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Cross Country Healthcare (CCRN)
NASDAQ:CCRN
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Cross Country Healthcare (CCRN) AI Stock Analysis

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CCRN

Cross Country Healthcare

(NASDAQ:CCRN)

Rating:45Neutral
Price Target:
$13.00
▼(-1.74% Downside)
The overall stock score is primarily impacted by weak financial performance, particularly in revenue growth and cash flow management. The technical analysis is inconclusive due to missing data, and the valuation suggests potential overvaluation. The absence of earnings call and corporate events data limits further insights.
Positive Factors
Acquisition Agreement
CCRN entered into a definitive agreement to be acquired by Aya Healthcare for $615M in cash, or $18.61 per share, a 67% premium to the prior closing price.
Cost Management
The company successfully minimized costs, with SG&A down 17% year-over-year and almost no bad debt expense.
Negative Factors
Regulatory Approval Uncertainty
The transaction is expected to be completed pending regulatory approval, which is far from certain with the shares trading 32% below the offer.
Revenue Decline
Q1/25 revenue of $293.4 million came in lower than the consensus of $305.4 million, while declining -23% YOY due to the continuation of softer demand conditions across the healthcare travel staffing industry.

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

Cross Country Healthcare Business Overview & Revenue Model

Company DescriptionCross Country Healthcare, Inc. provides talent management and other consultative services for healthcare clients in the United States. The company operates in two segments, Nurse and Allied Staffing and Physician Staffing. The Nurse and Allied Staffing segment offers traditional staffing, including temporary and permanent placement of travel nurses and allied professionals, local nurses, and allied staffing; staffing solutions for registered nurses, licensed practical nurses, certified nurse assistants, practitioners, pharmacists, and other allied professionals on per diem and short-term assignments; and clinical and non-clinical professionals on long-term contract assignments, as well as workforce solutions, including MSP, RPO, and consulting services. It also provides retained search services for healthcare professionals, as well as contingent search and recruitment process outsourcing services. This segment serves public and private acute care and non-acute care hospitals, government facilities, local and national healthcare plans, managed care providers, public and charter schools, outpatient clinics, ambulatory care facilities, physician practice groups, and other healthcare providers under the Cross Country brand. The Physician Staffing segment provides physicians in various specialties, certified registered nurse anesthetists, nurse practitioners, and physician assistants under the Cross Country Locums brand as independent contractors on temporary assignments at various healthcare facilities, such as acute and non-acute care facilities, medical group practices, government facilities, and managed care organizations. The company was founded in 1986 and is headquartered in Boca Raton, Florida.
How the Company Makes MoneyCross Country Healthcare generates revenue primarily through its staffing services, which include travel nurse placements, per diem staffing, and allied health staffing. The company charges healthcare facilities a fee for each healthcare professional placed, often based on a markup on the hourly wage paid to the staff. Additionally, CCRN earns revenue through managed services provider (MSP) solutions and other workforce management services that streamline staffing processes for healthcare organizations. Significant partnerships with hospitals, healthcare systems, and other entities enhance its service offerings and contribute to consistent demand for its staffing solutions, ultimately driving its earnings.

Cross Country Healthcare Earnings Call Summary

Earnings Call Date:Aug 06, 2025
(Q3-2024)
|
% Change Since: |
Next Earnings Date:Oct 29, 2025
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 significant challenges with declining revenues and profitability, as seen in the income statement. The balance sheet showcases moderate stability with low leverage, but declining asset levels raise concerns about liquidity. Cash flows exhibit volatility, indicating potential operational difficulties. Overall, the company must address its profitability issues to enhance financial health.
Income Statement
45
Neutral
The company's income statement shows a concerning trend with declining revenues and profitability. The TTM data reveals negative EBIT and net income, indicating operational and profitability challenges. The gross profit margin has decreased over the years, suggesting increased cost pressures or inefficiencies.
Balance Sheet
60
Neutral
The balance sheet exhibits moderate stability with a commendable equity ratio and manageable debt levels. However, the declining stockholders' equity and total assets over the recent periods indicate potential liquidity challenges. The company's debt-to-equity ratio remains low, mitigating financial risk to some extent.
Cash Flow
55
Neutral
Cash flow analysis reveals a decline in operating cash flows and free cash flow generation over time. Despite recent positive free cash flow, the operating cash flow to net income ratio indicates struggles in converting earnings to cash. The volatility in cash flows suggests potential liquidity issues.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.19B1.34B2.02B2.81B1.68B836.42M
Gross Profit236.47M274.25M450.41M627.69M375.00M202.73M
EBITDA12.81M3.99M129.34M285.14M152.35M2.41M
Net Income-8.35M-14.56M72.63M188.46M132.00M-12.14M
Balance Sheet
Total Assets553.82M589.25M679.32M947.84M732.81M356.97M
Cash, Cash Equivalents and Short-Term Investments81.19M81.63M17.09M3.60M1.04M1.60M
Total Debt2.77M3.87M5.27M157.75M195.49M73.15M
Total Liabilities141.58M170.29M205.92M490.62M435.28M202.06M
Stockholders Equity412.24M418.96M473.39M457.22M297.53M154.38M
Cash Flow
Free Cash Flow34.09M111.40M234.52M125.26M-92.79M22.59M
Operating Cash Flow41.60M120.12M248.50M134.05M-85.62M27.20M
Investing Cash Flow-7.51M-8.71M-13.78M-43.87M-34.05M-4.62M
Financing Cash Flow-22.48M-46.85M-221.24M-87.60M119.09M-22.01M

Cross Country Healthcare Technical Analysis

Technical Analysis Sentiment
Negative
Last Price13.23
Price Trends
50DMA
13.15
Positive
100DMA
13.45
Negative
200DMA
14.76
Negative
Market Momentum
MACD
0.16
Negative
RSI
48.98
Neutral
STOCH
64.65
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 13.23 is above the 20-day moving average (MA) of 13.22, above the 50-day MA of 13.15, and below the 200-day MA of 14.76, indicating a neutral trend. The MACD of 0.16 indicates Negative momentum. The RSI at 48.98 is Neutral, neither overbought nor oversold. The STOCH value of 64.65 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 37 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
71
Outperform
$838.82M31.0411.44%30.58%24.86%
68
Neutral
$1.12B109.332.28%5.17%-65.33%
59
Neutral
$1.60B101.9942.49%11.53%
56
Neutral
$779.90M18.62-40.13%-14.33%-398.68%
51
Neutral
$7.83B-0.15-40.10%2.29%21.46%-2.01%
45
Neutral
$433.44M-1.96%-24.30%-210.27%
41
Neutral
$8.29M-951.52%-0.70%-2.38%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CCRN
Cross Country Healthcare
13.20
-1.81
-12.06%
AMN
AMN Healthcare Services
20.11
-32.93
-62.09%
HCSG
Healthcare Services
15.47
4.66
43.11%
MODV
ModivCare
0.43
-26.59
-98.41%
PNTG
Pennant Group
24.49
-9.33
-27.59%
AVAH
Aveanna Healthcare Holdings
7.85
2.45
45.37%

Cross Country Healthcare Corporate Events

M&A TransactionsFinancial Disclosures
Cross Country Healthcare Reports Q2 2025 Financial Results
Neutral
Aug 6, 2025

Cross Country Healthcare announced its second quarter 2025 financial results, reporting a revenue of $274.1 million, a 19% decrease year-over-year. Despite a net loss of $6.7 million, the company highlighted strong performance in its Homecare and Physician Staffing segments, with a 30% revenue growth in Homecare Staffing and a 3% increase in Physician Staffing. The company maintains a healthy balance sheet with $81 million in cash and no debt, and it continues to invest in its operations while anticipating a merger with Aya Healthcare in the fourth quarter of 2025.

The most recent analyst rating on (CCRN) stock is a Hold with a $18.61 price target. To see the full list of analyst forecasts on Cross Country Healthcare stock, see the CCRN Stock Forecast page.

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: Aug 14, 2025