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)
|
o
|
Written
communications pursuant to Rule 425 under the Securities Act (17 CFR
230.425)
|
o
|
Soliciting
material pursuant to Rule 14a-12 under the Exchange Act (17 CFR
240.14a-12)
|
o
|
Pre-commencement
communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR
240.14d-2(b))
|
o
|
Pre-commencement
communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR
240.13e-4(c))
|
Item
2.02
|
Results
of Operations and Financial
Condition.
|
Item
9.01
|
Financial
Statements and
Exhibits
|
99.1
|
Press
Release issued by the Company on August 6, 2009 furnished pursuant to Item
2.02 of this Form 8-k
|
AMN
Healthcare Services, Inc.
|
|||
Date:
August 6, 2009
|
By:
|
/s/ Susan R. Nowakowski | |
Susan R. Nowakowski | |||
President &
Chief Executive Officer
|
|||
Contact:
Amy
C. Chang
Vice
President, Investor Relations
866.861.3229
|
Q2
2009
|
%
Chg
Q2
2008
|
%
Chg
Q1
2009
|
||||||||
Revenue
|
$199
million
|
(36%)
|
(20%)
|
|||||||
Net
Income
|
$4
million
|
(49%)
|
NM
|
|||||||
Diluted
EPS
|
$0.13
|
(48%)
|
NM
|
|||||||
Cash
Flow from Operations
|
$36
million
|
206%
|
(3%)
|
|||||||
Adjusted
EBITDA*
|
$18
million
|
(27%)
|
3%
|
|||||||
Adjusted
Diluted EPS*
|
$0.17
|
|
(32%)
|
55%
|
·
|
Strong
market leadership position, with stable pricing and gross margins across
service lines;
|
·
|
Signs
of stabilization and improvement in Nursing and Allied
orders;
|
·
|
Progress
in new market expansion areas of Emergency Medicine Physician staffing,
Home Health Nurse and Allied staffing, and Recruitment Process
Outsourcing;
|
·
|
Significant
debt reduction and increased cash that position the company to capture
additional market opportunities for future
growth;
|
·
|
Cost
structure improvements and more streamlined infrastructure for improved
profitability as the market
rebounds.
|
AMN
Healthcare Services, Inc.
Condensed
Consolidated Statements of Income
(dollars
in thousands, except per share amounts)
(unaudited)
|
Three
Months Ended
June
30,
|
Six
Months Ended
June
30,
|
|||||||||||||||||||||||
2009
|
2008
|
%
Chg
|
2009
|
2008
|
%
Chg
|
|||||||||||||||||||
Revenue
|
$ | 199,140 | $ | 312,691 | (36.3 | %) | $ | 448,735 | $ | 606,284 | (26.0 | %) | ||||||||||||
Cost
of revenue
|
145,463 | 230,153 | (36.8 | %) | 331,075 | 446,291 | (25.8 | %) | ||||||||||||||||
Gross
profit
|
53,677 | 82,538 | (35.0 | %) | 117,660 | 159,993 | (26.5 | %) | ||||||||||||||||
27.0 | % | 26.4 | % | 26.2 | % | 26.4 | % | |||||||||||||||||
Operating
expenses:
|
||||||||||||||||||||||||
Selling,
general and administrative
|
37,840 | 60,117 | (37.1 | %) | 87,920 | 115,220 | (23.7 | %) | ||||||||||||||||
19.0 | % | 19.2 | % | 19.6 | % | 19.0 | % | |||||||||||||||||
Restructuring
Charges
|
2,152 | — | 100 | % | 5,070 | — | 100 | % | ||||||||||||||||
Impairment
Charges
|
— | — | 0 | % | 175,707 | — | 100 | % | ||||||||||||||||
Depreciation
and amortization
|
3,442 | 3,738 | (7.9 | %) | 6,909 | 7,088 | (2.5 | %) | ||||||||||||||||
Total
operating expenses
|
43,434 | 63,855 | (32.0 | %) | 275,606 | 122,308 | 125.3 | % | ||||||||||||||||
Income
(loss) from operations
|
10,243 | 18,683 | (45.2 | %) | (157,946 | ) | 37,685 |
NM
|
||||||||||||||||
5.1 | % | 6.0 | % | (35.2 | %) | 6.2 | % | |||||||||||||||||
Interest
expense, net
|
2,320 | 2,660 | (12.8 | %) | 4,519 | 5,471 | (17.4 | %) | ||||||||||||||||
Income
(loss) before income taxes
|
7,923 | 16,023 | (50.6 | %) | (162,465 | ) | 32,214 |
NM
|
||||||||||||||||
Income
tax expense
|
3,549 | 7,508 | (52.7 | %) | (45,005 | ) | 14,976 |
NM
|
||||||||||||||||
Net
income (loss)
|
$ | 4,374 | $ | 8,515 | (48.6 | %) | $ | (117,460 | ) | $ | 17,238 |
NM
|
||||||||||||
2.2 | % | 2.7 | % | (26.2 | %) | 2.8 | % | |||||||||||||||||
Net
income (loss) per common share:
|
||||||||||||||||||||||||
Basic
|
$ | 0.13 | $ | 0.25 | (48.0 | %) | $ | (3.60 | ) | $ | 0.51 |
NM
|
||||||||||||
Diluted
|
$ | 0.13 | $ | 0.25 | (48.0 | %) | $ | (3.60 | ) | $ | 0.50 |
NM
|
||||||||||||
Weighted
average common shares outstanding:
|
||||||||||||||||||||||||
Basic
|
32,621 | 33,833 | (3.6 | %) | 32,599 | 33,832 | (3.6 | %) | ||||||||||||||||
Diluted
|
32,918 | 34,308 | (4.1 | %) | 32,599 | 34,244 | (4.8 | %) | ||||||||||||||||
AMN
Healthcare Services, Inc.
|
|||||||||||||
Supplemental
Financial and Operating Data
|
|||||||||||||
(dollars
in thousands, except operating data)
|
|||||||||||||
(unaudited)
|
Three
Months Ended
June
30,
|
Six
Months Ended
June
30,
|
|||||||||||||||||||||||||||||||
2009
|
%
of Rev
|
2008
|
%
of Rev
|
2009
|
%
of Rev
|
2008
|
%
of Rev
|
|||||||||||||||||||||||||
Revenue
|
||||||||||||||||||||||||||||||||
Nurse
and allied healthcare staffing
|
$ | 111,136 | $ | 215,342 | $ | 274,986 | $ | 419,327 | ||||||||||||||||||||||||
Locum
tenens staffing
|
79,097 | 83,857 | 153,888 | 160,210 | ||||||||||||||||||||||||||||
Physician
permanent placement services
|
8,907 | 13,492 | 19,861 | 26,747 | ||||||||||||||||||||||||||||
$ | 199,140 | $ | 312,691 | $ | 448,735 | $ | 606,284 | |||||||||||||||||||||||||
Reconciliation
of Non-GAAP Items:
|
||||||||||||||||||||||||||||||||
Adjusted
EBITDA(1)
|
||||||||||||||||||||||||||||||||
Nurse
and allied healthcare staffing
|
$ | 6,796 | 6.1 | % | $ | 16,692 | 7.8 | % | $ | 17,387 | 6.3 | % | $ | 32,173 | 7.7 | % | ||||||||||||||||
Locum
tenens staffing
|
8,985 | 11.4 | % | 4,247 | 5.1 | % | 12,806 | 8.3 | % | 9,902 | 6.2 | % | ||||||||||||||||||||
Physician
permanent placement services
|
2,211 | 24.8 | % | 3,864 | 28.6 | % | 5,261 | 26.5 | % | 7,203 | 26.9 | % | ||||||||||||||||||||
17,992 | 9.0 | % | 24,803 | 7.9 | % | 35,454 | 7.9 | % | 49,278 | 8.1 | % | |||||||||||||||||||||
Depreciation
and amortization
|
3,442 | 3,738 | 6,909 | 7,088 | ||||||||||||||||||||||||||||
Stock-based
compensation
|
2,155 | 2,382 | 4,830 | 4,505 | ||||||||||||||||||||||||||||
Restructuring
charges
|
2,152 | — | 5,070 | — | ||||||||||||||||||||||||||||
Impairment
charges
|
— | — | 175,707 | — | ||||||||||||||||||||||||||||
Non-recurring
legal expenses
|
— | — | 884 | — | ||||||||||||||||||||||||||||
Interest
expense, net
|
2,320 | 2,660 | 4,519 | 5,471 | ||||||||||||||||||||||||||||
Income
(loss) before income taxes
|
7,923 | 16,023 | (162,465 | ) | 32,214 | |||||||||||||||||||||||||||
Income
tax expense
|
3,549 | 7,508 | (45,005 | ) | 14,976 | |||||||||||||||||||||||||||
Net
income (loss)
|
$ | 4,374 | $ | 8,515 | $ | (117,460 | ) | $ | 17,238 | |||||||||||||||||||||||
GAAP
based diluted net income (loss)
per
share (EPS)
|
$ | 0.13 | $ | (3.60 | ) | |||||||||||||||||||||||||||
Adjustments:
|
||||||||||||||||||||||||||||||||
Restructuring
charges
|
0.04 | 0.09 | ||||||||||||||||||||||||||||||
Impairment
charges
|
— | 3.77 | ||||||||||||||||||||||||||||||
Non-recurring
legal expenses
|
— | 0.02 | ||||||||||||||||||||||||||||||
Adjusted
diluted earnings per share (2)
|
$ | 0.17 | $ | 0.28 |
Three
Months Ended
June
30,
|
Six
Months Ended
June
30,
|
|||||||||||||||||||||||
2009
|
2008
|
%
Chg
|
2009
|
2008
|
%
Chg
|
|||||||||||||||||||
Gross
Margin
|
||||||||||||||||||||||||
Nurse
and allied healthcare staffing
|
25.0 | % | 24.5 | % | 23.8 | % | 24.3 | % | ||||||||||||||||
Locum
tenens staffing
|
26.1 | % | 25.8 | % | 26.2 | % | 26.3 | % | ||||||||||||||||
Physician
permanent placement services
|
58.8 | % | 59.7 | % | 60.3 | % | 60.6 | % | ||||||||||||||||
Operating Data:
|
||||||||||||||||||||||||
Nurse
and allied healthcare staffing
|
||||||||||||||||||||||||
Average
travelers on assignment (3)
|
3,661 | 7,207 | (49.2 | %) | 4,575 | 7,047 | (35.1 | %) | ||||||||||||||||
Revenue
per traveler per day(4)
|
$ | 333.59 | $ | 328.35 | 1.6 | % | $ | 332.08 | $ | 326.95 | 1.6 | % | ||||||||||||
Gross
profit per traveler per day(4)
|
$ | 83.36 | $ | 80.52 | 3.5 | % | $ | 78.99 | $ | 79.30 | (0.4 | %) | ||||||||||||
Locum
tenens staffing
|
||||||||||||||||||||||||
Days
filled (5)
|
54,708 | 57,859 | (5.4 | %) | 107,105 | 110,558 | (3.1 | %) | ||||||||||||||||
Revenue
per day filled(5)
|
$ | 1,445.80 | $ | 1,449.33 | (0.2 | %) | $ | 1,436.80 | $ | 1,449.10 | (0.8 | %) | ||||||||||||
Gross
profit per day filled(5)
|
$ | 377.79 | $ | 374.62 | 0.8 | % | $ | 375.94 | $ | 380.50 | (1.2 | %) | ||||||||||||
As
of June 30,
|
||||||||||||||||||||||||
2009
|
2008
|
|||||||||||||||||||||||
Leverage
Ratio (6)
|
1.1 | 1.6 | ||||||||||||||||||||||
(1)
|
Adjusted
EBITDA represents net income (loss) plus interest expense (net of interest
income), income taxes, depreciation and amortization, restructuring
charges, impairment charges, non-recurring legal expenses and 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 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 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)
|
Adjusted
EPS represents GAAP EPS plus restructuring and impairment charges and
non-recurring legal expenses. Management presents adjusted EPS because it
believes that adjusted EPS is a useful supplement to diluted net 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.
|
(3)
|
Average
travelers on assignment represents the average number of nurse and allied
healthcare professionals on assignment during the period
presented.
|
(4)
|
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.
|
(5)
|
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.
|
(6)
|
Leverage
ratio represents the ratio of the total debt outstanding at the end of the
period to the Adjusted EBITDA for the past twelve
months.
|
AMN
Healthcare Services, Inc.
Condensed
Consolidated Balance Sheets
(in
thousands)
(unaudited)
|
||||||||||||
June
30,
|
March
31,
|
December
31,
|
||||||||||
2009
|
2009
|
2008
|
||||||||||
Assets
|
||||||||||||
Current
assets:
|
||||||||||||
Cash
and cash equivalents
|
$ | 23,488 | $ | 16,675 | $ | 11,316 | ||||||
Accounts
receivable, net
|
114,542 | 148,376 | 182,562 | |||||||||
Prepaid
expenses
|
8,867 | 10,585 | 9,523 | |||||||||
Income
taxes receivable
|
1,425 | 4,448 | 3,440 | |||||||||
Deferred
income taxes, net
|
18,085 | 22,417 | 18,085 | |||||||||
Other
current assets
|
2,911 | 3,376 | 4,901 | |||||||||
Total
current assets
|
169,318 | 205,877 | 229,827 | |||||||||
Fixed
assets, net
|
24,034 | 24,938 | 24,018 | |||||||||
Deposits
and other assets
|
12,056 | 10,579 | 13,252 | |||||||||
Goodwill
|
79,868 | 79,868 | 252,875 | |||||||||
Intangible
assets, net
|
117,738 | 118,940 | 122,845 | |||||||||
Total
assets
|
$ | 403,014 | $ | 440,202 | $ | 642,817 | ||||||
Liabilities
and stockholders’ equity
|
||||||||||||
Current
liabilities:
|
||||||||||||
Bank
overdraft
|
$ | 3,274 | $ | — | $ | 3,995 | ||||||
Accounts
payable and accrued expenses
|
20,837 | 24,667 | 24,420 | |||||||||
Accrued
compensation and benefits
|
31,941 | 36,728 | 44,871 | |||||||||
Revolving
credit facility
|
— | 6,500 | 31,500 | |||||||||
Current
portion of notes payable
|
12,201 | 14,824 | 14,580 | |||||||||
Deferred
revenue
|
5,699 | 6,204 | 7,184 | |||||||||
Other
current liabilities
|
15,892 | 15,060 | 14,722 | |||||||||
Total
current liabilities
|
89,844 | 103,983 | 141,272 | |||||||||
Notes
payable, less current portion
|
77,781 | 98,208 | 100,236 | |||||||||
Deferred
income taxes, net
|
7,382 | 13,342 | 58,466 | |||||||||
Other
long-term liabilities
|
56,592 | 59,532 | 58,710 | |||||||||
Total
liabilities
|
231,599 | 275,065 | 358,684 | |||||||||
Stockholders’
equity
|
171,415 | 165,137 | 284,133 | |||||||||
Total
liabilities and stockholders’ equity
|
$ | 403,014 | $ | 440,202 | $ | 642,817 | ||||||
AMN
Healthcare Services, Inc.
Condensed
Consolidated Cash Flow Statement
(in
thousands)
(unaudited)
|
Three
Months Ended
|
Six
Months Ended
|
|||||||||||||||
June
30,
|
June
30,
|
June
30,
|
June
30,
|
|||||||||||||
2009
|
2008
|
2009
|
2008
|
|||||||||||||
Net
cash provided by operating activities
|
$ | 36,388 | $ | 11,883 | $ | 73,945 | $ | 28,756 | ||||||||
Net
cash used in investing activities
|
(1,204 | ) | (11,064 | ) | (2,434 | ) | (44,465 | ) | ||||||||
Net
cash provided by (used in) financing activities
|
(28,420 | ) | (345 | ) | (59,374 | ) | 5,589 | |||||||||
Effect
of exchange rates on cash
|
49 | 47 | 35 | (19 | ) | |||||||||||
Net
increase (decrease) in cash and cash equivalents
|
6,813 | 521 | 12,172 | (10,139 | ) | |||||||||||
Cash
and cash equivalents at beginning of period
|
16,675 | 7,835 | 11,316 | 18,495 | ||||||||||||
Cash
and cash equivalents at end of period
|
$ | 23,488 | $ | 8,356 | $ | 23,488 | $ | 8,356 |