AMN Healthcare Services (NYSE: AMN) reported positive trends in some business lines during the first quarter, but revenue fell 27.1% year over year to $820.9 million. The healthcare staffing firm reported declines in its nurse and allied solutions segment and in its technology and workforce solutions segment.

The firm noted revenue was in line with expectations.

“While we see healthy trends in some key businesses in our diversified set of solutions, this is overshadowed by weaker demand and a continued competitive environment in our largest business, nurse staffing,” President and CEO Cary Grace said in a press release.

Nurse and allied solutions revenue fell 37.0% year over year to $519.3 million. Within this segment, travel nurse revenue decreased by 44% year over year, while allied revenue fell 13%.

Physician and leadership solutions revenue rose 13.9% year over year with locum tenens revenue up 36% to $145 million. Growth in locum tenens came primarily from the MSDR acquisition. The company also reported its physician and leadership search businesses saw revenue fall 29% year over year.

Technology and workforce solutions revenue fell 17.1% to $112.8 million with vendor management systems revenue falling 46% year over year to $29 million. However, language services revenue rose 16% to $71 million.

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Guidance

AMN forecast second-quarter revenue to fall between 24% and 26% year over year to between $730 million and $750 million.

The company expects nurse and allied revenue to be down between 36% and 38% year over year. Technology and workforce solutions revenue is forecast to fall 12% year over year. However, physician and leadership solutions revenue is forecast to grow 10% year over year.

Share price

Shares in AMN were down 9.84% to $54.86 as of 11:57 a.m. Eastern time today. They set a new 52-week low during today’s trading session when they reached $53.00.