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Amn Healthcare Services Inc (AMN)
NYSE:AMN

AMN Healthcare Services (AMN) AI Stock Analysis

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AMN

AMN Healthcare Services

(NYSE:AMN)

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Neutral 52 (OpenAI - 5.2)
Rating:52Neutral
Price Target:
$17.50
▼(-14.22% Downside)
Action:ReiteratedDate:02/20/26
The score is anchored by resilient cash generation and improving leverage, which help offset the current profitability reset (losses and negative returns). Technicals remain weak with the stock below key moving averages and negative MACD, while valuation is constrained by negative earnings and no dividend support. The earnings call adds a modest lift due to detailed Q1 guidance and execution on debt reduction, but near-term margin and segment headwinds keep the outlook mixed.
Positive Factors
Cash Generation
Consistently strong operating and free cash flow provides durable liquidity and financial flexibility. High FCF growth supports continued debt paydown (management cut total debt by $285M in 2025), funds modest capex and AI investments, and cushions profit volatility without relying on external capital.
Operational Resilience / Strike Playbook
A proven event management system and dedicated strike model are durable operational advantages for a staffing firm. This capability preserves service levels, speeds supplier onboarding and wins short-term revenue in disruptions, and strengthens long-term client trust and contract renewals across volatile labor cycles.
Technology & AI Investments
Investing in ShiftWise Flex, VMS upgrades and AI across recruiting and credentialing can drive sustainable cost-to-serve reductions and higher placement throughput. Over time these tech investments can improve margins, competitive differentiation and client retention in a fragmented staffing market.
Negative Factors
Profitability Pressure
Negative net income and ROE show the business is not yet converting revenue into sustainable profits. Structural margin recovery is required versus prior years; until operating margins and ROE normalize, equity returns and reinvestment capacity remain constrained, limiting long-term shareholder value creation.
Segment Weakness & Margin Compression
Material declines and a near-1,000bps margin hit in Technology & Workforce Solutions reflect structural demand and mix headwinds. Prolonged weakness in higher-margin segments erodes consolidated margins and reduces the ability to leverage fixed costs, making sustained earnings recovery harder even if core staffing volumes stabilize.
Elevated Leverage and Limited Cash Cushion
Although leverage is improving, a 3.3x net debt ratio with a small cash balance limits strategic optionality. Persistent margin pressure or slower cash conversion could force deeper deleveraging trades, constrain investments in technology or M&A, and increase refinancing or covenant risk during cyclical downturns.

AMN Healthcare Services (AMN) vs. SPDR S&P 500 ETF (SPY)

AMN Healthcare Services Business Overview & Revenue Model

Company DescriptionAMN Healthcare Services, Inc. provides healthcare workforce solutions and staffing services to hospitals and healthcare facilities in the United States. It operates through three segments: Nurse and Allied Solutions, Physician and Leadership Solutions, and Technology and Workforce Solutions. The Nurse and Allied Solutions segment offers travel nurse staffing, rapid response nurse staffing and labor disruption, allied staffing, local staffing, and revenue cycle solutions. The Physician and Leadership Solutions segment provides locum tenens staffing, healthcare interim leadership staffing, executive search, and physician permanent placement solutions. The Technology and Workforce Solutions segment offers language services, vendor management systems, workforce optimization, telehealth, credentialing, and outsourced solutions. The company also provides allied health professionals, such as physical therapists, respiratory therapists, occupational therapists, medical and radiology technologists, lab technicians, speech pathologists, rehabilitation assistants, and pharmacists. It offers its services under the brands, including American Mobile, Nursefinders, NurseChoice, HealthSource Global Staffing, Onward Healthcare, O'Grady Peyton International, Med Travelers, Club Staffing, Staff Care, B.E. Smith, and Merritt Hawkins, as well as AMN Revenue Cycle Solutions and AMN Language Services. The company was founded in 1985 and is based in Dallas, Texas.
How the Company Makes MoneyAMN Healthcare generates revenue primarily through the provision of staffing services, which include placing nurses, physicians, and allied health professionals in temporary and permanent positions within healthcare facilities. The company operates on a fee-for-service model, charging clients a markup on the hourly rates paid to the healthcare professionals it places. Key revenue streams include travel nursing, where AMN contracts with healthcare facilities to provide nurses for short-term assignments, and locum tenens services, where it supplies temporary physicians to fill gaps in staffing. Additionally, AMN benefits from consulting services and technology solutions that help healthcare organizations manage their workforce more efficiently. Strategic partnerships with healthcare providers and technology firms enhance AMN's offerings, contributing to its revenue growth.

AMN Healthcare Services Earnings Call Summary

Earnings Call Date:Feb 19, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:Apr 30, 2026
Earnings Call Sentiment Neutral
The call reflected a mix of encouraging operational strengths and important near‑term headwinds. Positives include Q4 outperformance versus guidance, strong labor‑disruption revenue in Q4, demonstrated platform and strike playbook, meaningful debt reduction and healthy operating cash conversion. Management also highlighted AI and VMS investments, a recovering international pipeline and pockets of segment growth (Schools, search/interim). Offsetting these are material year‑over‑year declines in full‑year revenue and adjusted EBITDA, significant margin compression (notably in Q4 and in Technology & Workforce Solutions), continued weakness in certain end markets (Travel Nurse, VMS, Language Services) and incremental margin drag and SG&A from labor disruption. Overall, performance is mixed: the company has stabilized operational capabilities and balance sheet progress, but faces profit and margin recovery challenges in the near term.
Q4-2025 Updates
Positive Updates
Full-Year Revenue, Cash Flow and Debt Reduction
Reported 2025 revenue of $2.73 billion, operating cash flow for the year of $269 million, and reduced total debt by $285 million during 2025.
Q4 Outperformance vs Guidance
Fourth-quarter revenue of $748 million was 2% higher year‑over‑year and $18 million above the high end of guidance; gross margin and adjusted EBITDA margin came in at or slightly above the high ends of guidance ranges.
Labor Disruption Revenue Surge
Labor disruption revenue in Q4 was $124 million (nearly 2x year‑ago quarter). Management expects approximately $600 million of labor disruption revenue in Q1, which drives operating leverage despite reducing consolidated gross margin (Q4 impact ~130 bps; Q1 expected drag ~300 bps).
Nurse & Allied Momentum
Nurse & Allied Solutions revenue was $491 million in Q4, up 8% year‑over‑year and +36% sequentially. Travelers on assignment grew 6% sequentially. Excluding labor disruption, management expects Nurse & Allied revenue in Q1 to be up 2%–4% year‑over‑year and 4%–6% sequentially. Schools business grew 10% year‑over‑year.
Improving International and Search/Leadership Trends
Sequential growth returned in international nurse staffing; management expects Allied International and Search to return to year‑over‑year growth in Q1. Interim leadership and search outperformed guidance in Q4, and search is expected to be flat to up in Q1.
Technology & AI Investments and VMS Enhancements
Company rolled out ShiftWise Flex and enhanced VMS capabilities (advanced analytics, generative/Agentic AI, internal float support). Investing in AI across recruiting, applicant tracking and credentialing; pilots and Q1 client wins in Language Services pipeline indicate potential for future margin benefits.
Improving Working Capital Metrics
Days sales outstanding improved to 47 days in Q4 (8 days lower year‑over‑year and 10 days sequentially); Q4 operating cash flow was $76 million and capex remained modest ($8 million in Q4; $36 million for full year).
Demonstrated Operational Platform and Strike Playbook
Built and deployed an event management system and dedicated strike operating model that successfully handled two large, concurrent indefinite labor events while largely preserving core-business service levels and enabling rapid supplier onboarding.
Negative Updates
Full-Year Revenue and Profit Declines
Full-year 2025 revenue declined 8% year‑over‑year to ~$2.7 billion. Adjusted EBITDA was $234 million, down 31% year‑over‑year; full-year adjusted EBITDA margin fell 280 basis points to 8.6%.
Material Margin Compression in Q4
Q4 consolidated gross margin was 26.1%, down 370 basis points year‑over‑year and 300 basis points sequentially. Consolidated adjusted EBITDA of $54 million was down 27% year‑over‑year and adjusted EBITDA margin fell to 7.3% (down 290 bps yoy).
Technology & Workforce Solutions Weakness
Q4 Technology & Workforce Solutions revenue was $88 million, down 18% year‑over‑year (down 14% excluding the divested Smart Square). Language Services revenue was down 9% year‑over‑year and VMS revenue declined 28% year‑over‑year. Segment gross margin declined ~920 bps year‑over‑year due to mix and the Smart Square sale.
Underlying Nurse & Allied Softness Excluding Strike
Excluding labor disruption, Nurse & Allied revenue in Q4 was down 7% year‑over‑year (improved from -13% in Q3). Travel Nurse revenue declined 9% year‑over‑year, indicating underlying demand softness prior to disruption revenue.
Physician & Leadership Segment Pressure
Physician & Leadership revenue was $170 million in Q4, down 2% year‑over‑year and down 5% sequentially; locum tenens was flat year‑over‑year and down 7% sequentially. Management expects this segment to be down 5%–8% year‑over‑year in Q1.
Earnings and EPS Pressure
Q4 reported net loss of $8 million and GAAP loss per share of $0.20. Adjusted EPS was $0.22 in Q4 versus $0.75 in the prior year and $0.39 in the prior quarter. Full‑year GAAP loss per share was -$2.48 and adjusted EPS fell to $1.36 from $3.31.
Margin Drag and Incremental Costs from Labor Disruption
Labor disruption lowers consolidated gross margin (Q4 drag ~130 bps; Q1 ~300 bps expected) and added roughly $5 million of incremental Q4 costs and ~ $40 million of additional SG&A costs expected in Q1 to support events.
Leverage and Cash Position Still Elevated
As of Dec 31, cash and equivalents were $34 million against total debt of $775 million and net leverage of 3.3x LTM. Management expects to be below 3.0x in Q1, but leverage remains a near‑term consideration.
Company Guidance
AMN guided first-quarter consolidated revenue of $1.225–$1.24 billion, which assumes approximately $600 million of labor-disruption revenue from multiple strike events; consolidated gross margin is projected at 23.5%–24.0% (with labor disruption reducing margin by roughly 300 basis points), reported SG&A about 14.5%–15.0% of revenue (including roughly $40 million of incremental strike-related costs), operating margin 5.9%–6.5% and adjusted EBITDA margin 9.7%–10.2%. Excluding the ~$600 million of strike revenue, implied Q1 revenue is roughly $625–$640 million with gross margin nearer 26.8%–27.0% and underlying adjusted SG&A running roughly $130–$135 million. Segment-level Q1 expectations: Nurse & Allied revenue up >135% year‑over‑year (or +2%–4% ex‑strike and +4%–6% sequentially), Physician & Leadership down 5%–8% year‑over‑year (interim mid‑single‑digit down, search flat to up, locums mid‑single digits down), and Technology & Workforce Solutions down mid‑ to upper‑teens year‑over‑year (low‑teens ex‑Smart Square) with Language Services modestly lower sequentially; longer term, AMN targets sustainable organic revenue growth of 4%–6% annually (ex‑strike) with operating expenses growing at roughly half that rate and adjusted EBITDA growing 10%–15% per year.

AMN Healthcare Services Financial Statement Overview

Summary
Cash flow is a clear strength (strongly positive operating cash flow and free cash flow with growth), and leverage is improving as debt declines. However, profitability remains pressured with negative net income/EBIT and negative ROE, indicating an ongoing earnings reset despite the TTM revenue rebound.
Income Statement
34
Negative
TTM (Trailing-Twelve-Months) revenue rebounded (+49.7% growth), but profitability remains pressured with negative net income and negative EBIT. Margins have deteriorated sharply versus 2022–2023 (when the company generated solid positive operating and net margins), indicating a weaker earnings profile and higher volatility in recent periods.
Balance Sheet
50
Neutral
Leverage is still meaningful (debt higher than equity in TTM), but the debt-to-equity ratio improved versus 2023–2024 as total debt declined and assets stepped down. The key weakness is negative return on equity in TTM (and 2024), signaling that the capital base is not currently generating profits despite a still sizeable equity cushion.
Cash Flow
76
Positive
Cash generation is a relative strength: TTM operating cash flow and free cash flow are both strongly positive, with robust free cash flow growth versus the prior period. Free cash flow remains high despite reported net losses, supporting liquidity and financial flexibility; however, cash conversion has not consistently covered earnings swings across years, highlighting some volatility in the underlying operating environment.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue2.73B2.98B3.79B5.24B3.98B
Gross Profit626.19M919.38M1.25B1.72B1.31B
EBITDA101.13M71.11M499.36M784.21M581.70M
Net Income-95.70M-146.98M210.68M444.05M327.39M
Balance Sheet
Total Assets2.09B2.42B2.92B2.89B3.13B
Cash, Cash Equivalents and Short-Term Investments33.97M10.65M32.94M64.52M180.93M
Total Debt833.34M1.10B1.35B860.96M867.07M
Total Liabilities1.45B1.71B2.09B1.84B1.97B
Stockholders Equity642.11M706.62M831.26M1.04B1.16B
Cash Flow
Free Cash Flow269.46M239.53M266.78M572.81M251.69M
Operating Cash Flow269.46M320.42M372.17M653.73M305.36M
Investing Cash Flow4.30M-79.94M-412.49M-170.71M-107.40M
Financing Cash Flow-295.89M-259.45M10.73M-591.87M-34.90M

AMN Healthcare Services Technical Analysis

Technical Analysis Sentiment
Positive
Last Price20.40
Price Trends
50DMA
18.22
Positive
100DMA
18.13
Positive
200DMA
19.15
Positive
Market Momentum
MACD
0.29
Negative
RSI
57.00
Neutral
STOCH
62.23
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For AMN, the sentiment is Positive. The current price of 20.4 is above the 20-day moving average (MA) of 19.36, above the 50-day MA of 18.22, and above the 200-day MA of 19.15, indicating a bullish trend. The MACD of 0.29 indicates Negative momentum. The RSI at 57.00 is Neutral, neither overbought nor oversold. The STOCH value of 62.23 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for AMN.

AMN Healthcare Services Risk Analysis

AMN Healthcare Services disclosed 29 risk factors in its most recent earnings report. AMN Healthcare Services reported the most risks in the "Production" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

AMN Healthcare Services Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
73
Outperform
$1.56B27.2511.69%6.26%-19.33%
63
Neutral
$1.32B138.531.29%68.17%-85.42%
52
Neutral
$788.28M-8.18-35.90%-11.42%-617.31%
52
Neutral
$1.55B20.6415.48%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
48
Neutral
$289.27M-18.28-3.76%-22.14%-787.87%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
AMN
AMN Healthcare Services
20.40
-4.17
-16.97%
CCRN
Cross Country Healthcare
8.83
-8.25
-48.30%
HCSG
Healthcare Services
22.22
11.77
112.63%
ASTH
Astrana Health
26.32
-0.16
-0.60%
AVAH
Aveanna Healthcare Holdings
7.43
3.40
84.37%

AMN Healthcare Services Corporate Events

Business Operations and StrategyExecutive/Board ChangesShareholder Meetings
AMN Healthcare Services Announces Board Transition, Nominates New Director
Positive
Feb 5, 2026

On January 30, 2026, AMN Healthcare Services announced that longtime director R. Jeffrey Harris will retire from its Board of Directors at the company’s 2026 annual meeting of shareholders and will not stand for re-election, with the company emphasizing that his decision was not the result of any disagreement with management or the Board. In connection with this planned transition, the Board intends to nominate Eric Palmer, a veteran executive with more than 25 years of leadership experience in healthcare services, care management, benefits, and insurance—including senior roles at The Cigna Group and as President and CEO of Evernorth Health Services—signaling a move to deepen the Board’s expertise in large-scale healthcare operations and strategic transformation, which may influence AMN’s governance and strategic direction going forward.

The most recent analyst rating on (AMN) stock is a Hold with a $21.50 price target. To see the full list of analyst forecasts on AMN Healthcare Services stock, see the AMN Stock Forecast page.

Business Operations and StrategyRegulatory Filings and Compliance
AMN Healthcare Updates Bylaws for Governance Efficiency
Neutral
Dec 11, 2025

On December 11, 2025, AMN Healthcare Services‘ Board of Directors approved new by-laws to align with Delaware law, revise procedural mechanics for stockholder meetings, and update director nomination processes. These changes, effective immediately, aim to enhance governance and operational efficiency, impacting how stockholder meetings and director nominations are conducted.

The most recent analyst rating on (AMN) stock is a Hold with a $16.50 price target. To see the full list of analyst forecasts on AMN Healthcare Services stock, see the AMN Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 20, 2026