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AMN Negative Sentiment Score: 42/100

AMN HEALTHCARE ANNOUNCES FIRST QUARTER 2024 RESULTS Quarterly revenue of $821 million; GAAP EPS of $0.45 and adjusted EPS of $0.97 DALLAS - AMN Healthcare Services, Inc. (NYSE: AMN), the leader and innovator in total tal

Key Takeaway: AMN Healthcare Services, Inc. reported its first-quarter 2024 results, highlighting a significant decrease in revenue to $821 million, a 27% drop from the previous year. Net income also fell to $17 million, reflecting the challenges in the nurse staffing segment, which saw a 44% decrease in travel nurse staffing revenue. Amidst these declines, AMN is proactively managing expenses and focusing on innovation to adapt to evolving healthcare market demands.

Market Sentiment Analysis

POSITIVE FACTORS

  • Despite decreased revenues, there are healthy trends in some key business areas.
  • AMN continues to innovate and modify solutions for client needs.
  • The company is managing expenses proactively and focusing on long-term objectives.

CONCERNS & RISKS

  • Revenue decreased by 27% year-over-year, severely impacting net income.
  • Travel nurse staffing revenue dropped significantly by 44% year-over-year.
  • Operating margin decreased to 4.9%, down from 11.2% in the previous year.

Full Press Release Details

AMN HEALTHCARE ANNOUNCES FIRST QUARTER 2024 RESULTS
Quarterly revenue of $821 million;
GAAP EPS of $0.45 and adjusted EPS of $0.97
DALLAS - AMN Healthcare Services, Inc. (NYSE:
AMN), the leader and innovator in total talent solutions for healthcare organizations across the United States, today announced its first
quarter 2024 financial results. Financial highlights are as follows:
Dollars in millions, except per share amounts.
Q1 2024 % Change Q1 2023
Revenue $ 820.9 (27 %)
Gross profit $ 257.5 (30 %)
Net income $ 17.3 (79 %)
GAAP diluted EPS $ 0.45 (78 %)
Adjusted diluted EPS* $ 0.97 (61 %)
Adjusted EBITDA* $ 97.7 (46 %)
"While we see healthy trends
in some key businesses in our diversified set of solutions, this is overshadowed by weaker demand and a continued competitive environment
in our largest business, nurse staffing," said Cary Grace, President and Chief Executive Officer of AMN Healthcare. "AMN continues
to innovate and modify our solutions to partner with health systems as they make transformational changes that include new labor models.
This includes broadening our market reach to help more clients develop and implement cost-effective, high-quality workforce solutions
to enable them to meet the growth in healthcare demand."
Ms. Grace continued, "We
continue to proactively manage expenses and capital spending in the near term amidst lower travel nurse demand, while maintaining progress
on key long-term objectives that will build value for all our stakeholders."
First Quarter 2024 Results
Consolidated revenue for the quarter
was $821 million, a 27% decrease from prior year and flat compared with prior quarter. Net income was $17 million (2.1% of revenue), or
$0.45 per diluted share, compared with $84 million (7.5% of revenue), or $2.02 per diluted share, in the first quarter of 2023. Adjusted
diluted EPS in the first quarter was $0.97 compared with $2.49 in the same quarter a year ago.
Revenue for the Nurse and Allied
Solutions segment was $519 million, lower by 37% year over year and down 3% from the prior quarter. Travel nurse staffing revenue dropped
by 44% year over year and 5% sequentially. Allied division revenue declined 13% year over year and was up 4% versus prior quarter.
The Physician and Leadership
Solutions segment reported revenue of $189 million, up 14% year over year and 12% sequentially. Locum tenens revenue was $145 million,
year over year and 17% higher
sequentially, with growth coming primarily from the MSDR acquisition. Interim leadership revenue was down by 25% year over year, though
it grew 3% from prior quarter. Our physician and leadership search businesses saw revenue decline by 29% year over year and 12% quarter
Technology and Workforce Solutions
segment revenue was $113 million, a decrease of 17% year over year and flat sequentially. Language services revenue was $71 million in
the quarter, 16% higher than the prior year and up 4% sequentially. Vendor management systems revenue was $29 million, 46% lower year
over year and down 5% from the prior quarter.
Consolidated gross margin was
31.4%, 140 basis points lower year over year and down 50 basis points sequentially. Gross margin dropped year over year primarily because
of the growth of lower-margin locum tenens revenue, lower nurse staffing margin, and less revenue from the higher-margin business lines.
That change was offset in part by a revenue mix shift toward higher-margin segments.
Consolidated SG&A expenses
were $175 million, or 21.3% of revenue, compared with $206 million, or 18.3% of revenue, in the same quarter last year. SG&A was $185
million, or 22.7% of revenue, in the previous quarter. The year-over-year decrease in SG&A costs was driven primarily by lower employee
compensation amid lower placement volumes. Compared with the prior quarter, SG&A expenses were lower as fourth quarter 2023 expenses
were increased by acquisition, integration and other costs associated with the MSDR acquisition.
Income from operations was $40
million with an operating margin of 4.9%, compared with $126 million and 11.2%, respectively, in the same quarter last year. Adjusted
EBITDA was $98 million, a year-over-year decrease of 46%. Adjusted EBITDA margin was 11.9%, 400 basis points lower than the year-ago period.
At March 31, 2024, cash and
cash equivalents totaled $51 million. Cash flow from operations was $81 million for the first quarter, and capital expenditures were $18
million. The Company ended the quarter with total debt outstanding of $1.275 billion and a net leverage ratio of 2.4 to 1 as calculated
under the terms of our credit agreement.
Second Quarter 2024 Outlook
Metric Guidance*
Consolidated revenue $730 - $750 million
Gross margin 30.7% - 31.2%
SG&A as percentage of revenue 21.5% - 22.0%
Operating margin 3.0% - 3.7%
Adjusted EBITDA margin 11.0% - 11.5%
Guidance percentage metrics are approximate. For a reconciliation of adjusted EBITDA margin, see the table entitled "Reconciliation
of Guidance Operating Margin to Guidance Adjusted EBITDA Margin" below.
Revenue in the second quarter
of 2024 is expected to be 24-26% lower than prior year and 9-11% lower sequentially. Nurse and Allied Solutions segment revenue is expected
to be down 36-38% year over year. Physician and Leadership Solutions segment revenue is expected to grow approximately 10% year over year.
Technology and Workforce Solutions segment revenue is projected to be approximately 12% lower year over year.
Second quarter estimates for certain
other financial items include depreciation of $18 million, depreciation in cost of revenue of $1.8 million, non-cash amortization expense
of $25 million, share-based compensation expense of $7 million, integration and other expenses of $7 million, interest expense of $16
million, an adjusted tax rate of 30%, and 38.3 million diluted average shares outstanding.
Conference Call on May 9, 2024
AMN Healthcare Services,
Inc. (NYSE: AMN) will host a conference call to discuss its first quarter 2024 financial results and second quarter 2024 outlook on Thursday,
May 9, 2024 at 5:00 p.m. Eastern Time. A live webcast of the call can be accessed through AMN Healthcare's website at http://ir.amnhealthcare.com.
Interested parties may participate live via telephone by registering at this link. Registrants
will receive confirmation and dial-in details. Following the conclusion of the call, a replay of the webcast will be available at the
Company's investor relations website.
About AMN Healthcare
AMN Healthcare is the leader and
innovator in total talent solutions for healthcare organizations across the nation. The Company provides access to the most comprehensive
network of quality healthcare professionals through its innovative recruitment strategies and breadth of career opportunities. With insights
and expertise, AMN Healthcare helps providers optimize their workforce to successfully reduce complexity, increase efficiency and improve
patient outcomes. AMN total talent solutions include managed services programs, clinical and interim healthcare leaders, temporary staffing,
permanent placement, executive search, vendor management systems, recruitment process outsourcing, predictive modeling, language services,
revenue cycle solutions, and other services. Clients include acute-care hospitals, community health centers and clinics, physician practice
groups, retail and urgent care centers, home health facilities, schools and many other healthcare settings. AMN Healthcare is committed
to fostering and maintaining a diverse team that reflects the communities we serve. Our commitment to the inclusion of many different
backgrounds, experiences and perspectives enables our innovation and leadership in the healthcare services industry.
The Company's common
stock is listed on the New York Stock Exchange under the symbol "AMN." For more information about AMN Healthcare, visit www.amnhealthcare.com,
where the Company posts news releases, investor presentations, webcasts, SEC filings and other material
information. The Company also utilizes
email alerts and Really Simple Syndication ("RSS") as routine channels to supplement distribution of this information. To
register for email alerts and RSS, visit http://ir.amnhealthcare.com.
This earnings release and the
non-GAAP reconciliation tables included with the earnings release contain certain non-GAAP financial information, which the Company provides
as additional information, and not as an alternative, to the Company's condensed consolidated financial statements presented in
accordance with GAAP. These non-GAAP financial measures include (1) adjusted EBITDA, (2) adjusted EBITDA margin, (3) adjusted net income,
and (4) adjusted diluted EPS. The Company provides such non-GAAP financial measures because management believes that they are useful to
both management and investors as a supplement, and not as a substitute, when evaluating the Company's operating performance. Additionally,
management believes that adjusted EBITDA, adjusted EBITDA margin, and adjusted diluted EPS serve as industry-wide financial measures.
The Company uses adjusted EBITDA for making financial decisions, allocating resources and for determining certain incentive compensation
objectives. The non-GAAP measures in this release are not in accordance with, or an alternative to, GAAP measures and may be different
from non-GAAP measures, or may be calculated differently than other similarly titled non-GAAP measures, reported by other companies. They
should not be used in isolation to evaluate the Company's performance. A reconciliation of non-GAAP measures identified in this
release, along with further detail about the use and limitations of certain of these non-GAAP measures, may be found below in the table
entitled "Non-GAAP Reconciliation Tables" under the caption entitled "Reconciliation of Non-GAAP Items" and the
footnotes thereto or on the Company's website at https://ir.amnhealthcare.com/financials/quarterly-results. Additionally, from time

Frequently Asked Questions

What were AMN Healthcare's Q1 2024 revenues?

AMN Healthcare reported revenues of $821 million for Q1 2024.

How much did GAAP EPS change in Q1 2024?

GAAP diluted EPS for Q1 2024 was $0.45, a 78% decrease from last year.

What is the expected revenue range for Q2 2024?

Q2 2024 revenue is projected to be between $730 and $750 million.

What factors affected AMN's gross margin in Q1?

Gross margin decreased due to lower margins from nurse staffing and revenue shifts.

When will AMN host its Q1 2024 results conference call?

AMN will host its conference call on May 9, 2024, at 5:00 p.m. Eastern Time.

Last updated: May 9, 2024