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CCRN vs AMN vs TBI vs HCSG

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
CCRN
Cross Country Healthcare, Inc.

Medical - Care Facilities

HealthcareNASDAQ • US
Market Cap$326M
5Y Perf.+66.6%
AMN
AMN Healthcare Services, Inc.

Medical - Care Facilities

HealthcareNYSE • US
Market Cap$811M
5Y Perf.-52.7%
TBI
TrueBlue, Inc.

Staffing & Employment Services

IndustrialsNYSE • US
Market Cap$182M
5Y Perf.-60.9%
HCSG
Healthcare Services Group, Inc.

Medical - Care Facilities

HealthcareNASDAQ • US
Market Cap$1.58B
5Y Perf.-7.7%

CCRN vs AMN vs TBI vs HCSG — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
CCRN logoCCRN
AMN logoAMN
TBI logoTBI
HCSG logoHCSG
IndustryMedical - Care FacilitiesMedical - Care FacilitiesStaffing & Employment ServicesMedical - Care Facilities
Market Cap$326M$811M$182M$1.58B
Revenue (TTM)$1.05B$2.73B$1.25B$1.84B
Net Income (TTM)$-95M$-96M$-53M$59M
Gross Margin18.7%25.7%28.4%13.3%
Operating Margin-0.3%-3.5%-2.6%3.0%
Forward P/E103.4x10.3x20.6x
Total Debt$2M$803M$171M$25M
Cash & Equiv.$109M$34M$25M$161M

CCRN vs AMN vs TBI vs HCSGLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

CCRN
AMN
TBI
HCSG
StockMay 20May 26Return
Cross Country Healt… (CCRN)100166.6+66.6%
AMN Healthcare Serv… (AMN)10047.3-52.7%
TrueBlue, Inc. (TBI)10039.1-60.9%
Healthcare Services… (HCSG)10092.3-7.7%

Price return only. Dividends and distributions are not included.

Quick Verdict: CCRN vs AMN vs TBI vs HCSG

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: HCSG leads in 3 of 7 categories, making it the strongest pick for growth and revenue expansion and profitability and margin quality. Cross Country Healthcare, Inc. is the stronger pick specifically for capital preservation and lower volatility. AMN and TBI also each lead in at least one category. This set spans 2 sectors — these stocks serve different portfolio roles, not just different price points.
CCRN
Cross Country Healthcare, Inc.
The Income Pick

CCRN is the #2 pick in this set and the best alternative if income & stability and sleep-well-at-night is your priority.

  • Dividend streak 1 yrs, beta 0.78
  • Lower volatility, beta 0.78, Low D/E 0.7%, current ratio 3.78x
  • Beta 0.78, current ratio 3.78x
  • Beta 0.78 vs TBI's 1.13, lower leverage
Best for: income & stability and sleep-well-at-night
AMN
AMN Healthcare Services, Inc.
The Value Play

AMN is the clearest fit if your priority is value.

  • Lower P/E (10.3x vs 20.6x)
Best for: value
TBI
TrueBlue, Inc.
The Momentum Pick

TBI is the clearest fit if your priority is momentum.

  • +57.6% vs CCRN's -26.6%
Best for: momentum
HCSG
Healthcare Services Group, Inc.
The Growth Play

HCSG carries the broadest edge in this set and is the clearest fit for growth exposure and long-term compounding.

  • Rev growth 7.1%, EPS growth 52.8%, 3Y rev CAGR 2.8%
  • -27.0% 10Y total return vs CCRN's -28.1%
  • 7.1% revenue growth vs CCRN's -21.6%
  • 3.2% margin vs CCRN's -9.0%
Best for: growth exposure and long-term compounding
See the full category breakdown
CategoryWinnerWhy
GrowthHCSG logoHCSG7.1% revenue growth vs CCRN's -21.6%
ValueAMN logoAMNLower P/E (10.3x vs 20.6x)
Quality / MarginsHCSG logoHCSG3.2% margin vs CCRN's -9.0%
Stability / SafetyCCRN logoCCRNBeta 0.78 vs TBI's 1.13, lower leverage
DividendsTieNone of these 4 stocks pay a meaningful dividend
Momentum (1Y)TBI logoTBI+57.6% vs CCRN's -26.6%
Efficiency (ROA)HCSG logoHCSG7.3% ROA vs CCRN's -17.9%, ROIC 9.0% vs -0.9%

CCRN vs AMN vs TBI vs HCSG — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

CCRNCross Country Healthcare, Inc.
FY 2024
Other Services
100.0%$42M
AMNAMN Healthcare Services, Inc.
FY 2025
Locum Tenens Staffing
92.4%$565M
Permanent Placement
7.6%$47M
TBITrueBlue, Inc.
FY 2025
PeopleReady
54.7%$884M
PeopleManagement
33.7%$544M
PeopleScout
11.6%$188M
HCSGHealthcare Services Group, Inc.
FY 2025
Dietary Services
55.1%$1.0B
Environmental Services
44.9%$825M

CCRN vs AMN vs TBI vs HCSG — Financial Metrics

Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLHCSGLAGGINGTBI

Income & Cash Flow (Last 12 Months)

HCSG leads this category, winning 4 of 6 comparable metrics.

AMN is the larger business by revenue, generating $2.7B annually — 2.6x CCRN's $1.1B. HCSG is the more profitable business, keeping 3.2% of every revenue dollar as net income compared to CCRN's -9.0%. On growth, HCSG holds the edge at +6.6% YoY revenue growth, suggesting stronger near-term business momentum.

MetricCCRN logoCCRNCross Country Hea…AMN logoAMNAMN Healthcare Se…TBI logoTBITrueBlue, Inc.HCSG logoHCSGHealthcare Servic…
RevenueTrailing 12 months$1.1B$2.7B$1.2B$1.8B
EBITDAEarnings before interest/tax$13M$62M-$10M$72M
Net IncomeAfter-tax profit-$95M-$96M-$53M$59M
Free Cash FlowCash after capex$42M$234M-$60M$139M
Gross MarginGross profit ÷ Revenue+18.7%+25.7%+28.4%+13.3%
Operating MarginEBIT ÷ Revenue-0.3%-3.5%-2.6%+3.0%
Net MarginNet income ÷ Revenue-9.0%-3.5%-4.3%+3.2%
FCF MarginFCF ÷ Revenue+4.0%+8.6%-4.8%+7.6%
Rev. Growth (YoY)Latest quarter vs prior year-23.6%+1.8%-100.0%+6.6%
EPS Growth (YoY)Latest quarter vs prior year-20.3%+95.9%-37.5%+175.0%
HCSG leads this category, winning 4 of 6 comparable metrics.

Valuation Metrics

AMN leads this category, winning 4 of 6 comparable metrics.

On an enterprise value basis, AMN's 8.3x EV/EBITDA is more attractive than TBI's 159.8x.

MetricCCRN logoCCRNCross Country Hea…AMN logoAMNAMN Healthcare Se…TBI logoTBITrueBlue, Inc.HCSG logoHCSGHealthcare Servic…
Market CapShares × price$326M$811M$182M$1.6B
Enterprise ValueMkt cap + debt − cash$220M$1.6B$328M$1.4B
Trailing P/EPrice ÷ TTM EPS-3.45x-8.46x-3.76x27.25x
Forward P/EPrice ÷ next-FY EPS est.103.37x10.31x20.61x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple16.49x8.33x159.75x22.12x
Price / SalesMarket cap ÷ Revenue0.31x0.30x0.11x0.86x
Price / BookPrice ÷ Book value/share1.01x1.26x0.66x3.16x
Price / FCFMarket cap ÷ FCF6.76x3.47x11.36x
AMN leads this category, winning 4 of 6 comparable metrics.

Profitability & Efficiency

HCSG leads this category, winning 7 of 9 comparable metrics.

HCSG delivers a 11.8% return on equity — every $100 of shareholder capital generates $12 in annual profit, vs $-24 for CCRN. CCRN carries lower financial leverage with a 0.01x debt-to-equity ratio, signaling a more conservative balance sheet compared to AMN's 1.25x. On the Piotroski fundamental quality scale (0–9), HCSG scores 7/9 vs TBI's 4/9, reflecting strong financial health.

MetricCCRN logoCCRNCross Country Hea…AMN logoAMNAMN Healthcare Se…TBI logoTBITrueBlue, Inc.HCSG logoHCSGHealthcare Servic…
ROE (TTM)Return on equity-24.3%-14.7%-18.7%+11.8%
ROA (TTM)Return on assets-17.9%-4.3%-8.1%+7.3%
ROICReturn on invested capital-0.9%+1.6%-5.2%+9.0%
ROCEReturn on capital employed-0.8%+2.0%-5.3%+7.7%
Piotroski ScoreFundamental quality 0–96547
Debt / EquityFinancial leverage0.01x1.25x0.62x0.05x
Net DebtTotal debt minus cash-$106M$769M$146M-$136M
Cash & Equiv.Liquid assets$109M$34M$25M$161M
Total DebtShort + long-term debt$2M$803M$171M$25M
Interest CoverageEBIT ÷ Interest expense-1.56x-1.22x-46.19x33.02x
HCSG leads this category, winning 7 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

HCSG leads this category, winning 4 of 6 comparable metrics.

A $10,000 investment in HCSG five years ago would be worth $7,863 today (with dividends reinvested), compared to $2,175 for TBI. Over the past 12 months, TBI leads with a +57.6% total return vs CCRN's -26.6%. The 3-year compound annual growth rate (CAGR) favors HCSG at 13.7% vs AMN's -38.5% — a key indicator of consistent wealth creation.

MetricCCRN logoCCRNCross Country Hea…AMN logoAMNAMN Healthcare Se…TBI logoTBITrueBlue, Inc.HCSG logoHCSGHealthcare Servic…
YTD ReturnYear-to-date+25.4%+38.7%+37.5%+27.2%
1-Year ReturnPast 12 months-26.6%+7.1%+57.6%+53.4%
3-Year ReturnCumulative with dividends-57.0%-76.8%-59.9%+47.0%
5-Year ReturnCumulative with dividends-37.2%-76.3%-78.2%-21.4%
10-Year ReturnCumulative with dividends-28.1%-44.1%-68.3%-27.0%
CAGR (3Y)Annualised 3-year return-24.5%-38.5%-26.3%+13.7%
HCSG leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

Evenly matched — CCRN and HCSG each lead in 1 of 2 comparable metrics.

CCRN is the less volatile stock with a 0.78 beta — it tends to amplify market swings less than TBI's 1.13 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. HCSG currently trades 90.5% from its 52-week high vs CCRN's 67.4% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricCCRN logoCCRNCross Country Hea…AMN logoAMNAMN Healthcare Se…TBI logoTBITrueBlue, Inc.HCSG logoHCSGHealthcare Servic…
Beta (5Y)Sensitivity to S&P 5000.78x1.08x1.13x1.12x
52-Week HighHighest price in past year$14.99$23.74$7.78$24.39
52-Week LowLowest price in past year$7.43$14.87$3.18$12.66
% of 52W HighCurrent price vs 52-week peak+67.4%+88.4%+77.8%+90.5%
RSI (14)Momentum oscillator 0–10067.460.383.159.7
Avg Volume (50D)Average daily shares traded451K839K382K676K
Evenly matched — CCRN and HCSG each lead in 1 of 2 comparable metrics.

Analyst Outlook

HCSG leads this category, winning 1 of 1 comparable metric.

Analyst consensus: CCRN as "Hold", AMN as "Buy", TBI as "Buy", HCSG as "Hold". Consensus price targets imply 11.0% upside for HCSG (target: $25) vs -5.0% for TBI (target: $6).

MetricCCRN logoCCRNCross Country Hea…AMN logoAMNAMN Healthcare Se…TBI logoTBITrueBlue, Inc.HCSG logoHCSGHealthcare Servic…
Analyst RatingConsensus buy/hold/sellHoldBuyBuyHold
Price TargetConsensus 12-month target$10.61$22.50$5.75$24.50
# AnalystsCovering analysts14171015
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises1020
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%+0.3%+0.6%+3.9%
HCSG leads this category, winning 1 of 1 comparable metric.
Key Takeaway

HCSG leads in 4 of 6 categories (Income & Cash Flow, Profitability & Efficiency). AMN leads in 1 (Valuation Metrics). 1 tied.

Best OverallHealthcare Services Group, … (HCSG)Leads 4 of 6 categories
Loading custom metrics...

CCRN vs AMN vs TBI vs HCSG: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is CCRN or AMN or TBI or HCSG a better buy right now?

For growth investors, Healthcare Services Group, Inc.

(HCSG) is the stronger pick with 7. 1% revenue growth year-over-year, versus -21. 6% for Cross Country Healthcare, Inc. (CCRN). Healthcare Services Group, Inc. (HCSG) offers the better valuation at 27. 2x trailing P/E (20. 6x forward), making it the more compelling value choice. Analysts rate AMN Healthcare Services, Inc. (AMN) a "Buy" — based on 17 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which has the better valuation — CCRN or AMN or TBI or HCSG?

On forward P/E, AMN Healthcare Services, Inc.

is actually cheaper at 10. 3x — notably different from the trailing picture, reflecting expected earnings growth.

03

Which is the better long-term investment — CCRN or AMN or TBI or HCSG?

Over the past 5 years, Healthcare Services Group, Inc.

(HCSG) delivered a total return of -21. 4%, compared to -78. 2% for TrueBlue, Inc. (TBI). Over 10 years, the gap is even starker: HCSG returned -27. 0% versus TBI's -68. 3%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — CCRN or AMN or TBI or HCSG?

By beta (market sensitivity over 5 years), Cross Country Healthcare, Inc.

(CCRN) is the lower-risk stock at 0. 78β versus TrueBlue, Inc. 's 1. 13β — meaning TBI is approximately 46% more volatile than CCRN relative to the S&P 500. On balance sheet safety, Cross Country Healthcare, Inc. (CCRN) carries a lower debt/equity ratio of 1% versus 125% for AMN Healthcare Services, Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — CCRN or AMN or TBI or HCSG?

By revenue growth (latest reported year), Healthcare Services Group, Inc.

(HCSG) is pulling ahead at 7. 1% versus -21. 6% for Cross Country Healthcare, Inc. (CCRN). On earnings-per-share growth, the picture is similar: TrueBlue, Inc. grew EPS 61. 4% year-over-year, compared to -565. 9% for Cross Country Healthcare, Inc.. Over a 3-year CAGR, HCSG leads at 2. 8% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

06

Which has better profit margins — CCRN or AMN or TBI or HCSG?

Healthcare Services Group, Inc.

(HCSG) is the more profitable company, earning 3. 2% net margin versus -9. 0% for Cross Country Healthcare, Inc. — meaning it keeps 3. 2% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: HCSG leads at 2. 6% versus -1. 7% for TBI. At the gross margin level — before operating expenses — AMN leads at 22. 9%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

07

Is CCRN or AMN or TBI or HCSG more undervalued right now?

On forward earnings alone, AMN Healthcare Services, Inc.

(AMN) trades at 10. 3x forward P/E versus 103. 4x for Cross Country Healthcare, Inc. — 93. 1x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for HCSG: 11. 0% to $24. 50.

08

Which pays a better dividend — CCRN or AMN or TBI or HCSG?

None of the stocks in this comparison currently pay a material dividend.

All are effectively zero-yield and should be held for capital appreciation rather than income.

09

Is CCRN or AMN or TBI or HCSG better for a retirement portfolio?

For long-horizon retirement investors, Cross Country Healthcare, Inc.

(CCRN) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 78)). Both have compounded well over 10 years (CCRN: -28. 1%, TBI: -68. 3%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

10

What are the main differences between CCRN and AMN and TBI and HCSG?

These companies operate in different sectors (CCRN (Healthcare) and AMN (Healthcare) and TBI (Industrials) and HCSG (Healthcare)), which means they face different economic cycles, regulatory environments, and macro sensitivities — making direct comparison nuanced.

These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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CCRN

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  • Market Cap > $100B
  • Gross Margin > 17%
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HCSG

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  • Market Cap > $100B
  • Revenue Growth > 5%
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Beat Both

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Revenue Growth>
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(CCRN: -23.6% · AMN: 1.8%)

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