Form 8-K

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

Form 8-K

 

CURRENT REPORT

PURSUANT TO SECTION 13 OR 15(d) OF THE

SECURITIES EXCHANGE ACT OF 1934

 

Date of Report (Date of Earliest Event Reported): November 2, 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:

 

¨ 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))

 


 

1


EXPLANATORY NOTE

 

On November 7, 2005, AMN Healthcare Services, Inc. (“AMN” or “the Company”) filed a Form 10-Q, under Item 5 to report the completion of its acquisition of The MHA Group, Inc. and subsidiaries (“MHA”). AMN hereby files the required financial statements of MHA and furnishes the required pro forma financial information.

 

ITEM 9.01   FINANCIAL STATEMENTS AND EXHIBITS.

 

(a) Financial Statements of the Businesses Acquired:

 

The following audited financial statements of The MHA Group, Inc. and subsidiaries are included as Exhibit 99.1 to this Current Report on Form 8-K:

 

Report of the Independent Auditor

 

The consolidated balance sheets as of September 30, 2005 and 2004

 

The consolidated statements of earnings for the years ended September 30, 2005, 2004 and 2003

 

The consolidated statements of stockholders’ equity for the years ended September 30, 2005, 2004 and 2003

 

The consolidated statements of cash flows for the years ended September 30, 2005, 2004 and 2003

 

Notes to consolidated financial statements

 

(b) Pro Forma Financial Information:

 

The following unaudited pro forma financial information of AMN Healthcare Services, Inc., and The MHA Group, Inc. is furnished as Exhibit 99.2 to this Current Report on Form 8-K:

 

The unaudited pro forma condensed combined consolidated balance sheet as of September 30, 2005

 

The unaudited pro forma condensed combined consolidated statement of operations for the year ended December 31, 2004

 

The unaudited pro forma condensed combined consolidated statement of operations for the nine months ended September 30, 2005

 

Notes to unaudited pro forma condensed combined consolidated financial statements

 

(c) Exhibits

 

Exhibit

  

Description


2.1    Acquisition Agreement, dated as of October 5, 2005, by and among AMN Healthcare Services, Inc., Cowboy Acquisition Corp., The MHA Group, Inc. and James C. Merritt and Joseph E. Hawkins.**
2.2    Amendment No. 1 to Acquisition Agreement, dated as of October 21, 2005, by and among AMN Healthcare Services, Inc., Cowboy Acquisition Corp., The MHA Group, Inc. and James C. Merritt and Joseph E. Hawkins.***
2.3    Amendment No. 2 to Acquisition Agreement, dated as of October 21, 2005, by and among AMN Healthcare Services, Inc., Cowboy Acquisition Corp., The MHA Group, Inc. and James C. Merritt and Joseph E. Hawkins.***
23.1    Consent of KPMG LLP.*
99.1    The consolidated balance sheets of The MHA Group, Inc. and subsidiaries as of September 30, 2005 and 2004, consolidated statements of earnings, stockholders’ equity and cash flows for each of the years in the three-year period ended September 30, 2005, the notes related thereto, and the Report of Independent Auditor thereon.*
99.2    The unaudited pro forma condensed combined consolidated balance sheet as of September 30, 2005, and the unaudited pro forma condensed combined consolidated statements of operations for the year ended December 31, 2004 and for the nine months ended September 30, 2005.*

* Filed herewith.

 

** Incorporated by reference to the exhibits filed with the Registrant’s Current Report on Form 8-K filed on October 6, 2005.

 

*** Incorporated by reference to the exhibits filed with the Registrant’s Quarterly Report on Form 10-Q filed on November 7, 2005.

 

2


SIGNATURE

 

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

Dated: January 17, 2006

     

AMN HEALTHCARE SERVICES, INC

        

/s/ DAVID C. DREYER

       

Name:

 

David C. Dreyer

       

Title:

 

Chief Accounting Officer and Chief Financial Officer

 

3


EXHIBIT INDEX

 

Exhibit
Number


  

Description


2.1    Acquisition Agreement, dated as of October 5, 2005, by and among AMN Healthcare Services, Inc., Cowboy Acquisition Corp., The MHA Group, Inc. and James C. Merritt and Joseph E. Hawkins.**
2.2    Amendment No. 1 to Acquisition Agreement, dated as of October 21, 2005, by and among AMN Healthcare Services, Inc., Cowboy Acquisition Corp., The MHA Group, Inc. and James C. Merritt and Joseph E. Hawkins.***
2.3    Amendment No. 2 to Acquisition Agreement, dated as of October 21, 2005, by and among AMN Healthcare Services, Inc., Cowboy Acquisition Corp., The MHA Group, Inc. and James C. Merritt and Joseph E. Hawkins.***
23.1    Consent of KPMG LLP.*
99.1    The consolidated balance sheets of The MHA Group, Inc. and subsidiaries as of September 30, 2005 and 2004, consolidated statements of earnings, stockholders’ equity and cash flows for each of the years in the three-year period ended September 30, 2005, the notes related thereto, and the Report of Independent Auditor thereon.*
99.2    The unaudited pro forma condensed combined consolidated balance sheet as of September 30, 2005, and the unaudited pro forma condensed combined consolidated statements of operations for the year ended December 31, 2004 and for the nine months ended September 30, 2005.*

* Filed herewith.

 

** Incorporated by reference to the exhibits filed with the Registrant’s Current Report on Form 8-K filed on October 6, 2005.

 

*** Incorporated by reference to the exhibits filed with the Registrant’s Quarterly Report on Form 10-Q filed on November 7, 2005.
Consent of KPMG LLP

Exhibit 23.1

 

Consent of Independent Auditors

 

The Board of Directors

AMN Healthcare Services, Inc.:

 

We consent to the incorporation by reference in Registration Statement No. 333-117695 on Form S-8 and No. 333-123873 on Form S-3 of AMN Healthcare Services, Inc. of our report dated December 30, 2005, with respect to the consolidated balance sheets of The MHA Group, Inc. and subsidiaries as of September 30, 2005 and 2004, and the related consolidated statements of earnings, stockholders’ equity and cash flows for each of the years in the three-year period ended September 30, 2005, which report appears in the Form 8-K of AMN Healthcare Services, Inc. dated January 17, 2006.

 

/s/ KPMG LLP

 

San Diego, California

January 16, 2006

The consolidated balance sheets of The MHA Group, Inc.

EXHIBIT 99.1


THE MHA GROUP, INC. AND SUBSIDIARIES

 

September 30, 2005 and 2004

 

Table of Contents

 

     Page

Independent Auditors’ Report

   1

Consolidated Balance Sheets

   2

Consolidated Statements of Earnings

   3

Consolidated Statements of Stockholders’ Equity

   4

Consolidated Statements of Cash Flows

   5

Notes to Consolidated Financial Statements

   6


Independent Auditors’ Report

 

The Board of Directors

The MHA Group, Inc. and Subsidiaries:

 

We have audited the accompanying consolidated balance sheets of The MHA Group, Inc. and subsidiaries as of September 30, 2005 and 2004, and the related consolidated statements of earnings, stockholders’ equity, and cash flows for each of the years in the three-year period ended September 30, 2005. These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these consolidated financial statements based on our audits.

 

We conducted our audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

 

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of The MHA Group, Inc. and subsidiaries as of September 30, 2005 and 2004, and the results of their operations and their cash flows for each of the years in the three-year period ended September 30, 2005, in conformity with accounting principles generally accepted in the United States of America.

 

 

/s/ KPMG LLP

 

San Diego, California

December 30, 2005

 

1


THE MHA GROUP, INC. AND SUBSIDIARIES

 

Consolidated Balance Sheets

 

September 30, 2005 and 2004

 

(In thousands, except par value)

 

     2005

   2004

Assets            

Current assets:

           

Cash and cash equivalents

   $ 7,643    6,445

Short-term investments

     8,000    2,000

Accounts receivable:

           

Trade, less allowance of $1,001 and $1,104 at September 30, 2005 and 2004, respectively

     44,955    35,097

Stockholders and employees

     78    248

Prepaid expenses

     6,938    3,783

Income taxes receivable

     96    769

Deferred income taxes

     3,571    2,707
    

  

Total current assets

     71,281    51,049

Fixed assets, net

     2,688    3,158

Deposits and other assets

     88    74

Deferred income taxes

     959    898
    

  

Total assets

   $ 75,016    55,179
    

  
Liabilities and Stockholders’ Equity            

Current liabilities:

           

Accounts payable:

           

Trade

   $ 9,991    9,485

Employees

     236    246

Accrued expenses

     23,265    13,929

Deferred revenue

     7,765    6,889

Other current liabilities

     58    60
    

  

Total current liabilities

     41,315    30,609
    

  

Deferred revenue

     172    536

Other long-term liabilities

     389    328
    

  

Total liabilities

     41,876    31,473
    

  

Commitments and contingencies

           

Stockholders’ equity:

           

Common stock – Class A, voting, par value $0.01. Authorized 10,000 shares; issued and outstanding 590 shares at September 30, 2005 and 2004

     6    6

Common stock – Class B, nonvoting, par value $0.01. Authorized 10,000 shares; issued and outstanding 2,848 and 2,861 shares at September 30, 2005 and 2004, respectively

     28    29

Additional paid-in capital

     2,917    2,916

Retained earnings

     30,189    20,755
    

  

Total stockholders’ equity

     33,140    23,706
    

  

Total liabilities and stockholders’ equity

   $ 75,016    55,179
    

  

 

See accompanying notes to consolidated financial statements.

 

2


THE MHA GROUP, INC. AND SUBSIDIARIES

 

Consolidated Statements of Earnings

 

Years ended September 30, 2005, 2004, and 2003

 

(In thousands)

 

     2005

    2004

    2003

Revenues

   $ 288,497     223,543     211,901

Cost of revenue

     198,996     151,382     141,513
    


 

 

Gross profit

     89,501     72,161     70,388
    


 

 

Operating expenses:

                  

Selling, general, and administrative

     73,956     61,568     61,990

Depreciation and amortization

     1,237     1,188     986
    


 

 

Total operating expenses

     75,193     62,756     62,976
    


 

 

Income from operations

     14,308     9,405     7,412

Interest expense (income), net

     (240 )   (1 )   7
    


 

 

Income before income taxes

     14,548     9,406     7,405

Income tax expense

     5,114     3,784     2,651
    


 

 

Net income

   $ 9,434     5,622     4,754
    


 

 

 

See accompanying notes to consolidated financial statements.

 

3


THE MHA GROUP, INC. AND SUBSIDIARIES

 

Consolidated Statements of Stockholders’ Equity

 

Years ended September 30, 2005, 2004, and 2003

 

(In thousands)

 

     Common stock
Class A (voting)


   Common stock
Class B (nonvoting)


   

Additional
paid-in

capital


   

Retained

earnings


  

Total
stockholders’

equity


     Shares

   Amount

   Shares

    Amount

        

Balance at September 30, 2002

   590    $ 6    2,862     $ 29     2,916     10,379    13,330

Net shares forfeited of Class B common stock

   —        —      (55 )     (1 )   1     —      —  

Net income

   —        —      —         —       —       4,754    4,754
    
  

  

 


 

 
  

Balance at September 30, 2003

   590      6    2,807       28     2,917     15,133    18,084

Net shares issued of Class B common stock

   —        —      54       1     (1 )   —      —  

Net income

   —        —      —         —       —       5,622    5,622
    
  

  

 


 

 
  

Balance at September 30, 2004

   590      6    2,861       29     2,916     20,755    23,706

Net shares forfeited of Class B common stock

   —        —      (13 )     (1 )   1     —      —  

Net income

   —        —      —         —       —       9,434    9,434
    
  

  

 


 

 
  

Balance at September 30, 2005

   590    $ 6    2,848     $ 28     2,917     30,189    33,140
    
  

  

 


 

 
  

 

See accompanying notes to consolidated financial statements.

 

4


THE MHA GROUP, INC. AND SUBSIDIARIES

 

Consolidated Statements of Cash Flows

 

Years ended September 30, 2005, 2004, and 2003

 

(In thousands)

 

     2005

    2004

    2003

 

Cash flows from operating activities:

                    

Net income

   $ 9,434     5,622     4,754  

Adjustments to reconcile net income to net cash provided by operating activities:

                    

Depreciation and amortization

     1,237     1,188     986  

Provision for bad debts

     1,730     1,457     1,159  

Loss on sale or disposal of assets

     39     17     51  

Provision for deferred income taxes

     (925 )   566     (421 )

Changes in operating assets and liabilities, net:

                    

Accounts receivable – trade

     (11,588 )   (4,222 )   (6,933 )

Accounts receivable – stockholders and employees

     170     119     (357 )

Prepaid expenses

     (3,155 )   (2,772 )   (762 )

Income taxes receivable

     673     (1,142 )   618  

Deposits and other assets

     (14 )   (10 )   (13 )

Accounts payable – trade

     506     2,009     1,304  

Accounts payable – employees

     (10 )   33     25  

Accrued expenses

     9,336     3,273     1,862  

Other current and long-term liabilities

     59     (21 )   (33 )

Deferred revenue

     512     (520 )   (243 )
    


 

 

Net cash provided by operating activities

     8,004     5,597     1,997  
    


 

 

Cash flows from investing activities:

                    

Proceeds from sale of assets

     47     —       9  

Purchase and development of fixed assets

     (853 )   (1,059 )   (1,147 )

Purchase of short-term investments

     (6,000 )   (2,000 )   —    
    


 

 

Net cash used in investing activities

     (6,806 )   (3,059 )   (1,138 )
    


 

 

Cash flows from financing activities:

                    

Payments on long-term debt

     —       (274 )   —    
    


 

 

Net cash used in financing activities

     —       (274 )   —    
    


 

 

Increase in cash and cash equivalents

     1,198     2,264     859  

Cash and cash equivalents at beginning of year

     6,445     4,181     3,322  
    


 

 

Cash and cash equivalents at end of year

   $ 7,643     6,445     4,181  
    


 

 

Supplemental disclosures of cash flow information:

                    

Cash paid during the year for:

                    

Interest

   $ 63     29     20  

Income taxes

     5,365     4,360     2,454  

 

See accompanying notes to consolidated financial statements.

 

5


THE MHA GROUP, INC. AND SUBSIDIARIES

 

Notes to Consolidated Financial Statements

 

September 30, 2005 and 2004

 

(1) Summary of Significant Accounting Policies

 

  (a) General

 

The MHA Group, Inc. was incorporated in Texas on July 17, 1997. The MHA Group, Inc. and its wholly owned subsidiaries recruit and place physicians, nurses, and allied professionals on a permanent or temporary basis at hospitals and other healthcare facilities throughout the United States. The MHA Group, Inc. and its wholly owned subsidiaries are herein referred to as “the Company.”

 

  (b) Principles of Consolidation

 

The consolidated financial statements include the financial statements of The MHA Group, Inc. and its wholly owned subsidiaries. All significant intercompany balances and transactions have been eliminated in consolidation.

 

  (c) Cash and Cash Equivalents

 

For purposes of the consolidated statements of cash flows, the Company considers all highly liquid money market securities with original maturities of three months or less to be cash equivalents. The Company maintains cash balances at certain financial institutions which at times may exceed insured limits. The Company has not experienced any losses in such accounts and believes it is not exposed to significant credit risk on cash and cash equivalents.

 

  (d) Short-Term Investments

 

Short-term investments consist of auction rate securities which are classified as marketable available for sale securities. Therefore, such securities are carried at fair value. Auction rate securities are variable-rate debt instruments with longer stated maturities whose interest rates are reset at predetermined short-term intervals through an auction system. As of September 30, 2005 and 2004, the cost of these securities approximated their fair value.

 

  (e) Accounts Receivable

 

The Company extends credit to hospitals and healthcare facilities that use its services, on an unsecured basis, on terms that it establishes for individual clients, throughout the United States. The Company maintains an allowance for doubtful accounts for estimated credit losses resulting from collection risks, including the inability of customers to make required payments. The allowance for doubtful accounts is reported as a reduction of accounts receivable in the consolidated balance sheets. The adequacy of this allowance is determined by evaluating historical payment trends and delinquency trends. The Company provided additions to the allowance of $1.7 million, $1.5 million, and $1.2 million during the years ended September 30, 2005, 2004, and 2003, respectively. The Company recorded write-offs of $1.8 million, $1.3 million, and $1.0 million during the years ended September 30, 2005, 2004, and 2003, respectively.

 

  (f) Fixed Assets

 

Furniture, equipment, leasehold improvements, and software are recorded at cost, less accumulated amortization and depreciation. Major additions and improvements are capitalized and maintenance and repairs are expensed when incurred. Depreciation on furniture, equipment, and software is calculated using the straight-line method based on the estimated useful lives of the related assets

 

     6    (Continued)


THE MHA GROUP, INC. AND SUBSIDIARIES

 

Notes to Consolidated Financial Statements

 

September 30, 2005 and 2004

 

(generally three to five years). Leasehold improvements and equipment obtained under capital leases are amortized over the shorter of the term of the lease or their estimated useful life.

 

Costs incurred to develop internal-use software during the application development stage are capitalized and recorded at cost, subject to an impairment test as described below. Application development stage costs generally include costs associated with internal-use software configuration, coding, installation, and testing. Costs of significant upgrades and enhancements that result in additional functionality also are capitalized whereas costs incurred for maintenance and minor upgrades and enhancements are expensed as incurred. Capitalized costs are amortized using the straight-line method over four years once placed into service. The Company assesses potential impairment of capitalized internal-use software whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to the future undiscounted net cash flows that are expected to be generated by the asset. If such assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the assets exceeds the fair value of the assets. Assets to be disposed of are reported at the lower of the carrying amount or fair value, less costs to sell.

 

  (g) Self-Insurance Reserves

 

The Company provides malpractice insurance for contracting healthcare professionals. In January 2004, the Company became partially self-insured. The malpractice insurance policy provides coverage up to $1,000,000 per occurrence, $3,000,000 per healthcare professional per year, and $8,000,000 annual limit. Accordingly, the Company maintains an accrual for professional liability self-insured retention limits, which is included in accrued expenses in the accompanying consolidated balance sheets. The Company determines the adequacy of this accrual by evaluating its historical experience and trends, loss reserves established by the Company’s insurance carriers and third-party administrators, as well as through the use of independent actuarial studies. The Company obtains updated actuarial studies on at least an annual basis that use actual claims data to determine the appropriate reserves for incurred, but not reported, professional liability claims for each year. As of September 30, 2005 and 2004, the Company had $7.9 million and $2.8 million, respectively, accrued for professional liability retention.

 

  (h) Revenue Recognition

 

Revenue consists of fees earned from the permanent and temporary placement of healthcare professionals. Revenue is recognized when earned and realizable and therefore when the following criteria have been met: (a) persuasive evidence of an arrangement exists; (b) services have been rendered; (c) the fee is fixed or determinable; and (d) collectibility is reasonably assured. For temporary placements, revenue is recognized in the period in which services are provided based on hours worked by the temporary healthcare professionals. For permanent placements, revenue is recognized over the estimated maximum period of performance on a straight-line basis. Any fees that are billable on a contingent basis are recognized once the contingency is resolved over the remaining estimated maximum period of performance. Billings in excess of revenue are recorded as deferred revenue in the accompanying consolidated balance sheets.

 

No single facility customer exceeded 10% of revenue for the years ended September 30, 2005, 2004, and 2003.

 

     7    (Continued)


THE MHA GROUP, INC. AND SUBSIDIARIES

 

Notes to Consolidated Financial Statements

 

September 30, 2005 and 2004

 

  (i) Advertising Costs

 

The Company expenses advertising costs as they are incurred. Advertising costs amounted to $342,000, $404,000 and $517,000 in 2005, 2004, and 2003, respectively.

 

  (j) Income Taxes

 

The Company records income taxes using the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in operations in the period the changes are enacted. If it is more likely than not that some portion or all of a deferred tax asset will not be realized, a valuation allowance is recognized.

 

  (k) Impairment of Long-Lived Assets

 

Long-lived assets and certain identifiable intangibles are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to the future undiscounted cash flows that are expected to be generated by the asset. If such assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the assets exceeds the fair value of the assets. Assets to be disposed of are reported at the lower of the carrying amount or fair value, less costs to sell.

 

  (l) Use of Estimates

 

The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make a number of estimates and assumptions relating to the reporting of assets and liabilities and the disclosure of contingent assets and liabilities at the dates of the financial statements and the reported amounts of revenue and expenses during the reporting periods. Actual results could differ from those estimates.

 

     8    (Continued)


THE MHA GROUP, INC. AND SUBSIDIARIES

 

Notes to Consolidated Financial Statements

 

September 30, 2005 and 2004

 

(2) Balance Sheet Details

 

The consolidated balance sheet details are as follows as of September 30 (in thousands):

 

Fixed Assets


   2005

    2004

 

Office equipment

   $ 958     957  

Furniture and fixtures

     2,069     2,154  

Computer equipment and software

     3,772     3,583  

Leasehold improvements

     528     453  

Software in development

     —       129  
    


 

       7,327     7,276  

Accumulated depreciation and amortization

     (4,639 )   (4,118 )
    


 

     $ 2,688     3,158  
    


 

Accrued Expenses


   2005

    2004

 

Malpractice self-insurance

   $ 7,917     2,793  

Commissions payable

     1,219     1,072  

Bonus payable

     1,632     786  

Other accrued expenses

     1,301     1,050  

Client deposits

     9,575     7,475  

Accrued payroll

     1,621     753  
    


 

     $ 23,265     13,929  
    


 

 

(3) Long-Term Debt

 

Merritt, Hawkins and Associates, Inc. (MHA), a wholly owned subsidiary of the Company, has a revolving and term loan credit agreement (the Credit Agreement). Under the Credit Agreement, MHA may borrow up to $1 million on a revolving line of credit and up to an additional $2.25 million on term notes. The Credit Agreement is collateralized by accounts receivable, fixed assets and general intangibles of the Company and is guaranteed by certain wholly owned subsidiaries and assignment of life insurance policies. Interest on the revolving line of credit and term loans is due quarterly at prime minus 1%. There were no amounts outstanding under the credit agreement at September 30, 2005 and 2004. The line of credit matures on March 31, 2006. See Note 9.

 

Staff Care, Inc. (SCI), a wholly owned subsidiary of the Company, has a revolving line of credit agreement (SCI Agreement), for which MHA is the guarantor. The SCI Agreement allows SCI to borrow up to $3 million on the revolving line of credit with interest due quarterly at prime minus 1% and has a maturity date of March 31, 2006. The loan is secured by accounts receivable, fixed assets and general intangibles of SCI and MHA, and assignment of life insurance policies. There were no amounts outstanding under the SCI Agreement at September 30, 2005 and 2004. See Note 9.

 

     9    (Continued)


THE MHA GROUP, INC. AND SUBSIDIARIES

 

Notes to Consolidated Financial Statements

 

September 30, 2005 and 2004

 

(4) Income Taxes

 

The provision for income taxes for the years ended September 30, 2005, 2004, and 2003 consists of the following (in thousands):

 

     2005

    2004

   2003

 

Current income taxes:

                   

Federal

   $ 5,492     2,411    2,722  

State

     547     807    350  

Deferred income taxes:

                   

Federal

     (624 )   454    (286 )

State

     (301 )   112    (135 )
    


 
  

     $ 5,114     3,784    2,651  
    


 
  

 

The Company’s income tax expense differs from the amount that would have resulted from applying the federal statutory rate of 35% in 2005 and 34% in 2004 and 2003 to pretax income because of the effect of the following items during the years ended September 30, 2005, 2004, and 2003 (in thousands):

 

     2005

   2004

   2003

Tax expense at federal statutory rate

   $ 5,039    2,987    2,518

State taxes, net of federal benefit

     52    743    88

Other, net

     23    54    45
    

  
  

Income tax expense

   $ 5,114    3,784    2,651
    

  
  

 

     10    (Continued)


THE MHA GROUP, INC. AND SUBSIDIARIES

 

Notes to Consolidated Financial Statements

 

September 30, 2005 and 2004

 

The tax effects of temporary differences that give rise to significant portions of deferred tax assets and deferred tax liabilities are presented below as of September 30, 2005 and 2004 (in thousands):

 

     2005

    2004

 

Deferred tax assets:

              

Allowance for doubtful accounts

   $ 382     427  

Accrued expense, net

     19     —    

Deferred revenue

     3,072     2,592  

Customer deposits

     1,226     1,141  

Deferred rent

     174     133  

Others

     30     10  
    


 

Total deferred tax assets

     4,903     4,303  

Valuation allowance

     (15 )   (10 )
    


 

Total deferred tax assets

   $ 4,888     4,293  
    


 

Deferred tax liabilities:

              

Fixed assets, net

   $ (305 )   (482 )

Accrued expense, net

     —       (140 )

Others

     (53 )   (66 )
    


 

Total deferred tax liabilities

   $ (358 )   (688 )
    


 

 

Management believes it is more likely than not that the results of future operations will generate sufficient taxable income to realize the deferred tax assets, excluding state net operating loss carryfowards, and accordingly, has not provided a valuation allowance for these assets. As of September 30, 2005, the Company had state net operating loss carryforwards of $347,000 that are set to expire at various dates between 2009 and 2017. Management believes it is not more likely than not that the Company will generate sufficient taxable income to utilize these state losses prior to the expiration of these carryforwards, and therefore the Company has established a valuation allowance reducing the maximum possible benefit of these carryforwards.

 

(5) Restricted Stock Plan

 

The Company implemented a restricted stock plan called The MHA Group Restricted Stock Plan (the Restricted Plan) to provide incentives to certain employees. The restricted stock cannot be sold, pledged, transferred or exchanged, and must be returned to the Company on the date the employee ceases employment with the Company. The restrictions on the stock expire only upon (i) a change in control of the Company or (ii) the closing of an initial public offering (IPO) by the Company of its capital stock. A total of 1,052,000 shares of Class B nonvoting common stock have been reserved for the Restricted Plan as of September 30, 2005 and 2004. A total of 1,038,000 and 1,051,000 shares of Class B nonvoting common stock are issued and outstanding under the Restricted Plan as of September 30, 2005 and 2004, respectively.

 

     11    (Continued)


THE MHA GROUP, INC. AND SUBSIDIARIES

 

Notes to Consolidated Financial Statements

 

September 30, 2005 and 2004

 

The Company has elected to account for the Restricted Plan under Accounting Principles Board (APB) Opinion No. 25, Accounting for Stock Issued to Employees, and related interpretations. As the shares must be returned to the Company upon termination of employment and the restrictions only lapse upon a change in control of the Company or a closing of an IPO, no compensation cost has been recognized for the shares issued. In addition, the shares were determined to have an immaterial fair value during 2005, 2004 and 2003 under SFAS No. 123, Accounting for Stock-Based Compensation due to the restrictions of the stock.

 

(6) Profit Sharing Plan

 

The Company implemented the MHA 401(k) Retirement Plan (the Plan) for eligible employees effective January 1, 1991. Company contributions to the Plan vest based upon the number of years of service and are made at the discretion of the Board of Directors. There were no employer contributions to the Plan for the years ended September 30, 2005, 2004, or 2003.

 

(7) Commitments

 

Leases

 

The Company conducts operations from leased premises and also leases automobiles under operating leases expiring through 2012. Certain of these leases provide for payment of taxes, insurance, and maintenance, and contain escalating rent payments. As the Company records rent on a straight-line basis over the term of the lease, a deferred rent liability of $447,000 and $388,000 has been recognized as of September 30, 2005 and 2004, respectively, which is recorded in other current liabilities and other long-term liabilities in the accompanying consolidated balance sheets.

 

Rental expense was approximately $2.4 million, $2.3 million and $2.4 million for the years ended September 30, 2005, 2004, and 2003, respectively.

 

Aggregate minimum rental commitments under all operating noncancelable leases (with initial or remaining lease terms in excess of one year) are as follows for the years ending September 30 (in thousands):

 

2006

   $ 2,464

2007

     2,456

2008

     2,452

2009

     2,251

2010

     2,260

2011 and thereafter

     3,637
    

Total future minimum lease payments

   $ 15,520
    

 

During the years ended September 30, 2005, 2004, and 2003, there were no capital leases.

 

     12    (Continued)


THE MHA GROUP, INC. AND SUBSIDIARIES

 

Notes to Consolidated Financial Statements

 

September 30, 2005 and 2004

 

(8) Contingencies

 

  (a) Litigation

 

The Company is involved in various claims and legal actions arising in the ordinary course of business. In the opinion of management, the ultimate disposition of these matters will not have a material adverse effect on the Company’s consolidated financial position, results of operations, or liquidity.

 

  (b) Tax Assessment

 

In 2005, the Company received an assessment from the California Employment Development Department in the amount of $2.9 million for payroll and other state taxes related to physicians and other professionals placed on contract in California from April 2001 through March 2004. The Company believes an adverse outcome is not probable relating to the physician component of this assessment and, accordingly, has not accrued for this contingency in the consolidated financial statements. The Company has determined it is probable that it will be required to pay the amount due relating to the non-physician component of this assessment. Accordingly, the Company has accrued $100,000 as of September 30, 2005 relating to this contingency.

 

(9) Subsequent Events

 

On October 5, 2005, the Company and its principal shareholders, James C. Merritt and Joseph E. Hawkins, entered into an Acquisition Agreement with AMN Healthcare Services, Inc. (AMN), a Delaware corporation, to sell all shares of the Company to AMN. The acquisition closed on November 2, 2005. The purchase price consisted of $160.0 million plus an earn-out payment of up to $51.9 million based on the twelve months ended December 31, 2005 performance of MHA, of which $35.0 million is guaranteed. The initial $160.0 million of consideration was, and the earn-out payment will be, paid approximately 75% in cash and 25% in unregistered shares of AMN’s common stock.

 

On October 21, 2005, MHA’s Credit Agreement was amended to increase the maximum borrowing capacity under the revolving line of credit to $2.0 million and to change the maturity date to the earlier of November 30, 2005 or the closing date of the acquisition of the Company by AMN. Additionally, the amended agreement released the collateral assignments in the life insurance policies, and waived the event of default caused by the acquisition of the Company by AMN. On October 28, 2005, the Company borrowed $2.0 million under the amended Credit Agreement. In connection with the closing of the acquisition of the Company on November 2, 2005, all amounts were paid in full and the Credit Agreement expired.

 

On October 21, 2005, the SCI Agreement was amended to increase the maximum borrowing capacity to $8.0 million and to change the maturity date to the earlier of November 30, 2005 or the closing date of the acquisition of the Company by AMN. Additionally, the amended agreement released the collateral assignments in the life insurance policies and waived the event of default caused by the acquisition of the Company by AMN. On October 28, 2005, the Company borrowed $3.5 million under the amended SCI Agreement. In connection with the closing of the acquisition of the Company on November 2, 2005, all amounts were paid in full and the SCI Agreement expired.

 

On November 1, 2005, the Company paid a $31.0 million cash dividend to its principal shareholders.

 

     13     
The unaudited pro forma condensed combined consolidated balance sheet

EXHIBIT 99.2

 

UNAUDITED PRO FORMA CONDENSED COMBINED CONSOLIDATED FINANCIAL STATEMENTS

 

AMN Healthcare Services, Inc. (“AMN”, “our” or “we”) acquired The MHA Group, Inc. and subsidiaries (“MHA”) on November 2, 2005. The acquisition of MHA has been accounted for using the purchase method of accounting and, accordingly, the tangible and intangible assets and liabilities assumed were recorded at their estimated fair values as of the date of the acquisition. Our preliminary allocation of the purchase price is pending completion of several elements, including the finalization of our independent appraisal for purposes of the valuation of acquired intangible assets. Accordingly, there may be material adjustments to the allocation of the purchase price.

 

Our estimate of the total purchase price of MHA, excluding assumed liabilities and any earn-out payment which is not guaranteed, is summarized as follows (in thousands):

 

Cash paid for common stock

   $ 108,140

Cash holdback

     15,000

Equity issued for common stock

     35,497

Guaranteed earn-out

     35,000

Transaction costs

     2,848
    

Total estimated purchase price of acquisition

   $ 196,485
    

 

The acquisition agreement also provides for an earn-out payment of up to $51.9 million based on the twelve months ended December 31, 2005 performance of MHA, of which $35.0 million is guaranteed. The initial $160.0 million of consideration was, and the earn-out payment will be, paid approximately 75% in cash and 25% in unregistered shares of the Company’s common stock, par value $0.01 per share. At the closing of the acquisition of MHA, we issued 2.3 million shares of our common stock and intend to issue up to an additional 0.8 million shares for payment of the earn-out. The acquisition agreement also includes a $15.0 million holdback of the cash portion of the purchase price for potential claims indemnified by the selling shareholders. The holdback, net of any indemnified claims made, will be released to the selling shareholders in March 2007.

 

Intangible assets include amounts recognized for the fair value of tradenames and trademarks, customer relationships, non-compete agreements, and staffing databases. Based on a preliminary valuation, the tradenames and trademarks have an indefinite life, excluding a $1.0 million tradename with a 10 year life, and the remaining intangible assets have a weighted average useful life of approximately 13 years. Because this valuation is preliminary, the valuation of intangible assets and their useful lives may change upon completion of the final valuation. The excess of the purchase price over the net tangible and identifiable intangible assets was recorded as goodwill and amounted to approximately $99.6 million. In accordance with current accounting standards, the goodwill will not be amortized and will be tested for impairment as required by SFAS No. 142, Goodwill and Other Intangible Assets.

 

Our fiscal year ends on December 31 of each year. MHA’s fiscal year ended on September 30 of each year. The following unaudited pro forma condensed combined consolidated statements of operations have been prepared to assist you in your analysis of the financial effects of the acquisition of MHA, and have been presented in accordance with accounting principles generally accepted in the United States of America. The unaudited pro forma condensed combined consolidated statement of operations for the year ended December 31, 2004 combines the historical results for AMN for the twelve months ended December 31, 2004 and the historical results for MHA for the twelve months ended September 30, 2004, as if the acquisition had occurred on January 1, 2004. The unaudited pro forma condensed combined consolidated statement of operations for the nine months ended September 30, 2005, combines the historical results for both AMN and MHA for the nine months ended September 30, 2005, as if the acquisition had occurred on January 1, 2004. The unaudited pro forma condensed combined consolidated balance sheet as of September 30, 2005 gives effect to the acquisition of MHA as of such date.

 

This pro forma financial information does not purport to represent what our actual results of operations or financial position would have been had the acquisition occurred on the dates indicated nor is the information necessarily indicative of future operating results. The pro forma adjustments are based upon information and assumptions available at the time of the filing of this Form 8-K. You should read our pro forma condensed combined consolidated financial information in conjunction with (i) our consolidated financial statements and the related notes, our “Selected Consolidated Financial and Operating Data,” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” which all appear in our Annual Report on Form 10-K for the year ended December 31, 2004, and (ii) our consolidated unaudited financial statements and “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” which appear in our Quarterly Report on Form 10-Q for the fiscal quarter ended September 30, 2005.

 

1


AMN HEALTHCARE SERVICES, INC.

UNAUDITED PRO FORMA CONDENSED COMBINED CONSOLIDATED BALANCE SHEET

AS OF SEPTEMBER 30, 2005

(IN THOUSANDS)

 

     HISTORICAL

   PRO FORMA
ADJUSTMENTS


    PRO FORMA

 
     AMN

    MHA

    
Assets                                

Current assets:

                               

Cash, cash equivalents and short-term investments

   $ 14,739     $ 15,643    $ (29,866 )(a)   $ 516  

Accounts receivable, net

     107,484       45,033      —         152,517  

Other current assets

     14,773       10,605      21,072 (b)     46,450  
    


 

  


 


Total current assets

     136,996       71,281      (8,794 )     199,483  

Fixed assets, net

     18,393       2,688      124 (c)     21,205  

Goodwill

     135,959       —        99,635 (d)     235,594  

Other intangibles, net

     2,686       —        121,622 (e)     124,308  

Other assets

     3,830       1,047      —         4,877  
    


 

  


 


Total assets

   $ 297,864     $ 75,016    $ 212,587     $ 585,467  
    


 

  


 


Liabilities and Stockholders’ Equity                                

Current liabilities:

                               

Accrued expenses

   $ 45,431     $ 33,492    $ 34,674 (f)   $ 113,597  

Other current liabilities

     6,267       7,823      3,708 (i)     17,798  
    


 

  


 


Total current liabilities

     51,698       41,315      38,382       131,395  
    


 

  


 


Notes payable, less current portion

     83,475       —        113,838 (i)     197,313  

Deferred income taxes

     3,598       —        43,410 (h)     47,008  

Other long-term liabilities

     5,462       561      14,600 (g)     20,623  
    


 

  


 


Total liabilities

     144,233       41,876      210,230       396,339  
    


 

  


 


Stockholders’ equity:

                               

Common stock

     436       34      (11 )(j)     459  

Additional paid-in capital

     354,549       2,917      32,557  (j)     390,023  

Treasury stock

     (249,538 )     —        —         (249,538 )

Retained earnings

     47,868       30,189      (30,189 )(j)     47,868  

Accumulated other comprehensive income

     316       —        —         316  
    


 

  


 


Total stockholders’ equity

     153,631       33,140      2,357       189,128  
    


 

  


 


Total liabilities and stockholders’ equity

   $ 297,864     $ 75,016    $ 212,587     $ 585,467  
    


 

  


 


 

See accompanying notes to Unaudited Pro Forma Condensed Combined Consolidated Financial Statements.

 

2


AMN HEALTHCARE SERVICES, INC.

UNAUDITED PRO FORMA CONDENSED COMBINED CONSOLIDATED STATEMENT OF OPERATIONS

FOR THE YEAR ENDED DECEMBER 31, 2004

(IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)

 

     HISTORICAL

    PRO FORMA
ADJUSTMENTS


    PRO FORMA

     AMN

   MHA

     

Revenues

   $ 629,016    $ 223,543     $ —       $ 852,559

Cost of revenue

     484,654      151,382       —         636,036
    

  


 


 

Gross profit

     144,362      72,161       —         216,523
    

  


 


 

Operating expenses:

                             

Selling, general, and administrative, excluding non-cash stock-based compensation

     101,436      61,568       (3,045 )(k)     159,959

Non-cash stock-based compensation

     750              —         750

Depreciation and amortization

     5,837      1,188       2,770 (l)     9,795
    

  


 


 

Total operating expenses

     108,023      62,756       (275 )     170,504
    

  


 


 

Income from operations

     36,339      9,405       275       46,019

Interest expense (income), net

     8,440      (1 )     8,051 (m)     16,490
    

  


 


 

Income before income taxes

     27,899      9,406       (7,776 )     29,529

Income tax expense

     10,553      3,784       (2,867 )(n)     11,470
    

  


 


 

Net income

   $ 17,346    $ 5,622     $ (4,909 )   $ 18,059
    

  


 


 

Net income per common share:

                             

Basic

   $ 0.61                    $ 0.59
    

                  

Diluted

   $ 0.55                    $ 0.54
    

                  

Weighted average common share:

                             

Basic

     28,248                      30,574
    

                  

Diluted

     31,369                      33,695
    

                  

 

See accompanying notes to Unaudited Pro Forma Condensed Combined Consolidated Financial Statements.

 

3


AMN HEALTHCARE SERVICES, INC.

UNAUDITED PRO FORMA CONDENSED COMBINED CONSOLIDATED STATEMENT OF OPERATIONS

FOR NINE MONTHS ENDED SEPTEMBER 30, 2005

(IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)

 

     HISTORICAL

    PRO FORMA
ADJUSTMENTS


    PRO FORMA

     AMN

   MHA

     

Revenues

   $ 484,414    $ 226,445     $ —       $ 710,859

Cost of revenue

     371,985      154,061       —         526,046
    

  


 


 

Gross profit

     112,429      72,384       —         184,813
    

  


 


 

Operating expenses:

                             

Selling, general, and administrative, excluding non-cash stock-based compensation

     78,078      58,697       (4,300 )(k)     132,475

Non-cash stock-based compensation

     121      —         —         121

Depreciation and amortization

     4,017      644       2,078 (l)     6,739
    

  


 


 

Total operating expenses

     82,216      59,341       (2,222 )     139,335
    

  


 


 

Income from operations

     30,213      13,043       2,222       45,478

Interest expense (income), net

     4,998      (229 )     5,479 (m)     10,248
    

  


 


 

Income before income taxes

     25,215      13,272       (3,257 )     35,230

Income tax expense

     9,958      4,861       (1,409 )(n)     13,410
    

  


 


 

Net income

   $ 15,257    $ 8,411     $ (1,848 )   $ 21,820
    

  


 


 

Net income per common share:

                             

Basic

   $ 0.53                    $ 0.71
    

                  

Diluted

   $ 0.48                    $ 0.64
    

                  

Weighted average common share:

                             

Basic

     28,621                      30,947
    

                  

Diluted

     31,571                      33,897
    

                  

 

See accompanying notes to Unaudited Pro Forma Condensed Combined Consolidated Financial Statements.

 

4


AMN HEALTHCARE SERVICES, INC.

NOTES TO UNAUDITED PRO FORMA CONDENSED COMBINED CONSOLIDATED FINANCIAL STATEMENTS

 

1. Basis of Presentation

 

The accompanying unaudited pro forma condensed combined consolidated financial statements present the pro forma results of operations and financial position of AMN and MHA on a combined basis based on the historical financial information of each company and after giving effect to the acquisition of MHA by AMN. The acquisition was recorded using the purchase method of accounting.

 

The unaudited pro forma condensed combined consolidated statement of operations for the year ended December 31, 2004, combines the historical results for AMN for the twelve months ended December 31, 2004, and the historical results for MHA for the twelve months ended September 30, 2004, as if the acquisition had occurred on January 1, 2004. The unaudited pro forma condensed combined consolidated statement of operations for the nine months ended September 30, 2005, combines the historical results for AMN for the nine months ended September 30, 2005, and the historical results for MHA for the nine months ended on September 30, 2005, as if the acquisition had occurred on January 1, 2004. The unaudited pro forma condensed combined consolidated balance sheet as of September 30, 2005 gives effect to the acquisition of MHA as of such date.

 

2. Pro Forma Adjustments

 

(a) To reflect the following cash transactions:

 

Proceeds:

        

Issuance of new AMN debt

   $ 205,000,000  

Issuance of new MHA debt (repaid on acquisition date)

     5,495,000  

Uses:

        

Cash paid for acquisition of MHA

     (108,140,000 )

Repay then existing AMN debt

     (87,831,000 )

Pay accrued interest on then existing AMN debt

     (619,000 )

Cash paid from cash holdback on acquisition date

     (400,000 )

Transaction costs (net of $754,000 paid and included in other assets as of September 30, 2005)

     (2,094,000 )

Financing costs (net of $40,000 paid and included in other assets as of September 30, 2005)

     (4,782,000 )

Payment of dividend to MHA principal shareholders

     (31,000,000 )

Payment of MHA debt

     (5,495,000 )
    


Net pro forma cash adjustment

   $ (29,866,000 )
    


 

AMN’s new debt of $205,000,000 was issued on November 2, 2005, bearing interest at floating rates based upon either LIBOR or a prime interest rate option selected by AMN, plus a spread of 1.75% to 2.00% and 0.75% to 1.00%, respectively, to be determined based on AMN’s current leverage ratio. A 1/8% change in the floating rate would result in a $256,000 change in interest expense annually, excluding the effect of interest rate swap arrangements.

 

(b) To reflect (i) deferred tax assets of $21,737,000, primarily related to the tax benefit for a compensation charge incurred on restricted stock which vested on the acquisition date, (ii) the reclassification of $754,000 and $40,000 of transaction costs and financing costs, respectively, from other assets to goodwill and intangible assets, respectively, upon consummation of the acquisition of MHA and the related issuance of new AMN debt and (iii) a reduction of income tax liabilities of $129,000 assumed by the MHA stockholders.

 

(c) To reflect the preliminary allocation of purchase price to the fair value assigned to acquired developed software.

 

(d) To record the estimated goodwill resulting from the allocation of the purchase price to the fair value of assets acquired and liabilities assumed.

 

(e) To reflect the preliminary allocation of $116,800,000 of purchase price to identifiable intangible assets and to reflect $4,822,000 of financing costs incurred to finance the acquisition. Identifiable intangible assets include customer relationships, tradenames and trademarks, non-compete agreements and staffing databases. Tradenames and trademarks have an indefinite life, excluding a $1,000,000 tradename with a 10 year life, and the remaining intangible assets have a weighted average useful life of 13 years.

 

(f) To reflect the accrual of the $35,000,000 guaranteed earn-out and $854,000 for employer payroll taxes related to a compensation charge incurred for the vesting of MHA restricted stock, offset by a $619,000 reduction for the repayment of accrued interest on AMN’s then existing debt and a $561,000 reduction of tax liabilities assumed by the MHA stockholders.

 

(g) To reflect the accrual of the $15,000,000 cash holdback, net of $400,000 paid on the acquisition date.

 

5


AMN HEALTHCARE SERVICES, INC.

NOTES TO UNAUDITED PRO FORMA CONDENSED COMBINED CONSOLIDATED FINANCIAL STATEMENTS

 

 

(h) To reflect a deferred tax liability of $43,410,000 related to acquired intangible assets.

 

(i) To reflect AMN’s incremental debt of $117,170,000, of which $3,332,000 is the current portion, and $376,000 of tax liabilities resulting from the acquisition.

 

(j) To reflect the elimination of the shareholders’ equity accounts of MHA and to reflect the issuance of AMN common stock as partial consideration for the purchase of MHA, consisting of $23,000 of par value and $35,474,000 of additional paid-in-capital.

 

(k) To reflect a $2,923,000 and $2,738,000 reduction in compensation expense related to non-recurring executive salary expense for the twelve months ended December 31, 2004 and the nine months ended September 30, 2005, respectively, and a pro forma adjustment of $122,000 and $1,562,000 for non-recurring professional service fees for the twelve months ended December 31, 2004 and the nine months ended September 30, 2005, respectively. The professional service fees consist of transaction costs related to the acquisition and legal costs related to specific tax matters incurred by MHA during the periods presented. Pursuant to the acquisition agreement, costs incurred related to these matters subsequent to the date of acquisition will be borne by the MHA stockholders and will not impact the results of operations of the combined entity. As these costs are factually supported, directly attributable to the acquisition and not expected to have a continuing impact to the combined entity, the historical MHA costs have been excluded from the pro forma income statements.

 

(l) To reflect amortization expense related to the fair value of identifiable amortizable intangible assets.

 

(m) To reflect interest expense of $7,393,000 and $5,103,000 for the twelve months ended December 31, 2004 and nine months ended September 30, 2005, respectively, and additional deferred financing cost amortization, recorded in interest expense, of $658,000 and $376,000 for the twelve months ended December 31, 2004 and nine months ended September 30, 2005, respectively, related to additional AMN borrowings and financing costs incurred to finance the acquisition.

 

(n) To reflect the income tax effect of the pro forma adjustments.

 

6