Company News: Page (1) of 1 - 02/16/17 Email this story to a friend. email article Print this page (Article printing at MyDmn.com).print page facebook

AMN Healthcare Announces Fourth Quarter And Full Year 2016 Results

Quarterly revenue of $488 million, up 21% over prior year; GAAP EPS of $0.54 and adjusted EPS of $0.62 (February 16, 2017)

SAN DIEGO, Feb. 16, 2017 /PRNewswire/ -- AMN Healthcare Services, Inc. (NYSE: 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
Q4 2015

Full Year
2016

% Change
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. (NYSE: 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
30,


December 31,


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

and investments

31,287


28,222


27,352

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.

Copyright 2014 PR Newswire. All Rights Reserved


Page: 1


Related Keywords:Pro AV, Post/Production, Management, Presentors, Management, Director, Business Issues, Internet Media, Presentation, Channel/Distribution, Corporate/Company, Events, email, webcast, USA, Inc., healthcare, Surgery, Physician, Nurse, Business, Science, Financial, Medical, Email,

HOT THREADS on DMN Forums

Our Privacy Policy --- @ Copyright, 2015 Digital Media Online, All Rights Reserved