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Pediatrix Earns 80 Cents from Continuing Operations in Second Quarter

Expects EPS of 84 to 87 Cents per Quarter in Second Half of 2008

FORT LAUDERDALE, Fla.--(BUSINESS WIRE)--Aug. 5, 2008--Pediatrix Medical Group, Inc. (NYSE:PDX) today reported earnings of 80 cents per share from continuing operations for the three months ended June 30, 2008, reflecting growth from acquisitions, reimbursement improvements and operating efficiencies, which were partly offset by lower patient volumes at neonatal intensive care units (NICUs).

"While our operations continue to be affected by lower same-unit NICU patient volume associated with a decline in the number of births at hospitals where we practice, we continue to expand through acquisitions across several physician specialties and to achieve efficiencies through general and administrative expense management," said Roger J. Medel, M.D., Chief Executive Officer of Pediatrix. "With the addition of an Atlanta anesthesia practice in July, we're meeting our growth objectives in this specialty and we remain encouraged by the strategic opportunities available to us with this new platform."

For the three months ended June 30, 2008, Pediatrix reported net patient service revenue of $257.7 million, up 15 percent from $223.3 million for the comparable 2007 period. Revenue growth was driven by contributions from acquisitions completed throughout the previous 12 months, as well as same-unit revenue growth of 5.1 percent.

A substantial portion of the Company's same-unit revenue growth came from reimbursement-related factors that generated growth of 4.4 percent. For the 2008 second quarter, overall patient volume grew by seven-tenths of one percent. Patient volume growth was the result of higher demand at Pediatrix's office-based maternal-fetal and pediatric cardiology practices, as well as the Company's hearing screening program, offset in part by a decline of 1.4 percent in NICU patient volume.

Income from operations was $62.5 million for the 2008 second quarter, up 6 percent from $59.0 million for the comparable prior-year period on a non-GAAP (Generally Accepted Accounting Principles) basis. The 2007 second quarter results exclude general and administrative expenses of $1.8 million that were associated with a stock option review.

Operating margin declined by 216 basis points, to 24.3 percent for the 2008 second quarter, from 26.4 percent, non-GAAP, for the comparable 2007 period. The decline in operating margin is largely attributable to lower neonatal patient volume for the 2008 period, as well as the impact of the Company's entry into anesthesia services and expansion of office-based maternal-fetal and pediatric cardiology practices through acquisition. Pediatrix continues to benefit from its ongoing general and administrative expense management efforts.

General and administrative expense as a percent of revenue declined 28 basis points to 12.0 percent for the 2008 second quarter when compared to non-GAAP results for the comparable 2007 period.

Pediatrix earned income from continuing operations of $38.2 million, or 80 cents per share for the three months ended June 30, 2008, based on a weighted average 47.7 million shares outstanding. This compares with $36.8 million, non-GAAP, or 74 cents per share, for the 2007 second quarter, based on a weighted average 50.1 million shares outstanding.

Net income for the 2008 second quarter was $37.0 million, and includes a loss from discontinued operations of $1.2 million related to a revision of the gain calculation on the sale of the Company's newborn metabolic screening laboratory in February 2008. On a per share basis, net income was 78 cents for the 2008 second quarter. For the comparable 2007 period, Pediatrix's non-GAAP net income was $37.4 million, or 75 cents per share.

The Company generated cash flow from operations of $57.3 million during the 2008 second quarter. Excess cash and amounts available under the Company's revolving credit facility were used to complete group practice acquisitions and repurchase shares through open market transactions.

During the 2008 second quarter, Pediatrix completed a $100 million share repurchase program, and acquired four physician group practices, including pediatric cardiology practices in El Paso, Texas, Pembroke Pines, Florida, and Tampa, Florida, and a neonatal physician group practice in Rockville, Maryland. The Company invested capital of $41.1 million for acquisitions during the quarter.

Pediatrix has completed two acquisitions during the 2008 third quarter to date; an anesthesia group practice based in Atlanta, Georgia, as well as a maternal-fetal medicine group, also in Atlanta.

At June 30, 2008, Pediatrix had cash and cash equivalents of $14.2 million and accounts receivable were $148.6 million. At the end of the 2008 second quarter, the Company had $57.5 million outstanding on its revolving credit facility.

For the six months ended June 30, 2008, Pediatrix reported net patient service revenue of $503.3 million, up 16 percent from $434.2 million for the comparable 2007 period. Operating income was $114.5 million, and income from continuing operations, which excludes results from the metabolic screening laboratory that was sold in early 2008, was $70.3 million. Earnings per share from continuing operations was $1.46 for the first six months of 2008 based on a weighted average 48.3 million shares outstanding. This compares with operating income of $94.7 million, and income from continuing operations of $60.7 million, or $1.21 per share from continuing operations based on 50.0 million shares outstanding, for the first half of 2007.

Earnings Guidance

Pediatrix now expects that it will earn between 84 cents and 87 cents per share for each of the third and fourth quarters of 2008. This guidance assumes continued contributions from recent acquisitions as well as practice acquisitions, other than anesthesia, that are expected to be completed throughout the remainder of the year; same-unit revenue growth of 2 to 4 percent from reimbursement-related factors; and a decline in same-unit NICU patient volume of 1 to 4 percent for each period, when compared to the prior-year period.

Reconciliation of Non-GAAP Information

This press release contains non-GAAP information for the 2007 second quarter related to operating income, operating margin, net income and earnings per share, which is adjusted for certain items as set forth below. Pediatrix believes that this non-GAAP information is useful to management and investors reviewing financial and business trends related to its results of operations and that when non-GAAP information is viewed with GAAP information, investors are provided with a meaningful understanding of Pediatrix's ongoing operating financial performance. This information is not intended to be considered in isolation, or as a substitute of GAAP financial information. The following tables reconcile non-GAAP financial information to net income per common share, which Pediatrix believes are the most comparable GAAP measures:

                         Non-GAAP Adjustments
                             (Unaudited)
                                             Three months ended
                                                June 30, 2007
                                       (in thousands, except for per
                                                 share data)
                                       -------------------------------
                                            GAAP Adjustments  Non-GAAP
                                       --------- ----------- ---------
Net patient service revenue            $ 223,262             $ 223,262
                                       ---------             ---------
Operating expenses:
  Practice salaries and benefits        126,065               126,065
  Practice supplies and other operating
   expenses                               8,495                 8,495
  General and administrative expenses    29,300      (1,800)   27,500
  Depreciation and amortization           2,219                 2,219
                                        -------               -------

  Total operating expenses              166,079               164,279
                                        -------               -------

Income from operations                   57,183                58,983
        Operating margin                   25.6%                 26.4%

Investment income                         1,661                 1,661
Interest expense                           (122)                 (122)
                                        --------              --------

  Income from continuing operations
   before income taxes                   58,722                60,522
Income tax provision                    (23,019)       (706)  (23,725)
                                        -------- -----------  --------

  Income from continuing operations      35,703                36,797
                                        -------               -------

  Income from discontinued operations,
   net of income taxes                      612                   612
                                        -------               -------

Net income                             $ 36,315      (1,094) $ 37,409
                                       ========= =========== =========

Per common and common equivalent share
 data (diluted):
  Net income from continuing operations$   0.71        0.03  $   0.74
  Net income from discontinued
   operations                          $   0.01          --  $   0.01
  Net income                           $   0.72        0.03  $   0.75

  Weighted average shares used in
   computing net income per common and
   common equivalent share (diluted)     50,125                50,125

Earnings conference call

Pediatrix Medical Group, Inc. will host an investor conference call to discuss the quarterly results at 10 a.m. (EDT) today. The conference call Webcast may be accessed from the Company's Website, www.pediatrix.com. A telephone replay of the conference call will be available from noon (EDT) today through midnight (EDT) August 22, 2008, by dialing 800-475-6701, access code 954423. The replay will also be available at www.pediatrix.com.

About Pediatrix

Pediatrix Medical Group, Inc. is the nation's leading provider of neonatal, maternal-fetal and pediatric physician subspecialty services and recently expanded to include anesthesiology services. Pediatrix physicians and advanced practitioners are reshaping the delivery of care within the maternal-fetal, neonatal intensive care and pediatric cardiology subspecialties, using evidence-based tools, continuous quality initiatives and clinical research to enhance patient outcomes and provide high-quality, cost-effective care. Founded in 1979, its neonatal physicians provide services at more than 250 neonatal intensive care units, and in many markets they collaborate with affiliated maternal-fetal medicine, pediatric cardiology physician subspecialists and pediatric intensivists to provide a clinical care continuum. Combined, Pediatrix and its affiliated professional corporations employ more than 1,100 physicians in 32 states and Puerto Rico. Pediatrix is also the nation's largest provider of newborn hearing screens. Additional information is available at www.pediatrix.com.

Certain statements and information in this press release may be deemed to be "forward-looking statements" within the meaning of the Federal Private Securities Litigation Reform Act of 1995. Forward-looking statements may include, but are not limited to, statements relating to our objectives, plans and strategies, and all statements (other than statements of historical facts) that address activities, events or developments that we intend, expect, project, believe or anticipate will or may occur in the future are forward-looking statements. These statements are often characterized by terminology such as "believe", "hope", "may", "anticipate", "should", "intend", "plan", "will", "expect", "estimate", "project", "positioned", "strategy" and similar expressions, and are based on assumptions and assessments made by Pediatrix's management in light of their experience and their perception of historical trends, current conditions, expected future developments and other factors they believe to be appropriate. Any forward-looking statements in this press release are made as of the date hereof, and Pediatrix undertakes no duty to update or revise any such statements, whether as a result of new information, future events or otherwise. Forward-looking statements are not guarantees of future performance and are subject to risks and uncertainties. Important factors that could cause actual results, developments, and business decisions to differ materially from forward-looking statements are described in Pediatrix's most recent Annual Report on Form 10-K, including the section entitled "Risk Factors".

                    Pediatrix Medical Group, Inc.
                  Consolidated Statements of Income
                             (Unaudited)
                               Three months ended   Six months ended
                                    June 30,            June 30,
                                 2008       2007      2008      2007
                               ---------  --------  --------  --------
                                (in thousands, except for per share
                                                data)
                               ---------------------------------------

Net patient service revenue    $257,704  $223,262  $503,277  $434,186
                               --------- --------- --------- ---------
Operating expenses:
  Practice salaries and
   benefits                     150,696   126,065   302,056   256,415
  Practice supplies and other
   operating expenses            10,529     8,495    20,243    16,355
  General and administrative
   expenses                      31,016    29,300    60,772    62,331
  Depreciation and amortization   2,939     2,219     5,755     4,397
                                -------   -------   -------   -------

  Total operating expenses      195,180   166,079   388,826   339,498
                                -------   -------   -------   -------

Income from operations           62,524    57,183   114,451    94,688

Investment income                   645     1,661     1,958     3,525
Interest expense                   (335)     (122)     (720)     (343)
                                --------  --------  --------  --------

  Income from continuing
   operations before income
   taxes                         62,834    58,722   115,689    97,870
Income tax provision            (24,662)  (23,019)  (45,388)  (37,174)
                                --------  --------  --------  --------

  Income from continuing
   operations                    38,172    35,703    70,301    60,696
                                -------   -------   -------   -------

  Income (loss) from
   discontinued operations, net
   of income taxes               (1,158)      612    22,519     1,201
                                --------  -------   -------   -------

Net income                     $ 37,014  $ 36,315  $ 92,820  $ 61,897
                               ========= ========= ========= =========

Per common and common
 equivalent share data
 (diluted):

  Net income from continuing
   operations                  $   0.80  $   0.71  $   1.46  $   1.21

  Net income (loss) from
   discontinued operations        (0.02) $   0.01  $   0.46  $   0.03

  Net income                   $   0.78  $   0.72  $   1.92  $   1.24

  Weighted average shares used
   in computing net income per
   common and common equivalent
   share (diluted)               47,654    50,125    48,293    50,019
                       Balance Sheet Highlights
                             (Unaudited)

                                              As of          As of
                                           June 30, 2008 Dec. 31, 2007
                                           ------------- -------------
                                                 (in thousands)
Assets:
Cash and cash equivalents                     $   14,233    $  102,843
Short-term investments                            22,989        18,042
Accounts receivable, net                         148,605       145,504
Other current assets                              60,177        97,737
Other assets, property and equipment             980,753       938,676
                                               ---------     ---------
Total assets                                  $1,226,757    $1,302,802
                                           ============= =============

Liabilities and shareholders' equity:
Accounts payable & accrued expenses           $  202,031    $  243,120
Total debt                                        58,078           924
Other liabilities                                 92,095        99,706
                                               ---------     ---------
Total liabilities                                352,204       343,750
Shareholders' equity                             874,553       959,052
                                               ---------     ---------
Total liabilities and shareholders' equity    $1,226,757    $1,302,802
                                           ============= =============

CONTACT: Pediatrix Medical Group, Inc., Fort Lauderdale Bob Kneeley, Director, Investor Relations 954-384-0175, Ext-5300 bob_kneeley@pediatrix.com
SOURCE: Pediatrix Medical Group, Inc.