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Side-by-side financial comparison of Alkermes plc. (ALKS) and AMN HEALTHCARE SERVICES INC (AMN). Click either name above to swap in a different company.
AMN HEALTHCARE SERVICES INC is the larger business by last-quarter revenue ($748.2M vs $384.5M, roughly 1.9× Alkermes plc.). Alkermes plc. runs the higher net margin — 12.8% vs -1.0%, a 13.9% gap on every dollar of revenue. On growth, AMN HEALTHCARE SERVICES INC posted the faster year-over-year revenue change (1.8% vs -10.6%). Alkermes plc. produced more free cash flow last quarter ($170.0M vs $67.6M). Over the past eight quarters, Alkermes plc.'s revenue compounded faster (4.8% CAGR vs -4.5%).
Alkermes plc is a fully-integrated biopharmaceutical company that focuses on developing medicines for psychiatric and neurological disorders. The company was founded in 1987 by Michael Wall. In September 2011 Alkermes, Inc. merged with Elan Drug Technologies (EDT), the former drug formulation and manufacturing division of Élan Corporation, plc. The company is headquartered in Dublin, and has an R&D center in Waltham, Massachusetts, and a manufacturing facility in Wilmington, Ohio.
AMN Healthcare Services Inc. is a leading US healthcare sector workforce solutions and staffing provider. It offers temporary and permanent placement for nurses, physicians, allied health and other clinical/non-clinical staff, plus workforce management tools and consulting for hospitals, clinics and other medical facilities.
ALKS vs AMN — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $384.5M | $748.2M |
| Net Profit | $49.3M | $-7.7M |
| Gross Margin | 88.0% | 26.1% |
| Operating Margin | 15.1% | 1.1% |
| Net Margin | 12.8% | -1.0% |
| Revenue YoY | -10.6% | 1.8% |
| Net Profit YoY | -66.3% | 95.9% |
| EPS (diluted) | $0.29 | $-0.19 |
Green = leading value per metric. Periods may differ when fiscal calendars don't align.
8-Quarter Revenue & Profit Trend
Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.
| Q4 25 | $384.5M | $748.2M | ||
| Q3 25 | $394.2M | $634.5M | ||
| Q2 25 | $390.7M | $658.2M | ||
| Q1 25 | $306.5M | $689.5M | ||
| Q4 24 | $430.0M | $734.7M | ||
| Q3 24 | $378.1M | $687.5M | ||
| Q2 24 | $399.1M | $740.7M | ||
| Q1 24 | $350.4M | $820.9M |
| Q4 25 | $49.3M | $-7.7M | ||
| Q3 25 | $82.8M | $29.3M | ||
| Q2 25 | $87.1M | $-116.2M | ||
| Q1 25 | $22.5M | $-1.1M | ||
| Q4 24 | $146.5M | $-187.5M | ||
| Q3 24 | $92.4M | $7.0M | ||
| Q2 24 | $91.4M | $16.2M | ||
| Q1 24 | $36.8M | $17.3M |
| Q4 25 | 88.0% | 26.1% | ||
| Q3 25 | 86.9% | 29.1% | ||
| Q2 25 | 87.3% | 29.8% | ||
| Q1 25 | 83.9% | 28.7% | ||
| Q4 24 | 85.6% | 29.8% | ||
| Q3 24 | 83.3% | 31.0% | ||
| Q2 24 | 84.6% | 31.0% | ||
| Q1 24 | 83.3% | 31.4% |
| Q4 25 | 15.1% | 1.1% | ||
| Q3 25 | 22.6% | 7.5% | ||
| Q2 25 | 23.8% | -18.8% | ||
| Q1 25 | 4.5% | 1.8% | ||
| Q4 24 | 37.8% | -27.6% | ||
| Q3 24 | 27.7% | 3.2% | ||
| Q2 24 | 27.5% | 5.1% | ||
| Q1 24 | 12.4% | 4.9% |
| Q4 25 | 12.8% | -1.0% | ||
| Q3 25 | 21.0% | 4.6% | ||
| Q2 25 | 22.3% | -17.7% | ||
| Q1 25 | 7.3% | -0.2% | ||
| Q4 24 | 34.1% | -25.5% | ||
| Q3 24 | 24.4% | 1.0% | ||
| Q2 24 | 22.9% | 2.2% | ||
| Q1 24 | 10.5% | 2.1% |
| Q4 25 | $0.29 | $-0.19 | ||
| Q3 25 | $0.49 | $0.76 | ||
| Q2 25 | $0.52 | $-3.02 | ||
| Q1 25 | $0.13 | $-0.03 | ||
| Q4 24 | $0.88 | $-4.90 | ||
| Q3 24 | $0.55 | $0.18 | ||
| Q2 24 | $0.53 | $0.42 | ||
| Q1 24 | $0.21 | $0.45 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $388.6M | $34.0M |
| Total DebtLower is stronger | — | $767.1M |
| Stockholders' EquityBook value | $1.8B | $642.1M |
| Total Assets | $2.5B | $2.1B |
| Debt / EquityLower = less leverage | — | 1.19× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $388.6M | $34.0M | ||
| Q3 25 | $616.4M | $52.6M | ||
| Q2 25 | $521.2M | $41.5M | ||
| Q1 25 | $399.8M | $55.8M | ||
| Q4 24 | $291.1M | $10.6M | ||
| Q3 24 | $396.3M | $30.6M | ||
| Q2 24 | $535.1M | $48.0M | ||
| Q1 24 | $420.8M | $50.6M |
| Q4 25 | — | $767.1M | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | $1.1B | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
| Q4 25 | $1.8B | $642.1M | ||
| Q3 25 | $1.7B | $644.4M | ||
| Q2 25 | $1.6B | $607.6M | ||
| Q1 25 | $1.5B | $715.1M | ||
| Q4 24 | $1.5B | $706.6M | ||
| Q3 24 | $1.3B | $890.7M | ||
| Q2 24 | $1.3B | $876.9M | ||
| Q1 24 | $1.3B | $854.2M |
| Q4 25 | $2.5B | $2.1B | ||
| Q3 25 | $2.3B | $2.1B | ||
| Q2 25 | $2.3B | $2.2B | ||
| Q1 25 | $2.1B | $2.4B | ||
| Q4 24 | $2.1B | $2.4B | ||
| Q3 24 | $2.2B | $2.7B | ||
| Q2 24 | $2.2B | $2.8B | ||
| Q1 24 | $2.1B | $2.9B |
| Q4 25 | — | 1.19× | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | 1.49× | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $170.1M | $75.6M |
| Free Cash FlowOCF − Capex | $170.0M | $67.6M |
| FCF MarginFCF / Revenue | 44.2% | 9.0% |
| Capex IntensityCapex / Revenue | 0.0% | 1.1% |
| Cash ConversionOCF / Net Profit | 3.45× | — |
| TTM Free Cash FlowTrailing 4 quarters | $480.3M | $233.8M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $170.1M | $75.6M | ||
| Q3 25 | $101.7M | $22.7M | ||
| Q2 25 | $150.2M | $78.5M | ||
| Q1 25 | $98.8M | $92.7M | ||
| Q4 24 | $190.4M | $72.8M | ||
| Q3 24 | $81.6M | $66.7M | ||
| Q2 24 | $146.0M | $99.5M | ||
| Q1 24 | $21.1M | $81.4M |
| Q4 25 | $170.0M | $67.6M | ||
| Q3 25 | $84.4M | $14.8M | ||
| Q2 25 | $137.2M | $68.7M | ||
| Q1 25 | $88.7M | $82.7M | ||
| Q4 24 | $180.6M | $56.6M | ||
| Q3 24 | $73.3M | $47.4M | ||
| Q2 24 | $138.9M | $72.2M | ||
| Q1 24 | $12.8M | $63.2M |
| Q4 25 | 44.2% | 9.0% | ||
| Q3 25 | 21.4% | 2.3% | ||
| Q2 25 | 35.1% | 10.4% | ||
| Q1 25 | 28.9% | 12.0% | ||
| Q4 24 | 42.0% | 7.7% | ||
| Q3 24 | 19.4% | 6.9% | ||
| Q2 24 | 34.8% | 9.8% | ||
| Q1 24 | 3.6% | 7.7% |
| Q4 25 | 0.0% | 1.1% | ||
| Q3 25 | 4.4% | 1.2% | ||
| Q2 25 | 3.3% | 1.5% | ||
| Q1 25 | 3.3% | 1.4% | ||
| Q4 24 | 2.3% | 2.2% | ||
| Q3 24 | 2.2% | 2.8% | ||
| Q2 24 | 1.8% | 3.7% | ||
| Q1 24 | 2.4% | 2.2% |
| Q4 25 | 3.45× | — | ||
| Q3 25 | 1.23× | 0.77× | ||
| Q2 25 | 1.72× | — | ||
| Q1 25 | 4.40× | — | ||
| Q4 24 | 1.30× | — | ||
| Q3 24 | 0.88× | 9.54× | ||
| Q2 24 | 1.60× | 6.13× | ||
| Q1 24 | 0.57× | 4.70× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
ALKS
| Vivitrol | $124.1M | 32% |
| Aristada And Aristada Initio | $97.2M | 25% |
| LYBALVI | $94.1M | 24% |
| Royalty | $65.7M | 17% |
| Manufacturing Revenue | $3.3M | 1% |
AMN
| Travel Nurse Staffing | $208.3M | 28% |
| Allied Staffing | $146.9M | 20% |
| Labor Disruption Services | $124.3M | 17% |
| Technology And Workforce Solutions | $88.0M | 12% |
| Language Services | $69.9M | 9% |
| Other | $29.6M | 4% |
| International Nurse Staffing | $29.6M | 4% |
| Interim Leadership Staffing | $24.1M | 3% |
| Vendor Management Systems | $16.3M | 2% |
| Local Staffing | $8.6M | 1% |
| International Nurse Permanent Placement | $2.6M | 0% |
