AMN Healthcare Services, Inc. (AMN) Business Model Canvas

AMN Healthcare Services, Inc. (AMN): Business Model Canvas [Dec-2025 Updated]

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You're looking past the stock ticker to see the actual engine room of AMN Healthcare Services, Inc., and honestly, what you find is a sophisticated talent utility, not just a staffing agency. After years analyzing these blueprints, I can tell you their model hinges on technology-enabled workforce management, which helped them pull in $634.5 million in consolidated revenue in Q3 2025, while managing a $850 million debt load. We've distilled their entire operation-from their 1,100+ supplier partners to the 45% of 2024 revenue driven by MSPs-into this canvas so you can see precisely where their value is built and the key resources they deploy. Keep reading below for the full, precise operational map.

AMN Healthcare Services, Inc. (AMN) - Canvas Business Model: Key Partnerships

You're looking at the partners that make the AMN Healthcare Services machine run, the external relationships that fuel their talent pipeline and service delivery. This isn't just about vendors; it's about deep integration into the healthcare ecosystem.

The scale of their external network is significant, especially within the contingent workforce management space. AMN Healthcare Services relies heavily on its Supplier Partner Program (SPP) to source talent across various modalities, including nurses, allied health professionals, physicians, and non-clinical staff.

Here are the key partnership metrics and relationships we can confirm as of late 2025:

  • Over 1,100+ supplier partners are part of the Managed Services Program (MSP) and Vendor Management System (VMS) network, delivering responsive staffing solutions.
  • AMN Healthcare Services supports a massive client base, serving more than 2,100 healthcare systems in 2024, which included 87% of top healthcare systems nationwide.
  • Strategic alliances include formal contracts with purchasing organizations, such as the E&I Cooperative Services contract (Number: EI00265), active from 05/15/2023 - 05/14/2028, focusing on executive search and recruitment services for academic and medical life sciences positions.
  • AMN Healthcare Services maintains endorsements and partnerships with major industry associations, such as being an Endorsed Business Partner (EBP) of the Michigan Health & Hospital Association (MHA).
  • The company leverages global partners to support its 24/7 client service model, which is a key component of its international recruitment strategy for foreign-trained clinicians.

To give you a clearer picture of the scale of these relationships and the company's operational footprint, look at this snapshot of their scale and key relationships:

Partnership/Client Metric Data Point Context/Source Year
Managed Services Program Supplier Partners 1,100+ Current Network Size
Healthcare Systems Served More than 2,100 2024 Data
Top Tier Healthcare Systems Served 87% 2024 Data
E&I Cooperative Services Contract End Date 05/14/2028 Contract Term
Corporate Team Members (Employees) 2,968 As of December 31, 2024
Q3 2025 Revenue $634.5 million Reported Q3 2025

While the exact number of specific nursing school alliances or exclusive technology contracts isn't itemized in the latest filings, the relationship with organizations like the American Hospital Association (AHA) is evidenced by AMN Healthcare Services executives participating in AHA events and thought leadership discussions, showing engagement at the highest industry levels. The focus on technology partnerships is implied by their segment dedicated to Technology and Workforce Solutions, which requires ongoing service provider relationships for platform development and maintenance.

The reliance on thousands of external suppliers and major healthcare systems means that partner management is defintely a core operational function. Finance: draft 13-week cash view by Friday.

AMN Healthcare Services, Inc. (AMN) - Canvas Business Model: Key Activities

You're looking to map out the core engine of AMN Healthcare Services, Inc. as of late 2025. This is about the actual work they do to generate revenue, grounded in the latest figures we have.

Recruiting and placing temporary and permanent healthcare professionals is the foundational activity, spanning their Nurse and Allied Solutions and Physician and Leadership Solutions segments. This involves the constant sourcing, credentialing, and deployment of clinical staff.

Here's a snapshot of the scale of these placement activities based on Q3 2025 segment performance:

Activity Component Segment Revenue (Q3 2025) Year-over-Year Change (Q3 2025 vs Q3 2024)
Nurse and Allied Solutions Placement $361 million Down 9%
Physician and Leadership Solutions Placement $178 million Down 1%

The core placement activity feeds into larger managed programs. Operating Managed Services Programs (MSP) for clients represents a significant, stable portion of the business, managing contingent workforces for healthcare systems.

For the full year 2024, this activity accounted for approximately 45% of AMN Healthcare Services, Inc.'s consolidated revenues. This contrasts with the overall consolidated revenue for the trailing twelve months (TTM) as of late 2025, which stood at approximately $2.71 Billion USD.

The company also focuses heavily on internal capabilities. Developing and maintaining proprietary technology platforms is key to efficiency and market differentiation. A concrete example of monetizing and evolving this tech stack occurred in Q3 2025 when AMN Healthcare Services, Inc. completed the sale of its Smart Square scheduling and staff planning software, receiving $65 million in cash and a $10 million note. This platform sale impacted the Technology and Workforce Solutions segment, which had revenue of $102 million in Q2 2025.

The consulting aspect, providing consulting services for workforce optimization and planning, is embedded within the Technology and Workforce Solutions segment. Management's Q4 2025 guidance projected this segment's revenue to decline between 14% and 16% year-over-year.

Finally, a highly variable but important activity is Labor disruption staffing support. This activity saw significant revenue contribution in the recent quarters:

  • Q3 2025 Labor Disruption Revenue: $12 million.
  • Q2 2025 Labor Disruption Revenue: $16 million.
  • Q1 2025 Labor Disruption Revenue (Assumed in Guidance): $24 million.

Looking ahead, management projected this specific activity to contribute approximately $100 million in revenue for the fourth quarter of 2025. This contrasts with the Q4 2024 labor disruption revenue, which was $62 million.

Finance: draft 13-week cash view by Friday.

AMN Healthcare Services, Inc. (AMN) - Canvas Business Model: Key Resources

You're hiring before product-market fit, so you need to know what tangible and intangible assets AMN Healthcare Services, Inc. (AMN) relies on to keep delivering its total talent solutions. Here's a look at the core resources as of late 2025, grounded in the latest public figures.

Extensive network of healthcare professionals

The sheer scale of the talent pool is a primary moat for AMN Healthcare Services, Inc. This network is the engine for all their staffing segments. As of their latest disclosures, the company claims access to over 2,000,000+ Clinicians Nationwide. This massive reach allows them to address shortages across various specialties and geographies.

The proprietary mobile application, AMN Passport, is a key component in engaging this network, boasting more than 270,000 registered users as of January 2025.

Proprietary technology platforms

AMN Healthcare Services, Inc. integrates technology to streamline the complex process of matching talent to demand. These platforms are critical for efficiency and scale.

  • AMN Passport: A top clinician-rated mobile application.
  • ShiftWise Flex: The next-generation Vendor Management System (VMS) leveraging automation for talent matching and credentialing.
  • WorkWise: A solution designed to quantify staffing demand using predictive scheduling.

Specialized direct sales force

To secure the high-value, enterprise-level contracts, AMN Healthcare Services, Inc. deploys a dedicated sales team. This team is segmented by client type and service line to offer consultative selling.

The company employed a specialized direct sales team exceeding 1,200 representatives as of 2024. This force is crucial for securing the large Managed Service Provider (MSP) and VMS contracts.

Brand equity and market leadership in healthcare staffing

Market leadership translates directly into preferred vendor status with major health systems. This intangible asset reduces customer acquisition friction.

Recognition/Metric Data Point
Becker's Hospital Review Ranking Top 150 Places to Work in Healthcare (2024)
The Joint Commission Status Gold Seal of Approval for Staffing Companies (Since 2006)
SIA Ranking Consistently ranked among Largest Staffing Firms in America

Financial capital to manage high debt

Managing a large, flexible workforce requires significant working capital, often supported by debt financing. The ability to secure and service this debt is a key resource, especially in fluctuating demand environments.

AMN Healthcare Services, Inc. reported total debt at $850 million as of the third quarter of 2025. This figure was maintained following a debt refinancing transaction in October 2025.

Here's the quick math on the balance sheet as of September 30, 2025:

Financial Metric Amount (as of Q3 2025)
Total Debt $850 million
Cash and Equivalents $53 million
Net Debt Leverage Ratio 3.3:1

What this estimate hides is the cost of servicing that debt when interest rates are elevated, which pressures operating margins.

Finance: draft 13-week cash view by Friday.

AMN Healthcare Services, Inc. (AMN) - Canvas Business Model: Value Propositions

You're hiring before product-market fit, so you need proven solutions to fill immediate, critical roles while building long-term stability. AMN Healthcare Services, Inc. offers a suite of value propositions designed to address the immediate and structural needs of healthcare organizations.

Total talent solutions to bridge critical staffing gaps

AMN Healthcare Services, Inc. addresses immediate staffing needs through its core segments. For the third quarter of 2025, the Nurse and Allied Solutions segment generated revenue of $382 million. The Physician and Leadership Solutions segment reported revenue of $178 million in the third quarter of 2025. Labor disruption events contributed $12 million in revenue during the third quarter of 2025. For the fourth quarter of 2025, consolidated revenue is projected to be between $715 million and $730 million, which includes an estimated $100 million from labor disruption support.

The scale of the workforce available to bridge these gaps is substantial, based on year-end 2024 figures:

Professional Category Count as of December 31, 2024
Nurses, allied and other healthcare professionals 9,206
Executive and clinical leadership interim staff 257
Medically qualified interpreters 2,819

As of December 31, 2024, AMN Healthcare Services, Inc. had 2,968 corporate team members.

Technology-enabled workforce management for efficiency and cost control

Technology solutions are integrated to streamline processes. The WorkWise technology suite is designed to quantify staffing demand with predictive scheduling and automate workforce and vendor management. The company's Smart Square scheduling technology was recognized with the 2025 Best in KLAS Scheduling: Nurse & Staff award. One client success story noted a 19.5% reduction in average bill rates after implementing the WorkWise technology suite. The Technology and Workforce Solutions segment revenue for the third quarter of 2025 was $95 million, a decrease of 12% year over year. Vendor management systems revenue for the third quarter of 2025 was $17 million, down 32% year over year.

Access to a broad, pre-qualified network of nurses, physicians, and allied staff

The value proposition includes access to a deep pool of vetted talent across various specialties. The company competes in national, regional, and local markets for healthcare organization clients and healthcare professionals. The network supports several key revenue streams:

  • Travel nurse revenue fell 20% year over year in the third quarter of 2025.
  • Locum tenens revenue was $146 million in the third quarter of 2025, up 3% year over year.
  • Allied division revenue increased 1% year over year in the third quarter of 2025.

High retention rate for international nurses (approx. 90%)

The focus on professional development and support structures aims for high retention, particularly for specialized programs. Retention of new hires in a specific development program increased from 60% to more than 90% over a five-year period. International nurses typically work on two-year assignments.

Strategic consulting to optimize client workforce and elevate patient care

AMN Healthcare Services, Inc. provides workforce solutions that include Managed Service Provider (MSP) relationships. During 2024, approximately 45% of the company's consolidated revenues were generated through MSP relationships. The company was recognized in the HRO Today Baker's Dozen for 2024 for overall quality of services, breadth of services, and size of deals.

AMN Healthcare Services, Inc. (AMN) - Canvas Business Model: Customer Relationships

You're looking at how AMN Healthcare Services, Inc. builds and keeps its relationships with the health systems and clinicians it serves. It's a mix of old-school, deep relationship building and modern digital efficiency.

The move is clearly away from just filling a shift; the goal is to be the indispensable workforce strategist. This shift is underscored by their 2024 campaign, marking an evolution from a transactional vendor to a strategic ally. This strategy is backed by a direct sales force that, as of 2024, exceeded 1,200 representatives, segmented by client type to push these deeper relationships.

For the largest clients, the approach is high-touch, consultative selling aimed at securing enterprise-wide Managed Service Provider (MSP) contracts. These major deals are the bedrock; in 2024, MSP and Vendor Management System (VMS) contracts drove 68% of the $3.9 billion revenue associated with that channel. The relationship with the single largest client, Kaiser Foundation Hospitals, is significant, comprising approximately 16% of the total consolidated revenue for the fiscal year ended December 31, 2024.

Client retention metrics show this strategy is gaining traction; after losing more clients than they won in 2023, AMN Healthcare Services, Inc. achieved a net positive result with strategic clients in 2024. Furthermore, their MSP services received recognition in the Baker's Dozen by HRO Today in 2024 for overall quality, breadth of services, and deal size.

The structure of the client base and the professionals serving them in Q4 2024 gives you a sense of the scale of these relationships:

  • Nurses, allied and other healthcare professionals on average: 9,206.
  • Medically qualified interpreters on average: 2,819.
  • Executive and clinical leadership interim staff on average: 257.

To give you a clearer picture of the revenue derived from these various client solution areas in 2024, here is the segment breakdown based on the $2,983.8 million consolidated revenue:

Segment 2024 Revenue
Nurse and Allied Solutions $1.816 billion
Physician and Leadership Solutions $729 million
Technology and Workforce Solutions $107 million

For ongoing client management beyond the initial large contract, dedicated account teams are in place, which is a key component of maintaining the strategic partnership status. This contrasts with the high-volume, lower-touch end of the spectrum, which relies on digital engagement.

Digital self-service and engagement are powered by proprietary platforms like the AMN Passport mobile app. This digital channel is crucial for clinician acquisition; in Q1 2025, it generated over 40% of new clinician registrations and helped reduce customer acquisition costs by 18% year-over-year. This technology stack supports the entire talent continuum, from self-service to fully managed options.

Contractual relationships vary by service line, reflecting the different needs of the health systems. For international nurse staffing, AMN Healthcare Services, Inc. secures placements on long-term contracts typically ranging from 24 to 36 months. In contrast, the standard travel nurse assignment length is typically 13 weeks.

Finance: draft 13-week cash view by Friday.

AMN Healthcare Services, Inc. (AMN) - Canvas Business Model: Channels

You're looking at how AMN Healthcare Services, Inc. (AMN) gets its services in front of clients and clinicians in late 2025. It's a mix of high-touch sales and scalable digital tools. Here's the quick math on how they push their workforce solutions through various avenues.

Specialized direct sales force for major health systems

The direct sales team is key for landing those big, sticky enterprise deals. This force is segmented by client type and service line to offer consultative selling, which is how they secure those large Managed Services Programs (MSP) and Vendor Management System (VMS) contracts. As of 2024, this high-touch team exceeded 1,200 representatives. These contracts are significant; the deals secured by this team drove 68% of AMN Healthcare Services' $3.9 billion revenue in 2024. This channel directly feeds into the Technology and Workforce Solutions segment, which reported trailing twelve months (TTM) revenue as of September 30, 2025, of $405.70 million.

Proprietary digital platforms (AI-powered marketplace, AMN Passport)

The digital ecosystem is designed to handle high-volume, transactional business and support the direct sales efforts. The AMN Passport app, their top clinician-rated mobile application, recently surpassed 300,000 users as of the second quarter of 2025. This digital channel is a major source of new talent, generating over 40% of new clinician registrations. Furthermore, this digital focus helped reduce customer acquisition costs by 18% year-over-year in the first quarter of 2025. The overall company revenue TTM as of September 2025 stood at $2.72 Billion USD.

Vendor Management Systems (VMS) and Managed Services Programs (MSP)

These technology-enabled services are the backbone for managing contingent labor for many health systems. The VMS platform, including the next-generation ShiftWise Flex, automates talent matching and credentialing. Revenue specifically from Vendor Management Systems in the second quarter of 2025 was $19 million, though this represented a 31% decrease year-over-year. The broader Technology and Workforce Solutions segment, which includes these services, had TTM revenue of $405.70 million as of September 30, 2025. AMN Healthcare Services was recognized in the 2024 HRO Today Baker's Dozen ratings for MSPs for overall quality of services, breadth of services, and size of deals.

Online job boards and targeted digital recruitment campaigns

Digital recruitment campaigns work in tandem with the proprietary platforms to attract professionals. The effectiveness of this channel is evidenced by its contribution to new clinician acquisition. This approach is responsible for over 40% of new clinician registrations. The company supports this with targeted content, such as its 2025 Review of Physician and Advanced Practitioner Recruiting Incentives report.

Strategic Partnership Solutions (SPS) for in-house language services

Language services represent a distinct channel for specialized support. Revenue for language services in the second quarter of 2025 was $76 million, showing a modest 1% increase year-over-year. As of the TTM ending September 2025, the Technology and Workforce Solutions segment, which houses language services, contributed $405.70 million to total revenue. The company also leverages strategic alliances, such as with the American Hospital Association, to enhance channel reach and credibility.

You can see how the revenue flows across the main business segments, which are heavily influenced by these channels:

Segment (TTM Sep '25) Revenue (Millions USD)
Nurse and Allied Solutions Revenue 1,610.00
Physician and Leadership Solutions Revenue 699.95
Technology and Workforce Solutions Revenue 405.70
Revenue (Total) 2,720.00

The Nurse and Allied Solutions segment, which is the largest, accounted for approximately 59.2% of the TTM revenue as of September 2025. The Physician and Leadership Solutions segment accounted for about 25.7%.

The company's overall channel strategy relies on a mix of direct, high-value engagement and scalable technology. Finance: draft the Q4 2025 channel performance variance analysis by next Tuesday.

AMN Healthcare Services, Inc. (AMN) - Canvas Business Model: Customer Segments

You're looking at the core clients AMN Healthcare Services, Inc. serves, which is really about where the demand for flexible and permanent healthcare talent is coming from right now. As of late 2025, the customer base is diverse, but heavily concentrated in the largest healthcare providers needing immediate staffing solutions.

Large Acute-care hospitals and Academic Medical Centers

These institutions form the bedrock of AMN Healthcare Services, Inc.'s client base, particularly for high-volume, contingent staffing needs. Historically, acute-care hospitals have represented over half of the assignments for temporary and contract healthcare professionals. To give you a sense of scale, in 2024, AMN Healthcare professionals supported nearly 15 million patients across more than 2,100 healthcare systems, which included a significant 87% of the nation's top healthcare systems. This segment is the primary consumer of the Nurse & Allied Solutions offerings.

The financial reality for Q3 2025 shows the Nurse & Allied Solutions segment, which serves these hospitals, generated $361 million in revenue. That segment is the largest part of AMN Healthcare Services, Inc.'s business.

Healthcare professionals (travel nurses, locum tenens physicians, allied health)

While the professionals themselves are the supply side of the equation, the organizations hiring them are the customer segment. AMN Healthcare Services, Inc. segments its revenue based on the type of professional deployed. You can see the direct financial contribution of these client needs in the third quarter of 2025 results. Travel nurse staffing revenue, a major component, saw a year-over-year decline of 17% in Q3 2025, though forward guidance suggested a sequential volume growth rebound for Q4 2025.

Conversely, the allied division showed resilience, with revenue increasing 1% year-over-year for Q3 2025. Locum tenens physicians, part of the Physician & Leadership Solutions segment, brought in $146 million in revenue, marking a 3% year-over-year increase in that same quarter. It's clear that specialized physician staffing is holding up better than the broader travel nurse market right now.

Here's a quick look at the revenue breakdown by the major reporting segments for Q3 2025:

Segment Q3 2025 Revenue (Millions USD) Year-over-Year Change (Approximate)
Nurse & Allied Solutions $361 Down 9%
Physician & Leadership Solutions $178 Down 1%
Technology & Workforce Solutions $95 Down 12%
Total Reported Revenue $634.5 Down 7.7%

Health systems requiring enterprise-wide workforce management (MSP clients)

These are sophisticated health systems looking beyond single-assignment staffing to manage their entire contingent labor pool. AMN Healthcare Services, Inc. addresses this through its Vendor Management System (VMS) technology and Managed Service Provider (MSP) services. The company's VMS platform, ShiftWise Flex, is designed to increase efficiency in talent matching and credentialing for these clients. In Q3 2025, revenue specifically from Vendor Management Systems was $17 million, though this was down 32% year-over-year, reflecting broader market softness in that specific tech-enabled service line.

The focus here is on long-term integration, not just filling an immediate gap. You should note that AMN Healthcare Services, Inc. was recognized by HRO Today in its 2024 ratings for MSPs for overall quality of services, breadth of services and size of deals. That recognition speaks directly to the quality of service offered to these enterprise clients.

Healthcare executives and leaders (for permanent placement and consulting)

This segment targets executive-level hiring needs, which falls under the Physician & Leadership Solutions segment. This includes full-service, permanent physician search capabilities across many specialties. While the segment revenue was $178 million in Q3 2025, the specific sub-component for physician and leadership search businesses saw revenue decline by 7% year-over-year in that quarter. Interim leadership placements, another consulting-like service, saw a significant year-over-year revenue decline of 25% in Q3 2025.

The customer here is typically the Chief Medical Officer or the Board of Directors looking for long-term stability, not just a temporary fix. The financial data suggests these high-touch, permanent placement services faced more headwinds in Q3 2025 than locum tenens staffing.

School districts and other non-hospital healthcare settings

AMN Healthcare Services, Inc.'s broader client base extends beyond large acute-care hospitals to include government facilities, community health centers, various clinics, and physician practices. The company also provides language services, which cater to diverse settings needing translation support. Language services revenue for Q3 2025 was $75 million, which was flat compared to the prior year. While school districts are a known area for allied health staffing, specific, publicly reported financial figures attributing revenue directly to school districts as a distinct customer segment are not broken out in the latest disclosures. The available data lumps these into the broader Nurse & Allied Solutions or other service lines.

Key characteristics of these non-hospital clients include:

  • Need for specialized allied health professionals.
  • Demand for language services, which generated $75 million in Q3 2025.
  • Utilization of locum tenens for smaller or specialized facilities.
  • Focus on government facilities and occupational medical clinics for physician placements.

Finance: draft 13-week cash view by Friday.

AMN Healthcare Services, Inc. (AMN) - Canvas Business Model: Cost Structure

The Cost Structure for AMN Healthcare Services, Inc. centers heavily on the direct costs associated with deploying healthcare professionals, supplemented by significant operating and financing expenses. This structure reflects the variable nature of the staffing business against a backdrop of necessary corporate overhead and debt servicing.

Cost of Services (primary cost, mainly healthcare professional wages and benefits)

This represents the largest outflow, covering the compensation, travel, and benefits paid to the contingent workforce. Based on Q3 2025 revenue of $634.5 million and a reported Gross Profit of $184.4 million, the derived Cost of Services for the quarter was approximately $450.1 million.

The Nurse & Allied Solutions segment, the largest revenue contributor, saw its Travel Nurse revenue decline 20% year-over-year in Q3 2025, which would directly impact the magnitude of these direct labor costs compared to prior periods. Labor disruption events contributed $12 million in revenue in Q3 2025, which carries a different cost profile than standard staffing assignments.

Selling, General and Administrative (SG&A) expenses

The fixed and semi-fixed overhead required to run the business, including corporate salaries, marketing, and administrative functions, was reported at $138.6-$139 million in Q3 2025. This represented 21.8% of the quarter's revenue.

Technology development and maintenance costs

While specific technology development and maintenance spending isn't itemized separately, the scale of the Technology and Workforce Solutions segment provides context. This segment generated revenue of $94.8 million in Q3 2025. Furthermore, guidance for Q3 2025 included an estimated $2 million for depreciation in cost of revenue, which relates to technology assets.

Recruitment, credentialing, and compliance costs

These costs are embedded within SG&A and Cost of Services, reflecting the necessary investment to onboard and maintain a compliant pool of healthcare professionals. The company's focus on total talent solutions implies ongoing investment in systems supporting these functions.

Interest expense on high debt levels

Servicing the company's debt is a material cost component. As of Q3 2025, AMN Healthcare Services, Inc. reported total debt outstanding of $850 million, leading to a net leverage ratio of 3.3x. Guidance for Q3 2025 estimated interest expense to be $10.5 million.

Here's a quick look at the key financial metrics impacting the cost structure as of Q3 2025:

Metric Amount / Ratio (Q3 2025)
Revenue $634.5 million
Cost of Services (Derived) $450.1 million
SG&A Expenses $138.6-$139 million
Gross Margin 29.1%
Net Leverage Ratio 3.3x
Total Debt Outstanding $850 million
Estimated Interest Expense $10.5 million

You should note the following components that factor into the overall cost base:

  • Gross margin declined year-over-year to 29.1% in Q3 2025.
  • Cash and equivalents at quarter-end were $53 million.
  • Year-to-date revenue through September 30, 2025, was $1.98 billion.
  • The company completed a debt refinancing in October 2025.

AMN Healthcare Services, Inc. (AMN) - Canvas Business Model: Revenue Streams

You're looking at how AMN Healthcare Services, Inc. (AMN) brings in the cash flow as of late 2025. Honestly, the revenue picture is a bit of a mix, showing resilience in some areas while others are still working through market adjustments. The total consolidated revenue for the third quarter of 2025 landed at $634.5 million.

The business model relies on three core segments, with a significant, temporary boost coming from labor disruption support. For Q4 2025, management is projecting labor disruption support revenue to hit about $100 million, which is a big jump from the $12 million that came in during Q3 2025. This temporary revenue stream is key to near-term top-line strength, but it carries a lower gross margin, which you see reflected in the overall guidance.

Here's a look at the segment revenue breakdown from the third quarter of 2025. It gives you a clear view of where the core business stands right now:

Revenue Stream Segment Q3 2025 Revenue (Millions USD) Year-over-Year Change
Nurse and Allied Solutions $361 million Down 9.5%
Physician and Leadership Solutions $178 million Down 1.3%
Technology and Workforce Solutions $95 million Down 11.8%
Total Consolidated Revenue (Excluding Labor Disruption) Approximately $547.5 million (Calculated) Varies by Segment

The Nurse and Allied Solutions segment remains the largest piece of the pie. You have to look closely at the components here, though. Travel nurse staffing revenue was down 20% year-over-year, which is a significant headwind. Still, the Allied division showed some positive momentum, posting a 1% increase year-over-year.

For Physician and Leadership Solutions, the segment showed relative stability, with revenue at $178 million, marking only a 1.3% decline from the prior year. This is where you see the different service lines balancing each other out. The locum tenens business, for example, saw a 3% year-over-year rise in revenue. However, the interim leadership revenue was down by 20% year-over-year, and the physician and leadership search business saw a 7% decline.

The Technology and Workforce Solutions segment revenue was $95 million in Q3 2025, which was a sharper 12% drop year-over-year. This segment's revenue streams include:

  • Language services revenue at $75 million, which was flat compared to the prior year.
  • Vendor Management Systems (VMS) revenue at $17 million, which saw a steep 32% year-over-year decrease.
  • Consulting/other revenue is implicitly the remainder, though the search data points to the Smart Square software sale significantly impacting the sequential comparison, as that was a one-time event.

The decline in VMS revenue is notable, but the segment still posted the highest operating margin at 32.6% in Q3 2025, which is interesting given the revenue mix shift.


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