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Cross Country Healthcare (CCRN)
NASDAQ:CCRN

Cross Country Healthcare (CCRN) AI Stock Analysis

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CCRN

Cross Country Healthcare

(NASDAQ:CCRN)

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Neutral 46 (OpenAI - 4o)
Rating:46Neutral
Price Target:
$10.50
▲(23.67% Upside)
Cross Country Healthcare's overall stock score is primarily impacted by its financial performance challenges, including declining revenue and profitability issues. The bearish technical indicators further weigh on the score. Valuation concerns, highlighted by a negative P/E ratio, also contribute to the lower score. The termination of the merger adds uncertainty, although the company shows some financial resilience through planned share repurchases.
Positive Factors
Balance Sheet Health
A low debt-to-equity ratio indicates strong financial stability, providing the company with flexibility to invest in growth opportunities and withstand economic downturns.
Cash Flow Generation
Improved cash generation enhances financial resilience, allowing the company to fund operations, invest in strategic initiatives, and return capital to shareholders.
Homecare Staffing Growth
Growth in the Homecare Staffing segment suggests a successful strategy in expanding service offerings, potentially leading to increased market share and revenue stability.
Negative Factors
Declining Revenue
A significant decline in revenue indicates challenges in maintaining market position and could impact long-term profitability and growth prospects.
Profitability Issues
Persistent profitability issues suggest difficulties in cost management and achieving operational efficiency, potentially hindering long-term financial health.
Merger Termination
The failed merger introduces strategic uncertainty and may limit growth opportunities, affecting the company's ability to compete effectively in the market.

Cross Country Healthcare (CCRN) vs. SPDR S&P 500 ETF (SPY)

Cross Country Healthcare Business Overview & Revenue Model

Company DescriptionCross Country Healthcare (CCRN) is a leading provider of healthcare staffing and workforce solutions, specializing in the recruitment and placement of healthcare professionals across various sectors, including nursing, allied health, and physician services. The company operates primarily in the temporary staffing market, offering a range of services such as travel nursing, per diem staffing, and recruitment process outsourcing. With a focus on meeting the dynamic needs of healthcare facilities, CCRN leverages technology and deep industry expertise to deliver high-quality staffing solutions that enhance patient care.
How the Company Makes MoneyCross Country Healthcare generates revenue primarily through its staffing services, which include travel nursing, per diem staffing, and other workforce solutions. The company charges healthcare facilities for the placement of temporary and permanent staff, earning a markup on the salaries of the healthcare professionals it places. Additional revenue streams include recruitment process outsourcing and managed services provider solutions. Significant partnerships with healthcare institutions and organizations enhance its ability to fill staffing needs efficiently. The demand for temporary healthcare staffing, driven by factors such as seasonal fluctuations, increased patient volumes, and workforce shortages, contributes to consistent revenue generation for CCRN.

Cross Country Healthcare Earnings Call Summary

Earnings Call Date:Nov 06, 2024
(Q3-2024)
|
% Change Since: |
Next Earnings Date:Feb 25, 2026
Earnings Call Sentiment Neutral
The earnings call highlighted positive growth in home care, physician staffing, and education segments, along with strong financial management. However, significant declines in revenue and ongoing margin pressures in the Travel Nursing & Allied segment present notable challenges.
Q3-2024 Updates
Positive Updates
Home Care Staffing Growth
Home care staffing saw a 13% year-over-year increase in the third quarter, with expectations for mid-teens growth in the fourth quarter. The number of PACE programs has doubled since the acquisition in 2021.
Physician Staffing Expansion
Physician Staffing grew 4% sequentially and 10% year-over-year. The business has doubled in size since late 2022 and is expected to continue growing in double digits in 2024.
Education Business Performance
The education business is approaching $100 million on an annualized run rate with expected continued mid to high single-digit growth.
Intellify Platform Implementation
The company renewed its largest MSP customer under a multi-year agreement and has nearly completed client conversion to the Intellify platform.
Share Buyback and Financial Strength
Bought back 800,000 shares worth $12 million in the third quarter, with a strong cash position of $64 million and no outstanding debt.
Negative Updates
Revenue Decline
Consolidated revenue for the third quarter was down 7% sequentially and 29% year-over-year, primarily due to declines in Travel Nursing & Allied.
Gross Margin Pressure
Gross margin decreased to 20.4%, down 160 basis points year-over-year due to bill pay spread compression in the travel business.
Travel Nursing Challenges
Travel Nursing saw a decline of 11% sequentially and 41% year-over-year, with ongoing challenges in bill and pay rate alignment.
SG&A Expenses
Selling, general, and administrative expenses were down 22% year-over-year but were impacted by reductions in headcount.
Company Guidance
During the third quarter 2024 earnings call for Cross Country Healthcare, key guidance metrics were discussed for the upcoming fourth quarter. The company projects revenue to range between $300 million and $310 million, with an anticipated adjusted EBITDA of $11 million to $13 million, reflecting ongoing gross margin pressures due to competitive compensation packages affecting bill pay spreads. Despite a 7% sequential decline in third-quarter revenue to $315 million, there was a notable 20% increase in order volume entering the fourth quarter. The Physician Staffing segment grew 4% sequentially and 10% year-over-year, while Home Care Staffing experienced a 13% year-over-year increase. The company highlighted an anticipated regrowth in Travel Nursing & Allied as market conditions improve. Additionally, Cross Country Healthcare bought back 800,000 shares for approximately $12 million and plans to focus on strategic investments and M&A opportunities, maintaining a strong cash position with $64 million and no outstanding debt.

Cross Country Healthcare Financial Statement Overview

Summary
Cross Country Healthcare faces challenges in revenue growth and profitability, as seen in its income statement. The balance sheet is strong with low leverage, but the negative return on equity indicates inefficiencies. Cash flow generation has improved, but there are concerns about converting income into cash. Overall, the company needs to address profitability and operational efficiency to enhance its financial health.
Income Statement
45
Neutral
Cross Country Healthcare's income statement shows a declining trend in revenue with a negative revenue growth rate of -5.46% TTM. The company is struggling with profitability, as indicated by negative net profit and EBIT margins. The gross profit margin remains relatively stable but has decreased slightly over the years. The negative EBIT and net profit margins highlight challenges in managing operational costs and achieving profitability.
Balance Sheet
60
Neutral
The balance sheet reflects a strong equity position with a low debt-to-equity ratio of 0.0067 TTM, indicating low leverage and financial stability. However, the return on equity is negative, suggesting inefficiencies in generating returns from equity. The equity ratio is healthy, showing a solid foundation of equity relative to total assets.
Cash Flow
55
Neutral
The cash flow statement shows a positive free cash flow growth rate of 33.96% TTM, indicating improved cash generation. However, the operating cash flow to net income ratio is below 1, suggesting potential issues in converting income into cash. The free cash flow to net income ratio is strong, reflecting efficient cash management despite net losses.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.13B1.34B2.02B2.80B1.68B836.42M
Gross Profit227.58M274.25M450.41M624.46M375.00M202.73M
EBITDA6.33M16.77M129.34M280.06M154.56M25.89M
Net Income-15.68M-14.56M72.63M185.98M132.00M-12.96M
Balance Sheet
Total Assets538.23M589.25M679.32M947.84M732.81M356.97M
Cash, Cash Equivalents and Short-Term Investments99.13M81.63M17.09M3.60M1.04M1.60M
Total Debt2.20M3.87M5.27M157.75M195.49M78.00M
Total Liabilities130.09M170.29M205.92M490.62M435.28M202.06M
Stockholders Equity408.14M418.96M473.39M457.22M297.53M154.38M
Cash Flow
Free Cash Flow45.67M111.40M234.52M125.26M-92.79M22.59M
Operating Cash Flow54.25M120.12M248.50M134.05M-85.62M27.20M
Investing Cash Flow-8.57M-8.71M-13.78M-43.87M-34.05M-4.62M
Financing Cash Flow-10.56M-46.85M-221.24M-87.60M119.09M-22.01M

Cross Country Healthcare Technical Analysis

Technical Analysis Sentiment
Negative
Last Price8.49
Price Trends
50DMA
11.51
Negative
100DMA
12.44
Negative
200DMA
13.22
Negative
Market Momentum
MACD
-1.04
Positive
RSI
34.03
Neutral
STOCH
32.18
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CCRN, the sentiment is Negative. The current price of 8.49 is below the 20-day moving average (MA) of 9.87, below the 50-day MA of 11.51, and below the 200-day MA of 13.22, indicating a bearish trend. The MACD of -1.04 indicates Positive momentum. The RSI at 34.03 is Neutral, neither overbought nor oversold. The STOCH value of 32.18 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for CCRN.

Cross Country Healthcare Risk Analysis

Cross Country Healthcare disclosed 38 risk factors in its most recent earnings report. Cross Country Healthcare reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Cross Country Healthcare Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
61
Neutral
$502.83M1.500.74%
57
Neutral
$732.68M-41.86-6.86%12.48%-9.28%
56
Neutral
$1.14B119.951.29%68.17%-85.42%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
50
Neutral
$624.99M-35.90%-11.42%-617.31%
46
Neutral
$394.76M-46.54-3.76%-22.14%-787.87%
42
Neutral
$298.71M-73.31%5.21%5.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CCRN
Cross Country Healthcare
8.49
-9.44
-52.65%
AMN
AMN Healthcare Services
16.37
-9.11
-35.75%
CYH
Community Health
3.24
-0.09
-2.70%
ASTH
Astrana Health
23.47
-13.33
-36.22%
INNV
InnovAge Holding
5.40
1.00
22.73%
AGL
Agilon Health
0.72
-1.47
-67.12%

Cross Country Healthcare Corporate Events

Executive/Board ChangesShareholder Meetings
Cross Country Healthcare Holds Annual Stockholders Meeting
Neutral
Dec 11, 2025

On December 9, 2025, Cross Country Healthcare held its Annual Meeting of Stockholders where several key proposals were voted on. The stockholders approved the election of directors for a one-year term, ratified the appointment of Deloitte & Touche as the independent registered public accounting firm for the fiscal year ending December 31, 2025, and approved the compensation of named executive officers on an advisory basis.

M&A TransactionsStock BuybackBusiness Operations and Strategy
Cross Country Healthcare Ends Merger with Aya Holdings
Negative
Dec 4, 2025

On December 4, 2025, Cross Country Healthcare announced the termination of its merger agreement with Aya Holdings II Inc. due to the failure to meet the merger’s consummation deadline, partly caused by an extended FTC review period. As a result, Aya Healthcare will pay a $20 million termination fee to Cross Country Healthcare. Despite the setback, Cross Country Healthcare remains focused on its strategic goals, emphasizing its operational resilience and financial strength, and plans to commence share repurchases under its existing $40 million authorization.

M&A TransactionsBusiness Operations and StrategyFinancial Disclosures
Cross Country Healthcare Reports Q3 2025 Financial Results
Neutral
Nov 12, 2025

Cross Country Healthcare announced its financial results for the third quarter of 2025, revealing a consolidated revenue of $250.1 million, a 21% decrease year-over-year. Despite a net loss of $4.8 million, the company reported strong performance in its Homecare Staffing segment, with a 29% revenue growth over the prior year. The company maintained a healthy balance sheet with $99 million in cash and no debt, and positive cash flow from operations of $20 million for the quarter. As the company awaits the completion of its merger with Aya Healthcare, it continues to focus on expanding and renewing contracts, with over $400 million in contract value secured.

M&A TransactionsShareholder Meetings
Cross Country Healthcare Sets Stockholder Proposal Deadline
Neutral
Sep 30, 2025

On September 25, 2025, Cross Country Healthcare‘s Board of Directors announced that the 2025 Annual Meeting of Stockholders is scheduled for December 9, 2025, unless the pending merger with Aya Healthcare is completed beforehand. If the merger is finalized as expected in the fourth quarter of 2025, Cross Country Healthcare will become a wholly owned subsidiary of Aya Healthcare, and the Annual Meeting will not occur. The company has set an October 10, 2025, deadline for stockholder proposals and nominations, with specific guidelines for submission.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Dec 09, 2025