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AMN Healthcare AMN Healthcare Announces First Quarter 2021 Results May 6 , 2021 Quarterly revenue of $ 886 million ; GAAP EPS of $ 1.47 and adjusted EPS of $ 1.70 DALLAS -- ( BUSINESS WIRE ) -- AMN Healthcare Services , Inc. ( NYSE : AMN ) , the leader and innovator in total talent solutions for healthcare organizations across the United States , today announced its first quarter 2021 financial results . Financial highlights are as follows : Dollars in millions , except per share amounts . Revenue Gross profit Q1 2021 % Change Q1 2020 $ 885.9 47 % $ 288.9 43 % Net income $ 70.4 443 % GAAP diluted EPS $ 1.47 440 % Adjusted diluted EPS * $ 1.70 Adjusted EBITDA * $ 140.9 116 % 90 % * See " Non - GAAP Measures " below for a discussion of our use of non - GAAP items and the table entitled " Non - GAAP Reconciliation Tables " for a reconciliation of non - GAAP items . Business Highlights • First quarter revenue and earnings were the highest in company history . • All reportable segments had higher demand and placement trends over Q4 2020 as overall healthcare utilization rises across acute and non - acute settings . • Revenue of $ 886 million was 47 % above prior year , with organic growth of 44 % . Growth was driven most by nurse and allied staffing along with our language services and vendor management systems businesses . • Operating cash flow in the quarter was $ 39 million , and our leverage ratio at quarter end was 2.2 to 1 . • In early April , we completed the acquisition of Synzi Holdings Inc. , a virtual care communication platform that expands our solutions for the home health and outpatient care markets . " We are in extraordinary times for our country and by far the most dynamic in the history of AMN . We want to express our profound gratitude for the way our healthcare professionals and team members are responding when our clients and communities need them most , " said Susan R. Salka , Chief Executive Officer of AMN Healthcare . " Our work in the healthcare community is vital as we are supporting many facets of healthcare delivery during this time of transition . While the pandemic has moved to a later stage , increasing non - COVID patient volumes , high job vacancy rates and heightened burnout are creating significant need . AMN is uniquely positioned to bring technology solutions and talent to help our clients efficiently address these workforce challenges . " The impact of severe shortages of talent within healthcare will have lasting effects , " Ms. Salka said . " To ensure AMN is well - prepared to continue evolving and delivering on our promise of total talent solutions , we are increasing investments in our team and technologies , in particular our digital capabilities . At the same time , we are making greater investments in building talent solutions for all reaches of the care continuum . Last month , we were thrilled to close the acquisition of Synzi , adding technology - enabled virtual care solutions for the outpatient and home health markets , where more healthcare will be delivered in the future . " First Quarter 2021 Results Consolidated revenue for the quarter was $ 886 million , a 47 % increase over prior year and 40 % higher than prior quarter . On an organic basis , consolidated revenue was up 44 % over prior year . Consolidated revenue in the quarter included approximately $ 25 million from vaccination - related projects . Net income was $ 70 million ( 7.9 % of revenue ) , or $ 1.47 per diluted share , compared with $ 13 million ( 2.2 % of revenue ) , or $ 0.27 per diluted share , in the same quarter last year . Adjusted diluted EPS in the first quarter was $ 1.70 . Revenue for the Nurse and Allied Solutions segment was $ 657 million up 55 % year over year and 47 % sequentially . Travel nurse staffing revenue grew 74 % year over year . Allied division revenue was higher by 17 % year over year . Revenue cycle solutions revenue was down more than 30 % from prior year though improved by 8 % sequentially . The Physician and Leadership Solutions segment reported revenue of $ 141 million , up 2 % year over year and 27 % sequentially . Locum tenens revenue was $ 86 million , up 9 % year over year and 27 % sequentially . Year - over - year growth in locums was driven by stronger revenue per day filled , while sequential growth also saw an 18 % increase in days filled . Interim leadership revenue was lower by 3 % year over year while growing 34 % sequentially . Our physician and leadership search businesses had sequential revenue growth of 12 % though being 16 % lower compared with a year ago .