Full Press Release Details
| Contact: | ||||
| Amy C. Chang | ||||
| Vice President, Investor Relations | ||||
| 866.861.3229 |
AMN HEALTHCARE ANNOUNCES THIRD QUARTER 2011 RESULTS
SAN DIEGO (November 3, 2011) AMN Healthcare Services, Inc. (NYSE: AHS) today announced operating results for the third quarter of 2011.
Financial highlights are as follows:
(Dollars in millions, except per share amounts)
| Q3 2011 | % Chg Q3 2010 | % Chg Q2 2011 | YTD Sep 30, 2011 | % Chg Sep 30, 2010 | ||||||||||||||||
| Revenue | $ | 242.3 | 37 | % | 3 | % | $ | 706.2 | 51 | % | ||||||||||
| Gross Profit | $ | 68.7 | 42 | % | 6 | % | $ | 201.6 | 56 | % | ||||||||||
| Net Loss | $ | (26.9 | ) | (48 | %) | NM | $ | (23.8 | ) | (53 | %) | |||||||||
| Net Loss per Diluted Share | $ | (0.67 | ) | (55 | %) | NM | $ | (0.60 | ) | (61 | %) | |||||||||
| Adjusted EBITDA* | $ | 16.8 | 72 | % | 10 | % | $ | 50.3 | 68 | % | ||||||||||
| Adjusted EPS* | $ | 0.05 | NM | 67 | % | $ | 0.15 | 275 | % |
highlights for the third quarter are as follows:
We continue to experience a steady market recovery, with sequential revenue growth
across our largest business segments of Nursing and Allied Healthcare Staffing and Locum Tenens, said Susan R. Salka, President and Chief Executive Officer of AMN Healthcare. We have been successful in adding new managed services program
(MSP) clients and expanding our leadership position in this important service offering, which is increasingly preferred by clients. Since July of this year, we have executed new MSP contracts with an expected annualized gross revenue opportunity of
over $35 million in 2012 and beyond.
Third Quarter 2011 Results
For the third quarter of 2011, consolidated revenue was $242 million, an increase of 3% sequentially and 37% from the same quarter last
year. Third quarter revenue for the Nurse and Allied Healthcare Staffing segment was $148 million, an increase of 6% sequentially and 59% from the same quarter last year. The Locum Tenens Staffing segment generated revenue in the third quarter of
$72 million, an increase of 1% sequentially and 4% from the same quarter last year. Third quarter Physician Permanent Placement Services segment revenue was $9 million, a decrease of 3% sequentially and an increase of 6% from the same quarter last
year. This sequential decline was due to the adoption of a new revenue recognition standard on January 1, 2011, which had a larger positive impact in the second quarter. Third quarter revenue for the Home Healthcare Services segment, which was
added in the third quarter of 2010 through the Medfinders acquisition, was $13 million, a decrease of 5% from the prior quarter.
The Nurse and Allied Healthcare Staffing results exceeded our expectations, and we are encouraged by the steady improvement in the underlying gross margins and continued opportunity for market share
gains through our MSP clients. While the Locum Tenens segment showed sequential growth, the results were below our previous expectations. This shortfall was driven primarily by lower fill rates, which we believe can be improved upon in the coming
months, added Salka.
Gross margin in the third quarter of 2011 was 28.4%, an increase of 70 basis points compared to
the previous quarter and an increase of 100 basis points from the same quarter last year. The sequential increase was due primarily to $1.1 million of positive workers compensation adjustments along with an improvement in bill-pay spreads in
our temporary staffing segments. Without the workers compensation adjustments, gross margin was up 20 basis points sequentially and 50 basis points year-over-year.
SG&A expenses as a percentage of revenue for the third quarter were 22.2%, compared to
22.4% in the prior quarter and 26.5% in the same quarter last year. The decrease compared to both periods was due primarily to lower integration-related expenses associated with the Medfinders acquisition, with $0.2 million in the third quarter,
compared to $1.2 million last quarter and $6.3 million of acquisition-related costs in the third quarter of last year. Excluding integration costs, SG&A expenses as a percentage of revenues were 22.1%, which was up 20 basis points from the prior
quarter and down 90 basis points from the same quarter last year.
Third quarter 2011 GAAP net loss per diluted share was
($0.67), which included $31.2 million of non-cash goodwill and intangible asset impairment charges associated with the Home Healthcare Services segment. Adjusted earnings per share was $0.05, excluding impairment costs, integration-related costs,
and credit agreement amendment fees of $1.1 million charged to interest expense. The impairment was driven by the future outlook of the home healthcare industry, which is being impacted primarily by adverse federal and state reimbursement rate and
In October, the Company signed a non-binding letter of intent with a strategic buyer to acquire our 19
home healthcare offices. Although not assured, we intend to execute a purchase agreement with this buyer during the fourth quarter, with a target close date during the first quarter of 2012.
As of September 30, 2011, cash and cash equivalents totaled $5 million, and total debt outstanding, net of discount, was $210
Business Trends and Outlook
Going into the fourth quarter of 2011, most of our business segments will experience typical seasonal declines, with the exception of the Nurse and Allied Healthcare Staffing segment, which is expected to
be flat sequentially. On a consolidated basis, fourth quarter
revenues are expected to be between $232 million and $236 million. Gross margin is anticipated to be between 27.5% and 28.0%. SG&A expenses are expected to be approximately 22.5% of revenues.
Adjusted EBITDA margin is expected to be approximately 6.0%. The anticipated year-over-year improvement in consolidated adjusted EBITDA margin reflects our ability to gain operating leverage as the business grows. Based on these expectations, full
year consolidated revenues are projected to be approximately $940 million, an increase over 2010 of approximately 36% and 9% as reported and pro forma, respectively.
About AMN Healthcare Services
AMN Healthcare Services, Inc. is the
nation s largest provider of comprehensive healthcare staffing and workforce solutions. As the leading provider of travel nurse, per diem (local) nurse, allied and locum tenens (temporary physician) staffing and physician permanent placement
services, AMN Healthcare recruits and places healthcare professionals on assignments of variable lengths and in permanent positions with clients throughout the United States. AMN Healthcare is also the nation s largest provider of clinical
staffing managed services programs and recruitment process outsourcing solutions. Settings staffed include acute-care hospitals, government facilities, community health centers and clinics, physician practice groups, and a host of other healthcare
settings. AMN Healthcare also provides home healthcare services in select regions. For more information, visit http://www.amnhealthcare.com.
Conference Call on November 3, 2011
AMN Healthcare Services, Inc. s third quarter 2011 conference call will be held on Thursday, November 3, 2011, 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) 230-1074 in the U.S. or (612) 288-0329 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 3, 2011, and can be accessed until 11:59 p.m. Eastern Time on November 24, 2011, by calling (800) 475-6701 in the U.S. or (320) 365-3844 internationally, with access code 218823.
This earnings release contains certain non-GAAP financial information. These measures are not in accordance with, or an alternative to, generally accepted accounting principles in the United States
( GAAP ), and may be different from non-GAAP measures reported by other companies. From time to time, additional information regarding non-GAAP financial measures may be made available on the company s website at
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 fourth quarter revenue, revenue growth, gross margin, SG&A, adjusted EBITDA margin and the sale of the home healthcare offices.
The company based these forward-looking statements on its current expectations and projections about future events. 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 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, 2010 and its other quarterly and periodic reports filed with the SEC. These statements reflect the company s current beliefs and are
based upon information currently available to it. Be advised that developments subsequent to this press release are likely to cause these statements to become outdated with the passage of time.
AMN Healthcare Services, Inc.
Condensed Consolidated Statements of Operations
(dollars in thousands, except per share amounts)
| Three Months Ended | Nine Months Ended | |||||||||||||||||||
| September 30, | June 30, | September 30, | ||||||||||||||||||
| 2011 | 2010 | 2011 | 2011 | 2010 | ||||||||||||||||
| Revenue | $ | 242,299 | $ | 176,313 | $ | 234,537 | $ | 706,238 | $ | 468,889 | ||||||||||
| Cost of revenue | 173,582 | 127,995 | 169,550 | 504,656 | 339,356 | |||||||||||||||
| Gross profit | 68,717 | 48,318 | 64,987 | 201,582 | 129,533 | |||||||||||||||
| 28.4 | % | 27.4 | % | 27.7 | % | 28.5 | % | 27.6 | % | |||||||||||
| Operating expenses: | ||||||||||||||||||||
| Selling, general and administrative | 53,840 | 46,762 | 52,646 | 159,428 | 113,306 | |||||||||||||||
| 22.2 | % | 26.5 | % | 22.4 | % | 22.6 | % | 24.2 | % | |||||||||||
| Depreciation and amortization | 3,954 | 3,787 | 4,119 | 12,538 | 10,248 | |||||||||||||||
| Impairment charges | 31,198 | 49,782 | 0 | 31,198 | 49,782 | |||||||||||||||
| Total operating expenses | 88,992 | 100,331 | 56,765 | 203,164 | 173,336 | |||||||||||||||
| Income (loss) from operations | (20,275 | ) | (52,013 | ) | 8,222 | (1,582 | ) | (43,803 | ) | |||||||||||
| Interest expense, net | 7,023 | 8,793 | 5,589 | 18,123 | 14,013 | |||||||||||||||
| Income (loss) before income taxes | (27,298 | ) | (60,806 | ) | 2,633 | (19,705 | ) | (57,816 | ) | |||||||||||
| Income tax expense (benefit) | (399 | ) | (9,516 | ) | 1,820 | 4,125 | (7,443 | ) | ||||||||||||
| Net income (loss) | $ | (26,899 | ) | $ | (51,290 | ) | $ | 813 | $ | (23,830 | ) | $ | (50,373 | ) | ||||||
| Net income (loss) per common share: | ||||||||||||||||||||
| Basic | $ | (0.67 | ) | $ | (1.48 | ) | $ | 0.02 | $ | (0.60 | ) | $ | (1.52 | ) | ||||||
| Diluted | $ | (0.67 | ) | $ | (1.48 | ) | $ | 0.02 | $ | (0.60 | ) | $ | (1.52 | ) | ||||||
| Weighted average common shares outstanding: | ||||||||||||||||||||
| Basic | 40,327 | 34,777 | 39,629 | 39,736 | 33,397 | |||||||||||||||
| Diluted | 40,327 | 34,777 | 45,981 | 39,736 | 33,397 |
AMN Healthcare Services, Inc.
Supplemental Financial and Operating Data
(dollars in thousands, except operating data)
| Three Months Ended | Nine Months Ended | |||||||||||||||||||
| September 30, | June 30, | September 30, | ||||||||||||||||||
| 2011 | 2010 | 2011 | 2011 | 2010 | ||||||||||||||||
| Revenue | ||||||||||||||||||||
| Nurse and allied healthcare staffing | $ | 147,738 | $ | 93,059 | $ | 140,029 | $ | 422,541 | $ | 243,855 | ||||||||||
| Locum tenens staffing | 72,080 | 69,555 | 71,098 | 213,367 | 195,292 | |||||||||||||||
| Physician permanent placement services | 9,189 | 8,676 | 9,475 | 29,506 | 24,719 | |||||||||||||||
| Home healthcare services | 13,292 | 5,023 | 13,935 | 40,824 | 5,023 | |||||||||||||||
| $ | 242,299 | $ | 176,313 | $ | 234,537 | $ | 706,238 | $ | 468,889 | |||||||||||
| Reconciliation of Non-GAAP Items: | ||||||||||||||||||||
| Segment Operating Income(1) | ||||||||||||||||||||
| Nurse and allied healthcare staffing | $ | 15,197 | $ | 8,602 | $ | 14,420 | $ | 44,736 | $ | 24,586 | ||||||||||
| Locum tenens staffing | 6,283 | 5,364 | 5,465 | 17,759 | 17,234 | |||||||||||||||
| Physician permanent placement services | 2,142 | 1,699 | 2,511 | 8,470 | 5,643 | |||||||||||||||
| Home healthcare services | 702 | 469 | 365 | 2,030 | 469 | |||||||||||||||
| 24,324 | 16,134 | 22,761 | 72,995 | 47,932 | ||||||||||||||||
| Unallocated corporate overhead | 7,539 | 6,353 | 7,506 | 22,739 | 17,997 | |||||||||||||||
| Adjusted EBITDA(2) | 16,785 | 9,781 | 15,255 | 50,256 | 29,935 | |||||||||||||||
| Depreciation and amortization | 3,954 | 3,787 | 4,119 | 12,538 | 10,248 | |||||||||||||||
| Stock-based compensation | 1,697 | 1,955 | 1,723 | 5,409 | 6,344 | |||||||||||||||
| Acquisition related costs | 211 | 6,270 | 1,191 | 2,693 | 7,364 | |||||||||||||||
| Impairment charges | 31,198 | 49,782 | 0 | 31,198 | 49,782 | |||||||||||||||
| Interest expense, net | 7,023 | 8,793 | 5,589 | 18,123 | 14,013 | |||||||||||||||
| Income (loss) before income taxes | (27,298 | ) | (60,806 | ) | 2,633 | (19,705 | ) | (57,816 | ) | |||||||||||
| Income tax expense (benefit) | (399 | ) | (9,516 | ) | 1,820 | 4,125 | (7,443 | ) | ||||||||||||
| Net income (loss) | $ | (26,899 | ) | $ | (51,290 | ) | $ | 813 | $ | (23,830 | ) | $ | (50,373 | ) | ||||||
| GAAP based diluted net income (loss) per share (EPS) | $ | (0.67 | ) | $ | (1.48 | ) | $ | 0.02 | $ | (0.60 | ) | $ | (1.52 | ) | ||||||
| Adjustments: | ||||||||||||||||||||
| Acquisition related costs | 0.00 | 0.13 | 0.01 | 0.04 | 0.16 | |||||||||||||||
| Impairment charges | 0.70 | 1.25 | 0.69 | 1.28 | ||||||||||||||||
| Financing costs | 0.02 | 0.09 | 0.02 | 0.11 | ||||||||||||||||
| Impact of assumed preferred dividends | 0.01 | 0.01 | ||||||||||||||||||
| Adjusted diluted earnings per share (3) | $ | 0.05 | $ | 0.00 | $ | 0.03 | $ | 0.15 | $ | 0.04 |
| Three Months Ended | Nine Months Ended | |||||||||||||||||||
| September 30, | June 30, | September 30, | ||||||||||||||||||
| 2011 | 2010 | 2011 | 2011 | 2010 | ||||||||||||||||
| Gross Margin | ||||||||||||||||||||
| Nurse and allied healthcare staffing | 26.6 | % | 25.7 | % | 25.8 | % | 26.6 | % | 25.8 | % | ||||||||||
| Locum tenens staffing | 26.0 | % | 25.3 | % | 25.5 | % | 25.9 | % | 25.9 | % | ||||||||||
| Physician permanent placement services | 60.5 | % | 56.2 | % | 62.4 | % | 63.4 | % | 57.0 | % | ||||||||||
| Home healthcare services | 38.0 | % | 37.4 | % | 34.5 | % | 36.9 | % | 37.4 | % | ||||||||||
| Operating Data: | ||||||||||||||||||||
| Nurse and allied healthcare staffing | ||||||||||||||||||||
| Average travelers on assignment(4) | 5,300 | 3,220 | 5,161 | 5,172 | 2,733 | |||||||||||||||
| Revenue per traveler per day(5) | $ | 302.99 | $ | 314.09 | $ | 298.16 | $ | 299.26 | $ | 326.84 | ||||||||||
| Gross profit per traveler per day(5) | $ | 80.70 | $ | 80.87 | $ | 76.95 | $ | 79.72 | $ | 84.47 | ||||||||||
| Locum tenens staffing | ||||||||||||||||||||
| Days filled(6) | 51,292 | 49,931 | 50,833 | 151,585 | 139,453 | |||||||||||||||
| Revenue per day filled(6) | $ | 1,405.29 | $ | 1,393.02 | $ | 1,398.66 | $ | 1,407.57 | $ | 1,400.41 | ||||||||||
| Gross profit per day filled(6) | $ | 365.64 | $ | 352.54 | $ | 356.38 | $ | 364.62 | $ | 362.47 |
AMN Healthcare Services, Inc.
Condensed Consolidated Balance Sheets
| September 30, 2011 | June 30, 2011 | December 31, 2010 | ||||||||||
| Assets | ||||||||||||
| Current assets: | ||||||||||||
| Cash and cash equivalents | $ | 4,643 | $ | 7,924 | $ | 1,883 | ||||||
| Accounts receivable, net | 143,938 | 138,954 | 127,464 | |||||||||
| Accounts receivable, subcontractor | 17,441 | 15,702 | 17,082 | |||||||||
| Prepaid expenses | 6,032 | 7,382 | 6,969 | |||||||||
| Income taxes receivable | 2,210 | 2,014 | 3,760 | |||||||||
| Deferred income taxes, net | 19,938 | 18,701 | 20,170 | |||||||||
| Other current assets | 3,250 | 2,798 | 1,933 | |||||||||
| Total current assets | 197,452 | 193,475 | 179,261 | |||||||||
| Restricted cash and cash equivalents | 18,250 | 18,242 | 20,961 | |||||||||
| Fixed assets, net | 18,134 | 19,231 | 21,777 | |||||||||
| Deposits and other assets | 19,769 | 19,656 | 20,116 | |||||||||
| Deferred income taxes, net | 243 | 243 | 243 | |||||||||
| Goodwill | 130,089 | 154,485 | 154,176 | |||||||||
| Intangible assets, net | 153,465 | 161,948 | 165,576 | |||||||||
| Total assets | $ | 537,402 | $ | 567,280 | $ | 562,110 | ||||||
| Liabilities and stockholders equity | ||||||||||||
| Current liabilities: | ||||||||||||
| Bank overdraft | $ | 4,779 | $ | 4,190 | $ | 4,463 | ||||||
| Accounts payable and accrued expenses | 47,198 | 42,930 | 45,867 | |||||||||
| Accrued compensation and benefits | 43,500 | 45,912 | 38,060 | |||||||||
| Revolving credit facility | 3,000 | 5,000 | ||||||||||
| Current portion of notes payable | 20,812 | 18,500 | 13,875 | |||||||||
| Deferred revenue | 2,585 | 3,586 | 7,191 | |||||||||
| Other current liabilities | 6,812 | 7,241 | 8,437 | |||||||||
| Total current liabilities | 128,686 | 127,359 | 117,893 | |||||||||
| Notes payable, less current portion and discount | 185,767 | 192,328 | 200,811 | |||||||||
| Other long-term liabilities | 62,484 | 61,922 | 61,575 | |||||||||
| Total liabilities | 376,937 | 381,609 | 380,279 | |||||||||
| Preferred Stock | 24,388 | 27,720 | 28,376 | |||||||||
| Stockholders equity | 136,077 | 157,951 | 153,455 | |||||||||
| Total liabilities and stockholders equity | $ | 537,402 | $ | 567,280 | $ | 562,110 |
AMN Healthcare Services, Inc.
Condensed Consolidated Statements of Cash Flows
| Three Months Ended | Nine Months Ended | |||||||||||||||||||
| September 30, | June 30, | September 30, | ||||||||||||||||||
| 2011 | 2010 | 2011 | 2011 | 2010 | ||||||||||||||||
| Net cash provided by (used in) operating activities | $ | 4,881 | $ | (15,021 | ) | $ | 2,354 | $ | 12,799 | $ | 3,240 | |||||||||
| Net cash provided by (used in) investing activities | (1,107 | ) | (3,835 | ) | 1,955 | (839 | ) | (4,041 | ) | |||||||||||
| Net cash used in financing activities | (7,087 | ) | (20,462 | ) | (318 | ) | (9,230 | ) | (24,209 | ) | ||||||||||
| Effect of exchange rates on cash | 32 | 27 | (1 | ) | 30 | 34 | ||||||||||||||
| Net increase (decrease) in cash and cash equivalents | (3,281 | ) | (39,291 | ) | 3,990 | 2,760 | (24,976 | ) | ||||||||||||
| Cash and cash equivalents at beginning of period | 7,924 | 41,368 | 3,934 | 1,883 | 27,053 | |||||||||||||||
| Cash and cash equivalents at end of period | $ | 4,643 | $ | 2,077 | $ | 7,924 | $ | 4,643 | $ | 2,077 |