SecProbe.io

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Via Facsimile and U.S. Mail
Mail Stop 03-09

October 30, 2004

Mr. Robert C. Goodwin, Jr.
Executive Vice President
Chindex International, Inc.
7201 Wisconsin Avenue
Bethesda, MD 20814

Re:	Chindex International, Inc.
Form 8-K filed October 4, 2004
File No. 000-24624

Dear Mr. Goodwin:

We have reviewed your filing and have the following comments.  Where
indicated, we think you should revise your document in response to
these comments.  If you disagree, we will consider your explanation
as to why our comment is inapplicable or a revision is unnecessary.
Please be as detailed as necessary in your explanation.  In some of
our comments, we may ask you to provide us with supplemental
information so we may better understand your disclosure.  After
reviewing this information, we may or may not raise additional
comments.

	Please understand that the purpose of our review process is to
assist you in your compliance with the applicable disclosure
requirements and to enhance the overall disclosure in your filing.
We look forward to working with you in these respects.  We welcome
any questions you may have about our comments or on any other aspect
of our review.  Feel free to call us at the telephone numbers listed
at the end of this letter.

1. We urge all persons who are responsible for the accuracy and
adequacy of the disclosure in the filings reviewed by the staff to be
certain that they have provided all information investors require.
Since the company and its management are in possession of all facts
relating to a company`s disclosure, they are responsible for the
accuracy and adequacy of the disclosures they have made.

In connection with responding to our comments, please provide, in
writing, a statement from the company acknowledging that

* the company is responsible for the adequacy and accuracy of the
disclosure in the filing;

* staff comments or changes to disclosure in response to staff
comments in the filings reviewed by the staff do not foreclose the
Commission from taking any action with respect to the filing; and

* the company may not assert staff comments as a defense in any
proceeding initiated by the Commission or any person under the
federal securities laws of the United States.

In addition, please be advised that the Division of Enforcement has
access to all information you provide to the staff of the Division of
Corporation Finance in our review of your filing or in response to
our comments on your filing.

2. For each reportable event, please revise your filing to
specifically address whether any committee of the board of directors,
or the board of directors, discussed the reportable event with the
former accountant, as required by Item 304(a)(1)(iv)(B) and (v) of
Regulation S-K.

3. For each reportable event, please revise your filing to
specifically address whether you have authorized the former
accountant to respond fully to the inquires of a successor
accountant, as required by Item 304(a)(1)(iv)(C) and (v) of
Regulation S-K.

4. For each reportable event, please address, supplementally, the
requirements of Item 304(b) of Regulation S-K.  If there were any
material transactions or events similar to those involved in the
reportable event that you accounted for or disclosed differently than
your prior accountant would have concluded was required, please
revise your filing to provide all of the disclosures required by Item
304(b).

5. Please file a letter from the former accountant addressing the
revised disclosures.

6. For each reportable event, please tell us, supplementally:

a. whether the reportable event occurred in any period other than the
period covered by the audit or review upon which you were advised of
the event,

b. whether the reportable event resulted in an accounting error or
misapplication of GAAP,

c. if an accounting error or misapplication of GAAP resulted, the
nature of, amount of and reasons for each resulting error or
misapplication,

d. whether or not you restated (or intend to restate) any prior
period, and, if not, why, and

e. in detail, all the steps you have taken (or plan to take) and
procedures you have implemented (or plan to implement) to correct
each concern.

7. Regarding each reportable event, please provide us with any letter
or written communication to and from the former accountants, from and
to management or audit or similar committee of the board of directors
or the board of directors, if you have no such committee.

8. Please provide us with a schedule of your adjustments to close the
books for the quarter and year ended March 31, 2004.  In addition,
please provide a separate schedule of adjustments recorded in
connection with or as a result of the related audit.  In this regard,
for each schedule, please quantify the net effect of all adjustments
on pre-tax net income (loss).  Furthermore, for each adjustment,
please:

a. clearly explain the reason for each adjustment,

b. show us the impact of each adjustment on pre-tax net income
(loss),

c. tell us why each adjustment does not relate to a prior quarter or
year, and,

d. explain in detail why you believe the timing of each adjustment is
appropriate.

Please file your supplemental response and amendment via EDGAR in
response to these comments within 5 business days of the date of this
letter.  Please note that if you require longer than 5 business days
to respond, you should contact the staff immediately to request
additional time.  Direct any questions regarding the above to me at
(202) 942-2902.

							Sincerely,

							Oscar M. Young, Jr.
							Staff Accountant
Mr. Robert C. Goodwin, Jr.
Chindex International, Inc.
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