NYSE$AMN

AMN Healthcare Services Inc. · Q4 2022 earnings

Q4 2022 earnings · · Investor relations

Briefing

AMN Healthcare reported a decrease in revenue and net income compared to the previous year, but exceeded adjusted EBITDA margin guidance due to operating leverage.

AMN Healthcare announced its fourth quarter and full year 2022 financial results. The company's Q4 revenue was $1.126 billion, a 17% decrease over prior year. Net income was $82 million, or $1.88 per diluted share, compared with $116 million, 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.

  • Consolidated revenue for the quarter was $1.126 billion, a 17% decrease over prior year.
  • Net income was $82 million (7.3% of revenue), or $1.88 per diluted share.
  • 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.

Headline financials

Total Revenue

$1.13B

Previous: $1.36B-17.4%
EPS (adj)

$2.48

Previous: $2.95-15.9%
Capital Expenditures

$24.6M

Previous: $14.9M+65.5%
Free Cash Flow

$89M

Previous: $63.1M+41.0%
Net Income

$82M

Previous: $116M-29.4%
Operating Income

$119M

Previous: $169M-29.4%
Gross Profit

$375M

Previous: $434M-13.7%
Cash & Equivalents

$65M

Previous: $181M-64.1%
Total Assets

$3.36B

Previous: $3.13B+7.2%
Stock-Based Comp

$5.4M

Previous: $7.32M-26.3%

Revenue & EPS history

AMN Healthcare · Revenue · Quarterly

$1.13B

Q4 2022-17.4%vs Q4 2021
Beat estimate in 12 of 15 quarters(80%)
ActualEstimate

Revenue by segment

AMN Healthcare · $1.13B total across 3 segments · Q4 2022

  • Nurse & Allied Solutions
    $825M-23.7%
  • Physician & Leadership
    $168M+2.6%
  • Technology & Workforce
    $133M+13.3%

Forward guidance

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.

Tailwinds

  • Gross margin is expected to be higher by approximately 90 basis points year over year, driven by an improved Nurse and Allied margin
  • Gross margin is expected to be higher by approximately 90 basis points year over year, driven by a revenue mix shift toward our higher-margin businesses.
  • Nurse and Allied Solutions segment revenue is expected to be flat sequentially
  • Guidance assumes an immaterial amount of labor disruption revenue in the quarter.
  • Stock repurchase authorization.

Headwinds

  • 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 32-34% below prior year.
  • 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.
  • Normalizing trend in staffing demand and bill rates.

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 20 quarterly earnings reports · overlaid with Q4 2022

Historical avgQ4 2022

-0.0%

Avg return

Earnings day

-1.9%

Avg return

5 days after

-0.6%

Avg return

30 days after

52%

34 / 66 earnings

Positive

+29.2%

Q1 2026

Best reaction

-29.5%

Q3 2024

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q1 2026+29.2%+38.5%+41.5%
Q4 2025+11.4%+15.8%+4.2%
Q3 2025-3.4%-10.0%-11.8%
Q2 2025+2.3%+10.2%+23.2%
Q1 2025+8.2%+7.1%+3.8%
Q4 2024+6.7%+0.5%-6.8%
Q3 2024-29.5%-36.7%-36.2%
Q2 2024-3.1%-11.9%-24.0%
Q1 2024-9.3%+3.4%-10.1%
Q4 2023-20.9%-25.5%-24.7%
Q3 2023-12.2%-17.7%-9.5%
Q2 2023-16.4%-16.6%-18.6%
Q1 2023+7.7%+10.3%+18.0%
Q4 2022-4.0%-2.3%-13.4%
Q3 2022-7.5%-0.4%+1.7%
Q2 2022+1.8%-1.7%-12.7%
Q1 2022-8.2%-10.6%-1.3%
Q4 2021+8.8%+5.3%+10.4%
Q3 2021-8.2%-1.4%+3.7%
Q2 2021+5.4%+3.8%+15.4%
Q1 2021+7.6%+10.3%+11.0%
Q4 2020+4.1%-0.7%+1.4%
Q3 2020-5.8%-7.0%-1.9%
Q2 2020+4.8%-4.5%-1.7%
Q1 2020-9.3%-12.1%+13.0%
Q4 2019+9.6%+5.6%+4.0%
Q3 2019-0.5%+2.1%+0.8%
Q2 2019+7.7%+11.4%+15.5%
Q1 2019+1.9%-0.4%-6.0%
Q4 2018-12.5%-14.7%-26.7%
Q3 2018+13.3%+11.6%+23.9%
Q2 2018-15.2%-10.4%-5.4%
Q1 2018-21.9%-21.6%-14.6%
Q4 2017+4.8%+4.8%+10.9%
Q3 2017-3.6%-1.6%+16.3%
Q2 2017+1.1%+6.9%+4.4%
Q1 2017-6.8%-6.2%-9.0%
Q4 2016+4.0%+7.9%+10.3%
Q3 2016-1.6%-2.7%-7.8%
Q2 2016-11.9%-13.8%-13.5%
Q1 2016+1.0%
Q4 2015+1.8%
Q3 2015+5.9%
Q2 2015+0.1%
Q1 2015-1.4%
Q4 2014+2.0%
Q3 2014-1.7%
Q2 2014+5.7%
Q1 2014+3.8%
Q4 2013+1.4%
Q4 2012+13.4%
Q3 2013+13.4%
Q2 2013+6.1%
Q1 2013-1.3%
Q3 2012+4.0%
Q2 2012+5.5%
Q1 2011+19.4%
Q1 2012+6.1%
Q4 2011-2.0%
Q4 2009-2.0%
Q3 2011-3.7%
Q3 2010-3.7%
Q4 2010-1.4%
Q2 2010-1.4%
Q2 2011-1.4%
Q1 2010-0.1%

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