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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)

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Neutral 46 (OpenAI - 4o)
Rating:46Neutral
Price Target:
$12.50
▼(-4.73% Downside)
Cross Country Healthcare's stock score is primarily impacted by its financial performance challenges, including declining revenue and profitability. The technical analysis indicates a bearish trend, and the valuation is unattractive due to a negative P/E ratio. The absence of earnings call data and corporate events leaves these areas unaddressed.
Positive Factors
Strong Balance Sheet
A strong balance sheet with low leverage reduces financial risk and provides stability, allowing the company to weather economic fluctuations and invest in growth opportunities.
Cash Generation Ability
Despite challenges, the ability to generate cash relative to net income suggests potential for reinvestment in the business and meeting financial obligations, supporting long-term operations.
Market Position
As a leading provider in healthcare staffing, CCRN benefits from strong demand for its services, which can drive consistent revenue and provide a competitive edge in a growing market.
Negative Factors
Declining Revenue
Declining revenue growth indicates challenges in maintaining market share or pricing power, which can impact long-term profitability and competitive positioning if not addressed.
Profitability Challenges
Sustained net losses and low margins highlight operational inefficiencies, which can erode shareholder value and limit the company's ability to invest in future growth.
Cash Flow Management
Poor cash flow management can strain liquidity and hinder the company's ability to fund operations or invest in strategic initiatives, impacting long-term sustainability.

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 is facing challenges in revenue growth and profitability, with declining margins and negative net income. The balance sheet is strong with low leverage, but the company needs to enhance its return on equity. Cash flow management is concerning, with significant declines in free cash flow. Overall, the company needs to focus on improving operational efficiency and cash flow generation.
Income Statement
45
Neutral
Cross Country Healthcare's income statement shows a declining trend in revenue with a negative revenue growth rate of -5.22% TTM. The gross profit margin has decreased from previous years, and the company is currently operating at a net loss, with a net profit margin of -0.91% TTM. The EBIT and EBITDA margins are also low, indicating challenges in operational efficiency. The company needs to address these issues to improve 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 reduced financial risk. However, the return on equity is negative at -1.99% TTM, highlighting inefficiencies in generating returns for shareholders. The equity ratio is stable, suggesting a solid capital structure, but the company needs to improve its profitability to enhance shareholder value.
Cash Flow
50
Neutral
Cash flow analysis reveals a significant decline in free cash flow growth at -69.39% TTM, which is concerning. The operating cash flow to net income ratio is 0.43, indicating that operating cash flows are not fully covering net income. The free cash flow to net income ratio is relatively high at 0.82, suggesting some ability to generate cash relative to net income, but overall cash flow management needs improvement.
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 Price13.12
Price Trends
50DMA
13.16
Negative
100DMA
13.31
Negative
200DMA
14.96
Negative
Market Momentum
MACD
-0.05
Positive
RSI
47.85
Neutral
STOCH
61.16
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 13.12 is below the 20-day moving average (MA) of 13.43, below the 50-day MA of 13.16, and below the 200-day MA of 14.96, indicating a bearish trend. The MACD of -0.05 indicates Positive momentum. The RSI at 47.85 is Neutral, neither overbought nor oversold. The STOCH value of 61.16 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
72
Outperform
841.93M31.158.56%30.58%24.86%
68
Neutral
1.13B109.962.27%5.17%-65.33%
59
Neutral
1.69B107.45-154.73%11.53%0.00%
54
Neutral
728.54M-2.45-49.02%-14.33%-398.68%
46
Neutral
$431.15M-1.96%-24.30%-210.27%
40
Underperform
3.88M-0.02523.15%-0.70%-2.38%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CCRN
Cross Country Healthcare
13.12
-1.69
-11.41%
AMN
AMN Healthcare Services
19.01
-27.78
-59.37%
HCSG
Healthcare Services
15.56
3.90
33.45%
MODVQ
ModivCare
0.27
-13.23
-98.00%
PNTG
Pennant Group
24.36
-10.63
-30.38%
AVAH
Aveanna Healthcare Holdings
8.08
2.79
52.74%

Cross Country Healthcare Corporate Events

M&A Transactions
Cross Country Healthcare Extends Merger Agreement Deadline
Neutral
Sep 3, 2025

On September 3, 2025, Cross Country Healthcare announced an extension of the merger agreement end date with Aya Holdings II Inc. from September 3, 2025, to December 3, 2025. The merger, subject to regulatory approvals and customary conditions, is anticipated to close in the fourth quarter of 2025, with both companies having complied with the FTC’s request for additional information.

The most recent analyst rating on (CCRN) stock is a Hold with a $13.00 price target. To see the full list of analyst forecasts on Cross Country Healthcare stock, see the CCRN Stock Forecast page.

Financial DisclosuresM&A Transactions
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: Sep 12, 2025