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): October 31, 2013

AMN Healthcare Services, Inc.

(Exact Name of Registrant as Specified in Charter)

Delaware

(State or other jurisdiction of incorporation)

 

001-16753

(Commission File Number)

  

06-1500476

(I.R.S. Employer

Identification No.)

 

12400 High Bluff Drive; Suite 100, San Diego, California

(Address of Principal Executive Offices)

 

92130

(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 October 31, 2013, AMN Healthcare Services, Inc. (the “Company”) reported its third quarter 2013 results. The Company’s third 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 October 31, 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: October 31, 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 THIRD QUARTER 2013 RESULTS

Reports quarterly revenue of $257 million, up 5% year-over-year

Diluted EPS of $0.18 vs. $0.12 in prior year

SAN DIEGO – (October 31, 2013) – AMN Healthcare Services, Inc. (NYSE: AHS), healthcare’s innovator in workforce solutions and staffing services, today announced third quarter 2013 financial results, which were at the high end of the Company’s guidance for revenue and adjusted EBITDA. Financial highlights are as follows:

Dollars in millions, except per share amounts.

 

       Q3 2013    

  % Change  

Q3 2012

    YTD September 30,  
2013
 

% Change

  YTD September 30,  
2012*

Revenue

  $257.1   5%   $763.2   8%

Gross profit

  $75.7   9%   $223.1   12%

Net income

  $8.6   47%   $24.6   166%

Diluted EPS

  $0.18   50%   $0.51   155%

Adjusted EBITDA**

  $21.5   15%   $64.0   17%

* 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.

 

   

Third quarter net income increased 47% and adjusted EBITDA increased 15% year-over-year

 

   

On a segment basis, third quarter revenue was up year-over-year by 3% in Nurse and Allied Healthcare Staffing, 11% in Locum Tenens Staffing, and 9% in Physician Permanent Placement Services

 

   

Third quarter consolidated gross margin of 29.4% was higher year-over-year by 90 basis points

 

   

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


   

Cash flow from operations in the third quarter was $27 million, reflecting solid earnings performance and a two day reduction in days sales outstanding.

“AMN’s solid execution in the third quarter resulted in year-over-year revenue growth across all business segments, as well as improved gross and adjusted EBITDA margins. The Locum Tenens and Physician Permanent Placement businesses have been executing and performing very well in a strong demand environment. In the Nurse and Allied Staffing businesses, the demand environment has been more moderate due to census, client reaction to reimbursement cuts and uncertainty of the impact of the Affordable Care Act,” said Susan R. Salka, President and Chief Executive Officer of AMN Healthcare. “We continue to build our leadership position as the innovator in healthcare workforce solutions through winning new MSP clients, expanding our workforce solutions offerings, and improving our operating model. These strategies will enable us to maximize our growth opportunity by serving our clients in an even more differentiated and efficient way.”

Third Quarter 2013 Results

For the third quarter of 2013, consolidated revenue was $257 million, an increase of 5% from the same quarter last year and 1% sequentially. Third quarter revenue for the Nurse and Allied Healthcare Staffing segment was $171 million, up 3% from the same quarter last year and 1% sequentially. Locum Tenens Staffing segment revenue in the third quarter was $75 million, an increase of 11% from the same quarter last year and 4% sequentially. Third quarter Physician Permanent Placement Services segment revenue was $11 million, an increase of 9% from the same quarter last year and down 2% sequentially.

Third quarter gross margin of 29.4% was higher by 90 basis points than the same quarter last year and higher by 10 basis points sequentially. The year-over-year increase was due to gross margin improvement in the Nurse and Allied Healthcare Staffing and Locum Tenens Staffing segments. The sequential increase was due primarily to gross margin improvement in the Locum Tenens Staffing segment.

SG&A expenses for the third quarter were $56 million, representing 21.6% of revenue, compared to 21.5% of revenue in both the prior year and prior quarter.

 

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Third quarter adjusted EBITDA grew 15% year-over-year to $22 million. Adjusted EBITDA margin of 8.4% represented a 70 basis point increase over prior year and was driven by the improvement in gross margin. Third quarter net income was $9 million and net income per diluted share was $0.18.

As of September 30, 2013, cash and cash equivalents totaled $32 million and total debt outstanding, net of discount, was $149 million, with a leverage ratio of 1.9 to 1. Third quarter cash flow from operations was $27 million and capital expenditures were $1 million.

Business Trends and Outlook

The Company expects the typical fourth quarter seasonal decline, combined with the moderate demand environment in Nurse and Allied Staffing, to result in consolidated revenue of $246 million to $250 million. Gross margin is expected to be relatively steady between 29.0% to 29.5%. SG&A expenses as a percentage of revenue are expected to be approximately 22.0%. 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 October 31, 2013

AMN Healthcare Services, Inc.’s third quarter 2013 conference call will be held on Thursday, October 31, 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

 

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participate live via telephone by dialing (888) 423-3273 in the U.S. or (612) 332-0923 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 October 31, 2013, and can be accessed until 11:59 p.m. Eastern Time on November 15, 2013, by calling (800) 475-6701 in the U.S. or (320) 365-3844 internationally, with access code 304355.

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 condensed 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 fourth quarter revenue, gross margin, SG&A expenses and adjusted EBITDA margin, as well as seasonality and the demand environment. 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

 

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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.

 

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AMN Healthcare Services, Inc.

Condensed Consolidated Statements of Comprehensive Income

(in thousands, except per share amounts)

(unaudited)

 

     Three Months Ended        Nine Months Ended    
             September 30,            June 30,        September 30,    
     2013    2012    2013    2013    2012
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

Revenue

   $ 257,095         $ 243,912         $ 253,943         $ 763,158         $ 706,110     

Cost of revenue

     181,428           174,329           179,530           540,071           506,340     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Gross profit

     75,667           69,583           74,413           223,087           199,770     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   
     29.4%           28.5%           29.3%           29.2%           28.3%     

Operating expenses:

                        

Selling, general and administrative

     55,605           52,375           54,551           163,763           149,855     
     21.6%           21.5%           21.5%           21.5%           21.2%     

Depreciation and amortization

     3,317           3,435           3,240           9,847           10,682     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Total operating expenses

     58,922           55,810           57,791           173,610           160,537     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Income from operations

     16,745           13,773           16,622           49,477           39,233     

Interest expense, net

 

     1,840           3,688           3,130           7,829           22,811     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Income from continuing operations before income taxes

     14,905           10,085           13,492           41,648           16,422     

Income tax expense

     6,290           4,227           5,093           17,071           7,192     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Income from continuing operations

     8,615           5,858           8,399           24,577           9,230     

Income from discontinued operations, net of tax

     0           0           0           0           823     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Net income

   $ 8,615         $ 5,858         $ 8,399         $ 24,577         $ 10,053     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Basic income per common share from:

                        

Continuing operations

   $ 0.19         $ 0.13         $ 0.18         $ 0.53         $ 0.20     

Discontinued operations

     0.00           0.00           0.00           0.00           0.02     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Net income

   $ 0.19         $ 0.13         $ 0.18         $ 0.53         $ 0.22     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Diluted income per common share from:

                        

Continuing operations

   $ 0.18         $ 0.12         $ 0.18         $ 0.51         $ 0.20     

Discontinued operations

     0.00           0.00           0.00           0.00           0.02     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Net income

   $ 0.18         $ 0.12         $ 0.18         $ 0.51         $ 0.22     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Weighted average common shares outstanding:

                        

Basic

     45,986           40,850           46,039           45,947           40,747     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Diluted

     47,810           46,897           47,837           47,776           46,512     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Other comprehensive loss – foreign currency translation

     (84        (55        (28        (19        (65  
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Comprehensive income

   $ 8,531         $ 5,803         $ 8,371         $ 24,558         $ 9,988     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

 

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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,

 
        2013         2012         2013         2013         2012  

Revenue

                   

Nurse and allied healthcare staffing

  $         170,955        $         166,331        $         170,138        $         517,858        $         478,832     

Locum tenens staffing

      75,253            67,591            72,708            213,417            198,692     

Physician permanent placement services

      10,887            9,990            11,097            31,883            28,586     
   

 

 

     

 

 

     

 

 

     

 

 

     

 

 

 
  $     257,095        $     243,912        $     253,943        $     763,158        $     706,110     
   

 

 

     

 

 

     

 

 

     

 

 

     

 

 

 

Reconciliation of Non-GAAP Items:

                   

Segment operating income(1)

                   

Nurse and allied healthcare staffing

  $     20,392        $     18,785        $     20,128        $     62,994        $     54,306     

Locum tenens staffing

      7,547            6,298            4,908            17,347            16,805     

Physician permanent placement services

      2,205            2,201            2,289            6,735            5,797     
   

 

 

     

 

 

     

 

 

     

 

 

     

 

 

 
      30,144            27,284            27,325            87,076            76,908     

Unallocated corporate overhead

      8,595            8,507            5,985            23,085            22,418     
   

 

 

     

 

 

     

 

 

     

 

 

     

 

 

 

Adjusted EBITDA(2)

      21,549            18,777            21,340            63,991            54,490     

Adjusted EBITDA margin(3)

      8.4%            7.7%            8.4%            8.4%            7.7%     

Depreciation and amortization

      3,317            3,435            3,240            9,847            10,682     

Share-based compensation

      1,487            1,569            1,478            4,667            4,575     

Interest expense, net

      1,840            3,688            3,130            7,829            22,811     
   

 

 

     

 

 

     

 

 

     

 

 

     

 

 

 

Income from continuing operations before income taxes

      14,905            10,085            13,492            41,648            16,422     

Income tax expense

      6,290            4,227            5,093            17,071            7,192     
   

 

 

     

 

 

     

 

 

     

 

 

     

 

 

 

Net income from continuing operations

      8,615            5,858            8,399            24,577            9,230     
   

 

 

     

 

 

     

 

 

     

 

 

     

 

 

 

Net income from discontinued operations

      0            0            0            0            823     
   

 

 

     

 

 

     

 

 

     

 

 

     

 

 

 

Net income

  $     8,615        $     5,858        $     8,399        $     24,577        $     10,053     
   

 

 

     

 

 

     

 

 

     

 

 

     

 

 

 
   

Three Months Ended

   

  Nine Months Ended

 
   

September 30,

   

June 30,

   

September 30,

 
        2013         2012         2013         2013         2012  

Gross Margin

                   

Nurse and allied healthcare staffing

      27.4%          26.5%          27.2%          27.4%          26.5%   

Locum tenens staffing

      29.3%          28.4%          29.0%          28.8%          27.8%   

Physician permanent placement services

      62.6%          64.1%          62.7%          62.6%          61.2%   

Operating Data:

                   

Nurse and allied healthcare staffing

                   

Average clinicians on assignment (4)

      5,771          5,884          5,924          5,970          5,640   

Revenue per clinician per day(5)

    $ 321.99        $ 307.26        $ 315.61        $ 317.74        $ 309.85   

Gross profit per clinician per day(5)

    $ 88.12        $ 81.27        $ 85.96        $ 86.93        $ 82.18   

Locum tenens staffing

                   

Days filled (6)

      50,993          45,868          50,127          146,477          138,610   

Revenue per day filled(6)

    $ 1,475.75        $ 1,473.60        $ 1,450.48        $ 1,457.00        $ 1,433.46   

Gross profit per day filled(6)

    $ 432.73        $ 418.33        $ 421.35        $ 419.51        $ 398.70   

 

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             As of September 30                 As of June 30,      
     2013    2012   2013

Leverage ratio (7)

   1.9    2.6   2.1

 

(1)

Segment operating income represents net income plus interest expense (net of interest income), income taxes, 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 plus interest expense (net of interest income), income taxes, 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 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, and management therefore utilizes adjusted EBITDA as an operating performance measure in conjunction with GAAP measures such as net income.

(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.

 

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AMN Healthcare Services, Inc.

Condensed Consolidated Balance Sheets

(dollars in thousands)

(unaudited)

 

       September 30,  
2013
     June 30,  
2013
     December 31,  
2012

Assets

              

Current assets:

              

Cash and cash equivalents

   $ 31,653         $ 10,519         $ 5,681     

Accounts receivable, net

     144,933           149,798           142,510     

Accounts receivable, subcontractor

     18,869           15,728           18,467     

Deferred income taxes, net

     17,642           18,683           18,123     

Prepaid and other current assets

     13,183           15,502           18,963     
  

 

 

      

 

 

      

 

 

   

Total current assets

     226,280           210,230           203,744     

Restricted cash, cash equivalents and investments

     22,039           20,960           18,861     

Fixed assets, net

     17,405           16,826           14,815     

Other assets

     23,002           22,536           19,732     

Goodwill

     123,324           123,324           123,324     

Intangible assets, net

     132,127           133,708           136,910     
  

 

 

      

 

 

      

 

 

   

Total assets

   $ 544,177         $ 527,584         $ 517,386     
  

 

 

      

 

 

      

 

 

   

Liabilities and stockholders’ equity

              

Current liabilities:

              

Accounts payable and accrued expenses

     54,842           52,374           52,619     

Accrued compensation and benefits

     54,220           46,871           49,443     

Current portion of notes payable

     0           5,000           0     

Other current liabilities

     6,251           6,924           7,463     
  

 

 

      

 

 

      

 

 

   

Total current liabilities

     115,313           111,169           109,525     

Notes payable, net of discount

     148,616           148,524           158,178     

Other long-term liabilities

     71,976           69,967           67,572     
  

 

 

      

 

 

      

 

 

   

Total liabilities

     335,905           329,660           335,275     

Commitments and contingencies

              

Stockholders’ equity

     208,272           197,924           182,111     
  

 

 

      

 

 

      

 

 

   

Total liabilities and stockholders’ equity

   $ 544,177         $ 527,584         $ 517,386     
  

 

 

      

 

 

      

 

 

   

 

9


AMN Healthcare Services, Inc.

Condensed Consolidated Statements of Cash Flows

(dollars in thousands)

(unaudited)

 

     Three Months Ended    Nine Months Ended
     September 30,    June 30    September 30,
     2013    2012    2013    2013    2012
  

 

 

  

 

 

  

 

 

Net cash provided by operating activities

   $ 26,577         $ 11,512         $ 19,221         $ 43,099         $ 42,062     

Net cash (used in) provided by investing activities

     (503        (2,103        (3,142        (5,800        4,218     

Net cash used in financing activities

     (4,856        (21,029        (7,471        (11,308        (46,354  

Effect of exchange rates on cash

     (84        (55        (28        (19        (65  
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Net increase (decrease) in cash and cash equivalents

     21,134           (11,675        8,580           25,972           (139  

Cash and cash equivalents at beginning of period

     10,519           15,498           1,939           5,681           3,962     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

Cash and cash equivalents at end of period

   $ 31,653         $ 3,823         $ 10,519         $ 31,653         $ 3,823     
  

 

 

      

 

 

      

 

 

      

 

 

      

 

 

   

 

10