AMN Healthcare Services Inc — Earnings Quality Grade F
AMN · Healthcare
Major red flags
Screening Summary
Management Signals
Financial Trends
Revenue & Net Income ($B)
Margins (%)
18-Point Screening
Revenue Quality
DSO 58 days, change -5 days YoY
AR growth -15.3% vs revenue growth -8.5%
Revenue -8.5%, CFFO -15.9%. Cash follows revenue
Expense Quality
No material inventory
CapEx growth -56.0% vs revenue -8.5%. Normal
SG&A/Gross Profit = 76.6%, exceeds 70%
Gross margin 28.3%, change -2.5pp. Stable
Cash Flow Quality
CFFO/NI = -2.82. Below 1.0
FCF $0.2B, FCF/NI = -2.44
Accruals ratio = -17.4%. Low accruals
Cash $0.0B covers only 4% of debt $0.8B
Balance Sheet Health
Goodwill+Intangibles $1.0B = 162% of equity. Over 50%
Debt/EBITDA = 7.9x (>4x). Interest coverage = 0.7x (<2x). Financial stress
Other assets 1.1% vs revenue -8.5%. Normal
No write-off data
Acquisition Risk
FCF after acquisitions positive
Goodwill+Intangibles change -19% YoY. Normal
Manipulation Score
M-Score = -3.40 (< -2.22). Unlikely manipulator
Portfolio monitoring
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Beneish M-Score
Altman Z-Score
Generated from public financial data using forensic accounting frameworks. Not investment advice. Data: Yahoo Finance · 2026-04-25
