the final winning pitchbook v2-2
TRANSCRIPT
Strictly Confidential
Presentation to AMN Healthcare Services Discussion Materials | April 1, 2016
Strictly Confidential
I. EVEREST CAPITAL DEAL TEAMII. EXECUTIVE SUMMARYIII. AMN HEALTHCARE OVERVIEWIV. HEALTHCARE SERVICES INDUSTRY OVERVIEWV. VALUATION ANALYSISVI. APPENDICES
Table Of Contents
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I. EVEREST CAPITAL DEAL TEAM
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Everest Capital Deal Team
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• Indiana University• Kelley School of
Business | 2019• Majors: Finance &
Business Analytics
• Indiana University• Kelley School of Business
| 2019• Majors: Finance &
Accounting
• Indiana University• Kelley School of
Business | 2019• Majors: Finance &
Accounting
• Indiana University• Kelley School of Business |
2019• Major: Finance & Economic
Consulting
• Indiana University• Kelley School of Business
| 2019• Majors: Finance &
Accounting
Shrey PatelRohith Kolluri
Chad Bacon
Curran Aiyer
Vasisht Narayan
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II. EXECUTIVE SUMMARY
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Executive SummaryOverview
Current Positioning
Recommendation
Future Acquisitions
• The overall size of the global healthcare industry's market cap measures at approximately $432.7 Billion.• Despite falling rates in biotechnology and pharmaceuticals the industry has remained promising for potential
M&A transactions.
With nearly 30 years experience, AMN Healthcare as proven itself as a reliable player in the industry and a consistent competitor throughout corporate America.
AMN Healthcare also maintains relatively stable levels of revenue and monetary output at over a billion annually in corporate sales.
• Everest Capital suggests AMN acquire Cross Country healthcare with portions of equity as well as different debt structuring through a multitude of term loans.
• Administer synergies of strong customer base and domestic presence in continental America.• Utilize acquisition to advanced medical technology sector of the healthcare industry.
• Cross Country Healthcare offers multiple avenues to diversify performance in multiple sectors of the healthcare industry including healthcare facilities, distribution, and pharmaceuticals.
• After thorough valuation, Everest capital projects Cross Country stock performance to appreciate in coming years.
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Revolver
• 0.6x• Paid off 2018
Term Loan A
• 0.9x• Paid off 2020
Term Loan B
• 0.6x• Paid off 2020
High Yield
• 0.5x• Paid off most likely 2021
15%Revolver
20%Term
Loan A13% Term
Loan B
5%High Yield
40%Equity
Revolver Term Loan A Term Loan BHigh Yield Common Equity
Anticipated Payment Schedule
Divisions of Debt Payment
Allocation of Funding
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III. AMN HEALTHCARE OVERVIEW
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AMN Strategic FocusConnection through Innovative Technology
Provides online services and tools, including VMS and scheduling technology that utilizes predictive analysis.
The Service Connection provides healthcare professionals the ability to track assignment information and complete key forms electronically.
With SaaS based scheduling technology, clients can plan their clinical workforce to cost-effectively handle patient demand.
M&A The company also makes selective acquisitions of
businesses, products, & technologies, generally focusing on small-to-medium sized transactions to provide ongoing growth opportunities.
AMN acquired Medfinders, a leading provider of clinical workforce Managed Service Providers.
AMN also acquired ShiftWise and Medefis and now offer a vendor neutral management system to efficiently manage their contingent staffing needs.
In 2015, AMN Healthcare invested heavily in their RPO service line, resulting in a year-over-year increase of over 200% in revenue generated within this service line.
“Recognized as the innovator and leader in providing healthcare workforce solutions”
Expanding Servicing and Products Consider the needs of the clients and healthcare professionals Ensure the alignment with the core expertise of recruitment,
credentialing and access to healthcare professionals Continue to improve, strengthen, and broaden the
relationships with clients Reduce the amount of exposure to economic cycles Enhance the long-term sustainable, differentiated business
model and make return on capital Expand the suite of offerings to include managed services
programs (MSPs) and recruitment process outsourcing (RPO) offerings to supplement our clinical staffing solutions
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New York 0.16
California 0.11
Rest of U.S. 0.73
Texas 0.1
AMN Company Profile
AMN Healthcare provides healthcare workforce solutions and staffing services that help clients, clinicians and physicians deliver patient care.
AMN Healthcare was originally founded in 1985 in San Diego as a regional traveling nursing staffing company
Led by CEO Susan Salka, AMN has become known as innovator in healthcare workforce solutions and the largest and most diversified healthcare staffing company in the nation.
AMN generates all revenue in the U.S., with the largest percentages in Texas, California, and New York.
Organic growth of 26%
Adjusted EBITDA grew
81%
Susan Salka recognized as most admired
CEO
Business Description Key Data
Sources of RevenueOperating Revenue ($MM)
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Nurse and Allied
Healthcare Staffing 0.7
Physician Permanent Placement Services
0.04
Surgical Specialties
0.26
Enterprise Value $1.76B
Sales $1.46B
Net Income $81.89M
Price (3/30/2016) $33.75
Volume (3/30/2016) 1,204,841
52 Week Range $21.24 - $37.47
2013 2014 2015 2016E 2017E0
20000
40000
60000
80000
100000
120000
140000
160000
180000
Cross Country Company Profile
Cross Country Healthcare delivers patient care to healthcare facilities through cross-functional groups that work together to form smaller individual business units.
Cross Country Healthcare became first public company to receive Joint Commission Certification through its Health Care Staffing Services Certification Program.
Cross Country Healthcare was originally founded in 1985 in Boca Raton, FL as a regional traveling nursing staffing company.
Consolidated revenue grew
by 24%
Now has locations in
the Caribbean
Lots of progress made in
second full year of
turnaround plan
Business Description Key Data
Sources of RevenueOperating Revenue ($MM)
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Other Human Capital
Manage-ment
Services 20%
Nurse and Allied
Staffing 32%
Physician Staffing Segment
48%
Enterprise Value $413.23M
Sales $762.41M
Net Income $-9.70M
Price (3/30/2016) $11.74
Volume (3/30/2016) 681,515
52 Week Range $9.72 – 18.76
2013 2014 2015 2016E 2017E0
5000
10000
15000
20000
25000
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IV. HEALTHCARE INDUSTRY OVERVIEW
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Healthcare Services Industry OverviewIndustry Trends
Industry OutlookHealthcare Expenditures S&P 500 vs. S&P Healthcare
Increase in social media use in order to connect and engage prospects
The supply of healthcare providers will decrease as the increase in Baby Boomers over age 60 increases
Industry profit expected to rise from 4.9% to 5.6% by 2020
Emerging emphasis on mobile application Expected to grow at a higher rate than the
economy
The industry will benefit from healthcare changes enacted under the Patient Protection and the Affordable Care Act
An aging population will cause a spike in demand for healthcare workers
The industry will also benefit from a physician shortage, hospitals are expected to turn to healthcare staff recruitment agencies
Shortage of qualified professionals will allow industry operators to increase their rates
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Revenue Growth
2006
2008
2010
2012
2014
2016
(proj)
2018
(proj)
2020
(proj)
$0
$5,000
$10,000
$15,000
$20,000
-30.00%-20.00%-10.00%0.00%10.00%20.00%
Revenue
Reve
nue
in M
illio
ns
Grow
th
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V. VALUATION ANALYSIS
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11x to 13x$41.19 to $47.67
8.73x to 10.73x$28.31 to $34.79
1.8%-2.6% Growth $34.77 to $41.67
Precedent Transaction
Comparable Companies
Discounted Cash Flows
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Football Field Analysis: AMN Healthcare Inc.
LTM EBITDA Multiple
Purchase price range of $34.75 to $41.00
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Football Field Analysis: Cross Country Healthcare Inc.
9x to 11x$9.66 to $11.84
17.6x to 19.6x$10.1 to $11.26
17.7x to 19.7x$10.26 to $11.41
LTM EBITDA Multiple
Purchase price range of $11.8 to $13.20
Leverage Buyout
Precedent Transactions
Comparable Companies
1.8%-2.6% Growth$13.26 to $14.77
Discounted Cash Flows
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VI. APPENDIX
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Appendix 1: Precedent Transactions Analysis
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Appendix 2: Comparable Companies Analysis
Strictly ConfidentialAppendix 3: Discounted Cash Flow Analysis
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Appendix 4: Precedent Transactions Analysis
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Appendix 5: Comparable Companies Analysis
Strictly ConfidentialAppendix 6: Discounted Cash Flow Analysis
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Strictly ConfidentialAppendix 7: Leverage Buyout
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Strictly ConfidentialAppendix 8: Debt and Interest Schedule
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Strictly ConfidentialAppendix 9:Merger Model
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