Form 8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 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): August 1, 2013

 

 

AMN Healthcare Services, Inc.

(Exact Name of Registrant as Specified in 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, San Diego, California   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 August 1, 2013, AMN Healthcare Services, Inc. (the “Company”) reported its second quarter 2013 results. The Company’s second quarter 2013 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 August 1, 2013 furnished pursuant to Item 2.02 of this Current Report on 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: August 1, 2013     By:   /s/ Susan R. Salka
      Susan R. Salka
      President & Chief Executive Officer
EX-99.1

EXHIBIT 99.1

Contact:

Amy C. Chang

Vice President, Investor Relations

866.861.3229

 

 

AMN HEALTHCARE ANNOUNCES SECOND QUARTER 2013 RESULTS

Reports quarterly revenue of $254 million, up 8% year-over-year

Diluted EPS from continuing operations of $0.18 vs. $0.00 in prior year

SAN DIEGO – (August 1, 2013) – AMN Healthcare Services, Inc. (NYSE: AHS), healthcare’s innovator in workforce solutions and staffing services, today announced second quarter 2013 financial results which were in line with the Company’s guidance for revenue and exceeded the Company’s guidance for adjusted EBITDA. Financial highlights are as follows:

Dollars in millions, except per share amounts.

     Q2 2013      % Change
Q2 2012
    YTD June 30,
2013
     % Change
YTD June  30,
2012*
 

Revenue

   $ 253.9         8   $ 506.1         9

Gross profit

   $ 74.4         11   $ 147.4         13

Net income

   $ 8.4         NM      $ 16.0         373

Diluted EPS

   $ 0.18         NM      $ 0.33         371

Adjusted EBITDA**

   $ 21.3         17   $ 42.4         19

* Percentage change in this column excludes the impact of the discontinued operations associated with the disposal of the Home Healthcare Services segment in January 2012.

** See “Non-GAAP Measures” below for a discussion of our use of non-GAAP items and the table entitled “Supplemental Financial and Operating Data” for a reconciliation of non-GAAP items.

NM – Not meaningful

 

   

Second quarter consolidated revenue increased 8% year-over-year with growth across all business segments

 

   

On a segment basis, second quarter revenue was up year-over-year by 7% in Nurse and Allied Healthcare Staffing, 8% in Locum Tenens Staffing, and 16% in Physician Permanent Placement Services

 

   

Second quarter consolidated gross margin of 29.3% was higher year-over-year by 90 basis points

 

   

Adjusted EBITDA margin in the second quarter of 8.4% reflected a year-over-year improvement of 70 basis points

 

   

Cash flow from operations in the second quarter was $19 million, enabling the Company to further reduce its long-term debt and lower its leverage ratio to 2.1 to 1 as of June 30, 2013.


“AMN’s solid execution in the second quarter resulted in year-over-year growth in revenue and gross margin across all business segments. We are particularly pleased with the improvements achieved in our Locum Tenens business and the very strong growth in Physician Permanent Placement. The benefit of our MSP leadership position enabled our Nurse and Allied segment to perform well, despite lower hospital census and a softer demand environment,” said Susan R. Salka, President and Chief Executive Officer of AMN Healthcare. “We continue to make good progress in AMN’s key strategic initiatives such as investments in innovative recruitment technologies, expansion of our workforce solutions offerings, and technology infrastructure improvements to create a better client experience and enable more efficient delivery of our services.”

Second Quarter 2013 Results

For the second quarter of 2013, consolidated revenue was $254 million, an increase of 8% from the same quarter last year and 1% sequentially. Second quarter revenue for the Nurse and Allied Healthcare Staffing segment was $170 million, up 7% from the same quarter last year and down 4% sequentially. Locum Tenens Staffing segment revenue in the second quarter was $73 million, an increase of 8% from the same quarter last year and 11% sequentially. Second quarter Physician Permanent Placement Services segment revenue was $11 million, an increase of 16% from the same quarter last year and 12% sequentially.

Second quarter gross margin of 29.3% was higher by 90 basis points than the same quarter last year and higher by 30 basis points sequentially. The year-over-year increase was due to gross margin improvement in all business segments. The sequential increase was due primarily to gross margin improvement in the Locum Tenens Staffing segment and faster growth in our higher gross margin Physician Permanent Placement segment.

SG&A expenses for the second quarter were $55 million, representing 21.5% of revenue, compared to 21.3% of revenue in both the prior year and prior quarter.

 

2


Second quarter adjusted EBITDA grew 17% year-over-year to $21 million. Adjusted EBITDA margin of 8.4% represented a 70 basis points increase over prior year and was driven by the improvement in gross margin. Second quarter net income was $8 million and net income per diluted share was $0.18.

As of June 30, 2013, cash and cash equivalents totaled $11 million and total debt outstanding, net of discount, was $154 million, with a leverage ratio of 2.1 to 1. Second quarter cash flow from operations was $19 million and capital expenditures were $3 million.

Business Trends and Outlook

The Company expects third quarter consolidated revenue to be between $253 million and $257 million, representing year-over-year revenue growth of 4% to 5%. Gross margin is expected to be 29.0% to 29.5%. SG&A expenses as a percentage of revenue are expected to be approximately 21.5%. Adjusted EBITDA margin is expected to be approximately 8.0%.

About AMN Healthcare

AMN Healthcare is the innovator in healthcare workforce solutions and staffing services to healthcare facilities across the nation. AMN Healthcare’s workforce solutions—including managed services programs and recruitment process outsourcing—enable providers to successfully reduce complexity, increase efficiency and improve patient outcomes within the rapidly evolving healthcare environment. The Company provides unparalleled access to the largest network of quality clinicians and physicians through its innovative recruitment strategies and breadth of career opportunities. Clients include acute-care hospitals, government facilities, community health centers and clinics, physician practice groups and many other healthcare settings. For more information, visit www.amnhealthcare.com.

Conference Call on August 1, 2013

AMN Healthcare Services, Inc.’s second quarter 2013 conference call will be held on Thursday, August 1, 2013, 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) 230-1059 in the U.S. or (612) 234-9959 internationally. Following the conclusion of the call, a replay of the

 

3


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 August 1, 2013, and can be accessed until 11:59 p.m. Eastern Time on August 15, 2013, by calling (800) 475-6701 in the U.S. or (320) 365-3844 internationally, with access code 296808.

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) adjusted EBITDA, and (2) adjusted EBITDA margin. 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 adjusted EBITDA and adjusted EBITDA margin serve as industry-wide financial measures, and it uses 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://amnhealthcare.investorroom.com/financialreports. 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 2013 third quarter revenue, gross margin, SG&A expenses 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, 2012 and its other periodic reports as well as the Company’s current and other reports filed from time to time 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.

 

4


AMN Healthcare Services, Inc.

Condensed Consolidated Statements of Comprehensive Income (Loss)

(in thousands, except per share amounts)

(unaudited)

 

     Three Months Ended     Six Months Ended  
     June 30,     March 31,     June 30,  
     2013     2012     2013     2013     2012  

Revenue

   $ 253,943      $ 235,786      $ 252,120      $ 506,063      $ 462,198   

Cost of revenue

     179,530        168,813        179,113        358,643        332,011   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Gross profit

     74,413        66,973        73,007        147,420        130,187   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     29.3     28.4     29.0     29.1     28.2

Operating expenses:

          

Selling, general and administrative

     54,551        50,304        53,607        108,158        97,480   
     21.5     21.3     21.3     21.4     21.1

Depreciation and amortization

     3,240        3,552        3,290        6,530        7,247   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total operating expenses

     57,791        53,856        56,897        114,688        104,727   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income from operations

     16,622        13,117        16,110        32,732        25,460   

Interest expense, net

     3,130        13,590        2,859        5,989        19,123   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

     13,492        (473     13,251        26,743        6,337   

Income tax expense (benefit)

     5,093        (392     5,688        10,781        2,965   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations

     8,399        (81     7,563        15,962        3,372   

Income from discontinued operations, net of tax

     0        0        0        0        823   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ 8,399      $ (81   $ 7,563      $ 15,962      $ 4,195   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Basic income (loss) per common share from:

          

Continuing operations

   $ 0.18      $ 0.00      $ 0.17      $ 0.35      $ 0.07   

Discontinued operations

     0.00        0.00        0.00        0.00        0.02   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ 0.18      $ 0.00      $ 0.17      $ 0.35      $ 0.09   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Diluted income (loss) per common share from:

          

Continuing operations

   $ 0.18      $ 0.00      $ 0.16      $ 0.33      $ 0.07   

Discontinued operations

     0.00        0.00        0.00        0.00        0.02   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ 0.18      $ 0.00      $ 0.16      $ 0.33      $ 0.09   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average common shares outstanding:

          

Basic

     46,039        40,810        45,813        45,927        40,695   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Diluted

     47,837        40,810        47,679        47,759        46,317   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Other comprehensive income (loss) – foreign currency translation

     (28     33        93        65        (10
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income (loss)

   $ 8,371      $ (48   $ 7,656      $ 16,027      $ 4,185   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

5


AMN Healthcare Services, Inc.

Supplemental Financial and Operating Data

(dollars in thousands, except operating data)

(unaudited)

 

     Three Months Ended     Six Months Ended  
     June 30,     March 31,     June 30,  
     2013     2012     2013     2013     2012  

Revenue

      

Nurse and allied healthcare staffing

   $ 170,138      $ 158,615      $ 176,765      $ 346,903      $ 312,501   

Locum tenens staffing

     72,708        67,592        65,456        138,164        131,101   

Physician permanent placement services

     11,097        9,579        9,899        20,996        18,596   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
   $ 253,943      $ 235,786      $ 252,120      $ 506,063      $ 462,198   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Reconciliation of Non-GAAP Items:

      

Segment operating income(1)

      

Nurse and allied healthcare staffing

   $ 20,128      $ 18,444      $ 22,474      $ 42,602      $ 35,521   

Locum tenens staffing

     4,908        6,091        4,892        9,800        10,507   

Physician permanent placement services

     2,289        1,890        2,241        4,530        3,596   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     27,325        26,425        29,607        56,932        49,624   

Unallocated corporate overhead

     5,985        8,179        8,505        14,490        13,911   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted EBITDA(2)

     21,340        18,246        21,102        42,442        35,713   

Adjusted EBITDA margin(3)

     8.4     7.7     8.4     8.4     7.7

Depreciation and amortization

     3,240        3,552        3,290        6,530        7,247   

Share-based compensation

     1,478        1,577        1,702        3,180        3,006   

Interest expense, net

     3,130        13,590        2,859        5,989        19,123   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

     13,492        (473     13,251        26,743        6,337   

Income tax expense (benefit)

     5,093        (392     5,688        10,781        2,965   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss) from continuing operations

     8,399        (81     7,563        15,962        3,372   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income from discontinued operations

     0        0        0        0        823   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ 8,399      $ (81   $ 7,563      $ 15,962      $ 4,195   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

6


     Three Months Ended     Six Months Ended  
     June 30,     March 31,     June 30,  
     2013     2012     2013     2013     2012  

Gross Margin

        

Nurse and allied healthcare staffing

     27.2     26.7     27.5     27.4     26.6

Locum tenens staffing

     29.0     27.9     27.9     28.5     27.5

Physician permanent placement services

     62.7     59.9     62.6     62.6     59.7

Operating Data:

        

Nurse and allied healthcare staffing

        

Average clinicians on assignment(4)

     5,924        5,592        6,215        6,070        5,518   

Revenue per clinician per day(5)

   $ 315.61      $ 311.70      $ 316.02      $ 315.75      $ 311.20   

Gross profit per clinician per day(5)

   $ 85.96      $ 83.32      $ 86.80      $ 86.37      $ 82.66   

Locum tenens staffing

        

Days filled(6)

     50,127        46,752        45,357        95,484        92,742   

Revenue per day filled(6)

   $ 1,450.48      $ 1,445.76      $ 1,443.11      $ 1,446.99      $ 1,413.61   

Gross profit per day filled(6)

   $ 421.35      $ 402.84      $ 402.62      $ 412.45      $ 388.99   
     As of June 30     As of March 31,              
     2013     2012     2013              

Leverage ratio (7)

     2.1        3.1        2.3       

 

(1) Segment operating income represents net income (loss) plus interest expense (net of interest income), income tax expense (benefit), depreciation and amortization, unallocated corporate overhead, share-based compensation expense, and net income from discontinued operations, net of tax.
(2) Adjusted EBITDA represents net income (loss) plus interest expense (net of interest income), income tax expense (benefit), depreciation and amortization, share-based compensation expense and net income 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 comprehensive income (loss), 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) Average clinicians on assignment represents the average number of nurse and allied healthcare professionals on assignment during the period presented.
(5) Revenue per clinician per day and gross profit per clinician per day represent the revenue and gross profit of the Company’s nurse and allied healthcare staffing segment divided by average clinicians 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 eight 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.
(7) 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.

 

7


AMN Healthcare Services, Inc.

Condensed Consolidated Balance Sheets

(dollars in thousands)

(unaudited)

 

     June 30,
2013
     March 31,
2013
     December 31,
2012
 

Assets

        

Current assets:

        

Cash and cash equivalents

   $ 10,519       $ 1,939       $ 5,681   

Accounts receivable, net

     149,798         156,750         142,510   

Accounts receivable, subcontractor

     15,728         19,332         18,467   

Deferred income taxes, net

     18,683         17,794         18,123   

Prepaid and other current assets

     15,502         21,399         18,963   
  

 

 

    

 

 

    

 

 

 

Total current assets

     210,230         217,214         203,744   

Restricted cash, cash equivalents and investments

     20,960         18,801         18,861   

Fixed assets, net

     16,826         15,336         14,815   

Deposits and other assets

     22,536         21,186         19,732   

Goodwill

     123,324         123,324         123,324   

Intangible assets, net

     133,708         135,304         136,910   
  

 

 

    

 

 

    

 

 

 

Total assets

   $ 527,584       $ 531,165       $ 517,386   
  

 

 

    

 

 

    

 

 

 

Liabilities and stockholders’ equity

        

Current liabilities:

        

Accounts payable and accrued expenses

     52,374         56,721         52,619   

Accrued compensation and benefits

     46,871         49,393         49,443   

Revolving credit facility

     0         1,000         0   

Current portion of notes payable

     5,000         0         0   

Other current liabilities

     6,924         7,056         7,463   
  

 

 

    

 

 

    

 

 

 

Total current liabilities

     111,169         114,170         109,525   

Notes payable, less current portion and discount

     148,524         158,246         158,178   

Other long-term liabilities

     69,967         67,279         67,572   
  

 

 

    

 

 

    

 

 

 

Total liabilities

     329,660         339,695         335,275   

Commitments and contingencies

        

Stockholders’ equity

     197,924         191,470         182,111   
  

 

 

    

 

 

    

 

 

 

Total liabilities and stockholders’ equity

   $ 527,584       $ 531,165       $ 517,386   
  

 

 

    

 

 

    

 

 

 

 

8


AMN Healthcare Services, Inc.

Condensed Consolidated Statements of Cash Flows

(dollars in thousands)

(unaudited)

 

     Three Months Ended     Six Months Ended  
     June 30,     March 31     June 30,  
     2013     2012     2013     2013     2012  

Net cash provided by (used in) operating activities

   $ 19,221      $ 20,997      $ (2,699   $ 16,522      $ 30,550   

Net cash (used in) provided by investing activities

     (3,142     (1,031     (2,155     (5,297     6,321   

Net cash (used in) provided by financing activities

     (7,471     (9,402     1,019        (6,452     (25,325

Effect of exchange rates on cash

     (28     33        93        65        (10
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net increase (decrease) in cash and cash equivalents

     8,580        10,597        (3,742     4,838        11,536   

Cash and cash equivalents at beginning of period

     1,939        4,901        5,681        5,681        3,962   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 10,519      $ 15,498      $ 1,939      $ 10,519      $ 15,498   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

9