The company's financial leverage remains a concern, with a debt-to-equity ratio of 1.09 as of 2026Q1 and a significant goodwill balance of $755.8 million that remains subject to potential impairment risks.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 |
|---|
| Total Current Assets | 1.14B | 545.38M | 594.91M | 841.68M | 1.09B | 1.35B | 533.74M | 560.5M | 482.17M | 474.15M | 450.63M | 375.63M | 282.67M | 230.1M | 203.74M | 212.47M | 179.26M | 137.44M | 229.83M | 242.95M | 235.85M | 228.26M | 127.41M | 137.94M | 188.65M | 151.94M | 68.76M |
| Cash & Short-Term Investments | 560.74M | 33.97M | 10.65M | 32.94M | 64.52M | 180.93M | 29.21M | 82.98M | 13.86M | 15.15M | 10.62M | 9.58M | 13.07M | 15.58M | 5.68M | 3.96M | 1.88M | 27.05M | 11.32M | 18.5M | 4.42M | 19.11M | 3.91M | 4.69M | 40.13M | 31.97M | 546K |
| Cash Only | 560.74M | 33.97M | 10.65M | 32.94M | 64.52M | 180.93M | 29.21M | 82.98M | 13.86M | 15.15M | 10.62M | 9.58M | 13.07M | 15.58M | 5.68M | 3.96M | 1.88M | 27.05M | 11.32M | 18.5M | 4.42M | 19.11M | 3.91M | 4.69M | 40.13M | 15.65M | 546K |
| Short-Term Investments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 16.31M | 0 |
| Accounts Receivable | 442.17M | 439.11M | 519.98M | 746.54M | 953.25M | 1.03B | 450.08M | 431.38M | 416.81M | 407.41M | 391.57M | 332.49M | 218.22M | 168.83M | 161.31M | 172.52M | 148.31M | 93.4M | 186M | 184.74M | 192.72M | 163.24M | 108.83M | 117.39M | 134.46M | 110.22M | 63.4M |
| Days Sales Outstanding | 47.54 | 58.7 | 63.61 | 71.91 | 66.36 | 94.25 | 68.63 | 70.86 | 71.22 | 74.78 | 75.13 | 82.95 | 76.88 | 60.9 | 61.72 | 70.96 | 78.54 | 44.87 | 55.78 | 57.93 | 65.03 | 84.41 | 63.15 | 59.99 | 63.27 | 77.69 | 100.28 |
| Inventory | 0 | 0 | 0 | 0 | 0 | 0 | 38.85M | 0 | 39.54M | 57.91M | 34.46M | 25.52M | 46.73M | 41.39M | 25.41M | 32.34M | 27.14M | 15.08M | 27.61M | 37.67M | 36.73M | 44.07M | 12.91M | 14.03M | 11.9M | 7.81M | 0 |
| Days Inventory Outstanding | - | - | - | - | - | - | 8.85 | - | 10.02 | 15.73 | 9.81 | 9.37 | 23.69 | 21.14 | 13.57 | 18.5 | 19.9 | 9.91 | 11.19 | 15.97 | 16.92 | 30.03 | 9.72 | 9.27 | 7.4 | 7.34 | - |
| Other Current Assets | 107.77M | 72.3M | 41.77M | 40.32M | 57.16M | 66.83M | 1.96M | 34.46M | 39.09M | 35.09M | 34.25M | 20.04M | 41.03M | 29.23M | 29.47M | 30.3M | 22.1M | 10.44M | 22.99M | 30.13M | 28.27M | 33.15M | 2.97M | 1.83M | 2.17M | 1.94M | 4.81M |
| Total Non-Current Assets | 1.47B | 1.55B | 1.82B | 2.08B | 1.79B | 1.78B | 1.82B | 1.37B | 1.01B | 779.8M | 736.25M | 504.8M | 399.25M | 362.13M | 313.64M | 323.16M | 382.85M | 251.57M | 412.99M | 390.68M | 386.33M | 390.12M | 159.56M | 166.59M | 160.12M | 156.99M | 140.65M |
| Property, Plant & Equipment | 151.72M | 136.36M | 218.38M | 225.93M | 165.54M | 154.88M | 193.91M | 194.7M | 90.42M | 73.43M | 59.95M | 50.13M | 32.88M | 21.16M | 14.81M | 16.86M | 21.78M | 19.97M | 24.02M | 24.6M | 23.24M | 20.16M | 17.83M | 18.41M | 9.87M | 7.71M | 5.01M |
| Fixed Asset Turnover | 21.00x | 20.02x | 13.66x | 16.77x | 31.67x | 25.72x | 12.34x | 11.41x | 23.62x | 27.08x | 31.73x | 29.18x | 31.51x | 47.82x | 64.39x | 52.63x | 31.65x | 38.05x | 50.68x | 47.32x | 46.55x | 35.01x | 35.27x | 38.79x | 78.60x | 67.13x | 46.10x |
| Goodwill | 755.81M | 755.81M | 897.46M | 1.11B | 935.36M | 892.34M | 864.49M | 595.55M | 438.51M | 340.6M | 341.75M | 204.78M | 154.39M | 144.64M | 123.32M | 123.32M | 154.18M | 79.87M | 252.88M | 241.27M | 240.72M | 240.84M | 135.45M | 0 | 0 | 0 | 0 |
| Intangible Assets | 265.58M | 283.53M | 381.36M | 474.13M | 476.83M | 514.46M | 564.91M | 398.47M | 326.15M | 227.1M | 245.72M | 174.97M | 152.52M | 150.2M | 136.91M | 143.57M | 165.58M | 115.34M | 122.84M | 113.53M | 116.39M | 121.15M | 82K | 140.47M | 136.73M | 129.25M | 124.98M |
| Long-Term Investments | 91.42M | 45.61M | 0 | 0 | 0 | 0 | 0 | 0 | -27.33M | -27.04M | -21.42M | -22.43M | -27.33M | -24.94M | 1.61M | 0 | 0 | 22.02M | -18.09M | -28.08M | -26.27M | -31.3M | 0 | 0 | 0 | 0 | 0 |
| Other Non-Current Assets | 237.72M | 282.55M | 297.78M | 271.1M | 216.97M | 221.15M | 129.26M | 182.42M | 155.48M | 138.68M | 88.82M | 74.92M | 59.46M | 46.14M | 18.86M | 37.57M | 41.08M | 5.83M | 13.25M | 11.27M | 5.98M | 7.96M | 2.27M | 1.64M | 1.41M | 617K | 102K |
| Total Assets | 2.6B | 2.09B | 2.42B | 2.92B | 2.89B | 3.13B | 2.35B | 1.93B | 1.49B | 1.25B | 1.19B | 880.43M | 681.92M | 592.23M | 517.39M | 535.63M | 562.11M | 389M | 642.82M | 633.63M | 622.18M | 618.39M | 286.96M | 304.53M | 348.77M | 308.93M | 209.41M |
| Asset Turnover | 1.51x | 1.30x | 1.24x | 1.30x | 1.82x | 1.27x | 1.02x | 1.15x | 1.43x | 1.59x | 1.60x | 1.66x | 1.52x | 1.71x | 1.84x | 1.66x | 1.23x | 1.95x | 1.89x | 1.84x | 1.74x | 1.14x | 2.19x | 2.35x | 2.22x | 1.68x | 1.10x |
| Asset Growth % | -44.58% | -13.31% | -17.39% | 1.25% | -7.78% | 33.07% | 21.84% | 29.4% | 19.04% | 5.65% | 34.81% | 29.11% | 15.14% | 14.47% | -3.41% | -4.71% | 44.5% | -39.48% | 1.45% | 1.84% | 0.61% | 115.5% | -5.77% | -12.68% | 12.9% | 47.52% | - |
| Total Current Liabilities | 1.04B | 577.61M | 545.78M | 656.12M | 857.93M | 969.39M | 422.96M | 378.11M | 307.27M | 265.27M | 274.79M | 251.02M | 178.29M | 140.29M | 109.53M | 140.05M | 117.89M | 63.1M | 141.27M | 128.56M | 120.97M | 128.18M | 50.15M | 60.96M | 51.35M | 35.46M | 24.61M |
| Accounts Payable | 197.38M | 84.94M | 100.92M | 177.11M | 373.32M | 339.01M | 107.45M | 102.55M | 82.43M | 73.21M | 85.36M | 84.94M | 63.51M | 59.34M | 44.36M | 42.42M | 19.33M | 13.41M | 20.21M | 22.23M | 16.72M | 19.09M | 6.92M | 3.21M | 12.74M | 5.63M | 2.43M |
| Days Payables Outstanding | 17.45 | 15.85 | 17.84 | 25.45 | 38.64 | 46.26 | 24.48 | 25.31 | 20.9 | 19.88 | 24.29 | 31.2 | 32.2 | 30.31 | 23.69 | 24.27 | 14.17 | 8.81 | 8.2 | 9.43 | 7.7 | 13.01 | 5.21 | 2.12 | 7.92 | 5.29 | 5.2 |
| Short-Term Debt | 5.8M | 0 | 0 | 0 | 0 | 0 | 4.69M | 0 | 0 | 0 | 3.75M | 37.5M | 25.5M | 10M | 0 | 35.29M | 19.01M | 5.5M | 50.77M | 26.62M | 23.25M | 10.25M | 5.96M | 13.4M | 1.23M | 1.64M | 8.06M |
| Deferred Revenue (Current) | 119.78M | 0 | 66.36M | 20.01M | 33.29M | 157.05M | 11M | 11.79M | 12.37M | 8.38M | 8.92M | 5.62M | 3.18M | 2.41M | 2.83M | 2.15M | 7.19M | 5.08M | 7.18M | 7.65M | 6.4M | 7.61M | 40.91M | 41.87M | 34.49M | 23.96M | 11.02M |
| Other Current Liabilities | 518.55M | 486.66M | 237.53M | 223.39M | 251.95M | 250.48M | 167.37M | 149.71M | 88.79M | 62.26M | 68.76M | 25.68M | 25.81M | 16.23M | 15.8M | -9.59M | 14.52M | 10.4M | 18.23M | 28.62M | 28.46M | 59.02M | 7.3M | 2.49M | 2.9M | 4.23M | 3.11M |
| Current Ratio | 1.09x | 0.94x | 1.09x | 1.28x | 1.27x | 1.39x | 1.26x | 1.48x | 1.57x | 1.79x | 1.64x | 1.50x | 1.59x | 1.64x | 1.86x | 1.52x | 1.52x | 2.18x | 1.63x | 1.89x | 1.95x | 1.78x | 2.54x | 2.26x | 3.67x | 4.28x | 2.79x |
| Quick Ratio | 1.09x | 0.94x | 1.09x | 1.28x | 1.27x | 1.39x | 1.17x | 1.48x | 1.44x | 1.57x | 1.51x | 1.39x | 1.32x | 1.35x | 1.63x | 1.29x | 1.29x | 1.94x | 1.43x | 1.60x | 1.65x | 1.44x | 2.28x | 2.03x | 3.44x | 4.06x | 2.79x |
| Cash Conversion Cycle | 30.09 | - | - | - | - | - | 53 | - | 60.35 | 70.63 | 60.65 | 61.12 | 68.37 | 51.74 | 51.6 | 65.19 | 84.27 | 45.97 | 58.77 | 64.47 | 74.24 | 101.43 | 67.66 | 67.15 | 62.75 | 79.75 | - |
| Total Non-Current Liabilities | 847.38M | 874.39M | 1.16B | 1.44B | 986.78M | 1B | 1.11B | 816.8M | 546.46M | 426.16M | 462.71M | 281.56M | 247.04M | 234.2M | 225.75M | 259.92M | 290.76M | 155.06M | 217.41M | 228.94M | 256.67M | 297.01M | 100.03M | 127.48M | 1.6M | 1.56M | 117.73M |
| Long-Term Debt | 742.49M | 767.05M | 1.06B | 1.3B | 843.5M | 842.32M | 857.96M | 617.16M | 440.61M | 319.84M | 359.19M | 180.99M | 136.88M | 148.67M | 158.18M | 174.2M | 200.81M | 100.12M | 100.24M | 120.35M | 160.48M | 194.75M | 96.86M | 125.5M | 0 | 0 | 115.39M |
| Capital Lease Obligations | 123.79M | 30.14M | 35.73M | 37.6M | 9.36M | 13.36M | 77.8M | 91.21M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 709K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Tax Liabilities | 0 | 0 | 0 | 23.35M | 22.71M | 47.81M | 0 | 46.62M | 27.33M | 27.04M | 21.42M | 22.43M | 32.49M | 17.76M | 5.28M | 0 | 0 | 789K | 58.47M | 71.09M | 69.36M | 65.13M | 0 | 0 | 0 | 0 | 0 |
| Other Non-Current Liabilities | 76.26M | 77.19M | 71.72M | 71.38M | 111.21M | 96.99M | 107.91M | 61.81M | 77.66M | 106.31M | 103.52M | 78.13M | 77.67M | 67.76M | 62.29M | 85.72M | 89.95M | 54.15M | 50.12M | 37.5M | 26.82M | 37.13M | 3.17M | 1.98M | 1.6M | 1.56M | 2.34M |
| Total Liabilities | 1.89B | 1.45B | 1.71B | 2.09B | 1.84B | 1.97B | 1.53B | 1.19B | 853.73M | 691.43M | 737.5M | 532.57M | 425.33M | 374.49M | 335.27M | 399.97M | 408.65M | 218.16M | 358.68M | 357.5M | 377.63M | 425.19M | 150.18M | 188.44M | 52.95M | 37.02M | 142.34M |
| Total Debt | 776.92M | 803.2M | 1.1B | 1.35B | 860.96M | 867.07M | 955.48M | 722.31M | 440.61M | 319.84M | 362.94M | 218.49M | 162.38M | 158.91M | 158.18M | 208.84M | 219.15M | 105.62M | 18.57M | 146.97M | 183.73M | 205M | 101.72M | 138.9M | 1.23M | 1.64M | 123.44M |
| Net Debt | 216.18M | 769.23M | 1.09B | 1.32B | 796.43M | 686.14M | 926.27M | 639.33M | 426.75M | 304.7M | 352.32M | 208.91M | 149.3M | 143.33M | 152.5M | 204.88M | 217.27M | 78.57M | 7.26M | 128.47M | 179.31M | 185.89M | 97.81M | 134.21M | -38.91M | -14.01M | 122.9M |
| Debt / Equity | 1.09x | 1.25x | 1.55x | 1.62x | 0.82x | 0.75x | 1.17x | 0.98x | 0.69x | 0.57x | 0.81x | 0.63x | 0.63x | 0.73x | 0.87x | 1.54x | 1.43x | 0.62x | 0.07x | 0.53x | 0.75x | 1.06x | 0.74x | 1.20x | 0.00x | 0.01x | 1.84x |
| Debt / EBITDA | 6.13x | 4.23x | 15.44x | 2.70x | 1.10x | 1.49x | 3.92x | 3.07x | 1.81x | 1.31x | 1.64x | 1.46x | 1.94x | 2.01x | 2.34x | 3.87x | - | - | 0.22x | 1.75x | 2.19x | 3.87x | 2.41x | 2.02x | 0.01x | 0.07x | 22.24x |
| Net Debt / EBITDA | 1.70x | 4.05x | 15.29x | 2.64x | 1.02x | 1.18x | 3.80x | 2.72x | 1.75x | 1.25x | 1.59x | 1.39x | 1.78x | 1.81x | 2.26x | 3.80x | - | - | 0.08x | 1.53x | 2.14x | 3.51x | 2.32x | 1.95x | -0.43x | -0.58x | 22.14x |
| Interest Coverage | 1.23x | -1.22x | -1.47x | 6.25x | 16.02x | 14.03x | 2.59x | 6.22x | 12.56x | 10.80x | 12.39x | 16.54x | 7.01x | 6.78x | 1.67x | 1.59x | -2.21x | -12.85x | 6.73x | 5.81x | 4.40x | 4.76x | 4.31x | 27.77x | - | - | - |
| Total Equity | 712.81M | 642.11M | 706.62M | 831.26M | 1.04B | 1.16B | 819.68M | 736.74M | 638.99M | 562.53M | 449.38M | 347.86M | 256.58M | 217.74M | 182.11M | 135.66M | 153.46M | 170.84M | 284.13M | 276.13M | 244.55M | 193.2M | 136.78M | 116.1M | 295.82M | 271.9M | 67.07M |
| Equity Growth % | -67.8% | -9.13% | -14.99% | -20.35% | -10.19% | 41.77% | 11.26% | 15.3% | 13.59% | 25.18% | 29.18% | 35.58% | 17.84% | 19.57% | 34.24% | -11.6% | -10.18% | -39.87% | 2.9% | 12.91% | 26.58% | 41.25% | 17.81% | -60.75% | 8.8% | 305.4% | - |
| Book Value per Share | 18.22 | 16.67 | 18.50 | 21.13 | 23.26 | 24.19 | 17.19 | 15.48 | 13.13 | 11.38 | 9.12 | 7.12 | 5.34 | 4.56 | 3.90 | 2.95 | 4.40 | 5.24 | 8.40 | 7.92 | 7.09 | 6.02 | 4.36 | 2.92 | 6.32 | 8.87 | 2.98 |
| Total Shareholders' Equity | 712.81M | 642.11M | 706.62M | 831.26M | 1.04B | 1.16B | 819.68M | 736.74M | 638.99M | 562.53M | 449.38M | 347.86M | 256.58M | 217.74M | 182.11M | 135.66M | 153.46M | 170.84M | 284.13M | 276.13M | 244.55M | 193.2M | 136.78M | 116.1M | 295.82M | 271.9M | 67.07M |
| Common Stock | 513K | 511K | 507K | 504K | 501K | 498K | 496K | 493K | 488K | 484K | 481K | 477K | 466K | 460K | 457K | 405K | 392K | 458K | 457K | 454K | 452K | 437K | 432K | 430K | 430K | 423K | 288K |
| Retained Earnings | 1.27B | 1.21B | 1.3B | 1.45B | 1.24B | 796.95M | 469.56M | 400.05M | 286.06M | 142.23M | 9.67M | -96.17M | -178.06M | -211.28M | -242.19M | -259.33M | -233.07M | -16.71M | 105.47M | 81.04M | 45.04M | 47.78M | 33.16M | 15.81M | -21.98M | -74.34M | -69.95M |
| Treasury Stock | -1.13B | -1.13B | -1.13B | -1.13B | -698.6M | -121.83M | -119.14M | -119.14M | -100.44M | -33.42M | -13.26M | 0 | 0 | 0 | 0 | 0 | 0 | -230.14M | -230.14M | -201.69M | -183.18M | -210.53M | -249.54M | -249.43M | -35.16M | 0 | 0 |
| Accumulated OCI | 113K | 298K | -11K | -423K | -939K | -295K | 40K | 152K | 151K | -112K | 1K | -183K | -356K | -498K | -443K | -373K | -421K | -457K | -2.08M | -907K | 142K | -254K | 271K | -309K | -7.06M | -1.76M | -1.76M |
| Minority Interest | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
High leverage and goodwill
As reported in recent financial filings, AMN's total assets have declined from $2.9 billion in 2024Q1 to $2.6 billion in 2026Q1, reflecting a broader contraction in the company's capital base as it navigates the post-pandemic downturn in healthcare staffing demand and adjusts its operational footprint accordingly.
The reduction in total assets appears to be driven by both a decrease in goodwill and a general scaling back of operational resources. This trend suggests that the company is actively shedding the excess capacity built during the pandemic, which may be necessary but indicates a challenging transition period for the firm's long-term growth trajectory.
Based on the latest quarterly data, AMN maintains a debt-to-equity ratio of 1.09, which, while improved from the 1.62 peak in 2023Q4, continues to signal a reliance on external financing that may constrain financial flexibility during this period of negative net margins and revenue contraction.
The company's debt load remains significant relative to its equity base, leaving little room for error if operating cash flows remain volatile. Investors should monitor whether management prioritizes debt reduction over other capital allocation strategies to improve the company's resilience against further sector-specific headwinds.
According to historical balance sheet data, AMN's goodwill has decreased from $1.1 billion in 2024Q1 to $755.8 million in 2026Q1, suggesting that previous acquisition premiums are being written down as the company reconciles its historical growth strategy with the current, more difficult operating environment.
The substantial presence of goodwill on the balance sheet warrants close investigation, as further impairment charges could continue to depress reported equity and net income. This reliance on intangible assets highlights the risks inherent in the company's aggressive M&A-led growth model when market conditions shift unfavorably.
As evidenced by the 2026Q1 current ratio of 1.09, AMN's liquidity position remains tight, with cash reserves of $560.7 million providing only a narrow buffer against the company's significant short-term obligations and the ongoing volatility in working capital requirements observed in recent quarters.
The fluctuation in cash levels, which dropped as low as $10.6 million in 2024Q4, suggests that the company's liquidity is highly sensitive to the timing of hospital payments. This dependency on external collections creates a potential vulnerability if hospital clients continue to face their own financial pressures and delay payments.
Quick answers to the most common questions about buying AMN stock.
As of 2025, AMN Healthcare Services, Inc. (AMN) had total assets of $2.09B including $545.4M in current assets.
AMN Healthcare Services, Inc. (AMN) carries total debt of $803.2M, offset by $34.0M in cash and short-term investments. Comparing total debt to cash helps evaluate the company's debt burden and net leverage.
AMN Healthcare Services, Inc. (AMN) has total shareholders' equity (book value) of $642.1M ($16.67 book value per share). Book value represents the net worth of the company belonging to common stock holders.
AMN Healthcare Services, Inc. (AMN) reported a current ratio of 0.94x. A current ratio above 1.0x indicates that the company has more current assets than current liabilities, suggesting sufficient short-term liquidity.