AMN Healthcare Reports Second Quarter 2007 Results and Updates Annual Guidance

SAN DIEGO, Aug. 6 /PRNewswire-FirstCall/ -- AMN Healthcare Services, Inc. , the nation's largest healthcare staffing company, today reported revenue of $293.9 million and diluted earnings per share of $0.26 for the second quarter of 2007. Revenue for the second quarter increased 13% from the $261.2 million reported for the second quarter of last year and 4% from the $283.9 million reported last quarter. Second quarter 2007 diluted earnings per share compared to $0.21 for the second quarter of 2006 and $0.23 for the first quarter of 2007.

"We are pleased to report that second quarter revenue and EPS came in slightly above the upper end of our expectations," said Susan R. Nowakowski, President and Chief Executive Officer. "The company generated strong year over year revenue growth, with notable increases coming from our two largest segments of nurse and allied and locum tenens staffing. Although direct cost pressures continued to limit gross margin expansion, our teams did an excellent job of managing our operating expenses in order to achieve our overall earnings targets," added Nowakowski.

Gross profit for the second quarter of 2007 was $75.0 million, representing a 25.5% gross margin, as compared to $70.0 million, or 26.8% gross margin, for the second quarter of 2006 and $72.5 million, or 25.5% gross margin, for the first quarter of 2007. Gross margin declined on a year over year basis due mainly to higher housing and healthcare professional compensation costs. Gross margins by business segment for the second quarter of 2007 were 23.3% for nurse and allied healthcare staffing, 25.6% for locum tenens staffing and 60.0% for physician permanent placement services. Based on current indicators, the company expects gross margins to improve in the third quarter for all business segments.

Selling, general, and administrative ("SG&A") expenses for the second quarter of 2007 were $53.5 million, or 18.2% of revenue, as compared to $52.4 million, or 20.0% of revenue, for the second quarter of 2006 and $53.1 million, or 18.7% of revenue, for the first quarter of 2007. The reduction in SG&A as a percentage of revenue in part reflects management's continued efforts to further leverage the company's infrastructure in order to increase operating margins.

Income from operations for the second quarter of 2007 was $18.6 million, or 6.3% of revenue, as compared to $15.1 million, or 5.8% of revenue, for the second quarter of 2006, and $16.8 million, or 5.9% of revenue, for the first quarter of 2007. The increase in operating margin on a year over year and sequential basis was due to lower SG&A expenses as a percentage of revenue.

Net interest expense for the second quarter of 2007 was $3.1 million, compared to $4.3 million for the second quarter of 2006 and $3.3 million for the first quarter of 2007. The decrease in net interest expense from the same quarter last year and prior quarter was due primarily to a continued reduction in outstanding debt.

The company generated $16.3 million in cash flow from operations during the second quarter of 2007 which, in addition to cash on-hand, was used to reduce debt outstanding by $2.3 million and pay out $5.5 million of cash related to the acquisition of Rx Pro Health on May 21, 2007. Total debt outstanding at June 30, 2007 was $167.3 million, yielding a leverage ratio of 1.8 times. Weighted average diluted shares outstanding for the second quarter of 2007 were 35.3 million. Additionally, as previously announced, the Board of Directors approved a stock repurchase program for up to 1.0 million shares of common stock which will commence during the third quarter of 2007.

Revenue and Earnings Guidance for Third Quarter and Full Year 2007

Management expects revenue for the third quarter of 2007 to range from $295 million to $297 million and diluted earnings per share to range from $0.27 to $0.29.

"Within our largest segment of nurse and allied staffing, we are projecting continued favorable pricing trends and growth in revenue per traveler per day for the second half of the year," said Nowakowski. "However, due to lower client demand and utilization of travel nurses in certain key markets during the summer months, we are not expecting the previously anticipated growth in traveler volume on a sequential basis for the third quarter. We believe the lower demand in these regions is being driven primarily by softness in hospital admissions. Also contributing is the continued limited availability of visas for foreign nurses. While we are obviously disappointed in the lack of volume growth at this time, we do believe that the fundamentals of our travel nursing business remain solid and that our supply continues to show healthy trends, which should benefit us as demand increases."

Nowakowski added, "We expect our locum tenens staffing and physician permanent placement segments to grow in line with our original expectations, driven mainly by continued strong demand, excellent recruitment efforts and moderate growth in revenue per day filled. Looking forward, we will continue to focus our efforts on expanding gross margins and controlling our SG&A spending in order to grow earnings."

Due to the lack of anticipated volume growth within the nurse and allied staffing segment in the third quarter, the Company is also updating its full year guidance with revenue expected to range from $1.16 billion to $1.17 billion and diluted earnings per share expected to range from $1.02 to $1.04. While visibility on third quarter performance is clearer than the fourth quarter, management believes it is prudent to cautiously adjust full-year guidance projections until there are more favorable growth trends in client demand within our nurse and allied staffing business.

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 August 7, 2007

AMN Healthcare Services, Inc.'s second quarter 2007 conference call will be held on Tuesday, August 7, 2007, at 11:00 a.m. Eastern Time. A live webcast of the call can be accessed through AMN Healthcare's website at http://www.amnhealthcare.com/investors. 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 [phone] in the U.S. or [phone] 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 August 21, 2007 at midnight Eastern Time, by calling [phone] in the U.S. or [phone] internationally, with access code 876819.

From time to time, additional information regarding non-GAAP financial measures may be made available on the company's website at http://www.amnhealthcare.com/investors.

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. Such statements include the revenue and earnings guidance for the third quarter and full year 2007, and Ms. Nowakowski's comments including those regarding overall demand, pricing trends, revenue growth, nurse traveler volume, and demand, growth and gross margin in our physician segments. 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; the company's ability to maintain and enhance the brand identities we have developed, at reasonable costs; 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 design its strategic growth, acquisition and integration strategies and to implement those strategies, including integration of acquired companies' accounting, management information, human resource and other administrative systems, and implementation or remediation of controls, procedures and policies at acquired companies; the company's ability to leverage its cost structure; access to and undisrupted performance of the company's management information and communication systems, including use of the Internet, and our candidate and client databases and payroll and billing software systems; our ability to keep our web sites operational at a reasonable cost and without service interruptions; 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, its Quarterly Report on Form 10-Q, 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.

(Logo: http://www.newscom.com/cgi-bin/prnh/20060718/LATU121LOGO ) Contact: David C. Dreyer Chief Financial Officer Christopher Schwartz Vice President, Financial Reporting and Investor Relations 866.861.3229 AMN Healthcare Services, Inc. Condensed Consolidated Statements of Income (dollars in thousands, except per share amounts) (unaudited) Three Months Ended Six Months Ended June 30, June 30, 2007 2006 % Chg 2007 2006 % Chg Revenue $293,912 $261,176 12.5 % $577,856 $515,441 12.1 % Cost of revenue 218,953 191,154 14.5 % 430,392 377,118 14.1 % Gross profit 74,959 70,022 7.1 % 147,464 138,323 6.6 % 25.5 % 26.8 % 25.5 % 26.8 % Operating expenses: Selling, general and administrative 53,520 52,353 2.2 % 106,571 100,245 6.3 % 18.2 % 20.0 % 18.4 % 19.4 % Depreciation and amortization 2,857 2,524 13.2 % 5,486 4,990 9.9 % Total operating expenses 56,377 54,877 2.7 % 112,057 105,235 6.5 % Income from operations 18,582 15,145 22.7 % 35,407 33,088 7.0 % 6.3 % 5.8 % 6.1 % 6.4 % Interest expense, net 3,124 4,345 -28.1 % 6,458 8,492 -24.0 % Income before income taxes 15,458 10,800 43.1 % 28,949 24,596 17.7 % Income tax expense 6,212 3,529 76.0 % 11,509 9,024 27.5 % Net income $9,246 $7,271 27.2 % $17,440 $15,572 12.0 % 3.1 % 2.8 % 3.0 % 3.0 % Net income per common share: Basic $0.27 $0.23 17.4 % $0.50 $0.49 2.0 % Diluted $0.26 $0.21 23.8 % $0.49 $0.45 8.9 % Weighted average common shares outstanding: Basic 34,723 31,887 8.9 % 34,681 31,990 8.4 % Diluted 35,273 34,170 3.2 % 35,278 34,467 2.4 % AMN Healthcare Services, Inc. Supplemental Financial and Operating Data (dollars in thousands, except operating data) (unaudited) Three Months Ended June 30, 2007 % of Rev 2006 % of Rev Revenue Nurse and allied healthcare staffing $ 201,322 $ 181,473 Locum tenens staffing 79,937 66,954 Physician permanent placement services 12,653 12,749 $ 293,912 $ 261,176 Adjusted EBITDA(1) Nurse and allied healthcare staffing $ 13,635 6.8 % $ 11,174 6.2 % Locum tenens staffing 7,040 8.8 % 4,957 7.4 % Physician permanent placement services 2,923 23.1 % 3,329 26.1 % 23,598 8.0 % 19,460 7.5 % Depreciation and amortization 2,857 2,524 Non-cash stock-based compensation 2,159 1,791 Interest expense, net 3,124 4,345 Income before income taxes 15,458 10,800 Income tax expense 6,212 3,529 Net income $ 9,246 $ 7,271 Three Months Ended June 30, 2007 2006 % Chg Gross Margin Nurse and allied healthcare staffing 23.3 % 24.5 % Locum tenens staffing 25.6 % 26.7 % Physician permanent placement services 60.0 % 60.6 % Operating Data: Nurse and allied healthcare staffing Average travelers on assignment(2) 7,017 6,572 6.8 % Revenue per traveler per day(3) $ 315.28 $ 303.44 3.9 % Gross profit per traveler per day(3) $ 73.49 $ 74.32 -1.1 % Locum tenens staffing Days filled(4) 57,602 49,534 16.3 % Revenue per day filled(4) $1,387.75 $ 1,351.68 2.7 % Gross profit per day filled(4) $ 355.01 $ 358.76 -1.0 % Six Months Ended June 30, 2007 % of Rev 2006 % of Rev Revenue Nurse and allied healthcare staffing $ 401,297 $ 359,197 Locum tenens staffing 151,342 131,501 Physician permanent placement services 25,217 24,743 $ 577,856 $ 515,441 Adjusted EBITDA(1) Nurse and allied healthcare staffing $ 27,366 6.8 % $ 26,124 7.3 % Locum tenens staffing 11,058 7.3 % 9,618 7.3 % Physician permanent placement services 6,423 25.5 % 5,494 22.2 % 44,847 7.8 % 41,236 8.0 % Depreciation and amortization 5,486 4,990 Non-cash stock-based compensation 3,954 3,158 Interest expense, net 6,458 8,492 Income before income taxes 28,949 24,596 Income tax expense 11,509 9,024 Net income $ 17,440 $ 15,572 Six Months Ended June 30, 2007 2006 % Chg Gross Margin Nurse and allied healthcare staffing 23.3 % 24.6 % Locum tenens staffing 25.4 % 26.5 % Physician permanent placement services 61.6 % 60.4 % Operating Data: Nurse and allied healthcare staffing Average travelers on assignment(2) 7,024 6,590 6.6 % Revenue per traveler per day(3) $ 315.65 $ 301.14 4.8 % Gross profit per traveler per day(3) $ 73.52 $ 74.22 -0.9 % Locum tenens staffing Days filled(4) 109,901 98,785 11.3 % Revenue per day filled(4) $1,377.08 $1,331.18 3.4 % Gross profit per day filled(4) $ 350.02 $ 352.89 -0.8 % (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) (unaudited) June 30, March 31, December 31, 2007 2007 2006 Assets Current assets: Cash and cash equivalents $17,527 $10,221 $4,422 Accounts receivable, net 195,213 187,925 192,716 Deferred income taxes, net 24,985 23,289 26,275 Other current assets 13,192 13,831 12,442 Total current assets 250,917 235,266 235,855 Fixed assets, net 24,303 23,532 23,236 Goodwill, net 243,680 240,939 240,719 Intangible assets, net 115,443 111,356 112,116 Deposits and other assets 11,644 10,801 10,255 Total assets $645,987 $621,894 $622,181 Liabilities and stockholders' equity Current liabilities: Bank overdraft $1,736 $868 $10,353 Accounts payable and accrued expenses 21,632 21,954 20,273 Accrued compensation and benefits 43,116 41,363 42,585 Income taxes payable 6,455 2,354 2,727 Current portion of notes payable 15,822 13,562 12,901 Deferred revenue 6,705 6,023 6,397 Other current liabilities 26,015 26,143 25,731 Total current liabilities 121,481 112,267 120,967 Notes payable, less current portion 151,437 155,958 160,479 Deferred income taxes, net 67,645 64,495 69,365 Other long-term liabilities 33,863 29,655 26,824 Total liabilities 374,426 362,375 377,635 Stockholders' equity 271,561 259,519 244,546 Total liabilities and stockholders' equity $645,987 $621,894 $622,181 AMN Healthcare Services, Inc. Condensed Consolidated Cash Flow Statement (in thousands) (unaudited) Three Months Ended Six Months Ended June 30, June 30, June 30, June 30, 2007 2006 2007 2006 Net cash provided by operating activities $16,251 $24,124 $33,493 $42,149 Net cash used in investing activities (7,983) (2,886) (10,114) (40,390) Net cash used in financing activities (984) (26,670) (10,288) (15,967) Effect of exchange rates on cash 22 -- 14 (14) Net increase (decrease) in cash and cash equivalents 7,306 (5,432) 13,105 (14,222) Cash and cash equivalents at beginning of period 10,221 10,320 4,422 19,110 Cash and cash equivalents at end of period $17,527 $4,888 $17,527 $4,888
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