Cross Country Healthcare Inc

CCRN

Services-Help Supply Services

Mkt Cap

$508.4M

PE

11.08

Debt

Cash

$5.242M

EV

$503.2M

FCF

$195.1M

Market Cap

$508.4M

P/E Ratio

11.08

Debt

Cash

$5.242M

EV

$503.2M

FCF

$195.1M

Charts data: {"Earnings":[{"time":"2014-12-30","value":-31783000},{"time":"2015-12-30","value":4418000},{"time":"2016-12-30","value":7967000},{"time":"2017-12-30","value":37513000},{"time":"2018-12-30","value":-16951000},{"time":"2019-12-30","value":-57713000},{"time":"2020-12-30","value":-12962000},{"time":"2021-12-30","value":132002000},{"time":"2022-12-30","value":188461000},{"time":"2023-12-30","value":72631000}],"Sales":[{"time":"2014-12-30","value":617825000},{"time":"2015-12-30","value":767421000},{"time":"2016-12-30","value":833537000},{"time":"2017-12-30","value":865048000},{"time":"2018-12-30","value":816484000},{"time":"2019-12-30","value":822224000},{"time":"2020-12-30","value":836417000},{"time":"2021-12-30","value":1676652000},{"time":"2022-12-30","value":2806609000},{"time":"2023-12-30","value":2019728000}],"Net Margins":[{"time":"2014-12-30","value":-0.051443369886294665},{"time":"2015-12-30","value":0.005756944363002837},{"time":"2016-12-30","value":0.009558064009156162},{"time":"2017-12-30","value":0.043365223663889174},{"time":"2018-12-30","value":-0.020760970208846714},{"time":"2019-12-30","value":-0.07019133472143844},{"time":"2020-12-30","value":-0.015497054698792588},{"time":"2021-12-30","value":0.07872951572538607},{"time":"2022-12-30","value":0.06714900436790447},{"time":"2023-12-30","value":0.035960782838085126}],"Assets":[{"time":"2014-12-30","value":325133000},{"time":"2015-12-30","value":366097000},{"time":"2016-12-30","value":388378000},{"time":"2017-12-30","value":467687000},{"time":"2018-12-30","value":427003000},{"time":"2019-12-30","value":382374000},{"time":"2020-12-30","value":356973000},{"time":"2021-12-30","value":732809000},{"time":"2022-12-30","value":947839000},{"time":"2023-12-30","value":679317000}],"Stockholders Equity":[{"time":"2014-12-30","value":130332000},{"time":"2015-12-30","value":141344000},{"time":"2016-12-30","value":151802000},{"time":"2017-12-30","value":237719000},{"time":"2018-12-30","value":218198000},{"time":"2019-12-30","value":163500000},{"time":"2020-12-30","value":154909000},{"time":"2021-12-30","value":297528000},{"time":"2022-12-30","value":457219000},{"time":"2023-12-30","value":473393000}],"ROE":[{"time":"2014-12-30","value":-0.24386182978854004},{"time":"2015-12-30","value":0.03125707493774055},{"time":"2016-12-30","value":0.05248283948828079},{"time":"2017-12-30","value":0.1578039618204687},{"time":"2018-12-30","value":-0.07768632159781483},{"time":"2019-12-30","value":-0.35298470948012234},{"time":"2020-12-30","value":-0.08367493173411487},{"time":"2021-12-30","value":0.44366244521524023},{"time":"2022-12-30","value":0.41218978213941243},{"time":"2023-12-30","value":0.1534264342734261}],"ROA":[{"time":"2014-12-30","value":-0.03219605515281439},{"time":"2015-12-30","value":0.056173637041549096},{"time":"2016-12-30","value":0.02742431342661016},{"time":"2017-12-30","value":0.025119364019098242},{"time":"2018-12-30","value":-0.029369817073884728},{"time":"2019-12-30","value":-0.04108804468923096},{"time":"2020-12-30","value":-0.02566020399301908},{"time":"2021-12-30","value":0.19009591858178598},{"time":"2022-12-30","value":0.28813754234632677},{"time":"2023-12-30","value":0.1659210648342379}]}

Cross 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 provides workforce solutions and traditional staffing, recruiting, and value-added total talent solutions, including temporary and permanent placement of travel and local nurse and, allied professionals; temporary placement of healthcare leaders within nursing, allied, physician, and human resources; managed services programs services; education healthcare services; in-home care services; and outsourcing services. It also offers 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. This segment provides retained search services for healthcare professionals, as well as contingent search and recruitment process outsourcing services. It 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 on temporary assignments. It serves 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.

Sector

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9/30/18
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6/30/18
10-Q
3/31/18
10-K
12/31/17

DCF

Discounted Cash Flow Valuation of Cross Country Healthcare Inc

Calculate

Growth Years

Growth

Start

End

Discount

Start

End

Multiple

g\r	+10%	+11%	+12%	+13%	+14%
0%	10	9	8	8	7
+1%	11	10	9	8	8
+2%	13	11	10	9	8
+3%	14	13	11	10	9
+4%	17	14	12	11	10

Years	0	1	2	3	4	5	6	7	8	9	10	TV
FCF	$195.1M	$253.7M	$322.7M	$401.6M	$488.6M	$580.9M	$674.5M	$764.5M	$845.2M	$910.9M	$956.5M	$9.565B
DCF		$220.6M	$244M	$264.1M	$279.4M	$288.8M	$291.6M	$287.4M	$276.3M	$258.9M	$236.4M	$2.364B
Value	$5.012B

Chart P/E ratio

In the chart Earnings are multiplied by this value.

Earnings Growth 52%

Earnings Stability 19%

Competitiveness and MOAT

High margins render the company resilient under dire circumstances, hence able to drive competitors out or acquire them. ROE and ROA measure the average flow generated by each invested dollar. Their marginal value is a forecast of future growth, and it is considered by Buffett and Munger the most important single indicator.

The Net Margin is too low to guarantee profitability in case of higher costs or higher interest rates. Furthermore lower margins cause higher earnings’ volatility.

Over time the ROA has been increasing indicating a higher marginal ROA with respect to the calculated one, giving a good sign for continued growth.

Years	12-2015	12-2016	12-2017	12-2018	12-2019	12-2020	12-2021	12-2022	12-2023	TTM
Net Margin	0.58%	0.96%	4.3%	-2.1%	-7%	-1.5%	7.9%	6.7%	3.6%	2.6%
ROA	5.6%	2.7%	2.5%	-2.9%	-4.1%	-2.6%	19%	29%	17%	11%
ROE	3.1%	5.2%	16%	-7.8%	-35%	-8.4%	44%	41%	15%	9.8%

What is the average Net Margin?

The average Net Margin over the past 5 years is +1.26%.

What is the trend of Net Margin?

The trend of Net Margin over the past 5 years is +2.26%.

What is the average Return on Assets (ROA)?

The average ROA over the past 5 years is +9.13%.

What is the trend of Return on Assets (ROA)?

The trend of ROA over the past 5 years is +6.23%.

What is the average Return on Equity (ROE)?

The average ROE over the past 5 years is +8.25%.

What is the trend of Return on Equity (ROE)?

The trend of ROE over the past 5 years is +11.37%.

Safety & Stabiliy

Being debt the number one cause of investment losses and company death, the ratio Debt/FCF is of utmost importance to guarantee safety. On the other hand the Graham’s stability measures the drawdown of earnings, hence indicating the reliability of the flow generated by the company.

Under the assumption that FCF does not diminish and debt does not increase, the current years to repay the debt are acceptable.

The Graham’s stability indicate a relevant drawdown, consider checking when it has occured and why.

Years	12-2015	12-2016	12-2017	12-2018	12-2019	12-2020	12-2021	12-2022	12-2023	TTM
Debt FCF	6.58	3.99	2.65	5.11	27.28	2.69	-2.05	1.20	0.00	0.00
Debt Equity	0.74	0.62	0.45	0.38	0.43	0.39	0.64	0.33	0.00	0.00
MIN
Graham Stability	-	-	-	-100%	-610%	-	-	100%	71%	-610%

What is the Debt/FCF?

The Debt/FCF trailing twelve month is 0.00.

What is the trend of Debt/FCF?

The trend of Debt/FCF over the past 5 years is -3.10.

What is the Graham’s Stability?

Graham’s Stability measure stands at -6.07.

Growth

Growth can be dangerous when forecasting, simply projecting the current growth is in general wrong. A company passes through multiple phases, from being young and unprofitable, to the first periods of profitability and high growth, until it arrives at a period of regime with limited growth. Identifying in which phase the company is in may help forecasting.

Earnings growth has not been increasing in the past years.

Years	12-2016	12-2018	12-2020	12-2022	Trend
Revenue	13%	20%	34%	-28%	2.8%
Net Income	37%	-	-	-61%	-36%
Stockholders Equity	18%	17%	45%	3.5%	3.2%
FCF	39%	70%	120%	87%	33%

What is the 5 year Revenue CAGR?

The Revenue CAGR over the past 5 years is +19.86%.

What is the trend of Revenue growth?

The trend of Revenue growth rate over the past 5 years is +2.8%.

What is the 5 year Earnings CAGR?

The Earnings CAGR over the past 5 years is -.

What is the trend of Earnings growth?

The trend of Earnings growth rate over the past 5 years is -35.58%.

What is the 5 year Equity CAGR?

The Equity CAGR over the past 5 years is +16.75%.

What is the trend of Equity growth?

The trend of Equity growth rate over the past 5 years is +3.22%.

What is the 5 year FCF CAGR?

The FCF CAGR over the past 5 years is +70.24%.

What is the trend of FCF growth?

The trend of FCF growth rate over the past 5 years is +33.29%.