25 years of historical data (2000–2024) · Healthcare · Medical - Care Facilities
Percentile shows where the current value sits in 30-year historical distribution. Sparklines show 5-year trend.
Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow
AMN Healthcare Services, Inc. currently has a negative P/E ratio, indicating the company is operating at a loss on a trailing-twelve-month basis. On a free-cash-flow basis, the stock trades at 4.1x P/FCF, 66% below the 5-year average of 12.2x.
| Metric | TTM | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 | FY 2015 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Market Cap | $987M | $913M | $2.9B | $4.6B | $5.9B | $3.3B | $3.0B | $2.8B | $2.4B | $1.9B | $1.5B |
| Enterprise Value | $2.1B | $2.0B | $4.3B | $5.4B | $6.6B | $4.2B | $3.6B | $3.2B | $2.7B | $2.2B | $1.7B |
| P/E Ratio → | -5.06 | — | 13.97 | 10.39 | 17.96 | 46.11 | 25.96 | 19.47 | 18.38 | 17.88 | 18.48 |
| P/S Ratio | 0.33 | 0.31 | 0.78 | 0.88 | 1.48 | 1.36 | 1.33 | 1.29 | 1.22 | 1.00 | 1.04 |
| P/B Ratio | 1.05 | 1.29 | 3.54 | 4.42 | 5.06 | 3.97 | 4.03 | 4.32 | 4.33 | 4.22 | 4.36 |
| P/FCF | 4.12 | 3.81 | 11.04 | 8.05 | 23.35 | 14.95 | 15.74 | 14.47 | 27.44 | 17.24 | 50.48 |
| P/OCF | 3.08 | 2.85 | 7.92 | 7.06 | 19.25 | 12.67 | 13.19 | 12.15 | 21.12 | 14.37 | 26.58 |
P/E links to full P/E history page with 30-year chart
Enterprise-value multiples — capital-structure-neutral measures of total business value
AMN Healthcare Services, Inc.'s enterprise value stands at 29.2x EBITDA, 103% above its 5-year average of 14.4x. The Healthcare sector median is 13.8x, placing the stock at a 111% premium on an enterprise-value basis.
| Metric | TTM | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 | FY 2015 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| EV / Revenue | — | 0.67 | 1.13 | 1.03 | 1.65 | 1.75 | 1.62 | 1.49 | 1.38 | 1.18 | 1.18 |
| EV / EBITDA | 29.18 | 28.14 | 8.54 | 6.90 | 11.28 | 17.17 | 15.31 | 13.05 | 11.19 | 10.15 | 11.52 |
| EV / EBIT | — | — | 12.60 | 8.36 | 13.73 | 28.01 | 20.38 | 15.70 | 12.89 | 11.72 | 13.39 |
| EV / FCF | — | 8.35 | 15.98 | 9.44 | 26.08 | 19.20 | 19.13 | 16.71 | 30.87 | 20.44 | 57.43 |
Margins and return-on-capital ratios measuring operating efficiency
AMN Healthcare Services, Inc. earns an operating margin of -3.4%. Operating margins have compressed from 12.3% to -3.4% over the past 3 years, signaling potential cost pressures or competitive headwinds. A negative ROE of -19.1% indicates the company is currently destroying shareholder equity.
Full margin charts and quarterly trend are on the Earnings History page
| Metric | TTM | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 | FY 2015 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Gross Margin | 30.8% | 30.8% | 33.0% | 32.7% | 32.9% | 33.1% | 33.5% | 32.6% | 32.4% | 32.6% | 32.1% |
| Operating Margin | -3.4% | -3.4% | 8.9% | 12.3% | 12.0% | 6.2% | 8.0% | 9.5% | 10.7% | 10.1% | 8.8% |
| Net Profit Margin | -4.9% | -4.9% | 5.6% | 8.5% | 8.2% | 3.0% | 5.1% | 6.6% | 6.7% | 5.6% | 5.6% |
| Metric | TTM | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 | FY 2015 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ROE | -19.1% | -19.1% | 22.5% | 40.3% | 33.0% | 9.1% | 16.6% | 23.6% | 26.2% | 26.6% | 27.1% |
| ROA | -5.5% | -5.5% | 7.2% | 14.8% | 11.9% | 3.3% | 6.7% | 10.3% | 10.9% | 10.2% | 10.5% |
| ROIC | -3.9% | -3.9% | 12.7% | 26.3% | 19.9% | 7.2% | 10.9% | 15.7% | 19.1% | 21.2% | 20.1% |
| ROCE | -5.0% | -5.0% | 15.7% | 30.9% | 23.4% | 8.6% | 12.9% | 18.7% | 22.4% | 24.9% | 22.7% |
Solvency and debt-coverage ratios — lower is generally safer
AMN Healthcare Services, Inc. carries a Debt/EBITDA ratio of 15.4x, which is highly leveraged (396% above the sector average of 3.1x). Net debt stands at $1.1B ($1.1B total debt minus $11M cash).
| Metric | TTM | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 | FY 2015 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Debt / Equity | 1.55 | 1.55 | 1.62 | 0.82 | 0.75 | 1.17 | 0.98 | 0.69 | 0.57 | 0.81 | 0.63 |
| Debt / EBITDA | 15.44 | 15.44 | 2.70 | 1.10 | 1.49 | 3.92 | 3.07 | 1.81 | 1.31 | 1.64 | 1.46 |
| Net Debt / Equity | — | 1.54 | 1.58 | 0.76 | 0.59 | 1.13 | 0.87 | 0.67 | 0.54 | 0.78 | 0.60 |
| Net Debt / EBITDA | 15.29 | 15.29 | 2.64 | 1.02 | 1.18 | 3.80 | 2.72 | 1.75 | 1.25 | 1.59 | 1.39 |
| Debt / FCF | — | 4.54 | 4.94 | 1.39 | 2.73 | 4.25 | 3.39 | 2.24 | 3.43 | 3.21 | 6.95 |
| Interest Coverage | -1.47 | -1.47 | 6.25 | 16.02 | 14.03 | 2.59 | 6.22 | 12.56 | 10.80 | 12.39 | 16.54 |
Short-term solvency ratios and asset-utilisation metrics
A current ratio of 1.09x means AMN Healthcare Services, Inc. can comfortably meet its short-term obligations, though there is limited excess liquidity. The current ratio has declined from 1.27x to 1.09x over the past 3 years.
| Metric | TTM | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 | FY 2015 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Current Ratio | 1.09 | 1.09 | 1.28 | 1.27 | 1.39 | 1.26 | 1.48 | 1.57 | 1.79 | 1.64 | 1.50 |
| Quick Ratio | 1.09 | 1.09 | 1.28 | 1.27 | 1.39 | 1.17 | 1.48 | 1.44 | 1.57 | 1.51 | 1.39 |
| Cash Ratio | 0.02 | 0.02 | 0.05 | 0.08 | 0.19 | 0.07 | 0.22 | 0.05 | 0.06 | 0.04 | 0.04 |
| Asset Turnover | — | 1.24 | 1.30 | 1.82 | 1.27 | 1.02 | 1.15 | 1.43 | 1.59 | 1.60 | 1.66 |
| Inventory Turnover | 41.24 | — | — | — | — | 41.24 | — | 36.41 | 23.21 | 37.22 | 38.94 |
| Days Sales Outstanding | — | 63.61 | 71.91 | 66.36 | 94.25 | 68.63 | 70.86 | 71.22 | 74.78 | 75.13 | 82.95 |
Earnings, FCF, buyback, and dividend yields — total returns to shareholders
AMN Healthcare Services, Inc. does not currently pay a dividend and has no material buyback yield, reinvesting earnings back into the business.
Full dividend history and growth charts are on the Dividend History page
| Metric | TTM | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 | FY 2015 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Dividend Yield | — | — | — | — | — | — | — | — | — | — | — |
| Payout Ratio | — | — | — | — | — | — | — | — | — | — | — |
| Metric | TTM | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 | FY 2015 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Earnings Yield | — | — | 7.2% | 9.6% | 5.6% | 2.2% | 3.9% | 5.1% | 5.4% | 5.6% | 5.4% |
| FCF Yield | 24.3% | 26.2% | 9.1% | 12.4% | 4.3% | 6.7% | 6.4% | 6.9% | 3.6% | 5.8% | 2.0% |
| Buyback Yield | 0.0% | 0.0% | 14.4% | 12.5% | 0.0% | 0.2% | 0.6% | 2.4% | 0.8% | 0.7% | 0.8% |
| Total Shareholder Yield | 0.0% | 0.0% | 14.4% | 12.5% | 0.0% | 0.2% | 0.6% | 2.4% | 0.8% | 0.7% | 0.8% |
| Shares Outstanding | — | $38M | $39M | $45M | $48M | $48M | $48M | $49M | $49M | $49M | $49M |
Compare AMN with 6 similar companies in its peer group
| Company | Market Cap | P/E | EV/EBITDA | P/FCF | Gross Margin | Op Margin | ROE | ROIC | Debt/EBITDA |
|---|---|---|---|---|---|---|---|---|---|
| AMNYou | $987M | -5.1 | 29.2 | 4.1 | 30.8% | -3.4% | -19.1% | -3.9% | 15.4 |
| SOLV | $13B | 8.4 | 7.8 | — | 53.5% | 26.2% | 38.9% | 16.9% | 2.3 |
| HCSG | $2B | 26.9 | 24.0 | 12.0 | 13.0% | 2.6% | 10.6% | 7.7% | 0.3 |
| CCRN | $281M | -19.8 | 319.8 | 2.5 | 20.4% | -1.3% | -3.3% | -3.2% | 6.1 |
| CCEL | $27M | 67.4 | 10.0 | 7.5 | 75.2% | 10.9% | — | — | 3.3 |
| AMS | $14M | 6.4 | 7.7 | — | 32.4% | -9.9% | 7.8% | -5.8% | 6.9 |
| SYRA | $60000 | -0.2 | — | — | 20.7% | -47.2% | -109.1% | -294.7% | — |
| Healthcare Median | — | 23.7 | 13.8 | 18.8 | 65.8% | -6.3% | -37.3% | -15.0% | 3.1 |
Peers based on L4 peer group classification. Compare multiple stocks →
Includes 30+ ratios · 25 years · Updated daily
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Start ComparisonAMN Healthcare Services, Inc.'s current P/E ratio is -5.1x. The historical average is 35.9x.
AMN Healthcare Services, Inc.'s current EV/EBITDA is 29.2x. This enterprise value multiple compares the company's total value (equity + debt - cash) to its EBITDA. The historical average is 18.1x.
AMN Healthcare Services, Inc.'s return on equity (ROE) is -19.1%. The historical average is 9.6%.
Based on historical data, AMN Healthcare Services, Inc. is trading at a P/E of -5.1x. Compare with industry peers and growth rates for a complete picture.
AMN Healthcare Services, Inc. has 30.8% gross margin and -3.4% operating margin.
AMN Healthcare Services, Inc.'s Debt/EBITDA ratio is 15.4x, indicating high leverage. A ratio above 4x may signal elevated financial risk.