Full Press Release Details
ANNOUNCES FOURTH QUARTER AND FULL YEAR 2024 RESULTS
Quarterly revenue of $735 million;
GAAP loss of ($4.90)/share and adjusted EPS of
DALLAS - (February 20, 2025) - 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 2024 financial results. Financial highlights are as follows:
Dollars in millions, except per share amounts.
| Q4 2024 | % Change Q4 2023 | Full Year 2024 | % Change Full Year 2023 | |||||
| Revenue | $734.7 | (10%) | $2,983.8 | (21%) | ||||
| Gross profit | $219.0 | (16%) | $919.4 | (26%) | ||||
| Net income (loss) | ($187.5) | nm | ($147.0) | nm | ||||
| Diluted earnings (loss) per share | ($4.90) | nm | ($3.85) | nm | ||||
| Adjusted diluted EPS* | $0.75 | (43%) | $3.31 | (60%) | ||||
| Adjusted EBITDA* | $75.1 | (28%) | $340.8 | (41%) |
* 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.
2024 & Recent Highlights
"AMN recorded a solid fourth
quarter that outperformed our expectations, and we continue to see a more normalized operating environment compared with the past two
years," said Cary Grace, AMN President and Chief Executive Officer. "Our talented, motivated team continues to make progress
in supporting clients' total workforce needs and unlocking opportunities for growth. We are finding that our heightened emphasis
on technology-enabled solutions and delivering value is resonating with both healthcare organizations and healthcare professionals."
Fourth Quarter 2024 Results
Consolidated revenue for the quarter
was $735 million, a 10% decrease over prior year and 7% higher than prior quarter. We reported a net loss of ($188 million), or ($4.90)
per diluted share, with the loss resulting from a $222 million non-cash goodwill impairment. This compared with net income of $12 million,
or $0.33 per diluted share, in the same quarter last year. Adjusted diluted EPS was $0.75 compared with $1.32 in the year-ago quarter.
Revenue for the Nurse and Allied
Solutions segment was $455 million, lower by 15% year over year and up 14% sequentially. We recorded labor disruption revenue of $62 million.
Travel nurse revenue was down 35% year over year and 6% sequentially. Allied division revenue declined 9% year over year and increased
6% versus prior quarter.
The Physician and Leadership Solutions
segment reported revenue of $173 million, 3% higher year over year and down 4% sequentially. Locum tenens revenue increased 10% year over
year, due to the MSDR acquisition, and was down 4% sequentially. Interim leadership revenue was down 11% year over year and 9% sequentially.
Search revenue was lower by 32% year over year and up 2% quarter over quarter.
Technology and Workforce Solutions
segment revenue was $107 million reflecting a decrease of 5% year over year and 1% sequentially. Language services revenue was $76 million
in the quarter, up 12% year over year and 2% compared with the prior quarter. Vendor management systems revenue was $23 million, 26% lower
year over year and down 10% sequentially.
Consolidated gross margin was
29.8%, lower by 210 basis points year over year and lower by 120 basis points sequentially. The year-over-year decline in gross margin
was primarily driven by lower margin in all three segments. On a sequential basis, gross margin decreased due to lower Nurse and Allied
margin and an unfavorable segment mix shift.
SG&A expenses were $159 million
or 21.6% of revenue, compared with $185 million, or 22.7% of revenue, in the same quarter last year. SG&A was $150 million, or 21.8%
of revenue, in the previous quarter. The year-over-year decrease in SG&A costs was primarily due to cost-containment efforts given
lower revenue. The quarter-over-quarter increase was driven primarily by unfavorable accruals for a state sales tax audit and professional
liability, and higher labor disruption support costs, partially offset by cost-reduction efforts.
During the fourth quarter, we
recorded a non-cash goodwill impairment charge of $222 million related to our Nurse and Allied Solutions and Physician and Leadership
Solutions segments. The impairment assessment and related charge was primarily triggered by the decline in the Company's equity
market capitalization.
Loss from operations was ($203
million) compared with income from operations of $34 million in the same quarter last year. Adjusted EBITDA was $75 million, reflecting
a year-over-year decrease of 28%. Adjusted EBITDA margin was 10.2%, lower by 250 basis points year over year and a decrease of 50 basis
points sequentially.
Full Year 2024 Results
Full year 2024 consolidated revenue
was $2.984 billion, a 21% decrease from prior year. Full year net loss was ($147 million), or ($3.85) per diluted share, compared with
net income of $211 million, or $5.36 per diluted share, in the prior year. Adjusted diluted EPS was $3.31 compared with $8.21 in 2023.
Nurse and Allied Solutions segment
revenue was $1.816 billion, a year-over-year decrease of 31%. The Physician and Leadership Solutions segment recorded revenue of $729
million, 9% higher compared with the prior year driven by the MSDR acquisition. Technology and Workforce Solutions segment revenue was
$439 million, 11% lower year over year.
Full year consolidated gross margin
was 30.8% compared with 33.0% for the prior year. The drop in gross margin year over year is attributable to a lower gross margins in
all segments, partially offset by a favorable change in revenue mix.
Full year consolidated SG&A
expenses were $632 million, representing 21.2% of revenue as compared to $756 million, representing 20.0% of revenue, for the prior year.
The year-over-year decrease in SG&A expenses was primarily due to lower employee compensation and benefits.
Full year loss from operations
was ($103 million) compared with income from operations of $338 million in the prior year. Adjusted EBITDA was $341 million, a year-over-year
decrease of 41%. Adjusted EBITDA margin was 11.4%, 390 basis points lower year over year.
At December 31, 2024, cash
and cash equivalents totaled $11 million. Cash flow from operations was $73 million for the quarter and $320 million for the full year.
Capital expenditures were $16 million in the quarter and $81 million for the year. The Company ended the year with total debt outstanding
of $1.060 billion, including a revolving credit balance of $210 million, and a net leverage ratio of 3.0 to 1. The Company reduced its
revolver balance by $250 million in 2024.
First Quarter 2025 Outlook
| Metric | Guidance* | |
| Consolidated revenue | $660 - $680 million | |
| Gross margin | 28.1% - 28.6% | |
| SG&A as percentage of revenue | 22.2% - 22.7% | |
| Operating margin | (0.3%) - 0.4% | |
| Adjusted EBITDA margin | 7.7% - 8.2% |
*Note: 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"
Consolidated revenue in the first
quarter of 2025 is projected to be 17-20% lower than the year-ago period. Nurse and Allied Solutions segment revenue is expected to be
22-25% lower than prior year, and guidance assumes $24 million of labor disruption revenue. We expect Physician and Leadership Solutions
segment revenue in the first quarter to be 9-11% lower year over year. Technology and Workforce Solutions segment revenue is projected
to be down 8-10% year over year.
Other first quarter estimates
include depreciation expense of $19 million, depreciation in cost of services of $2 million, non-cash amortization expense of $20 million,
stock-based compensation expense of $9 million, interest expense of $12 million, integration and other expenses of $3 million, an adjusted
tax rate of 26%, and 38.4 million weighted average diluted shares.
Conference Call on February 20,
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 2024 financial results and first quarter 2025 outlook on Thursday, February 20, 2025, 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
at AMN Healthcare's investor relations website. Interested parties may participate live
via telephone by registering at this conference call link. Please follow the link and register
with a valid e-mail address. A PIN will be provided to you with dial-in instructions. If you lose track of these details, please re-register
at the conference call link above.
About AMN Healthcare
AMN Healthcare is the leader and
innovator in total talent solutions for healthcare organizations across the United States. 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,