Full Press Release Details
AMN HEALTHCARE ANNOUNCES FIRST QUARTER 2025 RESULTS
Quarterly revenue of $690 million;
GAAP loss of ($0.03)/share and adjusted EPS of
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 2025 financial results. Financial highlights are as follows:
Dollars in millions, except per share amounts.
| Q1 2025 | % Change Q1 2024 | |||||||
| Revenue | $ | 689.5 | (16 | %) | ||||
| Gross profit | $ | 198.1 | (23 | %) | ||||
| Net loss | $ | (1.1 | ) | nm | ||||
| Diluted loss per share | $ | (0.03 | ) | nm | ||||
| Adjusted diluted EPS* | $ | 0.45 | (54 | %) | ||||
| Adjusted EBITDA* | $ | 64.2 | (34 | %) |
See "Non-GAAP Measures" below for a discussion of our use of non-GAAP items and the table entitled "Non-GAAP Reconciliation
Tables" for a reconciliation of non-GAAP items.
"Our financial results for
the first three months of 2025 yielded positive upside in revenue and operating leverage. We are benefiting from growth in our clients'
patient volumes, continued normalization in our industry, and market adoption of our tech-enabled talent solutions," said Cary Grace,
President and Chief Executive Officer of AMN Healthcare. "Clients remain cost-conscious and are monitoring possible impacts from
tariffs and healthcare regulatory and legislative proposals. We continue to be confident in our opportunity to gain market share and increase
revenue over time through our diversified suite of healthcare workforce solutions."
First Quarter 2025 Results
Consolidated revenue for the quarter
was $690 million, a 16% decrease from prior year and a 6% decrease from the prior quarter. Net loss was $1 million (0.2% of revenue),
or ($0.03) per diluted share, compared with net income of $17 million (2.1% of revenue), or $0.45 per diluted share, in the first quarter
of 2024. Adjusted diluted EPS in the first quarter was $0.45 compared with $0.97 in the same quarter a year ago.
Revenue for the Nurse and Allied
Solutions segment was $413 million, lower by 20% year over year and down 9% from the prior quarter. Travel nurse staffing revenue was
lower by 36% year over year and 6% sequentially. Allied division revenue declined 13% year over year and was 1% lower than the prior quarter.
Labor disruption events contributed $39 million revenue in the quarter.
The Physician and Leadership Solutions
segment reported revenue of $174 million, down 8% year over year but up 1% sequentially. Locum tenens revenue was $141 million, 3% lower
year over year but 3% higher sequentially. Interim leadership revenue was down by 21% year over year and 9% lower sequentially. Our physician
and leadership search businesses saw revenue decline by 29% year over year and 8% quarter over quarter.
Technology and Workforce Solutions
segment revenue was $102 million, a decrease of 9% year over year and 4% sequentially. Language services revenue was $75 million in the
quarter, 5% higher than the prior year and down 2%
sequentially. Vendor management systems revenue was $19 million, 33% lower year over year and down 14% from the prior quarter.
Consolidated gross margin was
28.7%, 270 basis points lower year over year and down 110 basis points sequentially. Gross margin declined year over year and sequentially
across all three of our business segments, offset in part by a revenue mix shift toward higher-margin segments.
Consolidated SG&A expenses
were $148 million, or 21.4% of revenue, compared with $175 million, or 21.3% of revenue, in the same quarter last year. SG&A was $159
million, or 21.6% of revenue, in the previous quarter. The year-over-year decrease in SG&A costs was driven primarily by lower employee,
professional services, and bad debt expenses.
Income from operations was $13
million with an operating margin of 1.8%, compared with $40 million and 4.9%, respectively, in the same quarter last year. Adjusted EBITDA
was $64 million, a year-over-year decrease of 34%. Adjusted EBITDA margin was 9.3%, 260 basis points lower than the year-ago period.
At March 31, 2025, cash and
cash equivalents totaled $56 million. Cash flow from operations was $93 million for the first quarter. Capital expenditures were $10 million.
The Company ended the quarter with total debt outstanding of $1.0 billion.
Second Quarter 2025 Outlook
| Metric | Guidance* | |
| Consolidated revenue | $645 - $660 million | |
| Gross margin | 28.5% - 29.0% | |
| SG&A as percentage of revenue | 23.2% - 23.7% | |
| Operating margin | (0.7%) - 0.0% | |
| Adjusted EBITDA margin | 7.8% - 8.3% |
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 2025 is expected to be 11-13% lower than the prior year and down 4-7% sequentially. Nurse and Allied Solutions segment revenue is expected
to be down 14-17% year over year. Physician and Leadership Solutions segment revenue is expected to be 5-7% lower year over year. Technology
and Workforce Solutions segment revenue is projected to be lower by 8-10% year over year. Guidance includes $16 million in labor disruption
Second quarter estimates for certain
other financial items include depreciation of $19 million, depreciation in cost of revenue of $2 million, non-cash amortization expense
of $20 million, share-based compensation expense of $11 million, integration and other expenses of $3 million, interest expense of $11.5
million, an adjusted tax rate of 28%, and 38.6 million diluted average shares outstanding.
Conference Call on May 8, 2025
AMN Healthcare Services, Inc.
(NYSE: AMN) will host a conference call to discuss its first quarter 2025 financial results and second quarter 2025 outlook on Thursday,
May 8, 2025 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 direct staffing, vendor-neutral and 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. Our diverse client base includes acute-care hospitals,
community health centers and clinics, physician practice groups, retail and urgent care centers, home health facilities, schools, inpatient/outpatient
rehabilitation facilities, ambulatory care facilities, outpatient surgical facilities, and many other healthcare settings.
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
to time, additional information regarding non-GAAP financial measures, including pro forma measures, may be made available on the Company's
Forward-Looking Statements
This press release contains "forward-looking
statements" within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange
Act of 1934, as amended. Forward-looking statements include, among others, statements concerning future demand and supply for healthcare,
contingent staffing and other services, market adoption of our tech-enabled solutions, ability to gain market share or increase revenue