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TMCNet:  Cross Country Healthcare Announces Second Quarter 2014 Financial Results

[August 06, 2014]

Cross Country Healthcare Announces Second Quarter 2014 Financial Results

BOCA RATON, Fla. --(Business Wire)--

Cross Country Healthcare, Inc. (NASDAQ: CCRN) today announced financial results for the second quarter ended June 30, 2014.

  • Revenue increased 11% year-over-year and 4% sequentially to $122.7 million
  • Adjusted EBITDA was $3.3 million or 2.7% of revenue
  • Cash Flow from Operations was $3.8 million
  • Issued third Quarter Guidance: Revenue of $187.0 million - $192.0 million and Adjusted EBITDA margin of 3.0% - 3.5%

Cross Country Healthcare President and CEO William J. Grubbs commented, "I am pleased that the strong execution of our strategy, including positive trends in our managed service programs, produced good revenue and EBITDA growth in the quarter. Demand in our Nurse and Allied segment increased each month throughout the quarter and has continued through July." Grubbs continued, "The integration of our Medical Staffing Network (MSN) acquisition is progressing well and we are on track to reach the $12 to $14 million of synergies targeted."

Second quarter consolidated revenue was $122.7 million, an increase of 11% from the same quarter last year, and 4% sequentially. The Company's consolidated gross profit margin was 26.4%, up 130 basis points from the same quarter last year and 60 basis points sequentially. Adjusted EBITDA (see table titled "Reconciliation of Non-GAAP Financial Measures") was $3.3 million or 2.7% of revenue, as compared with $1.7 million or 1.5% of revenue in the prior year. Loss from continuing operations was $3.2 million or $0.10 per diluted share primarily due to acquisition and integration costs, as compared with a loss of $1.4 million or $0.05 per diluted share in the prior year quarter. Cash flow from operations was $3.8 million during the second quarter of 2014, compared with $5.9 million in the second quarter of 2013.

For the six months ended June 30, 2014, consolidated revenue was $240.7 million, an increase of 9% from the same period last year. Consolidated gross profit margin was 26.1%, up 40 basis points from the same period last year. Adjusted EBITDA was $4.3 million or 1.8% of revenue, as compared with $3.7 million or 1.7% of revenue in the prior year. Loss from continuing operations was $4.0 million or $0.13 per diluted share, as compared with a loss of $2.8 million or $0.09 per diluted share in the same period last year.

On June 30, 2014, the Company acquired substantially all of the operating assets and certain liabilities of Medical Staffing Network ("MSN") for an aggregate purchase price of $48.1 million, subject to post-closing net working capital adjustment. The Company funded $45.6 million at closing, net of cash acquired, of which $1.0 million was funded to an escrow account for the net working capital adjustment. An additional $2.5 million was deferred and is due to the seller in 21 months, less any COBRA expenses incurred by the Company on behalf of former MSN employees over that period. The Company financed the acquisition using $55.0 million in new subordinated debt consisting of a $30.0 million, 5-year term loan and $25.0 million of convertible notes having a 6-year maturity and a conversion price of $7.10.

Quarterly Business Segment Highlights

Nursing & Allied

Revenue from the nurse and allied staffing business segment increased 26% from the same quarter last year, and 3% sequentially. Contribution income in this segment was $6.7 million, up from $3.5 million in the same quarter last year. The year-over-year increase in segment revenue and contribution income came from a combination of robust organic revenue growth of 11% and the December 2013 allied health acquisition. Average field FTEs increased 38.1% to 3,177 from 2,300 in the same quarter last year. Revenue per FTE decreased 8.9% to $286 from $314 in the same quarter last year reflecting the impact of lower average bill rates of the acquired allied health business.

Physician Staffing

Revenue from the physician staffing business decreased 11% year over year and increased 6% sequentially. The year over year decrease relates to a combination of lower average bill rates and lower volume. On a sequential basis, the increase is due to increased volume. Contribution income was $1.9 million, down from $2.6 million in the same quarter last year, due to negative operating leverage. Total days filled decreased 13.6% to 21,147 from 24,462 in the same quarter last year. Revenue per day filled increased 2.8% to $1,444 from $1,405 in the same quarter last year, primarily related to pricing.

Other Human Capital Management Services

Revenue from the other human capital management services business segment was $9.2 million, down 11% from the same quarter last year and up 5% sequentially. Contribution income was negative $0.2 million, compared to a positive $0.5 million in the same quarter last year.

Cash Flow and Balance Sheet Highlights

Cash flow provided by operating activities was $3.8 million for the quarter. At June 30, 2014, the Company had $9.3 million in cash and cash equivalents and $64.8 million of total debt. The Company had $29.9 million of availability under its credit facility at June 30, 2014.

Outlook for Third Quarter 2014

The Company also provided its guidance for the third quarter of 2014:




   
Range Year over Year
Change
 
Revenue

$187 million -
$192 million

73 - 78%
 
Gross Profit Margin 26.0% - 26.5% (10) - 40 bps
 
Adjusted EBITDA margin 3.0% - 3.5% 30 - 80 bps
 

The estimates above are based on current management expectations and as such are forward-looking and actual results may differ materially. These ranges do not include the potential impact of any future mergers, acquisitions or other business combinations, any impairment charges or valuation allowances, or any material legal or restructuring charges.

INVITATION TO CONFERENCE CALL

The Company will hold its quarterly conference call on Thursday, August 7, 2014, at 9:00 a.m. to discuss its second quarter 2014 financial results. This call will be webcast live and can be accessed at the Company's website at www.crosscountryhealthcare.com or by dialing 800-857-6331 from anywhere in the U.S. or by dialing 517-623-4781 from non-U.S. locations - Passcode: Cross Country. From August 7th through August 21st, a replay of the webcast will be available at the Company's website and a replay of the conference call will be available by telephone by calling 800-262-4966 from anywhere in the U.S. or 402-220-9709 from non-U.S. locations - Passcode: 2014.

NON-GAAP FINANCIAL MEASURES

This press release and accompanying financial statement tables reference non-GAAP financial measures. Such non-GAAP financial measures are provided as additional information and should not be considered substitutes for, or superior to, financial measures calculated in accordance with U.S. GAAP. Such non-GAAP financial measures are provided for consistency and comparability to prior year results; furthermore, management believes they are useful to investors when evaluating the Company's performance as it excludes certain items that management believes are not indicative of the Company's operating performance. Such non-GAAP financial measures may differ materially from the non-GAAP financial measures used by other companies. The financial statement tables that accompany this press release include a reconciliation of each non-GAAP financial measure to the most directly comparable U.S. GAAP financial measure and a more detailed discussion of each financial measure; as such, the financial statement tables should be read in conjunction with the presentation of these non-GAAP financial measures.

ABOUT CROSS COUNTRY HEALTHCARE

Cross Country Healthcare, Inc., headquartered in Boca Raton, Florida, is a national leader in providing healthcare recruiting, staffing and workforce management solutions. With more than 30 years of experience, we are dedicated to placing highly qualified nurses and physicians as well as allied health, advanced practice and case management professionals. We provide both retained and contingent placement services for physicians as well as retained search services for healthcare executives. We have more than 4,300 active contracts with a broad range of clients, including acute care hospitals, physician practice groups, nursing facilities, rehabilitation and sports medicine clinics, government facilities, as well as nonclinical settings such as homecare and schools. Through our national staffing teams and network of more than 70 branch office locations, we are able to place clinicians for travel and per diem assignments, local short-term contracts and permanent positions. We are a market leader in providing flexible workforce management solutions, which include managed services programs, workforce assessments, internal resource pool consulting and development, electronic medical record transition staffing and recruitment process outsourcing. In addition, we provide education and training programs for healthcare professionals through seminars and e-learning tools.

Copies of this and other news releases as well as additional information about Cross Country Healthcare can be obtained online at www.crosscountryhealthcare.com. Shareholders and prospective investors can also register to automatically receive the Company's press releases, SEC filings and other notices by e-mail.

FORWARD LOOKING STATEMENT

In addition to historical information, this press release contains statements relating to our future results (including certain projections and business trends) that are "forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and are subject to the "safe harbor" created by those sections. Forward-looking statements consist of statements that are predictive in nature, depend upon or refer to future events. Words such as "expects", "anticipates", "intends", "plans", "believes", "estimates", "suggests", "appears", "seeks", "will" and variations of such words and similar expressions intended to identify forward-looking statements. Forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause our actual results and performance to be materially different from any future results or performance expressed or implied by these forward-looking statements. These factors include, without limitation, the following: our ability to attract and retain qualified nurses, physicians and other healthcare personnel, costs and availability of short-term housing for our travel nurses and physicians, demand for the healthcare services we provide, both nationally and in the regions in which we operate, the functioning of our information systems, the effect of existing or future government regulation and federal and state legislative and enforcement initiatives on our business, our clients' ability to pay us for our services, our ability to successfully implement our acquisition and development strategies, including our ability to successfully integrate acquired businesses and realize synergies from such acquisitions, the effect of liabilities and other claims asserted against us, the effect of competition in the markets we serve, our ability to successfully defend the Company, its subsidiaries, and its officers and directors on the merits of any lawsuit or determine its potential liability, if any, and other factors set forth in Item 1A. "Risk Factors" in the Company's Annual Report on Form 10-K for the year ended December 31, 2013, and our other Securities and Exchange Commission filings made prior to the date hereof.

Although we believe that these statements are based upon reasonable assumptions, we cannot guarantee future results and readers are cautioned not to place undue reliance on these forward-looking statements, which reflect management's opinions only as of the date of this press release. There can be no assurance that (i) we have correctly measured or identified all of the factors affecting our business or the extent of these factors' likely impact, (ii) the available information with respect to these factors on which such analysis is based is complete or accurate, (iii) such analysis is correct or (iv) our strategy, which is based in part on this analysis, will be successful. The Company undertakes no obligation to update or revise forward-looking statements. All references to "we," "us," "our," or "Cross Country" in this press release mean Cross Country Healthcare, Inc., its subsidiaries and affiliates.

 
Cross Country Healthcare, Inc.
Consolidated Statements of Operations
(Unaudited, amounts in thousands, except per share data)
 
  Three Months Ended     Six Months Ended
June 30,       June 30,     March 31, June 30,   June 30,
2014 2013 2014 2014 2013
 
Revenue from services $ 122,656 $ 110,768 $ 118,091 $ 240,747 $ 221,084
Operating expenses:
Direct operating expenses 90,220 82,930 87,641 177,861 164,370
Selling, general and administrative expenses 29,167 26,603 29,455 58,622 53,668
Bad debt expense 32 132 432 464 554
Depreciation 817 1,040 974 1,791 2,062
Amortization 784 566 785 1,569 1,132
Acquisition and integration costs (a) 2,747 - 295 3,042 -
Restructuring costs 755 375 - 755 375
Legal settlement charge -   750   -   -   750  
Total operating expenses 124,522   112,396   119,582   244,104   222,911  
Loss from operations (1,866 ) (1,628 ) (1,491 ) (3,357 ) (1,827 )
Other expenses (income):
Foreign exchange loss (gain) 27 (110 ) 47 74 (101 )
Interest expense 289 164 255 544 444
Loss on early extinguishment and modification of debt (b) - - - - 1,419
Other (income) expense, net (7 ) 10   60   54   (51 )
Loss from continuing operations before income taxes (2,175 ) (1,692 ) (1,853 ) (4,029 ) (3,538 )
Income tax expense (benefit) 1,006   (257 ) (1,071 ) (65 ) (757 )
Loss from continuing operations (3,181 ) (1,435 ) (782 ) (3,964 ) (2,781 )
(Loss) income from discontinued operations, net of income taxes (c) -   (22 ) -   -   2,482  
Net loss $ (3,181 ) $ (1,457 ) $ (782 ) $ (3,964 ) $ (299 )
 
Net (loss) income per common share, basic:
Continuing operations $ (0.10 ) $ (0.05 ) $ (0.03 ) $ (0.13 ) $ (0.09 )
Discontinued operations -   -   -   -   0.08  
Net loss $ (0.10 ) $ (0.05 ) $ (0.03 ) $ (0.13 ) $ (0.01 )
 
Net (loss) income per common share, diluted:
Continuing operations $ (0.10 ) $ (0.05 ) $ (0.03 ) $ (0.13 ) $ (0.09 )
Discontinued operations -   -   -   -   0.08  
Net loss $ (0.10 ) $ (0.05 ) $ (0.03 ) $ (0.13 ) $ (0.01 )
 
Weighted average common shares outstanding:
Basic 31,151 30,961 31,098 31,125 30,932
Diluted 31,151 30,961 31,098 31,125 30,932
 
 
 
Cross Country Healthcare, Inc.
Reconciliation of Non-GAAP Financial Measures
Adjusted EBITDA (d)
(Unaudited, amounts in thousands)
 
Three Months Ended Six Months Ended
June 30, June 30, March 31, June 30, June 30,
2014 2013 2014 2014 2013
 
Loss from operations $ (1,866 ) $ (1,628 ) $ (1,491 ) $ (3,357 ) $ (1,827 )
Depreciation 817 1,040 974 1,791 2,062
Amortization 784 566 785 1,569 1,132
Acquisition and integration costs (a) 2,747 - 295 3,042 -
Restructuring costs 755 375 - 755 375
Legal settlement charge - 750 - - 750
Equity compensation 90   585   452   542   1,184  
Adjusted EBITDA (d) $ 3,327   $ 1,688   $ 1,015   $ 4,342   $ 3,676  
 
 
 
Cross Country Healthcare, Inc.
Consolidated Balance Sheets
(Amounts in thousands)
 
June 30, December 31,
2014 2013
(Unaudited)
Assets
Current assets:
Cash and cash equivalents $ 9,293 $ 8,055
Accounts receivable, net 106,901 60,750
Income taxes receivable 648 538
Prepaid expenses 7,752 6,163
Insurance recovery receivable 6,507 3,886
Indemnity escrow receivable 3,750 3,750
Other current assets 749   793  
Total current assets 135,600 83,935
Property and equipment, net 12,394 6,170
Trade names, net 46,501 42,301
Goodwill, net 96,034 77,266
Other identifiable intangible assets, net 32,829 26,198
Debt issuance costs, net 1,260 464
Non-current insurance recovery receivable 16,056 10,914
Non-current security deposits 705   997  
Total assets $ 341,379   $ 248,245  
 
Liabilities and Stockholders' Equity
Current liabilities:
Accounts payable and accrued expenses $ 21,717 $ 10,272
Accrued employee compensation and benefits 37,046 19,148
Current portion of long-term debt 11,711 8,483
Sales tax payable 2,530 2,404
Deferred tax liabilities 622 535
Other current liabilities 1,556   4,063  
Total current liabilities 75,182 44,905
Long-term debt 53,086 93
Non-current deferred tax liabilities 18,475 16,849
Long-term accrued claims 28,302 18,303
Long-term deferred purchase price 2,500 -
Long-term unrecognized tax benefits 2,475 4,013
Other long-term liabilities 4,116   3,415  
Total liabilities 184,136 87,578
 
Commitments and contingencies
 
Stockholders' equity:
Common stock 3 3
Additional paid-in capital 246,637 246,325
Accumulated other comprehensive loss (1,040 ) (970 )
Noncontrolling interest 298

 

-
Accumulated deficit (88,655 ) (84,691 )
Total stockholders' equity 157,243 160,667
       
Total liabilities and stockholders' equity $ 341,379   $ 248,245  
 
 
Cross Country Healthcare, Inc.
Segment Data (e)
(Unaudited, amounts in thousands)
 
  Three Months Ended   YOY   Sequential
June 30,   % of   June 30,   % of   March 31,   % of % change % change
2014 Total 2013 Total 2014 Total Fav (Unfav) Fav (Unfav)
 
Revenue from services:
Nurse and allied staffing (f) $ 82,616 67% $ 65,656 59% $ 80,193 68% 26% 3%
Physician staffing (f) 30,849 25% 34,837 32% 29,136 25% (11)% 6%
Other human capital management services 9,191   8% 10,275   9% 8,762   7% (11)% 5%
$ 122,656   100% $ 110,768   100% $ 118,091   100% 11% 4%
 
Contribution income (g)
Nurse and allied staffing (f) (h) $ 6,652 $ 3,493 $ 5,969 90% 11%
Physician staffing (f) 1,874 2,562 751 (27)% 150%
Other human capital management services (232 ) 534   166   (143)%

(240)%

8,294 6,589 6,886 26% 20%
 
 
Unallocated corporate overhead (h) 5,057 5,486 6,323 8% 20%
Depreciation 817 1,040 974 21% 16%
Amortization 784 566 785 (39)% -%
Acquisition and integration costs (a) 2,747 - 295 (100)% (831)%
Restructuring costs 755 375 - (101)% (100)%
Legal settlement charge -   750   -   100% -%
Loss from operations $ (1,866 ) $ (1,628 ) $ (1,491 ) (15)% (25)%
 
 
Six Months Ended YOY
June 30, % of June 30, % of % change
2014 Total 2013 Total Fav (Unfav)
 
Revenue from services:
Nurse and allied staffing (f) $ 162,809 68% $ 136,729 62% 19%
Physician staffing (f) 59,985 25% 64,580 29% (7)%
Other human capital management services 17,953   7% 19,775   9% (9)%
$ 240,747   100% $ 221,084   100% 9%
 
Contribution income (g)
Nurse and allied staffing (f) (h) $ 12,621 $ 8,667 46%
Physician staffing (f) 2,625 4,788 (45)%
Other human capital management services (66 ) 824   (108)%
15,180 14,279 6%
 
 
Unallocated corporate overhead (h) 11,380 11,787 3%
Depreciation 1,791 2,062 13%
Amortization 1,569 1,132 (39)%
Acquisition and integration costs (a) 3,042 - (100)%
Restructuring costs 755 375 (101)%
Legal settlement charge -   750   100%
Loss from operations $ (3,357 ) $ (1,827 ) (84)%
 
 
 
 
Cross Country Healthcare, Inc.
Other Financial Data
(Unaudited)
 
Three Months Ended Six Months Ended
June 30, June 30, March 31, June 30, June 30,
2014 2013 2014 2014 2013
 
Net cash provided by (used in) operating activities (in thousands) $ 3,778 $ 5,913 $ (9,234 ) $ (5,456) $ 4,398
 

Nurse and allied staffing statistical data:

FTEs (f) (i) 3,177 2,300 3,107 3,142 2,391
Average nurse and allied staffing revenue per FTE per day (f) (j) $ 286 $ 314 $ 287 $ 286 $ 316
 

Physician staffing statistical data:

Days filled (f) (k) 21,147 24,462 20,801 41,948 45,850
Revenue per day filled (f) (l) $ 1,444 $ 1,405 $ 1,423 $ 1,433 $ 1,395
 

(a) On December 2, 2013, the Company acquired the operating assets of On Assignment, Inc.'s Allied Healthcare staffing division. For the three and six months ended June 30, 2014, $0.3 million and $0.6 million, respectively, of acquisition and integration costs were related to this acquisition.

On June 30, 2014, the Company acquired substantially all of the operating assets and certain liabilities of Medical Staffing Network Healthcare, LLC. For the three and six months ended June 30, 2014, $2.4 million of acquisition and integration costs were related to this acquisition.

(b) Loss on early extinguishment and modification of debt relate to the write-off of unamortized net debt issuance costs related to the repayment of the Company's term loan and revolver in 2013.

(c) The Company sold its clinical trial services business on February 15, 2013. The clinical trial services business was classified as discontinued operations. As of June 30, 2013, the transaction resulted in a gain on sale of $4.1 million pretax, or $2.2 million after tax.

(d) Adjusted EBITDA, a non-GAAP (Generally Accepted Accounting Principles) financial measure, is defined as income or loss from operations before depreciation, amortization, acquisition and integration costs, restructuring costs, legal settlement charges, impairment charges and non-cash equity compensation. Adjusted EBITDA should not be considered a measure of financial performance under GAAP. Management presents Adjusted EBITDA because it believes that Adjusted EBITDA is a useful supplement to income or loss from operations as an indicator of operating performance. Management uses Adjusted EBITDA as one performance measure in its annual cash incentive program for certain members of its management team. In addition, management monitors Adjusted EBITDA for planning purposes. Adjusted EBITDA, as defined, closely matches the operating measure typically used in the Company's credit facilities in calculating various ratios. Management believes Adjusted EBITDA, as defined, is useful to investors when evaluating the Company's performance as it excludes certain items that management believes are not indicative of the Company's operating performance. Adjusted EBITDA Margin is calculated by dividing Adjusted EBITDA by the Company's consolidated revenue.

(e) Segment data provided is in accordance with the Segment Reporting Topic of the FASB ASC.

(f) Effective January 1, 2014, the allied health staffing business of MDA is being reported in the physician staffing business segment. Prior year amounts have been reclassified to conform to the current period's presentation.

(g) Contribution income is defined as income or loss from operations before depreciation, amortization, acquisition and integration costs, restructuring costs, legal settlement charges, impairment charges and corporate expenses not specifically identified to a reporting segment. Contribution income is a financial measure used by management when assessing segment performance.

(h) Certain prior year amounts have been reclassified to conform to the current period's presentation. In 2014, the Company refined its methodology for allocating certain corporate overhead expenses and the nurse and allied staffing expenses to more accurately reflect this segment's profitability.

(i) FTEs represent the average number of nurse and allied contract staffing personnel on a full-time equivalent basis.

(j) Average revenue per FTE per day is calculated by dividing the nurse and allied staffing revenue by the number of days worked in the respective periods. Nurse and allied staffing revenue also includes revenue from permanent placement of nurses.

(k) Days filled is calculated by dividing the total hours filled during the period by 8 hours. Effective January 1, 2014, days filled for all periods presented excludes accrued days filled.

(l) Revenue per day filled is calculated by dividing the applicable revenue generated by the Company's physician staffing segment by days filled for the period presented. Effective January 1, 2014, the applicable revenue for all periods presented excludes permanent placement and accrued revenue.


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