AMN HEALTHCARE SERVICES INC
For the period ended Dec 31, 2025. Filed Feb 20, 2026.
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FY2025 · Filed Feb 20, 2026
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
December 31, 2025, 2024 and 2023
(in thousands, except per share amounts)
(1)Summary of Significant Accounting Policies
(a) General
AMN Healthcare Services, Inc. was incorporated in Delaware on November 10, 1997. AMN Healthcare Services, Inc. and its subsidiaries (collectively, the “Company”) provide healthcare workforce solutions and staffing services at acute and sub-acute care hospitals and other healthcare facilities throughout the United States.
(b) Principles of Consolidation
The accompanying consolidated financial statements include the accounts of AMN Healthcare Services, Inc. and its wholly-owned subsidiaries. All significant intercompany balances and transactions have been eliminated in consolidation.
(c) Use of Estimates
The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make a number of estimates and assumptions relating to the reporting of assets and liabilities and the disclosure of contingent assets and liabilities at the dates of the consolidated financial statements and the reported amounts of revenue and expenses during the reporting periods. On an ongoing basis, the Company evaluates its estimates, including those related to goodwill and indefinite-lived intangible assets, professional liability reserve, contingent liabilities such as legal accruals, and income taxes. The Company bases these estimates on the information that is currently available and on various other assumptions that it believes are reasonable under the circumstances. Actual results could differ from those estimates under different assumptions or conditions.
(d) Cost of Revenue
Cost of revenue represents costs directly associated with the earnings of revenue and are comprised primarily of compensation, benefits, housing, travel and allowance costs for healthcare professionals and medically qualified interpreters.
(e) Selling, General and Administrative Expenses
Selling, general and administrative expenses consist predominantly of compensation and benefits costs for corporate employees, in additional to professional service fees, legal matter accruals, and other overhead costs. Unallocated corporate overhead is a subset of selling, general and administrative expenses and is comprised of indirect costs related to certain corporate functions that are not allocated to the Company’s reportable segments.
(f) Cash and Cash Equivalents
The Company considers all highly liquid investments with an original maturity of three months or less to be cash equivalents. Cash and cash equivalents include currency on hand, deposits with financial institutions, money market funds, and other highly liquid investments. See Note (4), “Fair Value Measurement” for additional information.
(g) Restricted Cash, Cash Equivalents and Investments
Restricted cash, cash equivalents and investments primarily include cash, corporate bonds and commercial paper that serve as collateral for the Company’s captive insurance subsidiary claim payments. See Note (4), “Fair Value Measurement” for additional information.
The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the accompanying consolidated balance sheets and related notes to the amounts presented in the accompanying consolidated statements of cash flows.
| December 31, 2025 | December 31, 2024 | |
|---|---|---|
| Cash and cash equivalents | $33,972 | $10,649 |
| Restricted cash and cash equivalents (included in other current assets) | 21,628 | 14,984 |
| Restricted cash, cash equivalents and investments | 45,606 | 71,840 |
| Total cash, cash equivalents and restricted cash and investments | 101,206 | 97,473 |
| Less restricted investments | (34,035) | (8,168) |
| Total cash, cash equivalents and restricted cash | $67,171 | $89,305 |
The Company released $25,000 of restricted cash held at its captive insurance subsidiary in January 2025, which was used to repay a portion of the outstanding borrowings under the Senior Credit Facility (as defined in Note (2) below). As the restriction was in effect as of December 31, 2024 and the entire outstanding debt balance is classified as a noncurrent liability in the consolidated balance sheet, the noncurrent classification of the restricted cash was maintained as of December 31, 2024.
(h) Fixed Assets
The Company records furniture, equipment, leasehold improvements and capitalized software at cost less accumulated amortization and depreciation. The Company records equipment acquired under finance leases at the present value of the future minimum lease payments. The Company capitalizes major additions and improvements, and it expenses maintenance and repairs when incurred. The Company calculates depreciation on furniture, equipment and software using the straight-line method based on the estimated useful lives of the related assets (typically three toten years). The Company depreciates leasehold improvements and equipment obtained under finance leases over the shorter of the term of the lease or their estimated useful lives. The Company includes depreciation of equipment obtained under finance leases with depreciation expense in the accompanying consolidated financial statements.
The Company capitalizes costs it incurs to develop software during the application development stage. Application development stage costs generally include costs associated with software configuration, coding, installation and testing. The Company also capitalizes costs of significant upgrades and enhancements that result in additional functionality, whereas it expenses as incurred costs for maintenance and minor upgrades and enhancements. The Company amortizes capitalized costs using the straight-line method over three toten years once the software is ready for its intended use.
The Company assesses long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset group to the future undiscounted net cash flows that are expected to be generated by the asset group. If such asset group is considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the asset group exceeds the fair value of the asset group. The Company reports assets to be disposed of at the lower of the carrying amount or fair value less costs to sell.
(i) Leases
The Company recognizes operating lease right-of-use assets and liabilities at commencement date based on the present value of the future minimum lease payments over the lease term. Leases with an initial term of 12 months or less are not recorded on the balance sheet in accordance with the short-term lease recognition exemption. The Company applies the practical expedient to not separate lease and non-lease components for all leases that qualify. The rates implicit in the Company’s lease arrangements are generally not readily determinable and as such, the Company uses its incremental borrowing rate as the discount rate to measure its lease liabilities. The incremental borrowing rate is determined for each operating lease based on the Company’s borrowing capabilities over a similar term of the lease arrangement, which is estimated by utilizing the Company’s credit rating and the effects of full collateralization. Lease expense is recognized on a straight-line basis over the lease term.
Operating lease right-of-use assets are included in other assets, and operating lease liabilities are included in other current liabilities and other long-term liabilities in the consolidated balance sheets.
(j) Goodwill
The Company records as goodwill the portion of the purchase price that exceeds the fair value of net assets of entities acquired. The Company evaluates goodwill annually for impairment at the reporting unit level and whenever circumstances occur indicating that goodwill may be impaired. The Company may first perform an optional qualitative assessment to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount. If, after assessing the totality of events and circumstances, the Company determines that it is more likely than not that the fair value of the reporting unit is greater than its carrying amount, the quantitative impairment test is unnecessary. If a reporting unit does not pass the qualitative assessment, then the Company performs a quantitative test in which the reporting unit’s carrying amount is compared to its fair value. The amount by which the carrying amount of the goodwill exceeds its fair value is recognized as an impairment loss. See Note (4), “Fair Value Measurement” for additional information.
(k) Intangible Assets
Intangible assets consist of identifiable intangible assets acquired through acquisitions, which include tradenames and trademarks, customer relationships, staffing databases, developed technology and non-compete agreements. The Company amortizes intangible assets, other than those with an indefinite life, using the straight-line method over their useful lives. The Company amortizes non-compete agreements using the straight-line method over the lives of the related agreements. The Company reviews for impairment intangible assets with estimable useful lives whenever events or changes in circumstances indicate that the carrying amount may not be recoverable.
The Company does not amortize indefinite-lived intangible assets and instead reviews them for impairment annually. The Company may first perform a qualitative assessment to determine whether it is more likely than not that an indefinite-lived intangible asset is impaired. If, after assessing the totality of events and circumstances, the Company determines that it is more likely than not that the indefinite-lived intangible asset is not impaired, no quantitative fair value measurement is necessary. If a quantitative fair value measurement calculation is required for an indefinite-lived intangible asset, the Company compares its fair value with its carrying amount. If the carrying amount exceeds the fair value, the Company records the excess as an impairment loss.
(l) Insurance Reserves
The Company maintains an accrual for professional liability that is included in accounts payable and accrued expenses and other long-term liabilities in the consolidated balance sheets. The expense is included in the selling, general and administrative expenses in the consolidated statements of comprehensive income (loss). The Company determines the adequacy of this accrual by evaluating its historical experience and trends, loss reserves established by the Company’s insurance carriers, management and third-party administrators, and independent actuarial studies. The Company obtains actuarial studies on a semi-annual basis that use the Company’s actual claims data and industry data to assist the Company in determining the adequacy of its reserves each year. For periods between the actuarial studies, the Company records its accruals based on loss rates provided in the most recent actuarial study and management’s review of loss history and trends. Liabilities include provisions for estimated incurred but not yet reported (“IBNR”) losses, as well as provisions for known claims. IBNR reserve estimates involve the use of assumptions that are primarily based upon historical loss experience, industry data and other actuarial assumptions. The Company maintains insurance programs through its wholly-owned captive insurance subsidiary, which primarily provides coverage, on an occurrence basis, for professional liability within its nurse and allied solutions segment. In addition, the Company maintains excess insurance coverage through a commercial carrier for losses above the per occurrence retention. Losses covered by excess insurance are included in the accrual for professional liability, as the Company remains liable to the extent commercial carriers do not meet their obligations.
The Company maintains an accrual for workers’ compensation, which is included in accrued compensation and benefits and other long-term liabilities in the consolidated balance sheets. The expense relating to healthcare professionals is included in cost of revenue, while the expense relating to corporate employees is included in the selling, general and administrative expenses in the consolidated statements of comprehensive income (loss). The Company determines the adequacy of this accrual by evaluating its historical experience and trends, loss reserves established by the Company’s insurance carriers and third-party administrators, and independent actuarial studies. The Company obtains actuarial studies on a semi-annual basis that use the Company’s payroll and historical claims data, as well as industry data, to determine the appropriate reserve for both reported claims and IBNR claims for each policy year. For periods between the actuarial studies, the Company records its accruals based on loss rates provided in the most recent actuarial study.
(m) Revenue Recognition
Revenue primarily consists of fees earned from the temporary staffing and permanent placement of healthcare professionals, executives, and leaders (clinical and operational). The Company also generates revenue from technology-enabled services, including language interpretation and vendor management systems, and talent planning and acquisition services, including recruitment process outsourcing. The Company recognizes revenue when control of its services is transferred to its customers, in an amount that reflects the consideration the Company expects to be entitled to receive in exchange for those services. Revenue from temporary staffing services is recognized as the services are rendered by clinical and non-clinical healthcare professionals. Under the Company’s managed services program (“MSP”) arrangements, the Company manages all or a part of a customer’s supplemental workforce needs utilizing its own network of healthcare professionals along with those of third-party subcontractors. Revenue and the related direct costs are recorded in accordance with the accounting guidance on reporting revenue gross as a principal versus net as an agent. Revenue is recorded on a gross basis when the Company utilizes its own network of healthcare professionals (including nurses, allied healthcare professionals, locum tenens, and executive and leadership interim staff). Conversely, when the Company uses subcontractors under an MSP arrangement and acts as an agent, revenue is recorded net of the related subcontractor’s expense. Revenue from permanent placement and recruitment process outsourcing services is recognized as the services are rendered. Depending on the arrangement, the Company’s technology-enabled service revenue is recognized either as the services are rendered or ratably over the applicable arrangement’s service period. Revenue for the language services business is recorded on a gross basis. Under vendor management systems arrangements, revenue is recorded on a net basis as an agent because other companies are primarily responsible for providing the staffing services, for which the Company is entitled a percentage fee. See additional information below regarding the Company’s revenue disaggregated by service type.
The Company’s customers are primarily billed as services are rendered. Any fees billed in advance of being earned are recorded as deferred revenue. For labor disruption engagements, customer deposits received in advance of service delivery are recorded as contract liabilities within client deposits. Revenue is recognized over time as staffing and related services are provided during the strike or crisis event. Upon completion of the event, actual labor and costs are reconciled to amounts billed, resulting in either a refund to the customer from the remaining contract liability or an incremental invoice for any remaining amounts due.
The Company recognizes assets from incremental costs to obtain a contract with a customer and costs incurred to fulfill a contract with a customer, which are deferred and amortized using the portfolio approach on a straight line basis over the average period of benefit consistent with the timing of transfer of services to the customer.
The Company has elected to apply the following practical expedients and optional exemptions related to contract costs and revenue recognition:
Recognize incremental costs of obtaining a contract with amortization periods of one year or less as expense when incurred. These costs are recorded within selling, general and administrative expenses.
Recognize revenue in the amount of consideration that the Company has a right to invoice the customer if that amount corresponds directly with the value to the customer of the Company’s services completed to date.
Exemptions from disclosing the value of unsatisfied performance obligations for (i) contracts with an original expected length of one year or less, (ii) contracts for which revenue is recognized in the amount of consideration that the Company has a right to invoice for services performed and (iii) contracts for which variable consideration is allocated entirely to a wholly unsatisfied performance obligation or to a wholly unsatisfied promise to transfer a distinct service that forms part of a single performance obligation.
(n) Accounts Receivable
The Company records accounts receivable at the invoiced amount. Accounts receivable are non-interest bearing. The Company maintains an allowance for expected credit losses based on the Company’s historical write-off experience, an assessment of its customers’ financial conditions and available information that is relevant to assessing the collectability of cash flows.
The following table provides a reconciliation of activity in the allowance for expected credit losses for accounts receivable:
| 2025 | 2024 | |
|---|---|---|
| Balance as of January 1, | $32,421 | $32,233 |
| Provision for expected credit losses | 3,887 | 6,549 |
| Amounts written off charged against the allowance | (19,637) | (6,361) |
| Allowance for credit losses in sale of disposal group (1) | (91) | — |
| Balance as of December 31, | $16,580 | $32,421 |
(1) See Note (3), “Sale of Disposal Group” for additional information regarding the assets disposed of by sale.
The increase in write-offs reflects the resolution of accounts receivable from one significant customer and several smaller customers, all of which had previously been captured in the allowance for credit losses.
(o) Concentration of Credit Risk
The majority of the Company’s business activity is with hospitals located throughout the United States. Credit is extended based on the evaluation of each entity’s financial condition. One customer primarily within the Company’s nurse and allied solutions segment comprised approximately 22%,16% and 17% of the consolidated revenue of the Company for the years ended December 31, 2025, 2024 and 2023, respectively.
The Company’s cash and cash equivalents and restricted cash, cash equivalents and investments accounts are financial instruments that are exposed to concentration of credit risk. The Company maintains most of its cash, cash equivalents and investment balances (both unrestricted and restricted) with high-credit quality and federally insured institutions. However, cash equivalents and restricted cash equivalents and investment balances may be invested in non-federally insured money market funds, commercial paper and corporate bonds. As of December 31, 2025 and 2024, there were $101,206 and $97,473, respectively, of cash, cash equivalents and restricted cash, cash equivalents and investments, a portion of which was invested in non-federally insured commercial paper and corporate bonds. See Note (4), “Fair Value Measurement,” for additional information.
(p) Income Taxes
The Company records income taxes using the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in the period the changes are enacted. In assessing the realizability of deferred tax assets, the Company considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. The Company considers the scheduled reversal of deferred tax liabilities (including the impact of available carryback and carryforward periods), projected future taxable income, and tax-planning strategies in making this assessment. The Company recognizes the effect of income tax positions only if it is more likely than not that such positions will be sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. The Company records interest and penalties related to unrecognized tax benefits in income tax expense.
(q) Fair Value of Financial Instruments
The carrying amounts of the Company’s cash equivalents and restricted cash equivalents and investments approximate their respective fair values due to the short-term nature and liquidity of these financial instruments. The fair value of the Company’s equity investment is measured using observable prices for identical or similar investments of the same issuer when such transactions are identified, which is more fully described in Note (4), “Fair Value Measurement.” As it relates to the Company’s 2029 Notes and 2031 Notes (as defined in Note (9) and Note (4), respectively, below), fair value disclosure is detailed in Note (4), “Fair Value Measurement.” See Note (9) “Notes Payable and Credit Agreement,” for additional information. The fair value of the Company’s long-term self-insurance accruals cannot be estimated because the Company cannot reasonably determine the timing of future payments.
(r) Share-Based Compensation
The Company accounts for its share-based employee compensation plans by expensing the estimated fair value of share-based awards on a straight-line basis over the requisite employee service period, which typically is the vesting period, except for awards granted to retirement-eligible employees, which are expensed on an accelerated basis. Restricted stock units (“RSUs”) typically vest over athree-year period. Share-based compensation cost of RSUs is measured by the market value of the Company’s common stock on the date of grant, and the Company records share-based compensation expense only for those awards that are expected to vest. Performance restricted stock units (“PRSUs”) primarily consist of PRSUs that contain performance conditions dependent on defined targets of the Company’s adjusted EBITDA, with a range of 0% to 200% of the target amount granted to be issued under the award. Share-based compensation cost for these PRSUs is measured by the market value of the Company’s common stock on the date of grant, and the amount recognized is adjusted for estimated achievement of the performance conditions. A limited amount of PRSUs contain a market condition dependent upon the Company’s relative and absolute total stockholder return over athree-year period, typically with a range of 0% to 175% (and certain awards with a range of 0% to 200%) of the target amount granted to be issued under the award. Share-based compensation cost for these PRSUs is measured using the Monte-Carlo simulation valuation model and is not typically adjusted for the achievement, or lack thereof, of the market conditions. Share-based compensation cost for purchase rights granted under the Company’s employee stock purchase plan is measured using the Black-Scholes model and the related employee contributions are included in accrued compensation and benefits in the consolidated balance sheets. See Note (12), “Share-Based Compensation,” for additional information.
(s) Net Income (Loss) per Common Share
The following table sets forth the computation of basic and diluted net income (loss) per common share for the years ended December 31, 2025, 2024 and 2023, respectively:
| Years Ended December 31, | |||
|---|---|---|---|
| 2025 | 2024 | 2023 | |
| Net income (loss) | $(95,702) | $(146,979) | $210,679 |
| Net income (loss) per common share - basic | $(2.48) | $(3.85) | $5.38 |
| Net income (loss) per common share - diluted | $(2.48) | $(3.85) | $5.36 |
| Weighted average common shares outstanding - basic | 38,521 | 38,188 | 39,173 |
| Plus dilutive effect of potential common shares | — | — | 168 |
| Weighted average common shares outstanding - diluted | 38,521 | 38,188 | 39,341 |
| Anti-dilutive potential common shares excluded from diluted weighted average common shares outstanding | 88 | 85 | 88 |
The dilutive effect of potential shares and anti-dilutive potential common shares primarily include outstanding share-based awards, which consists of restricted stock units, performance restricted stock units, and obligations under the Company’s employee stock purchase plan.
(t) Segment Information
The Company’s operating segments are identified in the same manner as they are reported internally and used by the Company’s chief operating decision maker (“CODM”) for the purpose of evaluating performance and allocating resources. The Company’s Chief Executive Officer and its Chief Financial Officer and Chief Operating Officer serve as the Company’s CODM. The Company hasthree reportable segments: (1) nurse and allied solutions, (2) physician and leadership solutions, and (3) technology and workforce solutions. The nurse and allied solutions segment includes the Company’s travel nurse staffing (including international nurse staffing and rapid response nurse staffing), labor disruption staffing, local staffing, international nurse permanent placement, and allied staffing (including revenue cycle solutions) businesses. The physician and leadership solutions segment includes the Company’s locum tenens staffing, healthcare interim leadership staffing, executive search, and physician permanent placement businesses. The technology and workforce solutions segment includes the Company’s language services, vendor management systems (“VMS”), workforce optimization, and outsourced solutions businesses.
The Company’s CODM relies on internal management reporting processes that provide revenue, gross profit and operating income by reportable segment. These financial measures are used by the CODM to evaluate segment performance, monitor variances between periods and against projections, make key operating decisions, and allocate resources such as capital and personnel to each segment. The CODM does not evaluate or measure performance of segments using asset information; accordingly, asset information by segment is not prepared or disclosed.
Beginning this year, the Company revised its corporate resource allocation methodology to better match actual consumption by reportable segments, which affects the measurement of segment operating income used by the CODM. Based on management’s estimates, the change did not have a material impact on segment operating income.
The following tables provide reconciliations of revenue, gross profit and operating income by reportable segment to consolidated results and were derived from each segment’s internal financial information as used for corporate management purposes. Segment operating income represents income (loss) before income taxes plus depreciation, amortization of intangible assets, share-based compensation, gain on sale of disposal group, impairment losses for goodwill and long-lived assets, interest expense, net, and other, and unallocated corporate overhead.
| Year Ended December 31, 2025 | ||||
|---|---|---|---|---|
| Nurse and Allied Solutions | Physician and Leadership Solutions | Technology and Workforce Solutions | Total | |
| Revenue | $1,647,318 | $696,362 | $386,749 | $2,730,429 |
| Cost of revenue | 1,269,045 | 504,503 | 182,823 | 1,956,371 |
| Gross profit | 378,273 | 191,859 | 203,926 | 774,058 |
| Segment selling, general and administrative expenses | 252,307 | 135,263 | 86,413 | 473,983 |
| Depreciation (included in cost of revenue) | — | — | (8,731) | (8,731) |
| Segment operating income | $125,966 | $56,596 | $126,244 | 308,806 |
| Unallocated corporate overhead | 88,356 | |||
| Depreciation and amortization | 147,869 | |||
| Depreciation (included in cost of revenue) | 8,731 | |||
| Share-based compensation | 30,683 | |||
| Gain on sale of disposal group | (39,138) | |||
| Goodwill impairment losses | 109,515 | |||
| Long-lived assets impairment losses | 18,262 | |||
| Interest expense, net, and other | 45,591 | |||
| Loss before income taxes | $(101,063) | |||
| Year Ended December 31, 2024 | ||||
|---|---|---|---|---|
| Nurse and Allied Solutions | Physician and Leadership Solutions | Technology and Workforce Solutions | Total | |
| Revenue | $1,815,718 | $728,608 | $439,455 | $2,983,781 |
| Cost of revenue | 1,371,660 | 511,959 | 180,786 | 2,064,405 |
| Gross profit | 444,058 | 216,649 | 258,669 | 919,376 |
| Segment selling, general and administrative expenses | 270,467 | 137,600 | 91,590 | 499,657 |
| Depreciation (included in cost of revenue) | — | — | (6,676) | (6,676) |
| Segment operating income | $173,591 | $79,049 | $173,755 | 426,395 |
| Unallocated corporate overhead | 109,515 | |||
| Depreciation and amortization | 167,103 | |||
| Depreciation (included in cost of revenue) | 6,676 | |||
| Share-based compensation | 23,317 | |||
| Goodwill impairment losses | 222,457 | |||
| Interest expense, net, and other | 69,901 | |||
| Loss before income taxes | $(172,574) | |||
| Year Ended December 31, 2023 | ||||
|---|---|---|---|---|
| Nurse and Allied Solutions | Physician and Leadership Solutions | Technology and Workforce Solutions | Total | |
| Revenue | $2,624,509 | $669,701 | $495,044 | $3,789,254 |
| Cost of revenue | 1,932,099 | 440,230 | 167,344 | 2,539,673 |
| Gross profit | 692,410 | 229,471 | 327,700 | 1,249,581 |
| Segment selling, general and administrative expenses | 330,252 | 134,505 | 118,977 | 583,734 |
| Depreciation (included in cost of revenue) | — | — | (6,013) | (6,013) |
| Segment operating income | $362,158 | $94,966 | $214,736 | 671,860 |
| Unallocated corporate overhead | 146,682 | |||
| Depreciation and amortization | 154,914 | |||
| Depreciation (included in cost of revenue) | 6,013 | |||
| Share-based compensation | 18,020 | |||
| Long-lived assets impairment losses | 7,802 | |||
| Interest expense, net, and other | 54,140 | |||
| Income before income taxes | $284,289 | |||
The following tables present the Company’s revenue disaggregated by service type:
| Nurse and Allied Solutions · Physician and Leadership Solutions · Technology and Workforce Solutions · Total | ||||||||
|---|---|---|---|---|---|---|---|---|
| Travel nurse staffing | $827,677 | $— | $— | $827,677 | ||||
| Labor disruption services | 191,190 | — | — | 191,190 | ||||
| Local staffing | 36,811 | — | — | 36,811 | ||||
| Allied staffing | 582,318 | — | — | 582,318 | ||||
| Locum tenens staffing | — | 565,169 | — | 565,169 | ||||
| Interim leadership staffing | — | 93,917 | — | 93,917 | ||||
| Temporary staffing | 1,637,996 | 659,086 | — | 2,297,082 | ||||
| Permanent placement (1) | 9,322 | 37,276 | — | 46,598 | ||||
| Language services | — | — | 295,514 | 295,514 | ||||
| Vendor management systems | — | — | 71,673 | 71,673 | ||||
| Other technologies | — | — | 8,677 | 8,677 | ||||
| Technology-enabled services | — | — | 375,864 | 375,864 | ||||
| Talent planning and acquisition | — | — | 10,885 | 10,885 | ||||
| Total revenue | $1,647,318 | $696,362 | $386,749 | $2,730,429 | ||||
| Nurse and Allied Solutions · Physician and Leadership Solutions · Technology and Workforce Solutions · Total | ||||||||
|---|---|---|---|---|---|---|---|---|
| Travel nurse staffing | $1,084,398 | $— | $— | $1,084,398 | ||||
| Labor disruption services | 63,316 | — | — | 63,316 | ||||
| Local staffing | 45,517 | — | — | 45,517 | ||||
| Allied staffing | 610,661 | — | — | 610,661 | ||||
| Locum tenens staffing | — | 566,351 | — | 566,351 | ||||
| Interim leadership staffing | — | 115,672 | — | 115,672 | ||||
| Temporary staffing | 1,803,892 | 682,023 | — | 2,485,915 | ||||
| Permanent placement (1) | 11,826 | 46,585 | — | 58,411 | ||||
| Language services | — | — | 298,241 | 298,241 | ||||
| Vendor management systems | — | — | 104,277 | 104,277 | ||||
| Other technologies | — | — | 18,505 | 18,505 | ||||
| Technology-enabled services | — | — | 421,023 | 421,023 | ||||
| Talent planning and acquisition | — | — | 18,432 | 18,432 | ||||
| Total revenue | $1,815,718 | $728,608 | $439,455 | $2,983,781 | ||||
| Nurse and Allied Solutions · Physician and Leadership Solutions · Technology and Workforce Solutions · Total | ||||||||
|---|---|---|---|---|---|---|---|---|
| Travel nurse staffing | $1,806,653 | $— | $— | $1,806,653 | ||||
| Labor disruption services | 13,303 | — | — | 13,303 | ||||
| Local staffing | 76,553 | — | — | 76,553 | ||||
| Allied staffing | 709,632 | — | — | 709,632 | ||||
| Locum tenens staffing | — | 464,797 | — | 464,797 | ||||
| Interim leadership staffing | — | 136,953 | — | 136,953 | ||||
| Temporary staffing | 2,606,141 | 601,750 | — | 3,207,891 | ||||
| Permanent placement (1) | 18,368 | 67,951 | — | 86,319 | ||||
| Language services | — | — | 260,121 | 260,121 | ||||
| Vendor management systems | — | — | 169,370 | 169,370 | ||||
| Other technologies | — | — | 20,235 | 20,235 | ||||
| Technology-enabled services | — | — | 449,726 | 449,726 | ||||
| Talent planning and acquisition | — | — | 45,318 | 45,318 | ||||
| Total revenue | $2,624,509 | $669,701 | $495,044 | $3,789,254 | ||||
(1) Includes revenue from international nurse permanent placement, physician permanent placement, and executive search.
The following table presents the Company’s international nurse revenue by service type:
| Years Ended December 31, | |||
|---|---|---|---|
| 2025 | 2024 | 2023 | |
| International nurse staffing (1) | $119,772 | $165,875 | $208,132 |
| International nurse permanent placement (2) | 9,322 | 11,826 | 18,368 |
| Total international nurse revenue | $129,094 | $177,701 | $226,500 |
(1) Included in “Travel nurse staffing” as presented in the preceding tables.
(2) Included in “Permanent placement” as presented in the preceding tables.
(u) Reclassifications
To conform to the current year presentation, certain reclassifications have been made to prior year amounts in the consolidated statements of comprehensive income (loss) and accompanying notes -Note (1)(t) “Summary of Significant Accounting Policies - Segment Information” and Note (7), “Balance Sheet Details”.
(v) Recently Adopted Accounting Pronouncements
In December 2023, the FASB issued ASU 2023-09, “Income Taxes (Topic 740): Improvements to Income Tax Disclosures,” which requires disclosure of disaggregation of the rate reconciliation and additional information on income taxes paid disaggregated by jurisdiction. The Company adopted this standard on a retrospective basis for the year ended December 31, 2025. See Note (8), “Income Taxes” for the new disclosure requirements. The adoption of this standard did not have a material impact on our consolidated financial statements.
(2)Acquisitions
The Company accounted for the acquisition set forth below using the acquisition method of accounting. Accordingly, the Company recorded the tangible and intangible assets acquired and liabilities assumed at their estimated fair values as of the applicable date of acquisition. Since the date of acquisition, the Company has revised the allocation of the purchase price to the tangible and intangible assets acquired and liabilities assumed based on analysis of information that has been made available through December 31, 2025 or the end of the one-year measurement period, whichever is earlier. The goodwill recognized for the acquisition is attributable to expected growth as the Company leverages its brand and diversifies its services offered to clients, including potential revenue growth and margin expansion. The Company recognizes acquisition-related costs in selling, general and administrative expenses in the consolidated statements of comprehensive income (loss). For the acquisition, the Company did not incur any material acquisition-related costs.
MSDR Acquisition
On November 30, 2023, the Company completed its acquisition of MSI Systems Corp. and DrWanted.com LLC (together, “MSDR”), two healthcare staffing companies that specialize in locum tenens and advanced practice. The initial purchase price of $292,818 consisted entirely of cash consideration paid upon acquisition. The acquisition was funded through borrowings under the Company’s secured revolving credit facility, which had total commitments of $750,000 at the time of the acquisition (the “Senior Credit Facility”), provided for under the Amended Credit Agreement (as defined in Note (9) below). The results of MSDR have been included in the Company’s physician and leadership solutions segment since the date of acquisition. During the second quarter of 2024, $1,649 was returned to the Company in respect of the final working capital settlement.
The allocation of the $291,169 purchase price, which was reduced by the final working capital settlement and was finalized during the fourth quarter of 2024, consisted of (1) $41,406 of fair value of tangible assets acquired, which included $562 cash received, (2) $26,371 of liabilities assumed, (3) $92,000 of identified intangible assets, and (4) $184,134 of goodwill, of which $94,762 is deductible for tax purposes. The intangible assets acquired have a weighted average useful life of approximately seven years. The following table summarizes the fair value and useful life of each intangible asset acquired as of the acquisition date:
| Fair Value · Useful Life | ||
|---|---|---|
| (in years) | ||
| Identifiable intangible assets | ||
| Customer relationships | $54,300 | 7 - 10 |
| Tradenames and trademarks | 26,400 | 3 |
| Staffing databases | 11,300 | 5 |
| $92,000 | ||
(3)Sale of Disposal Group
On July 1, 2025, the Company completed the sale of its Smart Square healthcare scheduling software, a service offering of the Company’s workforce optimization business within its technology and workforce solutions segment. As a result of the sale, the Company received cash consideration of $65,320 and is owed a 9.000% promissory note of $10,000 (the “2027 Note Receivable”) payable on January 1, 2027. During the year ended December 31, 2025, the Company recognized a net gain of $39,138 as a result of the sale, which includes a $42 final working capital settlement that was paid by the Company during the fourth quarter of 2025.
Assets sold and the related liabilities transferred as part of those transactions (“disposal groups”) were measured at the lower of their carrying amount or fair value less costs to sell. Goodwill was allocated based on the relative fair values of the disposal group and the technology and workforce solutions reporting unit.
The following table presents the assets disposed of and the liabilities transferred as a result of the sale:
| December 31, 2025 | |
|---|---|
| Assets | |
| Accounts receivable, net | $3,643 |
| Fixed assets, net | 5,250 |
| Intangible assets, net | 1,549 |
| Goodwill | 32,132 |
| Other assets | 97 |
| Total assets disposed | $42,671 |
| Liabilities | |
| Accounts payable and accrued expenses | $92 |
| Deferred revenue | 6,540 |
| Total liabilities transferred | $6,632 |
The Company determined that the sale of Smart Square does not represent a strategic shift that will have a major effect on the Company’s operations and financial results. As such, the disposal group does not meet the criteria for reporting in discontinued operations.
(4)Fair Value Measurement
Fair value represents the price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. When determining fair value, the Company considers the principal or most advantageous market in which the Company would conduct a transaction, in addition to the assumptions that market participants would use when pricing the related assets or liabilities, including non-performance risk.
A three-level hierarchy prioritizes the inputs to valuation techniques used to measure fair value and requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. The three levels of the fair value hierarchy are as follows:
Level 1—Quoted prices in active markets for identical assets or liabilities.
Level 2—Observable inputs other than Level 1 prices such as quoted prices for similar assets or liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.
Level 3—Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.
There were no transfers between the three levels of the fair value hierarchy during the years ended December 31, 2025, 2024 and 2023.
Assets and Liabilities Measured on a Recurring Basis
From time to time, the Company invests a portion of its cash and cash equivalents in non-federally insured money market funds that are measured at fair value based on quoted prices, which are Level 1 inputs.
The Company’s obligation under its deferred compensation plan is measured at fair value based on quoted market prices of the participants’ elected investments, which are Level 1 inputs. The deferred compensation plan is more fully described in Note (10), “Retirement Plans.”
The Company’s restricted cash equivalents and investments that serve as collateral for the Company’s captive insurance company include commercial paper and corporate bonds. The commercial paper is measured at observable market prices for identical securities that are traded in less active markets, which are Level 2 inputs. The corporate bonds are measured using readily available pricing sources that utilize observable market data, including the current interest rate for comparable instruments, which are Level 2 inputs. The following table presents the fair value of commercial paper and corporate bonds issued and outstanding:
| As of December 31, 2025 | As of December 31, 2024 | |
|---|---|---|
| Commercial paper | $12,985 | $64,580 |
| Total classified as restricted cash equivalents | $12,985 | $64,580 |
| Commercial paper | $1,449 | $1,399 |
| Corporate bonds | 32,586 | 6,769 |
| Total classified as restricted investments | $34,035 | $8,168 |
The fair value of our available-for-sale securities as of December 31, 2025, by remaining contractual maturities, are presented in the following table:
| Fair Value | |
|---|---|
| Due in one year or less | $3,807 |
| Due after one year through five years | 30,228 |
| $34,035 |
Expected maturities may differ from stated due dates because borrowers may have the ability to call or prepay obligations with or without call or prepayment penalties.
The Company’s contingent consideration liabilities are measured at fair value using probability-weighted discounted cash flow analysis or a simulation-based methodology for the acquired companies, which are Level 3 inputs. The Company recognizes changes to the fair value of its contingent consideration liabilities in selling, general and administrative expenses in the consolidated statements of comprehensive income (loss). There wereno assets or liabilities measured on a recurring basis with level 3 inputs outstanding as of December 31, 2025 and 2024.
The following tables present information about the above-referenced assets and liabilities and indicate the fair value hierarchy of the valuation techniques utilized to determine such fair value:
| Fair Value Measurements as of December 31, 2025 | Fair Value Measurements as of December 31, 2024 | |||||
|---|---|---|---|---|---|---|
| Assets (Liabilities) | Level 1 | Level 2 | Total | Level 1 | Level 2 | Total |
| Deferred compensation | $(205,390) | $— | $(205,390) | $(191,006) | $— | $(191,006) |
| Corporate bonds | — | 32,586 | 32,586 | — | 6,769 | 6,769 |
| Commercial paper | — | 14,434 | 14,434 | — | 65,979 | 65,979 |
Assets Measured on a Non-Recurring Basis
The Company applies fair value techniques on a non-recurring basis associated with valuing identifiable intangible assets acquired through acquisitions and potential impairment losses related to its goodwill, indefinite-lived intangible assets, long-lived assets, and equity investments.
The fair value of identifiable intangible assets are determined using either the income approach (the relief-from-royalty method, multi-period excess earnings method or with-and-without method) or the cost approach (replacement cost method).
These valuation approaches use a combination of assumptions, including Level 3 inputs, such as (i) forecasted revenue, growth rates and customer attrition rates, (ii) forecasted operating expenses and profit margins, and (iii) royalty rates and discount rates used to present value the forecasted cash flows.
The Company assesses long-lived assets (including definite-lived intangible assets, fixed assets, and right-of-use assets) for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of long-lived assets to be held and used is measured by a comparison of the carrying amount of an asset group to the future undiscounted net cash flows that are expected to be generated by the asset group. If such asset group is considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the asset group exceeds its fair value. The Company determines the fair value of its asset groups based on a combination of inputs, including Level 3 inputs such as discounted cash flows, which are not observable from the market, directly or indirectly. In connection with the impairment loss on the customer relationships intangible assets recognized during the three months ended June 30, 2025, the following unobservable inputs were used in discounted cash flow method (within the income approach) to measure the fair value of the revenue cycle solutions asset group:
| Range | Average | |
|---|---|---|
| Revenue growth rates | (2.1)% - 6.1% | 3.3% |
| Long-term growth rate | 3.5% | N/A |
| Weighted-average cost of capital | 14.0% | N/A |
The Company maintains goodwill on its balance sheet, which represents the excess of the total purchase price of acquisitions over the fair value of the net assets and intangible assets acquired. The Company evaluates goodwill and indefinite-lived intangible assets annually for impairment and whenever events or changes in circumstances indicate that it is more likely than not that an impairment exists. The Company determines the fair value of its reporting units based on a combination of inputs, including the market capitalization of the Company, as well as Level 3 inputs such as discounted cash flows, which are not observable from the market, directly or indirectly. The Company determines the fair value of indefinite-lived intangible assets using the income approach (relief-from-royalty method) based on Level 3 inputs. Refer to Note (5) “Goodwill and Identifiable Intangible Assets” for additional details.
The Company’s equity investment represents an investment in a non-controlled corporation without a readily determinable market value. The Company has elected to measure the investment at cost minus impairment, if any, plus or minus changes resulting from observable price changes. When the Company identifies price changes in orderly transactions for identical or similar investments of the same issuer, the investment is measured at fair value. To determine whether a security of the same issuer is similar to the Company’s equity investment, the Company considers other information available such as the rights and obligations of the securities. The Company recognizes changes to the fair value of its equity investment in interest expense, net, and other in the consolidated statements of comprehensive income (loss). As of December 31, 2025, the Company has recognized cumulative upward adjustments and cumulative downward adjustments (including impairments) of $14,033 and $19,860, respectively. The balance of the equity investment was $2,773 as of December 31, 2025 and 2024.
Fair Value of Financial Instruments
The Company is required to disclose the fair value of financial instruments for which it is practicable to estimate the value, even though these instruments are not recognized at fair value in the consolidated balance sheets. The fair value of the Company’s 4.625% senior notes due 2027 (the “2027 Notes”),4.000% senior notes due 2029 (the “2029 Notes”), and 6.500% senior notes due 2031 (the “2031 Notes”), was estimated using quoted market prices in active markets for identical liabilities, which are Level 1 inputs. The carrying amounts and estimated fair value of the 2027 Notes, the 2029 Notes, and the 2031 Notes which are more fully described in Note (9), “Notes Payable and Credit Agreement,” are presented in the following table:
| As of December 31, 2025 | As of December 31, 2024 | |||
|---|---|---|---|---|
| CarryingAmount | EstimatedFair Value | CarryingAmount | EstimatedFair Value | |
| 2027 Notes | $— | $— | $500,000 | $473,750 |
| 2029 Notes | 350,000 | 331,188 | 350,000 | 312,375 |
| 2031 Notes | 400,000 | 398,500 | — | — |
The Company initially recognized the 2027 Note Receivable at its estimated fair value of $9,899 in connection with the sale of its Smart Square healthcare scheduling software on July 1, 2025. The fair value was determined using Level 2 inputs, including observable market interest rates and pricing for similar credit facilities. The fair value of the 2027 Note Receivable was not re-measured as of December 31, 2025 as there were no material changes in contractual terms, counterparty credit risk, or other relevant factors. The carrying amount of $9,931 as of December 31, 2025 approximates its fair value and is classified as a noncurrent asset in the consolidated balance sheet. See Note (3), “Sale of Disposal Group” for additional information.
The fair value of the Company’s long-term self-insurance accruals cannot be estimated as the Company cannot reasonably determine the timing of future payments.
(5)Goodwill and Identifiable Intangible Assets
Impairment of Intangible Assets
During the second quarter of 2025, the Company determined that recent declines in forecasted revenue and earnings of the revenue cycle solutions business (within the nurse and allied solutions segment) indicated that the carrying amounts of its customer relationships intangible assets may not be recoverable. Accordingly, the Company tested the recoverability of the asset group based on undiscounted estimated future cash flows and concluded that its carrying amount was not recoverable. The Company engaged a third-party valuation specialist to assist with determining the fair value of the asset group, which was estimated using the discounted cash flow method (within the income approach), and concluded that the asset group’s carrying amount exceeded its fair value. As a result, the Company recognized an impairment loss on the customer relationships intangible assets of $18,262, which is included within long-lived assets impairment losses in the consolidated statements of comprehensive income (loss). See Note (4), “Fair Value Measurement,” for additional information regarding the measurement of the asset group’s fair value.
As of December 31, 2025 and 2024, the Company had the following acquired intangible assets:
| As of December 31, 2025 | As of December 31, 2024 | |||||
|---|---|---|---|---|---|---|
| GrossCarryingAmount | AccumulatedAmortization | NetCarryingAmount | GrossCarryingAmount | AccumulatedAmortization | NetCarryingAmount | |
| Intangible assets subject to amortization: | ||||||
| Staffing databases | $52,336 | $(43,475) | $8,861 | $52,336 | $(39,879) | $12,457 |
| Customer relationships | 467,286 | (241,224) | 226,061 | 532,048 | (247,550) | 284,498 |
| Tradenames and trademarks | 281,500 | (234,873) | 46,627 | 284,488 | (204,159) | 80,329 |
| Non-compete agreements | 9,309 | (8,613) | 696 | 9,399 | (7,783) | 1,616 |
| Acquired technology | 34,686 | (33,405) | 1,281 | 37,915 | (35,451) | 2,464 |
| $845,117 | $(561,590) | $283,526 | $916,186 | $(534,822) | $381,364 | |
Aggregate amortization expense for intangible assets was $78,027 and $92,770 for the years ended December 31, 2025 and 2024, respectively. Based on the net carrying amount of intangible assets subject to amortization, the estimated future amortization expense as of December 31, 2025 is as follows:
| Amount | |
|---|---|
| Year ending December 31, 2026 | $66,642 |
| Year ending December 31, 2027 | 52,181 |
| Year ending December 31, 2028 | 34,729 |
| Year ending December 31, 2029 | 26,229 |
| Year ending December 31, 2030 | 20,369 |
| Thereafter | 83,376 |
| $283,526 |
Impairment of Goodwill
Due to recent declines in forecasted revenue and earnings of the physician and leadership solutions reporting unit, the Company performed a quantitative goodwill impairment test for the reporting unit in the second quarter of 2025. The Company engaged a third-party valuation specialist to assist with determining the fair value of the reporting unit, which was estimated using an equal weighting of the income and market approaches. The discounted cash flow method (within the income approach) requires the use of Level 3 inputs, including (i) estimated future cash flows based on internally-developed forecasts of revenue, expenses and profit margins, (ii) estimated long-term growth rates, and (iii) determination of the Company’s weighted-average cost of capital that reflects the relative risk of the cash flows for each reporting unit. The guideline public company method (within the market approach) derives valuation multiples based on the market capitalization of similar publicly traded companies to apply to the forecasted financial metrics of the reporting unit. The market multiples used are revenue and earnings before interest, taxes, depreciation, and amortization (EBITDA). In addition, as fair value determined under the guideline public company method represents a noncontrolling interest, a control premium was applied to arrive at the estimated fair value of the reporting unit on a controlling basis.
The quantitative test resulted in a goodwill impairment loss for the physician and leadership solutions reporting unit. Consideration was first given to long-lived assets within the reporting unit, and no impairment was recognized on such assets as the future undiscounted cash flows were in excess of the carrying amount of each asset group tested for impairment. The decline in the fair value of the physician and leadership solutions reporting unit below its carrying amount resulted from changes in estimated future cash flows primarily due to lower-than-expected volume for the locum tenens staffing business, continued gross margin pressures in the locum tenens staffing business driven by higher provider pay packages, and a continued decline in demand for the healthcare interim leadership and permanent placement solutions. As a result, an impairment loss of $91,221 was recorded to goodwill of the physician and leadership solutions reporting unit during the second quarter of 2025.
Recognition of the non-cash goodwill impairment loss resulted in income tax benefits that reduced the deferred tax liability associated with goodwill by $18,294, which increased the carrying amount of the physician and leadership solutions reporting unit. An incremental impairment loss of the same amount was recognized to reduce the reporting unit’s carrying amount to its previously determined fair value. After recognition of the incremental charge, the goodwill impairment loss amounted to $109,515 in total.
The Company performed its annual goodwill impairment test as of October 31, 2025, using a quantitative assessment for each of itsthree reporting units. The Company engaged a third-party valuation specialist to assist in estimating the fair value of each reporting unit, which was determined using an equal weighting of the income and market approaches. The quantitative assessment concluded thatno goodwill impairment existed for thethree reporting units as the estimated fair values of the reporting units exceeded their respective carrying amounts. In addition, the Company evaluated its long-lived assets for impairment and determined thatno impairment was required, as the future undiscounted cash flows were in excess of the carrying amounts of the related asset groups tested for impairment.
Following the annual goodwill impairment test as of October 31, 2025, the Company did not identify any events or circumstances during the final two months of the year ended December 31, 2025 that indicated it may be more likely than not that the fair value of its reporting units were reduced below their respective carrying amounts.
The following table summarizes the activity related to the carrying value of goodwill by reportable segment:
| Nurse and AlliedSolutions | Physician and LeadershipSolutions | Technology and Workforce Solutions | Total | |
|---|---|---|---|---|
| Balance, January 1, 2024 | $382,420 | $328,570 | $400,559 | $1,111,549 |
| Goodwill impairment losses | (123,283) | (99,174) | — | (222,457) |
| Goodwill adjustment for MSDR acquisition | — | 8,364 | — | 8,364 |
| Balance, December 31, 2024 | 259,137 | 237,760 | 400,559 | 897,456 |
| Goodwill impairment loss | — | (109,515) | — | (109,515) |
| Goodwill included in sale of disposal group | — | — | (32,132) | (32,132) |
| Balance, December 31, 2025 | $259,137 | $128,245 | $368,427 | $755,809 |
| Accumulated impairment loss as of December 31, 2024 | $277,727 | $159,669 | $— | $437,396 |
| Accumulated impairment loss as of December 31, 2025 | $277,727 | $269,184 | $— | $546,911 |
(6)Leases
The Company leases certain office facilities, data centers, and equipment under various operating leases. The Company’s short-term leases (with initial lease terms of 12 months or less) are primarily related to housing arrangements for healthcare professionals on assignment. Certain leases includeone or more options to renew, with renewal terms that can extend the lease term up to 10 years. Additionally, certain leases also include options to terminate the leases within 2 years.
In the first quarter of 2022, the Company entered into a lease agreement for an office building located in Dallas, Texas, with future undiscounted lease payments of approximately $29,514, excluding lease incentives. The lease commenced upon substantial completion of the construction of the office building in June 2023. The initial term of the lease is approximately eleven years with options to renew during the lease term. The Company recognized a right-of-use asset and operating lease liability of $15,782 and $22,713, respectively, at lease commencement, which reflects the utilization of a tenant improvement allowance of $6,931 accounted for as a lease incentive.
The components of lease expense were as follows:
| Years Ended December 31, | |||
|---|---|---|---|
| 2025 | 2024 | 2023 | |
| Operating lease cost | $8,709 | $9,204 | $9,610 |
| Short-term lease cost | 2,184 | 2,437 | 3,738 |
| Variable and other lease cost | 1,923 | 2,469 | 2,789 |
| Net lease cost | $12,816 | $14,110 | $16,137 |
The maturities of lease liabilities as of December 31, 2025 were as follows:
| Operating Leases | |
|---|---|
| Year ending December 31, 2026 | $8,376 |
| Year ending December 31, 2027 | 7,672 |
| Year ending December 31, 2028 | 7,866 |
| Year ending December 31, 2029 | 5,861 |
| Year ending December 31, 2030 | 3,295 |
| Thereafter | 9,191 |
| Total lease payments | 42,261 |
| Less imputed interest | (6,112) |
| Present value of lease liabilities | $36,149 |
The weighted average remaining lease term and discount rate as of December 31, 2025 and 2024 were as follows:
| December 31, | ||
|---|---|---|
| 2025 | 2024 | |
| Weighted average remaining lease term | 6 years | 7 years |
| Weighted average discount rate | 5.6% | 5.6% |
(7)Balance Sheet Details
The consolidated balance sheets detail is as follows:
| December 31, | ||
|---|---|---|
| 2025 | 2024 | |
| Other current assets: | ||
| Restricted cash and cash equivalents | $21,628 | $14,984 |
| Income taxes receivable | 8,506 | 11,683 |
| Subcontractor deposits | 14,927 | 11,190 |
| Other | 14,874 | 15,601 |
| Other current assets | $59,935 | $53,458 |
| Fixed assets: | ||
| Furniture and equipment | $97,879 | $90,970 |
| Software | 436,891 | 440,034 |
| Leasehold improvements | 16,388 | 16,061 |
| 551,158 | 547,065 | |
| Accumulated depreciation | (414,797) | (360,795) |
| Fixed assets, net | $136,361 | $186,270 |
| Other assets: | ||
| Life insurance cash surrender value | $215,513 | $194,350 |
| Operating lease right-of-use assets | 27,047 | 32,115 |
| Other | 39,992 | 31,588 |
| Other assets | $282,552 | $258,053 |
| Accounts payable and accrued expenses: | ||
| Trade accounts payable | $37,049 | $31,356 |
| Subcontractor payable | 47,896 | 69,563 |
| Accrued expenses | 53,598 | 57,263 |
| Loss contingencies | 6,721 | 2,999 |
| Professional liability reserve | 9,506 | 8,395 |
| Other | 7,198 | 14,735 |
| Accounts payable and accrued expenses | $161,968 | $184,311 |
| Accrued compensation and benefits: | ||
| Accrued payroll | $45,166 | $46,896 |
| Accrued bonuses and commissions | 28,306 | 25,988 |
| ESPP contributions | 545 | 812 |
| Workers compensation reserve | 8,636 | 9,954 |
| Deferred compensation | 205,390 | 191,006 |
| Other | 10,794 | 12,888 |
| Accrued compensation and benefits | $298,837 | $287,544 |
| Other current liabilities: | ||
| Deferred revenue | $9,497 | $10,014 |
| Client deposits | 97,337 | 56,341 |
| Operating lease liabilities | 6,009 | 6,200 |
| Other | 3,966 | 1,375 |
| Other current liabilities | $116,809 | $73,930 |
| December 31, | ||
|---|---|---|
| 2025 | 2024 | |
| Other long-term liabilities: | ||
| Workers compensation reserve | $15,969 | $18,445 |
| Professional liability reserve | 44,433 | 38,307 |
| Operating lease liabilities | 30,140 | 35,725 |
| Other | 16,792 | 14,973 |
| Other long-term liabilities | $107,334 | $107,450 |
(8)Income Taxes
Income (loss) before income taxes includes the following components for the years ended December 31, 2025, 2024, and 2023:
| Years Ended December 31, | |||
|---|---|---|---|
| 2025 | 2024 | 2023 | |
| United States | $(101,382) | $(173,087) | $283,822 |
| Foreign | 319 | 513 | 467 |
| Income (loss) before income taxes | $(101,063) | $(172,574) | $284,289 |
The provision for income taxes from operations for the years ended December 31, 2025, 2024 and 2023 consists of the following:
| Years Ended December 31, | |||
|---|---|---|---|
| 2025 | 2024 | 2023 | |
| Current income taxes: | |||
| Federal | $7,617 | $20,159 | $65,426 |
| State | 6,618 | 5,042 | 20,666 |
| Foreign | (47) | 271 | 451 |
| Total | 14,188 | 25,472 | 86,543 |
| Deferred income taxes: | |||
| Federal | (11,124) | (36,762) | (10,273) |
| State | (8,472) | (14,382) | (2,730) |
| Foreign | 47 | 77 | 70 |
| Total | (19,549) | (51,067) | (12,933) |
| Provision (benefit) for income taxes from operations | $(5,361) | $(25,595) | $73,610 |
The Company’s income tax expense (benefit) differs from the amount that would have resulted from applying the federal statutory rate of 21% for 2025, 2024 and 2023 to pretax income (loss) from operations because of the effect of the following items during the years ended December 31, 2025, 2024 and 2023.
| Years Ended December 31, | ||||||
|---|---|---|---|---|---|---|
| 2025 | 2024 | 2023 | ||||
| Amount | Rate | Amount | Rate | Amount | Rate | |
| Pretax income (loss) from operations | $(101,063) | $(172,574) | $284,289 | |||
| U.S. federal statutory tax rate | $(21,223) | 21.00% | $(36,241) | 21.00% | $59,701 | 21.00% |
| State and local income tax, net of federal income tax effect (1) | (1,465) | 1.45% | (7,379) | 4.28% | 14,170 | 4.98% |
| Foreign tax effects | (65) | 0.06% | 243 | (0.14)% | 556 | 0.20% |
| Tax credits | ||||||
| Research and development tax credits | 950 | (0.94)% | (1,289) | 0.75% | (3,172) | (1.12)% |
| Nontaxable or nondeductible items | ||||||
| Nondeductible compensation | 2,739 | (2.71)% | 1,396 | (0.81)% | 905 | 0.32% |
| Share-based compensation | 2,948 | (2.92)% | 513 | (0.30)% | (944) | (0.33)% |
| Goodwill impairment losses | 8,267 | (8.18)% | 18,054 | (10.46)% | — | —% |
| Company-owned life insurance policies | (6,293) | 6.23% | (4,855) | 2.81% | (4,428) | (1.56)% |
| Meals per diems | 2,244 | (2.22)% | 2,110 | (1.22)% | 3,010 | 1.06% |
| Sale of disposal group | 4,247 | (4.20)% | — | —% | — | —% |
| Other | 278 | (0.28)% | 516 | (0.30)% | 961 | 0.34% |
| Changes in unrecognized tax benefits | 2,239 | (2.21)% | 1,328 | (0.77)% | 1,957 | 0.69% |
| Other | (227) | 0.22% | 9 | (0.01)% | 894 | 0.32% |
| Effective tax rate | $(5,361) | 5.30% | $(25,595) | 14.83% | $73,610 | 25.90% |
(1) State taxes in California represents the majority (greater than 50 percent) of the tax effect in this category.
The tax effects of temporary differences that give rise to significant portions of deferred tax assets and liabilities are presented below as of December 31, 2025 and 2024:
| December 31, | ||
|---|---|---|
| 2025 | 2024 | |
| Deferred tax assets: | ||
| Share-based compensation | $5,982 | $6,394 |
| Deferred compensation | 51,963 | 48,821 |
| Accrued bonus | 6,271 | 5,546 |
| Accrued expenses | 11,014 | 10,783 |
| Operating lease liabilities | 9,737 | 10,954 |
| Net operating losses | 4,991 | 5,314 |
| Loss contingencies | 310 | 563 |
| Workers compensation insurance | 4,519 | 5,273 |
| Professional services expenses | 234 | 179 |
| Provision for expected credit losses | 4,655 | 8,415 |
| Sales credits | 9,694 | 5,960 |
| Other | 1,108 | 3,995 |
| Total deferred tax assets | $110,478 | $112,197 |
| Deferred tax liabilities: | ||
| Intangible assets | $(32,994) | $(65,251) |
| Fixed assets | (21,015) | (8,662) |
| Operating lease right-of-use assets | (7,277) | (8,395) |
| Other | (4,315) | (4,060) |
| Total deferred tax liabilities | $(65,601) | $(86,368) |
| Net deferred tax assets | $44,877 | $25,829 |
In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. Management believes it is more likely than not that the Company will realize the benefits of its deferred tax assets.
The amount of federal net operating losses (“NOL”) carryforward that is available for use in years subsequent to December 31, 2025 is $15,136, which begins to expire by 2030. The amount of state NOL carryforward that is available for use in years subsequent to December 31, 2025 is $33,854, which begins to expire by 2036.
A summary of the changes in the amount of unrecognized tax benefits (excluding interest and penalties) for 2025, 2024 and 2023 is as follows:
| 2025 | 2024 | 2023 | |
|---|---|---|---|
| Beginning balance of unrecognized tax benefits | $9,449 | $8,689 | $6,980 |
| Additions based on tax positions related to the current year | — | 978 | 1,873 |
| Additions based on tax positions of prior years | 2,285 | 266 | 491 |
| Reductions due to lapse of applicable statute of limitation | (1,155) | (484) | (655) |
| Ending balance of unrecognized tax benefits | $10,579 | $9,449 | $8,689 |
At December 31, 2025, if recognized, approximately $12,705 net of $2,892 of temporary differences would affect the effective tax rate (including interest and penalties).
The Company recognizes interest related to unrecognized tax benefits in income tax expense (benefit). The Company had approximately $5,015, $2,861 and $1,942 of accrued interest related to unrecognized tax benefits at December 31, 2025, 2024 and 2023, respectively. The amount of interest expense recognized in 2025, 2024 and 2023 was $2,153, $920 and $552, respectively.
The Company is subject to taxation in the U.S. and various states and foreign jurisdictions. With few exceptions, as of December 31, 2025, the Company is no longer subject to state, local or foreign examinations by tax authorities for tax years before 2011, and the Company is no longer subject to U.S. federal income or payroll tax examinations for tax years before 2022.
On July 4, 2025, the One Big Beautiful Bill Act (“OBBBA”) was enacted in the U.S. The OBBBA includes significant provisions, such as the permanent extension of certain expiring provisions of the Tax Cuts and Jobs Act, modifications to the international tax framework and the restoration of favorable tax treatment for certain business provisions. The legislation has multiple effective dates, with certain provisions effective in 2025 and others implemented in subsequent years. The Company has assessed its impact on the consolidated financial statements and determined there was no material impact to income tax expense (benefit) or the effective tax rate as of December 31, 2025.
The Company believes its liability for unrecognized tax benefits and contingent tax issues is adequate with respect to all open years. Notwithstanding the foregoing, the Company could adjust its provision for income taxes and contingent tax liability based on future developments.
Income taxes paid (net of refunds) during the years ended December 31, 2025, 2024 and 2023 by jurisdiction were as follows:
| 2025 | 2024 | 2023 | |
|---|---|---|---|
| U.S. federal | $5,265 | $21,600 | $58,500 |
| U.S. state and local | |||
| California | 1,323 | 1,977 | 5,178 |
| Texas | 720 | — | — |
| Other (1) | 398 | 4,365 | 14,325 |
| Foreign | 142 | 210 | 253 |
| Total income taxes paid, net | $7,848 | $28,152 | $78,256 |
(1) The amount of income taxes paid during the year does not meet the 5% disaggregation threshold.
(9)Notes Payable and Credit Agreement
(a) The Company’s Credit Agreement and Revolving Credit Facility
On February 10, 2023, the Company entered into the third amendment to its credit agreement (the “Third Amendment”). The Third Amendment (together with the credit agreement, the first amendment and the second amendment, collectively, the “Amended Credit Agreement”) provides for, among other things, the following: (i) an extension of the maturity date of the Senior Credit Facility to February 10, 2028, (ii) an increase to the Senior Credit Facility from $400,000 to $750,000, and (iii) a transition from LIBOR to a Secured Overnight Financing Rate (“SOFR”)-based interest rate. On November 5, 2024, the Company entered into the fourth amendment to its credit agreement which increased the consolidated net leverage ratio covenant for the year ending December 31, 2025.
On October 6, 2025, the Company entered into the fifth amendment to its credit agreement (the “Fifth Amendment”). The Fifth Amendment provides for, among other things, the following: (i) an extension of the maturity date of Senior Credit Facility to October 6, 2030, (ii) a decrease of the revolving commitments from $750,000 to $450,000, and (iii) the revision of the Consolidated Net Leverage Ratio (as calculated in accordance with the amended credit agreement) to be no greater than 5.25 to 1.00 through March 31, 2027. The obligations of the Company under the Amended Credit Agreement are secured by substantially all of the assets of the Company.
Borrowings under the Senior Credit Facility bear interest at floating rates, at the Company’s option, based upon either SOFR plus a spread of 1.00% to 1.75% or a base rate plus a spread of 0.00% to 0.75%. The applicable spread is determined quarterly based upon the Company’s consolidated net leverage ratio (as calculated per the Amended Credit Agreement). The Senior Credit Facility, which includes a $125,000 sublimit for the issuance of letters of credit and a $75,000 sublimit for swingline loans, is available for working capital, capital expenditures, permitted acquisitions and general corporate purposes.
(b) The Company’s 4.000% Senior Notes Due 2029
On October 20, 2020, the Company completed the issuance of $350,000 aggregate principal amount of the 2029 Notes, which mature on April 15, 2029. The 2029 Notes are unsecured obligations of the Company and the interest is fixed at 4.000% and payable semi-annually in arrears on April 15 and October 15 of each year, commencing April 15, 2021.
(c) The Company’s 6.500% Senior Notes Due 2031
On October 6, 2025, the Company completed the issuance of $400,000 aggregate principal amount of the 2031 Notes, which mature on January 15, 2031. Interest on the 2031 Notes is fixed at 6.500% and payable semi-annually in arrears on January 15 and July 15 of each year, commencing July 15, 2026. With the proceeds from the 2031 Notes, together with borrowings under the Senior Credit Facility and cash generated from operations, the Company (1) redeemed all of its outstanding $500,000 aggregate principal amount of the 2027 Notes on October 22, 2025, (2) paid $1,349 in accrued and unpaid interest on the 2027 Notes and (3) incurred $6,375 in fees and expenses related to the issuance and sale of the 2031 Notes, which were recorded as a reduction of the notes payable balance and are being amortized to interest expense over the term of the 2031 Notes. In addition, as the redemption of the 2027 Notes was accounted for as a debt extinguishment, the Company wrote off $1,156 of unamortized financing fees incurred and remaining redemption premium in connection with the issuance of the 2027 Notes, which was recognized in interest expense, net, and other in the consolidated statements of comprehensive income (loss) for the year ended December 31, 2025.
The indenture governing the 2031 Notes contains covenants that, among other things, restrict the ability of Company to:
sell assets,
pay dividends or make other distributions on capital stock, make payments in respect of subordinated indebtedness or make other restricted payments,
make certain investments,
incur or guarantee additional indebtedness or issue preferred stock,
create certain liens,
enter into agreements that restrict dividends or other payments from restricted subsidiaries,
consolidate, merge or transfer all or substantially all of their assets,
engage in transactions with affiliates, and
These covenants are subject to a number of important exceptions and qualifications. The indenture governing the 2031 Notes contains affirmative covenants and events of default that are customary for indentures governing high yield securities.
The 2031 Notes and the related guarantees thereof are not subject to any registration rights agreements.
As of December 31, 2025, the Company was in compliance with the various covenants under the Company’s debt instruments.
(d) Debt Balances
Outstanding debt balances as of December 31, 2025 and 2024 consisted of the following:
| As of December 31, | ||
|---|---|---|
| 2025 | 2024 | |
| Senior Credit Facility | $25,000 | $210,000 |
| 2027 Notes | — | 500,000 |
| 2029 Notes | 350,000 | 350,000 |
| 2031 Notes | 400,000 | — |
| Total debt outstanding | 775,000 | 1,060,000 |
| Less unamortized fees and premium | (7,947) | (4,128) |
| Long-term portion of notes payable | $767,053 | $1,055,872 |
The Company’s 4.625% Senior Notes due 2027, which were issued in October 2019, with an additional issuance in August 2020, were fully redeemed during the fourth quarter of 2025. As of December 31, 2025, the Company had outstanding letters of credit of $20,158, collateralized under the Senior Credit Facility, and $404,842 of available credit under the Senior Credit Facility. Outstanding borrowings under the Senior Credit Facility bore interest at a rate of 5.5% based on SOFR as of December 31, 2025.
(e) Letters of Credit
At December 31, 2025, the Company maintained outstanding standby letters of credit totaling $20,816 as collateral in relation to its workers’ compensation insurance agreements and a corporate office lease agreement. Of the $20,816 outstanding letters of credit, the Company has collateralized $658 in cash and cash equivalents and the remaining $20,158 is collateralized by the Senior Credit Facility. Outstanding standby letters of credit at December 31, 2024 totaled $20,912.
(10)Retirement Plans
The Company maintains the AMN Services 401(k) Retirement Savings Plan (the “AMN Plan”), which the Company believes complies with the IRC Section 401(k) provisions. The AMN Plan covers all employees that meet certain age and other eligibility requirements. A discretionary matching contribution is determined by the Company each year. Employer contribution expenses incurred under the AMN Plan were $1,415, $4,004 and $5,673 for the years ended December 31, 2025, 2024 and 2023, respectively.
The Company has a deferred compensation plan for certain executives and employees (the “Plan”). The Plan is not intended to be tax qualified and is an unfunded plan. The Plan is composed of deferred compensation and all related income and losses attributable thereto. Discretionary matching contributions to the Plan are made that vest incrementally so that the employee is fully vested in the match following five years of employment with the Company. Under the Plan, participants can defer up to 80% of their base salary,90% of their variable compensation and 100% of their vested RSUs or vested PRSUs. A discretionary matching contribution is determined by the Company each year. Employer contributions under the Plan were $2,257, $6,849 and $10,822 for the years ended December 31, 2025, 2024 and 2023, respectively. Plan contributions are included within accrued compensation and benefits in the consolidated balance sheets. The Company presents these amounts as short-term liabilities because the timing of settlement is uncertain due to factors such as employee turnover, fluctuating account balances and participant distribution elections. In connection with the administration of the Plan, the Company has purchased company-owned life insurance policies insuring the lives of certain officers and employees. The cash surrender value of these policies was $215,513 and $194,350 at December 31, 2025 and 2024, respectively. The cash surrender value of these insurance policies is included in other assets in the consolidated balance sheets.
(11)Capital Stock
(a) Preferred Stock
The Company has 10,000 shares of preferred stock authorized for issuance in one or more series (including preferred stock designated as Series A Conditional Convertible Preferred Stock), at a par value of $0.01 per share. At December 31, 2025 and 2024, no shares of preferred stock were outstanding.
(b) Treasury Stock
On November 1, 2016, the Company’s board of directors approved a share repurchase program under which the Company may repurchase up to $150,000 of its outstanding common stock. On November 10, 2021, February 17, 2022, June 15, 2022, and February 16, 2023, the Company announced increases to the share repurchase program totaling $1,200,000 for a total of $1,350,000 of repurchase authorization, of which $226,658 remained on the repurchase program as of December 31, 2025. The amount and timing of the purchases will depend on a number of factors including the price of the Company’s shares, trading volume, Company performance, Company liquidity, general economic and market conditions and other factors that the Company’s management believes are relevant. The share repurchase program does not require the purchase of any minimum number of shares and may be suspended or discontinued at any time.
The Company intends to make all repurchases and to administer the plan in accordance with applicable laws and regulatory guidelines, including Rule 10b-18 of the Exchange Act, and in compliance with its debt instruments. Repurchases may be made from cash on hand, free cash flow generated from the Company’s business or from the Company’s Senior Credit Facility. Repurchases may be made from time to time through open market purchases or privately negotiated transactions. Repurchases may also be made pursuant to one or more plans established pursuant to Rule 10b5-1 under the Exchange Act that would permit shares to be repurchased when the Company might otherwise be precluded from doing so under the Company’s securities trading policy.
During the years ended December 31, 2025 and 2024, the Company didnot repurchase any shares of its common stock. The total number of shares repurchased, average price per share (excluding broker’s fees), and total cost (excluding the effect of excise taxes) for the year ended December 31, 2023 were as follows:
| Year Ended December 31, | |
|---|---|
| 2023 | |
| Number of shares repurchased | 4,383 |
| Average price per share | $96.90 |
| Total cost of share repurchases | $424,744 |
During the year ended December 31, 2023, the Company repurchased 2,362 shares of its common stock through the open market at an average price of $95.13 per share (excluding broker’s fees) for an aggregate purchase price of $224,744 (excluding the effect of excise taxes). Additionally, on May 8, 2023, the Company entered into an accelerated share repurchase (“ASR”) agreement with a counterparty whereupon the Company prepaid $200,000 and received an initial delivery of 1,760 shares of its common stock, which was 80% of the prepayment amount based on a price of $90.89 per share. On August 10, 2023, the Company received a final delivery of approximately 261 additional shares of its common stock, representing the remaining 20% of the prepayment and the final settlement of the ASR agreement. The total number of shares received and average price per share of $98.97 was based on the volume-weighted average price over the term of the ASR agreement, less an agreed upon discount. The Company recognized the shares delivered pursuant to the ASR as increases to treasury stock in the consolidated statements of stockholders’ equity during the year ended December 31, 2023.
(12)Share-Based Compensation
(a) Equity Award Plans
Equity Plan
The Company established the AMN Healthcare Equity Plan (as amended or amended and restated from time to time, the “Equity Plan”), which has been approved by the Company’s stockholders. Any shares to be issued under the Equity Plan will be issued by the Company from authorized but unissued common stock or shares of common stock reacquired by the Company. As of December 31, 2025 and 2024,1,897 and 1,668 shares of common stock were reserved for future grants under the Equity Plan, respectively.
Employee Stock Purchase Plan
During 2023, the Company established the AMN Healthcare Services, Inc. Employee Stock Purchase Plan (the “ESPP”) which authorizes the issuance of up to 1,000 shares of the Company’s common stock. The ESPP provides eligible employees with the opportunity to purchase shares of the Company’s common stock at a discount through payroll deductions during asix-month purchase period. Shares are purchased at 85% of the fair market value of the Company’s common stock on the offering date or the purchase date of the applicable purchase period, whichever is lower. Employee contributions were $2,022 and $3,250 for the years ended December 31, 2025 and 2024, respectively. There were 123 and 78 shares issued under the ESPP during the years ended December 31, 2025 and 2024, respectively, and the number of shares remaining available for future issuance was 799 as of December 31, 2025. No purchases were made andno shares were issued under the ESPP during the year ended December 31, 2023.
Other Plans
From time to time, the Company grants, and has granted, key employees inducement awards outside of the Equity Plan (collectively, “Other Plans”), which have recently consisted of RSUs. Although these awards are not made under the Equity Plan, the key terms and conditions of the grant are typically the same as equity awards made under the Equity Plan.
(b) Share-Based Compensation
Restricted Stock Units
RSUs and PRSUs (subject to performance conditions being achieved) granted under the Equity Plan generally entitle the holder to receive, at the end of a vesting period, a specified number of shares of the Company’s common stock. The following table summarizes RSU and PRSU activity for the years ended December 31, 2025, 2024 and 2023:
| Number of Shares | Weighted AverageGrant DateFair Value perShare | |
|---|---|---|
| Unvested at January 1, 2023 | 665 | $94.79 |
| Granted—RSUs | 196 | $95.67 |
| Granted—PRSUs (1) | 176 | $109.74 |
| Vested | (349) | $89.76 |
| Canceled/forfeited | (87) | $104.14 |
| Unvested at December 31, 2023 | 601 | $101.01 |
| Granted—RSUs | 443 | $61.30 |
| Granted—PRSUs (1) | 259 | $70.73 |
| Vested | (234) | $89.64 |
| Canceled/forfeited | (156) | $90.66 |
| Unvested at December 31, 2024 | 913 | $77.81 |
| Granted—RSUs | 843 | $25.45 |
| Granted—PRSUs (1) | 509 | $30.33 |
| Vested | (304) | $80.79 |
| Canceled/forfeited | (167) | $63.73 |
| Unvested at December 31, 2025 | 1,794 | $40.55 |
(1) PRSUs granted included both the PRSUs granted during the year at the target amount and the additional shares of prior period granted PRSUs vested during the year in excess of the target shares.
As of December 31, 2025, there was $30,404 unrecognized compensation cost related to unvested RSUs and PRSUs. The Company expects to recognize such cost over a period of 1.7 years. As of December 31, 2025 and 2024, the aggregate intrinsic value of the RSUs and PRSUs outstanding was $28,274 and $21,834, respectively.
Share-Based Compensation
Total share-based compensation expense for the years ended December 31, 2025, 2024 and 2023 was as follows:
| Years Ended December 31, | |||
|---|---|---|---|
| 2025 | 2024 | 2023 | |
| Share-based employee compensation, before tax | $30,683 | $23,317 | $18,020 |
| Related income tax benefits | (7,978) | (6,062) | (4,685) |
| Share-based employee compensation, net of tax | $22,705 | $17,255 | $13,335 |
(13)Commitments and Contingencies
From time to time, the Company is involved in various lawsuits, claims, investigations, and proceedings that arise in the ordinary course of business. These matters typically relate to professional liability, tax, compensation, contract, competitor disputes and employee-related matters and include individual, representative and class action lawsuits, as well as inquiries and investigations by governmental agencies regarding the Company’s employment and compensation practices. Additionally, some of the Company’s clients may also become subject to claims, governmental inquiries and investigations, and legal actions relating to services provided by the Company’s healthcare professionals. Depending upon the particular facts and circumstances, the Company may also be subject to indemnification obligations under its contracts with such clients relating to these matters. The Company accrues for contingencies and records a liability when management believes an adverse outcome from a loss contingency is both probable and the amount, or a range, can be reasonably estimated. Significant judgment is required to determine both probability of loss and the estimated amount. The Company reviews its loss contingencies at least quarterly and adjusts its accruals and/or disclosures to reflect the impact of negotiations, settlements, rulings, advice of legal counsel, or other new information, as deemed necessary. The most significant matters for which the Company has established loss contingencies are class and representative actions related to wage and hour claims under California and Federal law. Specifically, among other claims in these lawsuits, it is alleged that certain expense reimbursements should be considered wages and included in the regular rate of pay for purposes of calculating overtime rates.
On May 26, 2016, former travel nurse Verna Maxwell Clarke filed a complaint against AMN Services, LLC, in California Superior Court in Los Angeles County. The Company removed the case to the United States District Court for the Central District of California (Case No. 2:16-cv-04132-DSF-KS) (the “Clarke Matter”). The complaint asserts that, due to the Company’s per diem adjustment practices, traveling nurses’ per diem benefits should be included in their regular rate of pay for the purposes of calculating their overtime compensation. The Company reached an agreement to settle this matter in its entirety and accordingly recorded an accrual amounting to $62,000. Final approval of the settlement was granted in the second quarter of 2024, and the Company disbursed the settlement amount in the third quarter of 2024.
The text of this filing, as the company filed it with the SEC, without its images or exhibits. This is not investment advice.