------------------------------------+ 
|        |                                                  Unaudited                                                  | 
|        |                                                                                                             | 
+--------+-------------------------------------------------------------------------------------------------------------+ 
|                      |          |        Three months ended          |          |          Six months ended          | 
+----------------------+----------+------------------------------------+----------+------------------------------------+ 
|                      |          |                June 30,            |          |               June 30,             | 
+----------------------+----------+------------------------------------+----------+------------------------------------+ 
|                      |          |    2010 |          |          2009 |          |   2010 |          |           2009 | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
|                      |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
| Net income(loss)     |          |       $ |          |             $ |          |      $ |          |  $     (2,770) | 
| attributable to      |          | (1,535) |          |           425 |          |    553 |          |                | 
| CBaySystems Holdings |          |         |          |               |          |        |          |                | 
| Limited              |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
|                      |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
| Add: Net Income      |          |     268 |          |         2,000 |          |  2,497 |          |          2,335 | 
| attributable to      |          |         |          |               |          |        |          |                | 
| noncontrolling       |          |         |          |               |          |        |          |                | 
| interest             |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
|                      |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
| Add: Income tax      |          |   (334) |          |           286 |          |  (326) |          |            639 | 
| provision (benefit)  |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
|                      |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
| Add :  Interest      |          |   5,460 |          |         2,317 |          |  7,351 |          |          4,660 | 
| expense, net         |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
|                      |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
| Less: Other income   |          |       - |          |             - |          |  (108) |          |              - | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
|                      |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
| Add: Depreciation    |          |   8,705 |          |         7,007 |          | 15,068 |          |         13,610 | 
| and amortization     |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
|                      |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
| EBITDA               |          |  12,564 |          |        12,035 |          | 25,035 |          |         18,474 | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
|                      |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
| Add: Restructuring   |          |     906 |          |             - |          |    966 |          |              - | 
| charges              |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
|                      |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
| Add: Acquisition and |          |   5,121 |          |             - |          |  6,045 |          |              - | 
| integration related  |          |         |          |               |          |        |          |                | 
| charges              |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
|                      |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
| Add:  Cost of legal  |          |   1,109 |          |         4,384 |          |  2,152 |          |         12,158 | 
| proceedings and      |          |         |          |               |          |        |          |                | 
| settlements          |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
|                      |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
| Less: Accrual        |          |       - |          |       (1,301) |          |      - |          |        (2,254) | 
| reversals            |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
|                      |          |         |          |               |          |        |          |                | 
+----------------------+----------+---------+----------+---------------+----------+--------+----------+----------------+ 
| Less: Equity in      |          |      32 |          |           336 |          |    546 |          |            408 |
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