AMN Healthcare Services, Inc. (NYSE:AMN) Q4 2022 Earnings Call Transcript

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Cary Grace: Hey, A.J., on the M&A side, we expect M&A to continue to be an important part of our growth strategy. And so you should expect us to have a proactive focus on M&A, especially as ways that we think it can help us serve our clients more effectively. We will look at strategic fit, we’ll look at financial fit, we look at cultural fit, quality of management. We will look at more traditional staffing assets. We also will look at and have a focus on tech-enabled solutions. What I would say from kind of what we have seen standpoint, last year, we probably on bias saw more traditional staffing assets. I know it’s relatively early in the year, but we’re seeing relatively more tech-enabled solutions come up. And so know that we will look broadly, we will look and we are very interested in M&A as a growth strategy.

A.J. Rice : Okay. Great. Thanks a lot.

Operator: Thank you. One moment for our next question, that will come from the line of Tobey Sommer with Truist. Your line is open.

Tobey Sommer: Thank you. I wanted to see if you could spend some time giving us some more color on VMS and MSP trends. In particular, if you could touch on the — what seems like rapid adoption of vendor-neutral MSPs and VMS solutions and maybe also speak to any timing of recompetes for your larger MSPs? Thank you.

Cary Grace: Hey, Tobey. I’m going to turn it over to Kelly in a second, but as a frame up for this conversation, we have very intentionally built a broad set of capabilities. We know that clients have different needs; and they have different strategies for how they want to manage their workforce recruiting, retention staffing strategies. And so think of this as Kelly talks about some of those trends that we really do look at it and we start with the client need and then we work around from that and how we can be helpful to them and how they want to execute that strategy. So, Kelly, I’ll turn it over to you to talk about some of those trends.

Kelly Rakowski : Yes. Hi, Tobey, I would say, I’m not sure we’re seeing some of those trends. I will say, it’s pretty typical and we typically see on any given year from our own mix of business. Now it changed a little bit during COVID. But look at our pipeline over the last two years, in 2021, we saw heavier mix of technology-only solution. Now we start to see that come back. So I would say our pipeline today is more heavily weighted towards full MSP programs. And also, we see in our — because we have multiple VMS solutions and such a large client base, nearly 500, typically, in any given year, we’ll see some transition from clients who want to take their business in-house, and conversely those who want to transition from an in-house solution into our MSP program.

So we’ve had both of those play out in our client base. And again, I would say that is pretty typical to what we’ve seen in the past. So we are seeing, of course, clients want to add to their ability to have more flexible type solutions inside their workforce, I would say, it’s more of an to use of Travel Nurse. So things like internal flow pool. You did see some internal agency activity where they’re using VMS solutions to help accommodate that. And certainly, we are partnering with them in highly customized ways to meet their local needs. On the second part of your question, Tobey, around our outlook for our renewals and contracts. Again, we had a very strong retention rate last year. We have a very typical renewal period, as we look at our contracts coming to terms.

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