CROSS COUNTRY HEALTHCARE INC
Business
Cross Country Healthcare Inc provides tech-enabled workforce solutions and advisory services to healthcare and education organizations. It places nurses, allied professionals, physicians, advanced practitioners, teachers and other education specialists on travel, per diem, short-term, long-term and permanent assignments and offers services including MSPs, vendor-neutral programs, RPO, in-home care, project management, executive search, and its Intellify® SaaS platform. The company reports two segments—Nurse and Allied Staffing and Physician Staffing—and operates workforce solutions, education, locum tenens, search, and data services divisions. It serves customers across all 50 U.S. states via national and in-market staffing teams, enterprise sales, MSPs, digital channels and proprietary candidate and client portals.
Summary from filing dated 2025-03-05
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenue from services | 1,054 | 1,344 | 2,020 | 2,803 | 1,677 | |
| Direct operating expenses | 841 | 1,070 | 1,569 | 2,179 | 1,302 | |
| Selling, general and administrative expenses | 201 | 233 | 300 | 324 | 216 | |
| Credit loss (credit) expense | −441,000 | 21 | 15 | 10 | 5 | |
| Depreciation and amortization | 17 | 18 | 18 | 13 | 10 | |
| Acquisition and integration-related (income) costs | −3 | 4 | 59,000 | 726,000 | 1 | |
| Restructuring costs | 4 | 4 | 3 | 2 | 3 | |
| Legal and other losses | 3 | 7 | 1 | 0 | — | |
| Impairment charges | 78 | 3 | 719,000 | 6 | 2 | |
| Total operating expenses | 1,139 | 1,361 | 1,907 | 2,534 | 1,537 | |
| (Loss) income from operations | −84 | −17 | 113 | 270 | 139 | |
| Interest expense | 2 | 2 | 8 | 14 | — | |
| Loss on early extinguishment of debt | 0 | 0 | 2 | 4 | 0 | |
| Interest income | −3 | −2 | 0 | 0 | — | |
| Other expense (income), net | 9,000 | −605,000 | 85,000 | −1 | −770,000 | |
| (Loss) income before income taxes | −84 | −16 | 103 | 253 | 133 | |
| Income tax expense (benefit) | 11 | −2 | 30 | 67 | 1 | |
| Net (loss) income attributable to common shareholders | −95 | −15 | 73 | 186 | 132 | |
| Unrealized foreign currency translation (loss) income, net of tax | −119,000 | −56,000 | 2,000 | −94,000 | −13,000 | |
| Comprehensive income (loss) attributable to common stockholders | −95 | −15 | 73 | 186 | 132 | |
| Net (loss) income per share attributable to common stockholders - Basic (in usd per share) | −2.93 | −0.44 | 2.07 | 5.02 | 3.6 | |
| Net (loss) income per share attributable to common stockholders - Diluted (in usd per share) | −2.93 | −0.44 | 2.05 | 4.95 | 3.53 | |
| Basic (in shares) | 32 | 33 | 35 | 37 | 37 | |
| Diluted (in shares) | 32 | 33 | 35 | 38 | 37 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 109 | 82 | 17 | 4 | 1 | |
| Accounts receivable, net of allowances of $9,112 in 2025 and $9,301 in 2024 | 168 | 223 | 372 | 642 | 494 | |
| Income taxes receivable | 4 | 10 | 9 | 13 | 0 | |
| Prepaid expenses | 8 | 8 | 8 | 11 | 8 | |
| Insurance recovery receivable | 5 | 9 | 9 | 7 | 5 | |
| Other current assets | 1 | 3 | 2 | 1 | 638,000 | |
| Total current assets | 294 | 335 | 417 | 677 | 508 | |
| Property and equipment, net | 28 | 29 | 27 | 20 | 16 | |
| Operating lease right-of-use assets | 2 | 2 | 3 | 3 | 7 | |
| Goodwill | 64 | 135 | 135 | 163 | 119 | |
| Other intangible assets, net | 28 | 42 | 54 | 45 | 48 | |
| Deferred tax assets | 0 | 8 | 6 | 7 | 12 | |
| Insurance recovery receivable | 15 | 21 | 26 | 23 | 14 | |
| Cloud computing | 14 | 11 | 6 | 4 | — | |
| Deferred compensation asset | 3 | 3 | — | — | — | |
| Other assets | 2 | 3 | 7 | 7 | 8 | |
| Total assets | 449 | 589 | 681 | 950 | 733 | |
| Accounts payable and accrued expenses | 46 | 65 | 93 | 193 | 110 | |
| Accrued compensation and benefits | 28 | 48 | 52 | 73 | 66 | |
| Operating lease liabilities | 1 | 2 | 3 | 4 | 4 | |
| Earnout liability | 0 | 4 | 7 | 8 | 8 | |
| Other current liabilities | 2 | 1 | 2 | 2 | 1 | |
| Total current liabilities | 78 | 120 | 156 | 279 | 200 | |
| Operating lease liabilities | 1 | 2 | 3 | 5 | 11 | |
| Deferred tax liabilities | 3 | 566,000 | — | — | 190,000 | |
| Accrued claims | 30 | 34 | 35 | 36 | 25 | |
| Uncertain tax positions | 10 | 10 | 11 | 8 | 9 | |
| Deferred compensation liability | 3 | 3 | — | — | — | |
| Other liabilities | 2 | 74,000 | 4 | 4 | 5 | |
| Total liabilities | 126 | 170 | 213 | 498 | 435 | |
| Commitments and contingencies | — | — | — | — | — | |
| Common stock$0.0001 par value; 100,000,000 shares authorized; 31,721,280 and 32,277,395 shares issued and outstanding at December 31, 2025 and 2024, respectively | 3,000 | 3,000 | 4,000 | 4,000 | 4,000 | |
| Additional paid-in capital | 201 | 202 | 236 | 293 | 322 | |
| Accumulated other comprehensive loss | −2 | −1 | −1 | −1 | −1 | |
| Retained earnings | 123 | 218 | 233 | 160 | −23 | |
| Total stockholders' equity | 323 | 419 | 468 | 451 | 294 | |
| Total liabilities and stockholders' equity | 449 | 589 | 681 | 950 | 733 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Provision for allowances | −999,000 | 21 | 17 | 15 | 6 | |
| Deferred income tax expense (benefit) | 10 | −2 | 1 | 5 | −10 | |
| Non-cash lease expense | 1 | 992,000 | 1 | 2 | 2 | |
| Equity-related severance and compensation | 7 | 6 | 7 | 7 | 7 | |
| Other non-cash costs | 755,000 | 99,000 | 1 | 199,000 | 2 | |
| Accounts receivable | 57 | 128 | 251 | −153 | −318 | |
| Prepaid expenses and other assets | −2 | −5 | 268,000 | −7 | −3 | |
| Income taxes | 7 | −2 | 7 | −21 | 7 | |
| Accounts payable and accrued expenses | −35 | −30 | −127 | 83 | 83 | |
| Operating lease liabilities | −2 | −3 | −4 | −5 | −7 | |
| Other | 6 | −890,000 | −191,000 | −639,000 | 503,000 | |
| Net cash provided by operating activities | 48 | 120 | 248 | 134 | −86 | |
| Acquisition-related settlements | 0 | 0 | 199,000 | 94,000 | 1 | |
| Purchases of property and equipment | −8 | −9 | −14 | −9 | −7 | |
| Net cash used in investing activities | −8 | −9 | −14 | −44 | −34 | |
| Principal payments on term loan | 0 | 0 | −74 | −100 | −688,000 | |
| Borrowings under Senior Secured Asset-Based revolving credit facility | 1 | 18 | 721 | 1,700 | 444 | |
| Repayments on Senior Secured Asset-Based revolving credit facility | −1 | −18 | −798 | −1,632 | −488 | |
| Cash paid for shares withheld for taxes | −2 | −3 | −5 | −5 | −2 | |
| Payment of contingent consideration | −4 | −7 | −8 | −8 | 0 | |
| Stock repurchase and retirement | −7 | −37 | −58 | −35 | 0 | |
| Other | 0 | 0 | −508,000 | −1 | −255,000 | |
| Net cash used in financing activities | −13 | −47 | −221 | −88 | 119 | |
| Effect of exchange rate changes on cash | 21,000 | −14,000 | 8,000 | −9,000 | 6,000 | |
| Change in cash and cash equivalents | 27 | 65 | 13 | 3 | −564,000 | |
| Interest paid | 1 | 1 | 8 | 13 | 6 | |
| Income taxes (received) paid | −6 | 2 | 22 | — | — |