AMN HEALTHCARE SERVICES INC
For the period ended Jun 30, 2026. Filed Aug 7, 2026.
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A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.
Jun 30, 2026 · Filed Aug 7, 2026
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Notes to Unaudited Condensed Consolidated Financial Statements
(in thousands, except per share amounts)
- BASIS OF PRESENTATION
The condensed consolidated balance sheets and related condensed consolidated statements of comprehensive income (loss), stockholders’ equity and cash flows contained in this Quarterly Report on Form 10-Q (this “Quarterly Report”), which are unaudited, include the accounts of AMN Healthcare Services, Inc. and its wholly-owned subsidiaries (collectively, the “Company”). All significant intercompany balances and transactions have been eliminated in consolidation. In the opinion of management, all entries necessary for a fair presentation of such unaudited condensed consolidated financial statements have been included. These entries consisted of all normal recurring items. The results of operations for the interim period are not necessarily indicative of the results to be expected for any other interim period or for the entire fiscal year or for any future period.
The unaudited condensed consolidated financial statements do not include all information and notes necessary for a complete presentation of financial position, results of operations and cash flows in conformity with accounting principles generally accepted in the United States (“U.S. GAAP”). Please refer to the Company’s audited consolidated financial statements and the related notes for the fiscal year ended December 31, 2025, contained in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2025, filed with the Securities and Exchange Commission on February 20, 2026 (the “2025 Annual Report”).
The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions affecting the reported amounts of assets and liabilities, revenue and expenses, and related disclosures. On an ongoing basis, the Company evaluates its estimates, including those related to labor disruption revenue, reconciliation reserves, goodwill and intangible assets purchased in a business combination, asset impairments, accruals for self-insurance, contingent liabilities such as legal accruals, and income taxes, based on the information currently available and assumptions deemed reasonable. Actual results may differ from those estimates under different assumptions or conditions and as customer reconciliations are completed.
Recently Adopted Accounting Pronouncements
In July 2025, the FASB issued ASU 2025-05, “Financial Instruments-Credit Losses (Topic 326): Measurement of Credit Losses for Accounts Receivable and Contract Assets.” The guidance provides a practical expedient and an accounting policy election when estimating credit losses on current accounts receivable and current contract assets arising from transactions under ASC 606. An entity is allowed to assume the remaining life of an asset unchanged at the balance sheet date. This standard was effective on a prospective basis for fiscal years beginning after December 15, 2025. Upon adoption, the Company did not elect the practical expedient or make an accounting policy election under this ASU; therefore, this ASU did not have a material impact on the Company’s consolidated financial statements and disclosures.
Cash, Cash Equivalents and Restricted Cash
The Company considers all highly liquid investments and restricted investments with an original maturity of three months or less to be cash equivalents and restricted cash equivalents, respectively. Cash and cash equivalents include currency on hand, deposits with financial institutions, money market funds and other highly liquid investments. Restricted cash and cash equivalents primarily include cash, corporate bonds and commercial paper that serve as collateral for the Company’s captive insurance subsidiary claim payments. See Note (6), “Fair Value Measurement” for additional information.
The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the accompanying condensed consolidated balance sheets and related notes to the amounts presented in the accompanying condensed consolidated statements of cash flows.
| June 30, 2026 | December 31, 2025 | |
|---|---|---|
| Cash and cash equivalents | $361,836 | $33,972 |
| Restricted cash and cash equivalents (included in other current assets) | 22,486 | 21,628 |
| Restricted cash, cash equivalents and investments | 39,703 | 45,606 |
| Total cash, cash equivalents and restricted cash and investments | 424,025 | 101,206 |
| Less restricted investments | (33,546) | (34,035) |
| Total cash, cash equivalents and restricted cash | $390,479 | $67,171 |
The Company maintains its cash and restricted cash in bank deposit accounts primarily at large, national financial institutions, which typically exceed federally insured limits. The Company has not experienced any losses in such accounts.
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, which includes current conditions and forecasts about future economic conditions.
The following table provides a reconciliation of activity in the allowance for credit losses for accounts receivable:
| 2026 | 2025 | |
|---|---|---|
| Balance as of January 1, | $16,580 | $32,421 |
| Provision for expected credit losses | (1,027) | 4,655 |
| Amounts written off charged against the allowance | (4,034) | (13,073) |
| Allowance for credit losses in assets held for sale | — | (91) |
| Balance as of June 30, | $11,519 | $23,912 |
Reclassifications
To conform to the current year presentation, certain reclassifications have been made to prior year balances in the accompanying Note (4), “Segment Information.” For comparability purposes, certain prior-year amounts have been separately presented in the accompanying Note (6), “Fair Value Measurement” to conform to the current year presentation. These amounts were previously included within other disclosed balances and were not separately presented in prior periods. Separate presentation in the comparative fair value hierarchy table enhances period-to-period comparability and does not affect previously reported total assets, liabilities, stockholders’ equity, net income or cash flows.
- 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 to a percentage fee.
The Company’s customers are primarily billed as services are rendered. Fees billed in advance of being earned are recorded as deferred revenue. For labor disruption engagements, customer deposits received prior to service delivery are recorded as contract liabilities within client deposits, with revenue recognized over time as staffing and related services are provided during the event. As of the reporting date, the Company has completed five labor disruption events. One event has been fully settled with the customer, and the remaining four events are in various stages of reconciliation, including both internally and with customers. Revenue recognized for these events reflects management’s estimates of staffing volume, billable hours, contractual rates, and reimbursable costs, as final utilization and cost data becomes available after deployment. Upon completion, actual revenue and related costs are reconciled to deposits received, which may result in a refund from contract liabilities or an incremental invoice. The Company delivered all reconciliation packages to the customers during the second quarter. The Company is currently working with the customers to review and finalize the reconciliations and expects customer approval and settlement to occur during the third and fourth quarters.
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.
See Note (4), “Segment Information,” for additional information regarding the Company’s revenue disaggregated by service type.
- NET INCOME (LOSS) PER COMMON SHARE
Basic net income (loss) per common share is calculated by dividing net income (loss) by the weighted average number of common shares outstanding during the reporting period. The following table sets forth the computation of basic and diluted net income (loss) per common share:
| Three Months Ended June 30, | Six Months Ended June 30, | |||
|---|---|---|---|---|
| 2026 | 2025 | 2026 | 2025 | |
| Net income (loss) | $21,160 | $(116,202) | $83,326 | $(117,294) |
| Net income (loss) per common share - basic | $0.54 | $(3.02) | $2.14 | $(3.06) |
| Net income (loss) per common share - diluted | $0.53 | $(3.02) | $2.11 | $(3.06) |
| Weighted average common shares outstanding - basic | 39,021 | 38,414 | 38,962 | 38,363 |
| Plus dilutive effect of potential common shares | 711 | — | 541 | — |
| Weighted average common shares outstanding - diluted | 39,732 | 38,414 | 39,503 | 38,363 |
| Anti-dilutive potential common shares excluded from diluted weighted average common shares outstanding | 109 | 157 | 343 | 110 |
The dilutive effect of potential shares and anti-dilutive potential common shares primarily includes outstanding share-based awards, which consists of restricted stock units, performance restricted stock units, and obligations under the Company’s employee stock purchase plan (the “ESPP”).
- 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 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.
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, impairment losses for goodwill and long-lived assets, interest expense, net, and other, and unallocated corporate overhead.
| Three Months Ended June 30, 2026 | ||||
|---|---|---|---|---|
| Nurse and Allied Solutions | Physician and Leadership Solutions | Technology and Workforce Solutions | Total | |
| Revenue | $421,968 | $164,582 | $86,687 | $673,237 |
| Cost of revenue | 301,940 | 120,899 | 44,516 | 467,355 |
| Gross profit | 120,028 | 43,683 | 42,171 | 205,882 |
| Segment selling, general and administrative expenses | 61,789 | 32,637 | 20,065 | 114,491 |
| Depreciation (included in cost of revenue) | — | — | (2,515) | (2,515) |
| Segment operating income | $58,239 | $11,046 | $24,621 | 93,906 |
| Unallocated corporate overhead | 23,045 | |||
| Depreciation and amortization | 31,583 | |||
| Depreciation (included in cost of revenue) | 2,515 | |||
| Share-based compensation | 9,855 | |||
| Interest expense, net, and other | 7,009 | |||
| Income before income taxes | $19,899 | |||
| Three Months Ended June 30, 2025 | ||||
|---|---|---|---|---|
| Nurse and Allied Solutions | Physician and Leadership Solutions | Technology and Workforce Solutions | Total | |
| Revenue | $381,871 | $174,531 | $101,773 | $658,175 |
| Cost of revenue | 290,746 | 125,371 | 45,659 | 461,776 |
| Gross profit | 91,125 | 49,160 | 56,114 | 196,399 |
| Segment selling, general and administrative expenses | 62,642 | 35,674 | 23,037 | 121,353 |
| Depreciation (included in cost of revenue) | — | — | (2,132) | (2,132) |
| Segment operating income | $28,483 | $13,486 | $35,209 | 77,178 |
| Unallocated corporate overhead | 24,404 | |||
| Depreciation and amortization | 37,753 | |||
| Depreciation (included in cost of revenue) | 2,132 | |||
| Share-based compensation | 8,827 | |||
| Goodwill impairment loss | 109,515 | |||
| Long-lived assets impairment loss | 18,262 | |||
| Interest expense, net, and other | 11,360 | |||
| Loss before income taxes | $(135,075) | |||
| Six Months Ended June 30, 2026 | ||||
|---|---|---|---|---|
| Nurse and Allied Solutions | Physician and Leadership Solutions | Technology and Workforce Solutions | Total | |
| Revenue | $1,549,310 | $328,506 | $173,782 | $2,051,598 |
| Cost of revenue | 1,146,819 | 241,976 | 88,085 | 1,476,880 |
| Gross profit | 402,491 | 86,530 | 85,697 | 574,718 |
| Segment selling, general and administrative expenses | 190,922 | 64,666 | 40,741 | 296,329 |
| Depreciation (included in cost of revenue) | — | — | (4,935) | (4,935) |
| Segment operating income | $211,569 | $21,864 | $49,891 | 283,324 |
| Unallocated corporate overhead | 49,740 | |||
| Depreciation and amortization | 64,823 | |||
| Depreciation (included in cost of revenue) | 4,935 | |||
| Share-based compensation | 19,747 | |||
| Interest expense, net, and other | 13,721 | |||
| Income before income taxes | $130,358 | |||
| Six Months Ended June 30, 2025 | ||||
|---|---|---|---|---|
| Nurse and Allied Solutions | Physician and Leadership Solutions | Technology and Workforce Solutions | Total | |
| Revenue | $795,132 | $348,596 | $203,980 | $1,347,708 |
| Cost of revenue | 610,134 | 251,883 | 91,172 | 953,189 |
| Gross profit | 184,998 | 96,713 | 112,808 | 394,519 |
| Segment selling, general and administrative expenses | 124,277 | 68,765 | 46,456 | 239,498 |
| Depreciation (included in cost of revenue) | — | — | (4,107) | (4,107) |
| Segment operating income | $60,721 | $27,948 | $70,459 | 159,128 |
| Unallocated corporate overhead | 44,609 | |||
| Depreciation and amortization | 75,635 | |||
| Depreciation (included in cost of revenue) | 4,107 | |||
| Share-based compensation | 18,208 | |||
| Goodwill impairment loss | 109,515 | |||
| Long-lived assets impairment loss | 18,262 | |||
| Interest expense, net, and other | 23,684 | |||
| Loss before income taxes | $(134,892) | |||
The following table summarizes the activity related to the carrying value of goodwill by reportable segment:
| Nurse and Allied Solutions | Physician and Leadership Solutions | Technology and Workforce Solutions | Total | |
|---|---|---|---|---|
| Balance, January 1, 2026 | $259,137 | $128,245 | $368,427 | $755,809 |
| Goodwill from Jaide Health acquisition | — | — | 3,190 | 3,190 |
| Balance, June 30, 2026 | $259,137 | $128,245 | $371,617 | $758,999 |
| Accumulated impairment loss as of December 31, 2025 and June 30, 2026 | $277,727 | $269,184 | $— | $546,911 |
Disaggregation of Revenue
The following tables present the Company’s revenue disaggregated by service type:
| Three Months Ended June 30, 2026 | ||||
|---|---|---|---|---|
| Nurse and Allied Solutions | Physician and Leadership Solutions | Technology and Workforce Solutions | Total | |
| Travel nurse staffing | $228,011 | $— | $— | $228,011 |
| Labor disruption services | 25,262 | — | — | 25,262 |
| Local staffing | 8,061 | — | — | 8,061 |
| Allied staffing | 157,216 | — | — | 157,216 |
| Locum tenens staffing | — | 130,767 | — | 130,767 |
| Interim leadership staffing | — | 22,113 | — | 22,113 |
| Temporary staffing | 418,550 | 152,880 | — | 571,430 |
| Permanent placement (1) | 3,418 | 11,702 | — | 15,120 |
| Language services | — | — | 69,607 | 69,607 |
| Vendor management systems | — | — | 15,160 | 15,160 |
| Technology-enabled services | — | — | 84,767 | 84,767 |
| Talent planning and acquisition | — | — | 1,920 | 1,920 |
| Total revenue | $421,968 | $164,582 | $86,687 | $673,237 |
| Three Months Ended June 30, 2025 | ||||
|---|---|---|---|---|
| Nurse and Allied Solutions | Physician and Leadership Solutions | Technology and Workforce Solutions | Total | |
| Travel nurse staffing | $208,018 | $— | $— | $208,018 |
| Labor disruption services | 15,751 | — | — | 15,751 |
| Local staffing | 9,708 | — | — | 9,708 |
| Allied staffing | 145,637 | — | — | 145,637 |
| Locum tenens staffing | — | 142,551 | — | 142,551 |
| Interim leadership staffing | — | 22,742 | — | 22,742 |
| Temporary staffing | 379,114 | 165,293 | — | 544,407 |
| Permanent placement (1) | 2,757 | 9,238 | — | 11,995 |
| Language services | — | — | 75,706 | 75,706 |
| Vendor management systems | — | — | 19,023 | 19,023 |
| Other technologies | — | — | 4,298 | 4,298 |
| Technology-enabled services | — | — | 99,027 | 99,027 |
| Talent planning and acquisition | — | — | 2,746 | 2,746 |
| Total revenue | $381,871 | $174,531 | $101,773 | $658,175 |
| Six Months Ended June 30, 2026 | ||||
|---|---|---|---|---|
| Nurse and Allied Solutions | Physician and Leadership Solutions | Technology and Workforce Solutions | Total | |
| Travel nurse staffing | $469,500 | $— | $— | $469,500 |
| Labor disruption services | 747,233 | — | — | 747,233 |
| Local staffing | 17,370 | — | — | 17,370 |
| Allied staffing | 308,505 | — | — | 308,505 |
| Locum tenens staffing | — | 261,956 | — | 261,956 |
| Interim leadership staffing | — | 45,093 | — | 45,093 |
| Temporary staffing | 1,542,608 | 307,049 | — | 1,849,657 |
| Permanent placement (1) | 6,702 | 21,457 | — | 28,159 |
| Language services | — | — | 138,549 | 138,549 |
| Vendor management systems | — | — | 31,105 | 31,105 |
| Technology-enabled services | — | — | 169,654 | 169,654 |
| Talent planning and acquisition | — | — | 4,128 | 4,128 |
| Total revenue | $1,549,310 | $328,506 | $173,782 | $2,051,598 |
| Six Months Ended June 30, 2025 | ||||
|---|---|---|---|---|
| Nurse and Allied Solutions | Physician and Leadership Solutions | Technology and Workforce Solutions | Total | |
| Travel nurse staffing | $423,465 | $— | $— | $423,465 |
| Labor disruption services | 54,382 | — | — | 54,382 |
| Local staffing | 19,429 | — | — | 19,429 |
| Allied staffing | 293,133 | — | — | 293,133 |
| Locum tenens staffing | — | 283,397 | — | 283,397 |
| Interim leadership staffing | — | 46,559 | — | 46,559 |
| Temporary staffing | 790,409 | 329,956 | — | 1,120,365 |
| Permanent placement (1) | 4,723 | 18,640 | — | 23,363 |
| Language services | — | — | 150,616 | 150,616 |
| Vendor management systems | — | — | 38,434 | 38,434 |
| Other technologies | — | — | 8,677 | 8,677 |
| Technology-enabled services | — | — | 197,727 | 197,727 |
| Talent planning and acquisition | — | — | 6,253 | 6,253 |
| Total revenue | $795,132 | $348,596 | $203,980 | $1,347,708 |
(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:
| Three Months Ended June 30, | Six Months Ended June 30, | |||
|---|---|---|---|---|
| 2026 | 2025 | 2026 | 2025 | |
| International nurse staffing (1) | $36,435 | $29,619 | $70,857 | $61,525 |
| International nurse permanent placement (2) | 3,418 | 2,757 | 6,702 | 4,723 |
| Total international nurse revenue | $39,853 | $32,376 | $77,559 | $66,248 |
(1) Included in “Travel nurse staffing” as presented in the preceding tables.
(2) Included in “Permanent placement” as presented in the preceding tables.
- NOTES PAYABLE AND CREDIT AGREEMENT
On October 6, 2025, the Company entered into the fifth amendment to its credit agreement which provided for, among other things, the following: (i) an extension of the maturity date of the Senior Credit Facility (as defined below) 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. Additional information regarding the Company’s $450,000 secured revolving credit facility (the “Senior Credit Facility”) and the amended credit agreement is disclosed in Part II, Item 8, “Financial Statements and Supplementary Data—Notes to Consolidated Financial Statements—Note (9), Notes Payable and Credit Agreement” of the 2025 Annual Report.
- FAIR VALUE MEASUREMENT
The Company’s valuation techniques and inputs used to measure fair value and the definition of the three levels (Level 1, Level 2, and Level 3) of the fair value hierarchy are disclosed in Part II, Item 8, “Financial Statements and Supplementary Data—Notes to Consolidated Financial Statements—Note (4), Fair Value Measurement” of the 2025 Annual Report. The Company has not changed the valuation techniques or inputs it uses for its fair value measurement during the six months ended June 30, 2026.
Assets and Liabilities Measured on a Recurring Basis
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 has a deferred compensation plan for certain executives and employees, which is composed of deferred compensation and all related income and losses attributable thereto. 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 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 June 30, 2026 | As of December 31, 2025 | |
|---|---|---|
| Commercial paper | $10,813 | $12,985 |
| Total classified as restricted cash equivalents | $10,813 | $12,985 |
| Commercial paper | $1,569 | $1,449 |
| Corporate bonds | 31,977 | 32,586 |
| Total classified as restricted investments | $33,546 | $34,035 |
The Company’s contingent consideration liabilities associated with acquisitions are measured at fair value using a 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 condensed 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.
The following table presents information about the above-referenced assets and liabilities and indicates the fair value hierarchy of the valuation techniques utilized to determine such fair value:
| Fair Value Measurements as of June 30, 2026 | Fair Value Measurements as of December 31, 2025 | |||||||
|---|---|---|---|---|---|---|---|---|
| Assets (Liabilities) | Level 1 | Level 2 | Level 3 | Total | Level 1 | Level 2 | Level 3 | Total |
| Money market funds | $320,156 | $— | $— | $320,156 | $10,012 | $— | $— | $10,012 |
| Deferred compensation | (214,298) | — | — | (214,298) | (205,390) | — | — | (205,390) |
| Commercial paper | — | 12,382 | — | 12,382 | — | 14,434 | — | 14,434 |
| Corporate bonds | — | 31,977 | — | 31,977 | — | 32,586 | — | 32,586 |
| Acquisition contingent consideration liabilities | — | — | (1,770) | (1,770) | — | — | — | — |
Assets Measured on a Non-Recurring Basis
The Company applies fair value techniques on a non-recurring basis associated with identifiable intangible assets acquired through acquisitions and valuing potential impairment losses related to its goodwill, indefinite-lived intangible assets, long-lived assets, and equity investments.
The fair value of identifiable intangible assets is 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.
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 its indefinite-lived intangible assets using the income approach (relief-from-royalty method) based on Level 3 inputs.
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 condensed consolidated statements of comprehensive income (loss). As of June 30, 2026, 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 June 30, 2026 and December 31, 2025.
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 4.000% 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 2029 Notes and the 2031 Notes are presented in the following table. See additional information regarding the 2029 Notes and the 2031 Notes in Part II, Item 8, “Financial Statements and Supplementary Data—Notes to Consolidated Financial Statements—Note (9), Notes Payable and Credit Agreement” of the 2025 Annual Report.
| As of June 30, 2026 | As of December 31, 2025 | |||
|---|---|---|---|---|
| CarryingAmount | EstimatedFair Value | CarryingAmount | EstimatedFair Value | |
| 2029 Notes | $350,000 | $338,625 | $350,000 | $331,188 |
| 2031 Notes | 400,000 | 401,000 | 400,000 | 398,500 |
On July 1, 2025, the Company completed the sale of its Smart Square 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 9.00% promissory note of $10,000 (the “2027 Note Receivable”) payable on January 1, 2027. The Company initially recognized the 2027 Note Receivableat its estimated fair value of$9,899 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 June 30, 2026 as there were no material changes in contractual terms, counterparty credit risk, or other relevant factors. The carrying amount of $9,965 approximates its fair value and is classified as a current asset in the consolidated balance sheet as of June 30, 2026.
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.
- INCOME TAXES
The Company is subject to taxation in the U.S. and various states, and foreign jurisdictions. With few exceptions, as of June 30, 2026, 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.
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.
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 or the effective tax rate as of June 30, 2026.
- COMMITMENTS AND CONTINGENCIES
Legal Proceedings
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.
- BALANCE SHEET DETAILS
The consolidated balance sheets detail is as follows:
| June 30, 2026 | December 31, 2025 | |
|---|---|---|
| Other current assets: | ||
| Restricted cash and cash equivalents | $22,486 | $21,628 |
| Income taxes receivable | 4,847 | 8,506 |
| Subcontractor deposits | 8,773 | 14,927 |
| Other | 25,991 | 14,874 |
| Other current assets | $62,097 | $59,935 |
| Fixed assets: | ||
| Furniture and equipment | $102,820 | $97,879 |
| Software | 371,780 | 436,891 |
| Leasehold improvements | 16,388 | 16,388 |
| 490,988 | 551,158 | |
| Accumulated depreciation | (373,644) | (414,797) |
| Fixed assets, net | $117,344 | $136,361 |
| Other assets: | ||
| Life insurance cash surrender value | $227,157 | $215,513 |
| Operating lease right-of-use assets | 24,406 | 27,047 |
| Other | 29,235 | 39,992 |
| Other assets | $280,798 | $282,552 |
| Accounts payable and accrued expenses: | ||
| Trade accounts payable | $35,338 | $37,049 |
| Subcontractor payable | 59,764 | 47,896 |
| Accrued expenses | 69,159 | 53,598 |
| Loss contingencies | 9,100 | 6,721 |
| Professional liability reserve | 11,494 | 9,506 |
| Other | 8,357 | 7,198 |
| Accounts payable and accrued expenses | $193,212 | $161,968 |
| Accrued compensation and benefits: | ||
| Accrued payroll | $48,048 | $45,166 |
| Accrued bonuses and commissions | 43,030 | 28,306 |
| ESPP contributions | 551 | 545 |
| Workers compensation reserve | 7,882 | 8,636 |
| Deferred compensation | 214,298 | 205,390 |
| Other | 11,219 | 10,794 |
| Accrued compensation and benefits | $325,028 | $298,837 |
| Other current liabilities: | ||
| Client deposits and reserves | 237,244 | 97,337 |
| Operating lease liabilities | 5,793 | 6,009 |
| Deferred revenue | 5,138 | 9,497 |
| Other | 4,074 | 3,966 |
| Other current liabilities | $252,249 | $116,809 |
| Other long-term liabilities: | ||
| Workers compensation reserve | $16,450 | $15,969 |
| Professional liability reserve | 46,159 | 44,433 |
| Operating lease liabilities | 27,082 | 30,140 |
| Other | 19,584 | 16,792 |
| Other long-term liabilities | $109,275 | $107,334 |
The text of this filing, as the company filed it with the SEC, without its images or exhibits. This is not investment advice.