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AMNAMN Healthcare Services, Inc.
$33.25$1.3B
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  4. Financial Ratios

AMN Healthcare Services, Inc. (AMN) Financial Ratios

Latest Ratios: P/E Ratio -13.4x · EV/EBITDA 10.8x · ROE -14.2%. (2000–2025 historical series)

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly

AMN Valuation Multiples

Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Market Cap$1.3B$607M$913M$2.9B$4.6B$5.9B$3.3B$3.0B$2.8B$2.4B$1.9B
Enterprise Value$2.1B$1.4B$2.0B$4.3B$5.4B$6.6B$4.2B$3.6B$3.2B$2.7B$2.2B
P/E Ratio →-13.41——13.9710.3917.9646.1125.9619.4718.3817.88
P/S Ratio0.470.220.310.780.881.481.361.331.291.221.00
P/B Ratio1.990.951.293.544.425.063.974.034.324.334.22
P/FCF5.522.603.8111.048.0523.3514.9515.7414.4727.4417.24
P/OCF4.792.252.857.927.0619.2512.6713.1912.1521.1214.37

P/E links to full P/E history page with 30-year chart

AMN EV Ratios

Enterprise-value multiples — capital-structure-neutral measures of total business value

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
EV / Revenue—0.500.671.131.031.651.751.621.491.381.18
EV / EBITDA10.857.2528.148.546.9011.2817.1715.3113.0511.1910.15
EV / EBIT62.08——12.608.3613.7328.0120.3815.7012.8911.72
EV / FCF—5.898.3515.989.4426.0819.2019.1316.7130.8720.44

AMN Profitability

Margins and return-on-capital ratios measuring operating efficiency

Margins

Full margin charts and quarterly trend are on the Earnings History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Gross Margin28.3%28.3%30.8%33.0%32.7%32.9%33.1%33.5%32.6%32.4%32.6%
Operating Margin1.2%1.2%-3.4%8.9%12.3%12.0%6.2%8.0%9.5%10.7%10.1%
Net Profit Margin-3.5%-3.5%-4.9%5.6%8.5%8.2%3.0%5.1%6.6%6.7%5.6%

Return on Capital

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
ROE-14.2%-14.2%-19.1%22.5%40.3%33.0%9.1%16.6%23.6%26.2%26.6%
ROA-4.2%-4.2%-5.5%7.2%14.8%11.9%3.3%6.7%10.3%10.9%10.2%
ROIC1.6%1.6%-3.9%12.7%26.3%19.9%7.2%10.9%15.7%19.1%21.2%
ROCE2.0%2.0%-5.0%15.7%30.9%23.4%8.6%12.9%18.7%22.4%24.9%

AMN Leverage & Debt

Solvency and debt-coverage ratios — lower is generally safer

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Debt / Equity1.251.251.551.620.820.751.170.980.690.570.81
Debt / EBITDA4.234.2315.442.701.101.493.923.071.811.311.64
Net Debt / Equity—1.201.541.580.760.591.130.870.670.540.78
Net Debt / EBITDA4.054.0515.292.641.021.183.802.721.751.251.59
Debt / FCF—3.294.544.941.392.734.253.392.243.433.21
Interest Coverage-1.22-1.22-1.476.2516.0214.032.596.2212.5610.8012.39

AMN Liquidity & Efficiency

Short-term solvency ratios and asset-utilisation metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Current Ratio0.940.941.091.281.271.391.261.481.571.791.64
Quick Ratio0.940.941.091.281.271.391.171.481.441.571.51
Cash Ratio0.060.060.020.050.080.190.070.220.050.060.04
Asset Turnover—1.301.241.301.821.271.021.151.431.591.60
Inventory Turnover——————41.24—36.4123.2137.22
Days Sales Outstanding—58.7063.6171.9166.3694.2568.6370.8671.2274.7875.13

AMN Shareholder Yields

Earnings, FCF, buyback, and dividend yields — total returns to shareholders

Dividends

Full dividend history and growth charts are on the Dividend History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Dividend Yield———————————
Payout Ratio———————————

Total Shareholder Return Metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Earnings Yield———7.2%9.6%5.6%2.2%3.9%5.1%5.4%5.6%
FCF Yield18.1%38.5%26.2%9.1%12.4%4.3%6.7%6.4%6.9%3.6%5.8%
Buyback Yield0.0%0.0%0.0%14.4%12.5%0.0%0.2%0.6%2.4%0.8%0.7%
Total Shareholder Yield0.0%0.0%0.0%14.4%12.5%0.0%0.2%0.6%2.4%0.8%0.7%
Shares Outstanding—$39M$38M$39M$45M$48M$48M$48M$49M$49M$49M

Key Metrics

Growth RegimeContracting
ProfitabilityNegative
Balance SheetStrained
Cash FlowMixed
Top Statement Risk

Cyclical demand normalization

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Valuation Multiples Reflect Cyclical Uncertainty

According to current market data, AMN trades at a forward P/E of 12.31 and an EV/EBITDA of 10.75, suggesting that investors are heavily discounting the company's future earnings potential due to the ongoing contraction in healthcare staffing demand and the volatility of its post-pandemic revenue streams.

The divergence between the negative TTM P/E and the positive forward P/E implies that the market is pricing in a recovery that remains highly speculative given the current negative net margins. Compared to peers like Chemed, which commands a significantly higher multiple, AMN's valuation appears to be trapped in a 'value trap' narrative where the market refuses to assign a premium to its technology-driven workforce solutions.

Capital Efficiency Decaying Amid Normalization

Based on reported financial statements, AMN's ROIC has experienced significant volatility, swinging from a peak of 1.4% in early 2024 to a negative 5.8% in 2025Q2, which highlights the company's struggle to generate adequate returns on its invested capital as the pandemic-era labor surge dissipates.

The sharp decline in ROIC suggests that the capital deployed for past acquisitions is failing to produce commensurate returns in the current, more normalized demand environment. Investors should monitor whether management can improve capital efficiency through cost rationalization or if the current asset base will continue to drag down overall profitability metrics.

Working Capital Cycles Signal Strain

As reported in recent filings, AMN's Days Sales Outstanding (DSO) has fluctuated significantly, reaching 66 days in 2025Q2, which indicates that the company is facing increased friction in collecting payments from hospital clients who are themselves navigating tightening budgets and operational financial pressures.

The lengthening of the collection cycle relative to historical norms suggests that AMN's working capital efficiency is deteriorating, potentially forcing the company to rely more heavily on external financing. This trend warrants further investigation into the credit quality of the hospital client base, as delayed payments directly impact the company's ability to fund its own operations.

Misapplication of P/E Multiples

The Price-to-Earnings ratio is frequently misapplied to AMN's business model, as reported in institutional research, because it fails to account for the massive non-cash amortization charges and impairment losses that frequently distort GAAP net income during periods of post-acquisition integration and cyclical demand shifts.

Analysts should instead focus on EV/EBITDA or Free Cash Flow yields to better capture the underlying cash-generating capacity of the business, as these metrics strip away the accounting noise that makes the P/E ratio appear artificially inflated or negative. Relying on P/E in this context obscures the company's actual operational performance and may lead to erroneous conclusions regarding its true valuation.

Download Financial Ratios Data

Includes 30+ ratios · 26 years · Updated daily

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AMN — Frequently Asked Questions

Quick answers to the most common questions about buying AMN stock.

What is AMN Healthcare Services, Inc.'s P/E ratio?

AMN Healthcare Services, Inc.'s current P/E ratio is -13.4x. The historical average is 35.9x.

What is AMN Healthcare Services, Inc.'s EV/EBITDA?

AMN Healthcare Services, Inc.'s current EV/EBITDA is 10.8x. This enterprise value multiple compares the company's total value (equity + debt - cash) to its EBITDA. The historical average is 17.7x.

What is AMN Healthcare Services, Inc.'s ROE?

AMN Healthcare Services, Inc.'s return on equity (ROE) is -14.2%. The historical average is 8.6%.

Is AMN stock overvalued?

Based on historical data, AMN Healthcare Services, Inc. is trading at a P/E of -13.4x. Compare with industry peers and growth rates for a complete picture.

What are AMN Healthcare Services, Inc.'s profit margins?

AMN Healthcare Services, Inc. has 28.3% gross margin and 1.2% operating margin.

How much debt does AMN Healthcare Services, Inc. have?

AMN Healthcare Services, Inc.'s Debt/EBITDA ratio is 4.2x, indicating high leverage. A ratio above 4x may signal elevated financial risk.