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 AMN Healthcare Announces Fourth Quarter And Full Year 2016 Results
   Thursday, February 16, 2017 3:10:00 PM ET

AMN Healthcare Services, Inc. (AMN ), healthcare’s leader and innovator in workforce solutions and staffing services, today announced its fourth quarter and full year 2016 financial results. Financial highlights are as follows:

Dollars in millions, except per share amounts.
                  Q4 2016   % Change  Full Year % Change
                            Q4 2015   2016      Full Year
                                                2015
Revenue           $487.9    21%       $1,902.2  30%
Gross profit      $158.6    20%       $619.7    32%
Net income        $26.4     31%       $105.8    29%
Diluted EPS       $0.54     32%       $2.15     28%
Adj. diluted EPS* $0.62     32%       $2.44     49%
Adjusted EBITDA*  $60.9     30%       $236.9    43%
*  See "Non-GAAP Measures" below for a discussion of our use of non-GAAP items and the table entitled "Supplemental Financial and Operating Data" for a reconciliation of non-GAAP items.

Highlights

-- AMN Healthcare delivered another record year of revenue and earnings and continued to expand its position as the leading provider of healthcare workforce and staffing solutions.

-- Full year revenue increased by 30%, driven by organic growth of 17%; adjusted EBITDA margin of 12.5% reflected a 120 basis point increase from prior year.

-- Fourth quarter consolidated revenue of $488 million increased 21% year-over-year, with 10% organic growth; adjusted EBITDA grew 30% year-over-year with a 90 basis point margin increase.

-- Operating cash flow for the fourth quarter was $47 million and $132 million for the full year 2016, a 134% increase compared to the full year 2015.

-- The Company repurchased 443,353 shares during the fourth quarter at an average price of $29.88.

"2016 was another very successful year for AMN Healthcare. In addition to our strong financial performance, we made great strides in advancing our long-term strategy. We completed the integrations of B.E. Smith, HealthSource Global and Peak Health Solutions, allowing AMN to become an even more comprehensive, value-added workforce partner to our clients," said Susan R. Salka, President and Chief Executive Officer of AMN Healthcare. "Our strong performance in the fourth quarter and throughout the year positions us well for the future and led to a total shareholder return of 24% for 2016."

Ms. Salka added, "Our businesses operate in a dynamic healthcare market with favorable long-term macro drivers, providing us the confidence to continue making investments to ensure we are the best and most innovative partner to help our clients optimize their workforce and achieve their financial and patient care goals."

Fourth Quarter 2016 Results

Consolidated revenue for the quarter was $488 million, an increase of 21% year-over-year, including 10% organic growth.

Revenue for the Nurse and Allied Solutions segment was $308 million, which is 17% higher year-over-year and 7% higher sequentially. The Travel Nurse division continued with strong performance, with revenue up 15% year-over-year and 4% sequentially. The Allied division revenue increased 12% year-over-year and 2% sequentially. Along with 12% year-over-year organic revenue growth, the quarter also included higher than projected labor disruption revenue.

Locum Tenens Solutions segment revenue was $104 million, an increase of 5% year-over-year. Revenue was down 4% sequentially, in line with typical seasonality.

The Other Workforce Solutions segment revenue was $76 million, an increase of 89% year-over-year and down 1% sequentially, with the year-over-year growth driven by acquisitions during the year and growth in our vendor management solutions (VMS), interim nurse leadership, and workforce optimization businesses.

Gross margin was 32.5%, which is 20 basis points lower year-over-year and sequentially.

SG&A expenses were $101 million, or 20.7% of revenue, compared to $90 million, or 22.4% of revenue, in the same quarter last year and $100 million, or 21.2% of revenue, in the previous quarter. The year-over-year 170 basis point decline in SG&A as a percentage of revenue was driven by improved operating leverage.

Net income was $26 million, or $0.54 per diluted share, compared to $20 million, or $0.41 per diluted share, in the same quarter last year. Excluding amortization of intangible assets, acquisition and integration costs and debt refinancing related costs, net of tax, adjusted net income per diluted share was $0.62. Adjusted EBITDA was $61 million, a year-over-year increase of 30%. Adjusted EBITDA margin was 12.5%, representing a 90 basis point increase year-over-year and a 20 basis point increase sequentially.

During the fourth quarter of 2016, the Company repurchased 443,353 shares of our common stock at an average price of $29.88 per share, resulting in an aggregate purchase price of $13 million.

Full Year 2016 Results

Full year 2016 consolidated revenue was $1,902 million, an increase of 30% from prior year. Nurse and Allied Solutions segment revenue was $1,185 million, a year-over-year increase of 24%. Locum Tenens Solutions segment revenue was $424 million, a year-over-year increase of 10%. Other Workforce Solutions segment revenue was $293 million, a year-over-year increase of 135%.

Full year gross margin was 32.6% as compared to 32.1% for prior year. The increase was due to growth in the higher margin Other Workforce Solutions segment and higher bill-to-pay spreads in the Locum Tenens Solutions segment, partially offset by higher direct costs in the Nurse and Allied Solutions segment during 2016.

Full year SG&A expenses were $398 million, representing 20.9% of revenue as compared to 21.8% for the prior year. The decrease in SG&A margin was due primarily to operating leverage on the revenue growth.

Full year net income was $106 million. Full year net income per diluted common share was $2.15. Excluding amortization of intangible assets, acquisition and integration costs and debt refinancing related costs incurred during the year, net of tax, adjusted net income per diluted common share was $2.44. Full year adjusted EBITDA grew 43% to $237 million. Full year adjusted EBITDA margin of 12.5% represented a 120 basis point increase over prior year.

At December 31, 2016, cash and cash equivalents totaled $11 million. Cash flow from operations was $47 million for the quarter and $132 million for the full year. Capital expenditures were $4 million in the quarter and $22 million for the year. The Company ended the year with total debt outstanding of $369 million, with a leverage ratio as calculated in accordance with the Company’s credit agreement of 1.6 to 1.

First-Quarter 2017 Outlook

Metric                        Guidance*
Consolidated revenue          $489 - $495 MM
Gross margin                  32.5%
SG&A as percentage of revenue 20.5%
Adjusted EBITDA margin        12.5%
*Note: Guidance percentage metrics are approximate. No significant labor disruption revenues are projected for this quarter.  For a reconciliation of adjusted EBITDA margin, see the table entitled "Reconciliation of Guidance Adjusted EBITDA Margin to Guidance Operating Margin" below.

Conference Call on February 16, 2017

AMN Healthcare Services, Inc. (AMN ), healthcare’s leader and innovator in workforce solutions and staffing services, will host a conference call to discuss its fourth quarter 2016 financial results on Thursday, February 16, 2017 at 5:00 p.m. Eastern Time. A live webcast of the call can be accessed through AMN Healthcare’s website at http://amnhealthcare.investorroom.com/presentations . Please log in at least 10 minutes prior to the conference call in order to download the applicable audio software. Interested parties may participate live via telephone by dialing (800) 230-1059 in the U.S. or (612) 234-9960 internationally. Following the conclusion of the call, a replay of the webcast will be available at the Company’s website. Alternatively, a telephonic replay of the call will be available starting at 7:30 p.m. Eastern Time on February 16, 2017, and can be accessed until 11:59 p.m. Eastern Time on March 2, 2017 by calling (800) 475-6701 in the U.S. or (320) 365-3844 internationally, with access code 415736.

About AMN Healthcare

AMN Healthcare is the leader and innovator in healthcare workforce solutions and staffing services to healthcare facilities across the nation. The Company provides unparalleled access to the most comprehensive network of quality healthcare professionals through its innovative recruitment strategies and breadth of career opportunities. With insights and expertise, AMN Healthcare helps providers optimize their workforce to successfully reduce complexity, increase efficiency and improve patient outcomes. AMN delivers managed services programs, healthcare executive search solutions, vendor management systems, recruitment process outsourcing, predictive modeling, medical coding and consulting, and other services. Clients include acute-care hospitals, community health centers and clinics, physician practice groups, retail and urgent care centers, home health facilities and many other healthcare settings.

The Company’s common stock is listed on the New York Stock Exchange under the symbol "AMN." For more information about AMN Healthcare, visit www.amnhealthcare.com, where the Company posts news releases, investor presentations, webcasts, SEC filings and other material information. The Company also utilizes email alerts and Really Simple Syndication ("RSS") as routine channels to supplement distribution of this information. To register for email alerts and RSS, visit http://amnhealthcare.investorroom.com/emailalerts .

Non-GAAP Measures

This earnings release contains certain non-GAAP financial information, which the Company provides as additional information, and not as an alternative, to the Company’s condensed consolidated financial statements presented in accordance with GAAP. These non-GAAP financial measures include (1) adjusted EBITDA, (2) adjusted EBITDA margin and (3) adjusted diluted EPS. The Company provides such non-GAAP financial measures because management believes that they are useful both to management and investors as a supplement, and not as a substitute, when evaluating the Company’s operating performance. Additionally, management believes that adjusted EBITDA, adjusted EBITDA margin and adjusted diluted EPS serve as industry-wide financial measures. The Company uses adjusted EBITDA for making financial decisions and allocating resources. The non-GAAP measures in this release are not in accordance with, or an alternative to, GAAP measures and may be different from non-GAAP measures, or may be calculated differently than other similarly titled non-GAAP measures, reported by other companies. They should not be used in isolation to evaluate the Company’s performance. A reconciliation of non-GAAP measures identified in this release, along with further detail about the use and limitations of certain of these non-GAAP measures, may be found below in the table entitled "Supplemental Financial and Operating Data" under the caption entitled "Reconciliation of Non-GAAP Items" and the footnotes thereto or on the Company’s website at http://amnhealthcare.investorroom.com/financialreports . Additionally, from time to time, additional information regarding non-GAAP financial measures, including pro forma measures, may be made available on the Company’s website.

Forward-Looking Statements

This press release contains "forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Such statements include expectations regarding the Company’s 2017 first quarter revenue, gross margin, SG&A expenses as a percentage of revenue, and adjusted EBITDA margin. The Company bases these forward-looking statements on its current expectations, estimates and projections about future events and the industry in which it operates using information currently available to it. Actual results could differ materially from those discussed in, or implied by, these forward-looking statements. Forward-looking statements are identified by words such as "believe," "anticipate," "expect," "intend," "plan," "will," "may," "estimates," variations of such words and other similar expressions. In addition, any statements that refer to expectations, projections or other characterizations of future events or circumstances are forward-looking statements. Factors that could cause actual results to differ from those implied 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, 2015 and its other periodic reports as well as the Company’s current and other reports filed from time to time with the Securities and Exchange Commission. Be advised that developments subsequent to this press release are likely to cause these statements to become outdated.

Contact: Neil Thomas Senior Director, Investor Relations 866.861.3229

AMN Healthcare Services, Inc.
Condensed Consolidated Statements of Comprehensive Income
(in thousands, except per share amounts)
(unaudited)
                                                               Three Months Ended                             Twelve Months Ended
                                                               December 31,                   September              December 31,
                                                                                              30,
                                                               2016           2015            2016                   2016           2015
Revenue                                                        $  487,858     $  402,552      $  472,636             $1,902,225     $1,463,065
Cost of revenue                                                329,252        270,748         318,169                1,282,501      993,702
Gross profit                                                   158,606        131,804         154,467                619,724        469,363
Gross margin                                                   32.5%          32.7%           32.7%                  32.6%          32.1%
Operating expenses:
Selling, general and administrative (SG&A)                     101,113        90,154          99,995                 398,472        319,531
SG&A as a % of revenue                                         20.7%          22.4%           21.2%                  20.9%          21.8%
Depreciation and amortization                                  7,732          5,322           7,789                  29,620         20,953
Total operating expenses                                       108,845        95,476          107,784                428,092        340,484
Income from operations                                         49,761         36,328          46,683                 191,632        128,879
Operating margin (1)                                           10.2%          9.0%            9.9%                   10.1%          8.8%
Interest expense, net, and other                               6,400          1,993           3,016                  15,465         7,790
Income before income taxes                                     43,361         34,335          43,667                 176,167        121,089
Income tax expense                                             17,010         14,170          16,371                 70,329         39,198
Net income                                                     $    26,351    $    20,165     $    27,296            $  105,838     $    81,891
Net income as a % of revenue                                   5.4%           5.0%            5.8%                   5.6%           5.6%
Other comprehensive income:
Foreign currency translation                                   102            33              40                     267            75
Unrealized gain (loss) on cash flow hedge, net of income taxes 260            429             231                    (83)           98
Other comprehensive income                                     362            462             271                    184            173
Comprehensive income                                           $     26,713   $    20,627     $    27,567            $   106,022    $    82,064
Net income per common share:
Basic                                                          $         0.55 $         0.42  $         0.57         $         2.21 $         1.72
Diluted                                                        $         0.54 $         0.41  $         0.55         $         2.15 $         1.68
Weighted average common shares outstanding:
Basic                                                          47,806         47,699          48,049                 47,946         47,525
Diluted                                                        49,208         49,157          49,410                 49,267         48,843
AMN Healthcare Services, Inc.
Supplemental Financial and Operating Data
(dollars in thousands, except per share data and revenue per day)
(unaudited)
                                        Three Months Ended                        Twelve Months Ended
                                        December 31,              September 30,   December 31,
                                              2016      2015 (2)         2016           2016        2015 (2)
Revenue
Nurse and allied solutions              $     307,898 $ 263,019   $      286,810  $     1,185,095 $ 953,253
Locum tenens solutions                        103,822   99,256           108,553        424,242     385,091
Other workforce solutions                     76,138    40,277           77,273         292,888     124,721
                                        $     487,858 $ 402,552   $      472,636  $     1,902,225 $ 1,463,065
Reconciliation of Non-GAAP Items:
Segment operating income (3)
Nurse and allied solutions              $     43,262  $ 33,094    $      37,396   $     161,779   $ 123,969
Locum tenens solutions                        15,123    13,869           14,026         58,757      48,011
Other workforce solutions                     21,139    11,993           20,867         77,450      40,390
                                              79,524    58,956           72,289         297,986     212,370
Unallocated corporate overhead                18,649    12,101           14,235         61,109      47,194
Adjusted EBITDA (4)                           60,875    46,855           58,054         236,877     165,176
Adjusted EBITDA margin (5)                    12.5%     11.6%            12.3%          12.5%       11.3%
Depreciation and amortization                 7,732     5,322            7,789          29,620      20,953
Share-based compensation                      2,604     3,733            2,704          11,399      10,284
Acquisition and integration costs             778       1,472            878            4,226       5,060
Income from operations                        49,761    36,328           46,683         191,632     128,879
Interest expense, net, and other              6,400     1,993            3,016          15,465      7,790
Income before income taxes                    43,361    34,335           43,667         176,167     121,089
Income tax expense                            17,010    14,170           16,371         70,329      39,198
Net income                              $     26,351  $ 20,165    $      27,296   $     105,838   $ 81,891
GAAP diluted net income per share (EPS) $     0.54    $ 0.41      $      0.55     $     2.15      $ 1.68
Adjustments:
Amortization of intangible assets             0.10      0.06             0.09           0.37        0.24
Acquisition and integration costs             0.01      0.03             0.02           0.09        0.10
IRS adjustment                                0.00      0.00             0.00           0.00        (0.25)
Debt financing related costs                  0.02      0.00             0.00           0.02        0.00
Tax effect of adjustments                     (0.05)    (0.03)           (0.04)         (0.19)      (0.13)
Adjusted diluted EPS (6)                $     0.62    $ 0.47      $      0.62     $     2.44      $ 1.64
                                                                  Three Months Ended                                 Twelve Months Ended
                                                                      December 31,                   September 30,   December 31,
                                                                      2016           2015(2)         2016            2016     2015(2)
Gross Margin
Nurse and allied solutions                                            27.3%          27.1%           26.7%           26.9%    27.1%
Locum tenens solutions                                                30.8%          31.2%           31.2%           31.1%    30.2%
Other workforce solutions                                             55.7%          73.6%           56.7%           57.8%    75.9%
Operating Data:
Nurse and allied solutions
Average healthcare professionals on assignment - consolidated (7)     8,764          8,032           8,458           8,508    7,512
Locum tenens solutions
Days filled (8)                                                       57,008         55,929          59,612          235,854  229,300
Revenue per day filled (9)                                            $1,821         $1,775          $1,821          $1,799   $1,679
                                                                  As of December 31,         As of September 30,
                                                                      2016   2015                    2016
Leverage ratio (10)                                                   1.6    1.4                     1.7
AMN Healthcare Services, Inc.
Condensed Consolidated Balance Sheets
(dollars in thousands)
(unaudited)
                                             December 31,  September 30,  December 31,
                                             2016          2016           2015
Assets
Current assets:
Cash and cash equivalents                    $    10,622   $    15,708    $      9,576
Accounts receivable, net                     341,977       331,220        277,996
Accounts receivable, subcontractor           49,233        42,094         50,807
Prepaid and other current assets             48,796        44,635         37,249
Total current assets                         450,628       433,657        375,628
Restricted cash, cash equivalents            31,287        28,222         27,352
and investments
Fixed assets, net                            59,954        57,965         50,134
Other assets                                 57,534        57,296         47,569
Goodwill                                     341,754       342,174        204,779
Intangible assets, net                       245,724       250,455        174,970
Total assets                                 $ 1,186,881   $ 1,169,769    $ 880,432
Liabilities and stockholders’ equity
Current liabilities:
Accounts payable and accrued expenses        $ 137,512     $ 118,289      $ 118,822
Accrued compensation and benefits            107,993       99,629         83,701
Current portion of revolving credit facility --            --             30,000
Current portion of notes payable             3,750         3,750          7,500
Deferred revenue                             8,924         8,446          5,620
Other current liabilities                    16,661        9,962          5,374
Total current liabilities                    274,790       240,076        251,017
Revolving credit facility                    --            182,500        52,500
Notes payable, less unamortized fees         359,192       198,793        128,490
Deferred income taxes, net                   21,420        28,278         22,431
Other long-term liabilities                  82,096        86,949         78,134
Total liabilities                            737,498       736,596        532,572
Commitments and contingencies
Stockholders’ equity                         449,383       433,173        347,860
Total liabilities and stockholders’ equity   $ 1,186,881   $ 1,169,769    $ 880,432
AMN Healthcare Services, Inc.
Summary Condensed Consolidated Statements of Cash Flows
(dollars in thousands)
(unaudited)
                                                     Three Months Ended                     Twelve Months Ended
                                                     December 31,            September 30,  December 31,
                                                     2016      2015          2016           2016      2015
Net cash provided by operating activities            $  47,031 $        676  $  29,540      $ 131,851 $  56,313
Net cash  used in investing activities               (16,091)  (10,451)      (8,117)        (257,362) (116,085)
Net cash provided by (used in) financing activities  (36,128)  4,910         (26,817)       126,290   56,200
Effect of exchange rates on cash                     102       33            40             267       75
Net increase (decrease) in cash and cash equivalents (5,086)   (4,832)       (5,354)        1,046     (3,497)
Cash and cash equivalents at beginning of period     15,708    14,408        21,062         9,576     13,073
Cash and cash equivalents at end of period           $  10,622 $    9,576    $  15,708      $  10,622 $    9,576
AMN Healthcare Services, Inc.
Additional Supplemental Non-GAAP Disclosures
Reconciliation of Guidance Adjusted EBITDA Margin to
Guidance Operating Margin
(unaudited)
                                  Three Months Ending
                                  March 31, 2017
Adjusted EBITDA margin            12.5% (11)
Deduct:
Share-based compensation          0.5%
Acquisition and integration costs 0.1%
EBITDA margin                     11.9%
Depreciation and amortization     1.6%
Operating margin                  10.3%
(1)  Operating margin represents income from operations divided by revenue.
(2)  Effective as of January 1, 2016, we modified our reportable segments. We previously utilized three reportable segments, which we identified as follows: (a) nurse and allied healthcare staffing, (b) locum tenens staffing and (c) physician permanent placement services. In light of our acquisitions over the past several years as well as our transition to a healthcare workforce solutions company, our management renamed our three reportable segments and also placed several of our business lines that were in our nurse and allied healthcare staffing segment into a different segment to better reflect how the business is evaluated by our chief operating decision maker. As of January 1, 2016, we began to disclose the following three reportable segments: (a) nurse and allied solutions, (b) locum tenens solutions, and (c) other workforce solutions. The nurse and allied solutions segment consists of our travel nurse, allied, local and labor disruption and rapid response staffing businesses. The locum tenens solutions segment consists of our locum tenens staffing business. The other workforce solutions segment consists of our healthcare interim leadership staffing and executive search services business, physician permanent placement services business, recruitment process outsourcing business, vendor management systems business, workforce optimization services business, medical coding and related consulting business, and our education business. Prior period data has been reclassified to conform to the new segment reporting structure.
(3)  Segment operating income represents net income plus interest expense (net of interest income) and other, income tax expense, depreciation and amortization, unallocated corporate overhead, acquisition and integration costs and share-based compensation.
(4)  Adjusted EBITDA represents net income plus interest expense (net of interest income) and other, income tax expense, depreciation and amortization, acquisition and integration costs and share-based compensation. Management believes that adjusted EBITDA provides an effective measure of the Company’s results, as it excludes certain items that management believes are not indicative of the Company’s operating performance and is a measure used in credit facilities and the indenture governing our 5.125% Senior Notes due 2024. Adjusted EBITDA is not intended to represent cash flows for the period, nor has it been presented as an alternative to income from operations or net income as an indicator of operating performance. Although management believes that some of the items excluded from adjusted EBITDA are not indicative of the Company’s operating performance, these items do impact the statement of comprehensive income, and management therefore utilizes adjusted EBITDA as an operating performance measure in conjunction with GAAP measures such as net income.
(5)  Adjusted EBITDA margin represents adjusted EBITDA divided by revenue.
(6)  Adjusted diluted EPS represents GAAP diluted EPS excluding the impact of (A) amortization of intangible assets, (B) acquisition and integration costs, (C) IRS adjustment, (D) debt financing related costs, and (E) tax effect, if any, of the foregoing adjustments. Management included this non-GAAP measure to provide investors and prospective investors with an alternative method for assessing the Company’s operating results in a manner that is focused on its operating performance and to provide a more consistent basis for comparison between periods. However, investors and prospective investors should note that this non-GAAP measure involves judgment by management (in particular, judgment as to what is classified as a special item to be excluded from adjusted diluted EPS). Although management believes the items excluded from adjusted diluted EPS are not indicative of the Company’s operating performance, these items do impact the statement of comprehensive income, and management therefore utilizes adjusted diluted EPS as an operating performance measure in conjunction with GAAP measures such as GAAP diluted EPS.
(7)  Average healthcare professionals on assignment represents the average number of nurse and allied healthcare professionals on assignment during the period presented.
(8)  Days filled is calculated by dividing the locum tenens hours filled during the period by eight hours.
(9)  Revenue per day filled represents revenue of the Company’s locum tenens solutions segment divided by days filled for the period presented.
(10) Leverage ratio represents the ratio of the consolidated funded indebtedness (as calculated per the Company’s credit agreement) at the end of the subject period to the consolidated adjusted EBITDA (as calculated per the Company’s credit agreement) for the twelve month period ended at the end of the subject period.
(11) Guidance percentage metrics are approximate. No significant labor disruption revenues are projected for this quarter.

To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/amn-healthcare-announces-fourth-quarter-and-full-year-2016-results-300409071.html

SOURCE AMN Healthcare Services, Inc.

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