Revenue during the quarter grew 21.19 percent to $487.86 million from $402.55 million in the previous year period. Gross margin for the quarter contracted 23 basis points over the previous year period to 32.51 percent. Total expenses were 89.80 percent of quarterly revenues, down from 90.98 percent for the same period last year. This has led to an improvement of 118 basis points in operating margin to 10.20 percent.

Operating income for the quarter was $49.76 million, compared with $36.33 million in the previous year period.

However, the adjusted EBITDA for the quarter stood at $60.88 million compared with $46.86 million in the prior year period. At the same time, adjusted EBITDA margin improved 84 basis points in the quarter to 12.48 percent from 11.64 percent in the last year period.

"2016 was another very successful year for AMN Healthcare. In addition to our strong financial performance, we made great strides in advancing our long-term strategy. We completed the integrations of B.E. Smith, HealthSource Global and Peak Health Solutions, allowing AMN to become an even more comprehensive, value-added workforce partner to our clients," said Susan R. Salka, President and Chief Executive Officer of AMN Healthcare. "Our strong performance in the fourth quarter and throughout the year positions us well for the future and led to a total shareholder return of 24% for 2016."

For the first-quarter, AMN Healthcare Services, Inc. forecasts revenue to be in the range of $489 million to $495 million.

The company has spent $257.36 million cash to meet investing activities during the year as against cash outgo of $116.08 million in the last year.

Cash flow from financing activities was $126.29 million for the year, up 124.72 percent or $70.09 million, when compared with the last year.

Cash and cash equivalents stood at $10.62 million as on Dec. 31, 2016, up 10.92 percent or $1.05 million from $9.58 million on Dec. 31, 2015.

Working capital increases sharply
AMN Healthcare Services, Inc. has recorded an increase in the working capital over the last year. It stood at $175.84 million as at Dec. 31, 2016, up 41.11 percent or $51.23 million from $124.61 million on Dec. 31, 2015. Current ratio was at 1.64 as on Dec. 31, 2016, up from 1.50 on Dec. 31, 2015.

Debt increases substantially 
AMN Healthcare Services, Inc. has witnessed an increase in total debt over the last one year. It stood at $362.94 million as on Dec. 31, 2016, up 66.11 percent or $144.45 million from $218.49 million on Dec. 31, 2015. Total debt was 30.58 percent of total assets as on Dec. 31, 2016, compared with 24.82 percent on Dec. 31, 2015. Debt to equity ratio was at 0.81 as on Dec. 31, 2016, up from 0.63 as on Dec. 31, 2015. Interest coverage ratio deteriorated to 7.78 for the quarter from 18.23 for the same period last year.