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Side-by-side financial comparison of AMN HEALTHCARE SERVICES INC (AMN) and ENSIGN GROUP, INC (ENSG). Click either name above to swap in a different company.

AMN HEALTHCARE SERVICES INC is the larger business by last-quarter revenue ($1.4B vs $1.3B, roughly 1.0× ENSIGN GROUP, INC). ENSIGN GROUP, INC runs the higher net margin — 7.1% vs 4.5%, a 2.6% gap on every dollar of revenue. On growth, AMN HEALTHCARE SERVICES INC posted the faster year-over-year revenue change (100.0% vs 19.0%). Over the past eight quarters, AMN HEALTHCARE SERVICES INC's revenue compounded faster (36.4% CAGR vs 15.5%).

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.

Ensign Energy Services Inc. is a publicly traded Canadian company that provides oilfield services for the North American and international market. Founded in 1987, Ensign is headquartered in Calgary, Alberta. Ensign's Common Shares are publicly traded though the facilities of the Toronto Stock Exchange under the trading symbol ESI.

AMN vs ENSG — Head-to-Head

Bigger by revenue
AMN
AMN
1.0× larger
AMN
$1.4B
$1.3B
ENSG
Growing faster (revenue YoY)
AMN
AMN
+81.0% gap
AMN
100.0%
19.0%
ENSG
Higher net margin
ENSG
ENSG
2.6% more per $
ENSG
7.1%
4.5%
AMN
Faster 2-yr revenue CAGR
AMN
AMN
Annualised
AMN
36.4%
15.5%
ENSG

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
AMN
AMN
ENSG
ENSG
Revenue
$1.4B
$1.3B
Net Profit
$62.2M
$95.5M
Gross Margin
26.8%
20.3%
Operating Margin
8.5%
9.2%
Net Margin
4.5%
7.1%
Revenue YoY
100.0%
19.0%
Net Profit YoY
19.8%
EPS (diluted)
$1.59
$1.61

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.

Revenue
AMN
AMN
ENSG
ENSG
Q1 26
$1.4B
Q4 25
$748.2M
$1.3B
Q3 25
$634.5M
$1.3B
Q2 25
$658.2M
$1.2B
Q1 25
$689.5M
$1.2B
Q4 24
$734.7M
$1.1B
Q3 24
$687.5M
$1.1B
Q2 24
$740.7M
$1.0B
Net Profit
AMN
AMN
ENSG
ENSG
Q1 26
$62.2M
Q4 25
$-7.7M
$95.5M
Q3 25
$29.3M
$83.8M
Q2 25
$-116.2M
$84.4M
Q1 25
$-1.1M
$80.3M
Q4 24
$-187.5M
$79.7M
Q3 24
$7.0M
$78.4M
Q2 24
$16.2M
$71.0M
Gross Margin
AMN
AMN
ENSG
ENSG
Q1 26
26.8%
Q4 25
26.1%
20.3%
Q3 25
29.1%
19.0%
Q2 25
29.8%
20.4%
Q1 25
28.7%
20.9%
Q4 24
29.8%
20.8%
Q3 24
31.0%
20.5%
Q2 24
31.0%
20.8%
Operating Margin
AMN
AMN
ENSG
ENSG
Q1 26
8.5%
Q4 25
1.1%
9.2%
Q3 25
7.5%
7.5%
Q2 25
-18.8%
8.5%
Q1 25
1.8%
8.6%
Q4 24
-27.6%
8.9%
Q3 24
3.2%
8.3%
Q2 24
5.1%
8.3%
Net Margin
AMN
AMN
ENSG
ENSG
Q1 26
4.5%
Q4 25
-1.0%
7.1%
Q3 25
4.6%
6.5%
Q2 25
-17.7%
6.9%
Q1 25
-0.2%
6.8%
Q4 24
-25.5%
7.0%
Q3 24
1.0%
7.3%
Q2 24
2.2%
6.9%
EPS (diluted)
AMN
AMN
ENSG
ENSG
Q1 26
$1.59
Q4 25
$-0.19
$1.61
Q3 25
$0.76
$1.42
Q2 25
$-3.02
$1.44
Q1 25
$-0.03
$1.37
Q4 24
$-4.90
$1.37
Q3 24
$0.18
$1.34
Q2 24
$0.42
$1.22

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
AMN
AMN
ENSG
ENSG
Cash + ST InvestmentsLiquidity on hand
$560.7M
$572.4M
Total DebtLower is stronger
$144.4M
Stockholders' EquityBook value
$2.2B
Total Assets
$2.6B
$5.5B
Debt / EquityLower = less leverage
0.06×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AMN
AMN
ENSG
ENSG
Q1 26
$560.7M
Q4 25
$34.0M
$572.4M
Q3 25
$52.6M
$506.3M
Q2 25
$41.5M
$418.4M
Q1 25
$55.8M
$344.5M
Q4 24
$10.6M
$526.9M
Q3 24
$30.6M
$571.0M
Q2 24
$48.0M
$501.5M
Total Debt
AMN
AMN
ENSG
ENSG
Q1 26
Q4 25
$767.1M
$144.4M
Q3 25
Q2 25
Q1 25
Q4 24
$1.1B
$148.4M
Q3 24
Q2 24
Stockholders' Equity
AMN
AMN
ENSG
ENSG
Q1 26
Q4 25
$642.1M
$2.2B
Q3 25
$644.4M
$2.1B
Q2 25
$607.6M
$2.0B
Q1 25
$715.1M
$1.9B
Q4 24
$706.6M
$1.8B
Q3 24
$890.7M
$1.7B
Q2 24
$876.9M
$1.7B
Total Assets
AMN
AMN
ENSG
ENSG
Q1 26
$2.6B
Q4 25
$2.1B
$5.5B
Q3 25
$2.1B
$5.2B
Q2 25
$2.2B
$4.9B
Q1 25
$2.4B
$4.8B
Q4 24
$2.4B
$4.7B
Q3 24
$2.7B
$4.6B
Q2 24
$2.8B
$4.4B
Debt / Equity
AMN
AMN
ENSG
ENSG
Q1 26
Q4 25
1.19×
0.06×
Q3 25
Q2 25
Q1 25
Q4 24
1.49×
0.08×
Q3 24
Q2 24

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
AMN
AMN
ENSG
ENSG
Operating Cash FlowLast quarter
$562.5M
$183.3M
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
9.04×
1.92×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AMN
AMN
ENSG
ENSG
Q1 26
$562.5M
Q4 25
$75.6M
$183.3M
Q3 25
$22.7M
$153.0M
Q2 25
$78.5M
$155.7M
Q1 25
$92.7M
$72.2M
Q4 24
$72.8M
$100.5M
Q3 24
$66.7M
$134.5M
Q2 24
$99.5M
$76.9M
Free Cash Flow
AMN
AMN
ENSG
ENSG
Q1 26
Q4 25
$67.6M
Q3 25
$14.8M
Q2 25
$68.7M
Q1 25
$82.7M
Q4 24
$56.6M
Q3 24
$47.4M
Q2 24
$72.2M
FCF Margin
AMN
AMN
ENSG
ENSG
Q1 26
Q4 25
9.0%
Q3 25
2.3%
Q2 25
10.4%
Q1 25
12.0%
Q4 24
7.7%
Q3 24
6.9%
Q2 24
9.8%
Capex Intensity
AMN
AMN
ENSG
ENSG
Q1 26
Q4 25
1.1%
Q3 25
1.2%
Q2 25
1.5%
Q1 25
1.4%
Q4 24
2.2%
Q3 24
2.8%
Q2 24
3.7%
Cash Conversion
AMN
AMN
ENSG
ENSG
Q1 26
9.04×
Q4 25
1.92×
Q3 25
0.77×
1.82×
Q2 25
1.85×
Q1 25
0.90×
Q4 24
1.26×
Q3 24
9.54×
1.71×
Q2 24
6.13×
1.08×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

AMN
AMN

Segment breakdown not available.

ENSG
ENSG

Skilled Services Segment$1.3B97%
Standard Bearer Segment$34.5M3%

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