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CROSS COUNTRY HEALTHCARE ANNOUNCES FOURTH QUARTER AND FULL YEAR 2014

Key Takeaway: CROSS COUNTRY HEALTHCARE ANNOUNCES FOURTH QUARTER AND FULL YEAR 2014 FINANCIAL RESULTS BOCA RATON, Fla., March 4, 2015--Cross Country Healthcare, Inc. (NASDAQ: CCRN) today announced financial results for the fourth quarter and full year ended December 31, 2014. FOURTH QUARTER

Full Press Release Details

CROSS COUNTRY HEALTHCARE ANNOUNCES FOURTH QUARTER AND FULL YEAR
2014 FINANCIAL RESULTS
BOCA RATON, Fla., March 4, 2015--Cross Country Healthcare, Inc. (NASDAQ: CCRN) today announced financial results for the fourth quarter and full year ended December 31, 2014.
FOURTH QUARTER FINANCIAL HIGHLIGHTS:
FULL YEAR FINANCIAL HIGHLIGHTS:
* See discussion of Non-GAAP financial measures
William J. Grubbs, Chief Executive Officer, said, "2014 was a transformational year for Cross Country Healthcare with both organic and acquisition growth, improved profitability, expansion of our branch footprint, additions to our workforce solutions portfolio, and an increase in market share. We expect to reach our goal of an Adjusted EBITDA margin in excess of 5% in the fourth quarter of 2015 and 8%, on a run-rate basis, during 2017."
Grubbs continued, "Throughout the fourth quarter, demand for our services remained strong and resulted in pro forma year-over-year revenue growth of 8.4%, accelerating from 6.8% in the third quarter. Excluding a non-cash adjustment for unamortized insurance premiums, our underlying Adjusted EBITDA would have been 3.8% of revenue, up from 3.5% in the third quarter."
Fourth quarter consolidated revenue was $188.1 million, an increase of 72% from the same quarter last year and essentially flat sequentially. On a pro forma basis, revenue was up 8% from the prior year. The Company's consolidated gross profit margin was 25.3%, down 90 basis points from the same quarter last year and up 30 basis points sequentially. Adjusted EBITDA was $6.2 million or 3.3% of revenue, as compared with $1.8 million or 1.6% of revenue in the prior year quarter (see table titled "Reconciliation of Non-GAAP Financial Measures"). Net loss attributable to common shareholders was $20.2 million or $0.65 per diluted share primarily due to a combination of a $10.0 million ($9.1 million after taxes) trade name impairment charge, $9.4 million non-cash change in the fair value of convertible note derivative liability, and $2.5 million of acquisition and integration costs. This compared with a net loss of $52.6 million or $1.69 per diluted share in the prior year quarter. Adjusted net income attributable to common shareholders for the fourth quarter of 2014 was $0.03 per diluted share.
For the year ended December 31, 2014, consolidated revenue was $617.8 million, an increase of 41% from the same period last year. On a pro forma basis, revenue was up 5% year-over-year. Consolidated gross profit margin was 25.5%, down 40 basis points from the prior year. Adjusted EBITDA was $17.2 million or 2.8% of revenue, as compared with $8.4 million or 1.9% of revenue in the prior year. Net loss attributable to common shareholders was $31.8 million or $1.02 per diluted share, as compared with a loss of $52.0 million or $1.68 per diluted share in the prior year. Year-to-date results reflect the impact from the $10.0 million ($9.1 million after taxes) non-cash trade name impairment charge, the $16.7 million non-cash change in the fair value of the convertible note derivative liability, $8.0 million of acquisition and integration costs, and $0.8 million of restructuring charges. Adjusted net income attributable to common shareholders was $0.09 per diluted share for 2014.
Quarterly Business Segment Highlights
Nurse and Allied Staffing
Revenue from Nurse and Allied Staffing increased 112% from the same quarter last year and decreased 1% sequentially. On a pro forma basis revenue was up 11% year-over-year. Contribution income in this segment was $11.1 million, up from $4.8 million in the same quarter last year. The year-over-year increase in segment revenue and contribution income was attributed to robust organic growth and the impact of acquisitions. Average field FTEs increased to 6,325 from 2,487 in the same quarter last year. Revenue per FTE per day was $252 compared to $303 in the same quarter last year reflecting the impact of lower average bill rates of our recent acquisitions.
Revenue from Physician Staffing increased 1% from the same quarter last year and decreased 4% sequentially. The year-over-year increase is due to the impact of the MSN acquisition. Contribution income was $2.6 million, up from $1.9 million in the same quarter last year. Total days filled decreased to 20,767 from 21,020 in the same quarter last year. Revenue per day filled increased to $1,454 from $1,412 in the same quarter last year reflecting higher average prices.
Other Human Capital Management Services
Revenue from the Other Human Capital Management Services increased 14% from the same quarter last year and sequentially. Contribution income was $0.6 million, compared to a negative $0.1 million in the same quarter last year.
Cash Flow and Balance Sheet Highlights
Cash flow used in operating activities was $1.0 million for the quarter and $4.1 million for the full year. The use of cash in the full year was primarily due to: $6.1 million of acquisition and integration costs and $2.5 million used to fund working capital of our allied healthcare staffing acquisition (working capital was not acquired with this acquisition). At December 31, 2014, the Company had $5.0 million in cash and cash equivalents and $57.4 million of debt, excluding the full year non-cash change in the fair value of convertible note derivative liability of $16.7 million. The Company had $39.7 million of availability under its credit facility at December 31, 2014.
Outlook for First Quarter 2015
The Company also provided its guidance for the first quarter of 2015:
Range Year-over-Year
Change
Revenue $185 million - $190 million 57%-61%
Gross Profit Margin 25.0% - 25.5% (80) - (30) basis points
Adjusted EBITDA Margin 3.2% - 3.7% 230 - 280 basis points
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, March 5, 2015, at 9:00 a.m. Eastern Time to discuss its fourth quarter and full year 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 March 5th through March 19th, 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 800-395-7443 from anywhere in the U.S. or 203-369-3271 from non-U.S. locations - Passcode: 2015.
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 6,000 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.
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 they exclude certain items that management believes are not indicative of the Company's operating performance. Pro forma measures are adjusted to include the results of our acquisitions as if they were acquired in the beginning of the periods mentioned. 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.
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 are 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. and its subsidiaries.
Cross Country Healthcare, Inc.
Consolidated Statements of Operations
(Unaudited, amounts in thousands, except per share data)
Three Months Ended Year Ended
December 31, December 31, September 30, December 31, December 31,
2014 2013 2014 2014 2013
Revenue from services $ 188,134 $ 109,179 $ 188,944 $ 617,825 $ 438,311
Operating expenses:
Direct operating expenses 140,493 80,617 141,667 460,021 324,851
Selling, general and administrative expenses 41,538 26,945 40,858 141,018 106,117
Bad debt expense 295 309 257 1,016 1,078
Depreciation 1,070 934 1,005 3,866 3,886
Amortization 995 610 1,011 3,575 2,294
Acquisition and integration costs (a) 2,532 473 2,383 7,957 473
Restructuring costs 85 - - 840 484
Legal settlement charge - - - - 750
Impairment charges (b) 10,000 6,400 - 10,000 6,400
Total operating expenses 197,008 116,288 187,181 628,293 446,333
(Loss) income from operations (8,874 ) (7,109 ) 1,763 (10,468 ) (8,022 )
Other expenses (income):
Foreign exchange (gain) loss (14 ) 22 (11 ) 49 (132 )
Interest expense 1,784 215 1,832 4,160 849
Change in fair value of convertible note derivative liability 9,363 - 7,308 16,671 -
Loss on early extinguishment and modification of debt (c) - - - - 1,419
Other income (32 ) (36 ) (51 ) (30 ) (119 )
Loss from continuing operations before income taxes (19,975 ) (7,310 ) (7,315 ) (31,318 ) (10,039 )
Income tax expense 112 45,612 169 216 44,211
Loss from continuing operations (20,087 ) (52,922 ) (7,484 ) (31,534 ) (54,250 )
Income from discontinued operations, net of income taxes (d) - 338 - - 2,281
Consolidated net loss (20,087 ) (52,584 ) (7,484 ) (31,534 ) (51,969 )
Less: Net income attributable to noncontrolling interest in subsidiary 131 - 118 249 -
Net loss attributable to common shareholders $ (20,218 ) $ (52,584 ) $ (7,602 ) $ (31,783 ) $ (51,969 )
Basic (loss) income per share attributable to common shareholders
Continuing operations $ (0.65 ) $ (1.70 ) $ (0.24 ) $ (1.02 ) $ (1.75 )
Discontinued operations - 0.01 - - 0.07
Net loss $ (0.65 ) $ (1.69 ) $ (0.24 ) $ (1.02 ) $ (1.68 )
Diluted (loss) income per share attributable to common shareholders
Continuing operations $ (0.65 ) $ (1.70 ) $ (0.24 ) $ (1.02 ) $ (1.75 )
Discontinued operations - 0.01 - - 0.07
Net loss $ (0.65 ) $ (1.69 ) $ (0.24 ) $ (1.02 ) $ (1.68 )
Weighted average common shares outstanding:
Basic 31,264 31,085 31,245 31,190 31,009
Diluted 31,264 31,085 31,245 31,190 31,009
Cross Country Healthcare, Inc.
Reconciliation of Non-GAAP Financial Measures
(Unaudited, amounts in thousands)
Three Months Ended Year Ended
December 31, December 31, September 30, December 31, December 31,
2014 2013 2014 2014 2013
Adjusted EBITDA:
(Loss) income from operations $ (8,874 ) $ (7,109 ) $ 1,763 $ (10,468 ) $ (8,022 )
Depreciation 1,070 934 1,005 3,866 3,886
Amortization 995 610 1,011 3,575 2,294
Acquisition and integration costs (a) 2,532 473 2,383 7,957 473
Restructuring costs 85 - - 840 484
Legal settlement charge - - - - 750
Impairment charges (b) 10,000 6,400 - 10,000 6,400
Equity compensation 429 465 416 1,387 2,100
Adjusted EBITDA (e) $ 6,237 $ 1,773 $ 6,578 $ 17,157 $ 8,365
Adjusted Net Income attributable to common shareholders per Diluted Share:
Net loss attributable to common shareholders per diluted share (f) $ (0.65 ) $ (1.69 ) $ (0.24 ) $ (1.02 ) $ (1.68 )
Acquisition and integration costs (a) 0.05 0.01 0.05 0.15 0.01
Restructuring costs - - - 0.02 0.01
Legal settlement charge - - - - 0.01
Impairment charges (b) 0.29 0.12 - 0.29 0.13
Change in fair value of convertible note derivative liability 0.18 - 0.14 0.32 -
Loss on early extinguishment and modification of debt (c) - - - - 0.03
Valuation allowance on deferred tax assets (g) 0.15 1.56 0.12 0.32 1.56
Adjustment for change in dilutive share count (f) 0.01 - - 0.01 0.01
Adjusted net income attributable to common shareholders per diluted share $ 0.03 $0.00 $ 0.07 $ 0.09 $ 0.08
Cross Country Healthcare, Inc.
Consolidated Balance Sheets
(Amounts in thousands)
December 31, December 31,
2014 2013
(Unaudited)
Assets
Current assets:
Cash and cash equivalents $ 4,995 $ 8,055
Accounts receivable, net 113,129 60,750
Income taxes receivable 307 538
Prepaid expenses 6,073 6,163
Insurance recovery receivable 5,624 3,886
Indemnity escrow receivable - 3,750
Other current assets 1,055 793
Total current assets 131,183 83,935
Property and equipment, net 12,133 6,170
Trade names, net 38,201 42,301
Goodwill, net 90,647 77,266
Other identifiable intangible assets, net 33,823 26,198
Debt issuance costs, net 1,257 464
Non-current insurance recovery receivable 16,825 10,914
Non-current security deposits 1,064 997
Total assets $ 325,133 $ 248,245
Liabilities and Stockholders' Equity
Current liabilities:
Accounts payable and accrued expenses $ 27,314 $ 10,272
Accrued employee compensation and benefits 28,731 19,148
Current portion of long-term debt and capital lease obligations 3,607 8,483
Sales tax payable 2,573 2,404
Deferred tax liabilities 1,981 535
Other current liabilities 2,790 4,063
Total current liabilities 66,996 44,905
Long-term debt and capital lease obligations 70,467 93
Non-current deferred tax liabilities 18,038 16,849
Long-term accrued claims 32,068 18,303
Long-term deferred purchase price 2,333 -
Long-term unrecognized tax benefits 889 4,013
Other long-term liabilities 4,010 3,415
Total liabilities 194,801 87,578
Commitments and contingencies
Stockholders' equity:
Common stock 3 3
Additional paid-in capital 247,467 246,325
Accumulated other comprehensive loss (1,118 ) (970 )
Accumulated deficit (116,474 ) (84,691 )
Total Cross Country Healthcare, Inc. stockholders' equity 129,878 160,667
Noncontrolling interest 454 -
Total stockholders' equity 130,332 160,667
Total liabilities and stockholders' equity $ 325,133 $ 248,245
Cross Country Healthcare, Inc.
Segment Data (h)
(Unaudited, amounts in thousands)
Three Months Ended Year-over-Year Sequential
December 31, % of December 31, % of September 30, % of % change % change
2014 Total 2013 Total 2014 Total Fav (Unfav) Fav (Unfav)
Revenue from services:
Nurse and Allied Staffing (i) $ 146,707 78 % $ 69,254 64 % $ 147,518 78 % 111.8 % (0.5 )%
Physician Staffing (i) 31,035 16 % 30,848 28 % 32,286 17 % 0.6 % (3.9 )%
Other Human Capital Management Services 10,392 6 % 9,077 8 % 9,140 5 % 14.5 % 13.7 %
$ 188,134 100 % $ 109,179 100 % $ 188,944 100 % 72.3 % (0.4 )%
Contribution income: (j)
Nurse and Allied Staffing (i) (k) $ 11,130 $ 4,759 $ 12,575 133.9 % (11.5 )%
Physician Staffing (i) 2,597 1,908 1,478 36.1 % 75.7 %
Other Human Capital Management Services 635 (133 ) (55 ) 577.4 % 1,254.5 %
14,362 6,534 13,998 119.8 % 2.6 %
Unallocated corporate overhead (k) 8,554 5,226 7,836 (63.7 )% (9.2 )%
Depreciation 1,070 934 1,005 (14.6 )% (6.5 )%
Amortization 995 610 1,011 (63.1 )% 1.6 %
Acquisition and integration costs (a) 2,532 473 2,383 (435.3 )% (6.3 )%
Restructuring costs 85 - - (100.0 )% (100.0 )%
Impairment charges (b) 10,000 6,400 - (56.3 )% (100.0 )%
(Loss) income from operations $ (8,874 ) $ (7,109 ) $ 1,763 (24.8 )% (603.3 )%
Year Ended Year-over-Year
December 31, % of December 31, % of % change
2014 Total 2013 Total Fav (Unfav)
Revenue from services:
Nurse and Allied Staffing (i) $ 457,034 74 % $ 271,563 62 % 68.3 %
Physician Staffing (i) 123,306 20 % 128,781 29 % (4.3 )%
Other Human Capital Management Services 37,485 6 % 37,967 9 % (1.3 )%
$ 617,825 100 % $ 438,311 100 % 41.0 %
Contribution income: (j)
Nurse and Allied Staffing (i) (k) $ 36,326 $ 18,424 97.2 %
Physician Staffing (i) 6,700 8,939 (25.0 )%
Other Human Capital Management Services 514 746 (31.1 )%
43,540 28,109 54.9 %
Unallocated corporate overhead (k) 27,770 21,844 (27.1 )%
Depreciation 3,866 3,886 0.5 %
Amortization 3,575 2,294 (55.8 )%
Acquisition and integration costs (a) 7,957 473 (1,582.2 )%
Restructuring costs 840 484 (73.6 )%
Legal settlement charge - 750 100.0 %
Impairment charges (b) 10,000 6,400 (56.3 )%
(Loss) income from operations $ (10,468 ) $ (8,022 ) (30.5 )%
Cross Country Healthcare, Inc.
Other Financial Data
(Unaudited)
Three Months Ended Year Ended
December 31, December 31, September 30, December 31, December 31,
2014 2013 2014 2014 2013
Net cash (used in) provided by operating activities (in thousands) $ (1,016 ) $ (2,900 ) $ 2,475 $ (4,072 ) $ 8,659
Nurse and Allied Staffing statistical data:
FTEs (i) (l) 6,325 2,487 6,396 4,751 2,378
Average Nurse and Allied Staffing revenue per FTE per day (i) (m) $ 252 $ 303 $ 251 $ 264 $ 313
Physician Staffing statistical data:
Days filled (i) (n) 20,767 21,020 22,742 85,457 90,881
Revenue per day filled (i) (o) $ 1,454 $ 1,412 $ 1,425 $ 1,436 $ 1,405
Cross Country Healthcare, Inc.
William J. Grubbs, 561-237-6202
President and Chief Executive Officer
Source: Cross Country Healthcare, Inc.
Last updated: Mar 4, 2015