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The Innovator in Healthcare Workforce Solutions and Staffing Services AMN Healthcare Investor Presentation Q2 2015
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Forward-Looking Statements This investor presentation contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. The Company bases these forward-looking statements on its current beliefs, expectations, estimates, forecasts and projections about future events and the industry in which it operates. Forward- looking statements are identified by words such as “believe,” “anticipate,” “expect,” “intend,” “plan,” “will,” “should,” “would,” “project,” “may,” variations of such words and other similar expressions. In addition, statements that refer to performance; plans, objectives and strategies for future operations; and other characterizations of future events or circumstances, are forward- looking statements. The Company’s actual results could differ materially from those discussed in, or implied by, these forward-looking statements. Factors that could cause actual results to differ from those discussed in or implied by the forward-looking statements contained in this presentation are set forth in the Company's Annual Report on Form 10-K for the year ended December 31, 2014 and its quarterly and other periodic reports, its current reports and its other filings with the SEC. Developments subsequent to this presentation are likely to cause these statements to become outdated with the passage of time. This presentation was first made publicly available at www.amnhealthcare.com on September 8, 2015. 2
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3 Key Investor Highlights Market leader in healthcare staffing and physician search Innovator in healthcare workforce solutions: MSP, VMS, RPO, Consulting Successfully completed majority of integration activities: Onward Healthcare, Locum Leaders, Medefis, Avantas Strong demand environment; double- digit organic revenue growth Long-term growth supported by aging population, clinical labor shortage Scalable, efficient operating model Strong cash flow and balance sheet
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AMN Integrated Solutions Drive Workforce Optimization 4 Recruitment & Staffing Services Nurse & Allied Staffing Locum Tenens Physician Permanent Placement Healthcare Executive Search Workforce Optimization Workforce planning Predictive analytics & forecasting Workforce Solutions & Technology Managed Services (MSP) Vendor Management Systems (VMS) Recruitment Process Outsourcing (RPO) Enterprise scheduling
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AMN Staffing and Recruitment Offerings All nursing specialties Physical therapists, respiratory, imaging, lab technologists Pharmacists and techs Temporary physician staffing Dentistry staffing MSP, VMS, Locums Billing Retained physician search Contingent search Nurse and Allied StaffingLocum TenensPhysician Placement Source: Revenue mix is Q2 2015; earnings release of revenues 68% of revenues 28% of revenues 4% Travel staffing Local staffing MSP, VMS, RPO, EMR staffing Workforce consulting All physician specialties Advanced practice specialties All physician specialties Healthcare executive search Research & surveys 5
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Recent Acquisitions Premier national travel nurse and allied staffing company Leading provider of workforce consulting, labor optimization & planning, data analytics, predictive modeling, scheduling technology Leading provider of vendor management system technology Well-respected national locum tenens staffing company 6
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Market Overview Source: US Staffing Industry Forecast, Staffing Industry Analysts, April 2015. Internal estimates U.S. Temporary Healthcare Staffing 2016P $12 billion 7 ~$2 billion Other Addressable Markets: (Perm Placement, RPO, Workforce Consulting, VMS) Demand Drivers Increased healthcare utilization Shortage of clinician & physicians Adoption of outsourced solutions Aging population & medical advances New emerging clinical roles Growth in GDP & employment rate
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Growth in Healthcare Employment Source: Bureau of Labor Statistics, December 2013; BLS Occupational Outlook Handbook January 2014; Job growth is projected from 2012 to 2022. Nurse Practitioners Registered Nurses Physician Assistants Physical Therapists Physicians 2012: 17 million 2022: 22 million 38%36%34%18%19% 8
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$7.4 billion less uncompensated care 16.9 million more insured Wave of Baby Boomer retirements coming ~ 50% of RNs and physicians are age 50+ Drivers of Healthcare Employment Growth Source: As of February 2015, 16.9 million adults have gained insurance coverage since 2010 due to ACA provisions, Health Affairs/RAND Health study, A.J. Rice, UBS analyst report, May 15, 2015. US Department HHS March 23, 2015. National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers – 2013 data. AMA Physician Master File and 2012 Physicians Foundation Survey conducted by Merritt Hawkins – 2012 data. National Health Expenditure Projections – CMS, October 2014. Over 65 - 3x more hospital stays Over 75 - 4x more hospital stays 2016–2023P 3.6% 5.6% 6.0% 2013 2010 2015 2020 2025 2030 Source: U.S. Department of Health and Human Services 2015P 6.0% 5.6% 3.6% 40 72 U.S. population aged 65+ in millions 9
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% reporting moderate or serious shortage of the following healthcare professionals: % reporting moderate or serious shortage of the following healthcare professionals: % reporting somewhat or very difficult to recruit the following healthcare professionals: Average vacancy rate at your facility for the following healthcare professionals: Average vacancy rate at your facility for the following healthcare professionals: Emerging Talent Shortage Source: AMN Healthcare 2013 Clinical Workforce Survey of Hospital Leaders; Association of American Medical Colleges, March 2015; Future of the Nursing Workforce, Health Resources and Services Administration December 2014 PhysiciansNursesAlliedNPs/PAsPhysiciansNursesAlliedNPs/PAs PhysiciansNursesAlliedNPs/PAs 90,400 physician shortage 18% 17% 15% 13% 78% 67% 51% 43% 70% 40% 36% 32% Regional & specialty nurse shortages 10
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Leader in Managed Services Programs (MSP) Outsourced partner to manage all supplemental workforce needs under one client contract Recruitment, credentialing, clinical support, reporting, consolidated invoicing $600 Million+ Annualized MSP Spend Under Management 11 500+ affiliates Fill rates Clinician quality Efficiency Staffing optimization Controlled spend Accountability 11
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Leader in Vendor Management Systems (VMS) Automates temporary and float pool staffing through online order and fulfillment, scheduling, credential tracking, time keeping, reporting, invoicing 12 Fill rates Clinician quality Efficiency Staffing optimization Controlled spend $600 Million+ Annualized VMS Spend Under Management
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Leader in Recruitment Process Outsourcing (RPO) 13 Outsourced partner to manage all recruitment, hiring, and on-boarding processes for clinician permanent positions Recruitment savings & productivity Variable cost, flexible delivery model State-of-the-art sourcing Better decision making through data & insights Fewer bad hires & lost candidates
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Leader in Workforce Optimization: Predictive Analytics & Forecasting Typical savings: 4% to 7% of nurse labor spend Nurse labor spend % of budget 14 25% Workforce predictive analytics Centralized resource management Scheduling technology & tools Operational review Business intelligence
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Diverse Client Base 15 “AMN knows the national landscape. They know what’s out there and what the trends are. They bring that valuable information to us so that we can better plan as partners.” - Chief Nursing Officer, Large Integrated Health System & AMN MSP Client “AMN knows the national landscape. They know what’s out there and what the trends are. They bring that valuable information to us so that we can better plan as partners.” - Chief Nursing Officer, Large Integrated Health System & AMN MSP Client
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10% Adjusted EBITDA Margin Target 7.2% 9.8% $1.222 B 16 8.8% 8.4% 7.7% 2012 2013 2014 LTM Q2 15 2011 $1.036 B $1.012 B $954 M Drivers Workforce solutions growth & penetration Operating leverage Gross margin improvement $887 M Growth in Revenue & Adj. EBITDA Margin
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17 Financial Highlights $ in millions, except per share amounts Source: Earnings release. Please also refer to Financial Reconciliation of non-GAAP metrics at http://amnhealthcare.investorroom.com/financialreports.
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Financial Highlights Source: Earnings release, earnings call $ in millions 18
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Outlook Source: Earnings release and earnings call on August 4, 2015. Guidance is not being updated or reaffirmed, and AHS does not intend to update guidance prior to its next quarterly earnings release and earnings call. 19 * SG&A expenses included approximately $0.7 million of acquisition and integration costs
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The Innovator in Healthcare Workforce Solutions and Staffing Services Thank You
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