Sie sind auf Seite 1von 59

Student Managed Fund I

FNCE 3363
October 30, 2014
Yangxing (Dennis) Li

Executive Summary
Recommendation: Buy
TeamHealth is a well-managed healthcare staffing company that will continue to grow
with benefits from favorable industry trends and the managements determination to use
available resources to expand the companys presence in the marketplace. The new healthcare
legislation, known as Patient Protection and Affordable Care Act, will help reduce the uninsured
population. With more people getting health insurance, patient visits to hospitals will likely
increase even more and it will further boost the demand for healthcare professionals.
TeamHealth has a great customer satisfaction record, as measured by its high client retention
rates compared to industry competitors. From the fundamentals standpoint, TeamHealth also
comes out on top. The consistent growth in sales and positive earnings surprise in the last two
years are the key drivers for the companys advance in its stock price. But any slowdown in the
companys growth momentum in the future may stall further price appreciation.
Number of Shares Suggested: 1,186 (1.3% of the portfolio)
Suggested Buy Price: $55

Summary Information
Company Name: TeamHealth Inc.
Ticker Symbol: TMH
Exchange: NYSE
Current Price: $61.95
52-Week Range: $41.37 - $62.39
Price History:

From: Yahoo Finance


Market Capitalization: 4.38B
Shares Outstanding: 71.9 million
Volume (Average): 608.23k
Financial Ratios: See Appendix B in Ratios

Business Description
Founded in 1979, TeamHealth is one of the largest staffing companies in the healthcare
industry that provides outsourced medical professional staffing and administrative services to
hospitals and other healthcare providers in the United States. The company is currently serving
about 900 hospitals, clinics in 46 states and its team comprises of approximately 10,200
healthcare professionals including physicians, physician assistants, nurses and nurse
practitioners.1 TeamHealth recruits and contracts with those aforementioned medical
professional groups, who then provides healthcare services in hospitals, clinics or other
healthcare facilities. TeamHealth states that the companys vision is to develop the best teams
of healthcare professionals driven to advance patient care through leadership, innovation and
teamwork, and is proud of its client satisfaction through high level of contract retention rates.2
Main Service Lines1
The biggest segment that TeamHealth provides outsourced staffing and administrative
services to is Emergency Departments (EDs). EDs are the major source of hospital inpatient
admissions and a lot of those admissions for key medical services start in EDs. Therefore wellmanaged EDs are essential to hospitals patient satisfaction level and the overall success of the
hospitals. Also with increasing challenges that hospitals face in doing the billing and collections
process by themselves and maintaining high level of physician recruiting and retention, more and
more hospitals are leaning toward the idea of outsourcing their staffing and administrative
services to companies like TeamHealth.

1
2

See companys most recent 10-K for further detail


See investor presentation at www.teamhealth.com for further detail

In the ED market, there are approximately 5,000 community hospitals and about 3,300 of
those hospitals are in TeamHealths target market. Of the 3,300 targeted hospitals, about 2,600 of
their EDs are outsourced. TeamHealth has 16% of the market share in the outsourced ED market,
while local groups have 46%, regional groups have 20% and other national groups have 18%,
according to managements estimates. Net revenues from TeamHealths ED segment were 72%,
71% and 69% of its total consolidated net revenues in year 2011, 2012 and 2013 respectively.
TeamHealth also provides outsourced medical professionals staffing and administrative
services for inpatient services, including hospital medicine, medical specialists and house
coverage services. Net revenues from TeamHealths inpatient service line were 9%, 10% and
12% of its total consolidated net revenues in year 2011, 2012 and 2013 respectively.
Anesthesiology is the other main segment that TeamHealth provides outsourced services
to. In the anesthesia market, TeamHealth offers outsourced anesthesiology and pain management
personnel to hospitals and ambulatory surgical centers. The company also provides
administrative services to help improve the performance of the anesthesiology department. Net
revenues from TeamHealths anesthesiology segment were 7%, 8% and 10% of its total
consolidated net revenues in year 2011, 2012 and 2013 respectively.
Geographic Presence3
TeamHealth is a national company that provides outsourced staffing and administrative
services to hospitals and other healthcare facilities in 46 states. The company has 19 regional
offices in key geographic areas and its presence is spread out across the United States.

See Appendix J for further detail

Net Revenue Growth2


In the most recent year of 2013, TeamHealths net revenue reached $2.38 billion, a
15.2% increase from the year ago. Since the company went public in 2009, its net revenue has
grown from $1.52 billion in 2010 to $2.38 billion in 2013, a 4-year CAGR (compounded annual
growth rate) of 15.9%.

From: TeamHealth
High Client Retention2
TeamHealth has long-term relationships with its clients under exclusive contracts in its
biggest ED service segment. The company is an industry leader in retaining its existing
customers with client renewal rate of 96% and physician retention rate of 93%.

See investor presentation at www.teamhealth.com for further detail

Industry Analysis & Competitive Positioning


Industry Drivers & Outlook4
There are several external factors that can affect the performance of the healthcare
services industry. Technological change can impact the industry performance to a certain extent,
but the effect would not be dramatic since the main functions of those companies are not as
heavily dependent upon technology as the ones that are in the technology sector. For companies
like TeamHealth, new information systems that can make the search process for medical groups
more efficient would certainly benefit in terms of cost reduction. With improved information
systems for the search process, those healthcare services providers are able to gain easier access
to higher skilled medical professionals.
Government regulation plays a pivotal role in affecting the performance of the entire
healthcare sector. The continuing rollout of the Patient Protection and Affordable Care Act
(PPACA) will very likely give companies in this industry a boost in their performance from this
year onward. The new healthcare legislation will result in lower uninsured population. The
Congressional Budget Office estimated that about 25 million of previously uninsured population
will gain healthcare insurance coverage by year 2023. The CBO also projects net increases in the
number of insured Americans of 12 million, 7 million and 6 million in year 2014, 2015 and 2016
respectively. With lower uninsured population, patient volumes will likely increase and
companies in this industry will get better payor mix. According to statistics from American
Hospital Association (AHA), ED inpatient visits has increased at CAGR of 3% since 1998.
Patient visits per ED has also increased at CAGR of 4% since 1998. Another positive note is that
the federal funding for Medicare and Medicaid is expected to increase strongly this year.2 With
4
2

See Appendix D for further detail


See investor presentation at www.teamhealth.com for further detail

those benefits coming from the new healthcare legislation, companies in this industry is expected
to get a boost in their service demand and profitability.
Social change is another external factor that can affect the healthcare services industry,
and specifically the national unemployment rate and the availability of qualified medical
professionals. From the correlation analysis, the national unemployment rate has a positive
correlation with industry sales. The positive relationship indicates that as the unemployment rate
increases, so does industry sales. But since the significance level for this particular relationship is
0.63, it is not considered as a significant result. According to the Wall Street Journal economic
survey, the consensus among economists is that the national unemployment rate will likely
decrease steadily in the next year and beyond.5 With lower unemployment rate, demand for
healthcare service providers would likely increase. Multiple studies have pointed out that there is
continuing shortage of qualified medical professionals in the market, which could negatively
affect those health care service providers because of increasing competition to gain access to
those qualified medical groups.
Demographic changes also play an important role in affecting performance for healthcare
service providers like TeamHealth. According to a report conducted in 2010 by the U.S. Census
Bureau, the older population in the states is projected to increase rapidly in the next four decades.
The report indicates that in 2050, the number of Americans aged 65 and older is estimated to be
88.5 million. This projection is more than doubled the agencys previous projection of 40.2
million in 2010. Baby boomers, as the report suggests, are the main reason for the increase in
older population.6 (Vincent and Velkoff 2010)

5
6

See Wall Street Journal economic forecasting survey at www.projects.wsj.com/econforecast/


See Appendix L for further detail

As more and more baby boomers retire, the aging population in the country will very
likely increase utilization of healthcare services. As mentioned before, lower uninsured
population thanks to the Affordable Care Act will continue to improve the payor mix and that
will likely translate into better margins for companies in this industry.
In terms of foreign influence in the health care services industry, the impact will be
limited because most of the companies in the industry operate in local or regional environments
and have yet to expand internationally.
The market for health care staffing and management services is highly fragmented,
especially in the ED segment. There are approximately 5,000 community hospitals that are in the
ED market, of which about 2,600 of EDs are outsourced to national, regional or local groups. Of
those 2,600 EDs, TeamHealth estimates that 46% of those EDs are outsourced to local groups,
20% to regional groups and 34% to other national groups.7 The barrier to entry is thus low. All of
the service providers in the ED market provide similar healthcare services in one way or another,
so there is price competition for those companies which will affect their ability to gain new
contracts and retain existing contracts. Because of the potential benefits created by the healthcare
reform, more national providers seek acquisitions and consolidations to grasp those opportunities
for further growth. Thus the industry is heading toward the mature stage in its industry life cycle.
Main Competitors
Envision Healthcare (NYSE: EVHC) and AMN Healthcare Services (NYSE:AHS) are
two of TeamHealths largest competitors in the healthcare staffing industry in terms of similarity
of services offered and market capitalization.

See Appendix K for further detail

Analysis
Improved Payor Mix
The benefit of improved payor mix from the PPACA is starting to take place in
TeamHealths operation. In the companys most recent Q2 2014 conference call, the
management team mentioned that self-pay patient volume as percentage of total visits declined
380 basis points to 17.4% compared to the first quarter of 2014. Both Medicare and Medicaid
patient volumes have seen moderate increase this year compared to last year.
Focus on Acquisitions
TeamHealth stated in its annual report to shareholder that the priority of the companys
use of cash is to grow the business by acquisitions. In the past two years TeamHealth acquired 15
ED and 5 anesthesia service lines in various markets. In a highly fragmented environment just
like the healthcare staffing industry, acquisitions for growth can help the company to gain market
share and thus put the company in a more competitive position against other competitors.
Financial Analysis8
Earnings
For the past 4 quarters, TeamHealth has been consistently beating earnings estimates by
an average of 9.2%. The recent positive earnings surprises mainly come from the companys
continuous growth in its revenues. With a favorable industry environment and TeamHealth
managements pursuit of gaining more share in the ED and anesthesia markets, its earnings are
expected to continue to grow in a moderate pace heading into next year.

See Appendix B, C and E for further detail

Earnings Surprise
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
Q3 '13

Q4 '13
After Event

Q1 '14

Q2 '14

Estimates

From: Factset
Profitability
TeamHealths gross margin has been consistent for the past 3 years around 16%, and its
competitors gross margins have also been stable during these years. The industrys gross margin
is 4 percentage points higher mainly due to much higher gross margin from AMN Healthcare.
Operating margins for TeamHealth as well as the industry are also stable. For TeamHealth, its
operating margin hovers around 7% in the past 3 years and it is slightly better than the industry
average. Net margin for TeamHealth is higher and much more consistent in the past 3 years
compared to its industry competitors. The industrys net margin for 2013 is almost 3 times lower
than TeamHealths mainly due to much lower margin from Envision Healthcare. TeamHealths
ROA is also higher and more consistent than its industry peers in the previous 3 years, which
shows that TeamHealth has been more profitable than its industry competitors. In short,
TeamHealth delivers better performance and is more consistent in terms of profitability when
comparing to its competitors.
In the healthcare staffing industry, cost of services rendered and other S, G&A expenses
make up considerable amount relative to companies revenues mainly due to rising costs of

hiring qualified medical professionals. With continuing shortage of those groups going forward,
healthcare staffing companies are expected to face some pressure on their operating margins. At
the same time, the new healthcare legislation will continue to benefit those staffing companies in
terms of giving their margins a boost. The PPACA will result in lower uninsured population and
a better payor mix for staffing companies. Hospitals will receive more patient visits, which in
turn will increase the demand for medical staffing services. From TeamHealths Q2 2014
conference call, the management mentioned that the benefits of the PPACA are starting to take
place as the rollout phase is heading toward completion. Projected adjusted EBITDA margin for
full year 2014 could range between 11-11.5%, and that would be 4 percentage points higher than
previous year.
Turnover Ratio
TeamHealths key turnover ratios are in line with the industry average in the past 3 years.
Receivables turnover for TeamHealth and the industry ranges from 5 to 6, and the ratio has not
changed much for 3 years. According to the Q2 2014 conference call, management projected that
its average collection period for fiscal year 2014 will be 58 days. In other words, TeamHealths
receivables turnover ratio is projected to improve from 5.88 in 2013 to 6.30 in 2014. Higher
receivables turnover ratio means that the company is projected to collect credit sales a little
faster.
Liquidity
TeamHealths interest coverage ratios for the past 3 years are much higher than its
industry competitors. Especially in 2013, it is almost 3 times higher than the industry average.
TeamHealths CFO/total debt is also higher compared to the industry, mainly because Envision
Healthcares ratios are much lower that drags down the industry average number. Those ratios

show that TeamHealth can pay off its debt faster than its competitors assuming the earnings and
cash flows are constant. In other words, TeamHealth is in a better liquidity position when it
meets its debt obligations.
Leverage
Companies in the healthcare staffing industry tend to leverage their businesses with longterm debt. All the key leverage ratios show that companies have been reducing their debt levels
for the past 3 years. This trend is consistent across the industry. TeamHealths LT debt/total
assets declined from 41.48% in 2011 to 35.52% in 2013, while the same ratio for the industry
declined from 45.70% to 34.59%. The decrease in TeamHealths leverage ratios is also
consistent with one of managements objectives as stated in the companys most recent annual
report.
Valuation
Multiples Analysis
To value TeamHealth, a combination of multiples are used. The two main multiples in
this valuation analysis are P/E and EV/EBITDA ratios.9 The companys sales is forecasted to
grow 14% in 2014 and 14.5% in 2015.10 The forecasted growth in sales is reasonable because of
favorable industry trends that the new healthcare legislation brings forth and TeamHealth is
expected to take further advantage of those favorable trends to grow the company by acquisitions
in the highly fragmented healthcare staffing market.
Looking at TeamHealths P/E multiples, the company is currently trading at a discount
over the industry average multiples. The industry P/E multiple is very high mainly due to

See Appendix I for further detail


See Appendix D for further detail

10

substantially high multiples from Envision Healthcare. With favorable growth prospect in sales
and earnings, TeamHealth can maintain its current P/E multiple of 39.31x in 2015. And with
forecasted earnings of $1.96 per share at the end of 2015, the implied value of TeamHealth today
is $70.85 per share. The implied equity value using the P/E multiples is at a premium to where
the company is trading currently.11
TeamHealths EV/EBITDA of 15.27x is also at a discount compared to the industry
average multiples of 17x. It is reasonable to suggest that there is potentially more upside ahead in
the companys EV/EBITDA multiples. Using the industry average multiples of 17x as
TeamHealths 2015 EV/EBITDA, the implied equity value of the company today is $64.50 per
share and it is at a small premium to the companys current price per share.
Discounted Cash Flow
Another method to value TeamHealth is by using the discounted cash flow models. Since
TeamHealth does not pay out dividends to shareholders and the management does not indicate
that they will do it anytime soon, it is thus not appropriate to use the Gordon Growth Model.
The H-Model presents a better fit for determining TeamHealths equity value because the
growth rates of its free cash flow in the past 5 years fluctuate a lot. Cost of equity is calculated to
be 8.75% using the CAPM approach. WACC (weighted average cost of capital) is calculated to
be 7.54%. The free cash flows that are used in this model are TeamHealths forecasted free cash
flows to the firm. The H Model gives the companys equity value of $66.59 per share, which is
at a premium to where the company is trading currently.

11

See Appendix F for further detail

Price Target
To determine the final target price for TeamHealth, a combination of P/E and
EV/EBITDA multiples together with the discounted cash flow model are used. By utilizing all
those methods, it becomes more accurate to determine the intrinsic value of the company. The
weights given to each of those measures to get the final price are as follows: 40% to P/E
multiples, 20% to EV/EBITDA and 40% to the H-Model outcome. The final target price for
TeamHealth comes out to be $67.88 per share.
Risk to Price Target
Valuation using the H-Model is sensitive to TeamHealths long-term free cash flow
growth rate and the required rate of return assumptions. The equity value of TeamHealth can be
greatly affected if those underlying assumptions change. The forecasted P/E multiple used in the
valuation model is based upon the analysis of the industry outlook12, and the valuation of
TeamHealth can be greatly affected if those underlying economic conditions change.

12

See Industry Analysis & Competitive Positioning section for analysis of industry outlook

References
Bureau of Economic Analysis. 2014. "U.S. GDP." Bureau of Economic Analysis.
https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0CDIQFjAA&url=
http%3A%2F%2Fwww.bea.gov%2Fnational%2Fxls%2Fgdpchg.xls&ei=fWEUUeCiDcSvyQGXyYCYC
Q&usg=AFQjCNFe70KjeZ-G8b1adaOvkdSHj0KkHw&bvm=bv.42080656,d.aWc.
Bureau of Labor Statistics. 2014. "U.S. Unemployment." Bureau of Labor Statistics.
http://www.bls.gov/cps/cpsaat01.htm.
Federal Reserve. 2014. "Selected Interest Rates." Board of Governors of the Federal Reserve System.
http://www.federalreserve.gov/releases/h15/data.htm.
McMahon, Tim. 2014. Historical Consumer Price Index (CPI-U) Data. October 22.
http://inflationdata.com/Inflation/Consumer_Price_Index/HistoricalCPI.aspx?reloaded=true.
. 2014. Historical Crude Oil Prices (Table). March 6.
http://inflationdata.com/Inflation/Inflation_Rate/Historical_Oil_Prices_Table.asp.
TeamHealth Inc. 2013. 2013 Annual Report. 10-K, TeamHealth Inc.
. 2014. "Investor Presentation - October 2014." TeamHealth. October. Accessed October 2014.
http://phx.corporate-ir.net/phoenix.zhtml?c=232262&p=irol-presentations.
United States Census Bureau. 2014. "New Residential Construction." United States Census Bureau.
http://www.census.gov/construction/nrc/historical_data/.
Vincent, Grayson K., and Victoria A. Velkoff. 2010. "The Next Four Decades The Older Population in the
United States: 2010 to 2050." Administration for Community Living. May. Accessed October
2014. http://www.aoa.acl.gov/Aging_Statistics/future_growth/DOCS/p25-1138.pdf.
Wall Street Journal. 2014. Economic Forecasting Survey. October. Accessed October 2014.
http://projects.wsj.com/econforecast/#ind=gdp&r=20.

Appendix A

Value Plus Quality Combined Screening


Step One - Valuation Measures, Step Two - Rank by Quality
P/E
Rank
P/S
Rank
P/B
Rank
TMH
23.80
2
1.70
3
12.10
1
AIRM
17.90
6
2.30
1
5.30
3
THC
25.40
1
0.40
8
8.40
2
WOOF
20.80
4
2.00
2
2.70
6
UHS
18.10
5
1.50
4
3.10
5
CHE
16.70
7
1.30
5
4.00
4
LPNT
21.40
3
0.80
7
1.50
9
HNT
15.80
8
0.30
10
2.10
7
HCA
15.60
9
0.90
6
-10
CYH
15.20
10
0.40
9
1.70
8

Sum

Step One - Quality Measures, Step three - Rank by Quality Measures


CR
rank
TD/TA
rank
TIE
rank
ROE
AIRM
2.10
1
54.24
7
6.04
5
18.08
WOOF
1.51
4
27.69
3
13.49
2
11.04
TMH
1.15
9
36.84
4
12.42
3
45.51
HNT
1.74
2
12.10
1
-10
10.68
UHS
1.35
7
39.81
5
6.09
4
17.12
CHE
0.62
10
20.63
2
28.31
1
17.12
LPNT
1.51
5
42.54
6
2.58
7
6.00
CYH
1.53
3
55.23
8
1.6
8
1.60
HCA
1.41
6
98.42
10
2.66
6
-THC
1.27
8
67.20
9
1.44
9 -12.96
Step Six - Compare Valuation and Quality
Valrank Qualrank Conclusion Buy/Sell
TMH
1
3
Fair
AIRM
2
1
Fair
THC
3
10
Over Sell
WOOF
4
2 Slight under Buy
UHS
5
5
Fair
CHE
6
6
Fair
LPNT
7
7
Fair
HNT
8
4
Under Buy
HCA
9
9
Fair
CYH
10
8
Fair

Rank

6
10
11
12
14
16
19
25
25
27

1
2
3
4
5
6
7
8
9
10

rank
2
5
1
6
3
4
7
8
9
10

Step Four - Use Weighting Scheme, Step five - Rank by Scheme


Weighted Rank Rank of Weighted Rank
3.3
1
3.7
2
4.4
3
4.6
4
4.8
5
4.8
6
6.2
7
6.5
8
7.7
9
9.0
10

Appendix B
Team Health Holdings, Inc.
TM H

87817A107 B51NDL4 NYSE

Common stock

Income Statement
Source : FactSet Fundamentals
All figures in millions of U.S. Dollar
Year/Year growth
Jun '14

Dec '13

Dec '12

Dec '11

Dec '10

Dec '09

Dec '08

Dec '07

LTM

365 Days

366 Days

365 Days

365 Days

365 Days

366 Days

--

Sales

2,544.64

2,383.60

2,069.02

1,745.33

1,519.26

1,423.44

1,331.32

1,232.07

Cost of Goods Sold (COGS) incl. D&A

2,111.67

1,996.62

1,727.70

1,444.20

1,243.51

1,153.08

1,079.33

986.75

432.97

386.97

341.32

301.13

275.75

270.36

251.98

245.31

Income Statement

Gross Income
SG&A Expense
EBIT (Operating Income)
Nonoperating Income - Net
Interest Expense
Unusual Expense - Net
Pretax Income
Income Taxes

222.74

201.85

220.80

169.15

135.81

165.90

120.54

118.53

210.22

185.12

120.52

131.98

139.94

104.46

131.44

126.78

5.30

4.54

4.76

-0.24

0.00

0.00

0.00

0.00

14.21

14.91

16.34

12.78

20.55

36.68

45.85

55.23

31.18

30.87

4.56

10.17

68.27

2.12

9.88

0.00

171.65

143.88

104.38

108.79

51.12

65.66

75.71

71.55

66.50

56.31

40.57

43.26

37.78

24.95

31.04

27.70

105.15

87.57

63.81

65.52

13.34

40.71

44.67

43.85

0.20

0.16

0.04

0.00

0.00

0.00

0.00

0.00

104.95

87.41

63.77

65.52

13.34

40.71

44.67

43.85

104.95

87.41

63.77

65.52

13.34

40.71

44.67

43.85

EPS (recurring)

1.76

1.54

0.98

1.09

0.95

0.85

1.05

0.89

EPS (diluted)

1.47

1.24

0.93

0.98

0.21

0.82

0.91

0.88

--

77.49

71.89

73.36

85.38

78.22

--

--

269.90

239.74

164.78

161.94

166.89

123.27

148.72

141.66

Consolidated Net Income


M inority Interest
Net Income
Net Income available to Common

Earnings Persistence
EBITDA

Team Health Holdings, Inc.


TM H

87817A107 B51NDL4 NYSE

Common stock

Income Statement
Source : FactSet Fundamentals
Common Size - % of Sales
Year/Year growth

Common Size
Jun '14

Dec '13

Dec '12

Dec '11

Dec '10

Dec '09

Dec '08

Dec '07

100.00

100.00

100.00

100.00

100.00

100.00

100.00

100.00

82.99

83.77

83.50

82.75

81.85

81.01

81.07

80.09

17.01

16.23

16.50

17.25

18.15

18.99

18.93

19.91

Income Statement
Sales
Cost of Goods Sold (COGS) incl. D&A
Gross Income
SG&A Expense

8.75

8.47

10.67

9.69

8.94

11.65

9.05

9.62

EBIT (Operating Income)

8.26

7.77

5.83

7.56

9.21

7.34

9.87

10.29

Nonoperating Income - Net

0.21

0.19

0.23

-0.01

0.00

0.00

0.00

0.00

Interest Expense

0.56

0.63

0.79

0.73

1.35

2.58

3.44

4.48

Unusual Expense - Net

1.23

1.30

0.22

0.58

4.49

0.15

0.74

0.00

Pretax Income

6.75

6.04

5.04

6.23

3.36

4.61

5.69

5.81

Income Taxes

2.61

2.36

1.96

2.48

2.49

1.75

2.33

2.25

Consolidated Net Income

4.13

3.67

3.08

3.75

0.88

2.86

3.36

3.56

M inority Interest

0.01

0.01

0.00

0.00

0.00

0.00

0.00

0.00

Net Income

4.12

3.67

3.08

3.75

0.88

2.86

3.36

3.56

Net Income available to Common

4.12

3.67

3.08

3.75

0.88

2.86

3.36

3.56

10.61

10.06

7.96

9.28

10.98

8.66

11.17

11.50

EBITDA

Team Health Holdings, Inc.


TM H

87817A107 B51NDL4 NYSE

Common stock

Balance Sheet
Source : FactSet Fundamentals
All figures in millions of U.S. Dollar
Year/Year growth
Dec '13

Dec '12

Dec '11

Dec '10

Dec '09

Dec '08

Dec '07

365 Days

366 Days

365 Days

365 Days

365 Days

366 Days

--

Balance Sheet
Assets
Cash & Short-Term Investments

32.33

41.24

9.86

30.34

170.33

46.40

--

415.39

395.15

323.44

258.91

255.32

268.38

--

Other Current Assets

35.03

38.05

24.02

21.21

17.04

15.47

--

Total Current Assets

482.75

474.44

357.32

310.46

442.69

330.25

--

Net Property, Plant & Equipment

53.43

49.17

34.67

35.16

28.85

27.48

--

Total Investments and Advances

112.58

72.32

94.30

87.78

86.98

87.41

--

39.53

47.89

31.58

28.64

24.71

20.59

--

Short-Term Receivables

Long-Term Note Receivable


Intangible Assets

601.49

475.54

334.13

271.52

273.48

182.20

--

Deferred Tax Assets

44.55

31.60

36.19

35.47

44.88

47.92

--

Other Assets

27.08

48.45

40.08

38.71

39.36

30.94

--

Total Assets

1,361.41

1,199.40

928.27

807.74

940.95

726.78

--

ST Debt & Curr. Portion LT Debt

17.97

16.25

35.00

4.25

161.75

4.25

--

Accounts Payable

27.70

25.05

22.36

18.56

17.47

13.45

--

Income Tax Payable

42.08

40.57

38.07

38.44

37.74

33.23

--

Other Current Liabilities

330.75

312.24

263.32

231.36

208.34

193.57

--

Total Current Liabilities

418.49

394.11

358.75

292.61

425.30

244.50

--

483.59

501.56

385.00

399.50

449.27

611.03

--

--

--

--

134.66

--

--

--

Liabilities & Shareholders' Equity

Long-Term Debt
Provision for Risks & Charges
Other Liabilities

190.84

186.26

167.12

32.33

158.70

154.93

--

Total Liabilities

1,092.93

1,081.93

910.87

859.09

1,033.28

1,010.46

--

Common Equity
Total Shareholders' Equity
Accumulated M inority Interest
Total Equity
Total Liabilities & Shareholders' Equity
Book Value per Share
Tangible Book Value per Share

267.19

116.93

17.40

-51.35

-92.33

-283.67

--

267.19

116.93

17.40

-51.35

-92.33

-283.67

--

1.29

0.54

0.00

0.00

0.00

0.00

--

268.48

117.47

17.40

-51.35

-92.33

-283.67

--

1,361.41

1,199.40

928.27

807.74

940.95

726.78

--

3.82

1.73

0.27

-0.80

-1.48

--

--

-4.77

-5.29

-4.83

-5.01

-5.86

--

--

Team Health Holdings, Inc.


TM H

87817A107 B51NDL4 NYSE

Common stock

Balance Sheet
Source : FactSet Fundamentals
Common Size - % of Total Assets
Year/Year growth

Common Size
Dec '13

Dec '12

Dec '11

Dec '10

Dec '09

Dec '08

Dec '07

Balance Sheet
Assets
Cash & Short-Term Investments
Short-Term Receivables

2.37

3.44

1.06

3.76

18.10

6.38

--

30.51

32.95

34.84

32.05

27.13

36.93

--

Other Current Assets

2.57

3.17

2.59

2.63

1.81

2.13

--

Total Current Assets

35.46

39.56

38.49

38.44

47.05

45.44

--

Net Property, Plant & Equipment

3.92

4.10

3.74

4.35

3.07

3.78

--

Total Investments and Advances

8.27

6.03

10.16

10.87

9.24

12.03

--

Long-Term Note Receivable

2.90

3.99

3.40

3.55

2.63

2.83

--

44.18

39.65

35.99

33.62

29.06

25.07

--

Deferred Tax Assets

3.27

2.63

3.90

4.39

4.77

6.59

--

Other Assets

1.99

4.04

4.32

4.79

4.18

4.26

--

Total Assets

100.00

100.00

100.00

100.00

100.00

100.00

--

Intangible Assets

Liabilities & Shareholders' Equity


Income Tax Payable

3.09

3.38

4.10

4.76

4.01

4.57

--

Other Current Liabilities

24.29

26.03

28.37

28.64

22.14

26.63

--

Total Current Liabilities

30.74

32.86

38.65

36.23

45.20

33.64

--

35.52

41.82

41.48

49.46

47.75

84.07

--

Long-Term Debt
Provision for Risks & Charges

--

--

--

16.67

--

--

--

Other Liabilities

14.02

15.53

18.00

4.00

16.87

21.32

--

Total Liabilities

80.28

90.21

98.13

106.36

109.81

139.03

--

Common Equity

19.63

9.75

1.87

-6.36

-9.81

-39.03

--

19.63

9.75

1.87

-6.36

-9.81

-39.03

--

0.10

0.04

0.00

0.00

0.00

0.00

--

Total Shareholders' Equity


Accumulated M inority Interest
Total Equity
Total Liabilities & Shareholders' Equity

19.72

9.79

1.87

-6.36

-9.81

-39.03

--

100.00

100.00

100.00

100.00

100.00

100.00

--

Team Health Holdings, Inc.


TM H

87817A107 B51NDL4 NYSE

Common stock

Statement of Cash Flows


Source : FactSet Fundamentals
All figures in millions of U.S. Dollar
Year/Year growth
Jun '14

Dec '13

Dec '12

Dec '11

Dec '10

Dec '09

Dec '08

Dec '07

LTM

365 Days

366 Days

365 Days

365 Days

365 Days

366 Days

--

105.15

87.57

63.81

65.52

13.34

40.71

44.67

43.27

59.68

54.62

44.26

29.96

26.95

18.81

17.28

14.87

--

-10.73

2.50

7.89

11.69

3.00

19.52

22.79

Other Funds

1,982.41

1,939.43

1,676.01

1,402.57

1,211.95

1,066.78

970.84

877.39

Funds from Operations

2,130.14

2,070.89

1,786.58

1,505.94

1,263.93

1,129.30

1,052.30

958.32

Changes in Working Capital

-1,963.45

-1,916.48

-1,708.41

-1,407.14

-1,150.00

-1,046.45

-990.33

-888.27

Receivables

-2,005.03

-1,943.67

-1,707.69

-1,447.87

-1,155.78

-1,052.76

-975.68

-889.66

Accounts Payable

5.75

2.03

0.18

3.63

0.79

3.77

1.25

-1.56

Income Taxes Payable

1.03

1.93

-4.36

0.61

--

6.69

-4.71

1.80

32.46

18.38

20.34

24.79

7.96

16.63

6.39

16.52

2.35

4.86

-16.88

11.71

-2.96

-20.79

-17.59

-15.37

166.69

154.41

78.17

98.80

113.93

82.84

61.97

70.05

Cash Flow
Operating Activities
Net Income / Starting Line
Depreciation, Depletion & Amortization
Deferred Taxes & Investment Tax Credit

Other Accruals
Other Assets/Liabilities
Net Operating Cash Flow
Investing Activities
Capital Expenditures
Net Assets from Acquisitions
Sale of Fixed Assets & Businesses
Purchase/Sale of Investments
Other Funds
Net Investing Cash Flow

-26.02

-21.38

-22.01

-11.98

-11.90

-11.61

-12.14

-12.68

-153.07

-159.14

-167.64

-125.83

-135.89

-201.38

-188.09

-184.78

2.78

0.13

0.17

--

78.37

113.39

170.45

166.08

-10.23

-13.70

19.52

-3.70

0.00

0.00

0.00

0.00

0.00

0.00

-2.00

0.09

0.01

0.03

0.01

0.13

-186.54

-194.09

-171.95

-141.41

-69.41

-99.58

-29.77

-31.26

18.93

32.97

28.63

14.13

22.76

144.92

-1.84

-0.96

-16.25

-16.25

94.98

7.95

-207.28

-4.25

-14.25

-11.05

Financing Activities
Change in Capital Stock
Issuance/Reduction of Debt, Net
Other Funds

16.71

14.05

1.54

0.05

0.00

0.00

0.00

-0.50

19.39

30.77

125.16

22.13

-184.51

140.67

-16.09

-12.51

M iscellaneous Funds

-0.00

-0.00

0.00

0.00

-0.00

-0.00

-0.00

0.00

Net Change in Cash

-0.47

-8.91

31.39

-20.48

-139.99

123.93

16.11

26.29

140.68

133.03

56.17

86.82

102.03

71.23

49.83

57.37

1.96

1.88

0.82

1.30

1.58

1.43

1.01

1.16

--

4.14

2.86

5.91

10.16

10.21

--

--

Net Financing Cash Flow

Free Cash Flow


Free Cash Flow per Share
Free Cash Flow Yield (%)

Team Health Holdings, Inc.


TM H

87817A107 B51NDL4 NYSE

Common stock

Ratios - Annual
Source : FactSet Fundamentals
5 Yr AVG

Dec '13

Dec '12

Dec '11

Dec '10

Dec '09

Dec '08

Dec '07

--

365 Days

366 Days

365 Days

365 Days

365 Days

366 Days

--

Gross M argin

17.43

16.23

16.50

17.25

18.15

18.99

18.93

19.91

SG&A to Sales

9.89

8.47

10.67

9.69

8.94

11.65

9.05

9.62

Operating M argin

7.54

7.77

5.83

7.56

9.21

7.34

9.87

10.29

Pretax M argin

5.06

6.04

5.04

6.23

3.36

4.61

5.69

5.81

Net M argin

2.85

3.67

3.08

3.75

0.88

2.86

3.36

3.56

Return on Assets

5.36

6.83

5.99

7.55

1.53

4.88

--

--

Return on Equity

45.51

94.95

--

--

--

--

--

Return on Common Equity

45.51

94.95

--

--

--

--

--

Profitability (%)

Return on Total Capital

10.72

12.46

11.90

16.59

3.06

9.57

--

--

Return on Invested Capital

11.68

12.77

12.49

17.46

3.78

11.90

--

--

Cash Flow Return on Invested Capital

24.14

22.55

15.31

26.33

32.32

24.21

--

--

Valuation (x)
Price/Sales
Price/Earnings

0.86

1.35

0.95

0.84

0.66

0.49

--

--

36.26

36.73

30.94

22.52

74.00

17.10

--

--

11.94

16.67

83.19

--

--

--

--

8.42

--

--

Price/Book Value
Price/Cash Flow

15.61

20.83

25.13

14.87

8.82

Price/Free Cash Flow

19.14

24.18

34.97

16.92

9.85

9.79

--

--

Enterprise Value/EBIT

15.28

19.77

20.13

14.08

9.83

12.59

--

--

Enterprise Value/EBITDA

12.08

15.27

14.73

11.47

8.24

10.67

--

--

Enterprise Value/Sales

1.12

1.54

1.17

1.06

0.91

0.92

--

--

Total Debt/Enterprise Value

0.27

0.14

0.21

0.23

0.29

0.46

--

--

Per Share
Sales per Share

28.48

33.75

30.30

26.21

23.50

28.61

27.00

24.95

EBIT (Operating Income) per Share

2.13

2.62

1.77

1.98

2.16

2.10

2.67

2.57

EPS (recurring)

1.08

1.54

0.98

1.09

0.95

0.85

1.05

0.89

EPS (diluted)

0.84

1.24

0.93

0.98

0.21

0.82

0.91

0.88

Book Value per Share

0.71

3.82

1.73

0.27

-0.80

-1.48

--

--

-5.15

-4.77

-5.29

-4.83

-5.01

-5.86

--

--

1.65

2.19

1.14

1.48

1.76

1.67

1.26

1.42

Tangible Book Value per Share


Cash Flow per Share
Free Cash Flow per Share

1.40

1.88

0.82

1.30

1.58

1.43

1.01

1.16

Diluted Shares Outstanding

63.97

70.62

68.28

66.58

64.64

49.75

49.31

49.39

Total Shares Outstanding

66.05

70.02

67.76

65.59

64.49

62.40

--

--

Asset Turnover Analysis (x)


Cash & ST Investments

52.18

64.80

80.99

86.85

15.14

13.14

--

--

Receivables

5.80

5.88

5.76

5.99

5.91

5.44

--

--

Current Assets

4.58

4.98

4.98

5.23

4.03

3.68

--

--

Fixed Assets

48.76

46.46

49.36

49.99

47.47

50.54

--

--

Total Assets

1.85

1.86

1.94

2.01

1.74

1.71

--

--

DuPont Analysis
Asset Turnover (x)
x Pretax M argin (%)
= Pretax Return on Assets (%)
x Tax Rate Complement (1-Tax Rate)
= Return on Assets (%)

1.85

1.86

1.94

2.01

1.74

1.71

--

--

5.06

6.04

5.04

6.23

3.36

4.61

5.69

5.81

9.46

11.24

9.81

12.53

5.85

7.87

--

--

54.06

60.86

61.13

60.23

26.09

62.00

59.00

61.28

5.36

6.83

5.99

7.55

1.53

4.88

--

---

x Equity M ultiplier (Assets/Equity)


= Return on Equity (%)
x Earnings Retention (1-Payout)

100.00

= Reinvestment Rate (%)

6.67

15.84

--

--

--

--

45.51

94.95

--

--

--

--

--

100.00

100.00

100.00

100.00

100.00

100.00

100.00

45.51

94.95

--

--

--

--

--

13.90

14.46

11.33

15.21

16.01

12.53

--

--

2.06

1.10

1.36

1.38

2.54

3.90

6.31

--

Revenue/Employee

0.25

0.26

0.24

0.26

0.27

0.24

0.21

--

Net Income/Employee

0.01

0.01

0.01

0.01

0.00

0.01

0.01

--

Assets/Employee

0.15

0.15

0.14

0.14

0.14

0.16

0.12

--

Receivables Turnover (x)

5.80

5.88

5.76

5.99

5.91

5.44

--

--

--

72.90

70.60

69.03

74.58

--

--

1.86

1.94

2.01

1.74

1.71

--

--

37.09

25.76

--

85.10

81.87

15.53

--

--

--

--

--

--

--

--

62.06

63.38

60.89

61.77

67.14

--

--

--

--

--

--

--

--

--

--

5.01

5.17

5.29

4.89

--

--

1.15

1.20

1.00

1.06

1.04

1.35

--

--

1.20

1.00

1.06

1.04

1.35

--

0.08

0.10

0.03

0.10

0.40

0.19

--

Note: EBIT Return on Assets (%)


Note: Interest as % Assets
Operating Efficiency

Payables Turnover (x)


Asset Turnover (x)

1.85

Working Capital Turnover (x)


Operating Cycle (Days)
Days of Inventory on Hand
+ Days of Sales Outstanding

63.05

= Operating Cycle
- Days of Payables Outstanding
Liquidity
Current Ratio

1.09

Quick Ratio
Cash Ratio

0.14

Cash & ST Inv/Current Assets (%)

13.28

6.70

8.69

2.76

9.77

38.48

14.05

--

CFO/Current Liabilities (%)

28.54

36.90

19.83

27.54

38.94

19.48

25.35

--

Net Debt/EBITDA

2.64

1.96

2.89

2.53

2.24

3.58

3.83

--

Net Debt/(EBITDA-Capex)

2.92

2.15

3.34

2.73

2.41

3.95

4.17

--

Total Debt/EBITDA

3.04

2.09

3.14

2.59

2.42

4.96

4.14

--

EBIT/Interest Expense (Int. Coverage)

7.95

12.42

7.38

10.33

6.81

2.85

2.87

2.30

10.06

16.08

10.09

12.67

8.12

3.36

3.24

2.56

Fixed-charge Coverage Ratio

7.95

12.42

7.38

10.33

6.81

2.85

2.87

2.30

CFO/Interest Expense

6.13

10.36

4.78

7.73

5.54

2.26

1.35

1.27

LT Debt/EBITDA

2.70

2.02

3.04

2.38

2.39

3.64

4.11

--

Net Debt/FFO

0.29

0.23

0.27

0.27

0.30

0.39

0.54

--

LT Debt/FFO

0.30

0.23

0.28

0.26

0.32

0.40

0.58

--

FCF/Total Debt

0.19

0.27

0.11

0.21

0.25

0.12

0.08

--

CFO/Total Debt

0.22

0.31

0.15

0.24

0.28

0.14

0.10

--

Coverage (x)

EBITDA/Interest Expense

Leverage (%)
LT Debt/Total Equity

180.99

428.94

2,212.64

--

--

--

--

LT Debt/Total Capital

86.0

62.91

79.02

88.02

113.37

86.62

184.27

--

LT Debt/Total Assets

43.20

35.52

41.82

41.48

49.46

47.75

84.07

--

Total Debt/Total Assets

48.04

36.84

43.17

45.25

49.99

64.94

84.66

--

Net Debt/Total Equity

175.62

407.57

2,357.16

--

--

--

--

Total Debt/Equity

187.72

442.84

2,413.79

--

--

--

--

84.16

61.04

75.08

93.77

105.96

84.96

171.55

--

95.0

65.24

81.58

96.02

114.57

117.80

185.55

--

Net Debt/Total Capital


Total Debt/Total Capital

Appendix C
AMN Healthcare Services, Inc.
AHS

001744101 2813552 NYSE

Common stock

Income Statement
Source : FactSet Fundamentals
All figures in millions of U.S. Dollar, except per share items
Jun '14

Dec '13

Dec '12

Dec '11

Dec '10

Dec '09

Dec '08

Dec '07

Dec '06

Dec '05

LTM

365 Days

366 Days

365 Days

365 Days

365 Days

366 Days

365 Days

365 Days

365 Days

Sales

997.55

1,011.82

953.95

887.47

689.22

759.79

1,217.20

1,164.02

1,081.70

705.84

Cost of Goods Sold (COGS) incl. D&A

711.42

728.08

697.71

654.47

512.78

569.18

914.65

872.53

802.74

541.79

COGS excluding D&A

696.57

714.54

683.55

638.06

497.69

555.37

900.21

860.86

792.42

535.61

14.85

13.55

14.15

16.42

15.08

13.81

14.44

11.67

10.33

6.18

Gross Income

286.13

283.74

256.25

233.00

176.44

190.61

302.55

291.49

278.96

164.06

SG&A Expense

219.97

220.89

202.90

195.35

158.73

157.24

230.66

218.25

205.50

117.18

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.14

66.16

62.85

53.34

37.65

17.71

33.37

71.89

73.24

73.46

46.73

Interest Expense

6.60

9.23

16.20

23.73

19.77

11.96

10.69

12.46

16.70

8.37

Gross Interest Expense

6.60

9.23

16.20

23.73

19.77

11.96

10.76

12.70

16.70

8.37

Interest Capitalized

0.00

0.00

0.00

--

0.00

0.00

0.07

0.25

--

--

Unusual Expense - Net

3.94

-2.22

9.82

0.00

60.23

186.98

0.00

0.00

0.00

1.20

Reorganization and Restructure Expense

--

0.39

--

--

--

11.27

--

--

--

--

Goodwill Write Off

--

--

0.00

0.00

41.93

--

--

--

--

--

Legal Claim Expense

--

-3.05

--

--

--

--

--

--

--

--

Other Intangible Assets Impairment

--

--

--

--

8.90

175.71

--

--

--

--

3.94

0.43

9.82

0.00

9.40

0.00

0.00

0.00

0.00

1.20

Pretax Income

55.67

55.84

27.32

13.92

-62.29

-165.56

61.20

60.78

56.77

37.17

Income Taxes

23.88

22.90

11.01

8.90

-10.30

-43.39

26.85

24.25

21.68

14.93

Income Taxes - Current Domestic

--

19

10

30

23

12

-4

Income Taxes - Deferred Domestic

--

-1

-10

-51

-3

18

Income Statement

Depreciation & Amortization Expense

Other Operating Expense


EBIT (Operating Income)

Other Unusual Expense

Other After Tax Adjustments

0.00

0.00

-1.31

0.00

0.00

0.00

0.00

0.00

0.00

0.00

31.79

32.93

15.00

5.02

-51.99

-122.18

34.36

36.53

35.09

22.23

31.79

32.93

15.00

5.02

-51.99

-122.18

34.36

36.53

35.09

22.23

31.79

32.93

15.00

5.02

-51.99

-122.18

34.36

36.53

35.09

22.23

EPS (recurring)

0.72

0.66

0.47

0.11

-0.28

0.27

1.02

1.05

1.02

0.72

EPS (diluted)

0.67

0.69

0.34

-0.57

-1.49

-3.75

1.02

1.05

1.02

0.69

Diluted Shares Outstanding

47.84

47.79

46.71

45.95

34.84

32.62

33.81

34.88

34.50

32.12

Total Shares Outstanding

46.50

46.01

45.69

40.45

39.19

32.63

32.58

33.83

34.58

31.20

--

87.86

83.14

87.57

72.23

63.40

89.46

88.00

85.16

69.03

Consolidated Net Income


Net Income
Net Income available to Common

Earnings Persistence
EBITDA

81.01

76.39

67.49

54.06

32.80

47.18

86.33

84.92

83.79

52.91

EBIT

66.16

62.85

53.34

37.65

17.71

33.37

71.89

73.24

73.46

46.73

Depreciation & Amortization Expense

14.85

13.55

14.15

16.42

15.08

13.81

14.44

11.67

10.33

6.18
11.84

Supplemental
Rental Expense
Stock Option Expense
Tax Rate

--

14.21

15.19

15.55

--

--

16.01

16.49

14.59

3.98

3.74

3.82

4.39

5.07

5.33

5.71

5.04

4.24

0.09

42.89

41.02

40.30

63.97

--

--

43.86

39.90

38.18

40.17

AMN Healthcare Services, Inc.


AHS

001744101 2813552 NYSE

Common stock

Income Statement
Source : FactSet Fundamentals
Common Size - % of Sales
Year/Year growth

Common Size
Jun '14

Dec '13

Dec '12

Dec '11

Dec '10

Dec '09

Dec '08

Dec '07

Dec '06

Dec '05

100.00

100.00

100.00

100.00

100.00

100.00

100.00

100.00

100.00

100.00

71.32

71.96

73.14

73.75

74.40

74.91

75.14

74.96

74.21

76.76

Gross Income

28.68

28.04

26.86

26.25

25.60

25.09

24.86

25.04

25.79

23.24

SG&A Expense

16.60

Income Statement
Sales
Cost of Goods Sold (COGS) incl. D&A

22.05

21.83

21.27

22.01

23.03

20.70

18.95

18.75

19.00

Other Operating Expense

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.02

EBIT (Operating Income)

6.63

6.21

5.59

4.24

2.57

4.39

5.91

6.29

6.79

6.62

Interest Expense

0.66

0.91

1.70

2.67

2.87

1.57

0.88

1.07

1.54

1.19

Unusual Expense - Net

0.39

-0.22

1.03

0.00

8.74

24.61

0.00

0.00

0.00

0.17

Pretax Income

5.58

5.52

2.86

1.57

-9.04

-21.79

5.03

5.22

5.25

5.27

Income Taxes

2.39

2.26

1.15

1.00

-1.49

-5.71

2.21

2.08

2.00

2.12

Other After Tax Adjustments

0.00

0.00

-0.14

0.00

0.00

0.00

0.00

0.00

0.00

0.00

Consolidated Net Income

3.19

3.25

1.57

0.57

-7.54

-16.08

2.82

3.14

3.24

3.15

Net Income

3.19

3.25

1.57

0.57

-7.54

-16.08

2.82

3.14

3.24

3.15

Net Income available to Common

3.19

3.25

1.57

0.57

-7.54

-16.08

2.82

3.14

3.24

3.15

EBITDA

8.12

7.55

7.08

6.09

4.76

6.21

7.09

7.29

7.75

7.50

AMN Healthcare Services, Inc.


AHS

001744101 2813552 NYSE

Common stock

Balance Sheet (Industrial)


Source : FactSet Fundamentals
All figures in millions of U.S. Dollar, except per share items
Dec '13

Dec '12

Dec '11

Dec '10

Dec '09

Dec '08

Dec '07

Dec '06

Dec '05

Dec '04

365 Days

366 Days

365 Days

365 Days

365 Days

366 Days

365 Days

365 Days

365 Days

366 Days

Balance Sheet
Assets
Cash & Short-Term Investments
Short-Term Receivables

23.91

5.68

3.96

1.88

27.05

11.32

18.50

4.42

19.11

3.91

168.83

161.31

172.52

148.31

93.40

186.00

184.74

192.72

163.24

108.83

Other Current Assets

37.36

36.75

35.99

29.07

16.99

32.51

39.72

38.72

45.92

14.67

Total Current Assets

230.10

203.74

212.47

179.26

137.44

229.83

242.95

235.86

228.26

127.41

Net Property, Plant & Equipment

21.16

14.82

16.86

21.78

19.97

24.02

24.60

23.24

20.16

17.83

Total Investments and Advances

23.12

18.86

18.24

20.96

22.03

0.00

0.00

0.00

0.00

2.27

294.84

260.23

266.90

319.75

195.20

375.72

354.80

352.84

356.01

135.53
0.51

Intangible Assets
Deferred Tax Assets

0.00

0.00

1.82

0.24

0.00

0.00

0.00

--

--

Other Assets

23.02

19.73

19.33

20.12

14.37

13.25

11.27

10.26

13.95

3.42

Total Assets

592.23

517.39

535.63

562.11

389.00

642.82

633.63

622.18

618.39

286.96

Liabilities & Shareholders' Equity


ST Debt & Curr. Portion LT Debt

10.53

0.00

35.29

19.01

6.14

50.77

27.27

23.83

10.25

6.30

Accounts Payable

59.34

44.36

42.42

39.11

13.75

20.22

17.47

20.27

19.09

6.13

--

--

--

--

--

0.00

2.93

2.73

0.00

0.79

Other Current Liabilities

70.42

65.17

62.34

59.77

43.21

70.28

80.89

74.13

98.84

36.93

Total Current Liabilities

140.29

109.53

140.05

117.89

63.10

141.27

128.56

120.97

128.18

50.15

Income Tax Payable

Long-Term Debt

148.67

158.18

174.91

202.17

102.14

100.95

121.57

162.09

196.65

97.37

Provision for Risks & Charges

58.42

53.20

23.93

0.00

0.00

0.00

0.00

0.00

0.00

--

Deferred Tax Liabilities

17.76

5.28

--

0.00

0.79

58.47

71.09

69.37

65.13

--

Other Liabilities

9.34

9.10

37.01

60.22

52.13

58.00

36.28

25.22

35.23

2.66

Total Liabilities

374.49

335.28

375.90

380.28

218.16

358.68

357.50

377.64

425.19

150.18

Preferred Stock (Carrying Value)

0.00

0.00

24.08

28.38

0.00

0.00

0.00

0.00

0.00

0.00

217.74

182.11

135.66

153.46

170.84

284.13

276.13

244.55

193.20

136.78

Total Shareholders' Equity

217.74

182.11

159.74

181.83

170.84

284.13

276.13

244.55

193.20

136.78

Total Equity

217.74

182.11

159.74

181.83

170.84

284.13

276.13

244.55

193.20

136.78

Total Liabilities & Shareholders' Equity

592.23

517.39

535.63

562.11

389.00

642.82

633.63

622.18

618.39

286.96

Common Equity

Book Value per Share


Tangible Book Value per Share

4.73

3.99

3.35

3.92

5.24

8.72

8.16

7.07

6.19

4.83

-1.68

-1.71

-3.24

-4.24

-0.75

-2.81

-2.33

-3.13

-5.22

0.04

Supplemental
Working Capital

89.81

94.22

72.42

61.37

74.34

88.56

114.40

114.89

100.09

77.25

Total Capital

376.95

340.29

369.93

403.01

279.13

435.85

424.97

430.47

400.10

240.45

Total Debt

159.21

158.18

210.20

221.18

108.29

151.72

148.84

185.92

206.90

103.67

Net Debt

135.30

152.50

206.23

219.30

81.23

140.40

130.35

181.50

187.79

99.77

Days of Sales Outstanding

59.55

63.87

65.98

64.00

67.11

55.59

59.18

60.05

70.34

65.63

Days of Payables Outstanding

25.99

22.70

22.74

18.81

10.89

7.52

7.89

8.95

8.50

5.36

3.74

3.82

4.39

5.07

5.33

5.71

5.04

4.24

0.09

0.47

# Option/Warrant Awards Outstanding at Beginning of Period


0.70

0.78

0.83

0.90

--

--

--

--

--

--

# Option/Warrant Awards Outstanding at End of Period 0.59

0.70

0.78

0.83

--

--

--

--

--

--

# Option/Warrant Awards Exercisable

--

0.45

--

--

--

--

--

--

--

--

0.59

0.70

0.78

0.83

--

--

--

--

--

--

Operating Lease Commitments

56.59

65.87

80.34

89.34

93.62

107.93

118.18

128.17

171.20

93.15

Long Term Debt M aturities

10.53

0.00

28.78

14.55

6.14

15.28

27.27

13.48

10.25

5.21

Stock Option Comp Exp (Net of Tax)

# Option/Warrant Awards Vested

AMN Healthcare Services, Inc.


AHS

001744101 2813552 NYSE

Common stock

Balance Sheet
Source : FactSet Fundamentals
Common Size - % of Total Assets
Year/Year growth

Common Size
Dec '13

Dec '12

Dec '11

Dec '10

Dec '09

Dec '08

Dec '07

Dec '06

Dec '05

Dec '04

Balance Sheet
Assets
Cash & Short-Term Investments
Short-Term Receivables

4.04

1.10

0.74

0.33

6.95

1.76

2.92

0.71

3.09

1.36

28.51

31.18

32.21

26.38

24.01

28.94

29.16

30.97

26.40

37.92

Other Current Assets

6.31

7.10

6.72

5.17

4.37

5.06

6.27

6.22

7.43

5.11

Total Current Assets

38.85

39.38

39.67

31.89

35.33

35.75

38.34

37.91

36.91

44.40

Net Property, Plant & Equipment

3.57

2.86

3.15

3.87

5.13

3.74

3.88

3.73

3.26

6.21

Total Investments and Advances

3.90

3.65

3.41

3.73

5.66

0.00

0.00

0.00

0.00

0.79

49.78

50.30

49.83

56.88

50.18

58.45

56.00

56.71

57.57

47.23

Deferred Tax Assets

0.00

0.00

0.34

0.04

0.00

0.00

0.00

--

--

0.18

Other Assets

3.89

3.81

3.61

3.58

3.69

2.06

1.78

1.65

2.26

1.19

Total Assets

100.00

100.00

100.00

100.00

100.00

100.00

100.00

100.00

100.00

100.00

Intangible Assets

Liabilities & Shareholders' Equity


Income Tax Payable

--

--

--

--

--

0.00

0.46

0.44

0.00

0.28

Other Current Liabilities

11.89

12.60

11.64

10.63

11.11

10.93

12.77

11.92

15.98

12.87

Total Current Liabilities

23.69

21.17

26.15

20.97

16.22

21.98

20.29

19.44

20.73

17.48

Long-Term Debt

25.10

30.57

32.65

35.97

26.26

15.70

19.19

26.05

31.80

33.93

Provision for Risks & Charges

9.86

10.28

4.47

0.00

0.00

0.00

0.00

0.00

0.00

--

Deferred Tax Liabilities

3.00

1.02

--

0.00

0.20

9.10

11.22

11.15

10.53

--

Other Liabilities

1.58

1.76

6.91

10.71

13.40

9.02

5.73

4.05

5.70

0.93

Total Liabilities

63.23

64.80

70.18

67.65

56.08

55.80

56.42

60.70

68.76

52.34

Preferred Stock (Carrying Value)

0.00

0.00

4.49

5.05

0.00

0.00

0.00

0.00

0.00

0.00

36.77

35.20

25.33

27.30

43.92

44.20

43.58

39.30

31.24

47.66

Total Shareholders' Equity

36.77

35.20

29.82

32.35

43.92

44.20

43.58

39.30

31.24

47.66

Total Equity

36.77

35.20

29.82

32.35

43.92

44.20

43.58

39.30

31.24

47.66

100.00

100.00

100.00

100.00

100.00

100.00

100.00

100.00

100.00

100.00

Common Equity

Total Liabilities & Shareholders' Equity

AMN Healthcare Services, Inc.


AHS

001744101 2813552 NYSE

Common stock

Statement of Cash Flows


Source : FactSet Fundamentals
All figures in millions of U.S. Dollar, except per share items
Jun '14

Dec '13

Dec '12

Dec '11

Dec '10

Dec '09

Dec '08

Dec '07

Dec '06

Dec '05

LTM

365 Days

366 Days

365 Days

365 Days

365 Days

366 Days

365 Days

365 Days

365 Days

Net Income / Starting Line

31.79

32.93

17.14

-26.27

-51.99

-122.18

34.36

36.53

35.09

22.23

Depreciation, Depletion & Amortization

14.85

13.55

14.15

16.42

15.08

4.81

4.69

3.50

10.33

6.18

--

3.03

6.95

-1.80

-10.71

-51.72

-3.37

1.14

18.08

19.02

Cash Flow
Operating Activities

Deferred Taxes & Investment Tax Credit


Other Funds

14.30

7.97

24.55

54.80

66.27

203.32

20.83

18.70

4.06

4.62

Funds from Operations

62.04

57.48

62.79

43.15

18.65

34.23

56.51

59.87

67.55

52.05

Changes in Working Capital

-12.77

1.16

-2.27

-23.84

-10.56

64.51

7.18

19.77

-13.01

-7.96

Net Operating Cash Flow

49.27

58.64

60.51

19.31

8.09

98.73

63.69

79.64

54.54

44.09

Investing Activities
Capital Expenditures

-13.58

-9.05

-5.47

-4.65

-4.17

-3.79

-8.80

-9.15

-9.71

-3.82

Net Assets from Acquisitions

-39.50

-39.50

--

0.00

-3.23

0.00

-30.95

-5.48

-35.96

-111.51

Sale of Fixed Assets & Businesses


Purchase/Sale of Investments
Other Funds
Net Investing Cash Flow

--

0.60

9.05

--

--

0.00

--

--

0.00

0.00

-3.00

0.00

-0.62

0.00

0.00

0.00

0.00

0.00

0.00

0.00

7.06

0.05

0.00

2.67

0.55

-25.46

-8.50

0.00

0.00

0.00

-48.41

-47.90

2.96

-1.98

-6.85

-29.25

-48.25

-14.63

-45.68

-115.33

Financing Activities
Change in Capital Stock
Issuance/Reduction of Debt, Net

0.47

1.18

0.53

0.00

0.00

0.01

-24.45

-16.29

-10.58

2.32

-3.60

-0.81

-59.98

-13.35

107.43

-51.80

-1.94

-37.92

-21.81

84.20

Other Funds

-2.57

-1.15

-2.23

-1.95

-133.88

-2.02

4.06

3.29

8.86

0.00

Net Financing Cash Flow

-5.71

-0.78

-61.68

-15.30

-26.45

-53.81

-22.33

-50.92

-23.54

86.52

Exchange Rate Effect

-0.17

-0.06

-0.07

0.05

0.04

0.06

-0.29

-0.01

-0.01

-0.08

M iscellaneous Funds

-0.00

-0.00

0.00

-0.00

0.00

0.00

0.00

0.00

-0.00

-0.00

Net Change in Cash

-5.02

9.90

1.72

2.08

-25.17

15.74

-7.18

14.07

-14.69

15.20

35.69

49.59

55.04

14.66

3.92

94.94

54.94

70.49

44.82

40.27

0.75

1.04

1.18

0.32

0.11

2.91

1.62

2.02

1.30

1.25

--

7.06

10.20

7.20

1.83

32.13

19.21

11.77

4.72

6.34

5.93

7.41

13.70

19.67

16.43

7.39

9.60

--

13.90

7.07

12.28

18.87

1.86

0.39

0.08

5.61

32.95

--

-7.91

6.35

Free Cash Flow


Free Cash Flow per Share
Free Cash Flow Yield (%)
Supplemental
Interest Paid
Taxation

AMN Healthcare Services, Inc.


AHS

001744101 2813552 NYSE

Common stock

Ratios - Annual
Source : FactSet Fundamentals
5 Yr AVG

Dec '13

Dec '12

Dec '11

Dec '10

Dec '09

Dec '08

Dec '07

Dec '06

Dec '05

Dec '04

--

365 Days

366 Days

365 Days

365 Days

365 Days

366 Days

365 Days

365 Days

365 Days

366 Days

Gross M argin

26.37

28.04

26.86

26.25

25.60

25.09

24.86

25.04

25.79

23.24

21.90

SG&A to Sales

21.77

21.83

21.27

22.01

23.03

20.70

18.95

18.75

19.00

16.60

16.13

4.60

6.21

5.59

4.24

2.57

4.39

5.91

6.29

6.79

6.62

5.78

Pretax M argin

-4.18

5.52

2.86

1.57

-9.04

-21.79

5.03

5.22

5.25

5.27

4.44

Net M argin

-3.65

3.25

1.57

0.57

-7.54

-16.08

2.82

3.14

3.24

3.15

2.76

Return on Assets

-4.98

5.94

2.85

0.91

-10.93

-23.68

5.38

5.82

5.66

4.91

5.93

Return on Equity

-11.00

16.47

8.78

2.94

-29.48

-53.71

12.26

14.03

16.03

13.48

13.72

Return on Total Capital

-6.94

9.18

4.22

1.30

-15.24

-34.18

7.98

8.54

8.45

6.94

6.99

Return on Invested Capital

-7.56

9.32

4.44

1.40

-15.83

-37.13

8.78

9.08

8.81

7.13

7.28

Cash Flow Return on Invested Capital

14.47

16.59

17.93

5.37

2.46

30.01

16.27

19.80

13.69

14.13

16.38

Profitability (%)

Operating M argin

Valuation (x)
Price/Sales

0.44

Price/Earnings
Price/Book Value

2.12

Price/Tangible Book Value

0.69

0.57

0.23

0.31

0.39

0.23

0.51

0.88

0.90

0.79

21.30

34.10

--

--

--

8.29

16.35

27.00

28.67

28.93

3.11

2.90

1.32

1.57

1.73

0.97

2.10

3.89

3.19

3.30

--

--

--

--

--

--

--

--

--

362.21

Price/Cash Flow

12.17

11.98

8.92

10.54

26.45

2.99

4.49

7.52

17.42

14.41

12.78

Price/Free Cash Flow

19.10

14.17

9.80

13.88

54.56

3.11

5.21

8.50

21.20

15.78

14.69

Enterprise Value/EBIT

15.08

12.92

12.75

10.88

27.56

11.29

5.79

9.71

15.44

17.22

15.16

Enterprise Value/EBITDA

10.23

10.63

10.08

7.57

14.89

7.99

4.82

8.38

13.53

15.21

13.06

Enterprise Value/Sales

0.64

0.80

0.71

0.46

0.71

0.50

0.34

0.61

1.05

1.14

0.88

Total Debt/Enterprise Value

0.34

0.20

0.23

0.51

0.45

0.29

0.36

0.21

0.16

0.26

0.19

Per Share
Sales per Share

20.80

21.17

20.42

19.31

19.78

23.30

36.00

33.37

31.35

21.98

20.05

EBIT (Operating Income) per Share

0.96

1.32

1.14

0.82

0.51

1.02

2.13

2.10

2.13

1.45

1.16

EPS (recurring)

0.24

0.66

0.47

0.11

-0.28

0.27

1.02

1.05

1.02

0.72

0.56

-0.96

0.69

0.34

-0.57

-1.49

-3.75

1.02

1.05

1.02

0.69

0.55

4.24

4.73

3.99

3.35

3.92

5.24

8.72

8.16

7.07

6.19

4.83

-2.32

-1.68

-1.71

-3.24

-4.24

-0.75

-2.81

-2.33

-3.13

-5.22

0.04

Cash Flow per Share

1.24

1.23

1.30

0.42

0.23

3.03

1.88

2.28

1.58

1.37

1.24

Free Cash Flow per Share

1.11

1.04

1.18

0.32

0.11

2.91

1.62

2.02

1.30

1.25

1.08

Diluted Shares Outstanding

41.58

47.79

46.71

45.95

34.84

32.62

33.81

34.88

34.50

32.12

31.37

Total Shares Outstanding

40.79

46.01

45.69

40.45

39.19

32.63

32.58

33.83

34.58

31.20

28.34

EPS (diluted)
Book Value per Share
Tangible Book Value per Share

Asset Turnover Analysis (x)


Cash & ST Investments

131.4

68.40

197.85

303.67

47.64

39.60

81.66

101.59

91.93

61.33

146.37

Receivables

5.70

6.13

5.72

5.53

5.70

5.44

6.57

6.17

6.08

5.19

5.56

Current Assets

4.45

4.66

4.58

4.53

4.35

4.14

5.15

4.86

4.66

3.97

4.74

Fixed Assets

46.00

56.25

60.23

45.94

33.02

34.55

50.07

48.67

49.85

37.15

34.71

Total Assets

1.63

1.82

1.81

1.62

1.45

1.47

1.91

1.85

1.74

1.56

2.15

DuPont Analysis
Asset Turnover (x)
x Pretax M argin (%)
= Pretax Return on Assets (%)

1.63

1.82

1.81

1.62

1.45

1.47

1.91

1.85

1.74

1.56

2.15

-4.18

5.52

2.86

1.57

-9.04

-21.79

5.03

5.22

5.25

5.27

4.44

-5.48

10.06

5.19

2.54

-13.10

-32.09

9.59

9.68

9.15

8.21

9.53

58.98

59.70

36.03

--

--

56.14

60.10

61.82

59.83

62.17

-4.98

5.94

2.85

0.91

-10.93

-23.68

5.38

5.82

5.66

4.91

5.93

2.81

2.78

3.08

3.21

2.70

2.27

2.28

2.41

2.83

2.74

2.32

-11.00

16.47

8.78

2.94

-29.48

-53.71

12.26

14.03

16.03

13.48

13.72

x Tax Rate Complement (1-Tax Rate)


= Return on Assets (%)
x Equity M ultiplier (Assets/Equity)
= Return on Equity (%)
x Earnings Retention (1-Payout)

100.00

100.00

--

--

--

100.00

100.00

100.00

100.00

100.00

-11.00

16.47

8.78

2.94

-29.48

-53.71

12.26

14.03

16.03

13.48

13.72

Note: EBIT Return on Assets (%)

7.70

11.33

10.13

6.86

3.72

6.47

11.26

11.66

11.84

10.32

12.41

Note: Interest as % Assets

3.14

1.56

3.13

4.43

3.52

3.07

1.66

1.97

2.68

1.35

2.77

= Reinvestment Rate (%)

Operating Efficiency
Revenue/Employee

0.52

0.53

0.56

0.48

0.38

0.67

0.61

0.58

0.54

0.42

0.71

-0.02

0.02

0.01

0.00

-0.03

-0.11

0.02

0.02

0.02

0.01

0.02

Assets/Employee

0.31

0.31

0.30

0.29

0.31

0.34

0.32

0.32

0.31

0.36

0.32

Receivables Turnover (x)

5.70

6.13

5.72

5.53

5.70

5.44

6.57

6.17

6.08

5.19

5.56

19.82

14.04

16.08

16.05

19.40

33.52

48.55

46.24

40.78

42.96

68.06

Net Income/Employee

Payables Turnover (x)


Asset Turnover (x)
Working Capital Turnover (x)

1.63

1.82

1.81

1.62

1.45

1.47

1.91

1.85

1.74

1.56

2.15

11.02

11.27

10.12

12.25

11.23

10.22

13.75

10.18

9.42

7.05

8.14

Operating Cycle (Days)


Days of Inventory on Hand

--

--

--

--

--

--

--

--

--

--

64.10

59.55

63.87

65.98

64.00

67.11

55.59

59.18

60.05

70.34

65.63

--

--

--

--

--

--

--

--

--

--

20.23

25.99

22.70

22.74

18.81

10.89

7.52

7.89

8.95

8.50

5.36

Current Ratio

1.74

1.64

1.86

1.52

1.52

2.18

1.63

1.89

1.95

1.78

2.54

Quick Ratio

1.74

1.64

1.86

1.52

1.52

2.18

1.63

1.89

1.95

1.78

2.54

Cash Ratio

0.14

0.17

0.05

0.03

0.02

0.43

0.08

0.14

0.04

0.15

0.08

Cash & ST Inv/Current Assets (%)

7.16

10.39

2.79

1.86

1.05

19.68

4.92

7.61

1.87

8.37

3.07

54.83

41.80

55.25

13.79

6.86

156.47

45.09

61.95

45.09

34.40

77.84

Net Debt/EBITDA

3.25

1.77

2.26

3.81

6.69

1.72

1.63

1.54

2.17

3.55

2.37

Net Debt/(EBITDA-Capex)

3.63

2.01

2.46

4.17

7.66

1.87

1.81

1.72

2.45

3.83

2.69

Total Debt/EBITDA

3.47

2.08

2.34

3.89

6.74

2.30

1.76

1.75

2.22

3.91

2.46

EBIT/Interest Expense (Int. Coverage)

3.07

6.81

3.29

1.59

0.90

2.79

6.68

5.77

4.40

5.59

4.58

EBITDA/Interest Expense

4.06

8.28

4.17

2.28

1.66

3.95

8.08

6.82

5.02

6.33

5.31

Fixed-charge Coverage Ratio

3.07

6.81

3.29

1.59

0.90

2.79

6.68

5.77

4.40

5.59

4.58

CFO/Interest Expense

3.91

6.35

3.73

0.81

0.41

8.26

5.96

6.39

3.27

5.27

4.92

LT Debt/EBITDA

3.17

1.95

2.34

3.24

6.16

2.16

1.17

1.43

1.93

3.72

2.31

Net Debt/FFO

4.74

2.35

2.43

4.78

11.76

2.37

2.48

2.18

2.69

3.61

3.36

LT Debt/FFO

4.60

2.59

2.52

4.05

10.84

2.98

1.79

2.03

2.40

3.78

3.28

FCF/Total Debt

0.32

0.31

0.35

0.07

0.02

0.88

0.36

0.47

0.24

0.19

0.33

CFO/Total Debt

0.36

0.37

0.38

0.09

0.04

0.91

0.42

0.54

0.29

0.21

0.38

LT Debt/Total Equity

87.12

68.28

86.86

109.50

111.18

59.79

35.53

44.03

66.28

101.78

71.19

LT Debt/Total Capital

43.99

39.44

46.48

47.28

50.16

36.59

23.16

28.61

37.65

49.15

40.50

LT Debt/Total Assets

30.11

25.10

30.57

32.65

35.97

26.26

15.70

19.19

26.05

31.80

33.93

Total Debt/Total Assets

32.78

26.88

30.57

39.24

39.35

27.84

23.60

23.49

29.88

33.46

36.13

Net Debt/Total Equity

88.63

62.14

83.74

129.11

120.60

47.55

49.41

47.21

74.22

97.20

72.94

Total Debt/Equity

95.32

73.12

86.86

131.59

121.64

63.38

53.40

53.90

76.03

107.09

75.80

Net Debt/Total Capital

43.99

35.89

44.81

55.75

54.41

29.10

32.21

30.67

42.16

46.94

41.49

Total Debt/Total Capital

47.84

42.24

46.48

56.82

54.88

38.79

34.81

35.02

43.19

51.71

43.12

+ Days of Sales Outstanding


= Operating Cycle
- Days of Payables Outstanding
Liquidity

CFO/Current Liabilities (%)


Coverage (x)

Leverage (%)

Envision Healthcare Holdings, Inc.


EVHC 29413U103 BCT5P15 NYSE

Common stock

Income Statement
Source : FactSet Fundamentals
All figures in millions of U.S. Dollar, except per share items
Jun '14

Dec '13

Dec '12

Dec '11

Dec '10

LTM

365 Days

366 Days

365 Days

--

Sales

4,030.27

3,728.31

3,300.12

3,107.60

2,859.32

Cost of Goods Sold (COGS) incl. D&A

3,493.50

3,233.32

2,853.80

2,699.35

2,448.10

COGS excluding D&A

3,353.41

3,092.69

2,712.79

2,588.01

2,380.32

Income Statement

Depreciation & Amortization Expense

140.09

140.63

141.02

111.34

67.78

Gross Income

536.77

494.99

446.32

408.25

411.23

SG&A Expense

221.02

212.95

78.54

73.60

67.91

Other Operating Expense

0.00

0.00

97.95

112.26

97.33

315.75

282.04

269.83

222.40

245.98

Nonoperating Income - Net

6.25

-4.70

2.44

-28.92

6.52

Nonoperating Interest Income

0.49

0.79

2.05

3.07

4.07

Other Income (Expense)

5.75

-5.49

0.39

-31.99

2.45

Interest Expense

142.01

184.72

182.11

112.59

22.91

Unusual Expense - Net

149.59

82.45

21.89

19.05

19.09

3.73

5.67

14.09

6.48

--

--

8.40

--

--

--

EBIT (Operating Income)

Reorganization and Restructure Expense


Legal Claim Expense
Unrealized Investment Loss (Gain)

--

--

0.50

--

--

Other Unusual Expense

145.86

68.38

7.31

12.57

19.09

Pretax Income

30.39

10.18

68.27

61.84

210.50

5.39

-0.99

27.46

28.57

79.13

--

-3

40

29

77

Income Taxes
Income Taxes - Current Domestic
Income Taxes - Deferred Domestic
Equity in Earnings of Affiliates
Consolidated Net Income
M inority Interest

--

-12

0.27

0.32

0.38

0.42

0.35

25.28

11.50

41.19

33.69

131.72

2.20

5.50

0.00

0.00

0.00

23.08

6.00

41.19

33.69

131.72

23.08

6.00

41.19

33.69

131.72

EPS (recurring)

0.73

0.41

0.32

0.27

0.87

EPS (diluted)

0.12

0.04

0.24

0.19

0.79

Diluted Shares Outstanding

181.14

156.96

174.08

174.08

167.08

Total Shares Outstanding

181.21

180.38

174.08

--

--

--

90.81

96.85

--

--

Net Income
Net Income available to Common

Earnings Persistence
EBITDA

455.84

422.67

410.84

333.73

313.76

EBIT

315.75

282.04

269.83

222.40

245.98

Depreciation & Amortization Expense

140.09

140.63

141.02

111.34

67.78
42.40

Supplemental
Rental Expense
Stock Option Expense
Tax Rate

--

44.80

42.90

42.90

2.79

2.55

2.55

11.53

4.02

17.73

-9.77

40.23

46.20

37.59

Envision Healthcare Holdings, Inc.


EVHC 29413U103 BCT5P15 NYSE

Common stock

Income Statement
Source : FactSet Fundamentals
Common Size - % of Sales
Year/Year growth

Common Size
Jun '14

Dec '13

Dec '12

Dec '11

Dec '10

100.00

100.00

100.00

100.00

100.00

86.68

86.72

86.48

86.86

85.62

Gross Income

13.32

13.28

13.52

13.14

14.38

SG&A Expense

5.48

5.71

2.38

2.37

2.38

Other Operating Expense

0.00

0.00

2.97

3.61

3.40

EBIT (Operating Income)

7.83

7.56

8.18

7.16

8.60

Nonoperating Income - Net

0.15

-0.13

0.07

-0.93

0.23

Interest Expense

3.52

4.95

5.52

3.62

0.80

Unusual Expense - Net

3.71

2.21

0.66

0.61

0.67

Pretax Income

0.75

0.27

2.07

1.99

7.36

Income Taxes

0.13

-0.03

0.83

0.92

2.77

Equity in Earnings of Affiliates

0.01

0.01

0.01

0.01

0.01

Consolidated Net Income

0.63

0.31

1.25

1.08

4.61

Income Statement
Sales
Cost of Goods Sold (COGS) incl. D&A

M inority Interest

0.05

0.15

0.00

0.00

0.00

Net Income

0.57

0.16

1.25

1.08

4.61

Net Income available to Common

0.57

0.16

1.25

1.08

4.61

11.31

11.34

12.45

10.74

10.97

EBITDA

Envision Healthcare Holdings, Inc.


EVHC 29413U103 BCT5P15 NYSE

Common stock

Balance Sheet
Source : FactSet Fundamentals
All figures in millions of U.S. Dollar, except per share items
Dec '13

Dec '12

Dec '11

Dec '10

365 Days

366 Days

365 Days

--

Cash & Short-Term Investments

234.33

610.08

174.86

--

Short-Term Receivables

801.15

625.14

525.72

--

Inventories

23.38

22.05

22.69

--

Other Current Assets

23.43

23.75

50.40

--

Total Current Assets

1,082.28

1,281.02

773.68

--

Net Property, Plant & Equipment

194.72

191.86

191.95

--

Total Investments and Advances

12.72

20.76

105.76

--

2,949.37

2,977.85

2,833.37

--

Other Assets

60.94

93.10

108.36

--

Total Assets

4,300.02

4,564.60

4,013.11

--

Balance Sheet
Assets

Intangible Assets

Liabilities & Shareholders' Equity


ST Debt & Curr. Portion LT Debt

17.32

--

21.89

--

Accounts Payable

47.59

38.81

43.21

--

Income Tax Payable

35.49

34.15

2.04

--

Other Current Liabilities

350.94

393.45

321.22

--

Total Current Liabilities

451.33

466.41

388.35

--

Long-Term Debt

1,895.38

2,268.26

2,357.70

--

Provision for Risks & Charges

175.43

189.37

186.01

--

Deferred Tax Liabilities

151.13

156.76

151.31

--

Other Liabilities

17.00

20.22

16.25

--

Total Liabilities

2,690.26

3,101.02

3,099.62

--

Common Equity

1,594.72

1,457.04

913.49

--

1,594.72

1,457.04

913.49

--

15.03

6.53

0.00

--

Total Equity

1,609.75

1,463.57

913.49

--

Total Liabilities & Shareholders' Equity

4,300.02

4,564.60

4,013.11

--

8.84

8.37

--

--

-7.51

-8.74

--

--

Total Shareholders' Equity


Accumulated M inority Interest

Book Value per Share


Tangible Book Value per Share
Supplemental
Working Capital

630.95

814.61

385.32

--

Total Capital

3,507.42

3,725.30

3,293.08

--

Total Debt

1,912.70

2,268.26

2,379.59

--

Net Debt

1,678.37

1,658.18

2,204.73

--

Days of Inventory on Hand

2.56

2.86

--

--

Days of Sales Outstanding

69.82

63.64

--

--

4.87

5.25

--

--

-1.54

--

--

--

2.55

2.55

11.53

4.02

# Option/Warrant Awards Outstanding at Beginning of 17.85


Period

--

--

--

# Option/Warrant Awards Outstanding at End of Period16.32

--

--

--

# Option/Warrant Awards Exercisable

9.40

--

--

--

257.10

266.68

--

--

12.32

--

14.59

--

Days of Payables Outstanding


Comprehensive Income - Hedging Gain/Loss
Stock Option Comp Exp (Net of Tax)

Operating Lease Commitments


Long Term Debt M aturities

Envision Healthcare Holdings, Inc.


EVHC 29413U103 BCT5P15 NYSE

Common stock

Balance Sheet
Source : FactSet Fundamentals
Common Size - % of Total Assets
Year/Year growth

Common Size
Dec '13

Dec '12

Dec '11

Dec '10

5.45

13.37

4.36

--

18.63

13.70

13.10

--

Inventories

0.54

0.48

0.57

--

Other Current Assets

0.54

0.52

1.26

--

Total Current Assets

25.17

28.06

19.28

--

Net Property, Plant & Equipment

4.53

4.20

4.78

--

Total Investments and Advances

0.30

0.45

2.64

--

68.59

65.24

70.60

--

Other Assets

1.42

2.04

2.70

--

Total Assets

100.00

100.00

100.00

--

Income Tax Payable

0.83

0.75

0.05

--

Other Current Liabilities

8.16

8.62

8.00

--

Total Current Liabilities

10.50

10.22

9.68

--

44.08

49.69

58.75

--

Provision for Risks & Charges

4.08

4.15

4.63

--

Deferred Tax Liabilities

3.51

3.43

3.77

--

Other Liabilities

0.40

0.44

0.40

--

Total Liabilities

62.56

67.94

77.24

--

Common Equity

37.09

31.92

22.76

--

37.09

31.92

22.76

--

0.35

0.14

0.00

--

37.44

32.06

22.76

--

100.00

100.00

100.00

--

Balance Sheet
Assets
Cash & Short-Term Investments
Short-Term Receivables

Intangible Assets

Liabilities & Shareholders' Equity

Long-Term Debt

Total Shareholders' Equity


Accumulated M inority Interest
Total Equity
Total Liabilities & Shareholders' Equity

Envision Healthcare Holdings, Inc.


EVHC 29413U103 BCT5P15 NYSE

Common stock

Statement of Cash Flows


Source : FactSet Fundamentals
All figures in millions of U.S. Dollar, except per share items
Jun '14

Dec '13

Dec '12

Dec '11

Dec '10

LTM

365 Days

366 Days

365 Days

--

25.28

11.50

41.19

33.69

131.72

158.05

158.59

141.02

111.34

67.78

--

2.42

31.93

-3.79

-1.18

Other Funds

124.89

59.05

11.65

17.06

10.29

Funds from Operations

306.88

231.55

225.78

158.30

208.61

Changes in Working Capital

-152.73

-177.44

-9.34

24.50

-23.07

Net Operating Cash Flow

154.15

54.12

216.44

182.80

185.54

-73.16

-65.88

-60.22

-64.85

-49.12

-232.97

-35.10

-193.00

-3,023.47

-119.90

Sale of Fixed Assets & Businesses

2.63

0.74

7.22

0.27

0.20

Purchase/Sale of Investments

8.77

0.00

0.00

0.00

0.00

91.95

32.61

9.96

-154.04 -3,055.44

-158.87

Cash Flow
Operating Activities
Net Income / Starting Line
Depreciation, Depletion & Amortization
Deferred Taxes & Investment Tax Credit

Investing Activities
Capital Expenditures
Net Assets from Acquisitions

Other Funds

-0.68

1.64

-295.41

-98.60

0.07

0.00

-428.78

0.00

0.00

1,042.16

1,041.88

-0.18

3.10

5.22

-225.73

-305.33

282.97

1,848.60

-78.58

-39.83

-545.19

7.40

867.60

1.15

266.83

191.36

-138.58

2,719.30

-72.21

0.00

0.00

0.00

0.00

-0.00

Net Change in Cash

125.57

146.88

-76.19

-153.34

-45.53

Free Cash Flow

80.99

-11.76

156.22

117.95

136.42

0.45

-0.07

0.90

0.68

0.82

--

-0.21

--

--

--

Interest Paid

--

198.10

154.98

91.46

29.22

Taxation

--

13.35

-20.46

14.90

70.98

Net Investing Cash Flow


Financing Activities
Cash Dividends Paid
Change in Capital Stock
Issuance/Reduction of Debt, Net
Other Funds
Net Financing Cash Flow
M iscellaneous Funds

Free Cash Flow per Share


Free Cash Flow Yield (%)
Supplemental

Envision Healthcare Holdings, Inc.


EVHC 29413U103 BCT5P15 NYSE

Common stock

Ratios - Annual
Source : FactSet Fundamentals
Dec '13

Dec '12

Dec '11

Dec '10

365 Days

366 Days

365 Days

--

Gross M argin

13.28

13.52

13.14

14.38

SG&A to Sales

5.71

2.38

2.37

2.38

Operating M argin

7.56

8.18

7.16

8.60

Pretax M argin

0.27

2.07

1.99

7.36

Net M argin

0.16

1.25

1.08

4.61

Return on Assets

0.14

0.96

--

--

Return on Equity

0.39

3.47

--

--

Return on Total Capital

0.17

1.17

--

--

Return on Invested Capital

0.17

1.18

--

--

Cash Flow Return on Invested Capital

1.50

6.19

--

--

1.50

--

--

--

888.00

--

--

--

4.02

--

--

--

103.03

--

--

--

Enterprise Value/EBIT

28.72

--

--

--

Enterprise Value/EBITDA

Profitability (%)

Valuation (x)
Price/Sales
Price/Earnings
Price/Book Value
Price/Cash Flow

19.17

--

--

--

Enterprise Value/Sales

2.17

--

--

--

Total Debt/Enterprise Value

0.24

--

--

--

23.75

18.96

17.85

17.11

EBIT (Operating Income) per Share

1.80

1.55

1.28

1.47

EPS (recurring)

0.41

0.32

0.27

0.87

EPS (diluted)

0.04

0.24

0.19

0.79

Book Value per Share

8.84

8.37

--

--

-7.51

-8.74

--

--

0.34

1.24

1.05

1.11

Per Share
Sales per Share

Tangible Book Value per Share


Cash Flow per Share
Free Cash Flow per Share

-0.07

0.90

0.68

0.82

Diluted Shares Outstanding

156.96

174.08

174.08

167.08

Total Shares Outstanding

180.38

174.08

--

--

8.83

8.41

--

--

Asset Turnover Analysis (x)


Cash & ST Investments
Receivables

5.23

5.74

--

--

Inventories

142.36

127.56

--

--

3.16

3.21

--

--

Fixed Assets

19.29

17.20

--

--

Total Assets

0.84

0.77

--

--

Current Assets

DuPont Analysis
Asset Turnover (x)

0.84

0.77

--

--

0.27

2.07

1.99

7.36

0.23

1.59

--

--

109.77

59.77

53.80

62.41

0.14

0.96

--

--

2.90

3.62

--

--

0.39

3.47

--

--

100.00

100.00

100.00

100.00

0.39

-32.70

--

--

Note: EBIT Return on Assets (%)

6.36

6.29

--

--

Note: Interest as % Assets

4.30

3.99

2.81

--

Revenue/Employee

0.30

--

--

--

Net Income/Employee

0.00

--

--

--

Assets/Employee

0.34

--

--

--

Receivables Turnover (x)

5.23

5.74

--

--

Inventory Turnover (x)

142.36

127.56

--

--

Payables Turnover (x)

74.88

69.57

--

--

Asset Turnover (x)

0.84

0.77

--

--

Working Capital Turnover (x)

5.91

4.05

8.06

--

2.56

2.86

--

--

69.82

63.64

--

--

72.38

66.51

--

--

4.87

5.25

--

--

67.51

61.26

--

--

x Pretax M argin (%)


= Pretax Return on Assets (%)
x Tax Rate Complement (1-Tax Rate)
= Return on Assets (%)
x Equity M ultiplier (Assets/Equity)
= Return on Equity (%)
x Earnings Retention (1-Payout)
= Reinvestment Rate (%)

Operating Efficiency

Operating Cycle (Days)


Days of Inventory on Hand
+ Days of Sales Outstanding
= Operating Cycle
- Days of Payables Outstanding
= Net Operating Cycle

Liquidity
Current Ratio

2.40

2.75

1.99

--

Quick Ratio

2.35

2.70

1.93

--

Cash Ratio

0.52

1.31

0.45

--

Cash & ST Inv/Current Assets (%)

21.65

47.62

22.60

--

CFO/Current Liabilities (%)

11.99

46.40

47.07

--

Net Debt/EBITDA

3.97

4.04

6.61

--

Net Debt/(EBITDA-Capex)

4.70

4.73

8.20

--

Total Debt/EBITDA

4.53

5.52

7.13

--

EBIT/Interest Expense (Int. Coverage)

1.53

1.48

1.98

10.74

EBITDA/Interest Expense

2.29

2.26

2.96

13.69

Fixed-charge Coverage Ratio

1.53

1.48

1.98

10.74

CFO/Interest Expense

0.29

1.19

1.62

8.10

--

0.53

--

--

LT Debt/EBITDA

4.48

5.52

7.06

--

Net Debt/FFO

7.25

7.34

13.93

--

LT Debt/FFO

8.19

10.05

14.89

--

FCF/Total Debt

-0.01

0.07

0.05

--

CFO/Total Debt

0.03

0.10

0.08

--

LT Debt/Total Equity

118.85

155.68

258.10

--

LT Debt/Total Capital

54.04

60.89

71.60

--

LT Debt/Total Assets

44.08

49.69

58.75

--

Total Debt/Total Assets

44.48

49.69

59.30

--

Net Debt/Total Equity

105.25

113.80

241.35

--

Total Debt/Equity

119.94

155.68

260.49

--

Net Debt/Total Capital

47.85

44.51

66.95

--

Total Debt/Total Capital

54.53

--

72.26

--

Coverage (x)

Cash Dividend Coverage Ratio

Leverage (%)

Appendix D
Industry Level Sales and Macroeconomic Indicator Variables 1998-2013 (all data as per references tab)
YEAR SALES ($M) OIL ($Barrel) UNEMP(%) CPI (%) FedFunds (%) GDP (%) Hstarts ($T) CPI (Level)
1995
43.86
16.75
5.6
2.81
5.83
2.7
1354.1
152.40
1996
80.83
20.46
5.4
2.93
5.30
3.8
1476.8
156.90
1997
197.63
18.64
4.9
2.34
5.46
4.5
1474.0
160.50
1998
273.14
11.91
4.5
1.56
5.35
4.4
1616.9
163.00
1999
373.56
16.56
4.2
2.21
4.97
4.8
1640.9
166.60
2000
473.84
27.39
4.0
3.36
6.24
4.1
1568.7
172.20
2001
872.39
23.00
4.7
2.85
3.88
1.1
1602.7
177.10
2002
1241.16
22.81
5.8
1.57
1.67
1.8
1704.9
179.88
2003
1265.41
27.69
6.0
2.27
1.13
2.5
1847.7
183.96
2004
4425.42
37.66
5.5
2.69
1.35
3.5
1955.8
188.90
2005
4668.39
50.04
5.1
3.39
3.22
3.1
2068.3
195.30
2006
5663.51
58.30
4.6
3.23
4.97
2.7
1800.9
201.60
2007
5420.72
64.20
4.6
2.85
5.02
1.9
1355.0
207.34
2008
6026.66
91.48
5.8
3.84
1.92
-0.3
905.5
215.30
2009
6041.18
53.48
9.3
-0.36
0.16
-3.1
554.0
214.54
2010
6469.36
71.21
9.6
1.64
0.18
2.4
586.9
218.06
2011
7328.65
87.04
8.9
3.16
0.10
1.8
608.8
224.94
2012
8139.70
86.46
8.1
2.07
0.14
2.8
780.6
229.59
2013
9277.74
87.13
6.7
1.47
0.11
1.9
923.4
232.96

Correlation Matrix
YEAR
YEAR
SALES ($M)
OIL ($Barrel)
UNEMP(%)
CPI (%)
FedFunds (%)
GDP (%)
Hstarts ($T)
CPI (Level)

1
0.964505504
0.927146605
0.672583851
-0.196483274
-0.805485994
-0.525615828
-0.613258571
0.996910966

SALES ($M)
1
0.951241767
0.635632857
-0.130452695
-0.72440978
-0.471882857
-0.606840663
0.972771359

OIL ($Barrel) UNEMP(%)

1
0.59537833
0.059239277
-0.658183005
-0.462805095
-0.667575852
0.950786334

1
-0.50082
-0.82066
-0.54822
-0.81811
0.669261

CPI (%)

FedFunds (%) GDP (%)

Hstarts ($T) CPI (Level)

1
0.415865764
1
0.383275434 0.5423862
1
0.375030177 0.5546717 0.549252963
1
-0.164592005 -0.783589 -0.541106615 -0.64135177

Demand, Costs, Price More needs for medical care, higher demand for health care staff
Demand, Costs, Price The continuing rollout of Affordable Care Act

5
5
1

4
4
3

+
+
-

Increasing competition to gain access to highly skilled medical professional groups


Costs, Price
4
4
-

11898.39
12.30%

2014
10595.18
14.20%

Amount
% growth

8.52%
17.52%

Based on Correlations and Soft Factors - Industry Sales Forecast

7%
69048.77

6%
63622.5

3.5%
10900
10187

14751
3.4%

14252.4

2015

4 of the largest service providers accounts for 19% of the industry revenue
Demand, Price
4
3

2015

Putting pressure on service providers' pricing


Demand, Price
4
3

2014

Employee wages are service providers' largest expense


Costs
3

Most health care service providers operate in local or regional environment


has yet to expand internationally

Demand, Price

Demand, Price
Demand, Price

2
3

3
3

+
-

Unemployment rate unlikely to rise this year

Demand, Costs, Price Reduction of uninsured population, patient volumes


Demand, Costs, Price increase and better payor mix, funding expected to increase strongly this year

5
5

4
5

+
+

Gain easier access to higher skilled medical professionals

Costs
Costs

2
3

2
3

+
+

Significance

Legend
Outlook
0.951241767 Positive, with oil prices likely to rise due to various global issues
0.635632857 Positive, with lower unemployment rate
-0.72440978 Negative, with interest rate likely to rise next year
-0.606840663 Positive, with possibility of further slow down of the housing market
0.972771359 Positive, with consumer prices likely to rise due to continuing economic recovery
Legend
Impacts
Degree +/- Probable
Pos/Neg
Positive = + Low = 1 or 2 Low = 1 or 2 Demand
Costs
Negative = - Average = 3 Avg = 3
High = 4 or 5 High = 4 or 5 Price
Notes
Impacts
Probable
Degree+/Pos/Neg

Pos/Neg
Positive
Positive
Negative
Negative
Positive

Source
IBISWorld Forecast
% growth
Staffing Industry Analysis, Inc Forecast (Value Line does not have this info)
% growth
FactSet Forecast
% growth

Industry Sales Forecasts

Pricing Factors
Product Segmentation (Generic v. Brand Industry)
Rise of temporary employee hiring services as percentage of all product segments
Degree of Industry Concentration (Monopolistic)
Highly fragmented market with many small and medium service providers
Ease of Entry (Monopolistic)
Low barriers to entry, highly fragmented market
Limited Input Suppliers/Materials
Shortage of qualified medical professionals

External Factors
Technology
New electronic systems that can keep track of physician groups better
New information systems that can make the search process more efficient
Government
The continuing rollout of Affordable Care Act
Federal funding for Medicare and Medicaid
Social
Unemployment rate
Shortage of qualified physicians
Demographic
Aging population as baby boomers retire
Lower uninsured population
Foreign
Foreign health care serve providers expand into U.S.

Highly Correlated Economic Variables (list relevant)


Oil prices ($/Barrel)
Unemployment (%)
FedFunds (%)
Housing Starts ($T)
CPI (level)

Sector = Health Care


Industry = Health Care Providers & Services
Subindustry = Health Care Services
Industry Category = Health Care Equipment & Services
Life Cyle = Mature

Map of the Impact of Industry Soft Factors to Sales via Demand (Volume) and Price

Map of Economic/Industry to Firm-Level Sales - Hard Factors - Growth Forecast


Levels

Year
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013

Industry
Sales ($M)
43.86
80.83
197.63
273.14
373.56
473.84
872.39
1241.16
1265.41
4425.42
4668.39
5663.51
5420.72
6026.66
6041.18
6469.36
7328.65
8139.70
9277.74

Year
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013

GDP
4.9%
5.7%
6.3%
5.6%
6.3%
6.5%
3.3%
3.3%
4.8%
6.6%
6.7%
5.8%
4.5%
1.7%
-2.1%
3.7%
3.8%
4.6%
3.4%

Mean (all years)


Mean (5 years)
Mean (3 years)

4.49%
2.68%
3.93%

TMH
Sales

EVHC
Sales

1,572.17
1,613.36
1,829.05
1,232.07
1,331.32
1,423.44
1,519.26
1,745.33
2,069.02
2,383.60

1,604.60
1,655.49
1,934.21
2,106.99
2,409.86
2,569.69
2,859.32
3,107.60
3,300.12
3,728.31

84.30%
144.49%
38.21%
36.76%
26.85%
84.11%
42.27%
1.95%
249.72%
5.49%
21.32%
-4.29%
11.18%
0.24%
7.09%
13.28%
11.07%
13.98%

2.62%
13.37%
-32.64%
8.06%
6.92%
6.73%
14.88%
18.55%
15.20%

43.78%
9.13%
12.78%

5.97%
12.46%
16.21%

GDP
Forecast*
4.14%
5.06%

Industry
Forecast
14.20%
12.30%

Year
2014
2015

Min
6.54%
7.46%

Max
17.63%
17.34%

Year
2014
2015

Real GDP
2.00%
2.80%

CPI
2.10%
2.20%

63.57
87.72
146,514
230,766
517,794
775,683
714,209
629.02
705.84
1,081.70
1,164.02
1,217.20
759.79
689.22
887.47
953.95
1,011.82

MD
Sales
43.86
80.83
128,850
185,422
227,042
243,075
354,595
465,481
551,197
619.63
693.7
818.55
917.64
1,068.28
1,288.26
1,401.56
1,588.25
1,816.61
2,154.01

Percentage Growth
Company Competitor 1 Competitor 2 Competitor 3

Industry

Year
2014
2015

AHS
Sales

Company vs.
Industry

3.17%
16.84%
8.93%
14.37%
6.63%
11.27%
8.68%
6.20%
12.98%

37.99%
166928.43%
57.50%
124.38%
49.81%
-7.93%
-99.91%
12.21%
53.25%
7.61%
4.57%
-37.58%
-9.29%
28.76%
7.49%
6.07%

22.45%
7.06%
45.88%
31.27%
18.41%
-99.89%
11.95%
18.00%
12.11%
16.42%
20.59%
8.79%
13.32%
14.38%
18.57%

-4.08%
7.57%
-37.14%
6.36%
9.02%
3.03%
11.08%
13.95%
11.80%

-2.87%
-7.95%
-28.35%
-3.12%
6.68%
-0.36%
1.60%
7.48%
1.22%

9.90%
9.15%
9.28%

10447.71%
-0.91%
14.11%

10.05%
14.70%
12.16%

2.40%
9.78%
12.28%

-2.85%
3.32%
3.43%

GDP Forecast + Company Difference


All Year
5 year
3 year
6.54%
13.92%
16.42%
7.46%
14.84%
17.34%

Range
Mean
13.90%
13.41%

Company vs.
GDP

Median
15.17%
15.23%

Industry + Company Difference


All Years
5 years
3 Years
11.35%
17.52%
17.63%
9.45%
15.62%
15.73%

Published Forecasts
Value Line
FactSet
12.23%
13.70%
12.13%
11.00%

Choice
14.00
14.50

*Nominal GDP
4.14%
5.06%

Note: Mednax (NYSE: MD) is eventually dropped from the analysis because ED is not their
primary service line

Soft Factors Affecting the Company's Position within the Industry (Ultimately Sales Growth)
Company = Team Health Holdings, Inc.
Life Cycle = Mature
Competitor 1 = Envision Healthcare
Competitor 2 = AMN Healthcare
Competitor 3 = MEDNAX, Inc.
Legend

Pos/Neg = current attribute


Degree = intensity of attribute
Total = Pos/Neg * Degree
Trend in the Future

Low= 1-2 Avg=3 High=4-5

Company

Factor
Previous Industry Factors that Vary by Company
Degree of Industry Concentration (Monopolistic)
Sales Patterns (see previous tab)
Sales Stability - Low Standard Deviation
Sales Growth
Products, Innovation, and Technology
Product Mix
Product Quality
Use of information systems
Management Quality
Customer Satisfaction
Customer Base
Loyalty
Sum of Totals, % Positive Trend

Competitor 2

Pos/Neg

Degree

Total

Trend

-4

-4

+
+

5
5

5
5

+
+

+
+

5
5

5
5

+
+

+
+
+
+
+

4
5
4
5
5

4
5
4
5
5

=
+
=
+
+

+
+
+
+

4
3
4
3
4

4
3
4
-3
4

N/A

N/A

34

67%

N/A

N/A

Pos/Neg Degree

Total

Trend Pos/Neg Degree

Total

Trend

-4

4
3

-4
3

+
+

=
=
=
+
+

+
+
+
+
+

4
5
4
5
5

4
5
4
5
5

=
+
=
+
+

21

56%

N/A

N/A

23

67%

Notes/Sources

Competitor 3
Pos/Neg Degree

Competitor 1

Total

Trend

-4

Companies' annual reports and IBIS World

+
+

5
5

5
5

+
+

Competitor 2 had rough years from 08-10

+
+
+
+
+

5
5
4
5
5

5
5
4
5
5

=
+
=
+
+

From companies' annual reports, competitor 3 has more service lines


Competitor 1 has a slightly lower contract retention rate
Companies use different softwares to help them find qualified medical professionals, assist the billing process and build relationship with their clients
Competitor 1 is getting better at handling their debt level as they are generating higher revenue growth
Mainly determined by looking at companies' client retention rates

N/A

N/A

35

67%

Appendix E

Column1 Team Health


Dec-13
16.23
Dec-12
16.50
Dec-11
17.25

Gross Margin (%)


Envision Healthcare AMN Healthcare Industry
13.28
28.04
20.66
13.52
26.86
20.19
13.14
26.25
19.70

Column1 Team Health


Dec-13
7.77
Dec-12
5.83
Dec-11
7.56

Operating Margin (%)


Envision Healthcare AMN Healthcare Industry
7.56
6.21
6.89
8.18
5.59
6.88
7.16
4.24
5.70

Column1 Team Health


Dec-13
3.67
Dec-12
3.08
Dec-11
3.75

Net Margin (%)


Envision Healthcare AMN Healthcare Industry
0.16
3.25
1.71
1.25
1.57
1.41
1.08
0.57
0.82

Column1 Team Health


Dec-13
6.83
Dec-12
5.99
Dec-11
7.55

ROA (%)
Envision Healthcare AMN Healthcare Industry
0.14
5.94
3.04
0.96
2.85
1.90
-0.91
0.91

Column1
Dec-13
Dec-12
Dec-11

Receivables Turnover
Team Health Envision Healthcare
AMN Healthcare
Industry
5.88
5.23
6.13
5.68
5.76
5.74
5.72
5.73
5.99
-5.53
5.53

Column1
Dec-13
Dec-12
Dec-11

Total Assets Turnover


Team Health Envision Healthcare
AMN Healthcare
Industry
1.86
0.84
1.82
1.33
1.94
0.77
1.81
1.29
2.01
-1.62
1.62

Column1
Dec-13
Dec-12
Dec-11

Current Ratio
Team Health Envision Healthcare
AMN Healthcare
Industry
1.15
2.40
1.64
2.02
1.20
2.75
1.86
2.30
1.00
1.99
1.52
1.75

Column1
Dec-13
Dec-12
Dec-11

Net Debt/EBITDA
Team Health Envision Healthcare
AMN Healthcare
Industry
1.96
3.97
1.77
2.87
2.89
4.04
2.26
3.15
2.53
6.61
3.81
5.21

Column1
Dec-13
Dec-12
Dec-11

Total Debt/EBITDA
Team Health Envision Healthcare
AMN Healthcare
Industry
2.09
4.53
2.08
3.30
3.14
5.52
2.34
3.93
2.59
7.13
3.89
5.51

Column1
Dec-13
Dec-12
Dec-11

EBIT/Interest Expense (Int. Coverage)


Team Health Envision Healthcare
AMN Healthcare
Industry
12.42
1.53
6.81
4.17
7.38
1.48
3.29
2.39
10.33
1.98
1.59
1.78

Column1
Dec-13
Dec-12
Dec-11

CFO/Total Debt
Team Health Envision Healthcare
AMN Healthcare
Industry
0.31
0.03
0.37
0.20
0.15
0.10
0.38
0.24
0.24
0.08
0.09
0.08

Column1
Dec-13
Dec-12
Dec-11

LT Debt/Total Assets (%)


Team Health Envision Healthcare
AMN Healthcare
Industry
35.52
44.08
25.10
34.59
41.82
49.69
30.57
40.13
41.48
58.75
32.65
45.70

Column1
Dec-13
Dec-12
Dec-11

Total Debt/Total Assets (%)


Team Health Envision Healthcare
AMN Healthcare
Industry
36.84
44.48
26.88
35.68
43.17
49.69
30.57
40.13
45.25
59.30
39.24
49.27

Column1
Dec-13
Dec-12
Dec-11

Total Debt/Equity (%)


Team Health Envision Healthcare
AMN Healthcare
Industry
187.72
119.94
73.12
96.53
442.84
155.68
86.86
121.27
2413.79
260.49
131.59
196.04

Appendix F
Team Health Holdings, Inc.
TM H

87817A107 B51NDL4 NYSE

Common stock

Income Statement
Source : FactSet Fundamentals
All figures in millions of U.S. Dollar

Net Revenue

Dec '13

% Of

Final

Sales

Temp +1

Type

2014

% Of

Proforma

Sales

2015
Temp +1

Type

Proforma

2,383.60

1.00

2,717.30

2,717.30

100.00%

3,111.31

3,111.31

1,867.82

78.36%

2,129.31

2,129.31

78.36%

2,438.06

2,438.06

74.19

3.11%

84.57

84.57

3.11%

96.83

441.59

18.53%

503.42

503.42

18.53%

576.41

245.90

9.05%

271.83

257.51

9.48%

304.58

Cost of Services Rendered (COSR) excl. D&A


Professional Services Expenses
Professional Liability Costs
Gross Income

96.83
576.41

.
General and administrative expenses (includes
contingent purchase and other
acquisition compensation expense of $23,962 in 2013)
EBIT (Operating Income)

Other Income (Expense) - Net

228.91

9.60%

245.90

212.68

8.92%

257.51

271.83
304.58

4.54

0.19%

5.17

5.17

0.19%

5.92

5.92

Depreciation

17.07

0.72%

19.46

19.46

0.72%

22.28

22.28

Amortization

37.55

1.58%

43.64

43.64

1.61%

40.11

40.11

Interest Expense - Net

14.91

0.63%

14.91

14.91

0.55%

14.91

14.91

Loss on Refinancing of Debt

0.00

0.00%

0.00

0.00

0.00%

0.00

0.00

Transaction Costs

3.81

0.16%

4.34

4.34

0.16%

4.97

143.88

6.04%

180.33

180.33

6.64%

228.23

Provision for Income Taxes

56.31

39.14%

70.80

Net Income

87.57

3.67%

109.54

Pretax Income

Net Income Attributable to Non-controlling Interest


Net Income Attributable to Team Health Holdings, Inc

Preferred Dividends
Common Dividends
Addition to Retained Earnings

N.I. Per Common Share


Number of Common Shares - Diluted
Dividends Declared Per Share

0.16

0.01%

0.18

87.41

3.67%

109.36

---

--

87.41

109.36

70.80

39.26%

89.60

109.54

4.03%

138.63

0.18

0.01%

0.20

109.36

4.02%

138.42

4.97
228.23

89.60
138.63

0.20
138.42

--

--

-109.36

138.42

138.42

1.24

1.55

1.55

1.96

1.96

70.62

70.62

70.62

70.62

70.62

--

--

--

--

--

Team Health Holdings, Inc.


TM H

87817A107 B51NDL4 NYSE

Common stock

Balance Sheet
Source : FactSet Fundamentals
All figures in millions of U.S. Dollar

Dec '13

% Of

Final

Sales

2014
Temp +1 Type Proforma

% Of
Sales

2015
Temp +1 Type Proforma

Assets
Current Assets:
Cash & Cash Equivalent

32.33

1.36%

36.86

392.43 16.46%

36.86

1.36%

42.20

42.20

431.79 15.89%

Accounts receivable, less allowance for uncollectibles of


$377,644 in 2013

431.79

494.40

494.40

Prepaid expenses and other current assets

35.03

1.47%

39.93

39.93

1.47%

45.72

45.72

Receivables under insured programs

22.96

0.96%

26.18

26.18

0.96%

29.97

482.75 20.25%

534.76

534.76 19.68%

612.30

Total Current Assets

29.97
612.30

Investments of insurance subsidiary

84.08

3.53%

84.08

84.08

3.09%

84.08

84.08

Property and equipment, net

53.43

2.24%

60.54

60.54

2.23%

68.60

68.60

Other intangibles, net

173.18

7.27%

173.18

173.18

6.37%

173.18

173.18

Goodwill

428.31 17.97%

428.31

428.31 15.76%

428.31

428.31

Deferred income taxes

44.55

1.87%

44.55

44.55

1.64%

44.55

44.55

Receivables under insured programs

39.53

1.66%

39.53

39.53

1.45%

39.53

39.53

Other assets

55.58

2.33%

55.58

55.58

2.05%

55.58

Total Assets

1,361.41

57.12% 1,420.52

1,420.52 52.28% 1,506.12

55.58
1,506.12

Liabilities & Shareholders' Equity


Current liabilities:
Accounts payable

27.70

1.16%

31.58

31.58

1.16%

36.16

36.16

Accrued compensation and physician payable

202.00

8.47%

230.28

230.28

8.47%

263.67

263.67

Other accrued liabilities

128.75

5.40%

146.77

146.77

5.40%

168.06

168.06

3.01

0.13%

3.44

3.44

0.13%

3.93

3.93

17.97

0.75%

24.84

24.84

0.91%

30.00

30.00

39.06

39.06

Income tax payable


Current maturities of long-term debt
Deferred income taxes

1.64%

39.06

418.49 17.56%

475.97

Long-term debt, less current maturities

483.59 20.29%

458.75

Other non-current liabilities

190.84

190.84

Total Current Liabilities

Total Liabilities

1,092.93

8.01%

1.44%

39.06

475.97 17.52%

540.88

375.69 13.83%

345.69

261.12

190.84

7.02%

190.84

190.84

1,042.50 38.37%

1,077.41

45.85% 1,125.56

39.06
540.88

992.84

Shareholders equity:
Common stock, ($0.01 par value; 100,000 shares authorized,
70,016 shares issued
and outstanding at December 31, 2013)
Additional paid-in capital
Accumulated deficit
Accumulated other comprehensive gain
Team Health Holdings, Inc. shareholders equity
Noncontrolling interest
Total shareholders' equity including noncontrolling interest

Liabilities & Shareholders' Equity

0.03%

0.70

642.63 26.96%

0.70

642.63

-376.59 -15.80%

-267.24

0.02%

0.45

267.19 11.21%

376.54

0.45

0.05%

1.48

268.48 11.26%

1.29

378.02

1,361.41

57.12% 1,503.58

0.03%

0.70

0.70

642.63 23.65%

0.70

642.63

642.63

-128.81

-128.81

-267.24

-9.83%

0.45

0.02%

0.45

376.54 13.86%

514.97

1.48

0.45
514.97

0.05%

1.69

378.02 13.91%

513.28

513.28

1.69

1,420.52 52.28% 1,590.69

1,506.12

Assumptions

Line Item
IS-15
IS-20
IS-21
IS-26
BS-12
BS-17
BS-18
BS-19
BS-20
BS-21
BS-22
BS-23
BS-32
BS-33
BS-36
BS-37
BS-44

Assumption
Estimated contingent purchase and other acquisition compensation expense (in thousands) are 12,263 and 4,313 for year ended 2014 and 2015 respectively
Estimated annual amortization expense (in thousands) for intangibles for 2014 and 2015 are 43,638 and 40,106 respectively
Estimated interest expense is the same as in year 2013
Used average tax rate for the past 3 years as the rate for 2014 and 2015
Used the most recent guidance of average collection period as the base for calculating accounts receivable for 2014 and 2015
Plug from 2013, too difficult to predict
Used the CAGR of the past 5 years to predict net PPE for year 2014 and 2015
Plug from 2013, too difficult to predict
Plug from 2013, too difficult to predict
Plug from 2013, too difficult to predict
Plug from 2013, too difficult to predict
Plug from 2013, too difficult to predict
Aggregate annual maturities of long-term debt (in thousands) are 24,844 and 30,000 for 2014 and 2015 respectively
Plug from 2013, too difficult to predict
Aggregate annual maturities of long-term debt (in thousands) are 24,844 and 30,000 for 2014 and 2015 respectively
Plug from 2013, too difficult to predict
Plug from 2013, too difficult to predict

Team Health Holdings, Inc.


TM H

87817A107 B51NDL4 NYSE

Common stock

Statement of Cash Flows


Source : FactSet Fundamentals
All figures in millions of U.S. Dollar

Dec '13

2014

2015

Final

Proforma

Proforma

Operating Activities
Net earnings

87.57

109.54

138.63

Depreciation

17.07

19.46

22.28

Amortization

37.55

43.64

40.11

Amortization of deferred financing costs

1.02

1.02

1.02

Equity based compensation expense

9.89

14.34

20.79

1,930.25

1,930.25

1,930.25

-10.73

--

--

--

--

--

0.08

0.08

0.08

-1.81

-1.81

-1.81

-1,943.67

-1,969.61

-1,992.86

-2.37

-2.37

-2.37

Income tax accounts

1.93

1.93

1.93

Accounts payable

2.03

3.88

4.58

20.72

28.28

33.39

Adjustments to reconcile net earnings:

Provision for uncollectibles


Deferred income taxes
Loss on extinguishment and refinancing of debt
Loss (gain) on disposal or sale of equipment
Equity in joint venture income
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable
Prepaids and other assets

Accrued compensation and physician payable


Contingent purchase liabilities

-10.59

-11.70

-7.95

Other accrued liabilities

-2.34

18.02

21.28

Professional liability reserves

17.81

--

--

154.41

184.95

209.35

-21.38

-9.50

-10.87

0.13

--

--

-159.14

-177.82

-198.70

-86.77

-86.77

-86.77

73.08

73.08

73.08

--

--

--

-194.09

-201.02

-223.27

Payments on notes payable

-16.25

-16.25

-16.25

Proceeds on notes payable

--

--

--

Proceeds from revolving credit facility

--

--

--

Payments on revolving credit facility

--

--

--

-0.001

-0.001

-0.001

0.60

0.18

0.21

-0.52

-0.52

-0.52

Net cash provided by operating activities


Investing activities
Purchases of property and equipment
Sale of property and equipment
Cash paid for acquisitions, net
Purchases of investments at insurance subsidiary
Proceeds from investments at insurance subsidiary
Other investing activities
Net cash used in investing activities
Financing activities

Payments of financing costs


Contribution from noncontrolling interest
Stock issuance costs
Proceeds from the issuance of common stock under stock purchase plans

2.99

2.99

2.99

Proceeds from exercise of stock options

30.50

30.50

30.50

Tax benefit from exercise of stock options

13.45

13.45

13.45

Net cash provided by financing activities

30.77

30.35

30.38

Net (decrease) increase in cash and cash equivalents

-8.91

4.53

5.34

Cash and cash equivalents, beginning of year

41.24

32.33

36.86

Cash and cash equivalents, end of year

32.33

36.86

42.20

Supplemental cash flow information:


Interest paid

15.53

15.53

15.53

Taxes paid

52.21

70.80

89.60

Team Health Holdings, Inc.


Free Cash Flow Calculation
All figures in millions of U.S. Dollar, except per share items.

2014 Free Cash Flow

2014 Inputs

Net Income CF from Operations EBIT(1-t) EBITNCC(1-t)


Beginning Number
109.54
184.95 156.41
1375.47
Non-cash charges
2006.98
2006.98
787.92
Interest Expense (1-t)
9.06
9.06
-Investment in NWC
1931.56
1931.56
1931.56
-Investment in FC
9.50
9.50
9.50
9.50
FCFF
184.51
184.51 222.33
222.33
-Interest Expense (1-t)
9.06
9.06
9.06
9.06
+Net Borrowing
-16.25
-16.25 -16.25
-16.25
FCFE
159.20
159.20 197.02
197.02

Item
Net Income
CF from Operations
Non-Cash Charges
Interest Expense
Investment in NWC
Investment in FC
Tax Rate
EBIT
EBITNCC
Net Borrowing

Location Input
IS
CF
CF
IS
CF
CF
IS
IS
IS/CF
CF

109.5350139
184.946577
2006.97585
14.91
1931.564287
9.49756884
0.392592946
257.51116
2264.48701
-16.25

Location Input
IS
CF
CF
IS
CF
CF
IS
IS
IS/CF
CF

138.6284483
209.3503002
2012.718094
14.91
1941.996242
10.87491235
0.392592946
304.5784132
2317.296507
-16.25

2015 Free Cash Flow


Beginning Number
Non-cash charges*
Interest Expense (1-t)
-Investment in NWC
-Investment in FC
FCFF
-Interest Expense (1-t)
+Net Borrowing
FCFE

Net Income CF from Operations EBIT(1-t) EBITNCC(1-t)


138.63
209.35 185.00
1407.54
2012.72
2012.72
790.18
9.06
9.06
1942.00
1942.00
1942.00
10.87
10.87
10.87
10.87
207.53
207.53 244.85
244.85
9.06
9.06
9.06
9.06
-16.25
-16.25 -16.25
-16.25
182.23
182.23 219.54
219.54

2015 Inputs
Item
Net Income
CF from Operations
Non-Cash Charges
Interest Expense
Investment in NWC
Investment in FC
Tax Rate
EBIT
EBITNCC
Net Borrowing

Assumptions

Line Item
CF-12
CF-13
CF-14
CF-15
CF-16
CF-22
CF-27
CF-35

Assumption
Used the sales percentage method
Estimated annual amortization expense (in thousands) for intangibles for 2014 and 2015 are 43,638 and 40,106 respectively
Plug from year 2013, too difficult to predict
Used the CAGR of the past 2 years to predict
Used the CAGR of the past 2 years to predict
Change in accounts receivable is the net of CF-16 and CF-22
Estimated contingent purchase and other acquisition compensation expense (in thousands) are 12,263 and 4,313 for year ended 2014 and 2015 respectively
Used the CAGR of the past 2 years to predict

Appendix G
Cost of Debt Capital
Cost of Debt (Rd) =

5.16%

Cost of Equity Capital


Risk Premium Approach
Risk Premium =
Cost of Equity (Re) =

3.00% Assumption: The company is not excessively risky, beta of 1.07


8.16% (FactSet)

CAPM Approach
Risk-free Rate =
Beta =
Market Risk Premium =
Cost of Equity (Re) =

2.97% (FactSet)
1.07 (FactSet)
5.40%
8.75%

WACC
Weight of Debt =
Weight of Equity =
Cost of Debt =
Cost of Equity =
Tax Rate =
WACC =

21.54% (FactSet)
78.46% (FactSet)
5.16%
8.75%
39% (FactSet)
7.54%

Calculations/Sources
Market value
4083
Beta
1.07
Cash
93.4
Total liabilities
1121
Tax rate
39.26%
YTM of comparable bond (Rd) 5.16
Rf (30-year bond)
2.97
Wd
We

0.215411
0.784589

CAPM (Re)
WACC

8.75
7.538729

Appendix H
Team Health Holdings, Inc.
Gordon Growth Model
Dividends

P0=D1/(Re-g)

Next Dividend paid (D1) = $

Growth Rate Assumption

Cost of Equity Increment:


Growth Rate Increment:

Cost of Equity
Assumption

Cost of Equity (Re) =


8.75%
Growth Rate (g) =
3.00%
P0 = $ 0.50%
0.25%

2.5000% 2.7500%
8.00%
$0.00
$0.00
7.50%
$0.00
$0.00
7.00%
$0.00
$0.00
6.50%
$0.00
$0.00
6.00%
$0.00
$0.00

3% 3.2500% 3.5000%
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00

Team Health Holdings, Inc.


Multi-phase H Model
FCFF

WACC
Assumption

Forecasted CF Year 1
Forecasted CF Year 2
Stable Growth Rate (gL)
*Super Growth Rate (gS)
Number of High Growth Years
H
WACC

Sensitivity Table
Discounted FCFF

184.51
207.53
3.00%
14.00%
2
1.5
7.54%

Super Growth Variance:


Cost of Equity Variance:

5074.44
9.12%
8.29%
7.54%
6.79%
6.11%

Super Growth Rate Assumption


10.12%
11.90%
14.00%
3578.64
3654.84
3744.50
4147.02
4236.52
4341.81
4844.10
4949.93
5074.44
5819.03
5947.74
6099.16
7101.19
7260.02
7446.87

Year
Cash Flow ($M)
Discounted Cash Flow ($M)

1
184.51
171.57

2
207.53
179.45

2 (and beyond)
5462.57
4723.42

Total DCF
5074.44

Total DCF per share


66.59

15%
10%

16.10%
3834.15
4447.11
5198.95
6250.58
7633.73

18.52%
3937.25
4568.19
5342.13
6424.71
7848.61

Appendix I
Industry Multiples
Market Cap
P/E
NTM P/E
P/S
P/B
EV/EBITDA

Team Health
4082.5
39.31
22.71
1.35
11.94
15.27

Envision Healthcare AMN Healthcare


780.3
6189.6
281.92
25.04
23.92
21.15
1.52
0.80
3.78
3.34
17.70
11.47

Industry
Multiples
253.2
23.6
1.4
3.7
17.0

Actual Company Multiples

Price/Earnings (x)
NTM P/E (x)
Price/Sales (x)
Price/Book Value (x)
Enterprise Value/EBITDA (x)

2013
39.31
22.71
1.35
11.94
15.27

Actual Values
Earnings per Share
Sales per Share
Book Value per Share
EBITDA

1.24
33.75
3.82
239.7

Implied Stock Price


(Actual Values and Industry Average Prices)
Price/Earnings (x)
NTM P/E (x)
Price/Sales (x)
Price/Book Value (x)

Enterprise Value/EBITDA (x)


Notes
All data from FactSet

2012
30.94

2011
22.52

2010
74.00

2009
17.10

0.95
16.67
14.73

0.84
83.19
11.47

0.66

0.49

8.24

10.67

Actual Stock
Price
Implied Stock Price
57.79
313.92
57.79
29.28
57.79
48.58
57.79
14.25
Actual EV
4484.10

Implied EV
4075.51

Over/ Under
Undervalued
Overvalued
Overvalued
Overvalued
Over/Under
Overvalued

Appendix J

Appendix K

From: TeamHealth

Appendix L

Das könnte Ihnen auch gefallen