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AMN HEALTHCARE ANNOUNCES SECOND QUARTER 2024 RESULTS Quarterly revenue of $741 million; GAAP EPS of $0.42 and adjusted EPS of $0.98 DALLAS - AMN Healthcare Services, Inc. (NYSE: AMN), the leader and innovator in total ta

Key Takeaway: AMN Healthcare Inc. reported its second quarter 2024 results with a total revenue of $741 million, representing a 25% decrease from the previous year. While net income fell significantly to $16 million, the company noted improved performance in several areas, particularly in their VMS sales pipeline. Despite ongoing challenges, there are encouraging signs in the travel nurse market. The company provided a forecast for the third quarter, indicating further declines in revenue but growth in specific segments.

Market Sentiment Analysis

POSITIVE FACTORS

  • Improved fill rates for third-party, direct, and MSP orders.
  • Positive signs in the travel nurse market indicating potential growth.
  • Increased revenue in the Physician and Leadership Solutions segment.

CONCERNS & RISKS

  • Revenue decreased by 25% year-over-year.
  • Net income dropped by 73% compared to the same quarter last year.
  • Travel nurse staffing revenue fell by 42% year-over-year.

Full Press Release Details

AMN HEALTHCARE ANNOUNCES
SECOND QUARTER 2024 RESULTS
Quarterly revenue of $741 million;
GAAP EPS of $0.42 and adjusted EPS of $0.98
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 second
quarter 2024 financial results. Financial highlights are as follows:
Dollars in millions, except per share amounts.
Q2 2024 % Change Q2 2023 YTD June 30, 2024 % Change YTD June 30, 2023
Revenue $ 740.7 (25 %) $ 1,561.6 (26 %)
Gross profit $ 229.8 (30 %) $ 487.3 (30 %)
Net income $ 16.2 (73 %) $ 33.6 (77 %)
GAAP diluted EPS $ 0.42 (73 %) $ 0.88 (75 %)
Adjusted diluted EPS* $ 0.98 (59 %) $ 1.95 (60 %)
Adjusted EBITDA* $ 94.1 (42 %) $ 191.8 (44 %)
* 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
"In the second quarter,
we made important progress in strengthening AMN's position with clients in every part of the market for total talent solutions in healthcare,"
said Cary Grace, President and Chief Executive Officer of AMN Healthcare. "We have brought in impressive growth in our VMS sales
pipeline spearheaded by ShiftWise Flex and our fill rates for third-party, direct and MSP orders improved again this quarter. The diversification
of our solutions, with many higher-margin revenue sources beyond staffing, along with careful expense management, enabled us to generate
profit margins above our expectations."
Ms. Grace continued, "Our
largest clients continue to reduce their spend on contingent labor, though we see promising signs of improvement in the travel nurse market
and are heartened to see positive movement in the demand and supply factors that drive our long-term growth potential."
Second Quarter 2024 Results
Consolidated revenue for the quarter
was $741 million, a 25% decrease from prior year and a 10% decrease from the prior quarter. Net income was $16 million (2.2% of revenue),
or $0.42 per diluted share, compared with $61 million (6.1% of revenue), or $1.55 per diluted share, in the second quarter of 2023. Adjusted
diluted EPS in the second quarter was $0.98 compared with $2.38 in the same quarter a year ago.
Revenue for the Nurse and Allied
Solutions segment was $442 million, lower by 36% year over year and down 15% from the prior quarter. Travel nurse staffing revenue dropped
by 42% year over year and 17% sequentially. Allied division revenue declined 17% year over year and was 11% lower than the prior quarter.
The Physician and Leadership Solutions
segment reported revenue of $186 million, up 6% year over year and down 1% sequentially. Locum tenens revenue was $143 million, 17% higher
year over year, with growth coming from the MSDR acquisition, and 2% lower sequentially. Interim leadership revenue was down by 17% year
over year. Our physician and leadership search businesses saw revenue decline by 27% year over year and 1% quarter over quarter.
Technology and Workforce Solutions
segment revenue was $112 million, a decrease of 11% year over year and less than 1% sequentially. Language services revenue was $75 million
in the quarter, 18% higher than the prior year and up 5% sequentially. Vendor management systems revenue was $28 million, 41% lower year
over year and down 5% from the prior quarter.
Consolidated gross margin was
31.0%, 230 basis points lower year over year and down 40 basis points sequentially. Gross margin dropped year over year primarily because
of the growth of lower-margin locum tenens revenue and a lower nurse and allied staffing margin. That change was offset in part by a revenue
mix shift toward higher-margin segments.
Consolidated SG&A expenses
were $149 million, or 20.1% of revenue, compared with $202 million, or 20.4% of revenue, in the same quarter last year. SG&A was $175
million, or 21.3% 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 included lower bonus and incentive compensation,
reduced corporate headcount, a favorable adjustment to accrued professional liability insurance expense, seasonally lower payroll tax
expense, and prudent expense management.
Income from operations was $38
million with an operating margin of 5.1%, compared with $92 million and 9.2%, respectively, in the same quarter last year. Adjusted EBITDA
was $94 million, a year-over-year decrease of 42%. Adjusted EBITDA margin was 12.7%, 360 basis points lower than the year-ago period.
At June 30, 2024, cash and
cash equivalents totaled $48 million. Cash flow from operations was $100 million for the second quarter, and capital expenditures were
$27 million. The Company ended the quarter with total debt outstanding of $1.195 billion and a net leverage ratio of 2.6 to 1 as calculated
under the terms of our credit agreement.
Third Quarter 2024 Outlook
Metric Guidance*
Consolidated revenue $660 - $680 million
Gross margin 30.7% - 31.2%
SG&A as percentage of revenue 22.0% -22.5%
Operating margin 2.1% - 2.9%
Adjusted EBITDA margin 10.6% - 11.1%
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 third quarter of
2024 is expected to be 20-23% lower than the prior year and 8-10% lower sequentially. Nurse and Allied Solutions segment revenue is expected
to be down 32-34% year over year. Physician and Leadership Solutions segment revenue is expected to grow 12-14% year over year. Technology
and Workforce Solutions segment revenue is projected to be 10-12% lower year over year.
Third quarter estimates for certain
other financial items include depreciation of $20 million, depreciation in cost of revenue of $2 million, non-cash amortization expense
of $22 million, share-based compensation expense of $6 million, integration and other expenses of $6 million, interest expense of $15
million, an adjusted tax rate of 27%, and 38.3 million diluted average shares outstanding.
Conference Call on August 8, 2024
AMN Healthcare Services,
Inc. (NYSE: AMN) will host a conference call to discuss its second quarter 2024 financial results and third quarter 2024 outlook on Thursday,
August 8, 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 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. 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
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

Frequently Asked Questions

What was AMN Healthcare's Q2 2024 revenue?

$741 million, down 25% from Q2 2023.

How much did GAAP EPS decrease in Q2 2024?

GAAP EPS was $0.42, a decrease of 73% year over year.

What trends are observed in the Nurse and Allied Solutions segment?

Revenue decreased by 36% year over year, driven by a drop in travel nursing.

When will AMN Healthcare discuss its Q2 2024 results?

The conference call is scheduled for August 8, 2024, at 5:00 p.m. ET.

What led to the decrease in consolidated gross margin?

The decrease was mainly due to lower-margin revenue in locum tenens staffing.

Last updated: Aug 8, 2024