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CROSS COUNTRY HEALTHCARE INC

CIK: 11411032 Annual ReportsLatest: 2026-03-09

10-K / March 9, 2026

Revenue:$1,054,293,000
Income:-$94,852,000

10-K / April 16, 2025

Revenue:$1,475,000,000
Income:-$14,600,000

10-K / March 9, 2026

Cross Country Healthcare, Inc.

Overview

  • Healthcare workforce solutions company providing a digital platform and advisory services.
  • Nearly 40 years of healthcare labor expertise.
  • Core platform: Intellify®, a cloud-based workforce management and vendor management system that unifies internal and contingent labor across clinical and non-clinical service lines (nursing, allied health, locums) and integrates with core hospital systems.
  • Uses real-time analytics and AI-driven insights to help health systems optimize staffing, reduce labor costs, increase flexibility, and support patient outcomes.
  • Offers national staffing via in-market teams with placements for travel, per diem, local short-term, and permanent roles. Also serves education staffing (teachers and education specialists) and education leadership roles in healthcare-adjacent contexts.

Reportable Segments

  • Nursing and Allied Staffing
  • Physician Staffing

Nursing and Allied Staffing

  • Traditional staffing, recruiting, and total talent solutions including temporary and permanent placements of travel and local nurses and allied professionals, and leadership roles in nursing, allied fields, HR, and finance.
  • Managed Service Programs (MSPs) and vendor-neutral programs.
  • Education healthcare services and caregiver services to PACE programs (home-based staffing).
  • Outsourcing services and direct-hire talent acquisition partnerships, including executive search, contingent search, and RPO.
  • Intellify® SaaS provided to facilities to manage agency staffing.
  • Core revenue drivers: staffing registered nurses and allied professionals on travel contracts (typical duration ~13 weeks), local per diem staffing, and long-term assignments.
  • Candidate-facing features: Xperience™ self-service portal with real-time matching; enhanced sourcing through programmatic strategies and social/mobile channels.

Physician Staffing

  • Recruits and contracts licensed practitioners across multiple medical specialties, including CRNAs, NPs, and PAs for temporary assignments ranging from days to up to a year.
  • Customer base includes hospitals, medical groups, government facilities, and managed care organizations.
  • Intellify® is also offered to manage agency services for these facilities.

Clinical, Technology, and Service Model

  • Delivery brands and service lines under a total talent management approach: MSP, vendor-neutral staffing, home-based staffing via Cross Country Community Care, education services via Cross Country Education, RPO, project management, executive/interim leadership and contingent search, and IRP consulting.
  • Focus on expanding technology for internal operations and candidate engagement; IT strategy includes AI and automation investments (AI-enabled search/match capabilities and EdTech improvements within Intellify).
  • Operations across all 50 U.S. states with support functions in the U.S. and India.

Customers, Markets, and Geography

  • Serves public and private acute and non-acute care hospitals, outpatient clinics, ambulatory facilities, physician practices, PACE programs, schools, government facilities, correctional facilities, and other healthcare and education providers.
  • 2025 revenue concentrated in the U.S., with the largest state concentrations in California, Florida, and New York.
  • No single customer accounted for more than 10% of revenue in 2025, 2024, or 2023.
  • Long-lived assets located in the U.S. and India.

People and Corporate Structure

  • As of December 31, 2025:
    • Approximately 1,106 corporate employees.
    • Average of 6,784 full-time equivalent (FTE) field employees in Nurse and Allied Staffing in 2025 (does not include Physician Staffing independent contractors).
  • Leadership changes in December 2025:
    • John A. Martins separated from the company on December 14, 2025.
    • Kevin C. Clark (former Chairman and former CEO) appointed President and CEO effective December 15, 2025; Clark also serves as Chairman of the Board.

Recent Developments and Financial Notes

  • Aya Merger: On December 3, 2024, CCRN entered into an Agreement and Plan of Merger with Aya Holdings II Inc.; termination notice received December 4, 2025; termination fee of $20.0 million paid by the Parent.
  • Corporate relocations and facilities:
    • December 2025: corporate headquarters relocated to Boca Raton, Florida (approximately 26,000 sq ft).
    • Pune, India office: approximately 38,000 sq ft, leased through 2029, supporting development, IT, and back-office functions.
  • 2025 non-cash goodwill impairment charges recorded in Q4 2025, triggered by a decline in equity market capitalization.
  • As of December 31, 2025, no borrowings under the Asset-Based Loan Agreement (ABL).

Regulatory, Risk Management, and CSR

  • Operates in a regulated industry with ongoing compliance obligations (licensing, wage laws, tax withholding, privacy, reporting).
  • Formal cybersecurity program overseen by the Audit Committee and a VP of Security; focus on data privacy and third-party risk management.
  • Corporate social responsibility and governance activities include recognitions for culture and workplace quality, community partnerships, employee health and wellness programs, and leadership development initiatives (Cross Country University, mentoring, education partnerships).

Summary

Cross Country Healthcare is a U.S.-based healthcare workforce solutions provider that combines an AI-enabled platform (Intellify) with national staffing services, MSP/VMS offerings, RPO, education staffing, and home-based care solutions. The company operates across all 50 states, maintains significant corporate and field workforces, and has undertaken recent leadership and strategic developments.