EX-99.1 2 dex991.htm PRESS RELEASE Press Release

Exhibit 99.1

 

    Contact:
    David C. Dreyer
    Chief Financial Officer
    Christopher Schwartz
    Vice President, Investor Relations
    866.861.3229

FOR IMMEDIATE RELEASE

AMN HEALTHCARE REPORTS FOURTH QUARTER AND

YEAR END 2006 RESULTS; PROVIDES FULL YEAR 2007 GUIDANCE

SAN DIEGO – (March 1, 2007) – AMN Healthcare Services, Inc. (NYSE: AHS), the nation’s largest healthcare staffing company, today reported revenue of $283.5 million and diluted earnings per share of $0.29 for the fourth quarter of 2006. Revenue for the fourth quarter increased slightly from the $282.7 million reported for the third quarter of 2006 and 28% from the $221.4 million reported for the fourth quarter of 2005. Fourth quarter 2006 diluted earnings per share of $0.29 included a benefit of $0.05 due to favorable adjustments to the professional liability insurance reserve, and compared to $0.28 reported for the third quarter of 2006 and $0.21 reported for the fourth quarter of 2005.

Full year 2006 revenue increased 53% to a record $1.08 billion from $705.8 million reported in 2005. Diluted earnings per share for the year ended December 31, 2006 was $1.02, including favorable adjustments aggregating to approximately $0.10 per diluted share. In addition to the insurance reserve adjustments during the fourth quarter of 2006, a favorable workers compensation insurance reserve adjustment of $0.03 and a favorable deferred state income tax adjustment of $0.02 were recorded earlier in the year.

“We are pleased that we were able to exceed our goal of being the first company in the healthcare staffing industry to reach $1 billion in revenue,” said Susan R. Nowakowski, President and Chief Executive Officer. “Achievement of this goal is a milestone for AMN, as well as the industry, and reflects our market leadership in the healthcare staffing industry and the value our clients place on the services we provide. All of our business lines performed well in 2006, and we were particularly encouraged by the success of our marketing and recruiting efforts to increase our network of available healthcare professionals,” added Nowakowski.


Gross profit for the fourth quarter of 2006 was $74.3 million, representing a 26.2% gross margin. This was down from the $76.7 million, or 27.1% gross margin, reported for the third quarter of 2006, and up from the $57.8 million, or 26.1% gross margin, reported for the fourth quarter of 2005. The decrease in gross margin as compared to the third quarter of 2006 was due in part to higher housing costs and health insurance claims in the nurse and allied healthcare staffing business during the fourth quarter of 2006. Gross margins by business segment for the fourth quarter of 2006 were 23.5% for nurse and allied healthcare staffing, 26.7% for locum tenens staffing and 63.9% for physician permanent placement services.

Selling, general, and administrative (“SG&A”) expenses for the fourth quarter of 2006 were $51.2 million, including stock compensation expense of $1.8 million resulting from the adoption of FAS 123R, as compared to $54.1 million for the third quarter of 2006 and $39.1 million for the fourth quarter of 2005. The decrease in SG&A expenses as compared to the third quarter of 2006 was due mainly to favorable adjustments to the professional liability insurance reserve of $2.9 million, primarily relating to the locum tenens staffing segment. The increase in SG&A expenses compared to the fourth quarter of 2005 resulted primarily from the addition of The MHA Group Inc., which was acquired in November 2005, increased employee expenses to support growth in the nurse and allied healthcare staffing segment, and stock compensation expense resulting from the adoption of FAS 123R. As a percentage of revenue, SG&A expenses were 18.1% for the fourth quarter, as compared to 19.1% for the prior quarter and 17.7% for the fourth quarter of 2005.

Income from operations for the fourth quarter of 2006 was $20.4 million, representing 7.2% of revenue, compared to $20.0 million, or 7.1% of revenue, reported in the third quarter of 2006, and $16.5 million, or 7.5% of revenue, reported in the fourth quarter of 2005. The slight increase in operating margin compared to third quarter of 2006 was due primarily to lower SG&A expenses as a percentage of revenue in the fourth quarter, partially offset by a lower gross margin.

 

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Net interest expense for the fourth quarter of 2006 was $4.0 million, compared to $4.2 million in the third quarter of 2006 and $4.6 million in the fourth quarter of 2005. The decrease in net interest expense from the prior quarter and the same quarter in 2005 was mainly due to the company’s continued aggressive debt reduction using excess cash flow.

The company generated $8.6 million in cash flow from operations during the fourth quarter of 2006 which, in addition to $8.8 million in cash proceeds from the exercise of stock options and cash on-hand, was used to reduce debt by $25.7 million. For the full year 2006, the company generated $54.5 million in operating cash flow, as compared to $44.1 million in 2005. Total debt outstanding at December 31, 2006 was $173.4 million, yielding a leverage ratio below 2.0. Weighted average diluted shares outstanding for the fourth quarter of 2006 were 35.1 million.

Revenue and Earnings Guidance for First Quarter and Full Year 2007

Management expects revenue for the first quarter of 2007 to range from $282 million to $284 million and diluted earnings per share to range from $0.21 to $0.23, which reflects the impact of two fewer billing days in the quarter as compared to the fourth quarter of 2006. Revenue for the full year 2007 is expected to range from $1.18 billion to $1.20 billion and diluted earnings per share is expected to range from $1.10 to $1.14.

“We believe the current market conditions provide opportunity for growth in all of our business segments,” said Nowakowski. “Our 2007 guidance reflects a healthy balance of volume growth and increases in our revenue per healthcare professional working. This combined with our continued focus on operational efficiency, innovations in marketing and recruitment, and superior client service should provide a solid foundation for continued future growth,” added Nowakowski.

Company Summary

AMN Healthcare Services, Inc. is the largest temporary healthcare staffing company in the United States. The company is the largest nationwide provider of travel nurse staffing services, locum tenens staffing services (temporary physician staffing) and physician permanent placement services and also a leading nationwide provider of allied healthcare staffing services.

 

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AMN Healthcare recruits healthcare professionals both nationally and internationally and places them on variable lengths of assignments and in permanent positions at acute-care hospitals, physician practice groups and other healthcare facilities throughout the United States.

Conference Call on March 2, 2007

AMN Healthcare Services, Inc.’s fourth quarter 2006 conference call will be held on Friday, March 2, 2007, at 11:00 a.m. Eastern Time. A live webcast of the call can be accessed through AMN Healthcare’s website at www.amnhealthcare.com/investors. 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) 288-8960 in the U.S. or (612) 332-1210 internationally. Following the conclusion of the call, a replay of the webcast will be available at the company’s web site within four hours. Alternatively, a telephonic replay of the call will be available at 4:15 p.m. Eastern Time, and can be accessed until March 16, 2007 at midnight Eastern Time, by calling (800) 475-6701 in the U.S. or (320) 365-3844 internationally, with access code 862507.

From time to time, additional information regarding non-GAAP financial measures may be made available on the company’s website at www.amnhealthcare.com/investors.

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. 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. The following factors could cause the company’s actual results to differ materially from those implied by the forward-looking statements in this press release: the company’s ability to continue to recruit qualified temporary and permanent healthcare professionals at reasonable costs; the company’s ability to retain qualified temporary healthcare professionals for multiple assignments at reasonable costs; the company’s ability to attract and retain sales and operational personnel; the company’s ability to enter into contracts with hospitals, healthcare facility clients, affiliated healthcare networks and physician practice groups on terms attractive to the company and to secure orders related to those contracts; the company’s ability to demonstrate the value of its services to its healthcare and facility clients; changes in the

 

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timing of hospital, healthcare facility and physician practice group clients’ orders for temporary healthcare professionals; the general level of patient occupancy at hospital and healthcare facility clients’ facilities; the overall level of demand for services offered by temporary and permanent healthcare staffing providers; the ability of hospital, healthcare facility and physician practice group clients to retain and increase the productivity of their permanent staff; the variation in pricing of the healthcare facility contracts under which the company places temporary healthcare professionals; the company’s ability to successfully implement its strategic growth, acquisition and integration strategies; the company’s ability to leverage its cost structure; access to and undisrupted performance of the company’s management information and communication systems; the effect of existing or future government legislation and regulation; the company’s ability to grow and operate its business in compliance with legislation and regulations; the challenge to the classification of certain of the company’s healthcare professionals as independent contractors; the impact of medical malpractice and other claims asserted against the company; the impact on the company’s earnings related to share-based payment awards due to changes in accounting rules; the disruption or adverse impact to the company’s business as a result of a terrorist attack; the company’s ability to carry out its business strategy and maintain sufficient cash flow and capital structure to support its business; the loss of key officers and management personnel that could adversely affect the company’s ability to remain competitive; the effect of recognition by the company of an impairment to goodwill; and the effect of adjustments by the company to accruals for self-insured retentions. Other 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, 2005, its Quarterly Reports on Form 10-Q, its Current Reports on Form 8-K, and Registration Statement on Form S-3. 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. The company does not intend, however, to update the guidance provided today prior to its next earnings release.

Tables Follow:

 

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AMN Healthcare Services, Inc.

Condensed Consolidated Statements of Income

(dollars in thousands, except per share amounts)

(unaudited)

 

    

Three Months Ended

December 31,

   

Twelve Months Ended

December 31,

 
     2006     2005     % Chg     2006     2005     % Chg  

Revenue

   $ 283,534     $ 221,429     28.0 %   $ 1,081,703     $ 705,843     53.2 %

Cost of revenue

     209,261       163,623     27.9 %     792,415       535,608     47.9 %
                                    

Gross profit

     74,273       57,806     28.5 %     289,288       170,235     69.9 %
                                    
     26.2 %     26.1 %       26.7 %     24.1 %  

Expenses:

            

Selling, general and administrative

     51,183       39,127     30.8 %     205,499       117,326     75.2 %
     18.1 %     17.7 %       19.0 %     16.6 %  

Depreciation and amortization

     2,697       2,162     24.7 %     10,325       6,179     67.1 %
                                    

Total expenses

     53,880       41,289     30.5 %     215,824       123,505     74.7 %
                                    

Income from operations

     20,393       16,517     23.5 %     73,464       46,730     57.2 %
     7.2 %     7.5 %       6.8 %     6.6 %  

Interest expense, net

     4,032       4,567     -11.7 %     16,698       9,565     74.6 %
                                    

Income before income taxes

     16,361       11,950     36.9 %     56,766       37,165     52.7 %

Income tax expense

     6,314       4,973     27.0 %     21,675       14,931     45.2 %
                                    

Net income

   $ 10,047     $ 6,977     44.0 %   $ 35,091     $ 22,234     57.8 %
                                    
     3.5 %     3.2 %       3.2 %     3.1 %  

Basic and diluted net income per common share:

            

Basic net income per common share

   $ 0.29     $ 0.23     26.1 %   $ 1.07     $ 0.76     40.8 %
                                    

Diluted net income per common share

   $ 0.29     $ 0.21     38.1 %   $ 1.02     $ 0.69     47.8 %
                                    

Weighted average common shares outstanding - basic

     34,193       30,641     11.6 %     32,662       29,130     12.1 %
                                    

Weighted average common shares outstanding - diluted

     35,074       33,744     3.9 %     34,504       32,118     7.4 %
                                    

 

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AMN Healthcare Services, Inc.

Supplemental Financial and Operating Data

(dollars in thousands, except operating data)

(unaudited)

 

    

Three Months Ended

December 31,

   

Twelve Months Ended

December 31,

 
     2006    % of
Rev
    2005    % of
Rev
    2006    % of
Rev
    2005    % of
Rev
 

Revenue

                    

Nurse and allied healthcare staffing

   $ 202,048      $ 174,429      $ 763,170      $ 658,843   

Locum tenens staffing

     68,139        39,524        268,131        39,524   

Physician permanent placement services

     13,347        7,476        50,402        7,476   
                                    
   $ 283,534      $ 221,429      $ 1,081,703      $ 705,843   
                                    

Adjusted EBITDA(1)

                    

Nurse and allied healthcare staffing

   $ 14,419    7.1 %   $ 13,905    8.0 %   $ 56,647    7.4 %   $ 48,256    7.3 %

Locum tenens staffing

     6,518    9.6 %     2,782    7.0 %     20,936    7.8 %     2,782    7.0 %

Physician permanent placement Services

     3,941    29.5 %     2,013    26.9 %     13,009    25.8 %     2,013    26.9 %
                                                    
     24,878    8.8 %     18,700    8.4 %     90,592    8.4 %     53,051    7.5 %

Depreciation and amortization

     2,697        2,162        10,325        6,179   

Non-cash stock-based compensation

     1,788        21        6,803        142   

Interest expense, net

     4,032        4,567        16,698        9,565   
                                    

Income before income taxes

     16,361        11,950        56,766        37,165   

Income tax expense

     6,314        4,973        21,675        14,931   
                                    

Net income

   $ 10,047      $ 6,977      $ 35,091      $ 22,234   
                                    

 

     Three Months Ended
December 31,
    Twelve Months Ended
December 31,
 
     2006     2005     %
Chg
    2006     2005     %
Chg
 

Gross Margin

            

Nurse and allied healthcare staffing

     23.5 %     24.5 %       24.6 %     23.5 %  

Locum tenens staffing

     26.7 %     26.8 %       26.5 %     26.8 %  

Physician permanent placement services

     63.9 %     61.1 %       61.4 %     61.1 %  

Operating Data:

            

Nurse and allied healthcare staffing

            

Average travelers on assignment (2)

     7,106       6,517     9.0 %     6,825       6,410     6.5 %

Revenue per traveler per day(3)

   $ 309.06     $ 290.93     6.2 %   $ 306.36     $ 281.59     8.8 %

Gross profit per traveler per day(3)

   $ 72.77     $ 71.14     2.3 %   $ 75.21     $ 66.28     13.5 %

Locum tenens staffing

            

Days filled (4)

     49,651       29,570         199,641       29,570    

Revenue per day filled(4)

   $ 1,372.36     $ 1,336.62       $ 1,343.07     $ 1,336.62    

Gross profit per day filled(4)

   $ 365.91     $ 357.86       $ 355.53     $ 357.86    

(1)

Adjusted EBITDA represents net income plus interest expense (net of interest income), income taxes, depreciation and amortization and non-cash stock-based compensation expense. Management presents adjusted EBITDA because it believes that adjusted EBITDA is a useful supplement to net income as an indicator of operating performance. Management believes that adjusted EBITDA is an industry-wide financial measure that is useful both to management and investors when evaluating the company’s performance. Management also uses adjusted EBITDA for planning purposes. Management uses adjusted EBITDA to evaluate the company’s performance because it believes that adjusted EBITDA more accurately

 

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reflects the company’s results, as it excludes certain items, in particular non-cash stock-based compensation charges, that management believes are not indicative of the company’s operating performance. However, adjusted EBITDA is not intended to represent cash flows for the period, nor has it been presented as an alternative to operating or net income as an indicator of operating performance, and it should not be considered in isolation or as a substitute for measures of performance prepared in accordance with United States generally accepted accounting principles (GAAP). As defined, adjusted EBITDA is not necessarily comparable to other similarly titled captions of other companies due to potential inconsistencies in the method of calculation. While 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 income statement, and management therefore utilizes adjusted EBITDA as an operating performance measure in conjunction with GAAP measures such as net income.

(2) Average travelers on assignment represents the average number of nurse and allied healthcare professionals on assignment during the period presented.
(3) 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.
(4) 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.

 

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AMN Healthcare Services, Inc.

Supplemental Financial and Operating Data

(dollar in thousands)

(unaudited)

 

     Quarter Ended             
     March 31,
2006
   % of
Rev
    June 30,
2006
   % of
Rev
    September 30,
2006
   % of
Rev
    December 31,
2006
   % of
Rev
    Total
Year
   % of
Rev
 

Revenue

                         

Nurse and allied healthcare staffing

   $ 177,724      $ 181,473      $ 201,925      $ 202,048      $ 763,170   

Locum tenens staffing

     64,547        66,954        68,491        68,139        268,131   

Physician permanent placement services

     11,994        12,749        12,312        13,347        50,402   
                                             
   $ 254,265      $ 261,176      $ 282,728      $ 283,534      $ 1,081,703   
                                             

Adjusted EBITDA(1)

                         

Nurse and allied healthcare staffing

   $ 14,950    8.4 %   $ 11,174    6.2 %   $ 16,104    8.0 %   $ 14,419    7.1 %   $ 56,647    7.4 %

Locum tenens staffing

     4,293    6.7 %     5,325    8.0 %     4,800    7.0 %     6,518    9.6 %     20,936    7.8 %

Physician permanent placement services

     2,533    21.1 %     2,961    23.2 %     3,574    29.0 %     3,941    29.5 %     13,009    25.8 %
                                                                 
     21,776    8.6 %     19,460    7.5 %     24,478    8.7 %     24,878    8.8 %     90,592    8.4 %

Depreciation and amortization

     2,466        2,524        2,638        2,697        10,325   

Non-cash stock-based compensation

     1,367        1,791        1,857        1,788        6,803   

Interest expense, net

     4,147        4,345        4,174        4,032        16,698   
                                             

Income before income taxes

     13,796        10,800        15,809        16,361        56,766   

Income tax expense

     5,495        3,529        6,337        6,314        21,675   
                                             

Net income

   $ 8,301      $ 7,271      $ 9,472      $ 10,047      $ 35,091   
                                             

(1)

Adjusted EBITDA represents net income plus interest expense (net of interest income), income taxes, depreciation and amortization and non-cash stock-based compensation expense. Management presents adjusted EBITDA because it believes that adjusted EBITDA is a useful supplement to net income as an indicator of operating performance. Management believes that adjusted EBITDA is an industry-wide financial measure that is useful both to management and investors when evaluating the company’s performance. Management also uses adjusted EBITDA for planning purposes. Management uses adjusted EBITDA to evaluate the company’s performance because it believes that adjusted


 

EBITDA more accurately reflects the company’s results, as it excludes certain items, in particular non-cash stock-based compensation charges, that management believes are not indicative of the company’s operating performance. However, adjusted EBITDA is not intended to represent cash flows for the period, nor has it been presented as an alternative to operating or net income as an indicator of operating performance, and it should not be considered in isolation or as a substitute for measures of performance prepared in accordance with United States generally accepted accounting principles (GAAP). As defined, adjusted EBITDA is not necessarily comparable to other similarly titled captions of other companies due to potential inconsistencies in the method of calculation. While 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 income statement, and management therefore utilizes adjusted EBITDA as an operating performance measure in conjunction with GAAP measures such as net income.

 

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AMN Healthcare Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

 

     December 31,
2006
   September 30,
2006
   December 31,
2005

Assets

        

Current assets:

        

Cash and cash equivalents

   $ 4,422    $ 3,511    $ 19,110

Accounts receivable, net

     192,716      180,410      154,926

Deferred income taxes, net

     26,275      18,369      31,305

Other current assets

     12,442      18,896      22,922
                    

Total current assets

     235,855      221,186      228,263

Fixed assets, net

     23,236      22,286      20,164

Goodwill, net

     240,719      240,324      240,844

Intangible assets, net

     116,389      117,788      121,152

Other assets

     5,982      5,033      7,964
                    

Total assets

   $ 622,181    $ 606,617    $ 618,387
                    

Liabilities and stockholders’ equity

        

Current liabilities:

        

Bank overdraft

   $ 10,353    $ 692    $ —  

Accounts payable and accrued expenses

     20,273      22,582      19,092

Accrued compensation and benefits

     42,585      43,167      32,208

Current portion of notes payable

     12,901      10,340      10,250

Deferred revenue

     6,397      7,533      7,610

Other current liabilities

     28,458      25,891      59,018
                    

Total current liabilities

     120,967      110,205      128,178

Notes payable, less current portion

     160,479      188,700      194,750

Deferred income taxes, net

     69,365      55,343      65,132

Other long-term liabilities

     26,824      27,908      37,127
                    

Total liabilities

     377,635      382,156      425,187
                    

Stockholders’ equity

     244,546      224,461      193,200
                    

Total liabilities and stockholders’ equity

   $ 622,181    $ 606,617    $ 618,387
                    

 


AMN Healthcare Services, Inc.

Condensed Consolidated Cash Flow Statement

(in thousands)

(unaudited)

 

     Three Months Ended     Twelve Months Ended  
     December 31,
2006
    December 31,
2005
    December 31,
2006
    December 31,
2005
 

Net cash provided by operating activities

   $ 8,590     $ 15,894     $ 54,538     $ 44,090  

Net cash used in investing activities

     (2,997 )     (111,859 )     (45,677 )     (115,326 )

Net cash provided by (used in) financing activities

     (4,752 )     100,417       (23,536 )     86,520  

Effect of exchange rates on cash

     70       (81 )     (13 )     (82 )
                                

Net increase (decrease) in cash and cash equivalents

     911       4,371       (14,688 )     15,202  

Cash and cash equivalents at beginning of period

     3,511       14,739       19,110       3,908  
                                

Cash and cash equivalents at end of period

   $ 4,422     $ 19,110     $ 4,422     $ 19,110  
                                

 

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