AMN

We rate AMN HEALTHCARE SERVICES INC (AMN) as a Hold with a composite score of 60.2/100 at a current price of $20.41. The stock presents a mixed quantitative picture — neither compelling enough to warrant new accumulation nor weak enough to justify selling for existing holders. Our factors are split, and the overall profile suggests patience is warranted.

The rating is primarily driven by strength in value (89th percentile) and quality (57th percentile), which together account for the majority of the composite score. Offsetting weakness in investment (34th percentile) and stability (49th percentile) tempers our overall conviction. We assign a No Moat rating (25/100), High uncertainty, and Poor capital allocation.

Key items to watch: balance sheet deleveraging progress; the path to profitability. Any material change in these dynamics could warrant a reassessment of our rating. The moat trend is stable, which suggests the competitive landscape is stable for now.

AMN HEALTHCARE SERVICES INC holds a top-quartile position (#0 of 50) within the Services sector, based on our composite quantitative scoring across quality, value, momentum, and stability factors. The composite score of 60.2/100 places it at rank #678 in our full 7,333-stock universe. At $742M in market capitalization, AMN HEALTHCARE SERVICES INC is a small-cap player in the Services space, which limits certain scale advantages but may allow for more agile strategic execution.

Revenue contraction of -14% combined with momentum at the 57th percentile paints a cautious picture of the near-term business outlook. The market appears to be pricing in continued challenges, and a catalyst for reversal is not clearly visible from current data.

The margin cascade tells an important story: gross margins of 30% (-29.9pp vs sector) narrow to operating margins of -2% (-5.1pp vs sector) and net margins of -3.0%, yielding a gross-to-net conversion rate of -10%. The significant margin erosion from gross to net suggests elevated operating expenses, high interest costs, or other structural drags that warrant monitoring.

At a current price of $20.41, AMN HEALTHCARE SERVICES INC appears undervalued relative to its fundamentals. Our value factor score of 89/100 reflects a composite assessment across multiple valuation metrics including price-to-earnings, price-to-book, EV/EBITDA, and price-to-sales ratios relative to both sector peers and the broader market. The stock screens as attractively priced on a majority of these measures, suggesting the market may be underappreciating the underlying fundamentals.

The stock currently trades at a P/E of 6.3x (a 73% discount to the sector median of 23.7x), EV/EBITDA of 13.4x (near the sector median), P/B of 1.2x, P/S of 0.3x. The below-sector P/E suggests possible undervaluation or the market pricing in near-term headwinds.

We assign a High uncertainty rating to AMN HEALTHCARE SERVICES INC. Key risk factors include significant leverage (119% debt-to-equity), current negative profitability (net margin -3.0%), the combination of leverage (119% D/E) and thin margins (-3.0% net) amplifies downside risk. The wide range of potential outcomes widens our fair value estimate and increases the possibility of permanent capital impairment. Investors considering this name should size positions accordingly and demand a meaningful margin of safety before initiating.

Specific risk factors that inform our assessment include: significant leverage (119% debt-to-equity); current negative profitability (net margin -3.0%); the combination of leverage (119% D/E) and thin margins (-3.0% net) amplifies downside risk. Each of these factors independently widens the distribution of potential outcomes, and in combination they create a risk profile that demands careful position sizing. The stability factor at the 49th percentile and quality factor at the 57th percentile provide a quantitative summary of the overall risk landscape.

We identify limited risk mitigants at this time, which contributes to our high uncertainty assessment. Investors should monitor for improvement in balance sheet metrics, margin stability, and business predictability that could warrant a downgrade in our risk assessment over time.

We rate AMN HEALTHCARE SERVICES INC's capital allocation as Poor. Key concerns include low returns on equity (-12.6%), negative profitability, weak asset returns (ROA -3.9%). Exemplary capital allocators generate ROE above 20% and maintain conservative leverage — AMN HEALTHCARE SERVICES INC significantly underperforms these benchmarks, raising questions about management's ability to create shareholder value.

Investors should scrutinize management's reinvestment decisions and balance sheet trajectory before committing capital. Poor capital allocation often compounds over time: overlevered balance sheets limit strategic flexibility, while low returns on capital destroy shareholder value. We would need to see sustained improvement in profitability metrics and balance sheet discipline before considering an upgrade.

In summary, AMN HEALTHCARE SERVICES INC receives a Hold rating with a composite score of 60.2/100 (rank #678 of 7,333). Our quantitative framework assigns a No Moat (25/100, trend: stable), High uncertainty, and Poor capital allocation. The average factor score across quality, value, momentum, stability, and investment is 57/100.

Our analysis supports a neutral stance on AMN HEALTHCARE SERVICES INC. While the quantitative profile is not weak enough to warrant selling, it lacks the multi-factor strength required for a buy recommendation. Existing holders should maintain positions and monitor for catalysts — either fundamental improvement or valuation compression — that would shift the risk-reward balance.