AMN Healthcare Announces Third Quarter 2012 Results

Reports quarterly revenue of $244 million, up 7% year-over-year

Diluted EPS from continuing operations of $0.12 vs. $0.02 in prior year

01 Nov, 2012, 16:05 ET from AMN Healthcare Services, Inc.

SAN DIEGO, Nov. 1, 2012 /PRNewswire/ -- AMN Healthcare Services, Inc. (NYSE: AHS), healthcare's innovator in workforce solutions and staffing services, today announced third quarter 2012 financial results which exceeded the Company's guidance for both revenue and adjusted EBITDA. Third quarter financial highlights are as follows:

Dollars in millions, except per share amounts.

Q3 2012

% Chg

Q3 2011

% Chg

Q2 2012

YTD

Sept 30, 2012

% Chg

Sept 30, 2011

Revenue

$243.9

7%

3%

$706.1

6%

Gross profit

$69.6

9%

4%

$199.8

7%

Net income from continuing operations

$5.9

483%

NM

$9.2

177%

Diluted EPS from continuing operations

$0.12

500%

NM

$0.20

186%

Adjusted EBITDA*

$18.8

17%

3%

$54.5

13%

Adjusted EPS from continuing operations*

$0.12

200%

9%

$0.32

167%

* See notes (2) and (4) under "Supplemental Financial and Operating Data" for a reconciliation of non-GAAP items. NM – Not meaningful

  • Revenue for Nurse and Allied Healthcare Staffing, AMN's largest segment, was up 13% year-over-year and 5% sequentially due primarily to 19% volume growth over prior year in the travel nurse staffing business.
  • Locum Tenens Staffing third quarter revenue was down 6% year-over-year and flat sequentially. Physician Permanent Placement Services revenue was up 9% year-over-year and 4% sequentially.
  • Third quarter consolidated gross margin of 28.5% increased both year-over-year and sequentially, driven primarily by gross margin improvement in the Locum Tenens Staffing segment.
  • Cash flow from operations was $12 million, enabling the Company to accelerate payments on its outstanding debt. 

"Our strong financial results reflect our clients' recognition of the differentiated value that our innovative workforce solutions and staffing services provide. We are very much aligned with our clients' mission of improving efficiency while delivering excellent patient care within the rapidly evolving healthcare environment," said Susan R. Salka, President and Chief Executive Officer of AMN Healthcare. 

"Our sales and operations team continued to execute well within the stable demand environment and leverage the benefit of our growing managed services programs business, resulting in third quarter consolidated revenue, gross profit and adjusted EBITDA improvements both year-over-year and sequentially," added Salka. "At the same time, we continue to invest in our workforce solutions, new candidate recruitment initiatives and technology infrastructure to ensure we are ready in the long term to capitalize on the demand growth anticipated from the significant clinical workforce shortages due to healthcare reform and the aging population."

Third Quarter 2012 Results For the third quarter of 2012, the Company generated consolidated revenue of $244 million, an increase of 7% from the same quarter last year and 3% sequentially. Third quarter revenue for the Nurse and Allied Healthcare Staffing segment was $166 million, up 13% from the same quarter last year and 5% sequentially. The Locum Tenens Staffing segment generated revenue in the third quarter of $68 million, a decrease of 6% from the same quarter last year and flat sequentially. Third quarter Physician Permanent Placement Services segment revenue was $10 million, an increase of 9% from the same quarter last year and 4% sequentially.

Gross margin in the third quarter of 28.5% was higher by 70 basis points than the same quarter last year and 10 basis points compared to the previous quarter. The increase in gross margin was due primarily to a 240 basis point and 50 basis point improvement in the Locum Tenens Staffing segment over prior year and prior quarter, respectively.

SG&A expenses for the third quarter of 2012 were $52.4 million, representing 21.5% of revenue, compared to 21.6% of revenue in the same quarter last year and 21.3% of revenue in the prior quarter. The improvement from the prior year was due primarily to improved SG&A leverage offset by increased spending in support of our revenue growth, and candidate recruitment and workforce solutions strategic initiatives.

Third quarter 2012 GAAP net income per diluted common share from continuing operations was $0.12, which compares to $0.02 in the same quarter last year and $0.00 in the prior quarter. 

As of September 30, 2012, cash and cash equivalents totaled $4 million and total debt outstanding, net of discount, was $170 million. Third quarter 2012 cash flow from operations was $12 million and capital expenditures were $2 million. The Company made $24 million of  voluntary debt prepayments during the third quarter and ended the quarter with a debt to LTM adjusted EBITDA leverage ratio of 2.6 to 1.

Business Trends and Outlook The Company expects fourth quarter consolidated revenue to be between $240 million and $244 million, representing year-over-year revenue growth of 8% to 10%. Gross margin is expected to be approximately 28.0% to 28.5%. SG&A expenses as a percentage of revenue are expected to be approximately 21.5%, including a total of approximately $1 million of expenses related to strategic initiatives to expand our future candidate supply and workforce solutions position. Adjusted EBITDA margin is expected to be approximately 7.5%.

About AMN Healthcare Services AMN Healthcare Services, Inc. is healthcare's workforce innovator, providing a broad spectrum of workforce solutions and staffing services to the nation's healthcare facilities. AMN's workforce solutions - including managed services programs, recruitment process outsourcing and consulting services - enable providers to successfully reduce complexity, increase efficiency and improve patient outcomes within the rapidly evolving healthcare environment. AMN provides unparalleled access to the largest network of clinicians and physicians through its innovative recruitment strategies and breadth of career opportunities offered. Clients include acute-care hospitals, government facilities, community health centers and clinics, physician practice groups and many other healthcare settings. For more information, visit http://www.amnhealthcare.com.

Conference Call on November 1, 2012 AMN Healthcare Services, Inc.'s third quarter 2012 conference call will be held on Thursday, November 1, 2012, at 5:00 p.m. Eastern Time. A live webcast of the call can be accessed through AMN Healthcare's website at http://amnhealthcare.investorroom.com/presentations. Please log in at least 10 minutes prior to the conference call in order to download the applicable audio software. Interested parties may participate live via telephone by dialing (800) 230-1085 in the U.S. or (612) 234-9959 internationally. Following the conclusion of the call, a replay of the webcast will be available at the Company's website. A telephonic replay of the call will also be available at 7:30 p.m. Eastern Time on November 1, 2012, and can be accessed until 11:59 p.m. Eastern Time on November 15, 2012, by calling (800) 475-6701 in the U.S. or (320) 365-3844 internationally, with access code 266010.

Non-GAAP Measures This earnings release contains certain non-GAAP financial information, which the Company provides as additional information, and not as an alternative, to the Company's consolidated financial statements presented in accordance with GAAP. These non-GAAP financial measures include (1) segment operating income, (2) adjusted EBITDA, (3) adjusted EBITDA margin, and (4) adjusted EPS from continuing operations.  The Company provides such non-GAAP financial measures because management believes that they are useful both to management and investors as a supplement, and not as a substitute, when evaluating the Company's operating performance. Additionally, management believes that segment operating income, adjusted EBITDA and adjusted EBITDA margin serve as industry-wide financial measures, and it uses segment operating income and adjusted EBITDA for making financial decisions and allocating resources. The non-GAAP measures in this release are not in accordance with, or an alternative to GAAP, and may be different from non-GAAP measures, or may be calculated differently than other similarly title captioned non-GAAP measures, reported by other companies. They should not be used in isolation to evaluate the Company's performance.  A reconciliation of non-GAAP measures identified in this release, along with further detail about the use and limitations of certain of these non-GAAP measures, may be found below in the table entitled Supplemental Financial and Operating Data under the caption entitled "Reconciliation of Non-GAAP Items" or on the Company's website at http://www.amnhealthcare.com/investors. Additionally, from time to time, additional information regarding non-GAAP financial measures, including pro forma measures, may be made available on the Company's website.

Forward-Looking Statements This press release contains "forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Such statements include expectations regarding 2012 fourth quarter revenue, revenue growth, gross margin, SG&A, and adjusted EBITDA margin. The Company based these forward-looking statements on its current expectations, estimates and projections about future events and the industry in which it operates using information currently available to it. Actual results could differ materially from those discussed in, or implied by, these forward-looking statements. Forward-looking statements are identified by words such as "believe," "anticipate," "expect," "intend," "plan," "will," "may," "estimates," variations of such words and other similar expressions. In addition, any statements that refer to expectations, projections or other characterizations of future events or circumstances are forward-looking statements. Factors that could cause actual results to differ from those implied by the forward-looking statements contained in this press release are set forth in the Company's Annual Report on Form 10-K for the year ended December 31, 2011 and its other periodic reports as well as its current and other reports filed with the Securities and Exchange Commission. Be advised that developments subsequent to this press release are likely to cause these statements to become outdated with the passage of time.

Contact: Amy C. Chang Vice President, Investor Relations 866.861.3229

 

AMN Healthcare Services, Inc.

Condensed Consolidated Statements of Comprehensive Income (Loss)

(in thousands, except per share amounts)

(unaudited)

Three Months Ended

Nine Months Ended

September 30,

June 30,

September 30,

2012

2011

2012

2012

2011

Revenue

$  243,912

$  229,006

$  235,786

$  706,110

$  665,413

Cost of revenue

174,329

165,345

168,813

506,340

478,879

Gross profit

69,583

63,661

66,973

199,770

186,534

28.5%

27.8%

28.4%

28.3%

28.0%

Operating expenses:

Selling, general and administrative

52,375

49,477

50,304

149,855

146,385

21.5%

21.6%

21.3%

21.2%

22.0%

Depreciation and amortization

3,435

3,921

3,552

10,682

12,479

Total operating expenses

55,810

53,398

53,856

160,537

158,864

Income from operations

13,773

10,263

13,117

39,233

27,670

Interest expense, net (including loss on debt extinguishment of $9,815 for the nine months ended September 30, 2012)

 

 

 

3,688

 

 

 

7,017

 

 

 

13,590

 

 

 

22,811

 

 

 

18,107

Income (loss) from continuing operations before income taxes

 

10,085

 

3,246

 

(473)

 

16,422

 

9,563

Income tax (benefit) expense

4,227

2,242

(392)

7,192

6,231

Income (loss) from continuing operations

 

5,858

 

1,004

 

(81)

 

9,230

 

3,332

Income (loss) from discontinued operations, net of tax

 

0

 

(27,903)

 

0

 

823

 

(27,162)

Net income (loss)

$       5,858

$   (26,899)

$           (81)

$     10,053

$   (23,830)

Basic income (loss) per common share from:

Continuing operations

$          0.13

$          0.02

$          0.00

$          0.20

$          0.07

Discontinued operations

0.00

(0.69)

0.00

0.02

(0.68)

Net income (loss)

$          0.13

$         (0.67)

$          0.00

$          0.22

$         (0.61)

Diluted income (loss) per common share from:

Continuing operations

$          0.12

$          0.02

$          0.00

$          0.20

$          0.07

Discontinued operations

0.00

(0.61)

0.00

0.02

(0.59)

Net income (loss)

$          0.12

$         (0.59)

$          0.00

$          0.22

$         (0.52)

Weighted average common shares outstanding:

Basic

40,850

40,327

40,810

40,747

39,736

Diluted

46,897

45,950

40,810

46,512

45,924

Other comprehensive income (loss)

(55)

33

33

(65)

30

Comprehensive income (loss)

$       5,803

$   (26,866)

$           (48)

$       9,988

$   (23,800)

 

AMN Healthcare Services, Inc.

Supplemental Financial and Operating Data

(dollars in thousands, except per share and operating data)

(unaudited)

Three Months Ended

Nine Months Ended

September  30,

June 30,

September 30,

2012

2011

2012

2012

2011

Revenue

  Nurse and allied healthcare staffing

$

166,331

$

147,738

$

158,615

$

478,832

$

422,541

  Locum tenens staffing

67,591

72,080

67,592

198,692

213,367

  Physician permanent placement services

9,990

9,188

9,579

28,586

29,505

$

243,912

$

229,006

$

235,786

$

706,110

$

665,413

Reconciliation of Non-GAAP Items:

Segment operating income(1)

  Nurse and allied healthcare staffing

$

18,785

$

15,197

$

18,444

$

54,306

$

44,736

  Locum tenens staffing

6,298

6,283

6,091

16,805

17,759

  Physician permanent placement services

2,201

2,142

1,890

5,797

8,470

27,284

23,622

26,425

76,908

70,965

   Unallocated corporate overhead

8,507

7,539

8,179

22,418

22,739

Adjusted EBITDA(2)

18,777

16,083

18,246

54,490

48,226

Adjusted EBITDA margin(3)

7.7%

7.0%

7.7%

7.7%

7.2%

Depreciation and amortization

3,435

3,921

3,552

10,682

12,479

Stock-based compensation

1,569

1,688

1,577

4,575

5,384

Acquisition related costs

0

211

0

0

2,693

Interest expense, net

3,688

7,017

13,590

22,811

18,107

Income (loss) from continuing operations before income taxes

10,085

3,246

(473)

16,422

9,563

Income tax expense (benefit)  

4,227

2,242

(392)

7,192

6,231

Net income (loss) from continuing operations

5,858

1,004

(81)

9,230

3,332

Net income  (loss) from discontinued operations

0

(27,903)

0

823

(27,162)

Net income (loss)

$

5,858

$

(26,899)

$

(81)

$

10,053

$

(23,830)

GAAP based diluted net income (loss) per share (EPS) from continuing operations

$

0.12

$

0.02

$

0.00

$

0.20

$

0.07

   Adjustments:

   Debt refinancing

0.00

0.02

0.11

0.12

0.02

   Acquisition related costs

0.00

0.00

0.00

0.00

0.03

Adjusted diluted EPS from continuing operations(4)

$

0.12

$

0.04

$

0.11

$

0.32

$

0.12

 

Three Months Ended

Nine Months Ended

September 30,

June 30,

September 30,

2012

2011

2012

2012

2011

Gross Margin

     Nurse and allied healthcare staffing

26.5%

26.6%

26.7%

26.5%

26.6%

     Locum tenens staffing

28.4%

26.0%

27.9%

27.8%

25.9%

     Physician permanent placement services

64.1%

60.5%

59.9%

61.2%

63.4%

Operating Data:

Nurse and allied healthcare staffing

     Average travelers on assignment (5)

5,884

5,300

5,592

5,640

5,172

     Revenue per traveler per day(6)

$

307.26

$

302.99

$

311.70

$

309.85

$

299.26

     Gross profit per traveler per day(6)

$

81.27

$

80.70

$

83.32

$

82.18

$

79.72

Locum tenens staffing

     Days filled (7)

45,868

51,292

46,752

138,610

151,585

     Revenue per day filled(7)

$

1,473.60

$

1,405.29

$

1,445.76

$

1,433.46

$

1,407.57

     Gross profit per day filled(7)

$

418.33

$

365.64

$

402.84

$

398.70

$

364.62

As of September 30

As of June 30,

2012

2011

2012

Leverage ratio (8)

2.6

3.5

3.1

 

(1)

Segment operating income represents net income (loss) plus interest expense (net of interest income), income taxes, depreciation and amortization, unallocated corporate overhead, stock-based compensation expense, acquisition related costs, and net income (loss) from discontinued operations, net of tax.

(2)

Adjusted EBITDA represents net income (loss) plus interest expense (net of interest income), income taxes, depreciation and amortization, acquisition related costs, stock-based compensation expense and net income (loss) from discontinued operations, net of tax. Management believes that adjusted EBITDA provides an effective measure of the Company's results, as it excludes certain items that management believes are not indicative of the Company's operating performance and considers measures used in credit facilities. Adjusted EBITDA is not intended to represent cash flows for the period, nor has it been presented as an alternative to income from operations or net income (loss) as an indicator of operating performance. Although management believes that some of the items excluded from adjusted EBITDA are not indicative of the Company's operating performance, these items do impact the statement of operations, and management therefore utilizes adjusted EBITDA as an operating performance measure in conjunction with GAAP measures such as net income (loss).

(3)

Adjusted EBITDA margin represents adjusted EBITDA divided by revenue.

(4)

Adjusted EPS from continuing operations represents GAAP EPS from continuing operations excluding the impact of debt refinancing and acquisition related costs. Management believes such a measure provides a picture of the Company's results that is more comparable among periods since it excludes the impact of items that may recur occasionally, but tend to be irregular as to timing, thereby distorting comparisons between periods. However, investors should note that this non-GAAP measure involves judgment by management (in particular, judgment as to what is classified as a special item to be excluded from adjusted EPS from continuing operations). Although management believes some of the items excluded from adjusted EPS from continuing operations are not indicative of the Company's operating performance, these items do impact the statement of comprehensive income (loss), and management therefore utilizes adjusted EPS from continuing operations as an operating performance measure in conjunction with GAAP measures such as GAAP EPS from continuing operations.

(5)

Average travelers on assignment represents the average number of nurse and allied healthcare professionals on assignment during the period presented.

(6)

Revenue per traveler per day and gross profit per traveler per day represent the revenue and gross profit of the Company's nurse and allied healthcare staffing segment divided by average travelers on assignment, divided by the number of days in the period presented.

(7)

Days filled is calculated by dividing the locum tenens hours filled during the period by 8 hours. Revenue per day filled and gross profit per day filled represent revenue and gross profit of the Company's locum tenens staffing segment divided by days filled for the period presented.

(8)

Leverage ratio represents the ratio of the consolidated funded indebtedness (as calculated per the Company's credit agreement) at the end of the period to the consolidated adjusted EBITDA for the last twelve months.

 

AMN Healthcare Services, Inc.

Condensed Consolidated Balance Sheets

(dollars in thousands)

(unaudited)

September 30,

June 30,

December 31,

2012

2012

2011

Assets

Current assets:

Cash and cash equivalents

$         3,823

$       15,498

$         3,962

Accounts receivable, net

141,881

136,535

146,654

Accounts receivable, subcontractor

19,686

21,996

22,497

Prepaid expenses

7,755

7,301

5,691

Income taxes receivable

2,323

3,105

3,372

Deferred income taxes, net

11,685

14,833

19,335

Other current assets

6,497

5,855

3,652

Assets held for sale

0

0

7,310

Total current assets

193,650

205,123

212,473

Restricted cash, cash equivalents and investments

18,917

18,335

18,244

Fixed assets, net

14,968

15,248

16,863

Deposits and other assets

19,225

18,872

19,329

Deferred income taxes, net

2,166

2,166

1,823

Goodwill

123,324

123,324

123,324

Intangible assets, net

138,523

140,137

143,575

Total assets

$    510,773

$    523,205

$    535,631

Liabilities and stockholders' equity

Current liabilities:

Bank overdraft

$         3,531

$            330

$         3,515

Accounts payable and accrued expenses

43,564

50,711

49,809

Accrued compensation and benefits

49,246

43,023

43,649

Revolving credit facility

0

0

3,000

Current portion of notes payable

12,000

20,000

28,125

Deferred revenue

1,507

1,782

2,155

Other current liabilities

5,698

5,181

8,313

Liabilities related to assets held for sale

0

0

1,486

Total current liabilities

115,546

121,027

140,052

Notes payable, less current portion and discount

157,996

173,721

174,198

Other long-term liabilities

64,026

62,567

61,646

Total liabilities

337,568

357,315

375,896

Preferred stock

22,631

24,054

24,076

Stockholders' equity

150,574

141,836

135,659

Total liabilities and stockholders' equity

$    510,773

$    523,205

$    535,631

 

AMN Healthcare Services, Inc.

Condensed Consolidated Statements of Cash Flows

(dollars in thousands)

(unaudited)

Three Months Ended

Nine Months Ended

September 30,

June 30,

September 30,

2012

2011

2012

2012

2011

Net cash provided by operating activities

$     11,512

$       4,881

$     20,997

$     42,062

$     12,799

Net cash provided by (used in) investing activities

(2,103)

(1,107)

(1,031)

4,218

(839)

Net cash used in financing activities

(21,029)

(7,087)

(9,402)

(46,354)

(9,230)

Effect of exchange rates on cash

(55)

32

33

(65)

30

Net increase (decrease) in cash and cash equivalents

(11,675)

(3,281)

10,597

(139)

2,760

Cash and cash equivalents at beginning of period

 

15,498

 

7,924

 

4,901

 

3,962

 

1,883

Cash and cash equivalents at end of period

 

$       3,823

 

$       4,643

 

$     15,498

 

$       3,823

 

$       4,643

 

SOURCE AMN Healthcare Services, Inc.



RELATED LINKS

http://www.amnhealthcare.com