Form 8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the

Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): November 3, 2011

 

 

AMN Healthcare Services, Inc.

(Exact Name of Registrant as Specified in its Charter)

 

 

 

Delaware   001-16753   06-1500476
(State or other Jurisdiction
of Incorporation)
 

(Commission

File Number)

 

(I.R.S. Employer

Identification No.)

12400 High Bluff Drive, Suite 100   92130
(Address of Principal Executive Offices)   (Zip Code)

Registrant’s telephone number, including area code: (866) 871-8519

Not Applicable

(Former name or former address, if changed from last report)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 


Section 2 – Financial Information

 

Item 2.02 Results of Operations and Financial Condition.

On November 3, 2011, AMN Healthcare Services, Inc. (the “Company”) reported its third quarter 2011 results. The Company’s third quarter 2011 results are discussed in detail in the press release, which is furnished as Exhibit 99.1 to this Current Report on Form 8-K and incorporated herein by reference.

The information in this Item 2.02 and Exhibit 99.1 attached hereto shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933 or the Securities Exchange Act of 1934, except to the extent as shall be expressly set forth by specific reference in such filing.

 

Item 9.01 Financial Statements and Exhibits

(d) Exhibits

 

99.1    Press Release issued by the Company on November 3, 2011 furnished pursuant to Item 2.02 of this Form 8-K


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

    AMN Healthcare Services, Inc.
Date: November 3, 2011     By:  

/s/ Susan R. Salka

      Susan R. Salka
      President & Chief Executive Officer
Press Release

Exhibit 99.1

 

      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

 

* See notes (2) and (3) under “Supplemental Financial and Operating Data” for a reconciliation of non-GAAP items.

NM – Not meaningful

Key business highlights for the third quarter are as follows:

 

   

Third quarter consolidated revenues were up 3% sequentially. Year-over-year consolidated revenues were up 37% as reported and 11% pro forma.

 

   

Revenues for our largest segment, Nurse and Allied Healthcare Staffing, were up 6% sequentially and 24% year-over-year pro forma due primarily to continued growth in travel nurse volume.

 

   

Third quarter consolidated gross margin improved sequentially and year-over-year due to improved bill rates on stable direct costs, as well as positive workers’ compensation adjustments.

 

   

EPS was impacted by $31.2 million in non-cash goodwill and other intangible asset impairment charges associated with the Home Healthcare Services segment.


“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.

 

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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 funding pressures.

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 million.

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

 

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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.

 

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Non-GAAP Measures

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 http://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. 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.

 

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AMN Healthcare Services, Inc.

Condensed Consolidated Statements of Operations

(dollars in thousands, except per share amounts)

(unaudited)

 

     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   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

 

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AMN Healthcare Services, Inc.

Supplemental Financial and Operating Data

(dollars in thousands, except operating data)

(unaudited)

 

     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   
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

 

 

7


     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   

 

(1) Segment Operating Income represents net income (loss) plus interest expense (net of interest income), income taxes, depreciation and amortization, impairment charges, unallocated corporate overhead, and stock-based compensation expense. Management believes that Segment Operating Income is an industry wide financial measure that is useful both to management and investors when evaluating the company’s performance. Management also uses Segment Operating Income for planning purposes. Segment Operating Income is not necessarily comparable to other similarly titled captions of other companies due to potential inconsistencies in the method of calculation and allocation of costs.
(2) Adjusted EBITDA represents net income (loss) plus interest expense (net of interest income), income taxes, depreciation and amortization, acquisition related costs, impairment charges and stock-based compensation expense. Management presents adjusted EBITDA because it believes that adjusted EBITDA is a useful supplement to net income (loss) 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 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. However, 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, and it should not be considered in isolation or as a substitute for measures of performance prepared in accordance with 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 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 EPS represents GAAP EPS excluding the impact of acquisition related costs, impairment charges, financing costs and accumulated preferred stock dividends. Management presents adjusted EPS because it believes that adjusted EPS is a useful supplement to diluted net income (loss) per share as an indicator of operating performance. 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). As defined, adjusted EPS 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 EPS are not indicative of the company’s operating performance, these items do impact the income statement, and management therefore utilizes adjusted EPS as an operating performance measure in conjunction with GAAP measures such as GAAP EPS.
(4) Average travelers on assignment represents the average number of nurse and allied healthcare professionals on assignment during the period presented.

 

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(5) 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.
(6) 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.

 

9


AMN Healthcare Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

 

     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   
  

 

 

    

 

 

    

 

 

 

 

10


AMN Healthcare Services, Inc.

Condensed Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

 

     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   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

11