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Side-by-side financial comparison of AMN HEALTHCARE SERVICES INC (AMN) and American Water Works (AWK). Click either name above to swap in a different company.
American Water Works is the larger business by last-quarter revenue ($1.3B vs $748.2M, roughly 1.7× AMN HEALTHCARE SERVICES INC). American Water Works runs the higher net margin — 18.7% vs -1.0%, a 19.8% gap on every dollar of revenue. On growth, American Water Works posted the faster year-over-year revenue change (5.8% vs 1.8%). AMN HEALTHCARE SERVICES INC produced more free cash flow last quarter ($67.6M vs $-385.0M). Over the past eight quarters, American Water Works's revenue compounded faster (12.6% CAGR vs -4.5%).
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.
American Water Works Company, Inc., through its subsidiaries, provides water and wastewater services in the United States. It offers water and wastewater services to approximately 1,700 communities in 14 states serving approximately 3.4 million active customers. The company serves residential customers; commercial customers, including food and beverage providers, commercial property developers and proprietors, and energy suppliers; fire service and private fire customers; industrial customers...
AMN vs AWK — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $748.2M | $1.3B |
| Net Profit | $-7.7M | $238.0M |
| Gross Margin | 26.1% | — |
| Operating Margin | 1.1% | 31.9% |
| Net Margin | -1.0% | 18.7% |
| Revenue YoY | 1.8% | 5.8% |
| Net Profit YoY | 95.9% | -0.4% |
| EPS (diluted) | $-0.19 | $1.22 |
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 | $748.2M | $1.3B | ||
| Q3 25 | $634.5M | $1.5B | ||
| Q2 25 | $658.2M | $1.3B | ||
| Q1 25 | $689.5M | $1.1B | ||
| Q4 24 | $734.7M | $1.2B | ||
| Q3 24 | $687.5M | $1.3B | ||
| Q2 24 | $740.7M | $1.1B | ||
| Q1 24 | $820.9M | $1.0B |
| Q4 25 | $-7.7M | $238.0M | ||
| Q3 25 | $29.3M | $379.0M | ||
| Q2 25 | $-116.2M | $289.0M | ||
| Q1 25 | $-1.1M | $205.0M | ||
| Q4 24 | $-187.5M | $239.0M | ||
| Q3 24 | $7.0M | $350.0M | ||
| Q2 24 | $16.2M | $277.0M | ||
| Q1 24 | $17.3M | $185.0M |
| Q4 25 | 26.1% | — | ||
| Q3 25 | 29.1% | — | ||
| Q2 25 | 29.8% | — | ||
| Q1 25 | 28.7% | — | ||
| Q4 24 | 29.8% | — | ||
| Q3 24 | 31.0% | — | ||
| Q2 24 | 31.0% | — | ||
| Q1 24 | 31.4% | — |
| Q4 25 | 1.1% | 31.9% | ||
| Q3 25 | 7.5% | 42.2% | ||
| Q2 25 | -18.8% | 38.4% | ||
| Q1 25 | 1.8% | 32.7% | ||
| Q4 24 | -27.6% | 33.3% | ||
| Q3 24 | 3.2% | 40.9% | ||
| Q2 24 | 5.1% | 39.4% | ||
| Q1 24 | 4.9% | 32.5% |
| Q4 25 | -1.0% | 18.7% | ||
| Q3 25 | 4.6% | 26.1% | ||
| Q2 25 | -17.7% | 22.7% | ||
| Q1 25 | -0.2% | 18.1% | ||
| Q4 24 | -25.5% | 19.9% | ||
| Q3 24 | 1.0% | 26.4% | ||
| Q2 24 | 2.2% | 24.3% | ||
| Q1 24 | 2.1% | 18.4% |
| Q4 25 | $-0.19 | $1.22 | ||
| Q3 25 | $0.76 | $1.94 | ||
| Q2 25 | $-3.02 | $1.48 | ||
| Q1 25 | $-0.03 | $1.05 | ||
| Q4 24 | $-4.90 | $1.22 | ||
| Q3 24 | $0.18 | $1.80 | ||
| Q2 24 | $0.42 | $1.42 | ||
| Q1 24 | $0.45 | $0.95 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $34.0M | $98.0M |
| Total DebtLower is stronger | $767.1M | $12.8B |
| Stockholders' EquityBook value | $642.1M | $10.8B |
| Total Assets | $2.1B | $35.4B |
| Debt / EquityLower = less leverage | 1.19× | 1.18× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $34.0M | $98.0M | ||
| Q3 25 | $52.6M | $166.0M | ||
| Q2 25 | $41.5M | $94.0M | ||
| Q1 25 | $55.8M | $114.0M | ||
| Q4 24 | $10.6M | $96.0M | ||
| Q3 24 | $30.6M | $127.0M | ||
| Q2 24 | $48.0M | $48.0M | ||
| Q1 24 | $50.6M | $584.0M |
| Q4 25 | $767.1M | $12.8B | ||
| Q3 25 | — | $13.0B | ||
| Q2 25 | — | $12.3B | ||
| Q1 25 | — | $13.3B | ||
| Q4 24 | $1.1B | $12.5B | ||
| Q3 24 | — | $12.6B | ||
| Q2 24 | — | $12.6B | ||
| Q1 24 | — | $12.6B |
| Q4 25 | $642.1M | $10.8B | ||
| Q3 25 | $644.4M | $10.9B | ||
| Q2 25 | $607.6M | $10.7B | ||
| Q1 25 | $715.1M | $10.5B | ||
| Q4 24 | $706.6M | $10.3B | ||
| Q3 24 | $890.7M | $10.4B | ||
| Q2 24 | $876.9M | $10.2B | ||
| Q1 24 | $854.2M | $10.0B |
| Q4 25 | $2.1B | $35.4B | ||
| Q3 25 | $2.1B | $34.7B | ||
| Q2 25 | $2.2B | $33.9B | ||
| Q1 25 | $2.4B | $33.2B | ||
| Q4 24 | $2.4B | $32.8B | ||
| Q3 24 | $2.7B | $31.8B | ||
| Q2 24 | $2.8B | $31.2B | ||
| Q1 24 | $2.9B | $31.1B |
| Q4 25 | 1.19× | 1.18× | ||
| Q3 25 | — | 1.19× | ||
| Q2 25 | — | 1.15× | ||
| Q1 25 | — | 1.26× | ||
| Q4 24 | 1.49× | 1.21× | ||
| Q3 24 | — | 1.21× | ||
| Q2 24 | — | 1.24× | ||
| Q1 24 | — | 1.26× |
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 | $75.6M | $663.0M |
| Free Cash FlowOCF − Capex | $67.6M | $-385.0M |
| FCF MarginFCF / Revenue | 9.0% | -30.3% |
| Capex IntensityCapex / Revenue | 1.1% | 82.5% |
| Cash ConversionOCF / Net Profit | — | 2.79× |
| TTM Free Cash FlowTrailing 4 quarters | $233.8M | $-1.1B |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $75.6M | $663.0M | ||
| Q3 25 | $22.7M | $764.0M | ||
| Q2 25 | $78.5M | $301.0M | ||
| Q1 25 | $92.7M | $331.0M | ||
| Q4 24 | $72.8M | $639.0M | ||
| Q3 24 | $66.7M | $679.0M | ||
| Q2 24 | $99.5M | $345.0M | ||
| Q1 24 | $81.4M | $382.0M |
| Q4 25 | $67.6M | $-385.0M | ||
| Q3 25 | $14.8M | $-33.0M | ||
| Q2 25 | $68.7M | $-432.0M | ||
| Q1 25 | $82.7M | $-217.0M | ||
| Q4 24 | $56.6M | $-255.0M | ||
| Q3 24 | $47.4M | $-4.0M | ||
| Q2 24 | $72.2M | $-325.0M | ||
| Q1 24 | $63.2M | $-227.0M |
| Q4 25 | 9.0% | -30.3% | ||
| Q3 25 | 2.3% | -2.3% | ||
| Q2 25 | 10.4% | -34.0% | ||
| Q1 25 | 12.0% | -19.1% | ||
| Q4 24 | 7.7% | -21.2% | ||
| Q3 24 | 6.9% | -0.3% | ||
| Q2 24 | 9.8% | -28.5% | ||
| Q1 24 | 7.7% | -22.6% |
| Q4 25 | 1.1% | 82.5% | ||
| Q3 25 | 1.2% | 54.8% | ||
| Q2 25 | 1.5% | 57.6% | ||
| Q1 25 | 1.4% | 48.3% | ||
| Q4 24 | 2.2% | 74.4% | ||
| Q3 24 | 2.8% | 51.4% | ||
| Q2 24 | 3.7% | 58.8% | ||
| Q1 24 | 2.2% | 60.7% |
| Q4 25 | — | 2.79× | ||
| Q3 25 | 0.77× | 2.02× | ||
| Q2 25 | — | 1.04× | ||
| Q1 25 | — | 1.61× | ||
| Q4 24 | — | 2.67× | ||
| Q3 24 | 9.54× | 1.94× | ||
| Q2 24 | 6.13× | 1.25× | ||
| Q1 24 | 4.70× | 2.06× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
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% |
AWK
| Water Services | $1.0B | 81% |
| Other | $127.0M | 10% |
| Wastewater Services | $101.0M | 8% |
| Miscellaneous Utility Charge | $11.0M | 1% |
