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AMN HEALTHCARE ANNOUNCES FOURTH QUARTER AND FULL YEAR 2022 RESULTS Quarterly revenue of $1.13 billion, 4% above high end of guidance; GAAP EPS of $1.88 and adjusted EPS of $2.48 DALLAS - (

Key Takeaway: AMN Healthcare Services, Inc. reported its fourth quarter and full year 2022 financial results, highlighting a quarterly revenue of $1.13 billion, which was 4% above guidance. However, the fourth quarter saw a 17% decline in revenue year over year and a 30% drop in net income. The company achieved strong growth in full year revenue, climbing 32%, while adjusting diluted EPS significantly improved. Looking ahead, the first quarter of 2023 is projected to experience reduced revenue, indicating challenges in the near term.

Market Sentiment Analysis

POSITIVE FACTORS

  • Quarterly revenue of $1.13 billion surpassed guidance by 4%.
  • Full year 2022 revenue increased by 32% compared to the previous year.
  • Adjusted diluted EPS improved by 48% year over year.
  • Company secured a new revolving credit facility enhancing its liquidity.

CONCERNS & RISKS

  • Fourth quarter revenue decreased by 17% compared to the previous year.
  • Net income dropped by 30% in the fourth quarter compared to the same quarter last year.
  • Projected first quarter revenue is expected to be 27-29% lower than the previous year.
  • Labor disruption revenue reported only $10 million in the quarter.

Full Press Release Details

AMN HEALTHCARE ANNOUNCES FOURTH QUARTER AND
FULL YEAR 2022 RESULTS
Quarterly revenue of $1.13 billion, 4% above high end of guidance;
GAAP EPS of $1.88 and adjusted EPS of $2.48
DALLAS - (February 16, 2023) - AMN
Healthcare Services, Inc. (NYSE: AMN), the leader and innovator in total talent solutions for healthcare organizations across the United
States, today announced its fourth quarter and full year 2022 financial results. Financial highlights are as follows:
Dollars in millions, except per share amounts.
Q4 2022 % Change Q4 2021 Full Year 2022 % Change Full Year 2021
Revenue $ 1,125.5 (17 )% $ 5,243.2 32 %
Gross profit $ 375.3 (14 )% $ 1,716.7 31 %
Net income $ 81.8 (30 )% $ 444.1 36 %
Diluted EPS $ 1.88 (22 )% $ 9.90 45 %
Adjusted diluted EPS* $ 2.48 (16 )% $ 11.90 48 %
Adjusted EBITDA* $ 174.6 (22 )% $ 846.7 33 %
* 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
2022 & Recent Highlights
"I am profoundly grateful
for the work our highly skilled professionals and AMN team members did with the nation's vitally important healthcare organizations in
2022," said Cary Grace, AMN President and Chief Executive Officer. "This was a year of extraordinary demand, and our team responded
as never before to place more than 250,000 greatly needed healthcare professionals in temporary and permanent roles. Through the year,
we also dealt with rapid change, flexing from unprecedented demand to helping clients optimize their workforce to manage the cost of delivering
high-quality outcomes.
"I am excited to be leading
the AMN team with the opportunities we have in front of us," Ms. Grace added. "Our team is deeply committed to improving access
to services for patients and clients as well as providing attractive work opportunities for healthcare professionals. The healthcare sector
faces a future in which demand for care outpaces the supply of talent necessary to provide it. Clients are increasingly looking for broader
workforce solutions, and as the market leader we are well positioned to serve this need."
Fourth Quarter 2022 Results
Consolidated revenue for the quarter
was $1.126 billion, a 17% decrease over prior year and 1% lower than prior quarter. Net income was $82 million (7.3% of revenue), or $1.88
per diluted share, compared with $116 million (8.5% of revenue), or $2.42 per diluted share, in the same quarter last year. Adjusted diluted
EPS was $2.48 compared with $2.95 in the year-ago quarter.
Revenue for the Nurse and Allied Solutions segment was $825 million, flat
sequentially and lower by 24% year over year, comparing against a quarter that saw some of the highest labor shortages of the pandemic.
Travel Nurse revenue was down 24% year over year and was flat
sequentially. Allied revenue rose by 6% year over
year and was 3% higher sequentially. Labor disruption revenue in the quarter was $10 million.
The Physician and Leadership Solutions
segment reported revenue of $168 million, higher by 2% year over year and down 4% sequentially. Locum tenens revenue of $103 million grew
4% year over year and was down 2% versus the prior quarter. Interim leadership revenue was 4% higher year over year and down 5% sequentially.
Search revenue was lower by 10% year over year and 13% quarter over quarter.
Technology and Workforce Solutions
segment revenue was $133 million reflecting an increase of 14% year over year and lower by 1% sequentially. Language interpretation services
powered the segment's growth, with revenue of $58 million up 23% year over year and 5% compared with the prior quarter. VMS revenue of
$55 million grew by 5% year over year and was down 9% sequentially reflecting the normalizing trend in staffing demand and bill rates.
Consolidated gross margin was
33.3%, higher by 140 basis points year over year and lower by 50 basis points sequentially. The year-over-year improvement stemmed primarily
from a revenue mix shift toward higher-margin businesses.
SG&A expenses were $219
million or 19.5% of revenue, compared with $239 million, or 17.5% of revenue, in the same quarter last year. SG&A was $215
million, or 18.9% of revenue, in the previous quarter. Year over year, employee and office expenses were lower with less revenue and
a more normal operating environment. The quarter-over-quarter increase was driven primarily by higher allowances for credit losses.
Income from operations was $119
million, or 10.6% of revenue, compared with $169 million, or 12.4% of revenue, in the same quarter last year. Adjusted EBITDA was $175
million, with a year-over-year decrease of 22%. Adjusted EBITDA margin was 15.5%, lower by 80 basis points year over year and a decrease
of 50 basis points sequentially. Adjusted EBITDA margin exceeded guidance due to operating leverage on above-guidance revenue.
Full Year 2022 Results
Full year 2022 consolidated revenue
was $5.243 billion, a 32% increase from prior year. Full year net income was $444 million (8.5% of revenue), or $9.90 per diluted share,
compared with $327 million (8.2% of revenue), or $6.81 per diluted share, in the prior year. Adjusted diluted EPS was $11.90 compared
Nurse and Allied Solutions segment
revenue was $3.982 billion, a year-over-year increase of 33%. The Physician and Leadership Solutions segment recorded revenue of $698
million, 17% higher compared with the prior year. Technology and Workforce Solutions segment revenue was $563 million, 41% higher year
Full year consolidated gross margin
was 32.7% compared with 32.9% for the prior year. Growth of our Nurse and Allied Solutions segment and compensation increases for our
healthcare professionals were mostly offset by a revenue mix shift toward our high-margin Technology and Workforce Solutions segment.
Full year consolidated SG&A
expenses were $937 million, representing 17.9% of revenue as compared to $730 million, representing 18.3% of revenue, for the prior year.
The year-over-year increase in SG&A expenses was primarily due to increased employee expenses as we added resources to deal with growth.
Full year income from operations
was $647 million, or 12.3% of revenue, compared with $478 million, or 12.0% of revenue, in the prior year. Adjusted EBITDA was $847 million,
a year-over-year increase of 33%. Adjusted EBITDA margin was 16.1%, 20 basis points higher year over year.
At December 31, 2022, cash
and cash equivalents totaled $65 million. Cash flow from operations was $115 million for the quarter and $654 million for the full year,
including payment of $24 million in payroll taxes that had been deferred under the CARES Act. Capital expenditures were $25 million in
the quarter and $76 million for the year. The Company ended the year with total debt outstanding of $850 million and a net leverage ratio
On February 10, 2023, the Company
closed on a $750 million revolving credit facility, adding $350 million to its borrowing capacity. Pricing was converted to SOFR from
LIBOR with the same terms for drawn interest rate and undrawn capacity fees, with maturity extended by three years to February 2028. The
expanded credit facility also includes an increased accordion capacity to $700 million and other improved terms.
In the fourth quarter of 2022
and first quarter 2023 to date, the Company spent $274.8 million before broker fees to repurchase 2,393,046 shares of its stock. The Company's
Board of Directors approved an additional $500 million for its share repurchase authorization on February 7, 2023. As of that date, $551
million remained under the authorization.
First Quarter 2023 Outlook
Metric Guidance*
Consolidated revenue $1.100-1.130 Billion
Gross margin 32.6% - 33.1%
SG&A as percentage of revenue 18.3% - 18.8%
Operating margin 11.0% - 11.7%
Adjusted EBITDA margin 15.4% - 15.9%
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.
Consolidated revenue in the first
quarter of 2023 is projected to be 27-29% lower than the record-high revenue of the year-ago period. Nurse and Allied Solutions segment
revenue is expected to be flat sequentially and 32-34% below prior year. We expect Physician and Leadership Solutions segment revenue
in the first quarter to be down 10-12% year over year. Technology and Workforce Solutions segment revenue also is expected to be down
10-12% year over year. Guidance assumes an immaterial amount of labor disruption revenue in the quarter.
Gross margin is expected to be
higher by approximately 90 basis points year over year, driven by an improved Nurse and Allied margin and a revenue mix shift toward our
higher-margin businesses.
Other first quarter estimates
include depreciation expense of $14 million, non-cash amortization expense of $22 million, stock-based compensation expense of $9 million,
interest expense of $9 million, integration and other expenses of $3 million, an adjusted tax rate of 28%, and 42.0 million weighted average
Conference Call on February 16,
AMN Healthcare Services, Inc.
(NYSE: AMN), the leader and innovator in total talent solutions for healthcare, will host a conference call to discuss its fourth quarter
and full year 2022 financial results and first quarter 2023 outlook on Thursday, February 16, 2023, at 5:00 p.m. Eastern Time. A
live webcast of the call can be accessed through this webcast link, which also will be available

Frequently Asked Questions

What was AMN Healthcare's Q4 2022 revenue?

AMN Healthcare reported Q4 2022 revenue of $1.126 billion.

How did AMN Healthcare's net income change in 2022?

The net income for AMN Healthcare in 2022 was $444 million, up 36%.

What was the adjusted EPS for AMN Healthcare in 2022?

AMN's adjusted EPS for 2022 was $11.90, reflecting a 48% increase.

What segment saw a revenue decline in Q4 2022?

The Nurse and Allied Solutions segment revenue declined 24% year over year.

How much did AMN spend on share repurchases in Q4 2022?

In Q4 2022, AMN spent $274.8 million on share repurchases before broker fees.

Last updated: Feb 16, 2023