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First Midwest Reports First Quarter Results: 1st Quarter Up 6.7%

                         1st QUARTER 2003 HIGHLIGHTS:

     - EPS Increased 6.7% to $.48 vs. $.45 Last Year
     - Significant Branch Acquisition Announced
     - ROAA of 1.53% vs. 1.55% Last Year
     - Continued Sound Asset Quality

    ITASCA, Ill., April 23 /PRNewswire-FirstCall/ --
First Midwest Bancorp, Inc. ("First Midwest") (Nasdaq: FMBI) today reported
that net income for first quarter ended March 31, 2003 increased by 6.7% on a
per diluted share basis to $22.7 million, or $.48 per diluted share, as
compared to 2002's first quarter of $22.1 million, or $.45 per diluted share.
Performance for first quarter 2003 resulted in an annualized return on average
assets of 1.53%, as compared to 1.55% for first quarter 2002, and an
annualized return on average equity of 18.4%, as compared to 19.4% for first
quarter 2002.
    "We are very pleased with the first quarter results given the tenuous
state of the economy," First Midwest President and Chief Executive Officer
John O'Meara stated.  "First Midwest's asset quality remains solid, its loan
growth has been steady, particularly in our commercial platform, and its
operating costs remain tightly controlled."
    "We expect 2003 to be challenging, given the absolute low level of
interest rates, uncertain economic and market conditions, and investor
concerns regarding the pace and timing of economic recovery," O'Meara stated.
"Continued earnings growth should be reliant upon maintaining favorable trends
in asset generation, funding mix, asset quality, fee growth and expense
management.  We remain optimistic about our 2003 prospects and are comfortable
with the mid-single digit growth in earnings per diluted share implicit in the
current 2003 analyst consensus estimate, qualified by existent uncertainties,
consequences and unfolding events, as well as unknown factors that could
negatively affect performance."

                              Branch Acquisition

    Amplifying the news communicated in an April 15, 2003 press release,
President and Chief Executive Officer John O'Meara announced aggressive
development plans for the new approximately $114 million deposit branch to be
acquired from The Northern Trust Company in an anticipated June closing.  "The
branch's location at the threshold of the expansive O'Hare International
Airport market makes it an ideal site for commercial, trust and retail
business expansion," he commented.  "We intend to leverage our existing
business relationships in this important marketplace with the deposit and loan
relationships acquired from The Northern Trust Company.  The branch's
strategic placement provides an ideal location to consolidate our Commercial
Real Estate Division to better serve this important client segment
representing more than $1.4 billion in outstanding loans.  The more than 6,200
commercial businesses located within a three mile radius of the new branch
represent an enormous business development opportunity for First Midwest," he
continued.  Final financial terms of the transaction will be forthcoming
following the closing in June.

                             Net Interest Margin

    Net interest income was $52.1 million for first quarter 2003, as compared
to $54.2 million for 2002's first quarter, a decrease of 3.9%.  Net interest
margin for first quarter 2003 was 4.06%, down from 4.32% for first quarter
2002 and 4.10% for fourth quarter 2002.  Margin contraction resulted from the
repricing of earning assets in the low interest rate environment and the
acceleration of cash flows due to refinance related prepayments on mortgage-
backed securities.  The full benefit of the Federal Reserve's 50 basis points
rate cut in November 2002 was realized in first quarter 2003 and helped offset
margin contraction from fourth quarter 2002.
    Interest margin performance is a major determinant of future earnings
dynamics.  Acknowledging the forty-year lows in interest rates and the
negative impacts of accelerated prepayment speeds on higher coupon assets,
First Midwest may elect to reduce its exposure to longer-term assets through
both outright security sales and shorter duration reinvestments.  The effect
of this approach may well see security gains being used to fund temporary
margin give up while First Midwest waits for interest rates to approximate
historical spreads.  Extensive analysis of strategies of this nature are
ongoing and embrace both net interest income and economic value of equity risk
metrics.  The timing of decisions should be finalized in the second and third
quarters.  First Midwest has significant flexibility in its securities
portfolio to execute this type of strategy.

                           Loan Growth and Funding

    First Midwest's total loans at March 31, 2003 were 1.9% higher than at
March 31, 2002.  All loan categories experienced growth, except 1-4 family
real estate and indirect lending.  On a linked-quarter basis, total loans
increased 1.0%, as growth in commercial and real estate construction lending
offset decreases in commercial real estate, 1-4 family real estate, direct
consumer and indirect lending.  Commercial loan growth remained solid, as
commercial loans outstanding as of March 31, 2003 increased by 4.3% and 9.6%
as compared to December 31, 2002 and March 31, 2002, respectively.
    Total average deposits for first quarter 2003 were essentially unchanged
from the prior year's like quarter and declined 1.8% on a linked-quarter
basis.  The mix of average deposits, however, has changed from first quarter
2002.  Reflecting customer liquidity preferences and targeted pricing, average
core transactional balances (demand, savings, money market and NOW accounts)
grew $110.9 million, or 4.6%, from the prior year's like quarter, while
average time deposits decreased by $110.1 million for the comparable periods.
Pricing is likely to continue to encourage core deposit growth in the longer
duration instruments consistent with our outlook for higher interest rates in
the future.

                        Noninterest Income and Expense

    Total noninterest income for first quarter 2003 was $17.8 million,
representing an increase of $1.6 million, or 10.0%, as compared to first
quarter 2002.  First quarter 2003 income included the nonrecurring receipt of
$1.2 million from the settlement of litigation initiated by First Midwest in
1998.  After recouping the expenses associated with the litigation, the net
proceeds of $750,000 were used to fund a contribution to First Midwest
Charitable Foundation (the "Foundation").  The Foundation was formed in
December 2002 and concentrates on serving charitable organizations within the
communities served by First Midwest.
    Excluding the litigation proceeds of $1.2 million, the increase in
noninterest income as compared to first quarter 2002 resulted from continued
improvement in fee income derived from service charges on deposit accounts and
mortgage origination commissions.  The increase was partially offset by lower
income from market sensitive revenue streams, such as trust, investment
product sales, and corporate owned life insurance.
    Total noninterest expense for first quarter 2003 was $36.8 million,
representing an increase of $1.2 million, or 3.4%, as compared to first
quarter 2002.  First quarter 2003 expenses included the previously described
contribution to the Foundation of $750,000.
    The efficiency ratio was 49.2% for first quarter 2003, as compared to
47.3% for 2002's like quarter.  The increase resulted primarily from the
impact of lower top line revenue performance due to lower levels of net
interest income.

                                Credit Quality

    Despite the weaker economy and contrary to the well-publicized credit
problems within the industry, First Midwest's level of overall credit quality
at the end of first quarter 2003 remained solid.  Nonperforming loans at
March 31, 2003 represented .40% of loans, up slightly from the historically
low level of .37% at December 31, 2002.  Nonperforming assets totaled
$17.6 million at March 31, 2003 and approximated the level of $18.0 million
existent at December 31, 2002.  Loans past due 90 days and still accruing
totaled $7.5 million at March 31, 2003, up from a record low level of
$3.3 million as of December 31, 2002.  This increase was primarily due to a
single credit that is the subject of rigorous remediation efforts by First
Midwest.
    Net charge-offs for first quarter 2003 were .29% of average loans as
compared to .61% for first quarter 2002.  Provisions for loan losses fully
covered net charge-offs, resulting in the ratio of the reserve for loan losses
to total loans as of March 31, 2003 being maintained at 1.40% and
approximating the level as of year end 2002.  Importantly, the reserve for
loan losses at March 31, 2003 represented 353% of nonperforming loans.  First
Midwest continues to have virtually no credit exposure to such high profile
sectors as energy, cable, telecommunications and airlines.  Participations in
either shared national credits or syndicated loans represent negligible
portions of overall credit outstandings.

                              Capital Management

    First Midwest continued to repurchase its common stock during first
quarter 2003 with 667,000 shares being repurchased at an average price of
approximately $26.05 per share funded by cash on hand.  As of March 31, 2003,
approximately 1.7 million shares remained under First Midwest's existing
repurchase authorization.
    As of March 31, 2003 First Midwest's Total Risk Based Capital and Tier 1
Risk Based Capital ratios were 11.0% and 10.0%, respectively, exceeding the
minimum "well capitalized" levels for regulatory purposes of 10.0% and 6.0%,
respectively.  First Midwest's Tier 1 Leverage Ratio as of such date was 7.4%
again exceeding the regulatory minimum range of 3.0% - 5.0% required to be
considered a "well capitalized" institution.

                              About the Company

    With assets of over $6 billion, First Midwest is the largest independent
and one of the overall largest banking companies in the highly attractive
suburban Chicago banking market.  As the premier independent suburban Chicago
bank holding company, First Midwest provides commercial banking, trust,
investment management and related financial services to a broad array of
customers through some 70 offices located in more than 40 communities
primarily in northern Illinois.

    Safe Harbor Statement
    Safe Harbor Statement under the Private Securities Act of 1995: Statements
in this news release that are forward-looking statements are subject to
various risks and uncertainties concerning specific factors described in First
Midwest Bancorp's 2002 Form 10-K and other filings with the U.S. Securities
and Exchange Commission.  Such information contained herein represents
management's best judgment as of the date hereof based on information
currently available.  First Midwest does not intend to update this information
and disclaims any legal obligation to the contrary.  Historical information is
not necessarily indicative of future performance.

    Accompanying Financial Statements and Tables
    Accompanying this press release is the following unaudited financial
information:

    -- Operating Highlights, Balance Sheet Highlights and Stock Performance
       Data (1 page)
    -- Condensed Consolidated Statements of Condition (1 page)
    -- Condensed Consolidated Statements of Income (1 page)
    -- Selected Quarterly Data and Asset Quality (1 page)

    Press Release and Additional Information Available on Website
    This press release, the accompanying financial statements and tables and
certain additional unaudited selected financial information (totaling 3 pages)
are available through the "Investor Relations" section of First Midwest's
website at http://www.firstmidwest.com .


    First Midwest Bancorp, Inc.

    Operating Highlights                                  Quarters Ended
    Unaudited                                               March 31,

    (Amounts in thousands except per share data)        2003           2002

    Net income                                       $22,730        $22,071
    Diluted earnings per share                         $0.48          $0.45
    Return on average equity                          18.39%         19.39%
    Return on average assets                           1.53%          1.55%
    Net interest margin                                4.06%          4.32%
    Efficiency ratio                                  49.16%         47.26%


    Balance Sheet Highlights
    Unaudited
    (Amounts in thousands except per share data)

                                                 Mar. 31, 2003  Mar. 31, 2002

    Total assets                                  $6,050,593     $5,842,789
    Total loans                                    3,439,281      3,373,742
    Total deposits                                 4,195,468      4,170,178
    Stockholders' equity                             492,822        446,823
    Book value per share                              $10.58          $9.21
    Period end shares outstanding                     46,582         48,534

    Stock Performance Data                                Quarters Ended
    Unaudited                                               March 31,

                                                        2003           2002
    Market Price:
      Quarter End                                     $25.81         $29.04
      High                                            $28.12         $29.81
      Low                                             $24.89         $27.01
    Quarter end price to book value                     2.4x           3.2x
    Quarter end price to consensus
      estimated 2003 earnings                          13.1x            N/A

    Dividends declared per share                       $0.19          $0.17


    First Midwest Bancorp, Inc.

    Condensed Consolidated Statements of Condition
    Unaudited(1)

                                                           March 31,
    (Amounts in thousands)                            2003            2002
    Assets
    Cash and due from banks                         $161,094       $182,559
    Funds sold and other short-term investments       19,035         19,650
    Securities available for sale                  2,057,684      1,907,294
    Securities held to maturity, at amortized
      cost                                           114,265         96,956
    Loans                                          3,439,281      3,373,742
    Reserve for loan losses                          (48,020)       (47,774)
      Net loans                                    3,391,261      3,325,968
    Premises, furniture and equipment                 81,312         81,625
    Investment in corporate owned life insurance     142,658        136,819
    Accrued interest receivable and other assets      83,284         91,918
      Total assets                                $6,050,593     $5,842,789

    Liabilities and Stockholders' Equity
    Deposits                                      $4,195,468     $4,170,178
    Borrowed funds                                 1,277,895      1,174,370
    Accrued interest payable and other liabilities    84,408         51,418
      Total liabilities                            5,557,771      5,395,966
    Common stock                                         569            569
    Additional paid-in capital                        70,418         72,500
    Retained earnings                                608,055        551,400
    Accumulated other comprehensive income (loss)     43,239         (1,129)
    Treasury stock, at cost                         (229,459)      (176,517)
      Total stockholders' equity                     492,822        446,823
      Total liabilities and stockholders' equity  $6,050,593     $5,842,789

    (1) While unaudited, the Condensed Consolidated Statements of Condition
        have been prepared in accordance with accounting principles generally
        accepted in the United States and, as of March 31, 2002, are derived
        from quarterly financial statements on which Ernst & Young LLP, First
        Midwest's independent external auditor, has rendered a Quarterly
        Review Report; Ernst & Young is currently in the process of completing
        their Quarterly Review Report for the quarter ended March 31, 2003.


    First Midwest Bancorp, Inc.

    Condensed Consolidated Statements of Income

                                                          Quarters Ended
    Unaudited(1)                                            March 31,

    (Amounts in thousands except per share data)        2003           2002
    Interest Income
    Loans                                            $51,196        $56,937
    Securities                                        23,120         26,844
    Other                                                249            162
      Total interest income                           74,565         83,943
    Interest Expense
    Deposits                                          15,169         22,616
    Borrowed funds                                     7,255          7,080
      Total interest expense                          22,424         29,696
      Net interest income                             52,141         54,247
    Provision for Loan Losses                          2,530          5,055
      Net interest income after provision for
       loan losses                                    49,611         49,192
    Noninterest Income
    Service charges on deposit accounts                6,281          5,756
    Trust and investment management fees               2,553          2,708
    Other service charges, commissions, and fees       4,545          4,293
    Corporate owned life insurance income              1,296          1,698
    Securities gains, net                                 66              -
    Other                                              3,023          1,687
      Total noninterest income                        17,764         16,142

    Noninterest Expense
    Salaries and employee benefits                    20,012         19,559
    Occupancy expenses                                 3,679          3,515
    Equipment expenses                                 1,912          1,882
    Technology and related costs                       2,331          2,466
    Other                                              8,904          8,214
      Total noninterest expense                       36,838         35,636
    Income before taxes                               30,537         29,698
    Income tax expense                                 7,807          7,627
      Net Income                                     $22,730        $22,071
      Diluted Earnings Per Share                       $0.48          $0.45
      Dividends Declared Per Share                     $0.19          $0.17
      Weighted Average Diluted Shares Outstanding     47,229         49,047

    (1) While unaudited, the Condensed Consolidated Statements of Income have
        been prepared in accordance with accounting principles generally
        accepted in the United States and, for the quarter ended March 31,
        2002, are derived from quarterly financial statements on which Ernst &
        Young LLP, First Midwest's independent external auditor, has rendered
        a Quarterly Review Report; Ernst & Young is currently in the process
        of completing their Quarterly Review Report for the quarter ended
        March 31, 2003.


    First Midwest Bancorp, Inc.

    Selected Quarterly Data

    Unaudited
    (Amounts in thousands except per share data)

                                          Quarters Ended

                       03/31/03   12/31/02    09/30/02    06/30/02  03/31/02
    Net interest
     income            $52,141     $52,753     $55,458     $56,296   $54,247
    Provision for
     loan losses         2,530       4,235       3,020       3,100     5,055
    Noninterest
     income             17,764      17,578      16,889      16,382    16,142
    Noninterest
     expense            36,838      35,696      38,106      38,614    35,636
    Net income          22,730      22,466      22,679      22,934    22,071
    Diluted earnings
     per share           $0.48       $0.47       $0.47       $0.47     $0.45
    Return on average
     equity             18.39%      17.92%      18.46%      19.60%    19.39%
    Return on average
     assets              1.53%       1.49%       1.50%       1.57%     1.55%
    Net interest
     margin              4.06%       4.10%       4.26%       4.43%     4.32%
    Efficiency ratio    49.16%      47.24%      49.08%      49.15%    47.26%

    Period end shares
     outstanding        46,582      47,206      47,616      48,165    48,534
    Book value per
     share              $10.58      $10.42      $10.44       $9.91     $9.21
    Dividends per share  $0.19       $0.19       $0.17       $0.17     $0.17


    Asset Quality
    Unaudited
    (Amounts in thousands)
                                           Quarters Ended

                       03/31/03   12/31/02     09/30/02    06/30/02  03/31/02
    Nonperforming
     loans             $13,596     $12,525      $9,988     $11,879   $15,277
    Foreclosed real
     estate              4,044       5,496       2,972       4,582     4,289
    Loans past due
     90 days and
     still accruing      7,497       3,307       9,820       3,564     4,739
    Nonperforming
     loans to loans      0.40%       0.37%       0.29%       0.35%     0.45%
    Nonperforming
     assets to loans
     plus foreclosed
     real estate         0.51%       0.53%       0.38%       0.48%     0.58%
    Reserve for loan
     losses to loans     1.40%       1.41%       1.41%       1.41%     1.42%
    Reserve for
     loan losses
     to nonperforming
     loans                353%        383%        480%        403%      313%
    Provision for
     loan losses        $2,530      $4,235      $3,020      $3,100    $5,055
    Net loan
     charge-offs         2,439       4,225       2,919       3,056     5,026
    Net loan
     charge-offs to
     average loans       0.29%       0.49%       0.34%       0.36%     0.61%


SOURCE First Midwest Bancorp, Inc.




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    CONTACT:
    Michael L. Scudder, EVP, Chief Financial
    Officer, +1-630-875-7283, or Steven H. Shapiro, EVP, Corporate
    Secretary, +1-630-875-7345, both of First Midwest Bancorp, Inc.