Quarterly Revenue Beat and Scale Execution
Consolidated revenue of $1.38 billion in Q1, above guidance and consensus (exceeded guidance by $122 million). Demonstrated ability to rapidly scale operations by supporting five labor disruption events (three large, two indefinite) and deploying thousands of clinicians.
Strong Profitability and Cash Generation
Adjusted EBITDA of $166 million (12.1% of revenue), above the high end of guidance; adjusted EBITDA margin improved +280 bps year-over-year and +480 bps sequentially. Net income of $62 million vs. a net loss of $1 million in the prior year quarter. Operating cash flow of $562 million and capex of $7 million.
Improved Balance Sheet and Leverage
Ended the quarter with $551 million in cash and equivalents, paid down the revolver and reduced leverage to 1.6x (credit-agreement basis). Total debt $750 million. Management expects leverage to remain at or below ~2x for the remainder of the year.
Nurse & Allied Segment Momentum (Excluding Event Revenue)
Nurse & Allied segment revenue was $1.13 billion (includes $722 million labor disruption). Excluding the $722 million of labor disruption revenue, the segment was $405 million, up 8% year-over-year and up 11% sequentially. Travel nurse revenue (ex-disruption) grew ~12% year-over-year; allied revenue up 3% year-over-year.
Gross Margin and Segment Margin Strength
Consolidated gross margin of 26.8%, above guidance. Nurse & Allied gross margin was 25.1%, up 240 bps year-over-year and 350 bps sequentially (benefitted from labor disruption and rapid response mix).
Technology Adoption and AI-Enabled Deployment
WorkWise and AI investments drove tangible outcomes: AI recruiter deployed more than 10,000 clinicians in Q1. AMN Passport users increased >30% year-over-year and monthly active users increased >50% year-over-year. New AI-driven WorkWise features rolled out to improve hiring speed and candidate matching.
International and Search Recoveries
International staffing returned to year-over-year growth (management cited ~17% quarter-over-quarter growth) and leadership search (physician permanent placement and executive searches) returned to year-over-year revenue growth.
Operational Improvements—DSO and Client Relationships
Reported DSO of 26 days; excluding working capital effects from the large labor disruption event, DSO was 54 days (4 days lower year-over-year, 2 days lower sequentially). Management highlighted strengthened client relationships from crisis support and renewed/expanded contracts with major locums clients.