Full Press Release Details
AMN HEALTHCARE ANNOUNCES THIRD QUARTER 2022 RESULTS
Quarterly revenue of $1.139 billion;
GAAP EPS of $2.10 and adjusted EPS of $2.57
DALLAS - AMN Healthcare Services, Inc. (NYSE:
AMN), the leader and innovator in total talent solutions for healthcare organizations across the United States, today announced its third
quarter 2022 financial results. Financial highlights are as follows:
Dollars in millions, except per share amounts.
| Q3 2022 | % Change Q3 2021 | YTD September 30, 2022 | % Change YTD September 30, 2021 | ||||
| Revenue | $1,138.6 | 30% | $4,117.7 | 57% | |||
| Gross profit | $385.0 | 26% | $1,341.4 | 53% | |||
| Net income | $92.4 | 25% | $362.3 | 72% | |||
| GAAP diluted EPS | $2.10 | 36% | $7.99 | 82% | |||
| Adjusted diluted EPS* | $2.57 | 48% | $9.40 | 85% | |||
| Adjusted EBITDA* | $181.8 | 31% | $672.1 | 63% |
* See "Non-GAAP Measures" below for a
discussion of our use of non-GAAP items and the table entitled "Non-GAAP Reconciliation Tables" for a reconciliation of non-GAAP
evolve, innovate and deliver critical workforce solutions has never been stronger. Our talented team is relentlessly focused on our clients,
clinicians, communities and, ultimately, the patients we serve. This, coupled with significant investments we've been making in
our people, processes, and technology, enables us to deliver these outstanding results." said Susan R. Salka, Chief Executive Officer
of AMN Healthcare. "AMN is collaborating with a broad spectrum of organizations and investing to create solutions to address the
labor shortages that are expected to endure for years."
Ms. Salka said, "With AMN
in such a position of strength and a tremendous market need ahead, I am extremely excited about the next steps in the company's
evolution. As recently announced, I will be handing the CEO baton over to Cary Grace soon, and I am confident she and our experienced
leadership team are superbly prepared to ensure that AMN will continue to evolve and make an exceptional impact for all our stakeholders."
Third Quarter 2022 Results
Consolidated revenue for the quarter
was $1.139 billion, a 30% increase over prior year and 20% less than prior quarter. Net income was $92 million (8.1% of revenue), or $2.10
per diluted share, compared with $74 million (8.4% of revenue), or $1.54 per diluted share, in the third quarter of 2021. Adjusted diluted
EPS in the third quarter was $2.57 compared with $1.73 in the same quarter a year ago.
Revenue for the Nurse and Allied
Solutions segment was $828 million, up 32% year over year and down 25% from the prior quarter. Travel nurse staffing revenue grew 31%
year over year and was down 25% sequentially. Allied division revenue grew by 39% year over year and was lower by 8% sequentially. Labor
disruption revenue was $19 million in the third quarter compared with $83 million in the prior quarter and $23 million in the year-ago
The Physician and Leadership Solutions
segment reported revenue of $175 million, growing 16% year over year and flat sequentially. Locum tenens revenue was $106 million, up
19% year over year and flat sequentially. Interim leadership revenue grew by 9% year over year
and was unchanged sequentially. Our physician
and leadership search businesses grew revenue 21% year over year, and the sequential comparison was down 3%.
Technology and Workforce Solutions
segment revenue was $135 million, an increase of 35% year over year and down 10% sequentially. Language services revenue was $56 million
in the quarter, 18% higher than the prior year and up 4% sequentially. Vendor management systems revenue was $60 million, growing 80%
year over year and down 20% from the prior quarter.
Consolidated gross margin was
33.8%, 100 basis points lower year over year and up 150 basis points sequentially. Gross margin was lower year over year due primarily
to higher clinician compensation and lower hours, partially offset by higher margins in our Technology and Workforce Solutions segment.
On a sequential basis, the revenue mix change was favorable to gross margin, and the Nurse and Allied Solutions segment improved its
gross margin by 130 basis points.
Consolidated SG&A expenses
were $215 million, or 18.9% of revenue, compared with $174 million, or 19.8% of revenue, in the same quarter last year. SG&A was $244
million, or 17.1% of revenue, in the previous quarter. The year-over-year increase in SG&A costs was driven primarily by higher employee
and related expenses. SG&A margin improved year over year due to operating leverage on higher revenue.
Income from operations was $136
million with an operating margin of 12.0%, compared with $106 million and 12.1%, respectively, in the same quarter last year. Adjusted
EBITDA was $182 million, a year-over-year increase of 31%. Adjusted EBITDA margin was 16.0%, representing an increase of 20 basis points
At September 30, 2022, cash
and cash equivalents totaled $156 million. Cash flow from operations was $114 million for the third quarter, and capital expenditures
were $20 million. The Company ended the quarter with total debt outstanding of $850 million and a net leverage ratio of 0.8 to 1.
Fourth Quarter 2022 Outlook
| Metric | Guidance* | |
| Consolidated revenue | $1.050 - $1.080 billion | |
| Gross margin | 33.3% - 33.8% | |
| SG&A as percentage of revenue | 19.5% - 20.0% | |
| Operating margin | 10.7% - 11.3% | |
| Adjusted EBITDA margin | 15.0% - 15.5% | |
| *Note: Guidance percentage metrics are approximate. For a reconciliation of adjusted EBITDA margin, see the table entitled "Reconciliation of Guidance Operating Margin to Guidance Adjusted EBITDA Margin" below. |
Revenue in the fourth quarter
of 2022 is expected to be 21-23% lower than prior year and 6-8% lower sequentially. Excluding labor disruption revenue, we expect fourth
quarter revenue to be down 16-18% year over year, due to lower average travel nurse and VMS bill rates. This is slightly better than our
prior projections. The quarter-over-quarter revenue decline is driven primarily by the continued decline in average travel nurse and VMS
bill rates and hours worked, partially offset by an increase in healthcare professionals on assignment. Nurse and Allied Solutions segment
revenue is expected to be down approximately 29% year over year. Physician and Leadership Solutions segment revenue is expected to be
flat year over year. For the Technology and Workforce Solutions segment, we expect revenue to grow by approximately 10% year over year.
Fourth quarter estimates for certain other financial items include depreciation
of $13.5 million, non-cash amortization expense of $22 million, share-based compensation expense of $5 million, interest expense of $9
million, integration and other expenses of $5 million, and an adjusted tax rate of 27%.
Conference Call on November 3, 2022
AMN Healthcare Services, Inc.
(NYSE: AMN) will host a conference call to discuss its third quarter 2022 financial results and fourth quarter 2022 outlook on Thursday,
November 3, 2022 at 5:00 p.m. Eastern Time. A live webcast of the call can be accessed through AMN Healthcare's website at
http://ir.amnhealthcare.com. Interested parties may participate live via telephone by registering at this
link. Registrants will receive confirmation and dial-in details. Following the conclusion of the call, a replay of the webcast
will be available at the Company's IR website.
About AMN Healthcare
AMN Healthcare is the leader and
innovator in total talent solutions for healthcare organizations across the nation. The Company provides access to the most comprehensive
network of quality healthcare professionals through its innovative recruitment strategies and breadth of career opportunities. With insights
and expertise, AMN Healthcare helps providers optimize their workforce to successfully reduce complexity, increase efficiency and improve
patient outcomes. AMN total talent solutions include managed services programs, clinical and interim healthcare leaders, temporary staffing,
permanent placement, executive search, vendor management systems, recruitment process outsourcing, predictive modeling, language services,
revenue cycle solutions, credentialing, and other services. Clients include acute-care hospitals, community health centers and clinics,
physician practice groups, retail and urgent care centers, home health facilities, schools and many other healthcare settings. AMN Healthcare
is committed to fostering and maintaining a diverse team that reflects the communities we serve. Our commitment to the inclusion of many
different backgrounds, experiences and perspectives enables our innovation and leadership in the healthcare services industry.
The Company's common stock
is listed on the New York Stock Exchange under the symbol "AMN." For more information about AMN Healthcare, visit www.amnhealthcare.com,
where the Company posts news releases, investor presentations, webcasts, SEC filings and other material information. The Company also
utilizes email alerts and Really Simple Syndication ("RSS") as routine channels to supplement distribution of this information.
To register for email alerts and RSS, visit http://ir.amnhealthcare.com.
This earnings release and the
non-GAAP reconciliation tables included with the earnings release contain certain non-GAAP financial information, which the Company provides
as additional information, and not as an alternative, to the Company's condensed consolidated financial statements presented in
accordance with GAAP. These non-GAAP financial measures include (1) adjusted EBITDA, (2) adjusted EBITDA margin, (3) adjusted net income
and (4) adjusted diluted EPS. The Company provides such non-GAAP financial measures because management believes that they are useful to
both management and investors as a supplement, and not as a substitute, when evaluating the Company's operating performance. Additionally,
management believes that adjusted EBITDA, adjusted EBITDA margin, adjusted net income and adjusted diluted EPS serve as industry-wide
financial measures. The Company uses adjusted EBITDA for making financial decisions, allocating resources and for determining certain
incentive compensation objectives. The non-GAAP measures in this release are not in accordance with, or an alternative to, GAAP measures
and may be different from non-GAAP measures, or may be calculated differently than other similarly titled 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 "Non-GAAP Reconciliation Tables" under the caption entitled "Reconciliation of Non-GAAP