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

Realty Income is the larger business by last-quarter revenue ($1.5B vs $748.2M, roughly 2.0× AMN HEALTHCARE SERVICES INC). Realty Income runs the higher net margin — 19.9% vs -1.0%, a 20.9% gap on every dollar of revenue. On growth, Realty Income posted the faster year-over-year revenue change (11.0% vs 1.8%). Realty Income produced more free cash flow last quarter ($1.2B vs $67.6M). Over the past eight quarters, Realty Income's revenue compounded faster (8.6% 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.

Realty Income Corporation is a real estate investment trust that invests in free-standing, single-tenant commercial properties in the United States, the United Kingdom, and six other countries in Europe. These properties are subject to NNN Leases. The company is organized in Maryland with its headquarters in San Diego, California.

AMN vs O — Head-to-Head

Bigger by revenue
O
O
2.0× larger
O
$1.5B
$748.2M
AMN
Growing faster (revenue YoY)
O
O
+9.2% gap
O
11.0%
1.8%
AMN
Higher net margin
O
O
20.9% more per $
O
19.9%
-1.0%
AMN
More free cash flow
O
O
$1.1B more FCF
O
$1.2B
$67.6M
AMN
Faster 2-yr revenue CAGR
O
O
Annualised
O
8.6%
-4.5%
AMN

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
AMN
AMN
O
O
Revenue
$748.2M
$1.5B
Net Profit
$-7.7M
$296.1M
Gross Margin
26.1%
Operating Margin
1.1%
21.7%
Net Margin
-1.0%
19.9%
Revenue YoY
1.8%
11.0%
Net Profit YoY
95.9%
48.3%
EPS (diluted)
$-0.19
$0.32

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
O
O
Q4 25
$748.2M
$1.5B
Q3 25
$634.5M
$1.5B
Q2 25
$658.2M
$1.4B
Q1 25
$689.5M
$1.4B
Q4 24
$734.7M
$1.3B
Q3 24
$687.5M
$1.3B
Q2 24
$740.7M
$1.3B
Q1 24
$820.9M
$1.3B
Net Profit
AMN
AMN
O
O
Q4 25
$-7.7M
$296.1M
Q3 25
$29.3M
$315.8M
Q2 25
$-116.2M
$196.9M
Q1 25
$-1.1M
$249.8M
Q4 24
$-187.5M
$199.6M
Q3 24
$7.0M
$269.5M
Q2 24
$16.2M
$259.4M
Q1 24
$17.3M
$132.3M
Gross Margin
AMN
AMN
O
O
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%
Operating Margin
AMN
AMN
O
O
Q4 25
1.1%
21.7%
Q3 25
7.5%
23.2%
Q2 25
-18.8%
15.8%
Q1 25
1.8%
19.3%
Q4 24
-27.6%
16.5%
Q3 24
3.2%
21.5%
Q2 24
5.1%
20.7%
Q1 24
4.9%
11.9%
Net Margin
AMN
AMN
O
O
Q4 25
-1.0%
19.9%
Q3 25
4.6%
21.5%
Q2 25
-17.7%
14.0%
Q1 25
-0.2%
18.1%
Q4 24
-25.5%
14.9%
Q3 24
1.0%
20.2%
Q2 24
2.2%
19.4%
Q1 24
2.1%
10.5%
EPS (diluted)
AMN
AMN
O
O
Q4 25
$-0.19
$0.32
Q3 25
$0.76
$0.35
Q2 25
$-3.02
$0.22
Q1 25
$-0.03
$0.28
Q4 24
$-4.90
$0.23
Q3 24
$0.18
$0.30
Q2 24
$0.42
$0.29
Q1 24
$0.45
$0.16

Balance Sheet & Financial Strength

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

Metric
AMN
AMN
O
O
Cash + ST InvestmentsLiquidity on hand
$34.0M
$434.8M
Total DebtLower is stronger
$767.1M
Stockholders' EquityBook value
$642.1M
$39.4B
Total Assets
$2.1B
$72.8B
Debt / EquityLower = less leverage
1.19×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AMN
AMN
O
O
Q4 25
$34.0M
$434.8M
Q3 25
$52.6M
$417.2M
Q2 25
$41.5M
$800.4M
Q1 25
$55.8M
$319.0M
Q4 24
$10.6M
$445.0M
Q3 24
$30.6M
$397.0M
Q2 24
$48.0M
$442.8M
Q1 24
$50.6M
$680.2M
Total Debt
AMN
AMN
O
O
Q4 25
$767.1M
Q3 25
Q2 25
Q1 25
Q4 24
$1.1B
Q3 24
Q2 24
Q1 24
Stockholders' Equity
AMN
AMN
O
O
Q4 25
$642.1M
$39.4B
Q3 25
$644.4M
$39.1B
Q2 25
$607.6M
$39.2B
Q1 25
$715.1M
$39.0B
Q4 24
$706.6M
$38.8B
Q3 24
$890.7M
$38.5B
Q2 24
$876.9M
$38.6B
Q1 24
$854.2M
$39.0B
Total Assets
AMN
AMN
O
O
Q4 25
$2.1B
$72.8B
Q3 25
$2.1B
$71.3B
Q2 25
$2.2B
$71.4B
Q1 25
$2.4B
$69.8B
Q4 24
$2.4B
$68.8B
Q3 24
$2.7B
$68.5B
Q2 24
$2.8B
$68.1B
Q1 24
$2.9B
$68.3B
Debt / Equity
AMN
AMN
O
O
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
O
O
Operating Cash FlowLast quarter
$75.6M
$1.2B
Free Cash FlowOCF − Capex
$67.6M
$1.2B
FCF MarginFCF / Revenue
9.0%
77.6%
Capex IntensityCapex / Revenue
1.1%
3.3%
Cash ConversionOCF / Net Profit
4.06×
TTM Free Cash FlowTrailing 4 quarters
$233.8M
$3.9B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AMN
AMN
O
O
Q4 25
$75.6M
$1.2B
Q3 25
$22.7M
$943.1M
Q2 25
$78.5M
$1.1B
Q1 25
$92.7M
$787.5M
Q4 24
$72.8M
$972.0M
Q3 24
$66.7M
$841.5M
Q2 24
$99.5M
$981.2M
Q1 24
$81.4M
$778.7M
Free Cash Flow
AMN
AMN
O
O
Q4 25
$67.6M
$1.2B
Q3 25
$14.8M
$909.9M
Q2 25
$68.7M
$1.0B
Q1 25
$82.7M
$764.6M
Q4 24
$56.6M
$935.8M
Q3 24
$47.4M
$807.9M
Q2 24
$72.2M
$939.2M
Q1 24
$63.2M
$769.0M
FCF Margin
AMN
AMN
O
O
Q4 25
9.0%
77.6%
Q3 25
2.3%
61.9%
Q2 25
10.4%
73.3%
Q1 25
12.0%
55.4%
Q4 24
7.7%
69.8%
Q3 24
6.9%
60.7%
Q2 24
9.8%
70.1%
Q1 24
7.7%
61.0%
Capex Intensity
AMN
AMN
O
O
Q4 25
1.1%
3.3%
Q3 25
1.2%
2.3%
Q2 25
1.5%
1.9%
Q1 25
1.4%
1.7%
Q4 24
2.2%
2.7%
Q3 24
2.8%
2.5%
Q2 24
3.7%
3.1%
Q1 24
2.2%
0.8%
Cash Conversion
AMN
AMN
O
O
Q4 25
4.06×
Q3 25
0.77×
2.99×
Q2 25
5.39×
Q1 25
3.15×
Q4 24
4.87×
Q3 24
9.54×
3.12×
Q2 24
6.13×
3.78×
Q1 24
4.70×
5.89×

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%

O
O

Product And Service Retail$900.8M61%
Other$531.5M36%

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