0001628280-26-032542 | 10-Q | XBRL Viewer | Cross Country Healthcare INC

The entire disclosure of revenue from contract with customer to transfer good or service and to transfer nonfinancial asset. Includes, but is not limited to, disaggregation of revenue, credit loss recognized from contract with customer, judgment and change in judgment related to contract with customer, and asset recognized from cost incurred to obtain or fulfill contract with customer. Excludes insurance and lease contracts.

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

3 Months Ended

Mar. 31, 2026

Accounting Policies [Abstract]

Use of Estimates

The preparation of condensed consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts in the condensed consolidated financial statements and accompanying notes. Management has assessed various accounting estimates and other matters, including those that require consideration of forecasted financial information, using information that is reasonably available to the Company at the time. Significant estimates and assumptions are used for, but not limited to: (i) the valuation of accounts receivable; (ii) goodwill, trade names, and other intangible assets; (iii) revenue recognition; (iv) accruals for health, workers’ compensation, and professional liability claims; (v) valuation of deferred tax assets; (vi) legal contingencies; and (vii) income taxes. Accrued insurance claims and reserves include estimated settlements from known claims and actuarial estimates for claims incurred but not reported. As additional information becomes available to the Company, its future assessment of these estimates could materially and adversely impact the Company’s condensed consolidated financial statements in future reporting periods. Actual results could differ from those estimates.

Risks and Uncertainties

The Company’s future results of operations and liquidity could be materially adversely affected by macroeconomic factors contributing to delays in payments from customers and inflationary pressure, uncertain or reduced demand, and the impact of any initiatives or programs that the Company may undertake to address financial and operational challenges faced by its customers. See associated risk factors in Part II, Item 1A. Risk Factors in this Quarterly Report on Form 10-Q and in Item 1A. Risk Factors in the 2025 Form 10-K.

Accounts Receivable, net

The timing of revenue recognition, billings, and collections results in billed and unbilled accounts receivable from customers, which are classified as accounts receivable on the condensed consolidated balance sheets and are presented net of allowances for credit losses and sales allowances. Estimated revenue for the Company employees’, subcontracted employees’, and independent contractors’ time worked but not yet billed at March 31, 2026 and December 31, 2025 totaled $54.5 million and $48.3 million, respectively.

Accounts receivable potentially subject the Company to concentrations of credit risk. The Company generally does not require collateral and mitigates its credit risk by performing credit evaluations and monitoring at-risk accounts. The allowance for credit losses is established for losses expected to be incurred on accounts receivable balances. Accounts receivable are written off against the allowance for credit losses when the Company determines amounts are no longer collectible. Judgment is required in the estimation of the allowance and the Company evaluates the collectability of its accounts receivable based on a combination of factors. The Company bases its allowance for credit loss estimates on its historical write-off experience, current conditions, an analysis of the aging of outstanding receivable and customer payment patterns, and specific reserves for customers in adverse condition adjusted for current expectations for the customers or industry. Based on the information currently available, the Company also considered expectations of future economic conditions when estimating its allowance for credit losses.

The opening balance of the allowance for credit losses is reconciled to the closing balance for expected credit losses as follows:




	2026		2025
Allowance for Credit Losses	(amounts in thousands)
Balance at January 1	$	8,788	$	8,841
Credit Loss Expense	61		35
Write-Offs, net of Recoveries	(415)		473
Balance at March 31	$	8,434	$	9,349

In addition to the allowance for credit losses, the Company maintains a sales allowance for billing-related adjustments that may arise in the ordinary course of business and adjustments to the reserve are recorded as contra-revenue. The sales allowance balance was $0.3 million as of both March 31, 2026 and December 31, 2025.

The Company’s contract terms typically require payment between 30 to 60 days from the date of invoice. Payment is considered past due based on the particular negotiated contract terms. The majority of the Company’s customers are healthcare systems with a significant percentage in acute-care facilities. No single customer accounted for more than 10% of the Company’s revenue for the three months ended March 31, 2026 and 2025, or the Company’s accounts receivable balance as of March 31, 2026 and December 31, 2025.

Restructuring Costs

The Company considers restructuring activities to be programs whereby it fundamentally changes its operations, such as closing and consolidating facilities, reducing headcount, and realigning operations in response to changing market conditions, and are primarily included in accounts payable and accrued expenses on the condensed consolidated balance sheets. Restructuring costs on the condensed consolidated statements of operations and comprehensive loss primarily include employee termination costs and lease-related exit costs.

Reconciliations of the employee termination costs and lease-related exit costs beginning and ending liability balance is presented below:



	Employee Termination Costs		Lease-Related Exit Costs
	(amounts in thousands)
Balance at January 1, 2026	$	1,221	$	2
Charged to restructuring (a)	520		124
Payments	(1,181)		(36)
Balance at March 31, 2026	$	560	$	90

_______________

(a) In addition to the amounts presented in the table above, restructuring costs in the condensed consolidated statements of operations and comprehensive loss for the three months ended March 31, 2026 include $0.1 million of ongoing lease costs and other direct charges.

Recent Accounting Pronouncements

On December 8, 2025, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) No. 2025-11, Interim Reporting (Topic 270): Narrow-Scope Improvements. The amendments in this update are intended to improve the navigability of the interim reporting guidance in Accounting Standards Codification (ASC) 270 and clarify when it applies. The guidance addresses the form and content of financial statements, adds lists of the interim disclosures required by all other ASC topics, and establishes a principle under which an entity must disclose events since the end of the last annual reporting period that have a material impact on the entity. This guidance is effective for interim reporting periods within annual reporting periods beginning after December 15, 2027. Early adoption is permitted. The amendments in this update can be applied either (1) prospectively or (2) retrospectively to any or all prior periods presented in the financial statements. The Company expects to adopt this standard for its first quarter ending March 31, 2028. The Company expects this ASU to expand its disclosures with no impact to results of operations, cash flows, and financial condition.

On September 18, 2025, the FASB issued ASU No. 2025-06, Intangibles—Goodwill and Other— Internal-Use Software (Subtopic 350-40): Targeted Improvements to the Accounting for Internal-Use Software. The amendments remove all references to prescriptive and sequential software development stages (referred to as “project stages”) throughout Subtopic 350-40. Therefore, an entity is required to start capitalizing software costs when both of the following occur: (1) management has authorized and committed to funding the software project, and (2) it is probable that the project will be completed and the software will be used to perform the function intended (referred to as the “probable-to-complete recognition threshold”). This guidance is effective for fiscal years beginning after December 15, 2027, and interim reporting periods within those annual reporting periods. Early adoption is permitted as of the beginning of an annual reporting period. The amendments in this update permit an entity to apply the new guidance using any of the following transition approaches: (1) a prospective transition approach, (2) a modified transition approach that is based on the status of the project and whether software costs were capitalized before the date of adoption, or (3) a retrospective transition approach. The Company is currently in the process of evaluating the potential impact the adoption of this standard may have and expects to adopt this standard in its first quarter ending March 31, 2028.

On November 4, 2024, the FASB issued ASU No. 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses, which is intended to improve decision usefulness of business entities’ income statements through the disaggregation of certain expense captions, such as employee compensation, depreciation, and intangible asset amortization, with required disclosure in a single note to the financial statements. This guidance is effective for fiscal years beginning after December 15, 2026, and interim periods within fiscal years beginning after December 15, 2027. Early adoption is permitted. The amendments in this update should be applied either (1) prospectively to financial statements issued for reporting periods after the effective date of this update, or (2) retrospectively to any or all prior periods presented in the financial statements. The Company expects to adopt this standard for its annual report for the fiscal year ending December 31, 2027. The Company expects this ASU to only impact its disclosures with no impacts to results of operations, cash flows, and financial condition.

LEASES - Schedule of Supplemental Balance Sheet Information (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Leases [Abstract]
Operating lease right-of-use assets	$ 1,780	$ 2,206
Operating lease liabilities - current	974	1,163
Operating lease liabilities - non-current	$ 1,069	$ 1,155
Weighted average remaining lease term	2 years 3 months 18 days	2 years 4 months 24 days
Weighted average discount rate	7.04%	7.02%

DEBT

3 Months Ended

Mar. 31, 2026

Debt Disclosure [Abstract]

DEBT

The Company’s debt consists of the following:


	March 31, 2026				December 31, 2025
	Principal		Debt Issuance Costs		Principal		Debt Issuance Costs
	(amounts in thousands)
Senior Secured Asset-Based Loan, interest of 5.73% and 5.62% at March 31, 2026 and December 31, 2025, respectively	$	—	$	(792)	$	—	$	(993)



Debt	$	—	$	(792)	$	—	$	(993)

As of March 31, 2026 and December 31, 2025, there was no debt outstanding on the condensed consolidated balance sheets. The Company has elected to present the debt issuance costs associated with its senior secured asset-based credit facility as an asset, included in other assets on the condensed consolidated balance sheets.

2019 Asset-Based Loan Agreement

Effective October 25, 2019, the Company terminated its prior senior credit facility and entered into an asset-based loan agreement, by and among the Company and certain of its domestic subsidiaries, as borrowers or guarantors, Wells Fargo Bank, N.A., and PNC Bank N.A., as well as other Lenders (as defined therein) from time to time parties thereto (Loan Agreement). The Loan Agreement provided for a five-year revolving senior secured asset-based credit facility (ABL) in the aggregate principal amount of up to $120.0 million, including a sublimit for swing loans up to $15.0 million and a $35.0 million sublimit for standby letters of credit.

On June 30, 2020, the Company amended the Loan Agreement, which increased the current aggregate committed size of the ABL from $120.0 million to $130.0 million. All other terms, conditions, covenants, and pricing of the Loan Agreement remained the same.

On March 8, 2021, the Company amended the Loan Agreement, which increased the current aggregate committed size of the ABL from $130.0 million to $150.0 million, increased certain borrowing base sub-limits, and decreased both the cash dominion event and financial reporting triggers.

On June 8, 2021, the Company amended the Loan Agreement, which permitted the incurrence of indebtedness and grant of security as set forth in the Loan Agreement and in accordance with the Intercreditor Agreement (as defined in the Loan Agreement), and provides mechanics relating to a transition away from the London Interbank Offered Rate as a benchmark interest rate to a replacement alternative benchmark rate or mechanism for loans made in U.S. dollars.

On November 18, 2021, the Company amended the Loan Agreement, whereby the Permitted Indebtedness (as defined in the Loan Agreement), was increased to $175.0 million.

On March 21, 2022, the Company amended the Loan Agreement, which increased the current aggregate committed size of the ABL from $150.0 million to $300.0 million, extended the term of the credit facility for an additional five years, through March 21, 2027, and increased certain borrowing base sub-limits. In addition, the agreement provides the option for all or a portion of the borrowings to bear interest at a rate based on the Secured Overnight Financing Rate (SOFR) or the Base Rate (as defined in the Loan Agreement), at the election of the borrowers, plus an applicable margin. The applicable margin increased 10 basis points due to the credit spread associated with the transition to SOFR.

On September 29, 2023, the Company amended the Loan Agreement, which changed the minimum fixed charge coverage ratio from a maintenance covenant to a springing covenant based on excess availability, which provides for compliance with the covenant only during a compliance period (any time that excess availability falls below a certain threshold), and in such case, the financial covenant shall be tested during this period.

On July 29, 2024, the Company amended the Loan Agreement, which allows for all share repurchases paid in cash prior to June 30, 2024 and thereafter to be excluded as restricted payments in the fixed charge coverage ratio calculation, if as of the date of the share repurchase, there is no revolving ABL balance (except for interest and fees payable in accordance with the terms of the Loan Agreement).

These amendments were treated as modifications of debt and, as a result, the associated fees and costs were included in debt issuance costs and are amortized ratably over the remaining term of the Loan Agreement.

The ABL availability is subject to a borrowing base of up to 85% of secured eligible accounts receivable, subject to adjustment at certain quality levels, minus reserves and subject to adjustments. Revolving loans and letters of credit issued under the Loan Agreement reduce availability under the ABL on a dollar-for-dollar basis. At March 31, 2026, there were no borrowings drawn under the ABL, and borrowing base availability under the ABL was $109.3 million, with $91.0 million of availability net of $18.3 million of letters of credit outstanding related to workers’ compensation and professional liability policies.

As of March 31, 2026, the interest rate spreads and fees under the ABL were based on SOFR plus 2.10% for the revolving portion of the borrowing base. The Base Rate margin would have been 1.00% for the revolving portion. The SOFR and Base Rate margins are subject to monthly adjustments, pursuant to a pricing matrix based on the Company’s excess availability under the revolving credit facility. In addition, the facility is subject to an unused line fee, letter of credit fees, and an administrative fee. The unused line fee is 0.375% of the average daily unused portion of the revolving credit facility.

The Loan Agreement contains various restrictions applicable to the Company and its subsidiaries. For the three months ended March 31, 2026, the excess availability did not fall below the stated threshold and, as a result, there was no covenant compliance period. Obligations under the ABL are secured by substantially all of the assets of the borrowers and guarantors, subject to customary exceptions.

The Loan Agreement also contains certain events of default. If an event of default under the Loan Agreement occurs and remains uncured, then the administrative agent or the requisite lenders may declare any outstanding obligations to be immediately due and payable. In addition, if the Company or any of its subsidiaries becomes the subject of voluntary or involuntary proceedings under any bankruptcy, insolvency or similar law, then any outstanding obligations under the Loan Agreement will automatically become due and payable.

The entire disclosure for information about short-term and long-term debt arrangements, which includes amounts of borrowings under each line of credit, note payable, commercial paper issue, bonds indenture, debenture issue, own-share lending arrangements and any other contractual agreement to repay funds, and about the underlying arrangements, rationale for a classification as long-term, including repayment terms, interest rates, collateral provided, restrictions on use of assets and activities, whether or not in compliance with debt covenants, and other matters important to users of the financial statements, such as the effects of refinancing and noncompliance with debt covenants.

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Schedule of Allowance for Doubtful Accounts

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Tables)

3 Months Ended

Mar. 31, 2026

Accounting Policies [Abstract]

The opening balance of the allowance for credit losses is reconciled to the closing balance for expected credit losses as follows:




	2026		2025
Allowance for Credit Losses	(amounts in thousands)
Balance at January 1	$	8,788	$	8,841
Credit Loss Expense	61		35
Write-Offs, net of Recoveries	(415)		473
Balance at March 31	$	8,434	$	9,349

Schedule of Employee Termination Costs and Lease-Related Exit Costs

Reconciliations of the employee termination costs and lease-related exit costs beginning and ending liability balance is presented below:



	Employee Termination Costs		Lease-Related Exit Costs
	(amounts in thousands)
Balance at January 1, 2026	$	1,221	$	2
Charged to restructuring (a)	520		124
Payments	(1,181)		(36)
Balance at March 31, 2026	$	560	$	90

_______________

LEASES (Tables)

3 Months Ended

Mar. 31, 2026

Leases [Abstract]

Schedule of Supplemental Balance Sheet Information

The table below presents the lease-related assets and liabilities included on the condensed consolidated balance sheets:


Classification on Condensed Consolidated Balance Sheets:	March 31, 2026		December 31, 2025
	(amounts in thousands)
Operating lease right-of-use assets	$	1,780	$	2,206
Operating lease liabilities - current	$	974	$	1,163
Operating lease liabilities - non-current	$	1,069	$	1,155


	March 31, 2026		December 31, 2025
Weighted average remaining lease term	2.3 years		2.4 years
Weighted average discount rate	7.04	%	7.02	%

Schedule of Operating Lease Maturity

The table below reconciles the undiscounted cash flows for each of, and total of, the remaining years to the operating lease liabilities (which do not include short-term leases) recorded on the condensed consolidated balance sheets as of March 31, 2026:



Years Ending December 31:	(amounts in thousands)
2026	$	936
2027	605
2028	550
2029	136


Total minimum lease payments	2,227
Less: amount of lease payments representing interest	(184)
Present value of future minimum lease payments	2,043
Less: operating lease liabilities - current	(974)
Operating lease liabilities - non-current	$	1,069

Schedule of Lease Costs

The table below provides information regarding supplemental cash flows:


	Three Months Ended
	March 31,
	2026		2025
	(amounts in thousands)
Supplemental Cash Flow Information:
Cash paid for amounts included in the measurement of operating lease liabilities	$	359	$	625
Right-of-use assets acquired under operating lease	$	90	$	—

The components of lease expense are as follows:


	Three Months Ended
	March 31,
	2026		2025
	(amounts in thousands)
Amounts Included in Condensed Consolidated Statements of Operations and Comprehensive Loss:
Operating lease expense	$	290	$	313
Short-term lease expense	$	175	$	268
Variable and other lease costs	$	175	$	60

GOODWILL, TRADE NAMES, AND OTHER INTANGIBLE ASSETS - Schedule of Estimated Annual Amortization Expense (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Goodwill and Intangible Assets Disclosure [Abstract]
2026	$ 5,610
2027	6,191
2028	4,791
2029	4,107
2030	1,701
Thereafter	3,364
Net Carrying Amount	$ 25,764	$ 27,635

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Schedule of Allowance for Doubtful Accounts (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Accounts Receivable, Allowance for Credit Loss [Roll Forward]
Beginning balance	$ 8,788	$ 8,841
Credit Loss Expense	61	35
Write-Offs, net of Recoveries	(415)	473
Ending balance	$ 8,434	$ 9,349

EARNINGS PER SHARE - Schedule of Components of Numerator and Denominator for Computation of Basic and Diluted Earnings per Share (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Numerator:
Net loss attributable to common stockholders - Basic	$ (4,266)	$ (490)
Net loss attributable to common stockholders - Diluted	$ (4,266)	$ (490)
Denominator:
Weighted average common shares - Basic (shares)	31,470	32,282
Effect of diluted shares:
Share-based awards (shares)	0	0
Weighted average common shares - Diluted (shares)	31,470	32,282
Net loss per share attributable to common stockholders - Basic (in dollars per share)	$ (0.14)	$ (0.02)
Net loss per share attributable to common stockholders - Diluted (in dollars per share)	$ (0.14)	$ (0.02)

REVENUE RECOGNITION (Details) - USD ($) $ in Thousands	3 Months Ended
REVENUE RECOGNITION (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Mar. 31, 2025
Disaggregation of Revenue [Line Items]
Revenue from services	$ 241,057	$ 293,408
Temporary Staffing Services
Disaggregation of Revenue [Line Items]
Revenue from services	233,711	284,857
Other Services
Disaggregation of Revenue [Line Items]
Revenue from services	7,346	8,551
Nurse And Allied Staffing
Disaggregation of Revenue [Line Items]
Revenue from services	201,444	242,291
Nurse And Allied Staffing \| Temporary Staffing Services
Disaggregation of Revenue [Line Items]
Revenue from services	195,662	236,157
Nurse And Allied Staffing \| Other Services
Disaggregation of Revenue [Line Items]
Revenue from services	5,782	6,134
Physician Staffing
Disaggregation of Revenue [Line Items]
Revenue from services	39,613	51,117
Physician Staffing \| Temporary Staffing Services
Disaggregation of Revenue [Line Items]
Revenue from services	38,049	48,700
Physician Staffing \| Other Services
Disaggregation of Revenue [Line Items]
Revenue from services	$ 1,564	$ 2,417

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise.

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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Schedule of Restructuring (Benefits) Costs (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Restructuring Reserve [Roll Forward]
Charged to restructuring	$ 765	$ 301
Employee Termination Costs
Restructuring Reserve [Roll Forward]
Balance at beginning of period	1,221
Charged to restructuring	520
Payments	(1,181)
Balance at end of period	560
Lease-Related Exit Costs
Restructuring Reserve [Roll Forward]
Balance at beginning of period	2
Charged to restructuring	124
Payments	(36)
Balance at end of period	90
Lease Costs And Other Direct Charges
Restructuring Reserve [Roll Forward]
Charged to restructuring	$ 100

Amount of expenses associated with exit or disposal activities pursuant to an authorized plan. Excludes expenses related to a discontinued operation or an asset retirement obligation.

+ References + Details

ACQUISITIONS	3 Months Ended
ACQUISITIONS	Mar. 31, 2026
Business Combination, Asset Acquisition, Transaction between Entities under Common Control, and Joint Venture Formation [Abstract]
ACQUISITIONS	ACQUISITIONS Mint On October 3, 2022, the Company purchased and acquired substantially all of the assets and assumed certain liabilities of Mint Medical Physician Staffing, LP and Lotus Medical Staffing LLC (collectively, Mint) for a purchase price of $27.0 million in cash, subject to adjustment, and $3.6 million in shares (or 114,278 shares) of the Company’s common stock. The transaction was treated as a purchase of assets for income tax purposes. The sellers were eligible to receive up to an additional $10.0 million in earnout cash consideration based on Mint’s revenues and gross profit for each of the twelve-month periods ending on the first and second anniversaries of the first day of the calendar month following the closing date. In the fourth quarter of 2023, the Company performed a calculation for the first measurement period, resulting in the achievement of a $4.9 million earnout, which was paid in the first quarter of 2024. During the fourth quarter of 2024, the Company performed a calculation for the second measurement period, resulting in the achievement of a $4.4 million earnout, which was paid in the first quarter of 2025. See Note 10 - Fair Value Measurements. Acquisition-related costs Other than fees and a subsequent immaterial credit associated with the termination of the Agreement and Plan of Merger, dated as of December 3, 2024, by and among the Company, Aya Holdings II, Inc., Spark Merger Sub One Inc., and, solely for the limited purposes set forth therein, Aya Healthcare, Inc., the Company did not record any acquisition-related costs associated with the Company’s acquisitions for the three months ended March 31, 2026 and 2025.

The entire disclosure for business combination.

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Schedule of Restricted Stock Activity

STOCKHOLDERS' EQUITY (Tables)

3 Months Ended

Mar. 31, 2026

Equity [Abstract]

The following table summarizes restricted stock awards and performance stock awards activity issued under the 2020 Plan and the 2024 Plan (Plans) for the three months ended March 31, 2026:


	Restricted Stock Awards			Performance Stock Awards
	Number of Shares	Weighted Average Grant Date Fair Value		Number of Target Shares	Weighted Average Grant Date Fair Value
Unvested restricted stock awards, January 1, 2026	969,844	$	10.88	564,702	$	14.42
Granted	562,850	$	9.40	348,892	$	9.40
Vested	(165,208)	$	20.08	(118,174)	$	20.36
Forfeited	(53,349)	$	9.96	(106,664)	$	19.66
Unvested restricted stock awards, March 31, 2026	1,314,137	$	9.12	688,756	$	10.04

EARNINGS PER SHARE - Schedule of Anti-dilutive Securities (Details) - shares shares in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Share-Based Payment Arrangement
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Share-based awards (shares)	129	3

DEBT - Additional Information (Details) - USD ($)	Mar. 31, 2026	Dec. 31, 2025
Debt Disclosure [Abstract]
Debt outstanding	$ 0	$ 0

DEBT (Tables)

3 Months Ended

Mar. 31, 2026

Debt Disclosure [Abstract]

Schedule of Long-term Debt

The Company’s debt consists of the following:


	March 31, 2026				December 31, 2025
	Principal		Debt Issuance Costs		Principal		Debt Issuance Costs
	(amounts in thousands)
Senior Secured Asset-Based Loan, interest of 5.73% and 5.62% at March 31, 2026 and December 31, 2025, respectively	$	—	$	(792)	$	—	$	(993)



Debt	$	—	$	(792)	$	—	$	(993)

Tabular disclosure of long-debt instruments or arrangements, including identification, terms, features, collateral requirements and other information necessary to a fair presentation. These are debt arrangements that originally required repayment more than twelve months after issuance or greater than the normal operating cycle of the entity, if longer.

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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)	3 Months Ended
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)	Mar. 31, 2026
Accounting Policies [Abstract]
Nature of Business	Nature of Business The accompanying condensed consolidated financial statements include the accounts of Cross Country Healthcare, Inc. and its direct and indirect wholly-owned subsidiaries (collectively, the Company). In the opinion of management, all adjustments necessary for a fair presentation of such unaudited condensed consolidated financial statements have been included. All such adjustments consisted of all normal recurring items, including the elimination of all intercompany transactions and balances.
Basis of Accounting	The accompanying condensed consolidated financial statements have been prepared in accordance with United States generally accepted accounting principles (U.S. GAAP) for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and notes required by U.S. GAAP for complete financial statements. These operating results are not necessarily indicative of the results that may be expected for the year ending December 31, 2026. These unaudited interim condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto for the year ended December 31, 2025 included in the 2025 Form 10-K. The December 31, 2025 condensed consolidated balance sheet included herein was derived from the December 31, 2025 audited consolidated balance sheet included in the 2025 Form 10-K.
Use of Estimates	Use of Estimates The preparation of condensed consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts in the condensed consolidated financial statements and accompanying notes. Management has assessed various accounting estimates and other matters, including those that require consideration of forecasted financial information, using information that is reasonably available to the Company at the time. Significant estimates and assumptions are used for, but not limited to: (i) the valuation of accounts receivable; (ii) goodwill, trade names, and other intangible assets; (iii) revenue recognition; (iv) accruals for health, workers’ compensation, and professional liability claims; (v) valuation of deferred tax assets; (vi) legal contingencies; and (vii) income taxes. Accrued insurance claims and reserves include estimated settlements from known claims and actuarial estimates for claims incurred but not reported. As additional information becomes available to the Company, its future assessment of these estimates could materially and adversely impact the Company’s condensed consolidated financial statements in future reporting periods. Actual results could differ from those estimates.
Risks and Uncertainties	Risks and Uncertainties The Company’s future results of operations and liquidity could be materially adversely affected by macroeconomic factors contributing to delays in payments from customers and inflationary pressure, uncertain or reduced demand, and the impact of any initiatives or programs that the Company may undertake to address financial and operational challenges faced by its customers. See associated risk factors in Part II, Item 1A. Risk Factors in this Quarterly Report on Form 10-Q and in Item 1A. Risk Factors in the 2025 Form 10-K.
Accounts Receivable, net	Accounts Receivable, net The timing of revenue recognition, billings, and collections results in billed and unbilled accounts receivable from customers, which are classified as accounts receivable on the condensed consolidated balance sheets and are presented net of allowances for credit losses and sales allowances. Estimated revenue for the Company employees’, subcontracted employees’, and independent contractors’ time worked but not yet billed at March 31, 2026 and December 31, 2025 totaled $54.5 million and $48.3 million, respectively. Accounts receivable potentially subject the Company to concentrations of credit risk. The Company generally does not require collateral and mitigates its credit risk by performing credit evaluations and monitoring at-risk accounts. The allowance for credit losses is established for losses expected to be incurred on accounts receivable balances. Accounts receivable are written off against the allowance for credit losses when the Company determines amounts are no longer collectible. Judgment is required in the estimation of the allowance and the Company evaluates the collectability of its accounts receivable based on a combination of factors. The Company bases its allowance for credit loss estimates on its historical write-off experience, current conditions, an analysis of the aging of outstanding receivable and customer payment patterns, and specific reserves for customers in adverse condition adjusted for current expectations for the customers or industry. Based on the information currently available, the Company also considered expectations of future economic conditions when estimating its allowance for credit losses. In addition to the allowance for credit losses, the Company maintains a sales allowance for billing-related adjustments that may arise in the ordinary course of business and adjustments to the reserve are recorded as contra-revenue. The sales allowance balance was $0.3 million as of both March 31, 2026 and December 31, 2025. The Company’s contract terms typically require payment between 30 to 60 days from the date of invoice. Payment is considered past due based on the particular negotiated contract terms. The majority of the Company’s customers are healthcare systems with a significant percentage in acute-care facilities.
Restructuring Costs	Restructuring Costs The Company considers restructuring activities to be programs whereby it fundamentally changes its operations, such as closing and consolidating facilities, reducing headcount, and realigning operations in response to changing market conditions, and are primarily included in accounts payable and accrued expenses on the condensed consolidated balance sheets. Restructuring costs on the condensed consolidated statements of operations and comprehensive loss primarily include employee termination costs and lease-related exit costs.
Recent Accounting Pronouncements	Recent Accounting Pronouncements On December 8, 2025, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) No. 2025-11, Interim Reporting (Topic 270): Narrow-Scope Improvements. The amendments in this update are intended to improve the navigability of the interim reporting guidance in Accounting Standards Codification (ASC) 270 and clarify when it applies. The guidance addresses the form and content of financial statements, adds lists of the interim disclosures required by all other ASC topics, and establishes a principle under which an entity must disclose events since the end of the last annual reporting period that have a material impact on the entity. This guidance is effective for interim reporting periods within annual reporting periods beginning after December 15, 2027. Early adoption is permitted. The amendments in this update can be applied either (1) prospectively or (2) retrospectively to any or all prior periods presented in the financial statements. The Company expects to adopt this standard for its first quarter ending March 31, 2028. The Company expects this ASU to expand its disclosures with no impact to results of operations, cash flows, and financial condition. On September 18, 2025, the FASB issued ASU No. 2025-06, Intangibles—Goodwill and Other— Internal-Use Software (Subtopic 350-40): Targeted Improvements to the Accounting for Internal-Use Software. The amendments remove all references to prescriptive and sequential software development stages (referred to as “project stages”) throughout Subtopic 350-40. Therefore, an entity is required to start capitalizing software costs when both of the following occur: (1) management has authorized and committed to funding the software project, and (2) it is probable that the project will be completed and the software will be used to perform the function intended (referred to as the “probable-to-complete recognition threshold”). This guidance is effective for fiscal years beginning after December 15, 2027, and interim reporting periods within those annual reporting periods. Early adoption is permitted as of the beginning of an annual reporting period. The amendments in this update permit an entity to apply the new guidance using any of the following transition approaches: (1) a prospective transition approach, (2) a modified transition approach that is based on the status of the project and whether software costs were capitalized before the date of adoption, or (3) a retrospective transition approach. The Company is currently in the process of evaluating the potential impact the adoption of this standard may have and expects to adopt this standard in its first quarter ending March 31, 2028. On November 4, 2024, the FASB issued ASU No. 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses, which is intended to improve decision usefulness of business entities’ income statements through the disaggregation of certain expense captions, such as employee compensation, depreciation, and intangible asset amortization, with required disclosure in a single note to the financial statements. This guidance is effective for fiscal years beginning after December 15, 2026, and interim periods within fiscal years beginning after December 15, 2027. Early adoption is permitted. The amendments in this update should be applied either (1) prospectively to financial statements issued for reporting periods after the effective date of this update, or (2) retrospectively to any or all prior periods presented in the financial statements. The Company expects to adopt this standard for its annual report for the fiscal year ending December 31, 2027. The Company expects this ASU to only impact its disclosures with no impacts to results of operations, cash flows, and financial condition.

Disclosure of accounting policy for the use of estimates in the preparation of financial statements in conformity with generally accepted accounting principles.

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COMPREHENSIVE LOSS (Details) - USD ($) $ in Millions	Mar. 31, 2026	Dec. 31, 2025
Equity [Abstract]
Loss on currency fluctuations	$ 1.9	$ 1.7

LEASES - Schedule of Lease Costs (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Leases [Abstract]
Cash paid for amounts included in the measurement of operating lease liabilities	$ 359	$ 625
Right-of-use assets acquired under operating lease	90	0
Operating lease expense	290	313
Short-term lease expense	175	268
Variable and other lease costs	$ 175	$ 60

STOCKHOLDERS' EQUITY

3 Months Ended

Mar. 31, 2026

Equity [Abstract]

STOCKHOLDERS' EQUITY

STOCKHOLDERS’ EQUITY

Stock Repurchase Program

On May 1, 2023, the Company’s Board of Directors authorized approximately $59.0 million in additional share repurchases, such that, effective for trades made after May 3, 2023, the aggregate amount available for stock repurchases was set at $100.0 million (the Repurchase Program). The shares can be repurchased from time-to-time in the open market or in privately negotiated transactions. The Repurchase Program does not obligate the Company to repurchase any particular number of shares of common stock and may be discontinued by the Board of Directors at any time. Decisions regarding the amount and the timing of repurchases under the Repurchase Program will be subject to the Company’s available liquidity and cash on hand, applicable legal requirements, the terms of the Company’s Loan Agreement, general market conditions, and other factors.

During the fourth quarter of 2025, the Company entered into a Rule 10b5-1 Repurchase Plan to allow for share repurchases during the Company's blackout periods, beginning on December 16, 2025 and effective through November 4, 2026.

During the three months ended March 31, 2026, the Company repurchased 657,653 shares of common stock for $5.8 million, at an average price of $8.86 per share. During the three months ended March 31, 2025, the Company did not repurchase any shares of its common stock, but did pay $0.3 million in excise tax related to previous share repurchases.

As of March 31, 2026, the Company had $28.1 million remaining for share repurchase under the Repurchase Program, subject to certain conditions in the Company’s Loan Agreement. As of March 31, 2026, the Company had 31,241,365 unrestricted shares of common stock outstanding.

Share-Based Payments

On May 14, 2024, the Company’s stockholders approved the Cross Country Healthcare, Inc. 2024 Omnibus Incentive Plan (2024 Plan). Pursuant to the 2024 Plan, awards may be granted to employees, non-employee directors, consultants, and key advisors of the Company and its subsidiaries, including stock options (including incentive stock options and nonqualified stock options), stock appreciation rights, stock awards, stock units, other stock-based awards, and cash awards. The 2024 Plan was adopted principally to serve as a successor plan to the Cross Country Healthcare, Inc. 2020 Omnibus Incentive Plan (2020 Plan) and to increase the number of shares of Company common stock reserved for equity-based awards to 2,400,000 shares (in addition to the share reserve amount that remained available under the 2020 Plan immediately prior to the adoption of the 2024 Plan and other eligible returning shares). No awards may be granted under the 2024 Plan after May 13, 2034.

The following table summarizes restricted stock awards and performance stock awards activity issued under the 2020 Plan and the 2024 Plan (Plans) for the three months ended March 31, 2026:


	Restricted Stock Awards			Performance Stock Awards
	Number of Shares	Weighted Average Grant Date Fair Value		Number of Target Shares	Weighted Average Grant Date Fair Value
Unvested restricted stock awards, January 1, 2026	969,844	$	10.88	564,702	$	14.42
Granted	562,850	$	9.40	348,892	$	9.40
Vested	(165,208)	$	20.08	(118,174)	$	20.36
Forfeited	(53,349)	$	9.96	(106,664)	$	19.66
Unvested restricted stock awards, March 31, 2026	1,314,137	$	9.12	688,756	$	10.04

Restricted stock awards granted under the Company’s Plans entitle the holder to receive, at the end of a vesting period, a specified number of shares of the Company’s common stock. Share-based compensation expense is measured by the market value of the Company’s stock on the date of grant.

Awards granted to non-employee directors under the Plans will vest on the first anniversary of such grant date, or earlier subject to retirement eligibility. In addition, effective for the three months ended June 30, 2020, the Company implemented modified guidelines that provide for accelerated vesting of restricted stock grants on the last date of service when a retirement-eligible director retires.

Pursuant to the Plans, the number of target shares that are issued for performance-based stock awards are determined based on the level of attainment of the targets. In the first quarter of 2026, it was determined that the performance-based stock awards that were granted in 2023 were not earned and, accordingly, no shares were issued in settlement of such performance-based stock awards.

During the three months ended March 31, 2026, $1.2 million was included in selling, general and administrative expenses related to share-based payments, and a net of 177,738 of common stock were issued upon the vesting of restricted and performance stock.

During the three months ended March 31, 2025, $1.3 million was included in selling, general and administrative expenses related to share-based payments, and a net of 199,588 of common stock were issued upon the vesting of restricted and performance stock.

GOODWILL, TRADE NAMES, AND OTHER INTANGIBLE ASSETS - Additional Information (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Goodwill [Line Items]
Goodwill	$ 63,803	$ 63,803
Nurse And Allied Staffing
Goodwill [Line Items]
Goodwill	47,900
Physician Staffing
Goodwill [Line Items]
Goodwill	$ 15,900

Amount, after accumulated impairment loss, of asset representing future economic benefit arising from other asset acquired in business combination or from joint venture formation or both, that is not individually identified and separately recognized.

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SUBSEQUENT EVENT (Details) - KL Criss Cross Intermediate, LLC and KL Criss Cross Merger Sub, Inc. - Subsequent Event	May 06, 2026 USD ($) extension $ / shares
Subsequent Event [Line Items]
Price to be paid per share (in dollars per share) \| $ / shares	$ 13.25
Number of merger agreement extensions \| extension	2
Merger agreement extension term	3 months
One-time termination fee payable	$ 14,213,075
One-time termination fee receivable	$ 14,213,075

STOCKHOLDERS' EQUITY - Schedule of Restricted Stock Activity (Details)	3 Months Ended
	Mar. 31, 2026 $ / shares shares
Restricted Stock Awards
Number of Shares
Unvested restricted stock awards, beginning balance (shares) \| shares	969,844
Granted (shares) \| shares	562,850
Vested (shares) \| shares	(165,208)
Forfeited (shares) \| shares	(53,349)
Unvested restricted stock awards, ending balance (shares) \| shares	1,314,137
Weighted Average Grant Date Fair Value
Unvested restricted stock awards, beginning balance (in dollars per share) \| $ / shares	$ 10.88
Granted (in dollars per share) \| $ / shares	9.40
Vested (in dollars per share) \| $ / shares	20.08
Forfeited (in dollars per share) \| $ / shares	9.96
Unvested restricted stock awards, ending balance (in dollars per share) \| $ / shares	$ 9.12
Performance Stock Awards
Number of Shares
Unvested restricted stock awards, beginning balance (shares) \| shares	564,702
Granted (shares) \| shares	348,892
Vested (shares) \| shares	(118,174)
Forfeited (shares) \| shares	(106,664)
Unvested restricted stock awards, ending balance (shares) \| shares	688,756
Weighted Average Grant Date Fair Value
Unvested restricted stock awards, beginning balance (in dollars per share) \| $ / shares	$ 14.42
Granted (in dollars per share) \| $ / shares	9.40
Vested (in dollars per share) \| $ / shares	20.36
Forfeited (in dollars per share) \| $ / shares	19.66
Unvested restricted stock awards, ending balance (in dollars per share) \| $ / shares	$ 10.04

INCOME TAXES (Details) - USD ($) $ in Thousands	3 Months Ended
INCOME TAXES (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025	Mar. 31, 2025
Income Tax Disclosure [Abstract]
Effective tax rate	(14.20%)		45.50%
Effective tax rate, excluding discrete items	(6.60%)		56.10%
Additional valuation allowance		$ 29,400
Valuation allowance	$ 30,200	29,700
Uncertain tax positions	10,508	$ 10,427
Unrecognized tax benefits that would impact effective tax rate	12,300
Gross increase to current year unrecognized tax benefits related to federal and state tax issues	$ 300

FAIR VALUE MEASUREMENTS - Additional Information (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025	Mar. 31, 2024
Fair Value Measurement [Line Items]
Payment of contingent consideration	$ 0	$ 4,411
Mint
Fair Value Measurement [Line Items]
Payment of contingent consideration		$ 4,400	$ 4,900

FAIR VALUE MEASUREMENTS

3 Months Ended

Mar. 31, 2026

Fair Value Disclosures [Abstract]

FAIR VALUE MEASUREMENTS

Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. A fair value hierarchy was established which requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. There are three levels of inputs that may be used to measure fair value:

Level 1—Quoted prices in active markets for identical assets or liabilities.

Level 2—Observable inputs other than Level 1 prices, such as quoted prices for similar assets or liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.

Level 3—Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.

Items Measured at Fair Value on a Recurring Basis:

The Company’s financial assets/liabilities required to be measured on a recurring basis were primarily its: (i) deferred compensation asset; and (ii) deferred compensation liability on its condensed consolidated balance sheets.

Deferred compensation—The Company utilizes Level 1 inputs to value its deferred compensation assets and liabilities. The Company’s deferred compensation assets and liabilities are measured using publicly available indices, as per the plan documents.

The estimated fair value of the Company’s financial assets and liabilities measured on a recurring basis is as follows:

Fair Value Measurements


	March 31, 2026		December 31, 2025
	(amounts in thousands)
Financial Assets:
(Level 1)
Deferred compensation asset	$	2,868	$	2,938
Financial Liabilities:
(Level 1)
Deferred compensation liability	$	2,244	$	2,590

Items Measured at Fair Value on a Non-recurring Basis:

The Company’s non-financial assets, such as goodwill, trade names, other intangible assets, right-of-use assets, and property and equipment, are measured at fair value when there is an indicator of impairment and are recorded at fair value only when an impairment charge is recognized.

During the three months ended March 31, 2026, the Company recorded an immaterial impairment charge related to right-of-use assets and related property and equipment in connection with those assets. The Company did not record any impairment charges during the three months ended March 31, 2025.

Other Fair Value Disclosures:

Financial instruments not measured or recorded at fair value in the condensed consolidated balance sheets consist of cash and cash equivalents, accounts receivable, and accounts payable and accrued expenses. The estimated fair value of accounts receivable and accounts payable and accrued expenses approximate their carrying amount due to the short-term nature of these instruments.

Other financial instruments not measured or recorded at fair value include earnout liabilities related to the Mint acquisition, as discussed below.

Potential earnout payments related to the Mint acquisition were contingent upon meeting certain performance requirements based on 2022 through 2024 performance. On a quarterly basis, the Company performed an analysis using multiple forecasted scenarios to determine the fair value of the earnout liability. In the fourth quarter of 2023, the Company performed the earnout calculation for the first measurement period, resulting in an earnout of $4.9 million, which was paid in the first quarter of 2024. During the fourth quarter of 2024, the Company performed a calculation for the second measurement period, resulting in the achievement of a $4.4 million earnout, which was paid in the first quarter of 2025. See Note 4 - Acquisitions.

Concentration of Credit Risk:

See Note 2 – Summary of Significant Accounting Policies for a discussion of credit losses and allowance for credit losses. Overall, based on the large number of customers in differing geographic areas, primarily throughout the United States (U.S.) and its territories, the Company believes that the concentration of credit risk is limited.

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

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Cover - shares	3 Months Ended
Cover - shares	Mar. 31, 2026	Apr. 24, 2026
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Mar. 31, 2026
Document Transition Report	false
Entity Registrant Name	CROSS COUNTRY HEALTHCARE, INC
Entity Incorporation, State or Country Code	DE
Entity File Number	0-33169
Entity Tax Identification Number	13-4066229
Entity Address, Address Line One	5201 Congress Avenue
Entity Address, Address Line Two	Suite 160
Entity Address, City or Town	Boca Raton
Entity Address, State or Province	FL
Entity Address, Postal Zip Code	33487
City Area Code	561
Local Phone Number	998-2232
Title of 12(b) Security	Common stock, par value $0.0001 per share
Trading Symbol	CCRN
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		32,332,661
Entity Central Index Key	0001141103
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2026
Document Fiscal Period Focus	Q1
Amendment Flag	false

LEASES - Schedule of Operating Lease Maturity (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Leases [Abstract]
2026	$ 936
2027	605
2028	550
2029	136
Total minimum lease payments	2,227
Less: amount of lease payments representing interest	(184)
Present value of future minimum lease payments	2,043
Less: operating lease liabilities - current	(974)	$ (1,163)
Operating lease liabilities - non-current	$ 1,069	$ 1,155

CONTINGENCIES	3 Months Ended
CONTINGENCIES	Mar. 31, 2026
Commitments and Contingencies Disclosure [Abstract]
CONTINGENCIES	CONTINGENCIES Legal Proceedings From time to time, the Company is involved in various litigation, claims, investigations, and other proceedings that arise in the ordinary course of its business. These proceedings primarily relate to employee-related matters that include individual and collective claims, professional liability, tax, and payroll practices. The Company establishes reserves when available information indicates that a loss is probable and an amount or range of loss can be reasonably estimated. These assessments are performed at least quarterly and are based on the information available to management at the time and involve significant management judgment to determine the probability and estimated amount of potential losses, if any. Based on the available information considered in its reviews, the Company adjusts its loss contingency accruals and its disclosures as may be required. Actual outcomes or losses may differ materially from those estimated by the Company’s current assessments, including available insurance recoveries, which would impact the Company’s profitability. Adverse developments in existing litigation claims or legal proceedings involving the Company or new claims could require management to establish or increase litigation reserves or enter into unfavorable settlements or satisfy judgments for monetary damages for amounts in excess of current reserves, which could adversely affect the Company’s financial results. During the first quarter of 2026, the Company recorded $1.2 million in legal fees and settlement charges related to various cases and claims. The Company believes that the outcome of any outstanding loss contingencies, individually or in the aggregate, as of March 31, 2026 will not have a material adverse effect on its business, financial condition, results of operations, or cash flows. Sales and Other State Non-Income Tax Liabilities The Company’s sales and other state non-income tax filings are subject to routine audits by authorities in the jurisdictions where it conducts business in the U.S. which may result in assessments of additional taxes. The Company accrues sales and other non-income tax liabilities based on the Company’s best estimate of its probable liability utilizing currently available information and interpretation of relevant tax regulations. Given the nature of the Company’s business, significant subjectivity exists as to both whether sales and other state non-income taxes can be assessed on its activity and how the sales tax will ultimately be measured by the relevant jurisdictions. The Company makes a determination for each reporting period whether the estimates for sales and other non-income taxes in certain states should be revised. The expense is included in selling, general and administrative expenses in the Company’s condensed consolidated statements of operations and comprehensive loss and the liability is reflected in sales tax payable within other current liabilities in its condensed consolidated balance sheets.

FAIR VALUE MEASUREMENTS - Schedule of Estimated Fair Values of Financial Assets and Liabilities Measured on a Recurring Basis (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Deferred compensation asset	$ 2,868	$ 2,938
Level 1
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Deferred compensation asset	2,868	2,938
Deferred compensation liability	$ 2,244	$ 2,590

Insider Trading Arrangements	3 Months Ended
Insider Trading Arrangements	Mar. 31, 2026
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false

GOODWILL, TRADE NAMES, AND OTHER INTANGIBLE ASSETS - Schedule of Acquired Intangible Assets (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Intangible assets subject to amortization:
Gross Carrying Amount	$ 75,068	$ 75,068
Accumulated Amortization	49,304	47,433
Net Carrying Amount	25,764	27,635
Databases
Intangible assets subject to amortization:
Gross Carrying Amount	27,730	27,730
Accumulated Amortization	18,196	17,333
Net Carrying Amount	9,534	10,397
Customer relationships
Intangible assets subject to amortization:
Gross Carrying Amount	47,338	47,338
Accumulated Amortization	31,108	30,100
Net Carrying Amount	$ 16,230	$ 17,238

DEBT - Schedule of Long-term Debt (Details) - USD ($)	Mar. 31, 2026	Dec. 31, 2025
Debt Instrument [Line Items]
Debt	$ 0	$ 0
Debt Issuance Costs	$ (792,000)	$ (993,000)
Line of Credit \| Senior Secured Asset-Based Loan
Debt Instrument [Line Items]
Effective interest rate percentage	5.73%	5.62%
Debt	$ 0	$ 0
Debt Issuance Costs	$ (792,000)	$ (993,000)

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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INCOME TAXES	3 Months Ended
INCOME TAXES	Mar. 31, 2026
Income Tax Disclosure [Abstract]
INCOME TAXES	INCOME TAXES For the three‑month periods ended March 31, 2026 and 2025, the Company determined its income tax provisions using an estimated annual effective tax rate (AETR) applied to year‑to‑date ordinary income, adjusted for discrete tax items recognized in the period. In estimating the AETR for the three months ended March 31, 2026, the Company excluded jurisdictions where no current income tax expense is expected for the year. Income taxes related to such jurisdictions are reflected as discrete items or otherwise recognized based on year‑to‑date results. The Company updates its estimated AETR and related assumptions each reporting period, and any changes are reflected in the income tax provision in the period of change. The Company does not reflect tax benefits from jurisdictions for which a full valuation allowance is maintained and where no benefit is expected to be realized in the current year in its AETR. For the three months ended March 31, 2026, the estimated AETR excluded the U.S. as a loss jurisdiction. The Company’s effective tax rates for the three months ended March 31, 2026 and 2025 was (14.2%) and 45.5%, respectively, including the impact of discrete items. Excluding discrete items, the Company’s effective tax rates for the three months ended March 31, 2026 and 2025 was (6.6%) and 56.1%, respectively. As a result of the increase in the valuation allowance, the effective tax rate for the three months ended March 31, 2026 was primarily impacted by state and international income taxes, while the effective tax rate for the three months ended March 31, 2025 was primarily impacted by federal and state taxes. The decrease in the effective tax rate for the three-month period ended March 31, 2026 was primarily related to the increase in the valuation allowance. As of December 31, 2025, management assessed the available positive and negative evidence to estimate whether sufficient future taxable income will be generated to permit use of its existing deferred tax assets. A significant piece of objective negative evidence evaluated was the expected cumulative loss incurred over the three-year period ended March 31, 2026. On the basis of this evaluation, an additional nonrecurring valuation allowance of $29.4 million was recorded in the fourth quarter of 2025 as income tax expense to reduce the portion of the deferred tax asset that is not more likely than not to be realized. The Company intends to maintain a valuation allowance until sufficient positive evidence exists to support its reversal. As of March 31, 2026 and December 31, 2025, the Company had valuation allowances of $30.2 million and $29.7 million, respectively. The valuation allowance applies to all domestic deferred tax assets other than certain deferred tax assets expected to be realized. As of March 31, 2026, the Company had approximately $10.5 million of unrecognized tax benefits included in other long-term liabilities ($12.3 million, net of deferred taxes, which would affect the effective tax rate if recognized). During the three months ended March 31, 2026, the Company had $0.3 million in gross increases to its current year unrecognized tax benefits related to federal and state tax provisions. Effective January 1, 2024, many international jurisdictions implemented the Pillar Two rules issued by the Organization for Economic Co-operation and Development. In general, large multinational entity groups with consolidated revenue in excess of €750 million in at least two of the preceding four years could be subject to the new rules in jurisdictions with an effective tax rate below fifteen percent. The Company operated in one country that has adopted the Pillar Two rules, but should meet the safe harbor rules. The Company does not expect the adoption of the Pillar Two rules by any jurisdiction in which it currently operates to have a material impact on its financial statements. The tax years of 2012 through 2025 remain open to examination by certain taxing jurisdictions to which the Company is subject to tax.

The entire disclosure for income tax.

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 942
-SubTopic 740
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147477617/942-740-50-1

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 235
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-Paragraph 1
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480738/235-10-S50-1

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
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-Paragraph 1
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147478822/944-740-50-1

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
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-URI https://asc.fasb.org/1943274/2147482685/740-10-50-12

Reference 5: http://www.xbrl.org/2003/role/exampleRef
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Reference 6: http://www.xbrl.org/2003/role/disclosureRef
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-URI https://asc.fasb.org/1943274/2147482685/740-10-50-12C

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
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-URI https://asc.fasb.org/1943274/2147482685/740-10-50-12B

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
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-Name Accounting Standards Codification
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-Paragraph 1
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147477891/740-270-50-1

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
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-Name Accounting Standards Codification
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-URI https://asc.fasb.org/1943274/2147479360/740-10-S99-1

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
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Reference 11: http://www.xbrl.org/2003/role/disclosureRef
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Reference 12: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
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Reference 13: http://www.xbrl.org/2003/role/disclosureRef
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Reference 14: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
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-URI https://asc.fasb.org/1943274/2147482685/740-10-50-21

Reference 15: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482685/740-10-50-17

Reference 16: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
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Reference 17: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
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-Paragraph 2
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482603/740-30-50-2

Schedule of Estimated Fair Values of Financial Assets and Liabilities Measured on a Recurring Basis

FAIR VALUE MEASUREMENTS (Tables)

3 Months Ended

Mar. 31, 2026

Fair Value Disclosures [Abstract]

The estimated fair value of the Company’s financial assets and liabilities measured on a recurring basis is as follows:

Fair Value Measurements


	March 31, 2026		December 31, 2025
	(amounts in thousands)
Financial Assets:
(Level 1)
Deferred compensation asset	$	2,868	$	2,938
Financial Liabilities:
(Level 1)
Deferred compensation liability	$	2,244	$	2,590

EARNINGS PER SHARE

3 Months Ended

Mar. 31, 2026

Earnings Per Share [Abstract]

EARNINGS PER SHARE

The following table sets forth the components of the numerator and denominator for the computation of the basic and diluted earnings per share:


	Three Months Ended
	March 31,
	2026		2025
	(amounts in thousands, except per share data)
Numerator:
Net loss attributable to common stockholders - Basic and Diluted	$	(4,266)	$	(490)

Denominator:
Weighted average common shares - Basic	31,470		32,282
Effect of diluted shares:
Share-based awards	—		—
Weighted average common shares - Diluted a	31,470		32,282

Net loss per share attributable to common stockholders - Basic	$	(0.14)	$	(0.02)

Net loss per share attributable to common stockholders - Diluted	$	(0.14)	$	(0.02)

(a) For the three months ended March 31, 2026 and 2025, the effect of diluted shares was not included in the weighted average share calculation due to the Company’s net operating loss position.

The following table represents the share-based awards that could potentially dilute net loss per share attributable to common stockholders in the future that were not included in the computation of diluted net loss per share attributable to common stockholders because their inclusion would have been anti-dilutive for the periods presented.


	Three Months Ended
	March 31,
	2026	2025
	(amounts in thousands)
Share-based awards	129	3

STOCKHOLDERS' EQUITY - Additional Information (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025	May 14, 2024	May 01, 2023
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock repurchase and retirement	$ 5,839
Stock repurchase excise tax	$ 44
Unrestricted shares of common stock outstanding (shares)	31,241,365
NumberOfAuthorizedSharesNotDisclosed	true
CommonStockSharesIssuedNotDisclosed	true
Selling, General and Administrative Expenses
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based compensation	$ 1,200	$ 1,300
Restricted Stock And Performance Shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vested in period, net (shares)	177,738	199,588
Omnibus Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Shares reserved for share-based payments (shares)			2,400,000
Repurchase Program
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Additional authorized amount				$ 59,000
Common shares amount left remaining to repurchase under the plan (up to)	$ 28,100			$ 100,000
Shares repurchased and retired (shares)	657,653	0
Stock repurchase and retirement	$ 5,800
Average market price (in dollars per share)	$ 8.86
Stock repurchase excise tax		$ 300

SEGMENT DATA - Additional Information (Details)	3 Months Ended
SEGMENT DATA - Additional Information (Details)	Mar. 31, 2026 USD ($) segment state	Mar. 31, 2025 USD ($)
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Number of operating segments \| segment	2
Number of reportable segments \| segment	2
Number of states in which entity operates \| state	50
Revenue from services	$ 241,057,000	$ 293,408,000
Intersegment Eliminations
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenue from services	0	0
INDIA
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenue from services	$ 0	$ 0

SEGMENT DATA - Schedule of Operating Segments (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenue from services	$ 241,057	$ 293,408
Direct operating expenses	193,466	234,750
Credit loss (income) expense	61	35
Reconciliation of profit or loss:
Depreciation and amortization	3,669	4,772
Acquisition and integration-related (income) costs	(7)	2,041
Restructuring costs	765	301
Legal and other losses	1,213	0
Impairment charges	233	0
Interest expense	567	543
Interest income	(974)	(681)
Other expense (income), net	(14)	60
Loss before income tax	(3,734)	(899)
Operating Segments
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenue from services	241,057	293,408
Contribution Income	15,515	21,273
Segment Reporting, Reconciling Item, Corporate Nonsegment
Reconciliation of profit or loss:
Corporate overhead	13,797	15,136
Nurse And Allied Staffing
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenue from services	201,444	242,291
Nurse And Allied Staffing \| Operating Segments
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenue from services	201,444	242,291
Direct operating expenses	161,579	194,033
Employee compensation	18,943	21,369
Benefits	1,869	2,549
Marketing	1,494	1,670
Credit loss (income) expense	(44)	(10)
Divisional corporate G&A	3,074	3,718
Other segment items	1,801	1,718
Contribution Income	12,728	17,244
Physician Staffing
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenue from services	39,613	51,117
Physician Staffing \| Operating Segments
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenue from services	39,613	51,117
Direct operating expenses	31,887	40,717
Employee compensation	3,972	5,366
Benefits	418	493
Marketing	166	209
Credit loss (income) expense	105	45
Divisional corporate G&A	83	80
Other segment items	195	178
Contribution Income	$ 2,787	$ 4,029

CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Current assets:
Cash and cash equivalents	$ 105,584	$ 108,738
Accounts receivable, net of allowances of $8,727 in 2026 and $9,112 in 2025	176,641	167,512
Income taxes receivable	3,065	3,594
Prepaid expenses	7,412	7,561
Insurance recovery receivable	4,340	4,851
Other current assets	1,257	1,333
Total current assets	298,299	293,589
Property and equipment, net of accumulated depreciation of $27,754 in 2026 and $26,020 in 2025	27,313	27,775
Operating lease right-of-use assets	1,780	2,206
Goodwill	63,803	63,803
Other intangible assets, net	25,764	27,635
Insurance recovery receivable	14,334	14,859
Cloud computing	15,150	14,028
Deferred compensation asset	2,868	2,938
Other assets	1,762	2,118
Total assets	451,073	448,951
Current liabilities:
Accounts payable and accrued expenses	47,596	46,034
Accrued compensation and benefits	39,524	28,378
Operating lease liabilities	974	1,163
Other current liabilities	2,473	2,181
Total current liabilities	90,567	77,756
Operating lease liabilities	1,069	1,155
Deferred tax liabilities	2,696	2,522
Accrued claims	30,012	30,028
Uncertain tax positions	10,508	10,427
Deferred compensation liability	2,244	2,590
Other liabilities	1,170	1,651
Total liabilities	138,266	126,129
Commitments and contingencies
Stockholders’ equity:
Common stock	3	3
Additional paid-in capital	195,552	201,172
Accumulated other comprehensive loss	(1,689)	(1,560)
Retained earnings	118,941	123,207
Total stockholders’ equity	312,807	322,822
Total liabilities and stockholders’ equity	$ 451,073	$ 448,951

RELATED PARTY TRANSACTIONS (Details) - USD ($) $ in Thousands	1 Months Ended	3 Months Ended
	Apr. 30, 2026	Mar. 31, 2026	Mar. 31, 2025
Related Party Transaction [Line Items]
Revenue from services		$ 241,057	$ 293,408
Services Provided Entities Affiliated With Board Members \| Related Party
Related Party Transaction [Line Items]
Revenue from services		$ 2,700	$ 2,000
Entity Specific Former Employee Son In Law Of CEO Chairman \| Subsequent Event
Related Party Transaction [Line Items]
Related party transaction term of transaction	12 months
Related party transaction, amounts of transaction	$ 135
Related party transaction percentage of transaction amount	50.00%

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

Goodwill and Intangible Assets Disclosure [Abstract]

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 850
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (d)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483326/850-10-50-1

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 850
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (c)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483326/850-10-50-1

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 850
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-Name Accounting Standards Codification
-Section 50
-Paragraph 3
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483326/850-10-50-3

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
-Topic 235
-SubTopic 10
-Name Accounting Standards Codification
-Section S50
-Paragraph 1
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480738/235-10-S50-1

Reference 5: http://www.xbrl.org/2003/role/disclosureRef
-Topic 235
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08(k)(2))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480678/235-10-S99-1

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Topic 235
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-URI https://asc.fasb.org/1943274/2147480678/235-10-S99-1

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Topic 310
-SubTopic 10
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-Section 45
-Paragraph 13
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481990/310-10-45-13

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 220
-Name Accounting Standards Codification
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479134/946-220-S99-1

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
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Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 220
-Name Accounting Standards Codification
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-URI https://asc.fasb.org/1943274/2147479134/946-220-S99-1

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS - USD ($) shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Income Statement [Abstract]
Revenue from Contract with Customer, Product and Service [Extensible List]	Service [Member]	Service [Member]
Revenue from services	$ 241,057	$ 293,408
Operating expenses:
Direct operating expenses	193,466	234,750
Selling, general and administrative expenses	45,812	52,486
Credit loss expense	61	35
Depreciation and amortization	3,669	4,772
Acquisition and integration-related (income) costs	(7)	2,041
Restructuring costs	765	301
Legal and other losses	1,213	0
Impairment charges	233	0
Total operating expenses	245,212	294,385
Loss from operations	(4,155)	(977)
Other expenses (income):
Interest expense	567	543
Interest income	(974)	(681)
Other (income) expense, net	(14)	60
Loss before income tax	(3,734)	(899)
Income tax expense (benefit)	532	(409)
Net loss attributable to common stockholders	(4,266)	(490)
Other comprehensive (loss) income:
Unrealized foreign currency translation (loss) income, net of tax	(129)	5
Comprehensive loss	$ (4,395)	$ (485)
Net loss per share attributable to common stockholders - Basic (in dollars per share)	$ (0.14)	$ (0.02)
Net loss per share attributable to common stockholders - Diluted (in dollars per share)	$ (0.14)	$ (0.02)
Weighted average common shares outstanding:
Basic (shares)	31,470	32,282
Diluted (shares)	31,470	32,282

LEASES

3 Months Ended

Mar. 31, 2026

Leases [Abstract]

LEASES

The Company’s lease population of its right-of-use assets and lease liabilities is substantially related to the rental of office space. The Company enters into lease agreements as a lessee that may include options to extend or terminate early. Some of these real estate leases require variable payments of property taxes, insurance, and common area maintenance, in addition to base rent. Certain of the leases have provisions for free rent during the lease term and/or escalating rent payments and, particularly for the Company’s longer-term leases for its corporate offices, it has received incentives to enter into the leases, such as receiving up to a specified dollar amount to construct tenant improvements. These leases do not include residual value guarantees, covenants, or other restrictions.

The table below presents the lease-related assets and liabilities included on the condensed consolidated balance sheets:


Classification on Condensed Consolidated Balance Sheets:	March 31, 2026		December 31, 2025
	(amounts in thousands)
Operating lease right-of-use assets	$	1,780	$	2,206
Operating lease liabilities - current	$	974	$	1,163
Operating lease liabilities - non-current	$	1,069	$	1,155


	March 31, 2026		December 31, 2025
Weighted average remaining lease term	2.3 years		2.4 years
Weighted average discount rate	7.04	%	7.02	%



Years Ending December 31:	(amounts in thousands)
2026	$	936
2027	605
2028	550
2029	136


Total minimum lease payments	2,227
Less: amount of lease payments representing interest	(184)
Present value of future minimum lease payments	2,043
Less: operating lease liabilities - current	(974)
Operating lease liabilities - non-current	$	1,069

Other Information

The table below provides information regarding supplemental cash flows:


	Three Months Ended
	March 31,
	2026		2025
	(amounts in thousands)
Supplemental Cash Flow Information:
Cash paid for amounts included in the measurement of operating lease liabilities	$	359	$	625
Right-of-use assets acquired under operating lease	$	90	$	—

The components of lease expense are as follows:


	Three Months Ended
	March 31,
	2026		2025
	(amounts in thousands)
Amounts Included in Condensed Consolidated Statements of Operations and Comprehensive Loss:
Operating lease expense	$	290	$	313
Short-term lease expense	$	175	$	268
Variable and other lease costs	$	175	$	60

Operating lease expense, short-term lease expense, and variable and other lease costs are included in selling, general and administrative expenses, direct operating expenses, and restructuring costs in the condensed consolidated statements of operations and comprehensive loss, depending on the nature of the leased asset. Operating lease expense is reported net of sublease income, which is not material.

As of March 31, 2026, the Company did not have any material operating leases that had not yet commenced, and did not have any finance lease contracts.

GOODWILL, TRADE NAMES, AND OTHER INTANGIBLE ASSETS

3 Months Ended

Mar. 31, 2026

GOODWILL, TRADE NAMES, AND OTHER INTANGIBLE ASSETS

The Company had the following acquired intangible assets:


	March 31, 2026						December 31, 2025
	Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount		Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount
	(amounts in thousands)
Intangible assets subject to amortization:
Databases	$	27,730	$	18,196	$	9,534	$	27,730	$	17,333	$	10,397
Customer relationships	47,338		31,108		16,230		47,338		30,100		17,238



Other intangible assets, net	$	75,068	$	49,304	$	25,764	$	75,068	$	47,433	$	27,635

As of March 31, 2026, estimated future annual amortization expense was as follows:



Years Ending December 31:	(amounts in thousands)
2026	$	5,610
2027	6,191
2028	4,791
2029	4,107
2030	1,701
Thereafter	3,364
	$	25,764

Goodwill, Trade Names, and Other Intangible Assets Impairment

The Company tests reporting units’ goodwill and intangible assets with indefinite lives for impairment annually during the fourth quarter and more frequently if impairment indicators exist. The Company performs quarterly qualitative assessments of significant events and circumstances, such as reporting units’ historical and current results, assumptions regarding future performance, strategic initiatives and overall economic factors, and macro-economic developments, to determine the existence of potential indicators of impairment and assess if it is more likely than not that the fair value of reporting units or intangible assets is less than their carrying value. If indicators of impairments are identified a quantitative impairment test is performed.

As of March 31, 2026, the Company performed a qualitative assessment of each of its reporting units and determined that it was not more likely than not that the fair value of its reporting units dropped below their carrying value. Although management believes that the Company’s current estimates and assumptions utilized in its qualitative testing are reasonable and supportable, there can be no assurance that the estimates and assumptions management used for purposes of its assessment as of March 31, 2026 will prove to be accurate predictions of future performance.

As of March 31, 2026, goodwill by reporting segment was $47.9 million for Nurse and Allied Staffing and $15.9 million for Physician Staffing, for a total of $63.8 million.

For its long-lived assets and definite-lived intangible assets, the Company reviews for impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. As of March 31, 2026 and 2025, the Company performed a qualitative assessment of its trade names and other intangible assets and determined it was not more likely than not that their carrying value may not be recoverable.

SUBSEQUENT EVENT	3 Months Ended
SUBSEQUENT EVENT	Mar. 31, 2026
Subsequent Events [Abstract]
SUBSEQUENT EVENT	SUBSEQUENT EVENT On May 6, 2026, the Company entered into the Merger Agreement with Parent and Merger Sub, pursuant to which Merger Sub will merge with and into the Company, with the Company surviving as a wholly owned subsidiary of Parent. Subject to the terms and conditions set forth in the Merger Agreement, at the effective time of the Merger (Effective Time), each share of common stock of the Company (each, a Company Common Share) (excluding (i) Company Common Shares held by the Company as treasury shares or owned by Parent, Merger Sub or any other subsidiary of Parent immediately prior to the Effective Time and (ii) Dissenting Company Shares (as defined in the Merger Agreement)), issued and outstanding immediately prior to the Effective Time will automatically be converted into the right to receive $13.25 in cash, without interest (Merger Consideration). Pursuant to the Merger Agreement, at or immediately prior to the Effective Time: •Each restricted stock award with respect to Company Common Shares that is subject solely to service-based vesting conditions (each, a Company Restricted Stock Award) that is outstanding immediately prior to the Effective Time (subject to limited exceptions for certain equity awards issued prior to the Closing (as defined below)) will, automatically and without any action on behalf of the holder thereof, be fully vested, canceled and converted into the right to receive an amount in cash equal to (i) the number of Company Common Shares subject to such Company Restricted Stock Award immediately prior to the Effective Time multiplied by (ii) the Merger Consideration, and will be paid at or as soon as practicable after the Effective Time, and will be subject to any applicable withholding; and •Each restricted stock award with respect to Company Common Shares that is subject to service- and performance-based vesting conditions (each, a Company Performance Stock Award) that is outstanding immediately prior to the Effective Time will, automatically and without any action on behalf of the holder thereof, be treated as follows: each Company Performance Stock Award shall be vested with performance as of immediately prior to the Effective Time to be deemed to be achieved at the greater of target performance and actual performance (each, a Vested Company Performance Stock Award), and each such Vested Company Performance Stock Award will be canceled and converted into the right to receive an amount in cash equal to (A) the number of Company Common Shares subject to such Vested Company Performance Stock Award immediately prior to the Effective Time (after taking into account the performance in the manner set forth above) multiplied by (B) the Merger Consideration, and will be paid at or as soon as practicable after the Effective Time, and will be subject to any applicable withholding. If the Merger is consummated, the Company’s securities will be delisted from the Nasdaq Global Select Market and deregistered under the Securities Exchange Act of 1934, as amended, as promptly as practicable after the Effective Time. The consummation of the Merger (Closing) is subject to certain customary mutual conditions, including (i) the approval of the Company’s stockholders holding a majority of the voting power of the outstanding Company Common Shares entitled to vote on the adoption of the Merger Agreement, voting together as a single class (Company Stockholder Approval), (ii) the absence of any order or law issued by any governmental authority prohibiting, rendering illegal or permanently enjoining the consummation of the Merger (a Legal Restraint), and (iii) the expiration or termination of any waiting period (or extensions thereof) applicable to the consummation of the Merger under the Hart-Scott-Rodino Antitrust Improvements Act of 1976 and any commitment to, or agreement with, any governmental authority to delay or not consummate the Merger or any of the transactions contemplated by the Merger Agreement. The Merger is not subject to a financing condition. The Company and Parent have each made customary representations, warranties, and covenants in the Merger Agreement. Subject to certain exceptions, the Company has agreed, among other things, to covenants relating to the conduct of its business during the interim period between the execution of the Merger Agreement and Closing. The Merger Agreement contains certain customary termination rights for the Company and Parent. Parent and the Company may agree to terminate the Merger Agreement by mutual written consent. Either the Company or Parent may terminate the Merger Agreement if (i) the Merger has not been consummated on or before October 6, 2026 (End Date), with up to two automatic 3-month extensions to January 6, 2027 and April 6, 2027, respectively, if all other conditions to the Merger are satisfied or waived and the applicable waiting period under the HSR Act has not expired or if an order prohibiting the Merger or, solely with respect to the HSR Act or the Clayton Antitrust Act of 1914, the Locums Transaction has taken effect, (ii) any Legal Restraint rendering illegal or permanently enjoining the consummation of the Merger is in place and such order shall have become final and non-appealable, (iii) the Company Stockholder Approval is not obtained at the Company’s stockholders meeting at which a vote on the adoption of the Merger Agreement is held, or (iv) the other party breaches any representation, warranty, or covenant that results in the failure of the related closing condition to be satisfied, subject to a cure period in certain circumstances. The Company is required to pay to Parent a one-time fee equal to $14,213,075 if the Merger Agreement is terminated (i) by the Company in order for the Company to enter into a definitive written agreement with respect to an unsolicited superior acquisition proposal, (ii) by Parent because the Board changes or adversely modifies its recommendation that the Company’s stockholders vote in favor of adopting the Merger Agreement, or (iii) (a) prior to the receipt of the Company Stockholder Approval, by either party due to failure to close by the End Date, (b) by either party due to failure to obtain the Company Stockholder Approval or (c) by Parent in connection with the Company (1) breaching its obligations under the “no-shop” provisions or related to the Company’s stockholders meeting prior to the receipt of the Company Stockholder Approval, or (2) breaching its representations, warranties, or covenants in a manner that would cause the related closing conditions to not be satisfied (subject to a cure period in certain circumstances). Parent is required to pay to the Company a one-time fee equal to $14,213,075 if the Merger Agreement is terminated by the Company or Parent due to (i) failure to close by the End Date if, at the time of such termination, any Legal Restraint related to antitrust laws is in place or the required antitrust approvals have not been received, (ii) failure to close due to a Legal Restraint related to antitrust laws being in place if, at the time of such termination, all other closing conditions of Parent are satisfied, or (iii) a material breach by Parent of its obligations to obtain antitrust approval.

ACQUISITIONS (Details) - USD ($) $ in Thousands		3 Months Ended
ACQUISITIONS (Details) - USD ($) $ in Thousands	Oct. 03, 2022	Mar. 31, 2026	Mar. 31, 2025	Mar. 31, 2024
Business Combination [Line Items]
Payment of contingent consideration		$ 0	$ 4,411
Mint
Business Combination [Line Items]
Cash consideration, gross	$ 27,000
Equity consideration for acquisition, value	$ 3,600
Equity consideration for acquisition (shares)	114,278
Earnout liabilities	$ 10,000
Payment of contingent consideration			$ 4,400	$ 4,900

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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Goodwill and Intangible Assets Disclosure [Abstract]

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Additional Information (Details) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2026	Dec. 31, 2025
Accounts, Notes, Loans and Financing Receivable [Line Items]
Unbilled contracts receivable	$ 54.5	$ 48.3
Sales allowance, billing-related adjustments	$ 0.3	$ 0.3
Minimum
Accounts, Notes, Loans and Financing Receivable [Line Items]
Threshold period, past due for payment of services provided	30 days
Maximum
Accounts, Notes, Loans and Financing Receivable [Line Items]
Threshold period, past due for payment of services provided	60 days

COMPREHENSIVE LOSS	3 Months Ended
COMPREHENSIVE LOSS	Mar. 31, 2026
Equity [Abstract]
COMPREHENSIVE LOSS	COMPREHENSIVE LOSS Total comprehensive loss includes net income or loss and foreign currency translation adjustments, net of any related deferred taxes, and is included within the accompanying condensed consolidated statements of operations and comprehensive loss. Certain of the Company’s foreign subsidiaries use their respective local currency as their functional currency. Assets and liabilities of these operations are translated at the exchange rates in effect on the balance sheet date. Income statement items are translated at the average exchange rates for the period. The cumulative impact of currency fluctuations related to the balance sheet translation is included in accumulated other comprehensive loss in the accompanying condensed consolidated balance sheets and was an unrealized loss of $1.9 million and $1.7 million at March 31, 2026 and December 31, 2025, respectively. The income tax impact related to components of other comprehensive loss for the three months ended March 31, 2026 and 2025 is included in unrealized foreign currency translation (loss) income, net of tax in the condensed consolidated statements of operations and comprehensive loss.

ORGANIZATION AND BASIS OF PRESENTATION	3 Months Ended
ORGANIZATION AND BASIS OF PRESENTATION	Mar. 31, 2026
Organization, Consolidation and Presentation of Financial Statements [Abstract]
ORGANIZATION AND BASIS OF PRESENTATION	ORGANIZATION AND BASIS OF PRESENTATION Nature of Business The accompanying condensed consolidated financial statements include the accounts of Cross Country Healthcare, Inc. and its direct and indirect wholly-owned subsidiaries (collectively, the Company). In the opinion of management, all adjustments necessary for a fair presentation of such unaudited condensed consolidated financial statements have been included. All such adjustments consisted of all normal recurring items, including the elimination of all intercompany transactions and balances. The accompanying condensed consolidated financial statements have been prepared in accordance with United States generally accepted accounting principles (U.S. GAAP) for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and notes required by U.S. GAAP for complete financial statements. These operating results are not necessarily indicative of the results that may be expected for the year ending December 31, 2026. These unaudited interim condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto for the year ended December 31, 2025 included in the 2025 Form 10-K. The December 31, 2025 condensed consolidated balance sheet included herein was derived from the December 31, 2025 audited consolidated balance sheet included in the 2025 Form 10-K. On May 6, 2026, the Company entered into an Agreement and Plan of Merger with KL Criss Cross Intermediate, LLC, a Delaware corporation (Parent), and KL Criss Cross Merger Sub, Inc., a Delaware corporation and a wholly owned subsidiary of Parent (Merger Sub), pursuant to which Merger Sub will merge with and into the Company (Merger), with the Company surviving as a wholly owned subsidiary of Parent. If the Merger is consummated, the Company’s securities will be delisted from the Nasdaq Global Select Market and deregistered under the Securities Exchange Act of 1934, as amended, as promptly as practicable after the effective time of the Merger. For additional information regarding the proposed Merger, see Note 16 – Subsequent Event.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Cash flows from operating activities
Consolidated net loss	$ (4,266)	$ (490)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization	3,669	4,772
Provision for allowances	(90)	(135)
Deferred income tax expense (benefit)	219	(680)
Non-cash lease expense	251	250
Impairment charges	233	0
Equity compensation	1,171	1,318
Other non-cash costs	200	202
Changes in operating assets and liabilities:
Accounts receivable	(9,039)	3,584
Prepaid expenses and other assets	262	57
Income taxes	550	4,549
Accounts payable and accrued expenses	13,635	(9,173)
Operating lease liabilities	(320)	(562)
Other	(1,708)	1,989
Net cash provided by operating activities	4,767	5,681
Cash flows from investing activities
Purchases of property and equipment	(1,458)	(1,886)
Net cash used in investing activities	(1,458)	(1,886)
Cash flows from financing activities
Borrowings under Senior Secured Asset-Based revolving credit facility	372	373
Repayments on Senior Secured Asset-Based revolving credit facility	(372)	(373)
Cash paid for shares withheld for taxes	(588)	0
Stock repurchase and retirement	(5,868)	(314)
Payment of contingent consideration	0	(4,411)
Net cash used in financing activities	(6,456)	(4,725)
Effect of exchange rate changes on cash	(7)	(6)
Change in cash and cash equivalents	(3,154)	(936)
Cash and cash equivalents at beginning of period	108,738	81,633
Cash and cash equivalents at end of period	$ 105,584	$ 80,697

CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Statement of Financial Position [Abstract]
Accounts receivable, allowance for credit losses	$ 8,727	$ 9,112
Property and equipment, accumulated depreciation	$ 27,754	$ 26,020

GOODWILL, TRADE NAMES, AND OTHER INTANGIBLE ASSETS (Tables)

3 Months Ended

Mar. 31, 2026

Schedule of Acquired Intangible Assets

The Company had the following acquired intangible assets:


	March 31, 2026						December 31, 2025
	Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount		Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount
	(amounts in thousands)
Intangible assets subject to amortization:
Databases	$	27,730	$	18,196	$	9,534	$	27,730	$	17,333	$	10,397
Customer relationships	47,338		31,108		16,230		47,338		30,100		17,238



Other intangible assets, net	$	75,068	$	49,304	$	25,764	$	75,068	$	47,433	$	27,635

Schedule of Estimated Annual Amortization Expense

As of March 31, 2026, estimated future annual amortization expense was as follows:



Years Ending December 31:	(amounts in thousands)
2026	$	5,610
2027	6,191
2028	4,791
2029	4,107
2030	1,701
Thereafter	3,364
	$	25,764

REVENUE RECOGNITION (Tables)

3 Months Ended

Mar. 31, 2026

Revenue from Contract with Customer [Abstract]

Schedule of Disaggregation of Revenue


	Three Months ended March 31, 2026
	Nurse And Allied Staffing		Physician Staffing		Total Segments
	(amounts in thousands)
Temporary Staffing Services	$	195,662	$	38,049	$	233,711
Other Services	5,782		1,564		7,346
Total	$	201,444	$	39,613	$	241,057

	Three Months ended March 31, 2025
	Nurse And Allied Staffing		Physician Staffing		Total Segments
	(amounts in thousands)
Temporary Staffing Services	$	236,157	$	48,700	$	284,857
Other Services	6,134		2,417		8,551
Total	$	242,291	$	51,117	$	293,408

SEGMENT DATA

3 Months Ended

Mar. 31, 2026

Segment Reporting [Abstract]

SEGMENT DATA

The Company has two operating and reportable segments, Nurse and Allied Staffing and Physician Staffing, which align with its management structure and reflect how the operating results are regularly reviewed by the Chief Executive Officer, who the Company has determined to be its Chief Operating Decision Maker (CODM). The Company’s segments offer services to its customers as described below:

● Nurse and Allied Staffing – Nurse and Allied Staffing provides traditional staffing, recruiting, and value-added total talent solutions including: temporary and permanent placement of travel nurse and allied professionals, per diem, and healthcare leaders within nursing, allied, human resources, and finance, managed service programs (MSPs), education healthcare services, caregiver services to Program of All-Inclusive Care for the Elderly (PACE) programs (home based PACE services), and outsourcing services. In addition, Nurse and Allied Staffing provides executive search services for healthcare professionals, as well as contingent search and recruitment process outsourcing services, and offers the Company’s Software as a Service (SaaS)-based, proprietary, vendor management technology, Intellify® to facilities in order to manage all or a portion of their agency services. Its customers include: public and private acute care hospitals, non-acute care hospitals, government facilities, local healthcare plans, national healthcare plans, managed care providers, public schools, charter schools, academic medical centers, PACE programs, outpatient clinics, ambulatory care facilities, physician practice groups, and many other healthcare providers throughout the U.S.

● Physician Staffing – Physician Staffing provides physicians in many specialties, as well as certified registered nurse anesthetists, nurse practitioners, and physician assistants as independent contractors on temporary assignments throughout the U.S. at various healthcare facilities, such as acute and non-acute care facilities, medical group practices, government facilities, and managed care organizations.

Revenue, and the profit and loss measure of contribution income, are reported to the CODM by each of the operating segments to assess performance. Contribution income is the profit and loss measure used by the CODM to allocate operating and capital resources to each segment. The Company defines contribution income as income (loss) from operations before depreciation and amortization, acquisition and integration-related costs (benefits), restructuring costs (benefits), legal and other losses, impairment charges, and corporate overhead. Management believes that its measure of contribution income is most consistent with that used to measure the corresponding amounts on its condensed consolidated financial statements.

The information in the following tables is derived from the segments’ internal financial information as used for corporate management purposes. Certain corporate expenses are not allocated to and/or among the operating segments. Those include corporate overhead and the remaining line items below contribution income in the consolidated column in the tables below, and are presented to the CODM on a consolidated basis only.

Information on reportable segments and a reconciliation to loss before income taxes for the period indicated are as follows:


	Three Months Ended March 31, 2026
	Nurse and Allied Staffing		Physician Staffing		Consolidated
	(amounts in thousands)
Revenue from services	$	201,444	$	39,613	$	241,057
Direct operating expenses	161,579		31,887

Employee compensation	18,943		3,972
Benefits	1,869		418
Marketing	1,494		166
Credit loss (income) expense	(44)		105
Divisional corporate G&A	3,074		83
Other segment items (a)	1,801		195
Contribution Income	$	12,728	$	2,787	$	15,515

Reconciliation of profit or loss:
Corporate overhead (b)					13,797
Depreciation and amortization					3,669
Acquisition and integration-related income					(7)
Restructuring costs					765
Legal and other losses					1,213
Impairment charges					233
Interest expense					567
Interest income					(974)
Other income, net					(14)
Loss before income taxes					$	(3,734)

_______________

(a) For each reportable segment, the other segment items category includes the following expenses: rent, insurance, maintenance, utilities, professional services, office, software and hardware, taxes, and miscellaneous employee expenses.

(b) Corporate overhead includes unallocated executive leadership and other centralized corporate functional support costs such as finance, IT, legal, and human resources, as well as public company expenses and corporate-wide projects (initiatives).

Information on reportable segments and a reconciliation to loss before income taxes for the period indicated are as follows:


	Three Months Ended March 31, 2025
	Nurse and Allied Staffing		Physician Staffing		Consolidated
	(amounts in thousands)
Revenue from services	$	242,291	$	51,117	$	293,408
Direct operating expenses	194,033		40,717

Employee compensation	21,369		5,366
Benefits	2,549		493
Marketing	1,670		209
Credit loss (income) expense	(10)		45
Divisional corporate G&A	3,718		80
Other segment items (a)	1,718		178
Contribution Income	$	17,244	$	4,029	$	21,273

Reconciliation of profit or loss:
Corporate overhead (b)					15,136
Depreciation and amortization					4,772
Acquisition and integration-related costs					2,041
Restructuring costs					301


Interest expense					543
Interest income					(681)
Other expense, net					60
Loss before income taxes					$	(899)

_______________

Revenue is based on services provided. During the three months ended March 31, 2026 and 2025, all revenue was generated primarily in the U.S., and all of the Company’s long-lived assets were located in the U.S. and India. The Company provides its staffing services and workforce solutions in all 50 states. The India location is a cost center with no revenues and an immaterial amount of long-lived assets. The Company had no intersegment revenues between reportable segments for the three months ended March 31, 2026 and 2025.

The Company does not evaluate, manage, or measure performance of segments using asset information; accordingly, total asset information by segment is not prepared or disclosed.

The accounting policies of the segments are the same as those described in Note 2 – Summary of Significant Accounting Policies, which also provides information about major customers.

See the tables in Note 3 - Revenue Recognition, which present segment revenues by services.

The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments.

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Schedule of Components of Numerator and Denominator for Computation of Basic and Diluted Earnings per Share

EARNINGS PER SHARE (Tables)

3 Months Ended

Mar. 31, 2026

Earnings Per Share [Abstract]

The following table sets forth the components of the numerator and denominator for the computation of the basic and diluted earnings per share:


	Three Months Ended
	March 31,
	2026		2025
	(amounts in thousands, except per share data)
Numerator:
Net loss attributable to common stockholders - Basic and Diluted	$	(4,266)	$	(490)

Denominator:
Weighted average common shares - Basic	31,470		32,282
Effect of diluted shares:
Share-based awards	—		—
Weighted average common shares - Diluted a	31,470		32,282

Net loss per share attributable to common stockholders - Basic	$	(0.14)	$	(0.02)

Net loss per share attributable to common stockholders - Diluted	$	(0.14)	$	(0.02)

(a) For the three months ended March 31, 2026 and 2025, the effect of diluted shares was not included in the weighted average share calculation due to the Company’s net operating loss position.

Schedule of Antidilutive Securities


	Three Months Ended
	March 31,
	2026	2025
	(amounts in thousands)
Share-based awards	129	3

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY - USD ($) $ in Thousands	Total	Common Stock	Additional Paid-In Capital	Accumulated Other Comprehensive Loss, net	Retained Earnings
Beginning balance (shares) at Dec. 31, 2024		32,277,000
Beginning balance at Dec. 31, 2024	$ 418,959	$ 3	$ 202,338	$ (1,441)	$ 218,059
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Vesting of restricted stock (shares)		200,000
Vesting of restricted stock	(1,582)		(1,582)
Equity compensation	1,318		1,318
Foreign currency translation adjustment, net of taxes	5			5
Net income (loss)	(490)				(490)
Ending balance (shares) at Mar. 31, 2025		32,477,000
Ending balance at Mar. 31, 2025	418,210	$ 3	202,074	(1,436)	217,569
Beginning balance (shares) at Dec. 31, 2025		31,721,000
Beginning balance at Dec. 31, 2025	322,822	$ 3	201,172	(1,560)	123,207
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Vesting of restricted stock (shares)		178,000
Vesting of restricted stock	(908)		(908)
Equity compensation	1,171		1,171
Stock repurchase and retirement (shares)		(658,000)
Stock repurchase and retirement	(5,839)		(5,839)
Stock repurchase excise tax	(44)		(44)
Foreign currency translation adjustment, net of taxes	(129)			(129)
Net income (loss)	$ (4,266)				(4,266)
Ending balance (shares) at Mar. 31, 2026	31,241,365	31,241,000
Ending balance at Mar. 31, 2026	$ 312,807	$ 3	$ 195,552	$ (1,689)	$ 118,941

SEGMENT DATA (Tables)

3 Months Ended

Mar. 31, 2026

Segment Reporting [Abstract]

Schedule of Information on Operating Segments and Reconciliation to (Loss) Income from Operations

Information on reportable segments and a reconciliation to loss before income taxes for the period indicated are as follows:


	Three Months Ended March 31, 2026
	Nurse and Allied Staffing		Physician Staffing		Consolidated
	(amounts in thousands)
Revenue from services	$	201,444	$	39,613	$	241,057
Direct operating expenses	161,579		31,887

Employee compensation	18,943		3,972
Benefits	1,869		418
Marketing	1,494		166
Credit loss (income) expense	(44)		105
Divisional corporate G&A	3,074		83
Other segment items (a)	1,801		195
Contribution Income	$	12,728	$	2,787	$	15,515

Reconciliation of profit or loss:
Corporate overhead (b)					13,797
Depreciation and amortization					3,669
Acquisition and integration-related income					(7)
Restructuring costs					765
Legal and other losses					1,213
Impairment charges					233
Interest expense					567
Interest income					(974)
Other income, net					(14)
Loss before income taxes					$	(3,734)

_______________

Information on reportable segments and a reconciliation to loss before income taxes for the period indicated are as follows:


	Three Months Ended March 31, 2025
	Nurse and Allied Staffing		Physician Staffing		Consolidated
	(amounts in thousands)
Revenue from services	$	242,291	$	51,117	$	293,408
Direct operating expenses	194,033		40,717

Employee compensation	21,369		5,366
Benefits	2,549		493
Marketing	1,670		209
Credit loss (income) expense	(10)		45
Divisional corporate G&A	3,718		80
Other segment items (a)	1,718		178
Contribution Income	$	17,244	$	4,029	$	21,273

Reconciliation of profit or loss:
Corporate overhead (b)					15,136
Depreciation and amortization					4,772
Acquisition and integration-related costs					2,041
Restructuring costs					301


Interest expense					543
Interest income					(681)
Other expense, net					60
Loss before income taxes					$	(899)

_______________

CONTINGENCIES (Details) $ in Millions	3 Months Ended
CONTINGENCIES (Details) $ in Millions	Mar. 31, 2026 USD ($)
Commitments and Contingencies Disclosure [Abstract]
Legal fees and settlement charge	$ 1.2

RELATED PARTY TRANSACTIONS	3 Months Ended
RELATED PARTY TRANSACTIONS	Mar. 31, 2026
Related Party Transactions [Abstract]
RELATED PARTY TRANSACTIONS	RELATED PARTY TRANSACTIONS The Company has entered into an arrangement for digital marketing services provided by a firm that is related to the Company’s President, Chief Executive Officer, and Chairman of the Board of Directors, who is a minority shareholder in the firm’s parent company and is a member of the parent company’s Board of Directors. Management believes that the terms of the arrangement are equivalent to those prevailing in an arm’s-length transaction and have been approved by the Audit Committee of the Company’s Board of Directors through the Company’s related party transaction approval process. The digital marketing firm manages a limited number of digital publishers covering various Company brands for a monthly management fee. During the three months ended March 31, 2026 and 2025, the Company incurred an immaterial amount in expenses and had an immaterial payable balance at March 31, 2026 and December 31, 2025. The Company provides services to entities that are affiliated with certain members of the Company’s Board of Directors. Management believes that the services were conducted on terms equivalent to those prevailing in an arm’s-length transaction. Revenue related to these transactions was $2.7 million and $2.0 million for the three months ended March 31, 2026 and 2025, respectively. Accounts receivable due from these entities were an immaterial amount at March 31, 2026 and December 31, 2025. In April 2026, the Company entered into a twelve‑month contract with a firm related to a former employee, who is the son‑in‑law of the Company’s President, Chief Executive Officer, and Chairman of the Board of Directors. The contract has an estimated value of $135,000, 50% of which will be paid in lieu of severance. Management believes that the terms of the contract are equivalent to those prevailing in an arm’s-length transaction and have been approved by the Audit Committee of the Company’s Board of Directors through the Company’s related party transaction approval process.

The entire disclosure for related party transactions. Examples of related party transactions include transactions between (a) a parent company and its subsidiary; (b) subsidiaries of a common parent; (c) and entity and its principal owners; and (d) affiliates.

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