Cross Country Healthcare Inc
NASDAQ:CCRN
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Cross Country Healthcare Inc
NASDAQ:CCRN
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Cross Country Healthcare Inc
Cross Country Healthcare, Inc. engages in the provision of healthcare staffing and workforce management solutions. The company is headquartered in Boca Raton, Florida and currently employs 2,250 full-time employees. The company went IPO on 2001-10-25. The firm operates through two segments: Nurse and Allied Staffing and Physician Staffing. The Nurse and Allied Staffing segment provides traditional staffing, recruiting, including temporary and permanent placement of travel and local nurse and allied professionals, managed services programs (MSP) services, education healthcare services, in-home care services, and outsourcing services. The Physician Staffing segment provides physicians in various specialties, certified registered nurse anesthetists, nurse practitioners, and physician assistants as independent contractors on temporary assignments throughout the United States at various healthcare facilities, such as acute and non-acute care facilities, medical group practices, government facilities, and managed care organizations.
Cross Country Healthcare, Inc. engages in the provision of healthcare staffing and workforce management solutions. The company is headquartered in Boca Raton, Florida and currently employs 2,250 full-time employees. The company went IPO on 2001-10-25. The firm operates through two segments: Nurse and Allied Staffing and Physician Staffing. The Nurse and Allied Staffing segment provides traditional staffing, recruiting, including temporary and permanent placement of travel and local nurse and allied professionals, managed services programs (MSP) services, education healthcare services, in-home care services, and outsourcing services. The Physician Staffing segment provides physicians in various specialties, certified registered nurse anesthetists, nurse practitioners, and physician assistants as independent contractors on temporary assignments throughout the United States at various healthcare facilities, such as acute and non-acute care facilities, medical group practices, government facilities, and managed care organizations.
Revenue: Q4 revenue was $237 million, down 5% sequentially and 24% year-over-year; full-year revenue was $1.05 billion, down 22% from 2024.
Momentum: Management says the merger overhang is behind the company, weekly production has improved in early 2026, and travelers on assignment are rising month-to-month into Q2.
Margins & cost actions: Q4 gross margin was 20.3% (down 10 bps sequentially), SG&A has been cut materially (U.S. headcount down 21% year-to-date) and management redeployed savings into hiring revenue producers.
Technology strategy: Intellify (VMS/workforce platform) and Xperience (clinician app) are core growth initiatives — management plans to expand Intellify into home-based and education staffing and to license it to other firms.
Balance sheet & capital allocation: $109 million cash, no debt; repurchased >800,000 shares in December for $6.8 million and another 486,000 shares in Q1; management is open to disciplined tuck-ins, especially in home-based staffing and complementary tech.
Outlook: Q1 2026 revenue guidance $235–240 million, adjusted EBITDA $4–5 million (~2% margin), adjusted EPS loss $0.04–0.06; target to exit 2026 with revenue run rate north of $1 billion and adjusted EBITDA margin of 4%–5%.
One-time items: Company recorded a $78 million noncash impairment tied to intangible assets and received a $20 million merger termination payment that created a net acquisition/integration credit for the period.
