AMN Healthcare Services (AMN) 19 Feb 212020 Q4 Earnings call transcript

Company Profile

Participants

Randy Reece	Director of Investor Relations
Susan Salka	Chief Executive Officer
Brian Scott	Chief Financial Officer
Kelly Rakowski	Group President & Chief Operating Officer of Strategic Talent Solutions
Landry Seedig	Group President & Chief Operating Officer of Nursing and Allied Solutions
Maureen Huber	President of Workforce Technology Solutions.
Kevin Fischbeck	Bank of America
A.J. Rice	Crédit Suisse
Jeff Silber	BMO Capital Markets
Jasper Bibb	Truist Securities
Brian Tanquilut	Jefferies
Mark Marcon	Baird
Sam Kusswurm	William Blair

Call transcript

Due to licensing restrictions, you must log in to view earnings call transcripts.

Operator

Ladies and gentlemen, thank you for standing by, and welcome to the AMN Healthcare Fourth Quarter 2020 Earnings Conference Call. At this time all participants are in a listen-only mode. After the speakers' presentation, there will be a question-and-answer session. [Operator Instructions] Please be advised that today's conference is being recorded. [Operator Instructions] I would now like to hand the conference over to your speaker for today, Mr. Investor of Director Reece, Relations. Randy Thank you, sir. ahead. go Please

Randy Reece

conclusion Fourth Good Year current Full webcast replay be following of Healthcare's the call circumstances earnings projections, Company's call trends, expectations, Details replay afternoon, Welcome to release Various will the ir.amnhealthcare.com, based at everyone. constitute the Quarter available in reflect this future statements. XXXX beliefs audio this call. for this and of AMN our of are statements Earnings conference remarks A we currently it. events or information about afternoon. issued make forward-looking These during available this upon Call. plans, the to

results these differ may those from forward-looking actual indicated statements. by Our materially

most recently certain earnings forms XX-Q, the today information. most prior of and filings any to on included earnings next to and GAAP result and subsequent its filed release factors directly measures page Information in to provided our or call comparable guidance a intend release. the forward-looking reports does statements not release ir.amnhealthcare.com. measures at various non-GAAP statements Company our SEC. including of non-GAAP our update The and earnings with cautionary XX-K As in and those regarding are financial reconciliations these our contains financial identified This

today turn Nursing Susan. of Huber, I will COO Strategic COO Solutions. Talent of Solutions; over Executive call the Officer; Seedig, Kelly and President President of call to Brian Allied are and President Chief the Susan Salka, Technology and Officer; Solutions; On Group Scott, now Chief Workforce Rakowski, Financial and Group Maureen Landry

Susan Salka

everyone. and Thank you much, Randy, so welcome,

on live. but the to our way and links, crisis. of the it future afflicted affected help Americans But change an care to this must went caregivers. been with at save focused pandemic, we by all essential COVID-XX, efforts is forget fundamentally Millions astonishing XXXX that none so more also than families all day, doing live people themselves each to to we the have Health providers can the those are risk they bring their contain putting the events to sacrificing We never loss. end and of

steps, virtual taking XXXX with other capabilities you pace Video, in to speeding lasting gave leader services most. us have provide Video join on other bold acquiring and These the that needed for by we AMN us how language professionals our other investments professional. began and health mobile health digital support No enhanced care While and injustice the racial unrest. didn't lost with all of great progress we great for our clients by while team way responsibility, year political rocked crisis, matter health health to our commitment we demand care I innovation turmoil social storm, pride and was our responded of on diversity when also equity. just transformed intense the respond to sight of labor our and in the in we feel faced dramatic care the us ability Stratus call. investments to and solutions, nation how and of We our the pandemic, care to our also stakeholders. our making never technology AMN swings and the innovation and social us collaboration company benefits. and insights this we've how of agility more a new creating deploy and To Huber Maureen respond, on invited to Stratus launching enabled

responsibilities Stratus, of on as has Maureen the In Solutions. broader as Workforce AMN's taken her addition President of to role President Technology

my call AMN vision fortunate for Maureen. are and teams greater will how creating colleague, novel her With solutions. We introduction, a over to these so I technology-based value the create will through have that to leading hand

Maureen Huber

we purpose-driven telehealth year. exceeded recognized AMN's the for celebrated has to importance Stratus including our last cultures, we I February. our expectations. language care health of Stratus last high processes to melding technologies. in The union successful our through more talent pleased platforms, total last The Susan. Thank you, essential this am And that interpretation say the and became was even week, the of leader as join thrilled solutions team one-year nation's anniversary

year-over-year services Our least language interpretation XXXX. year-over-year. languages. XXX momentum be in than our interpreters in to amazing volumes help more meaningful We first volumes access by deliver quarter That with up grew to about XX% expected at medical X,XXX continues XX% clients language provided

engage to students to to for total MSP platform in a Additionally, existing added we've AMN partner. and solutions clients the We've strategic seeking services are market Televate more integrated language for several clinicians. AMN language differentiating the our into clients, provide full-service talent services additional schools interpretations we and integrated

and technology-enabled talent Company strategy you Our the these have steadily capabilities. investing a long-term has AMN's part seen how critical been of solutions in are

at an administration. of and rapidly our talent of and to to do the Over including and year, capabilities to allowed enhanced offer our ramp-up respond ability of solution unique we advancements services We integrating technologies to total the needs. tracing made proved We reinforce field the urgent extraordinary contact many team respond now support clinical payment beyond and last to to a planning things market hospitals, have solutions quickly deployed staffing, deployment return marketplace, emerging with open additional This to technology. scale. and us to our these work mass AMN needs vaccine

Q&A capabilities We in the more position We Susan. technology will call and and for now settings. believe I these over turn and virtual market solutions the post-acute session. to re-imagine acute, total will and back staffing AMN well sharing you, And with needs. further to our advancements effectively to look talent forward integrate changing I'll you across our efficiently deliver more

Susan Salka

you Maureen. so much, Thank

adapting we and occurred next the AMN infections outlook XXXX. began team vaccinate to and businesses to to January, into December. The throughout With fourth of quarter tunnel. hard see peaking the our of in this trends. November working is experience the with and the vaccination moving efforts be phase there we end underway, light Now, about services and begin continue share we positions to our during to more we'll the continued to as higher Unfortunately, all across COVID-XX country our to partner pandemic, of at our organizations more what communities. some is fill levels critical of After and higher positive appear staffing a

Now level demand strong of to let's of leaned The results was seen. we've to million. the adjusted turn financial produced in and EBITDA the we million that In like our ever high AMN outlook revenue never quarter, and increase of serve most extraordinary team $XX fourth revenue unusually as the today. consolidated before announced record $XXX

this $XXX The segment ahead which returned our higher with year-over-year. Nurse Travel to a Our Staffing, XX% said of of performance was, Nurse million, X% and more schedule, unrepeatable. that led segment impressive and growth in up credentialing Allied health how type enough, of emphasize by We Solutions on-boarding can't would sourcing, professionals this in care have came before. business, increase. placing ever put team's recruiting, growth revenue than normally largest one I quarter was

and now lower on history. first Allied already We disciplines the Allied in major we most historic number was a staffing quarter we've XX% February, year-over-year reached starts assignment And delivery. seen our eclipse However, quarter fourth January. quarter, in all high the grew in the ever company the nurses of fourth have revenue on sequential in highest assignment basis.

quarter XXXX. down X% over still solutions though cycle better is quarter its with grew year-over-year, fourth prior heading revenue Our trends into business

quarter, Nurse revenue Travel first grow year. Allied approximately Nurse XX% Solutions at For prior expect year-over-year. the Staffing over XX% to we sequentially We grow and XX% and to revenue project approximately least

about XX% sequentially Allied by assumes grow low revenue the in growth and will staffing forecast digits. Our year-over-year to returned double

Solutions segment, outstanding of Leadership who leader first is welcome and like our with to excellent Before us I'd service extend Operating President Officer. Chief a the segments an and an discussing recently James industry. care joined Physician the providers Taylor, health James to record leading to as Group

The earlier rebound year. the million, wonderful James from XX%, leadership assignments family having very a forward call. are in we the better-than-expected gap low down related revenue. since was AMN Within came and Physician Solutions the participate joined the and quarter Interim COVID segment, improvement Leadership business. the point showing the core define great revenue look higher-than-expected revenue fortunate sequentially them in The picked by continued logged with being revenue improve third through resulted to Tenens increased normal in to fourth flat We than earnings has to of higher the placements seasonality X% and have narrowed momentum quarter, that next also $XXX of performed his up fourth increasing year-over-year on and first and and and X% quarter. XXXX. sequentially. part for this interim Locum and the revenue leaders Demand in

back starting rebuilding to physicians, While still their of fourth down of physician searches stabilization. leaders the its Clients new quarter, attention turning pipeline revenues team were during pandemic is and XX% year-over-year and the in hard are placement. our are hit to see executive we and hiring with

physician revenue down X%. these With to and to year-over-year improving for gap grow sequentially be and the XX% quarter by XX% we narrow to about leadership trends, expect first solutions

was up Technology contribution Workforce acquisitions the prior above of businesses organic segment strong of year-over-year. far our another XX% Our and was made year, $XX Solutions XXX% bXhealth and our quarter Video million growth segment fourth The this in Stratus revenue in expectations. and exceeding of revenue

and our XX% swift that compared same from Our a benefited This organic with division previous VMS performance. grew year-over-year, XX% drove showing revenue with business the quarters. growth, rebound trends Nursing be quarter, Allied growth. up first quarter. their organic XXX% in Technology and the expect first the related to about year-over-year peak Workforce with needs XX% COVID Solutions revenue clinician In should hit over we strong

other amidst should may related The subside, for have administration, such higher shortage than and premium surges However, difficult needs exactly be and this deserved, clinicians there begin to clinicians, second many decline other been vaccine starting will procedures the trajectory and continuing will COVID as packages that It predict compensation rates. is the usual to pandemic care to in experience ongoing delayed. bring the the of down believe supporting look nurses declines and recovery electric we well of the also we the timing could corresponding like rate what will so this quarter. of bill

recovery provide to of some headwind. most partial a nursing and offset which rates would see decline, we to of businesses, As our would and Allied this specialties expect continued

to Brian, minutes, closing, more will Kelly, of AMN care a Landry complex total this for to organizations has solutions and of who let to of having essential care health excellence thank at wish call help never partner know The in I and the provide for the health such In strong that colleagues more position for been But for the be They feels we before when emphasize fortunate country. see have every and been fortunate year. In for today. of our only their team patients, talent turn such clear insight team are the growth will part and more burdens the honored time in systems working worsening to over energized literally a positive AMN service so already the I have their I capable and and and I all and been currently expect quarters leaders, XXXX. path of to we quarter workforce our at will results. making were first shortages for and last we to Marine guidance commitment The providing now us one in few me a our our a proud team. While AMN are pressures the year-over-year by contributions. on made join of this financial worse is all. began Q&A impact that pandemic speak share to revenue all of an the inspiration time, The will be that feel of importance sophisticated a I say and session. we now, never a each clock clinicians into a and critical around

Brian Scott

pay and offsetting was range the guidance Thank benefit margin end lower Sequentially, afternoon, worked more month. prior grew high X% the our because and On compensation staffing the higher was sequentially. $XX Video biggest higher everyone. quarter was hours as last packages packages previewed from Year-over-year, X% higher-margin higher Stratus and points of of range XX% the year-over-year, million an acquisitions was than lower a Fourth even down year of were average Susan, bXhealth. million this the we million than margin headwind the our driver XX quarter which for nurse SG&A previous you, revenue were $XXX quarter. with XX.X% XX.X% year-over-year. or of grew and XX.X%, sequentially good guidance ago $XXX Gross Consolidated from or the million organic with revenue basis $XXX basis, XX revenue of in at and just above revenue disruption well XX.X% above the in and revenue labor and year. $XXX expenses basis of margin decline. quarter million of points staffing, compared the lower a the Consolidated revenue year of or

release, adjustments revenue due of legal hiring strong On this from noted increase sequential of by SG&A million basis, added offset a growth and legal reserves the compared a benefits higher a quarter. Video higher $XX to of or revenue the XX% prior travel was Nurse SG&A, results. million this was prior expenses stock-based $XXX XX.X% quarter million quarter, excluding and a million As the wage related and the revenue partly or sequentially. million revenue the $X SG&A SG&A related in and lower in Allied support to quarter expense and year our up earnings acquisitions included to prior for year expense, and XX.X% Adjusted The convention full compensation million, with of to and press margin was X% costs $XXX hour integration-related quarter compensation costs, the headcount fourth $XXX the $XX in adjusted year better total other bXhealth. reduction and Stratus by and in and year variable reflects from In claim. than

Nurse prior grew over XX% year. For our Travel division, revenue

in XX% were XX% on basis prior year-to-year in year $XX and rose solutions posted high was demand. year-over-year, was the the average from than year nurse lower including revenue part gross the strong increased historically basis down The grew sequentially about and prior year Although, resulted down unusually travelers XXX million XX% points at cycle into points and Allied and margin bill also decline prior to and hours Nurse growth. placements disruption XX% for year, assignment worked our X% high record rate levels. labor margin. sequential sequentially. more XX.X% prior X% the down by by billable than XX high Allied an down of and revenue large from Revenue gross nurse average more was

was was lower year gross sequentially. margin sequentially. due in the the was and down margin the down margin volume. Gross and the last packages XX% margin on million the was to sequentially. changed XX% XX.X%, year margin and was margin Segment points a than of higher the Stratus in Video along prior Consolidated of in prior and during improvement Tenens just basis points and for $X EBITDA is and XX% four mix. year-over-year of this points cost sequentially. up Organic Segment XXX was revenue $XX expenses leadership was bond acquisitions prior by quarter. lower increase, XX% Solutions fourth margin Locum income was XXX XX% Days the XXX the and in was growth for better prior ago sequentially. related $XX was quarter year EBITDA was was Interest year on points earnings was $XX Segment was was EBITDA revenue the and the higher Segment acquisition basis addition, XXX also Operating segment XX% the from revenue sequentially, basis net adjusted on year-over-year X% tracing basis of we a XX than compared days, XX.X% year-over-year flow The fourth discussed from In from and lower our quarter than $XXX interpretation improved and increased acquisition lower XX.X% quarter million shift. basis up was XXX XX sequentially. pay sales the million up the and critical expenditures XX the revenue XXX the better This from X% EBITDA of Adjusted Gross onetime Technology per prior and million, XXX sequentially. gross mix quarter. X% share revenue points points share sequentially. almost points Physician basis year contact fourth basis XX% points was was lower from up was XX.X%, year. clinician Leadership included call. sequentially flat during for XX.X%, year-over-year margin prior of up days driven by time. million, in reductions also basis a up from basis year-over-year, revenue X% earnings transaction lower from And of revenue project. down cash margin language business. of down demand growth XXX% lower year-over-year financing Workforce points by and the capital and million. as Adjusted of declined year and quarter mainly Search $XX revenue $XX.X over XX% drove the margin. the with VMS sequential our quarter, basis reduced Solutions than year driven boost SG&A. Stratus fourth XX% reported growing million $X last We $XX XX expense last earnings in the to by year-over-year were with fourth in quarter. $X.XX $X.XX points diluted million the and outstanding per EBITDA year

million. cash December equivalents had $XX of XX, of and we As

ended During of X. quarter, to the X.X and AMN revenue from with for an our the million XXXX, year. prior the reported leverage reduced highlights year X% fourth basis margin $X.XX, a higher level year $X.X we Adjusted year per and long-term year of prior deferred a full was taxes long-term XXXX flow some XX% the $XXX record the times operations from prior of was we higher billion, of year $XXX by ratio of million, increase Recapping $XXX with debt $XX financial Full a Cares included X%. than XX.X%, for of million, cash Act. up earnings which was XX $XX million by by adjusted from payroll EBITDA from points. year share debt million,

to guidance, over million we turning $XXX to projecting XX% first quarter of up to $XXX XX% in to consolidated prior range be Now are the revenue million, year.

quarter gross first expected be primarily adjusted margin are Reported of amortization million, First stock-based million, to expected depreciation of expense is sequentially, of XX.X% revenue. change. for projected the of expense be SG&A XX.X% questions. expense be Operating an $XX compensation to expenses quarter million, XX.X%. integration noncash XX.X% from of is expense to following: $X margin million, a to to year-over-year XX%. include of and open the down mix call and XX.X% XX.X%, XX%, other like is segment And now to million tax to to projected rate of margin XX.X% $XX be Other $X expenses estimates $X interest EBITDA and to we'd and adjusted

Susan Salka

I ready Operator, for believe we first our question. are

Operator

Thank you.

Bank with comes line question first Fischbeck of Your from America. of the Kevin

Kevin Fischbeck

directional every the that or appreciate any year there thinking I there every we the in gross to about Or quarter? to be think profit Is be growth in either the that? that the headwind commentary revenue is doesn't line for into quarter. translate should something reason G&A a factoring could earnings reporting about growth that that, or

Susan Salka

you take Well, go, I'll as it. -- let Brian,

Brian Scott

maybe is to I very the question, guidance, be color our -- was Kevin. the to don't some a I'll for Yes. around additional year. be it some Yes, full give question helpful but for go because us. year Thanks a answer we think quarter give expectations And the for going quarter, very unique of would first this obviously,

decline QX do little given revenue the So help a bit. guidance. we've this high you that this to point We should from expect

then was pretty some pay COVID certainly to incremental increase a higher rates, there the led the as and along element well. in from an that was in bill that, significant demand hospitalizations. correspondingly noted, And of rates significant and increase Susan As a guidance, volume in turn, with

came a bill really was demand from first Just from be by is sequentially magnitude, over just the QX. that XX% that. an rate average COVID higher from expected hospitalizations, quarter order the that little up lot of And nurse the the driven QX to guidance to a in

level, hospitalizations well but now well the normalized -- has come levels. follow it's for above see of still rates we We're bill as down have demand highest to expect declined. down demand at those Fortunately, rates. would has demand, bill land at this come highest as off pay levels now And

would, And framing would improve the a terms but not through again, continue of year, to be the we bill year. the hospitalizations. like just if impact to So financial give quarter, expect There that. for of of things through rate COVID only the of in some second moderation the

utilization increase rates the lower we we the about amount second about expect that lines. that we'd as had QX. Again, to improvement volume in also electric quarter. expect you of care core if see assume second revenue increased in half in declines an we related a just lose some COVID of half would million to For picks some We of business that time equates normalizing come start that just and to our that procedures. QX business in to our rate quarter, in across that's see in few that health example, we also see $XX different That We'd up same down. the it's and at pickup start

and point, that's revenue, on higher as be QX how something low growth clinician would of take lower prepared is Allied of lot of mentioned XX% second And of pay as margin been that all than when mix change a would flow would thinking all much guide in in the some through elevated you of would these range. year-over-year packages. $XXX the we've from as revenue from and we quarter terms at because QX around trending, I the that well account, remarks, margins, more the to percentage Nurse my with guide a still then in So down be million this reflect XX%. of around that about into the And XX%

be, towards work would be this first we think come now. down the EBITDA quarter we that normal QX level. from that As then down to around guidance. given we margin we other margin, would the kind And see in a of XX%. margins as gross as translate likely little base normalization guidance expect more above to margin can segments, the we've what back And the high We our we obviously, work and level well remain above this our through still we EBITDA peak will expect our but that gave XX% year, we see right to in growth

So a lot we're lot expecting moving parts, this of color a a what but gives at hopefully, unknowns you on more of little that point, for the year.

Kevin Fischbeck

That's perfect. last I just guess maybe question.

are optimistic towards guys growth. outlook how most even sounded I hear clearly, maybe as maybe of your I that it, You demand post-COVID traded segment would a the the imbalance as there's you love are biggest guess, guys of of about staffing. pretty labor exacerbating about your kind segments anything or think of of you a kind about the some as worse thinking just more of persisting shortages? Would of business to year. talking result you seeing got hospital to guess publicly improving, assessing a the But pretty are supply which end in point these that temporary companies specifically result if view, And COVID

Susan Salka

that's and they And different of also who to I'll COVID like but changed add disciplines even decided course This that. want stay throughout health is the perhaps in Sure, the would environment beyond one then pandemic, Certainly disciplines individuals clinical perhaps their in. colleagues my health its affected retirements going say care all of many clinical with want leaders start Susan. would Kevin. to I forward. didn't have care for been the in advanced something

the very hard there's of direct a nurses And our had a retirements, to certainly many at on then of we're wanting workforce, even many might find but and with data at not home reentering the even younger So, clients. that physicians in the leave children just again, clearly of and usual particular, clinicians been take that, school and patient to of it's have larger from juggle while real-time the environment. to number care than to also in hearing to the home workforce in decision make maybe risks female this order say

of before we've will pandemic, getting it's it considerably. quite path and already on. were some really and the the subset the permanently, accelerate So that already It shortage it's workforce lost that believed that bad nursing just was accelerated we

on medicine. and it the strong. now nursing a of some shortages more where probably many the quite so at even down again, less will have to that continues families the In to while home. are full permanent come schedule difficult typically, persist been you women juggling not permanent more country a take at back where physicians into the demand is made them of one other further basis. see they really they're come a go but then decision full-time areas, Physician individuals maybe So area levels, those that But because we've may fortunate female be really working hours have And as is some take example they'll relatively might believe we than back, time. less

it's some to long-term expected be there's across the truly, So board. really And impacts there. just

relatively you regarding we'd that continue for come drive come strong know, whatnot, in and to Maybe if got bit expect that back. you've demand will again, a surgeries care shortages we a elective already So as the that think then will and And to And persist delayed will see that little add procedures environment. you the in we start as anything those we're to else Landry, of want back subside, in other nursing I shortage that don't stop there. COVID But them the I'll some And to particular? have cases start businesses. more. seeing to

Landry Seedig

to add specific in I Maybe would nursing. Yes.

different the trends survey things there burned that very to couple on. been We mention. out we of found January, of the have at increasing is just it. survey important it's to whenever that it well, and everything there and of expect the did survey have so that quarterly, would and every survey. felt we I'll XX% been we look occupation. actually doing you that are last is the might did, a And thing recent nurses are quarterly that One think, in see responded in our to impacting in course, But that going with doing And that's number since been respondents you asked trend quarter the that the we've of

again, is are months, seen only we from That as before. we've that workforce and year today the what the in plan thing question change we've a continue nurses Another which sort planning working of the XX next year. that they learned XX% that is, within some number within that means next are the XX% asked next of really of of to high

So with the we'll much to high do does But as to occupation time. demand possible all in we likely for this that, try to what this. some suggest to part environment it be is our quite got through that as get out help

Operator

Your of next the with Rice A.J. Crédit from Suisse. comes line question

A.J. Rice

Maybe a questions. couple of

that giving to from as first revenues first that quarter but from you're Brian, all, does of still First of pretty you're in premium much amount trend to relative second that the back quarter happens assumption? revenue state? normal that quarter second Or take leave you still substantial a numbers Where in having those impact potential a had the getting? and substantial premium Is line? you sort there quarter. than you of $XX a about of million what is Is premium less there a to

Brian Scott

quarter we Yes. is of amount starting it Thanks Maybe that have or pandemic. above still pre us quarter if above where we sat. would 'XX leave It a 'XX of for No, as would the kind reasonable fourth that level. still the question, use first point, a us A.J.

rate reduction So come be quarter, if of the that the over as further we mentioned, half surprising we not saw hospitalizations third in year, at COVID in those average we assuming back least down see time. the I would through the some

some with So through Landry we're rate further see adapt we shortages really break our to -- some get changes I think, mentioned, It's well for clients do take this. expect their as to to as get to a as and time, teams But reductions. the these the going seeing. we

some the exactly, ago, still still would a but the above inflationary expect pandemic. were probably we back it of is for think pre lands a years to shortages. quarters were still to few expect it do to some to the of We will be unwind determining, couple normal they where than we half a as of -- that rates So of will we rates higher we Where closer and acceleration which be be take that we're the get it year.

A.J. Rice

Okay.

from flip that hospitals giving is much nurse own obviously, we thing, and are at you new professionals Another Allied the other nurses Are saying, dealing thing there and can applicants at a need where percentage there I that your a with? level of for going seeing of can pickup presumably are that? applicants? forth. is new we're they a from and seeing or your to hear up You trend burn Nurse in way make the out Are permanent assignment guess, seeing come see people need the and you when metric, is side much One in you track hospitals assignment? job come I be talking applicants a off least or what would break some you And I people how that? the as down Allied, they about to a their now, is off of that pressure high seeing new sort for another in re-upping temporary to so as time. of do Are

Susan Salka

since a the point improved pick kind our recruitment a of I'll course, of middle period. have that. A.J., when, most for rates demand dropped Yes, I year have and lower the our But job of rebook of in say Landry phenomenal team has the actually will up done

also, the during a has our so great delivering rebook difficult team helped environment improve increased and well but rates. our I'd the such so demand, the just work say And of

also whatnot at and having confident feel clients talk helpful. to know really us and a good we and then our So those. which applications, serve whatnot, attractive helped and to you more certainly let digital add think me capabilities clinicians I about faster quite through I assignments rates find better ways let to story. and If is compensation about really anything, and is great what's that But Landry,

Landry Seedig

rebooking A.J., material seeing clinicians Yes, on the extending, there. we're not that anything are

that are today. have where a are assignment extend them You, that always certain of they of on course, percentage

and adding pushing database. nice our Team automation, given mobile They'll not now, just is two to take as to that a self-service, or can of supply our lot control three some the point, and That's some weeks what and that always making. been a some faster. your they more our them business through really they assignment we've working we've We as time a contracts, and got it's move through get but some to seen traveling take lot applicants digital seen can coming of take off. our these them than do But supply, between we've is before, really some process which that assignment. have of funnel is we're new getting come clinicians much -- couldn't Some to really, job again, know nothing them, bots years, without doing overall, levels creating different different. of new that talked a anything extremely then of initiatives assignment. around and of lot some the And strong record -- and about has the off, of you focus been so off. on of into on the given today one been of again, which then we've well we've over increasing ultimately I really the process, that a benefits happening, done our investments right and in specific

a it. is internal of Those teams. help course, of piece big speed investments, So also our

the want. putting more way assignment our they're Passport, great increase us something I'd searching whether We investment some we've it to to overall, application, record then stats see the adoption clinicians course, in how assignment hit our of through as talked frequently go How in all see going returning that which, continue that really quarter. of and we can single many control become about before. seeing of until great to their Passport, spending And a first the that time. of their the them we on the well mobile of of they to can users. they're see allowed week. And number they're app, mobile AMN every a as we app is users where that a of to are lot And with day. efficient, for in place these to, give thing on know I them last mention, the kind numbers So has job the hands being last one we're just more or

good, of keep and over it's we've digital do been those looks really what all mobile us So quarters, as few investments helped do that able initiatives forward. look the we on we'll making last to and in app that

A.J. Rice

still Or to the I know it that? in Maybe you'd highlight about there? things one recovery -- well were some transition specialties the XX to to allied think you started talk demand? then that see the last it's question. in therapists. adversely permanent Anything I and any There are XX some pandemic the that sort areas the early about see areas is pandemic Okay. to and the the placements When placement. doing rehab certain last are in in impacted fun locals Have business in of like now like by of there months.

Susan Salka

then comment Susan. and Yes. first I'll Landry the couple have A.J., Allied. it's take on

recovery So nice done to just but nice temporary pandemic it's activities be or has the assist even state core specialties But It's back of been pre some with behavioral overall anesthesia, regarding of whether there, it underlying there helping work like above Locum, trajectory not recovery. in you the seen that are really, should they've cases our Those clients continue some some levels. start to it's back and COVID business witnessing. part our as grow that procedures we're in really the subside to lagging care to health we're that business and little continuing steady levels But see COVID more more. normal upwards. just more return. are core definitely faster are dynamic the others and elective pre-pandemic to a And bit see a the facilities

fill fourth quarter, up placements Search far. So now. story about more dialogue little clients we down pick that's then flow a now that and the by physician quarter. those is expecting how in more hit and positions I they searches with the just settling XX% But some started that a mentioned of the still and the to they're see over good managing to leadership also in back. crisis, COVID has terms patient in start hardest but want pretty bit fourth been to

move a will off pretty Allied and definitely quarter great least forward. So to they the year-over-year starting see be lagger, close going they're been we're And But but story. then strong the at things has starting first to the gap.

let that. Landry, take you So I'll

Landry Seedig

an fourth and Yes. in A.J., outperforming that their midyear Allied fourth quarter trajectories the we probably quarter. to is their bit thought seen of course, a do going year, outstanding of went last one what the and They all quite I've of that in backwards segments, best our kind were trajectory businesses. they really have across originally

saw respiratory been closely But parts pandemic. have good the helping specialties to course, well. of business the and specialties Those the well. Of as we performing laboratory are performance other tied across all

great particular, better, schools in language looks for, better, performed speech therapy So imaging performed pathologists.

travelers experiencing above prior of includes back the the And volume in growth to sequential being it that they're looking quarter, business. their first on the levels. So assignment largest they've year seen also

Operator

of the Silber Your next with Jeff comes question Markets. Capital BMO from line

Jeff Silber

know or kind seen I this a the we to that rate we're and that? this see nurses. seeing, we we're talk in bill past, unique When different of on bill Would some things see here. the kind rate be you back push increases of tended of you're bit temp of clients increases usage rates in kind these premium or Can quarter. little subside, things time? -- time But your large why a we've given not? continuing when Why the after to about of

Susan Salka

dynamics And Jeff. are the expectation, different our I think not That's Yes. here.

environment. for as clinicians availability of some we put factors because of systems Landry the some at do something nurse clinicians burn decisions new it our their increase amongst already. of that should well mentioned as time. have a nursing well real pretty have that. with real clients that could dent know to a capacity we're don't this environment be the the quite the around to capacity know, graduates There's talk you by in change and earlier concern in really First we And all, that and the whether just retired, different, shortage work care educators full nurse health out as schools And much

most the it's just anything, if fact, needs, planning years is conversations three, accounts the together, a know good but for future. their we're for Kelly of not not but two And now, having the from I'd get now In clients comment with maybe strategic on five having two, of strategic time we around some the clients. we'll we're are for with helping through increasing. we to that kind how dialogue say we're rather our building quarter all plan, the next for or And because how them just

Kelly, So want to you take that?

Kelly Rakowski

mentioned. in They're the Jeff care, more certainly Yes, absolutely. the on going comment they and you about think impact I as to workforce what back understanding with going looking much holistic utilization? made think a push Hi, looking it's Susan are about is the view, care telehealth I in service, the be impact in to at general, the at and workforce sites in the in the model, not changing what's term. today of delivery at long changes the of the changes them it's just of And looking in future. short-term health

where have in we're we're workforce. and level to a And limitation still types move as optimize expectation they workforce at that an complementary them help outset resources how recognize using be with have didn't different are. around the needs and they agility seeing around of short of planning. flexibility So looking what keep to But They're we to they the really the can how of there's to in think for able talk them that that able -- you with today. the I them this term, also their can at

Avantas appropriately them their in seeing And above that. with say don't they full-time perm a on not workforce them And that our with help optimization staff. help solutions vacancy have of our use to side, lot clients to resourced helping would clinical are we XX% also high So on -- back rates, bring mass. backing they're the I workforce very them

backfilling in the So roles how nurses, agile travel well? to all their on they So the nurses, them see local future flex But reliance nurses strategies. we're those as really can well. of as we and partnership certainly continue permanent and more some end-to-end in on of helping the be effective

Jeff Silber

hiring Okay. be in That's plans might based adding? what you own on this And your do that, fair enough. year? internal And curious for are think I'm areas just you which

Susan Salka

you can imagine. We hiring resources are now, significant as right

growth almost been the seeing of going a businesses We've Some of of actually in then it forward. help occur But pretty is temporary of are really more our And our the we have in businesses. talked term, going them those across administration are vaccine this we in and all opportunities on. admittedly projects doing year. nature little about California. And we much because more support there will expect some adding of to kind of support shorter will we've work projects be that that most probably we're all

we And make to so adding sure we're want that resources.

more. recruiters think, I XX% more have, top then that. to on of We continuing or add we're And

kind back anticipation reason of continue resources first adding shouldn't. should quarter come in the a and know it's business the underlying assignment, an that. surge business with anomaly grow. with travelers COVID underlying to grow. and volumes the ensued an and if And it we're cases on to that to continuing example, But of see we So all nurse no time continuing anything, as when the We also is rebound there's a of in bit

need resources. to continuing add So to be we

mentioned spend which making be will higher because than It's been at speed glad efficiency out we're benefits why bit is really over and beneficial lot some more, and scale the of advancing And has we industry. nice the our If investments for our in digital. you Landry also created really capabilities need our desire and usual, a money cost year And leadership has and say to and really our earlier, the is analytical it our and reliability. we're the but Now even of we're only savings I and that to see accelerate last position, digital us. that for for getting not CapEx and our more fueled create in the added to a anything that very to automation investments do benefit size us clients, our of clinicians we it. our that

data to we're really that, doing hiring, also And move to not around, which add it's we're more a it's when value. ensure lot so help of that will just

Operator

Securities. of comes from Truist the question line next with Sommer Your Tobey

Jasper Bibb

how with the This on could you past and on your for update Bibb this accounts there? year? assess Toby. ask, Thanks. And you is looks I what account MSP us wanted pipeline like Jasper to retention would performance

Susan Salka

is to know that. thrilled I Kelly you tell about

her. So going hand I'm to over to it

Kelly Rakowski

well, accounts we most high, so performance. reflect extent throughout prioritized -- the year, well. We've and rest we very could last first, as And quarters on few this sharing, as the been we I to the of think, as the you supporting became past Jasper. really with on Thanks, with course, of other strong demand and industry focused our strategic solutions

'XX I coming is for we up those the of up MSP really and year gross we those amount accounts over renew as as would year, revenue to strategic say, We both out were those renewals, renewals relationships. last we're had at fair clients. about as that lines in 'XX is spend longer-term think, prior different were relationships most part, year. ended level less partnerships. we're We in the the into next our large extensions from and of for strengthened in XX% renewal, our well to really spot XXXX. seeing are less also much us, pace direct as that service But successfully revenue XXXX. year. of And And I evidence one about have the our contracts us clients in throughout committed a we bright also year. of on longer-term up we then continue into XX% able other, to our up So And both for a the from were actually of look

really we're that the adjust year. we so need. collectively resources the and relationship with pivot had that we successful could for our the to clients that They and with So grateful have be them they getting throughout in encouraged us really

actually have sales healthy pipeline. lot year we will say while year last our had We a in a probably I XXXX. -- strongest of

$XXX We under are we spend close contract. brought million to in about gross that

Some of AMN-led we also year, to business, that managed technology was amount from did do of the to but programs. of about a This starting services that through in half two-third back engagement was that and the year, see have around fair much now more of new solutions. expansions through client-led we're

We a now engagement and we're started funnel. very would think future stronger able as about And they've needs. to say much I healthy be their engage to have

to So and say, we're in would in position existing ability strong environment bullish our clients around on I grow well. this a our pretty as very

Jasper Bibb

this M&A there were then some the month. And the on in front, deals news

to these valuations? as down, comes or adding consider is As Or in attractive scale nursing leverage would you that not locums?

Susan Salka

are to for add help things priorities to our that our Jasper, be Yes. a better solution clients. partner continue will toll us talent

or value was that top workforce in much more really a all. tech-enabled created us Stratus a the cases, a a at and experience had video to for that the of example fantastic and over-the-phone workforce on-premise taken where care. team are probably some solution help that kind So efficiency list so better and virtual enable adds solution of create traditional solutions maybe

opportunities track virtual had a and done pretty Stratus will to the tuck-in So acquisitions. existing enabled to solutions. team We though those AMN towards on that interpretation types certainly industry be They joined actually great could interpretation. There's even add before. the The have things leader our of other top fragmented list. language tech do record still, language in Maureen of is the there. and we're

or doing that. into example, just where an more extend support as we'd want patient be we efficient whether telehealth how think and home shifting care is the really to we might Health, in care a that clients acute they It's very other virtual helping do that doing So, existing in use us which important important are be our to the that what enable There be we workforce, that. or market. confident tech and to we're capabilities care clients is Home and

we and our like. much at don't top, as business. a would where to scale So be that say there's adding would would be second again, of lot tech-enabled areas existing we maybe would Nice as have of related we on opportunity, the I believe example growth schools

is of Televate now. right the capability doing have again, virtual wonderful platform. is phenomenal a pretty Our yet, schools team schools a industry job part the our fragmented. there, And through still we And

and footprint additional continue our that increase business could we so, by acquisitions. to build And

So that's example, one the but Company. are just there throughout others

So hopefully, that's helpful.

Operator

Your next with question Brian of Jefferies. line comes the from Tanquilut

Brian Tanquilut

strong maybe to? for out with share year. just there market think point guys. Stratus, what's opposite more over providers is fruit I you taking on in I new point there first versus existing you competitors? much that take to contract Susan, can and that? my take to can And of with the those Stratus made us mean, obviously, driving low-hanging how anything Congratulations, of that mean, realistically wins side you that, obviously, in are there guess you I of having to question, from do really strong results follow-up share terms Is

Susan Salka

lucky question, we Thanks only it is all Stratus day interpretation. Brian, who and for of in expert not the our but language Huber the here, have is Maureen because

that going question. take I'm to So let her

Maureen Huber

complement staff of team services with over the or in on only honored phone. well we the hospitals decision. on-site market rely interpreters that billion a the of to phone, struggle have approximately communication I'm And generous And interpretation. Susan. in the and the Video language XX% most know, and as as the industry. represent is English communication, made medical very over of as interpreting their that's half video over organization. humbled form is U.S. interpretation, language a I as nonverbal. a video-based always Most heavily U.S. comes interpreting the And phone Thank $X.X and times. And you, the at seems the And

is and and the being to improved safety the for visually. provider So around especially patient able modality, preferred outcomes patient the be present

services, interpretation really we for the tech-enabled interpreters So enable number of video, well with staff own for a COVID patient we our to doubled centers of reduced as services. hospital actually the during especially could on-site safety systems And the safety opportunity as period. and was providers there's lot as our provide call there of where the the

video with in-person our on-site other needs either So we or through and interpreting for the current tech-enabled services are filling working the better explore to partnership in our opportunities with application. that gap clients

So outpacing to population The question, share? to that your a pretty the it's on-site others removing to that in of and It's United from and States, what's and safety only conversion answer opportunity areas. significant. will interpreting the the of video patient come the from come market will other from continues the perspective. in LEP grow phone continued the Part

Susan Salka

thing, providers, great surface the facilities platforms really we've also care language telehealth the is really Maureen, interpretation team other scratched I has that. advancement but know other acute just into integrating services made support another and in into telehealth in ability our in the to

platforms we've that to got we've think I XX XX in. integrated

opportunity so of there's as grows. a general lot And in telehealth

telehealth If to interpreter need or providers encounter, that language you network going X,XXX-plus there. And have of provide an companies a aren't technology most you telehealth interpreters.

to wonderful we are a And or services are already to launched? so plug-in that going be

Brian Tanquilut

No, lot talked the about questions a the I constraint. appreciate the been just of been demand think past, in back nursing I that. bigger today But side. And supply I guess, on the we've then has on mean, I how side, have asked

and to things about staffers? who So recruitment you with with willingness as to I other are full-time invested starts currently post a -- you thinking that ad-hoc technology. the you pay come employed the nurses guess have guys of fact are brakes take lot premium some and But down, or how guys these in of and take guys

Susan Salka

about sure I'm will the some of that will of pulled said, opened be back of element now fight the them see couple with the join that a I travel industry. never have eyes Brian, And benefits. But permanent Yes, like into ago, clinicians but thought decided the who great nurse into roles. COVID traveling, now that talked Actually all I to a COVID in me go just will to there have weeks the their industry. many

cause some introduced, is take other a typical. And again, so next something Once some is into say, assignment. some the might someone to and go gets roles to is that year I that traveling, the I'm going but back rates to for usually spend period the no. will choice This career just this of make industry, want one don't time. to And they

a of new time. And to talked will new that's for else thing industry you know to of keep for and more about add anything it if so period Landry, I that? the And industry these kind some really within of candidates don't overall, want starts positive that there's we our

Landry Seedig

a add to was lot think that in No, I it. the a clients to clinicians don't I able covered of to bring point, you clinician side. really also going our it's make one capacity. whole on have like temporary If from more being more I this flexibility

I hearing you to contractors it's for -- five years the staffing labor. it was about if future? conversations -- that how the went of from back temporary try model to or right want And we're this have are more flexible do now, that ago, minimize amount the them I So,

Brian Tanquilut

Got last for quickly. then you. really me And question

on this are kind pharmacies? the are role are the you And In touching like side? then Will the the or what look about be thinking that on drive-thrust? Will touched obviously at Or what vaccination of we vaccinations. economics? how -- You retail be opportunity? clients should the what which we

Susan Salka

And Sure. supporting care clients, certainly, our them. our for health clients, we're

little over In partnering on-premise the can more more previously that have help ask the I'm up to they've was that that going had And success program shifted now so to and is as our a great on existing way really, probably Kelly that, done months. of a just administration. going in sort probably COVID just because give staffing obvious will fact, clients that, to I team's multidisciplinary the we to vaccine really staff couple of vaccination charge at think, might vaccine her organizations time But ramp sites. on with last with to But we're beginning, led available. you testing, staff other need the a assisting and clients. of becomes that with traditional mass beyond we some team's My phenomenal what of even insight we've had of job be. and build and

take So to Kelly, that? you want

Kelly Rakowski

Yes.

little I But to opportunity a more help sites required on of clinical staff, capabilities. our I the all think to the different tap different the really able able had manage help as and we've technology, and a able of currently those our clinic-like been bit optimization VMS And color administration, is these to our the clients weeks. support appropriately critical technology that with using also into matter both our levels we've staff partnering truly vaccination underlie right, more Just several in to because think to management of we parts these we've nonclinical to technology And with vaccine, that to mass client to to resources were operationalize in that. and AMN give vaccine solutions these. of is nature these across licensure also of to been just And using we're Susan our well. scheduling what up sites nature with multidisciplinary some one and scale really calling we're of

are clients of we around in other a right vaccines. standing potentially as the of see health ramps very matter sites But of we capable as do So nation. We're programs that our supply conversations and systems governmental or the state are supply some like at these the we across We're to know of well with as that now, other up. up do kind that going in several mercy, weeks. organizations these

little So far. but to moderate could more great a success it the we quarters, had next it and in able of be be bit be do being are significant very seen, couple could it absolutely ready remains of volume or type to thus

Operator

Marcon question next Baird. Mark of with comes the from line Your

Mark Marcon

the about bit little a talk Tech Workforce and could you if wondering Solutions. was I

the is, throughout there. to you very between year? and coming Workforce question we beyond organic basis sequentially that strong do the You've, Solutions can VMS Wondering segment think go-forward quarter? increase you Tech continue versus adds? more the obviously, MSP the how of client through a first flow-through if had expect then growth to about And Would and that on the monthly second

Susan Salka

up, which have particular, really and pick and some certainly, of across her all since businesses, I'll fall within all some discussion VMS. VMS the that degree, had we've in Stratus Maureen So and a those of purview. great growth to lot is And Avantas, Stratus around but

and as take some want is contracts? So clients both about Maureen, add MSP well of able the we've as to existing that that talk growth been where from coming our through clients you that new to

Kelly Rakowski

it's that take Kelly. to I'm actually going Susan,

at we much first impacted has the was segment, which the of look volume. by we driven part the to how really question, whole kind there the business MSP back most that the related and go of As COVID VMS. that is The of is

of of that year. bill kind and kinds throughout in and expect the So, rates and the and volume to see moderate trends in we'll Nurse seeing Allied our same that division VMS both we're

new that if our normal About business business, at and a kind look you two-thirds in related, that of maintain clients we as Although new of last to COVID got on will. we year that but one-third VMS. another was expect a of

to business. new the to particular, of Our there, dynamics lot Maureen other a of business growth expect mentioned in the throughout the see continued win year. ability we Stratus,

growth We have through network continue other clients to both a support enabling them as bring more AMN Stratus sales into with. robust are well organic our as

backfill and So our from Stratus. Avantas engaging we're by mentioned, outsourced steady lumpy, business been RPO some as and we has outsourced both buoyed see technology more functions pick year. more that vacancy the the -- resources been has them softer, those. But really higher -- in others and with been us solutions was acquisition throughout solutions. that are program. to we're tracing contact our our have Avantas, -- been to I starting see we a as then our expecting business increase and needing a clients the consulting and of which like And steady moderate We'll talent has hospitals are and very the additional see little growth to And rates have up, core their but bit

engaged that helping are around in them lot our a customers strategic with We regard. of

you the around probably the pretty one if of on volatility, that the contingent staffing steady All VMS kind side. biggest will, others So is the tied the are eddy. is to

Mark Marcon

VMS there. think it up do like the that we and well pretty sound growth seeing for things Solutions does in would relative Because are factor in Tech growth going the we when others, to so in you end QX the Workforce forward? and And sequential going

Maureen Huber

Yes, grab that. I'll

I revenues. Kelly will said, as come of nursing in will they is So experience have the having same decline think VMS some some as that their rates down, headwinds

revenue, VMS and a Stratus have by through year. you'll the be decline Avantas So increases will in it in but offset

more but that stable So of kind and but VMS from a going this -- probably well. QX, we'll there, in the third then step headwind growth into as down probably trajectory, a positive quarter be maybe the feeling mostly decline quarter, in of second the

will of it second a so, bit or growth. little maybe kind the either of steady quarter be after And

Mark Marcon

how projection bill rates are rates in then just a first And for on normal and regards terms the the to Allied up with relative quarter, of the kind it. Got Nurse the bill of to environment? much

Brian Scott

a not This different environment, we're is Brian. Well, normal very said, a it's in metric. we so

rate the quarter. the fourth over about increase sequential XX% math. did a we XX% kind first In As I mentioned, into our then seeing and quarter, fourth the said of in up little the we'd nurse bill quarter a

a the we're XX% So, up guide. on so, or QX in year-over-year basis

progress start So that, that down that get mentioned, and moving And well. is our hope course, from we we into continuing more move far be will with our normal. that down a second vaccinations honestly, that because to for we, overall we that we towards into environment, more third come quarter think as and as hospitalizations quarter means and clients, healthy we're the of industry And and as as think the and happens that see normalized to for will well.

the we've growth And we've consistent more that what recovery had a and as that that last see also come but couple see when than down less had bit something has well. still obviously already in as an over nursing. to increase. we volume that It's of does, to we'll well. Allied in knew we'd than expect been happen we far the So, as this anticipated, continue to have some very we well, to see expect quarters seen like is pricing we'd that articulating

order tick some have specialties a of that bit We not of nursing. little as greater come and therapy increase, a see the respiratory significant couple also expect and of first the is up fourth in to the down there's other a quarter. a that of you as so, little but seen do And on magnitude bit a bit nearly

Mark Marcon

to being you're significant. Great. And -- but it then baking a vaccine could administration correct lot sound on like in end that interpretation? the that, doesn't up for it the Is

Brian Scott

but early to We've point. predict it's is got us at signed this for the point. anything the Yes. very contract several really Exactly, understand a to at the the this Yes. services pipeline of and different of have things little until in difficult duration we kind scope

Mark Marcon

us for cash CapEx what give in the Great. we flow? how that? year, And for just Brian, can you think your And a is should feel expectation about full

Brian Scott

Sure. Yes.

fourth think The was we and we million. quarter investing about mentioned, CapEx $XX are Susan now, really right it's critical. As

with pandemic, just a XXXX, a baseline forward at I of and I -- really, digital been least talk the telemedicine. it year. of there's through think think And that's a for start will to lot the and level it a one about with start good pull it's be

talked the even as And year. have where about initiatives of those so, around analytics. heading. strategy match leader a need our We good focused over the do And clients those we, the that We've accelerating the really we our same more have investments ways last mobile digital we are on of some had thing as really moving to need they're well. industry, as quickly, as to really

So on there's folks but positive care day. feel team to team a And so work lot of these really to benefits for There's strongly really really every our ever clients professionals the believe with that like sufficiency we've health well, and we for as these that. IT got the drive we're Maureen initiatives. put we initiatives, best in

should million for probably year. assume you to the $XX $XX in million the So somewhere range

Operator

with Blair. question comes Kusswurm final our And from Sam William

Sam Kusswurm

made And I you I'm on look health see that tech-enabled of you would virtual develop guess capabilities decision are where two where some large acquisitions. a I from making internal solutions? is, wondering, one yourselves different just in the the need these outside comments to you actually, relating able how think approaches? you to to that have telehealth, quick and between space versus the

Susan Salka

great Yes, question.

of kind So of then I'll have add start with points Maureen a and on. couple

that first, there's offerings have to when think we you about the play more in. So, tech-enabled telehealth, than just

provider staffing a we So are telehealth. for

think the a platform, them about ours, have over of therapists Televate are in and telehealth our them psychologists also that working to of we capabilities. And both lot opportunity half that other about we working business, school of are on have expand schools You are for are for about therapists but half adding XXX our therapists schools. in that

to combine forget we and go we Televate you then other we So that can't staffing the talk capabilities we that with recruitment and might where maybe as and Stratus that with have and And extent of necessarily telehealth already well have. about Televate Maureen, the and Stratus opportunities our some we into. I'll expansion that the opportunity for opportunities as platforms have not other about kind categories then

Maureen Huber

Thank you, Susan.

capabilities and we at clients valves acute across we technology services care as without And can home about existing supporting that think leverage the and so How our to initiatives continuum. hostile around and care provide our hospital tech-enabled the today.

change the heard some acute many So, those for the setting as we XX of the in we Landry of that us home. earlier, from takes to support months. continue into type And as are nurses say and care initiatives, next looking

lot And care be also and towards will these following continuum. care driven virtual so that environments that of a

we'll support to initiatives So continue those with also services. our language

about clients increased two XX of that tenfold telehealth months. the thought more than we integrations implemented we've has the and the platforms, with in but with dozen the last we As integrate points number existing

the they're acute continuing we'll that care from those virtual especially their reevaluating initiatives virtual grow care. So care as see think and expansion, I we're to to see continue providers adoption strategy. of And the

Susan Salka

our Okay. question. do that last that question. your And I Hopefully, answers was believe

want we today to us you all earnings we updating thank on next and for our on forward So, call. this call, joining look to you

Operator

that your Thank for you conclude call. does participation. today's And

You now disconnect. may

We use cookies on this site to provide a more responsive and personalized service. Continuing to browse, clicking I Agree, or closing this banner indicates agreement. See our Cookie Policy for more information.