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Allion Healthcare, Inc.
1660 Walt Whitman Road, Suite 105
Melville, NY 11747
Tel: (631) 547-6520

Allion Healthcare Reports Record First quarter 2009 Revenues of $97 million and Fully Diluted EPS of $0.13 and Increases Annual EPS Guidance to $0.50 - $0.52

Fully Diluted EPS Guidance increased to $0.50 to $ 0.52 per share
Net sales increased 48% to $96.6 million from $65.3 million
Net income increased to $3.5 million compared to a net loss of $1.3 million
Earnings per diluted share increased to $0.13 compared to a net loss of $0.08
Specialty HIV net sales increased 9% to $71.0 million
Specialty Infusion net sales increased 6% sequentially to $25.6 million over the fourth quarter of 2008

MELVILLE, NY – May 7, 2009 –
Allion Healthcare (NASDAQ: ALLI) today announced financial results for the first quarter ended March 31, 2009.  Results for the period include the Company’s expansion into the Specialty Infusion market as a result of the April 4, 2008 acquisition of Biomed America, Inc. (“Biomed”). Allion Healthcare now operates its business in two segments: Specialty HIV, which is the Company’s legacy specialty pharmacy and disease management business focused on HIV/AIDS patients, and Specialty Infusion, which is the Company’s recently acquired Biomed business specializing in biopharmaceutical medications and services for chronically ill patients.

Summary of Results
Consolidated net sales increased 48% to $97 million for the quarter ended March 31, 2009 when compared to the first quarter of 2008.  Both business segments grew organically with Specialty HIV up 9% to $71 million when compared to the first quarter of 2008 and Specialty Infusion up sequentially 6% over the fourth quarter of 2008.

Adjusted EBITDA more than tripled to $8.8 million in the first quarter of 2009, compared to $2.7 million during the first quarter of 2008. The increase in Adjusted EBITDA primarily resulted from the $5.8 million contribution from the Biomed acquisition. An explanation and reconciliation of Net income under GAAP to EBITDA and Adjusted EBITDA is provided below.

Net income for the first quarter of 2009 increased to $3.5 million, compared to a net loss of $1.3 million for the same period in 2008. Earnings per diluted share for the first quarter of 2009 were $0.13, compared to loss per diluted share of $0.08 for the first quarter of 2008.

Fully diluted shares outstanding for the three-month period ended March 31, 2009 include 1,719,000 contingently issuable shares related to the component of the Biomed earn out estimated to be settled in stock.  Based on the Specialty Infusion operating results through March 31, 2009, the Company included an estimate of its total obligations under the Biomed earn out and recorded a long-term liability and an addition to goodwill of $50.0 million.  The final amount paid, which is expected to be made some time in the third quarter of 2009, will be made in a combination of the Company’s common stock, subordinated debt and/or cash.

The following information was filed by Allion Healthcare Inc on Thursday, May 7, 2009 as an 8K 2.02 statement, which is an earnings press release pertaining to results of operations and financial condition. It may be helpful to assess the quality of management by comparing the information in the press release to the information in the accompanying 10-Q Quarterly Report statement of earnings and operation as management may choose to highlight particular information in the press release.

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