Amn healthcare services, inc. (AMN)
CashFlow / Yearly
Dec'19Dec'18Dec'17Dec'16Dec'15Dec'14Dec'13Dec'12Dec'11Dec'10Dec'09
Cash flows from operating activities:
Net Income (Loss) Attributable to Parent

113,988

141,741

132,558

105,838

81,891

33,217

32,933

17,136

-26,265

-51,991

-122,177

Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization

58,520

41,237

32,279

29,620

20,953

15,993

-

-

-

-

-

Depreciation and amortization

-

-

-

-

-

-

13,545

14,151

16,416

15,084

13,812

Non-cash interest expense and other

-1,984

4,841

-2,231

2,416

1,934

1,392

1,336

2,921

3,787

3,240

4,583

Change in fair value of contingent consideration

7,178

-2,400

184

-24

-330

0

0

-

-

-

-

Increase in allowances for doubtful accounts and sales credits

6,275

9,006

10,339

12,008

6,684

4,393

4,628

6,786

4,411

3,911

4,334

Provision for deferred income taxes

913

-667

5,607

-9,424

12,677

11,779

3,031

6,951

-1,795

-10,711

-51,721

Share-based Payment Arrangement, Noncash Expense

16,241

10,815

10,237

11,399

10,284

7,157

-

-

-

-

8,709

Share-based compensation

-

-

-

-

-

-

6,125

6,224

7,132

8,284

-

Excess tax benefit from equity awards vested and exercised

-

-

-

3,351

7,449

1,819

1,521

44

109

125

0

Holdback settlement in equity from prior acquisition

-

-

-

-

-

-

3,046

0

0

-

-

Impairment charges for continuing operations

-

-

-

-

-

-

-

-

-

50,832

175,707

Impairment charges for discontinued operations

-

-

-

-

-

-

-

-

38,898

0

0

Gain on sale of discontinued operations

-

-

-

-

-

-

-

1,187

0

0

-

Loss on disposal or sale of fixed assets

-484

-117

-227

-69

-4

-60

-14

-32

-108

-123

-979

Write-off of fees on credit facilities

-594

-574

0

0

-

-

-

-

-

-

-

Amortization of discount on investments

298

202

127

0

0

-

-

-

-

-

-

Non-cash lease expense

-5

-

-

-

-

-

-

-

-

-

-

Write-off of assets due to discontinued operations

-

-

-

-

-

-

-

-

571

0

0

Loss on debt extinguishment

-

-

-

-

-

-3,113

-434

-9,815

0

0

-

Changes in assets and liabilities, net of effects from acquisitions:
Accounts receivable

-28,278

1,453

18,858

58,700

75,653

41,958

8,644

2,642

23,601

11,019

-84,915

Accounts receivable, subcontractor

22,571

9,131

-8,221

-1,542

22,365

10,172

-196

-4,030

5,415

4,283

3,815

Income taxes receivable

4,464

-15,099

15,537

-6,469

-7,867

-768

1,572

-3,035

-388

-140

460

Prepaid expenses

-774

-4,465

2,316

455

2,915

1,933

633

-

-

-

-

Other current assets

-2,847

1,259

-4,301

5,662

5,409

-1,920

-3,859

8,684

825

-1,185

-5,972

Other assets

12,751

-5,239

5,406

3,562

4,785

268

11,865

1,537

247

911

-971

Accounts payable and accrued expenses

1,925

17,154

-7,862

17,705

29,611

6,125

6,244

-680

3,660

8,936

-6,363

Accrued compensation and benefits

32,758

10,252

13,430

19,142

11,888

11,515

6,367

5,794

6,035

-166

-20,817

Other liabilities

-6,090

-8,980

-8,442

8,147

-2,103

-4,488

13,129

-3,029

-3,837

-4,440

-3,527

Deferred revenue

-1,806

319

-548

732

1,313

-114

-90

-692

-

-

-

Restricted cash, cash equivalents and investments balance

-

-

-

-

7,784

9,002

4,301

0

0

-

-

Restricted investments balance

-78

92

0

0

-

-

-

-

-

-

-

Net cash provided by operating activities

224,862

226,993

160,518

133,909

56,313

27,678

60,169

58,380

19,312

8,089

98,732

Cash flows from investing activities:
Purchase and development of fixed assets

35,218

35,206

26,529

21,956

27,010

19,134

9,047

5,472

4,648

4,168

3,789

Purchase of investments

26,309

33,824

15,096

13,152

0

0

-

-

-

-

-

Proceeds from maturity of investments

32,135

25,000

20,301

2,000

0

0

-

-

-

-

-

Change in restricted cash, cash equivalents and investments balance

-

-

-

-

0

-12,550

-47

617

-2,717

-1,064

22,025

Equity investment

0

6,100

2,000

0

1,000

5,000

0

0

-

-

-

Payments to fund deferred compensation plan

12,507

9,917

10,537

6,911

3,004

2,174

1,298

1,383

-

-

-

Purchase of convertible promissory note

779

750

0

0

-

-

-

-

-

-

-

Payments to Acquire Businesses, Gross

247,906

217,360

0

-

-

-

-

-

-

-

-

Cash paid for other intangibles

1,240

1,180

0

0

-

-

-

-

-

-

-

Payments for Previous Acquisition

0

0

1,500

1,848

990

0

0

-

-

-

-

Proceeds from sales of assets held for sale

-

-

-

-

-

-

600

9,050

0

0

-

Net cash used in investing activities

-291,824

-279,337

-35,361

-258,361

-116,085

-28,228

-49,198

1,578

-1,981

-6,846

-29,245

Cash flows from financing activities:
Capital lease repayments

-

-

-

7

4

529

681

650

673

647

889

Payments on term loans

150,000

0

44,063

167,813

7,500

155,245

10,000

246,880

0

0

-

Proceeds from term loans

150,000

0

0

75,000

0

150,000

0

198,000

0

0

-

Payment of prior notes payable discount

-

-

-

-

-

-

-

-

-

2,755

4,400

Repayments of Lines of Credit

221,000

75,000

0

206,500

25,000

39,500

16,000

3,000

-16,900

0

31,500

Proceeds from prior revolving credit facility

-

-

-

-

-

-

-

-

19,900

0

-

Proceeds from revolving credit facility

101,000

195,000

0

124,000

89,500

47,500

26,000

0

-

-

0

Proceeds from senior notes

300,000

0

0

325,000

0

0

-

-

-

-

-

Repurchase of common stock

18,705

67,013

20,164

13,261

0

0

-

-

-

-

-

Prepayment penalty associated with the prior credit facilities

-

-

-

-

-

-

-

1,200

0

0

-

Payment of financing costs

5,223

2,331

0

6,561

0

3,488

364

3,938

855

3,629

6,199

Earn-out payments for prior acquisitions

5,700

1,713

3,677

900

0

0

-

-

-

-

-

Proceeds from termination of derivative contract

0

0

-85

238

0

-

-

-

-

-

-

Payment on reduction of derivative contract

-

-

-

-

-

0

-

-

-

-

-

Proceeds from prior notes payable

-

-

-

-

-

-

-

-

-

117,750

110,000

Repayments of prior notes payable

-

-

-

-

-

-

-

-

13,875

7,449

114,816

Payments on termination of derivative contracts

-

-

-

-

-

-

-

-

-

-

1,855

Proceeds from exercise of equity awards

-

-

-

-

3,663

1,792

1,177

530

0

0

12

Cash paid for shares withheld for taxes

13,773

11,432

9,374

5,781

11,908

4,448

2,670

1,075

2,058

1,087

168

Payment on NF Investors, Inc. (NFI) then-existing debt

-

-

-

-

-

-

-

-

-

132,918

0

Excess tax benefit from equity awards vested and exercised

-

-

-

3,351

7,449

1,819

1,521

44

109

125

0

Change in bank overdraft

-

-

-

-

-

-

-

-

-948

4,161

-3,995

Net cash provided by financing activities

136,599

37,511

-77,193

126,290

56,200

-2,099

-1,017

-58,169

-15,300

-26,449

-53,810

Effect of exchange rate changes on cash

1

263

-98

267

75

142

-55

-70

48

36

60

Net increase in cash, cash equivalents and restricted cash

69,638

-14,570

47,866

2,105

-3,497

-2,507

9,899

1,719

2,079

-25,170

15,737

Supplemental disclosures of cash flow information:
Cash paid for amounts included in the measurement of operating lease liabilities

17,817

-

-

-

-

-

-

-

-

-

-

Cash paid for interest (net of $159 and $102 capitalized for the three months ended March 31, 2020 and 2019, respectively)

23,730

21,283

17,936

8,057

5,806

4,599

7,405

13,698

19,667

16,429

7,387

Cash paid for income taxes

37,747

30,593

73,746

73,366

33,132

17,880

18,865

1,860

388

-84

5,609

Business Combinations [Abstract]
Acquisitions:
Fixed assets acquired through capital leases

-

-

-

-

-

-

-

-

-

-

-2,145

Fair value of tangible assets acquired in acquisitions, net of cash and restricted cash received

29,660

24,026

0

18,703

26,771

1,631

9,899

0

0

58,597

0

Goodwill

157,036

97,910

0

136,101

50,227

9,750

21,318

0

411

116,240

0

Intangible assets

107,580

122,110

0

89,064

34,237

9,960

19,790

0

0

65,044

0

Liabilities assumed

31,148

16,586

0

21,474

22,954

3,821

11,507

0

411

-47,447

0

Holdback provision

-

-

-

1,830

1,500

1,650

0

0

-

-

0

Earn-out liabilities

15,222

10,100

0

4,070

2,700

1,400

0

0

-

-

-

Cash payment for holdback liability for prior year acquisitions

-

-

-

-

-

-

-

-

50

511

3,431

Net cash paid for acquisitions

247,906

217,360

0

216,494

84,081

14,470

39,500

0

0

3,231

0

Supplemental disclosures of non-cash investing and financing activities:
Purchase of fixed assets recorded in accounts payable and accrued expenses

2,301

1,706

2,962

2,134

3,337

4,618

3,727

282

-

-

-

NFI then-existing debt

-

-

-

-

-

-

-

-

-

-132,918

0

Preferred Stock Issued

-

-

-

-

-

-

-

-

-

-28,376

0

Common Stock Issued

-

-

-

-

-

-

-

-

-

-27,909

0