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AMN Healthcare Reports First Quarter 2007 Results

April 30, 2007
San Diego, CA

SAN DIEGO, April 30 /PRNewswire-FirstCall/ -- AMN Healthcare Services, Inc. (NYSE: AHS), the nation's largest healthcare staffing company, today reported revenue of $283.9 million and diluted earnings per share of $0.23 for the first quarter of 2007. Revenue for the first quarter increased 12% from the $254.3 million reported for the first quarter of 2006 and was up slightly from the $283.5 million reported for the fourth quarter of 2006. First quarter 2007 diluted earnings per share included the impact of two fewer calendar days in the quarter compared to prior quarter, and compared to $0.24 reported for the first quarter of 2006 and $0.29 reported for the fourth quarter of 2006.

"Overall we were pleased with our results, which came in at the upper end of our expectations for revenue and EPS," said Susan R. Nowakowski, President and Chief Executive Officer. "Revenue growth compared to last year was driven by a healthy mix of increases in both volume and revenue per healthcare professional working. Demand was strong in all service segments, and we continued to see growth in our supply of new candidates. While we are facing some direct cost pressures, our team has been able to effectively manage our overall expense structure to deliver on our profitability targets," added Nowakowski.

Gross profit for the first quarter of 2007 was $72.5 million, representing a 25.5% gross margin, compared to $68.3 million, or 26.9% gross margin, reported for the first quarter of 2006, and $74.3 million, or 26.2% gross margin, reported for the fourth quarter of 2006. The gross margin declined on a year over year basis due to higher housing and health insurance claims in the nurse and allied healthcare staffing segment and a shift in the mix of physician specialties in the locum tenens segment. In addition to these factors, gross margin declined on a sequential basis due to slightly higher wages for healthcare professionals along with a higher mix of lower margin government staffing business in the locum tenens staffing segment. Gross margins by business segment for the first quarter of 2007 were 23.3% for nurse and allied healthcare staffing, 25.2% for locum tenens staffing and 63.2% for physician permanent placement services.

Selling, general, and administrative ("SG&A") expenses for the first quarter of 2007 were $53.1 million, as compared to $47.9 million for the first quarter of 2006 and $51.2 million for the fourth quarter of 2006. The increase in SG&A expenses compared to the prior year first quarter resulted primarily from higher employee and office expenses, which were in part due to recruitment-related investments to drive growth in all segments. The sequential increase in SG&A expenses were mainly a result of the favorable $2.9 million in adjustments to the professional liability insurance reserve recorded last quarter. As a percentage of revenue, SG&A expenses were 18.7% for the first quarter of 2007, 18.8% for the first quarter of 2006, and 18.1% for the fourth quarter of 2006.

Income from operations for the first quarter of 2007 was $16.8 million, representing 5.9% of revenue, as compared to $17.9 million, or 7.1% of revenue, reported in the first quarter of 2006, and $20.4 million, or 7.2% of revenue, reported in the fourth quarter of 2006. The decrease in operating margin as compared to the first and fourth quarters of 2006 was due primarily to a lower gross margin this quarter and relatively higher SG&A expenses as a percentage of revenue, as compared to the fourth quarter of 2006.

Net interest expense for the first quarter of 2007 was $3.3 million, as compared to $4.1 million in the first quarter of 2006, and $4.0 million in the fourth quarter of 2006. The decrease in net interest expense compared to the same quarter last year was due to a combination of reduced debt and lower imputed interest expense related to the acquisition of The MHA Group, Inc. The decrease in net interest expense from the prior quarter was due mainly to a reduction in outstanding debt.

The company generated $20.0 million in cash flow from operations during the first quarter of 2007 which, in addition to cash on-hand, was used in part to reduce debt by $3.9 million. Total debt outstanding at March 31, 2007 was $169.5 million, yielding a leverage ratio of 1.9 times. Weighted average diluted shares outstanding for the first quarter of 2007 were 35.3 million. During the quarter, the company implemented FASB Interpretation No. 48 (FIN 48), with an immaterial impact to the balance sheet and no impact to the income statement.

Revenue and Earnings Guidance for Second Quarter and Full Year 2007

Management expects revenue for the second quarter of 2007 to range from $289 million to $291 million and diluted earnings per share to range from $0.23 to $0.25. Management reaffirms its full year guidance, with revenue expected to range from $1.18 billion to $1.20 billion and diluted earnings per share expected to range from $1.10 to $1.14.

"Our estimated second quarter revenue reflects continued solid demand in all of our business lines, resulting in revenue growth in all three service segments," said Nowakowski. "We expect gross margin improvement in the second quarter, and further improvements in the second half of the year. We will continue to manage SG&A so as to make investments needed to better serve our clients and continue driving strong revenue growth, while balancing the need to offset direct cost pressures where possible to achieve our full year earnings expectations," added Nowakowski.

Company Summary

AMN Healthcare Services, Inc. is the largest temporary healthcare staffing company in the United States. The company is the largest nationwide provider of travel nurse staffing services, locum tenens staffing services (temporary physician staffing) and physician permanent placement services, and also a leading nationwide provider of allied healthcare staffing services. AMN Healthcare recruits healthcare professionals both nationally and internationally and places them on variable lengths of assignments and in permanent positions at acute-care hospitals, physician practice groups and other healthcare facilities throughout the United States.

Conference Call on May 1, 2007

AMN Healthcare Services, Inc.'s first quarter 2007 conference call will be held on Tuesday, May 1, 2007, at 11:00 a.m. Eastern Time. A live webcast of the call can be accessed through AMN Healthcare's website at Please log in at least 10 minutes prior to the conference call in order to download the applicable audio software. Interested parties may participate live via telephone by dialing (888) 276-0005 in the U.S. or (612) 332-0725 internationally. Following the conclusion of the call, a replay of the webcast will be available at the company's web site within four hours. Alternatively, a telephonic replay of the call will be available at 4:15 p.m. Eastern Time, and can be accessed until May 15, 2007 at midnight Eastern Time, by calling (800) 475-6701 in the U.S. or (320) 365-3844 internationally, with access code 868751.

From time to time, additional information regarding non-GAAP financial measures may be made available on the company's website at

Forward-Looking Statements

This earnings release contains "forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. The company based these forward-looking statements on its current expectations and projections about future events. Actual results could differ materially from those discussed in, or implied by, these forward-looking statements. Forward-looking statements are identified by words such as "believe," "anticipate," "expect," "intend," "plan," "will," "may" and other similar expressions. In addition, any statements that refer to expectations, projections or other characterizations of future events or circumstances are forward-looking statements. The following factors could cause the company's actual results to differ materially from those implied by the forward-looking statements in this earnings release: the company's ability to continue to recruit qualified temporary and permanent healthcare professionals at reasonable costs; the company's ability to retain qualified temporary healthcare professionals for multiple assignments 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, healthcare facility clients, affiliated healthcare networks and physician practice groups 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, healthcare facility and physician practice group clients' orders for temporary healthcare professionals; the general level of patient occupancy at hospital and healthcare facility clients' facilities; the overall level of demand for services offered by temporary and permanent healthcare staffing providers; the ability of hospital, healthcare facility and physician practice group clients to retain and increase the productivity of their permanent staff; the variation in pricing of the healthcare facility contracts under which the company places 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; access to and undisrupted 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 regulations; the challenge to the classification of certain of the company's healthcare professionals as independent contractors; the impact of medical malpractice and other claims asserted against the company; the impact on the company's earnings related to share-based payment awards due to changes in accounting rules; 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 and maintain sufficient cash flow and capital structure to support its business; the loss of key officers and management personnel that could adversely affect the company's ability to remain competitive; the effect of recognition by the company of an impairment to goodwill; 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 earnings release are set forth in the company's Annual Report on Form 10-K for the year ended December 31, 2006, and its Current Reports on Form 8-K. These statements reflect the company's current beliefs and are based upon information currently available to it. Be advised that developments subsequent to this earnings 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.

David C. Dreyer
Chief Financial Officer
Christopher Schwartz
Vice President, Investor Relations

                        AMN Healthcare Services, Inc.
                 Condensed Consolidated Statements of Income
               (dollars in thousands, except per share amounts)

                                      Three Months Ended
                                           March 31,
                                     2007            2006           % Chg

    Revenue                        $283,944        $254,265         11.7%
    Cost of revenue                 211,439         185,964         13.7%
      Gross profit                   72,505          68,301          6.2%
                                       25.5%           26.9%
      Selling, general and
       administrative                53,051          47,892         10.8%
                                       18.7%           18.8%

      Depreciation and amortization   2,629           2,466          6.6%

        Total expenses               55,680          50,358         10.6%
    Income from operations           16,825          17,943         -6.2%
                                        5.9%            7.1%
    Interest expense, net             3,334           4,147        -19.6%
    Income before income taxes       13,491          13,796         -2.2%
    Income tax expense                5,297           5,495         -3.6%
    Net income                       $8,194          $8,301         -1.3%
                                        2.9%            3.3%
    Basic and diluted net income
     per common share:
      Basic net income per common
       share                          $0.24           $0.26         -7.7%
      Diluted net income per common
       share                          $0.23           $0.24         -4.2%

    Weighted average common shares
     outstanding - basic             34,638          32,095          7.9%
    Weighted average common shares
     outstanding - diluted           35,283          34,712          1.6%


                        AMN Healthcare Services, Inc.
                  Supplemental Financial and Operating Data
                (dollars in thousands, except operating data)

                                              Three Months Ended
                                                  March 31,

                                  2007       % of Rev       2006      % of Rev
      Nurse and allied
       healthcare staffing      $199,975                  $177,724
      Locum tenens staffing       71,405                    64,547
      Physician permanent
       placement services         12,564                    11,994
                                $283,944                  $254,265

    Adjusted EBITDA(1)
      Nurse and allied
       healthcare staffing       $13,731       6.9%        $14,950      8.4%
      Locum tenens staffing        4,018       5.6%          4,293      6.7%
      Physician permanent
       placement services          3,500      27.9%          2,533     21.1%
                                  21,249       7.5%         21,776      8.6%

    Depreciation and
     amortization                  2,629                     2,466
    Non-cash stock-based
     compensation                  1,795                     1,367
    Interest expense, net          3,334                     4,147
    Income before income taxes    13,491                    13,796
    Income tax expense             5,297                     5,495
    Net income                    $8,194                    $8,301

                                               Three Months Ended
                                                   March 31,
                                                2007       2006        % Chg

    Gross Margin
      Nurse and allied healthcare staffing       23.3%       24.8%
      Locum tenens staffing                      25.2%       26.4%
      Physician permanent placement services     63.2%       60.1%

    Operating Data:
    Nurse and allied healthcare staffing
      Average travelers on assignment (2)       7,031       6,607       6.4%
      Revenue per traveler per day (3)        $316.02     $298.88       5.7%
      Gross profit per traveler per day(3)     $73.56      $74.12      -0.8%

    Locum tenens staffing
      Days filled (4)                          52,299      49,251       6.2%
      Revenue per day filled(4)             $1,365.32   $1,310.58       4.2%
      Gross profit per day filled(4)          $344.54     $346.99      -0.7%

    (1)  Adjusted EBITDA represents net income plus interest expense (net of
         interest income), income 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.  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 United States generally accepted accounting
         principles (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)  Average travelers on assignment represents the average number of
         nurse and allied healthcare professionals on assignment during the
         period presented.

    (3)  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.

    (4)  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.


                        AMN Healthcare Services, Inc.
                    Condensed Consolidated Balance Sheets
                                (in thousands)

                                                  March 31,     December 31,
                                                    2007           2006
    Current assets:
      Cash and cash equivalents                    $10,221         $4,422
      Accounts receivable, net                     187,925        192,716
      Deferred income taxes, net                    23,289         26,275
      Other current assets                          13,831         12,442
        Total current assets                       235,266        235,855

    Fixed assets, net                               23,532         23,236
    Goodwill, net                                  240,939        240,719
    Intangible assets, net                         115,341        116,389
    Other assets                                     6,816          5,982

          Total assets                            $621,894       $622,181

    Liabilities and stockholders' equity
    Current liabilities:
      Bank overdraft                                  $868        $10,353
      Accounts payable and accrued expenses         21,954         20,273
      Accrued compensation and benefits             41,363         42,585
      Income taxes payable                           2,354          2,727
      Current portion of notes payable              13,562         12,901
      Deferred revenue                               6,023          6,397
      Other current liabilities                     26,143         25,731
        Total current liabilities                  112,267        120,967

    Notes payable, less current portion            155,958        160,479
    Deferred income taxes, net                      64,495         69,365
    Other long-term liabilities                     29,655         26,824
          Total liabilities                        362,375        377,635

    Stockholders' equity                           259,519        244,546

          Total liabilities and stockholders'
           equity                                 $621,894       $622,181


                        AMN Healthcare Services, Inc.
                  Condensed Consolidated Cash Flow Statement
                                (in thousands)

                                                      Three Months Ended
                                                    March 31,     March 31,
                                                      2007          2006

    Net cash provided by operating activities       $19,963        $18,025

    Net cash used in investing activities            (2,131)       (37,504)

    Net cash (used in) provided by financing
     activities                                     (12,025)        10,703

    Effect of exchange rates on cash                     (8)           (14)

      Net increase (decrease) in cash and cash
       equivalents                                    5,799         (8,790)

      Cash and cash equivalents at beginning of
       period                                         4,422         19,110

      Cash and cash equivalents at end of period    $10,221        $10,320


    (Logo: )
SOURCE AMN Healthcare Services, Inc.
CONTACT: David C. Dreyer, Chief Financial Officer, or Christopher Schwartz, Vice President, Investor Relations, both of AMN Healthcare Services, Inc., +1-866-861-3229
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