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): May 9, 2005

 


 

AMN Healthcare Services, Inc.

(Exact name of Registrant as specified in its charter)

 


 

Delaware   001-16753   06-1500476

(State or other jurisdiction of

incorporation or organization)

  (Commission File No.)  

(I.R.S. Employer

Identification No.)

 

12400 High Bluff Drive, Suite 100

San Diego, California

  92130
(Address of principal executive offices)   (Zip Code)

 

(866) 871-8519

(registrant’s telephone number, including area code)

 

Not Applicable

(Former name or former address, if changed since 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 (see General Instruction A.2. below):

 

¨ 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))

 



Item 2.02(a) Results of Operations and Financial Condition.

 

On May 9, 2005, we reported our first quarter 2005 results. Our first quarter 2005 results are discussed in detail in the press release attached hereto as Exhibit 99.1, which is incorporated by reference in its entirety.

 

Item 9.01(c) Financial Statements and Exhibits.

 

99.1 Press release issued by the Company on May 9, 2005.


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.
    By:  

/s/ Susan R. Nowakowski


       

Susan R. Nowakowski

Chief Executive Officer and President

Date: May 9, 2005        
Press Release

Exhibit 99.1

 

Contact:

David C. Dreyer

Chief Financial Officer

Christopher Schwartz

Sr. Director, Investor Relations

866.861.3229

 

FOR IMMEDIATE RELEASE

 

AMN HEALTHCARE SERVICES, INC. REPORTS FIRST QUARTER RESULTS

 

SAN DIEGO – (May 9, 2005) – AMN Healthcare Services, Inc. (NYSE: AHS) today reported revenue for the first quarter of 2005 of $156.8 million, compared to $161.3 million for the first quarter of 2004, and $158.3 million for the fourth quarter of 2004. The company generated net income of $4.0 million for the first quarter of 2005, resulting in diluted earnings per share of $0.13. This compares to net income of $4.6 million, or diluted earnings per share of $0.15 for the first quarter of 2004, and net income of $4.5 million, or diluted earnings per share of $0.14 for the fourth quarter of 2004. Revenue declined slightly in the first quarter of 2005 as compared to the fourth quarter of 2004 due mainly to two fewer billing days. The modest year-over-year decline in revenue was reflective of a slight decrease in revenue per traveler per day and one less billing day in the three months ended March 31, 2005.

 

“We are pleased to report strong first quarter results, which were at the higher end of our guidance range issued last quarter. Most importantly, the average number of travelers on assignment increased by 1% over the fourth quarter of 2004 to 6,350, representing the second consecutive quarter of sequential traveler count growth. Additionally, the first quarter traveler count was flat on a year-over-year basis, reversing a trend of seven consecutive quarters of year-over-year declines and reflecting the continued stabilization and modest growth dynamics of our market environment.” said Susan R. Nowakowski, president and chief executive officer.

 

Gross profit margin for the first quarter of 2005 was 22.8%, which was higher than the 22.2% reported in the first quarter of 2004, and lower than the 23.3% reported in the fourth

 

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quarter of 2004. Gross profit for the first quarter of 2005 was $35.7 million, slightly lower than the first quarter of 2004, and down 3% from $36.9 million reported in the fourth quarter of 2004. The decline in gross profit in the first quarter from the fourth quarter was due to the combined impact of slightly lower revenue due to the two fewer billing days in the quarter and an adjustment of $0.9 million to the workers’ compensation reserve. Absent the adjustment to the workers’ compensation reserve, the gross margin in the first quarter of 2005 would have been comparable to the 23.3% reported in the fourth quarter of 2004.

 

Selling, general and administrative (“SG&A”) expenses for the first quarter of 2005 were $26.2 million, compared to $24.6 million in the first quarter of 2004, and $26.4 million in the fourth quarter of 2004. SG&A expenses in the first quarter of 2005 were relatively stable as compared to the fourth quarter of 2004 and unchanged as a percentage of revenue. The year-over-year increase in SG&A expense was due mainly to normal growth in employee expenses and professional liability insurance costs.

 

Income from operations was $8.4 million for the first quarter of 2005, compared to $9.5 million for the first quarter of 2004, and $8.9 million for the fourth quarter of 2004. Income from operations margin for the first quarter of 2005 was 5.3%, as compared to 5.9% reported in the first quarter of 2004, and 5.6% reported in the fourth quarter of 2004. The decrease in income from operations margin as compared to the prior quarter reflected the small declines in revenue and gross margin and flat SG&A spending levels. The year-over-year decrease in operating margin was mainly attributable to higher SG&A spending in the first quarter of 2005.

 

Net interest expense in the first quarter of 2005 was $1.8 million, compared to net interest expense of $2.1 million in the first quarter of 2004, and $1.8 million in the fourth quarter of 2004. The decrease in interest expense from the prior year was reflective of the company’s aggressive debt reduction during the year using strong cash flow generated from operations.

 

AMN generated $16.9 million in cash flow from operations during the first quarter of 2005 and, as of March 31, 2005, cash and cash equivalents totaled $10.5 million. Total debt outstanding at March 31, 2005 was $92.5 million, which represented a reduction of $9.2 million, or 9% since December 31, 2004, and a reduction of $44.5 million, or 32% since March 31, 2004. Weighted average diluted shares outstanding were 31.5 million during the quarter.

 

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Revenue and Earnings Guidance for Second Quarter 2005

 

Revenue in the second quarter of 2005 is expected to range from $159 million to $162 million, resulting in diluted earnings per share of approximately $0.13 to $0.15. The average number of travelers on assignment in the second quarter of 2005 is expected to range from 6,375 to 6,475. Management reaffirms full year 2005 guidance previously issued on March 8, 2005, with full year revenue ranging from $654 to $660 million and diluted earnings per share ranging from $0.64 to $0.68.

 

“The projected rise in second quarter revenue, which is being driven by a strong demand and a growing supply of travelers on assignment, is a positive sign for our business. Recruiting more quality nurses and allied healthcare professionals to help our clients with their critical staffing needs is a priority for us, but we will also continue to focus on controlling SG&A spending levels and paying down debt with our positive operating cash flow,” said Ms. Nowakowski.

 

Company Summary

 

AMN Healthcare Services, Inc., a leading healthcare staffing company, is the largest nationwide provider of travel nurse staffing services. The company recruits nurses and allied health professionals nationally and internationally and places them on temporary assignments, of variable lengths, at acute-care hospitals and healthcare facilities throughout the United States.

 

Conference Call on May 10, 2005

 

AMN Healthcare Services, Inc.’s first quarter conference call will be held on Tuesday, May 10, 2005 at 11:30 a.m. Eastern Time (8:30 a.m. Pacific Time). A live webcast of the call can be accessed at www.amnhealthcare.com/investors. Dialing (800) 553-5275 in the U.S. or (612) 332-1025 internationally can also access the live conference call. A telephonic replay of the call will also be available through May 24, 2005 by calling (800) 475-6701 in the U.S. or (320) 365-3844 internationally, with access code 778761. From time to time, additional information regarding non-GAAP financial measures may be made available on the company’s website at www.amnhealthcare.com/investors.

 

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Forward-Looking Statements

 

This press release contains certain forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. The company has tried, whenever possible, to identify these forward-looking statements using words such as “anticipates,” “believes,” “estimates,” “projects,” “expects,” “plans,” “intends” and similar expressions. Similarly, statements herein that describe the company’s business strategy, outlook, objectives, plans, intentions or goals are also forward-looking statements. Accordingly, such forward-looking statements involve known and unknown risks, uncertainties and other factors which could cause the company’s actual results, performance or achievements to differ materially from those expressed in, or implied by, such statements. These risks and uncertainties may include, but are not limited to: the company’s ability to continue to recruit and retain qualified temporary healthcare professionals at reasonable costs; the company’s ability to attract and retain sales and operational personnel; the company’s ability to enter into contracts with hospitals and other healthcare facility clients on terms attractive to the company and to secure orders related to those contracts; the company’s ability to demonstrate the value of its services to its healthcare and facility clients; changes in the timing of hospital and healthcare facility clients’ orders for and the company’s placement of its temporary healthcare professionals; the general level of patient occupancy at the company’s hospital and healthcare facility clients’ facilities; the overall level of demand for services offered by temporary healthcare staffing providers; the ability of the company’s hospital and healthcare facility clients to retain and increase the productivity of their permanent staff; the variation in pricing of the healthcare facility contracts under which we place temporary healthcare professionals; the company’s ability to successfully implement its strategic growth, acquisition and integration strategies; the company’s ability to leverage its cost structure; the performance of the company’s management information and communication systems; the effect of existing or future government legislation and regulation; the company’s ability to grow and operate its business in compliance with legislation and regulation; the impact of medical malpractice and other claims asserted against the company; the disruption or adverse impact to the company’s business as a result of a terrorist attack; the company’s ability to carry out its business strategy; the loss of key officers and management personnel could adversely affect our ability to remain competitive; the effect of recognition by the company of an impairment to goodwill; the effect of control by the company’s existing majority stockholder; and the effect of adjustments by the company to accruals for self-insured retentions. Other factors that could cause actual results to differ from those implied by the forward-looking statements contained in this press release are set forth in the company’s Annual Report on Form 10-K for the year ended December 31, 2004, Quarterly Report on Form 10-Q for the quarter ended March 31, 2005, it’s Current Reports on Form 8-K and Registration Statement on Form S-3. These statements reflect the company’s current beliefs and are based upon information currently available to it. Be advised that developments subsequent to this release are likely to cause these statements to become outdated with the passage of time. The company does not intend, however, to update the guidance provided today prior to its next earnings release.

 

Tables Follow:

 

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AMN Healthcare Services, Inc.

Condensed Consolidated Statements of Income

(dollars in thousands, except per share and traveler data)

(unaudited)

 

     Three Months Ended
March 31,


       
     2005

    2004

    % Chg

 

Revenue

   $ 156,842     $ 161,265     (3 )%

Cost of revenue

     121,125       125,436     (3 )%
    


 


     

Gross profit

     35,717       35,829     0 %
    


 


     

As a percentage of revenue

     22.8 %     22.2 %      

Expenses:

                      

Selling, general and administrative

     26,246       24,598     7 %

As a percentage of revenue

     16.7 %     15.3 %      

Non-cash stock-based compensation (1)

     40       218     (82 )%

Depreciation and amortization

     1,079       1,465     (26 )%
    


 


     

Total expenses

     27,365       26,281     4 %
    


 


     

Income from operations

     8,352       9,548     (13 )%

As a percentage of revenue

     5.3 %     5.9 %      

Interest expense, net

     1,756       2,134     (18 )%
    


 


     

Income before income taxes

     6,596       7,414     (11 )%

Income tax expense

     2,603       2,855     (9 )%
    


 


     

Net income

   $ 3,993     $ 4,559     (12 )%
    


 


     

As a percentage of revenue

     2.5 %     2.8 %      

Basic and diluted net income per common share:

                      

Basic net income per common share

   $ 0.14     $ 0.16     (13 )%
    


 


     

Diluted net income per common share

   $ 0.13     $ 0.15     (13 )%
    


 


     

Weighted average common shares outstanding - basic

     28,376       28,120     1 %
    


 


     

Weighted average common shares outstanding - diluted

     31,461       31,294     1 %
    


 


     
Other Financial and Operating Data:                       

Average travelers on assignment

     6,350       6,349     0 %
    


 


     

Revenue per traveler per day

   $ 274.44     $ 279.12     (2 )%
    


 


     

Gross profit per traveler per day

   $ 62.50     $ 62.01     1 %
    


 


     

Adjusted EBITDA (2)

   $ 9,471     $ 11,231     (16 )%
    


 


     

As a percentage of revenue

     6.0 %     7.0 %      

(1) Non-cash stock-based compensation represents compensation expense related to stock option plans to reflect the difference at the completion of the company’s initial public offering between the fair market value and the exercise price of stock options previously issued to the company’s officers.

 

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(2) Adjusted EBITDA represents net income plus taxes, depreciation and amortization and non-cash stock-based compensation expense. Management presents adjusted EBITDA because it believes that adjusted EBITDA is a useful supplement to net income as an indicator of operating performance. Management believes that adjusted EBITDA is an industry-wide financial measure that is useful both to management and investors when evaluating the company’s performance and comparing the company’s performance with the performance of competitors. Management also uses adjusted EBITDA for planning purposes. Management uses adjusted EBITDA to evaluate the company’s performance because it believes that adjusted EBITDA more accurately reflects the company’s results, as it excludes certain items, in particular non-cash stock-based compensation charges, that management believes are not indicative of the company’s operating performance. However, adjusted EBITDA is not intended to represent cash flows for the period, nor has it been presented as an alternative to operating or net income as an indicator of operating performance, and it should not be considered in isolation or as a substitute for measures of performance prepared in accordance with accounting principles generally accepted in the United States of America (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.

 

 

6


AMN Healthcare Services, Inc.

Adjusted EBITDA Reconciliation

(dollars in thousands)

(unaudited)

 

     Three Months Ended
March 31,


      
     2005

   2004

   % Chg  

Net income

   $ 3,993    $ 4,559    (12 )%

Adjustments:

                    

Interest expense, net

     1,756      2,134    (18 )%

Income tax expense

     2,603      2,855    (9 )%

Depreciation and amortization

     1,079      1,465    (26 )%

Non-cash stock-based compensation

     40      218    (82 )%
    

  

      

Adjusted EBITDA (1)

   $ 9,471    $ 11,231    (16 )%
    

  

      

(1) Adjusted EBITDA represents net income plus taxes, depreciation and amortization and non-cash stock-based compensation expense. Management presents adjusted EBITDA because it believes that adjusted EBITDA is a useful supplement to net income as an indicator of operating performance. Management believes that adjusted EBITDA is an industry-wide financial measure that is useful both to management and investors when evaluating the company’s performance and comparing the company’s performance with the performance of competitors. Management also uses adjusted EBITDA for planning purposes. Management uses adjusted EBITDA to evaluate the company’s performance because it believes that adjusted EBITDA more accurately reflects the company’s results, as it excludes certain items, in particular non-cash stock-based compensation charges, that management believes are not indicative of the company’s operating performance. However, adjusted EBITDA is not intended to represent cash flows for the period, nor has it been presented as an alternative to operating or net income as an indicator of operating performance, and it should not be considered in isolation or as a substitute for measures of performance prepared in accordance with accounting principles generally accepted in the United States of America (GAAP). As defined, adjusted EBITDA is not necessarily comparable to other similarly titled captions of other companies due to potential inconsistencies in the method of calculation. While management believes that some of the items excluded from adjusted EBITDA are not indicative of the company’s operating performance, these items do impact the income statement, and management therefore utilizes adjusted EBITDA as an operating performance measure in conjunction with GAAP measures such as net income.

 

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AMN Healthcare Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

 

     March 31,
2005


   December 31,
2004


   March 31,
2004


Assets

                    

Current assets:

                    

Cash and cash equivalents

   $ 10,518    $ 3,908    $ 6,764

Accounts receivable, net

     110,215      108,825      121,968

Other current assets

     15,518      14,672      17,448
    

  

  

Total current assets

     136,251      127,405      146,180

Fixed assets, net

     17,613      17,833      18,541

Goodwill, net

     135,449      135,449      135,532

Deferred income taxes

     —        508      5,384

Intangible and other assets

     5,846      5,765      6,303
    

  

  

Total assets

   $ 295,159    $ 286,960    $ 311,940
    

  

  

Liabilities and stockholders’ equity

                    

Current liabilities:

                    

Accounts payable and accrued expenses

   $ 12,848    $ 13,084    $ 11,055

Accrued compensation and benefits

     41,938      29,970      36,302

Current portion of notes payable

     6,855      4,863      13,000

Other current liabilities

     1,879      2,234      4,168
    

  

  

Total current liabilities

     63,520      50,151      64,525

Notes payable, less current portion

     85,652      96,860      124,000

Deferred income taxes, net

     686      —        —  

Other long-term liabilities

     3,502      3,173      2,964
    

  

  

Total liabilities

     153,360      150,184      191,489
    

  

  

Stockholders’ equity

     141,799      136,776      120,451
    

  

  

Total liabilities and stockholders’ equity

   $ 295,159    $ 286,960    $ 311,940
    

  

  

 

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AMN Healthcare Services, Inc.

Condensed Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

 

     Three Months Ended

 
    

March 31,

2005


   

March,

2004


 
    

Net cash provided by operating activities

   $ 16,934     $ 5,683  

Net cash used in investing activities

     (771 )     (1,510 )

Net cash used in financing activities

     (9,563 )     (2,094 )

Effect of exchange rate changes on cash

     10       (2 )
    


 


Net increase in cash and cash equivalents

     6,610       2,077  

Cash and cash equivalents at beginning of period

     3,908       4,687  
    


 


Cash and cash equivalents at end of period

   $ 10,518     $ 6,764  
    


 


 

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