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

EPAM Systems is the larger business by last-quarter revenue ($1.4B vs $748.2M, roughly 1.9× AMN HEALTHCARE SERVICES INC). EPAM Systems runs the higher net margin — 7.8% vs -1.0%, a 8.8% gap on every dollar of revenue. On growth, EPAM Systems posted the faster year-over-year revenue change (12.8% vs 1.8%). EPAM Systems produced more free cash flow last quarter ($268.1M vs $67.6M). Over the past eight quarters, EPAM Systems's revenue compounded faster (9.9% 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.

EPAM Systems, Inc. is an American company that specializes in software engineering services, digital platform engineering, and digital product design, operating out of Newtown, Pennsylvania. EPAM is a founding member of the MACH Alliance.

AMN vs EPAM — Head-to-Head

Bigger by revenue
EPAM
EPAM
1.9× larger
EPAM
$1.4B
$748.2M
AMN
Growing faster (revenue YoY)
EPAM
EPAM
+10.9% gap
EPAM
12.8%
1.8%
AMN
Higher net margin
EPAM
EPAM
8.8% more per $
EPAM
7.8%
-1.0%
AMN
More free cash flow
EPAM
EPAM
$200.5M more FCF
EPAM
$268.1M
$67.6M
AMN
Faster 2-yr revenue CAGR
EPAM
EPAM
Annualised
EPAM
9.9%
-4.5%
AMN

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
AMN
AMN
EPAM
EPAM
Revenue
$748.2M
$1.4B
Net Profit
$-7.7M
$109.4M
Gross Margin
26.1%
30.1%
Operating Margin
1.1%
10.6%
Net Margin
-1.0%
7.8%
Revenue YoY
1.8%
12.8%
Net Profit YoY
95.9%
5.9%
EPS (diluted)
$-0.19
$1.97

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
EPAM
EPAM
Q4 25
$748.2M
$1.4B
Q3 25
$634.5M
$1.4B
Q2 25
$658.2M
$1.4B
Q1 25
$689.5M
$1.3B
Q4 24
$734.7M
$1.2B
Q3 24
$687.5M
$1.2B
Q2 24
$740.7M
$1.1B
Q1 24
$820.9M
$1.2B
Net Profit
AMN
AMN
EPAM
EPAM
Q4 25
$-7.7M
$109.4M
Q3 25
$29.3M
$106.8M
Q2 25
$-116.2M
$88.0M
Q1 25
$-1.1M
$73.5M
Q4 24
$-187.5M
$103.3M
Q3 24
$7.0M
$136.3M
Q2 24
$16.2M
$98.6M
Q1 24
$17.3M
$116.2M
Gross Margin
AMN
AMN
EPAM
EPAM
Q4 25
26.1%
30.1%
Q3 25
29.1%
29.5%
Q2 25
29.8%
28.8%
Q1 25
28.7%
26.9%
Q4 24
29.8%
30.4%
Q3 24
31.0%
34.6%
Q2 24
31.0%
29.3%
Q1 24
31.4%
28.4%
Operating Margin
AMN
AMN
EPAM
EPAM
Q4 25
1.1%
10.6%
Q3 25
7.5%
10.4%
Q2 25
-18.8%
9.3%
Q1 25
1.8%
7.6%
Q4 24
-27.6%
10.9%
Q3 24
3.2%
15.2%
Q2 24
5.1%
10.5%
Q1 24
4.9%
9.5%
Net Margin
AMN
AMN
EPAM
EPAM
Q4 25
-1.0%
7.8%
Q3 25
4.6%
7.7%
Q2 25
-17.7%
6.5%
Q1 25
-0.2%
5.6%
Q4 24
-25.5%
8.3%
Q3 24
1.0%
11.7%
Q2 24
2.2%
8.6%
Q1 24
2.1%
10.0%
EPS (diluted)
AMN
AMN
EPAM
EPAM
Q4 25
$-0.19
$1.97
Q3 25
$0.76
$1.91
Q2 25
$-3.02
$1.56
Q1 25
$-0.03
$1.28
Q4 24
$-4.90
$1.80
Q3 24
$0.18
$2.37
Q2 24
$0.42
$1.70
Q1 24
$0.45
$1.97

Balance Sheet & Financial Strength

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

Metric
AMN
AMN
EPAM
EPAM
Cash + ST InvestmentsLiquidity on hand
$34.0M
$1.3B
Total DebtLower is stronger
$767.1M
Stockholders' EquityBook value
$642.1M
$3.7B
Total Assets
$2.1B
$4.9B
Debt / EquityLower = less leverage
1.19×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AMN
AMN
EPAM
EPAM
Q4 25
$34.0M
$1.3B
Q3 25
$52.6M
$1.2B
Q2 25
$41.5M
$1.0B
Q1 25
$55.8M
$1.2B
Q4 24
$10.6M
$1.3B
Q3 24
$30.6M
$2.1B
Q2 24
$48.0M
$1.8B
Q1 24
$50.6M
$2.0B
Total Debt
AMN
AMN
EPAM
EPAM
Q4 25
$767.1M
Q3 25
Q2 25
Q1 25
Q4 24
$1.1B
Q3 24
Q2 24
Q1 24
Stockholders' Equity
AMN
AMN
EPAM
EPAM
Q4 25
$642.1M
$3.7B
Q3 25
$644.4M
$3.7B
Q2 25
$607.6M
$3.7B
Q1 25
$715.1M
$3.6B
Q4 24
$706.6M
$3.6B
Q3 24
$890.7M
$3.6B
Q2 24
$876.9M
$3.4B
Q1 24
$854.2M
$3.5B
Total Assets
AMN
AMN
EPAM
EPAM
Q4 25
$2.1B
$4.9B
Q3 25
$2.1B
$4.8B
Q2 25
$2.2B
$4.7B
Q1 25
$2.4B
$4.7B
Q4 24
$2.4B
$4.8B
Q3 24
$2.7B
$4.5B
Q2 24
$2.8B
$4.2B
Q1 24
$2.9B
$4.4B
Debt / Equity
AMN
AMN
EPAM
EPAM
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
AMN
AMN
EPAM
EPAM
Operating Cash FlowLast quarter
$75.6M
$282.9M
Free Cash FlowOCF − Capex
$67.6M
$268.1M
FCF MarginFCF / Revenue
9.0%
19.0%
Capex IntensityCapex / Revenue
1.1%
1.1%
Cash ConversionOCF / Net Profit
2.59×
TTM Free Cash FlowTrailing 4 quarters
$233.8M
$612.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AMN
AMN
EPAM
EPAM
Q4 25
$75.6M
$282.9M
Q3 25
$22.7M
$294.7M
Q2 25
$78.5M
$53.2M
Q1 25
$92.7M
$24.2M
Q4 24
$72.8M
$130.3M
Q3 24
$66.7M
$242.0M
Q2 24
$99.5M
$57.0M
Q1 24
$81.4M
$129.9M
Free Cash Flow
AMN
AMN
EPAM
EPAM
Q4 25
$67.6M
$268.1M
Q3 25
$14.8M
$286.4M
Q2 25
$68.7M
$43.4M
Q1 25
$82.7M
$14.8M
Q4 24
$56.6M
$114.5M
Q3 24
$47.4M
$237.0M
Q2 24
$72.2M
$52.3M
Q1 24
$63.2M
$123.2M
FCF Margin
AMN
AMN
EPAM
EPAM
Q4 25
9.0%
19.0%
Q3 25
2.3%
20.5%
Q2 25
10.4%
3.2%
Q1 25
12.0%
1.1%
Q4 24
7.7%
9.2%
Q3 24
6.9%
20.3%
Q2 24
9.8%
4.6%
Q1 24
7.7%
10.6%
Capex Intensity
AMN
AMN
EPAM
EPAM
Q4 25
1.1%
1.1%
Q3 25
1.2%
0.6%
Q2 25
1.5%
0.7%
Q1 25
1.4%
0.7%
Q4 24
2.2%
1.3%
Q3 24
2.8%
0.4%
Q2 24
3.7%
0.4%
Q1 24
2.2%
0.6%
Cash Conversion
AMN
AMN
EPAM
EPAM
Q4 25
2.59×
Q3 25
0.77×
2.76×
Q2 25
0.60×
Q1 25
0.33×
Q4 24
1.26×
Q3 24
9.54×
1.77×
Q2 24
6.13×
0.58×
Q1 24
4.70×
1.12×

Financial Flow Comparison

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

Revenue Breakdown by Segment

AMN
AMN

Travel Nurse Staffing$208.3M28%
Allied Staffing$146.9M20%
Labor Disruption Services$124.3M17%
Technology And Workforce Solutions$88.0M12%
Language Services$69.9M9%
Other$29.6M4%
International Nurse Staffing$29.6M4%
Interim Leadership Staffing$24.1M3%
Vendor Management Systems$16.3M2%
Local Staffing$8.6M1%
International Nurse Permanent Placement$2.6M0%

EPAM
EPAM

Segment breakdown not available.

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