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    AMN Healthcare Services Inc (AMN)

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    AMN Healthcare Services, Inc. is a leading provider of healthcare workforce solutions and staffing services in the United States. The company offers a wide range of technology-enabled talent solutions to healthcare organizations, helping them optimize their workforce, reduce complexity, and improve efficiency. AMN sells temporary and permanent staffing solutions, managed services programs, vendor management systems, and other workforce optimization technologies.

    1. Nurse and Allied Solutions - Provides temporary and permanent staffing solutions for nurses and allied healthcare professionals, including managed services programs and revenue cycle solutions.
    2. Physician and Leadership Solutions - Focuses on placing physicians, dentists, advanced practice providers, and healthcare leaders in temporary and permanent roles, including interim leadership placements and executive search services.
    3. Technology and Workforce Solutions - Offers technology-driven services such as vendor management systems, workforce consulting, predictive labor analytics, staff scheduling, and language interpretation services.
    NamePositionExternal RolesShort Bio

    Caroline S. Grace

    ExecutiveBoard

    President and Chief Executive Officer

    None

    Caroline S. Grace is the President and CEO of AMN Healthcare. She has been in this role since 2024 and leads the company’s strategic direction and operations.

    View Report →

    Brian Scott

    Executive

    Chief Financial Officer and Chief Operating Officer

    None

    Brian Scott rejoined AMN in 2024 as CFO/COO. He previously served as CFO/CAO at AMN from 2011 to 2021 and has extensive experience in financial strategy and operational leadership.

    Mark C. Hagan

    Executive

    Chief Information and Digital Officer

    Director at M&M Properties Colorado LLC; Director at Wonolo, Inc.

    Mark C. Hagan joined AMN in 2018 and oversees digital strategy, IT infrastructure, and customer support operations. He was promoted to Chief Information and Digital Officer in 2020.

    Whitney M. Laughlin

    Executive

    Chief Legal Officer and Corporate Secretary

    Executive Committee Member at SafeHaven of Tarrant County; Board Member at International Esperanza Project

    Whitney M. Laughlin joined AMN in 2006 and became Chief Legal Officer in 2023. She oversees legal, governance, ESG, and compliance functions.

    Daphne E. Jones

    Board

    Director

    Director at Masonite International Corp.; Director at Barnes Group Inc.; Founder of The Board Curators, LLC and Destiny Transformations Group, LLC

    Daphne E. Jones has been a director at AMN since 2018. She has extensive experience in digital technology, data management, and strategic growth.

    Jorge A. Caballero

    Board

    Director

    None

    Jorge A. Caballero has been a director at AMN since 2021. He serves on the Audit Committee and chairs the Corporate Governance and Compliance Committee, bringing expertise in accounting and risk management.

    Mark G. Foletta

    Board

    Chairman of the Board

    Lead Independent Director at DexCom, Inc.; Chair of Audit Committee at Enanta Pharmaceuticals

    Mark G. Foletta has been a director at AMN since 2012 and was appointed Chairman of the Board in February 2025. He has extensive financial and governance expertise.

    Sylvia Trent-Adams

    Board

    Director

    President of University of North Texas Health Science Center; Board Member at Institute for Healthcare Improvement and One Safe Place

    Sylvia Trent-Adams has been a director at AMN since 2020. She brings expertise in federal health programs and healthcare leadership.

    Teri G. Fontenot

    Board

    Director

    Director at Amerisafe, Inc.; Director at Orlando Health, Inc.; Director at Baton Rouge Water Company; Director at Dynamic Access Therapy

    Teri G. Fontenot has been a director at AMN since 2019. She is Chair of the Audit Committee and an Audit Committee Financial Expert, with over 30 years of healthcare and finance leadership experience.

    1. With Nurse and Allied revenue down 30% year-over-year and average bill rates declining, how do you plan to address the continued pressure on gross margins in this segment, and when do you anticipate stabilization or improvement in pricing and volumes?

    2. Given that Technology and Workforce Solutions revenue decreased by 11% year-over-year, primarily due to a 34% drop in VMS revenue, what steps are you taking to reverse the trend in VMS, and how confident are you in the growth prospects of this segment?

    3. The international nurse business has been significantly impacted by visa retrogression, with expectations of another $60 million year-over-year impact in 2025; what strategies do you have in place to mitigate this risk and accelerate growth in your international segment?

    4. You increased your maximum leverage covenant from 4x to 4.5x through the end of 2025, and your net leverage ratio stands at 2.8x; how does this higher leverage capacity align with your plans for debt repayment and returning to your target leverage ratio, especially in light of declining EBITDA?

    5. As you face intense competition across all service models and suppliers are increasingly not filling orders at uneconomic rates, how do you intend to navigate the competitive pricing environment to protect your margins while maintaining market share, particularly in the Travel Nurse Staffing market?

    Program DetailsProgram 1Program 2Program 3Program 4Program 5
    Approval DateNovember 1, 2016 November 10, 2021 February 17, 2022 June 15, 2022 February 16, 2023
    End Date/DurationNo expiration date No expiration date No expiration date No expiration date No expiration date
    Total Additional Amount$150.0 million $300.0 million $300.0 million $300.0 million $300.0 million
    Remaining Amount$0.0 million $0.0 million $0.0 million $0.0 million $226.7 million
    DetailsCan be discontinued or suspended at any time Can be discontinued or suspended at any time Can be discontinued or suspended at any time Can be discontinued or suspended at any time Can be discontinued or suspended at any time

    Note: The remaining authorization amount of $226.7 million as of September 30, 2024, is allocated entirely to the newest program (Program 5) since earlier programs are assumed to have been fully utilized.

    CustomerRelationshipSegmentDetails

    Kaiser Foundation Hospitals (and affiliates)

    Healthcare workforce solutions

    Nurse and Allied Solutions

    16% of consolidated revenue in 2024 and 23% of Nurse and Allied Solutions revenue in 2024.

    Notable M&A activity and strategic investments in the past 3 years.

    CompanyYearDetails

    Medical Search International (MSI) & Dr. Wanted Healthcare Staffing (DRW)

    2023

    AMN Healthcare Services, Inc. acquired MSI and DRW for $300 million in cash (announced on October 23, 2023) to enhance its locum tenens and advanced practice staffing capabilities, with expected modest EPS accretion and annual tax savings of about $2M over 15 years, financed by cash and borrowing on its revolving credit facility.

    Connetics Communications, LLC

    2022

    The acquisition, completed on May 13, 2022, involved an initial purchase price of $78,764,000 (including a contingent earn-out up to $12,500,000) to expand services in international nurse and allied health recruitment; the deal included significant allocations to tangible and intangible assets and goodwill, supporting its direct hire recruitment strategy.

    Recent developments and announcements about AMN.

    Earnings

    • New Earnings (Q4 2024)

      ·
      Feb 21, 2025, 10:17 AM

      AMN’s 2025 outlook: Schools bookings ahead of last year, Locum Tenens growth, and stable 22.5% Nurse/Allied gross margin. However, a $100M intl nurse staffing headwind (40% in 2025) looms. EBITDA margin ~8% in H1, with improvement expected in H2.

      View full earnings summary →