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Investor Relations news releases news release details AMN Healthcare Announces Full Year and Fourth Quarter 2011 Results

AMN Healthcare Announces Full Year and Fourth Quarter 2011 Results

March 8, 2012

SAN DIEGO, March 8, 2012 /PRNewswire/ -- AMN Healthcare Services, Inc. (NYSE: AHS), the nation's innovator in healthcare workforce solutions, today announced financial results for the full year and fourth quarter 2011. The results were at the upper end of management's expectations, the Company said. Financial highlights are as follows:

(Dollars in millions, except per share amounts. Amounts have been adjusted to reflect the impact of the discontinued operations associated with  the disposal of the Home Healthcare Services segment in January 2012.)

   
 

Q4

2011

% Chg

Q4 2010

% Chg

Q3 2011

Full Year

2011

% Chg

Full Year

2010

 

Revenue

$222.1

8%

(3%)

$887.5

32%

 

Gross Profit

$62.8

11%

(1%)

$249.3

35%

 

Net Income from Continuing Operations

$1.7

NM

68%

$5.0

NM

 

Net Loss

($2.4)

50%

(91%)

($26.3)

(49%)

 

Net Loss per Diluted Share

($0.05)

67%

(92%)

($0.57)

(62%)

 

Adjusted EBITDA*

$15.8

57%

(2%)

$64.0

62%

 

Adjusted EPS*

$0.04

NM

0%

$0.16

700%

 

* See notes (2) and (3) under "Supplemental Financial and Operating Data" for a reconciliation of non-GAAP items.

 

NM – Not meaningful

 
           

 

Key business highlights for the full year and fourth quarter of 2011 are as follows:

  • Consolidated pro forma full year revenues grew by 11% and adjusted EBITDA grew by 40%. Pro forma adjusted EBITDA margin for the year was 7.2%, a 150 basis point improvement over the prior year.
  • The Travel Nurse division experienced pro forma full year revenue growth of 32% and adjusted EBITDA growth of 71%, reflecting the strength of the Company's managed services program (MSP) client relationships, recruitment strategies, and ability to leverage its infrastructure.
  • Operating  leverage  was significantly improved  by  revenue and cost synergies from integrating the Medfinders organization, which was acquired in September 2010.
  • Revenues for the fourth quarter in Nurse and Allied Healthcare Staffing, AMN's largest segment, were flat sequentially and up 16% year-over-year due primarily to continued growth in travel nurse volume. Segment operating margin of 12.2% was up 190 basis points sequentially and 380 basis points compared with the same quarter last year.  
  • Fourth quarter consolidated gross margin improved 50 basis points sequentially and 80 basis points year-over-year.
  • The Company completed the sale of its Home Healthcare Services business on January 30, 2012.

"Going into 2012, we are focused on fulfilling our clients' desire for more workforce solutions and innovative service offerings. AMN's leading position and differentiated value proposition in workforce solutions has put us at the forefront of growth and thought leadership in our industry," said Susan R. Salka, President and Chief Executive Officer of AMN Healthcare. "An indicator of the positive client reaction to our differentiated capabilities was the 20 new MSP contracts won during the year with an estimated $80 million in annualized gross spend under management. We expect these growth trends in MSP and other workforce solutions to continue."

Full Year and Fourth Quarter 2011 Results

Full year 2011 consolidated revenue was $887 million, an increase of 32% from prior year. Nurse and Allied Healthcare Staffing segment revenue was $571 million, a year-over-year  increase of 54%. Locum Tenens Staffing segment revenue was $278 million, a year-over-year increase of 5%. Physician Permanent Placement Services segment revenue was $39 million, a year-over-year increase of 14%.

For the fourth quarter of 2011, consolidated revenue was $222 million, a decrease of 3% sequentially and an increase of 8% from the same quarter last year. The sequential decline was due to typical seasonality from fewer clinicians on assignment and overall fewer hours worked over the holidays. Fourth quarter revenue for the Nurse and Allied Healthcare Staffing segment was $148 million, flat sequentially and up 16% from the same quarter last year. The Locum Tenens Staffing segment generated revenue in the fourth quarter of $65 million, a decrease of 10% sequentially and 7% from the same quarter last year. Fourth quarter Physician Permanent Placement Services segment revenue was $9 million, an increase of 2% sequentially and flat from the same quarter last year.

Full year gross margin was 28.1% as compared to 27.5% for prior year. The increase in 2011 gross margin was due primarily to favorable workers compensation adjustments and improved performance within the Nurse and Allied Healthcare Staffing segment, the impact from the adoption of a new revenue recognition accounting standard on January 1, 2011 in the Physician Permanent Placement Services segment, as well as the addition of the higher margin Medfinders businesses. Gross margin in the fourth quarter of 2011 was 28.3%, an increase of 50 basis points compared to the previous quarter and an increase of 80 basis points from the same quarter last year.

For the full year, SG&A expenses as a percentage of revenue were 22.0% compared to 24.3% for the prior year, due primarily to improved operating leverage and the cost synergies achieved through the integration of Medfinders. SG&A expenses for the fourth quarter of 2011 were $49.0 million, representing  22.1% as a percent of revenue, compared to 21.6% in the prior quarter and 24.6% in the same quarter last year. The decrease compared to the same quarter last year was due primarily to lower integration-related expenses associated with the Medfinders acquisition and the resulting improved SG&A leverage.  Excluding acquisition and integration related costs, SG&A expenses as a percentage of revenues were 21.9% in the fourth quarter of 2011, which was up 40 basis points from the prior quarter and down 170 basis points from the same quarter last year.

Full year and fourth quarter 2011 net loss per diluted common share was ($0.57) and ($0.05), respectively. Full year and fourth quarter 2011 loss per share was impacted by $31.2 million and $7.7 million, respectively, in non-cash goodwill and intangible asset impairment charges. Excluding the discontinued Home Healthcare Services segment and associated non-cash goodwill and intangible asset impairment charges, integration-related costs, and credit agreement amendment fees charged to interest expense, adjusted earnings per share for the full year and fourth quarter 2011 was $0.16 and $0.04, respectively.

As of December 31, 2011, cash and cash equivalents totaled $4 million, compared to $2 million as of December 31, 2010. Total debt outstanding, net of discount, as of December 31, 2011 was $205 million, compared to $215 million as of December 31, 2010. Subsequent to year-end, the Company made a voluntary debt payment of $5 million and paid off its $3 million revolver balance.

Business Trends and Outlook

On a consolidated basis, first quarter revenues are expected to be between $224 million and $228 million, which represents a 1% to 3% sequential increase. This anticipated sequential increase is driven by continued growth in the Nurse and Allied Healthcare Staffing segment, with flat revenues in the Locum Tenens segment. Gross margin is anticipated to be between 27.5% and 28.0%. SG&A expenses are expected to be approximately 22.0% of revenues. Adjusted EBITDA margin is expected to be approximately 6.5%.

While the Company does not intend to provide annual guidance on revenue and EPS, on the earnings call today management will provide full year estimates for depreciation and amortization, interest expense, share count and capital expenditures.

About AMN Healthcare Services

AMN Healthcare Services, Inc. is the nation's innovator in healthcare workforce solutions, including managed services programs, recruitment process outsourcing solutions, recruitment and placement of healthcare professionals into temporary and permanent positions, and consulting services. Clients include acute-care hospitals, government facilities, community health centers and clinics, physician practice groups, and a host of other healthcare settings. AMN achieves unparalleled access to quality healthcare talent through its innovative recruitment strategies and breadth of compelling career-building opportunities offered to healthcare professionals. For more information, visit http://www.amnhealthcare.com.

Conference Call on March 8, 2012

AMN Healthcare Services, Inc.'s fourth quarter 2011 conference call will be held on Thursday, March 8, 2012, 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) 230-1074 in the U.S. or (612) 288-0329 internationally. Following the conclusion of the call, a replay of the webcast will be available at the company's website. A telephonic replay of the call will also be available at 7:30 p.m. Eastern Time on March 8, 2012, and can be accessed until 11:59 p.m. Eastern Time on March 29, 2012, by calling (800) 475-6701 in the U.S. or (320) 365-3844 internationally, with access code 218823.

Non-GAAP Measures

This earnings release contains certain non-GAAP financial information. These measures are not in accordance with, or an alternative to, generally accepted accounting principles in the United States ("GAAP"), and may be different from non-GAAP measures reported by other companies. From time to time, additional information regarding non-GAAP financial measures, including pro forma measures, may be made available on the company's website at http://amnhealthcare.investorroom.com/financialreports.

.

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 2012 first quarter revenue, revenue growth, gross margin, SG&A, and adjusted EBITDA margin. 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. 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, 2010 and its other periodic reports as well as its current and other reports filed with the SEC. These statements reflect the company's current beliefs and are based upon information currently available to it. Be advised that developments subsequent to this press release are likely to cause these statements to become outdated with the passage of time.

Contact:
Amy C. Chang
Vice President, Investor Relations
866.861.3229

   
 

AMN Healthcare Services, Inc.

Condensed Consolidated Statements of Operations

(dollars in thousands, except per share amounts)

(unaudited)

 
   
 

Three Months Ended

 

Twelve Months Ended

 
 

December 31,

 

September 30,

 

December 31,

 
 

2011

2010

 

2011

 

2011

2010

 
                 

Revenue

$  222,053

$  206,046

 

$  229,006

 

$  887,466

$  669,912

 

Cost of revenue

159,268

149,337

 

165,345

 

638,147

485,550

 

Gross profit

62,785

56,709

 

63,661

 

249,319

184,362

 
 

28.3%

27.5%

 

27.8%

 

28.1%

27.5%

 

Operating expenses:

               

  Selling, general and administrative

48,963

50,652

 

49,477

 

195,348

162,543

 
 

22.1%

24.6%

 

21.6%

 

22.0%

24.3%

 

  Depreciation and amortization

3,845

4,594

 

3,921

 

16,324

14,764

 

  Impairment charges

0

1,050

 

0

 

0

50,832

 

       Total operating expenses

52,808

56,296

 

53,398

 

211,672

228,139

 

Income (loss) from operations

9,977

413

 

10,263

 

37,647

(43,777)

 
                 

Interest expense, net

5,620

5,751

 

7,017

 

23,727

19,762

 

  Income (loss) from continuing operations before income taxes

4,357

(5,338)

 

3,246

 

13,920

(63,539)

 

Income tax expense (benefit)

2,673

(3,194)

 

2,242

 

8,904

(10,787)

 

Income (loss) from continuing operations, net of tax

1,684

(2,144)

 

1,004

 

5,016

(52,752)

 

Income (loss) from discontinued operations, net of tax

(4,119)

526

 

(27,903)

 

(31,281)

761

 

        Net loss

$  (2,435)

$  (1,618)

 

$  (26,899)

 

$  (26,265)

$  (51,991)

 
                 

Basic income (loss) per common share from:

               

       Continuing operations

$  0.04

$  (0.05)

 

$  0.02

 

$  0.12

$  (1.51)

 

       Discontinued operations

(0.10)

0.01

 

(0.69)

 

(0.78)

0.02

 

       Net loss

$  (0.06)

$  (0.03)

 

$  (0.67)

 

$  (0.66)

$  (1.49)

 

Diluted income (loss) per common share from:

               

       Continuing operations

$  0.04

$  (0.05)

 

$  0.02

 

$  0.11

$  (1.51)

 

       Discontinued operations

(0.09)

0.01

 

(0.61)

 

(0.68)

0.02

 

       Net loss

$  (0.05)

$  (0.03)

 

$  (0.59)

 

$  (0.57)

$  (1.49)

 
                 

Weighted average common shares outstanding:

               

     Basic

40,440

39,121

 

40,327

 

39,913

34,840

 

     Diluted

46,034

39,121

 

45,950

 

45,951

34,840

 
                 
   
               

 
   

AMN Healthcare Services, Inc.

 

Supplemental Financial and Operating Data

 

(dollars in thousands, except operating data)

 

(unaudited)

 
                           
 

Three Months Ended

 

Twelve Months Ended

 
 

December 31,

 

September 30,

 

December 31,

 
   

2011

 

2010

   

2011

   

2011

 

2010

 

Revenue

                         

 Nurse and allied healthcare staffing

$

148,136

$

127,292

 

$

147,738

 

$

570,677

$

371,147

 

 Locum tenens staffing

 

64,553

 

69,434

   

72,080

   

277,919

 

264,726

 

 Physician permanent placement services

 

9,364

 

9,320

   

9,188

   

38,870

 

34,039

 
 

$

222,053

$

206,046

 

$

229,006

 

$

887,466

$

669,912

 
                           

Reconciliation of Non-GAAP Items:

                         
                           

Segment Operating Income(1)

                         

 Nurse and allied healthcare staffing

$

18,050

$

10,693

 

$

15,197

 

$

62,786

$

35,279

 

 Locum tenens staffing

 

3,930

 

4,765

   

6,283

   

21,689

 

21,999

 

 Physician permanent placement services

 

2,164

 

2,316

   

2,142

   

10,634

 

7,959

 
   

24,144

 

17,774

   

23,622

   

95,109

 

65,237

 

  Unallocated corporate overhead

 

8,351

 

7,738

   

7,538

   

31,089

 

25,734

 

Adjusted EBITDA(2)

 

15,793

 

10,036

   

16,084

   

64,020

 

39,503

 
                           

Depreciation and amortization

 

3,845

 

4,594

   

3,921

   

16,324

 

14,764

 

Stock-based compensation

 

1,713

 

1,931

   

1,689

   

7,098

 

8,272

 

Acquisition related costs

 

258

 

2,048

   

211

   

2,951

 

9,412

 

Impairment charges

 

0

 

1,050

   

0

   

0

 

50,832

 

Interest expense, net

 

5,620

 

5,751

   

7,017

   

23,727

 

19,762

 

Income (loss) from continuing operations before income taxes

 

4,357

 

(5,338)

   

3,246

   

13,920

 

(63,539)

 

Income tax expense (benefit)

 

2,673

 

(3,194)

   

2,242

   

8,904

 

(10,787)

 

Net income (loss) from continuing operations

 

1,684

 

(2,144)

   

1,004

   

5,016

 

(52,752)

 

Net income (loss) from discontinued operations

 

(4,119)

 

526

   

(27,903)

   

(31,281)

 

761

 

Net income (loss)

$

(2,435)

$

(1,618)

 

$

(26,899)

 

$

(26,265)

$

(51,991)

 
                           
                           

GAAP based diluted net loss per share (EPS)

$

(0.05)

$

(0.03)

 

$

(0.59)

 

$

(0.57)

$

(1.49)

 

 Adjustments:

                         

 Acquisition related costs

 

0.00

 

0.02

   

0.00

   

0.04

 

0.17

 

 Impairment charges

 

0.00

 

0.01

   

0.00

   

0.00

 

1.27

 

 Financing costs

 

0.00

 

0.00

   

0.02

   

0.01

 

0.09

 

 Impact of assumed preferred dividends

 

0.00

 

(0.01)

   

0.00

   

0.00

 

0.00

 

 Discontinued operations

 

0.09

 

(0.01)

   

0.61

   

0.68

 

(0.02)

 

Adjusted diluted earnings (loss) per share (3)

$

0.04

$

(0.02)

 

$

0.04

 

$

0.16

$

0.02

 
   
                                 

 
   
                           
   

Twelve Months Ended

 
   

December 31,

           

Reconciliation of Pro Forma Items (4)

 

2011

 

2010

   

2010

           
   

Consolidated

 

Historical

Consolidated

   

PRO

FORMA

(4)

   

% Change

vs. PRO

FORMA

     

Consolidated Revenue (5)

$

887,466

$

669,912

   

800,692

   

11%

     

Adjusted EBITDA (5)

 

64,020

 

39,502

   

45,756

   

40%

     

Adjusted EBITDA Margin (5)

 

7.2%

       

5.7%

   

150bps

     

Revenue – nurse and allied healthcare staffing  (6)

 

570,677

 

371,147

   

480,627

   

19%

     

Adjusted EBITDA – nurse and allied healthcare staffing (6)

 

62,786

 

35,279

   

42,372

   

48%

     

Adjusted EBITDA  Margin – nurse and allied healthcare staffing  (6)

 

11.0%

       

8.8%

   

220bps

     

Revenue Travel Nurse Division (7)

 

347,549

 

247,432

   

263,726

   

32%

     

Adjusted EBITDA Travel Nurse Division (7)

 

47,235

 

27,377

   

27,634

   

71%

     
                           
 

Three Months Ended

   

Twelve Months Ended

 
   

December 31,

   

September 30,

   

December 31,

 
   

2011

 

2010

   

2011

   

2011

 

2010

 

Gross Margin

                         

  Nurse and allied healthcare staffing

 

27.4%

 

26.1%

   

26.6%

   

26.8%

 

25.9%

 

  Locum tenens staffing

 

25.5%

 

25.4%

   

26.0%

   

25.8%

 

25.7%

 

  Physician permanent placement services

 

61.7%

 

62.3%

   

60.5%

   

63.0%

 

58.4%

 
                           

Operating Data:

                         

Nurse and allied healthcare staffing

                         

   Average travelers on assignment (8)

 

5,317

 

4,727

   

5,300

   

5,208

 

3,501

 

   Revenue per traveler per day(9)

$

302.84

$

292.70

 

$

302.99

 

$

300.21

$

290.44

 

   Gross profit per traveler per day(9)

$

82.91

$

76.54

 

$

80.70

 

$

80.55

$

75.37

 
                           

Locum tenens  staffing

                         

   Days filled (10)

 

47,610

 

48,502

   

51,292

   

199,196

 

187,953

 

   Revenue per day filled(10)

$

1,355.87

$

1,431.57

 

$

1,405.29

 

$

1,395.20

$

1,408.47

 

   Gross profit per day filled(10)

$

345.50

$

363.20

 

$

365.64

 

$

360.05

$

362.66

 
                           
                           
                         
                           
   
                                 

 

(1)

Segment Operating Income represents net income (loss) plus interest expense (net of interest income), income taxes, depreciation and amortization, impairment charges, unallocated corporate overhead, stock-based compensation expense, acquisition related costs, and net income(loss) from discontinued operations, net of tax. Management believes that Segment Operating Income is an industry wide financial measure that is useful both to management and investors when evaluating the company's performance. Management also uses Segment Operating Income for planning purposes. Segment Operating Income is not necessarily comparable to other similarly titled captions of other companies due to potential inconsistencies in the method of calculation and allocation of costs.

 

(2)

Adjusted EBITDA represents net income (loss) plus interest expense (net of interest income), income taxes, depreciation and amortization, acquisition related costs, impairment charges, stock-based compensation expense and net income(loss) from discontinued operations, net of tax. Management presents adjusted EBITDA because it believes that adjusted EBITDA is a useful supplement to net income (loss) 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 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 considers measures used in credit facilities. However, 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 (loss) 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 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 statement of operations, and management therefore utilizes adjusted EBITDA as an operating performance measure in conjunction with GAAP measures such as net income (loss).

 

(3)

Adjusted EPS represents GAAP EPS excluding the impact of acquisition related costs, impairment charges, financing costs, accumulated preferred stock dividends and net income(loss) from discontinued operations, net of tax . Management presents adjusted EPS because it believes that adjusted EPS is a useful supplement to diluted net income (loss) per share as an indicator of operating performance. Management believes such a measure provides a picture of the company's results that is more comparable among periods since it excludes the impact of items that may recur occasionally, but tend to be irregular as to timing, thereby distorting comparisons between periods. However, 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 EPS). As defined, adjusted EPS 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 EPS are not indicative of the company's operating performance, these items do impact the income statement, and management therefore utilizes adjusted EPS as an operating performance measure in conjunction with GAAP measures such as GAAP EPS.

 

(4)

The unaudited pro forma items combine the historical results for AMN for the twelve months ended December 31, 2010 and the historical results for NF Investors, Inc ("NFI") for the eight months ended August 31, 2010, prior to the acquisition, as if the acquisition had occurred on January 1, 2010. The proforma information is solely for informational purposes and is not necessarily indicative of the combined results of operations that might have been achieved for the period indicated, nor is it necessarily indicative of the future results of the combined company.

 

(5)

Amounts represent consolidated revenue, Adjusted EBITDA, and Adjusted EBITDA margin for the twelve months ended December 31, 2011 vs historical/pro forma for the twelve months ended December 31, 2010.

 

(6)

Amounts represent nurse and allied healthcare staffing segment revenue, Adjusted EBITDA (also named "segment operating income") and Adjusted EBITDA margin (also named "segment operating margin") for the twelve months ended December 31, 2011 vs. historical/pro forma for the twelve months ended December 31, 2010.

 

(7)

Amounts represent  Travel Nurse Division revenue and Adjusted EBITDA for the twelve months ended December 31, 2011 vs. historical/pro forma for the twelve months ended December 31, 2010.

 

(8)

Average travelers on assignment represents the average number of nurse and allied healthcare professionals on assignment during the period presented.

 

(9)

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.

 

(10)

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)

(unaudited)


 
 
 

December 31,

September 30,

December 31,

 
 

2011

2011

2010

 

Assets

       

Current assets:

       

 Cash and cash equivalents

$  3,962

$  4,643

$  1,883

 

 Accounts receivable, net

146,654

143,938

127,464

 

 Accounts receivable, subcontractor

22,497

17,441

17,082

 

 Prepaid expenses

5,691

6,032

6,969

 

 Income taxes receivable

3,372

2,210

3,760

 

 Deferred income taxes, net

19,335

19,938

20,170

 

 Other current assets

3,652

3,250

1,933

 

 Assets held for sale

7,310

0

0

 

   Total current assets

212,473

197,452

179,261

 

Restricted cash, cash equivalents and investments

18,244

18,250

20,961

 

Fixed assets, net

16,863

18,134

21,777

 

Deposits and other assets

19,329

19,769

20,116

 

Deferred income taxes, net

1,823

243

243

 

Goodwill

123,324

130,089

154,176

 

Intangible assets, net

143,575

153,465

165,576

 
         

    Total assets

$  535,631

$  537,402

$  562,110

 
         

Liabilities and stockholders' equity

       

Current liabilities:

       

 Bank overdraft

$         3,515

$         4,779

$  4,463

 

 Accounts payable and accrued expenses

49,809

47,198

45,867

 

 Accrued compensation and benefits

43,649

43,500

38,060

 

 Revolving credit facility

3,000

3,000

0

 

 Current portion of notes payable

28,125

20,812

13,875

 

 Deferred revenue

2,155

2,585

7,191

 

 Other current liabilities

8,313

6,812

8,437

 

 Liabilities related to assets held for sale

1,486

0

0

 

   Total current liabilities

140,052

128,686

117,893

 
         

Notes payable, less current portion and discount

174,198

185,767

200,811

 

Other long-term liabilities

61,646

62,484

61,575

 

   Total liabilities

375,896

376,937

380,279

 
         

Preferred Stock

24,076

24,388

28,376

 

Stockholders' equity

135,659

136,077

153,455

 
         

Total liabilities and stockholders' equity

$  535,631

$  537,402

$  562,110

 
         
         

 
   
 

AMN Healthcare Services, Inc.

Condensed Consolidated Statements of Cash Flows

(in thousands)

(unaudited)


 
 
 

Three Months Ended

Twelve Months Ended

 
 

December 31,

September 30,

December 31,

 
 

2011

2010

2011

2011

2010

 
             

Net cash provided by operating activities

$  6,513

$  4,849

$  4,881

$  19,312

$  8,089

 
             

Net cash used in investing activities

(1,142)

(2,805)

(1,107)

(1,981)

(6,846)

 
             

Net cash used in financing activities

(6,070)

(2,240)

(7,087)

(15,300)

(26,449)

 
             

Effect of exchange rates on cash

18

2

32

48

36

 
             

 Net increase (decrease) in cash and cash equivalents

(681)

(194)

(3,281)

2,079

(25,170)

 
             

 Cash and cash equivalents at beginning of period

4,643

2,077

7,924

1,883

27,053

 
             

 Cash and cash equivalents at end of period

$  3,962

$  1,883

$  4,643

$  3,962

$  1,883

 
   
           

 

SOURCE AMN Healthcare Services, Inc.