BOCA RATON, Fla.--(BUSINESS WIRE)--May 3, 2023--Cross Country Healthcare, Inc. (the "Company") (Nasdaq: CCRN) today announced financial results for its first quarter ended March 31, 2023.
SELECTED FINANCIAL INFORMATION:
|
|
|
|
|
Variance
|
Variance
|
|
|
|
|
|
Q1 2023 vs
|
Q1 2023 vs
|
|
Dollars are in thousands, except per share amounts
|
Q1 2023
|
Q1 2022
|
Q4 2022
|
|
Revenue
|
$
|
622,707
|
|
|
|
(21
|
)
|
%
|
|
(1
|
)
|
%
|
|
Gross profit margin*
|
|
22.4
|
|
%
|
|
20
|
|
bps
|
|
30
|
|
bps
|
|
Net income attributable to common stockholders
|
$
|
29,436
|
|
|
|
(53
|
)
|
%
|
|
(24
|
)
|
%
|
|
Diluted EPS
|
$
|
0.81
|
|
|
$
|
(0.82
|
)
|
|
$
|
(0.24
|
)
|
|
|
Adjusted EBITDA*
|
$
|
52,141
|
|
|
|
(46
|
)
|
%
|
|
(9
|
)
|
%
|
|
Adjusted EBITDA margin*
|
|
8.4
|
|
%
|
|
(390
|
)
|
bps
|
|
(70
|
)
|
bps
|
|
Adjusted EPS*
|
$
|
0.84
|
|
|
$
|
(0.86
|
)
|
|
$
|
(0.25
|
)
|
|
|
Cash flows provided by operations
|
$
|
46,865
|
|
|
|
261
|
|
%
|
|
985
|
|
%
|
|
* Refer to accompanying tables and discussion of non-GAAP (Generally Accepted Accounting Principles) financial measures below.
|
|
First Quarter Business Highlights
- Revenue, Adjusted EBITDA, and Adjusted EPS exceeded guidance ranges
- Highest revenue quarter in Company history for education and home care
- Physician Staffing revenue growth of 75% (19% organic) year-over-year
- First Intellify vendor-neutral client contract signed
- Launch of Intellify's per diem and internal resource pool modules
- Repurchased an additional 1.2 million shares of common stock for $31.7 million
- Replenished our stock repurchase program back to $100 million in the second quarter of 2023
“I am pleased that we once again exceeded our expectations for revenue and profitability, reflecting continued strong execution across our business,” said John A. Martins, President and Chief Executive Officer of Cross Country Healthcare. He
continued, “The deployment of Intellify as our proprietary vendor management system is well underway across our portfolio of managed service programs and I am thrilled to share we have signed our first vendor neutral client. Intellify’s newest
module for internal resource pools will empower clients to better manage their core and contingent staff needs to help drive cost savings.”
First quarter consolidated revenue was $622.7 million, a decrease of 21% year-over-year and 1% sequentially. Consolidated gross profit margin was 22.4%, up 20 basis points year-over-year and 30 basis points sequentially. Net income
attributable to common stockholders was $29.4 million compared to $62.0 million in the prior year and $38.8 million in the prior quarter. Diluted earnings per share (EPS) was $0.81 compared to $1.63 in the prior year and $1.05 in the prior
quarter. Adjusted earnings before interest, taxes, depreciation, and amortization (EBITDA) was $52.1 million or 8.4% of revenue, as compared with $97.4 million or 12.3% of revenue in the prior year, and $57.0 million or 9.1% of revenue in the
prior quarter. Adjusted EPS was $0.84 compared to $1.70 in the prior year and $1.09 in the prior quarter.
Quarterly Business Segment Highlights
Nurse and Allied Staffing
Revenue was $582.3 million, a decrease of 24% year-over-year and 1% sequentially. Contribution income was $67.2 million, a decrease from $110.1 million year-over-year and $69.9 million sequentially. Average field contract personnel on a
full-time equivalent (FTE) basis were 12,518 as compared with 13,454 in the prior year and 12,447 in the prior quarter. Revenue per FTE per day was $513 compared to $628 in the prior year and $510 in the prior quarter. The decrease in revenue
and contribution income year-over-year was greatly impacted by industry tailwinds associated with the COVID-19 pandemic. The decrease in the average number of FTEs, as compared to the prior year, was primarily due to volume decline in travel
nurse and local. Average bill rates were down year-over-year in the low double digits.
Physician Staffing
Revenue was $40.4 million, an increase of 75% year-over-year and 9% sequentially. Contribution income was $1.7 million, a decrease from $1.8 million year-over-year and flat sequentially. Total days filled were 22,097 as compared with 13,068
in the prior year and 21,335 in the prior quarter. Revenue per day filled was $1,829 as compared with $1,772 in the prior year and $1,740 in the prior quarter. The year-over-year increase in revenue was driven by an increase in volume in
several specialties. The year-over-year decrease in contribution income was driven by higher direct costs.
Cash Flow and Balance Sheet Highlights
Net cash provided by operating activities increased $75.9 million to $46.9 million for the three months ended March 31, 2023, as compared to $29.0 million used in operating activities for the three months ended March 31, 2022, and increased
$42.6 million as compared to $4.3 million for the three months ended December 31, 2022, due to strong profitability as well as a slight sequential improvement in days' sales outstanding.
During the first quarter, the Company repurchased and retired a total of 1.2 million shares of the Company's common stock for an aggregate price of $31.7 million, at an average market price of $25.94 per share. As of March 31, 2023, the
Company had 35.5 million unrestricted shares outstanding and $44.5 million remaining for share repurchases. During the second quarter of 2023, the Company's Board of Directors authorized the replenishment of the amount remaining for share
repurchases back to $100 million.
At March 31, 2023, the Company had $0.3 million in cash and cash equivalents and $73.9 million principal balance on its term loan, with $66.4 million of borrowings drawn under its revolving senior secured asset-based credit facility (ABL),
and $18.2 million of letters of credit outstanding. As of March 31, 2023, borrowing base availability under the ABL was $300.0 million, with $215.4 million of excess availability.
Outlook for Second Quarter 2023
The guidance below applies to management’s expectations for the second quarter of 2023.
|
|
Q2 2023 Range
|
|
Year-over-Year
|
|
Sequential
|
|
Change
|
|
Change
|
|
|
|
|
|
|
|
|
Revenue
|
$530 million - $540 million
|
|
(30)% - (28)%
|
|
(15)% - (13)%
|
|
|
|
|
|
|
|
|
Adjusted EBITDA*
|
$40.0 million - $45.0 million
|
|
(52)% - (46)%
|
|
(23)% - (14)%
|
|
|
|
|
|
|
|
|
Adjusted EPS*
|
$0.55 - $0.65
|
|
$(0.85) - $(0.75)
|
|
$(0.29) - $(0.19)
|
|
* Refer to discussion of non-GAAP financial measures below.
|
|
The above estimates are based on current management expectations and, as such, are forward-looking and actual results may differ materially. The above ranges do not include the potential impact of any future divestitures, mergers,
acquisitions, or other business combinations, changes in debt structure, or future significant share repurchases. The Company has updated its 2023 annual minimum guidance to at least $2.1 billion in revenue and in excess of $170 million in
Adjusted EBITDA.
See accompanying non-GAAP financial measures and tables below.
INVITATION TO CONFERENCE CALL
The Company will hold its quarterly conference call on Wednesday, May 3, 2023, at 5:00 P.M. Eastern Time to discuss its first quarter 2023 financial results. This call will be webcast live and can be accessed at the Company’s website at
ir.crosscountry.com or by dialing 888-566-1290 from anywhere in the U.S. or by dialing 773-799-3776 from non-U.S. locations - Passcode: Cross Country. A replay of the webcast will be available from May 3rd through May 17th on the Company’s
website and a replay of the conference call will be available by telephone by calling 800-839-1334 from anywhere in the U.S. or 203-369-3831 from non-U.S. locations - Passcode: 3522.
ABOUT CROSS COUNTRY HEALTHCARE
Cross Country Healthcare, Inc. is a leading tech-enabled workforce solutions and advisory firm with 37 years of industry experience and insight. We solve complex labor-related challenges for customers while providing high-quality outcomes and
exceptional patient care. As a multi-year Best of Staffing® award winner, we are committed to an exceptionally high level of service to our clients and our homecare, education, and clinical and non-clinical healthcare professionals.
Our locum tenens line of business, Cross Country Locums, has been certified by the National Committee for Quality Assurance (NCQA), the leader in healthcare accreditation, since 2001. We are the first publicly traded staffing firm to obtain The
Joint Commission Certification, which we still hold with a Letter of Distinction. Cross Country Healthcare is rated as the top staffing and recruiting employer for women by InHerSights, and Certified™ by Great Place to Work®.
For three consecutive years, we have received the Top Workplaces USA award from Energage and have also been recognized with the Top Workplaces Award for Diversity, Equity & Inclusion Practices and the Top Workplaces Awards for Innovation
and Leadership. We have recently been awarded the Women Executive Leadership Elevate Award, recognizing gender diversity in our Boardroom. We have a history of investing in diversity, equality, and inclusion as a key component of the
organization’s overall corporate social responsibility program, closely aligned with its core values to create a better future for its people, communities, and its stockholders.
Copies of this and other press releases, as well as additional information about the Company, can be accessed online at ir.crosscountry.com. Stockholders and prospective investors can also register to automatically receive the Company’s press
releases, filings with the Securities and Exchange Commission (SEC), and other notices by e-mail.
NON-GAAP FINANCIAL MEASURES
This press release and the accompanying financial statement tables reference non-GAAP financial measures, such as gross profit margin, adjusted EBITDA, and adjusted EPS. 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 United States generally accepted accounting principles (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 future
operating performance. Pro forma measures, if applicable, are adjusted to include the results of our acquisitions, and exclude the results of divestments, as if the transactions occurred 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 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.
In addition, forward-looking adjusted EBITDA and adjusted EPS for fiscal 2023 exclude potential charges or gains that may be recorded during the fiscal year, including among other things, the potential impact of any future divestitures,
mergers, acquisitions, or other business combinations, changes in debt structure, or future significant share repurchases. We have not attempted to provide reconciliations of such forward-looking non-GAAP earnings guidance to the comparable
GAAP measure, as permitted by Item 10(e)(1)(i)(B) of Regulation S-K, because the impact and timing of these potential charges or gains is inherently uncertain and difficult to predict and is unavailable without unreasonable efforts. In
addition, the Company believes such reconciliations would imply a degree of precision and certainty that could be confusing to investors. Such items could have a substantial impact on GAAP measures of our financial performance.
FORWARD-LOOKING STATEMENTS
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, Section 21E of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and the Private Securities Litigation Reform Act of 1995, and are subject to the "safe harbor" created by those
sections. Forward-looking statements consist of statements that are predictive in nature and/or depend upon or refer to future events. Words such as "expects", "anticipates", "intends", "plans", "believes", "estimates", "suggests", "appears",
"seeks", "will", "could", and variations of such words and similar expressions are intended to identify forward-looking statements. These 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, but are not limited to, the following: the overall macroeconomic
environment, including increased inflation and interest rates, demand for the healthcare services we provide, both nationally and in the regions in which we operate, our ability to attract and retain qualified nurses, physicians and other
healthcare personnel, costs and availability of short-term housing for our travel healthcare professionals, the functioning of our information systems, the effect of cyber security risks and cyber incidents on our business, the effect of
existing or future government regulation and federal and state legislative and enforcement initiatives on our business, our customers’ 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, including, without limitation, the risk
factors set forth in Item 1A. "Risk Factors" in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, as filed and updated in our Quarterly Reports on Form 10-Q and other filings with the SEC. You should
consult any further disclosures the Company makes on related subjects in its filings with the SEC.
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. Except as may be required by
law, the Company undertakes no obligation to update or revise forward-looking statements. All references to "the Company", "we", "us", "our", or "Cross Country" in this press release mean Cross Country Healthcare, Inc. and its consolidated
subsidiaries.
| |
|
Cross Country Healthcare, Inc.
|
|
Consolidated Statements of Operations
|
|
(Unaudited, amounts in thousands, except per share data)
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
March 31,
|
|
|
March 31,
|
|
|
December 31,
|
|
|
2023
|
|
|
2022
|
|
|
2022
|
|
|
|
|
Revenue from services
|
$
|
622,707
|
|
|
|
$
|
788,732
|
|
|
|
$
|
628,218
|
|
|
Operating expenses:
|
|
|
|
|
|
|
|
|
Direct operating expenses
|
|
483,284
|
|
|
|
|
613,938
|
|
|
|
|
489,276
|
|
|
Selling, general and administrative expenses
|
|
84,260
|
|
|
|
|
76,853
|
|
|
|
|
81,367
|
|
|
Bad debt expense
|
|
4,908
|
|
|
|
|
2,369
|
|
|
|
|
2,947
|
|
|
Depreciation and amortization
|
|
4,904
|
|
|
|
|
2,719
|
|
|
|
|
3,162
|
|
|
Restructuring costs
|
|
429
|
|
|
|
|
480
|
|
|
|
|
2
|
|
|
Legal settlement charges
|
|
1,125
|
|
|
|
|
—
|
|
|
|
|
—
|
|
|
Impairment charges
|
|
—
|
|
|
|
|
1,741
|
|
|
|
|
—
|
|
|
Total operating expenses
|
|
578,910
|
|
|
|
|
698,100
|
|
|
|
|
576,754
|
|
|
Income from operations
|
|
43,797
|
|
|
|
|
90,632
|
|
|
|
|
51,464
|
|
|
Other expenses (income):
|
|
|
|
|
|
|
|
|
Interest expense
|
|
3,690
|
|
|
|
|
3,521
|
|
|
|
|
3,515
|
|
|
Loss on early extinguishment of debt
|
|
—
|
|
|
|
|
—
|
|
|
|
|
1,816
|
|
|
Other income, net
|
|
(12
|
)
|
|
|
|
(8
|
)
|
|
|
|
(217
|
)
|
|
Income before income taxes
|
|
40,119
|
|
|
|
|
87,119
|
|
|
|
|
46,350
|
|
|
Income tax expense
|
|
10,683
|
|
|
|
|
25,136
|
|
|
|
|
7,559
|
|
|
Net income attributable to common stockholders
|
$
|
29,436
|
|
|
|
$
|
61,983
|
|
|
|
$
|
38,791
|
|
|
|
|
|
|
|
|
|
|
|
Net income per share attributable to common stockholders - Basic
|
$
|
0.82
|
|
|
|
$
|
1.67
|
|
|
|
$
|
1.06
|
|
|
|
|
|
|
|
|
|
|
|
Net income per share attributable to common stockholders - Diluted
|
$
|
0.81
|
|
|
|
$
|
1.63
|
|
|
|
$
|
1.05
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average common shares outstanding:
|
|
|
|
|
|
|
|
|
Basic
|
|
35,864
|
|
|
|
|
37,028
|
|
|
|
|
36,455
|
|
|
Diluted
|
|
36,560
|
|
|
|
|
37,973
|
|
|
|
|
36,926
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cross Country Healthcare, Inc.
|
|
Reconciliation of Non-GAAP Financial Measures
|
|
(Unaudited, amounts in thousands, except per share data)
|
|
|
|
|
Three Months Ended
|
|
|
March 31,
|
|
|
March 31,
|
|
|
December 31,
|
|
|
2023
|
|
|
2022
|
|
|
2022
|
|
Adjusted EBITDA:a
|
|
|
|
|
|
|
|
|
Net income attributable to common stockholders
|
$
|
29,436
|
|
|
|
$
|
61,983
|
|
|
|
$
|
38,791
|
|
|
Interest expense
|
|
3,690
|
|
|
|
|
3,521
|
|
|
|
|
3,515
|
|
|
Income tax expense
|
|
10,683
|
|
|
|
|
25,136
|
|
|
|
|
7,559
|
|
|
Depreciation and amortization
|
|
4,904
|
|
|
|
|
2,719
|
|
|
|
|
3,162
|
|
|
Acquisition and integration-related (benefits) costsb
|
|
(18
|
)
|
|
|
|
40
|
|
|
|
|
196
|
|
|
Restructuring costsc
|
|
429
|
|
|
|
|
480
|
|
|
|
|
2
|
|
|
Legal settlements and feesd
|
|
1.125
|
|
|
|
|
—
|
|
|
|
|
—
|
|
|
Impairment chargese
|
|
—
|
|
|
|
|
1,741
|
|
|
|
|
—
|
|
|
Loss on disposal of fixed assets
|
|
—
|
|
|
|
|
19
|
|
|
|
|
19
|
|
|
Loss on early extinguishment of debtf
|
|
—
|
|
|
|
|
—
|
|
|
|
|
1,816
|
|
|
Loss (gain) on lease terminationg
|
|
8
|
|
|
|
|
(21
|
)
|
|
|
|
(231
|
)
|
|
Other income, net
|
|
(20
|
)
|
|
|
|
(6
|
)
|
|
|
|
(4
|
)
|
|
Equity compensation
|
|
1,775
|
|
|
|
|
1,601
|
|
|
|
|
2,187
|
|
|
System conversion costsh
|
|
129
|
|
|
|
|
195
|
|
|
|
|
14
|
|
|
Adjusted EBITDAa
|
$
|
52.141
|
|
|
|
$
|
97.408
|
|
|
|
$
|
57,026
|
|
|
Adjusted EBITDA margina
|
|
8.4
|
%
|
|
|
|
12.3
|
%
|
|
|
|
9.1
|
%
|
|
|
|
|
|
|
|
|
|
|
Adjusted EPS:i
|
|
|
|
|
|
|
|
|
Numerator:
|
|
|
|
|
|
|
|
|
Net income attributable to common stockholders
|
$
|
29,436
|
|
|
|
$
|
61,983
|
|
|
|
$
|
38,791
|
|
|
Non-GAAP adjustments - pretax:
|
|
|
|
|
|
|
|
|
Acquisition and integration-related (benefits) costsb
|
|
(18
|
)
|
|
|
|
40
|
|
|
|
|
196
|
|
|
Restructuring costsc
|
|
429
|
|
|
|
|
480
|
|
|
|
|
2
|
|
|
Legal settlements and feesd
|
|
1,125
|
|
|
|
|
—
|
|
|
|
|
—
|
|
|
Impairment chargese
|
|
—
|
|
|
|
|
1,741
|
|
|
|
|
—
|
|
|
Loss on early extinguishment of debtf
|
|
—
|
|
|
|
|
—
|
|
|
|
|
1,816
|
|
|
System conversion costsh
|
|
129
|
|
|
|
|
195
|
|
|
|
|
14
|
|
|
Tax impact of non-GAAP adjustments
|
|
(427
|
)
|
|
|
|
184
|
|
|
|
|
(519
|
)
|
|
Adjusted net income attributable to common stockholders - non-GAAP
|
$
|
30,674
|
|
|
|
$
|
64,623
|
|
|
|
$
|
40,300
|
|
|
|
|
|
|
|
|
|
|
|
Denominator:
|
|
|
|
|
|
|
|
|
Weighted average common shares - basic, GAAP
|
|
35,864
|
|
|
|
|
37,028
|
|
|
|
|
36,455
|
|
|
Dilutive impact of share-based payments
|
|
696
|
|
|
|
|
945
|
|
|
|
|
471
|
|
|
Adjusted weighted average common shares - diluted, non-GAAP
|
|
36,560
|
|
|
|
|
37,973
|
|
|
|
|
36,926
|
|
|
|
|
|
|
|
|
|
|
|
Reconciliation:
|
|
|
|
|
|
|
|
|
Diluted EPS, GAAP
|
$
|
0.81
|
|
|
|
$
|
1.63
|
|
|
|
$
|
1.05
|
|
|
Non-GAAP adjustments - pretax:
|
|
|
|
|
|
|
|
|
Acquisition and integration-related (benefits) costsb
|
|
—
|
|
|
|
|
—
|
|
|
|
|
0.01
|
|
|
Restructuring costsc
|
|
0.01
|
|
|
|
|
0.01
|
|
|
|
|
—
|
|
|
Legal settlements and feesd
|
|
0.03
|
|
|
|
|
—
|
|
|
|
|
—
|
|
|
Impairment chargese
|
|
—
|
|
|
|
|
0.05
|
|
|
|
|
—
|
|
|
Loss on early extinguishment of debtf
|
|
—
|
|
|
|
|
—
|
|
|
|
|
0.05
|
|
|
System conversion costsh
|
|
—
|
|
|
|
|
0.01
|
|
|
|
|
—
|
|
|
Tax impact of non-GAAP adjustments
|
|
(0.01
|
)
|
|
|
|
—
|
|
|
|
|
(0.02
|
)
|
|
Adjusted EPS, non-GAAPi
|
$
|
0.84
|
|
|
|
$
|
1.70
|
|
|
|
$
|
1.09
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cross Country Healthcare, Inc.
|
|
Consolidated Balance Sheets
|
|
(Unaudited, amounts in thousands)
|
|
|
|
|
March 31,
|
|
|
December 31,
|
|
|
2023
|
|
|
2022
|
|
|
|
|
|
|
|
Assets
|
|
|
|
|
|
Current assets:
|
|
|
|
|
|
Cash and cash equivalents
|
$
|
291
|
|
|
|
$
|
3,604
|
|
|
Accounts receivable, net
|
|
627,076
|
|
|
|
|
641,611
|
|
|
Income taxes receivable
|
|
1,783
|
|
|
|
|
10,915
|
|
|
Prepaid expenses
|
|
10,937
|
|
|
|
|
11,067
|
|
|
Insurance recovery receivable
|
|
7,266
|
|
|
|
|
7,434
|
|
|
Other current assets
|
|
1,259
|
|
|
|
|
1,042
|
|
|
Total current assets
|
|
648,612
|
|
|
|
|
675,673
|
|
|
Property and equipment, net
|
|
23,082
|
|
|
|
|
19,662
|
|
|
Operating lease right-of-use assets
|
|
2,506
|
|
|
|
|
3,254
|
|
|
Goodwill
|
|
141,520
|
|
|
|
|
163,268
|
|
|
Other intangible assets, net
|
|
63,086
|
|
|
|
|
44,723
|
|
|
Non-current deferred tax assets
|
|
7,708
|
|
|
|
|
7,092
|
|
|
Non-current insurance recovery receivable
|
|
22,780
|
|
|
|
|
23,058
|
|
|
Other non-current assets
|
|
11,247
|
|
|
|
|
11,109
|
|
|
Total assets
|
$
|
920,541
|
|
|
|
$
|
947,839
|
|
|
|
|
|
|
|
|
Liabilities and Stockholders' Equity
|
|
|
|
|
|
Current liabilities:
|
|
|
|
|
|
Accounts payable and accrued expenses
|
$
|
176,881
|
|
|
|
$
|
185,507
|
|
|
Accrued compensation and benefits
|
|
69,684
|
|
|
|
|
72,605
|
|
|
Operating lease liabilities - current
|
|
3,584
|
|
|
|
|
4,132
|
|
|
Current portion of earnout liability
|
|
12,500
|
|
|
|
|
7,500
|
|
|
Other current liabilities
|
|
2,259
|
|
|
|
|
1,896
|
|
|
Total current liabilities
|
|
264,908
|
|
|
|
|
271,640
|
|
|
Non-current debt, less current portion
|
|
138,443
|
|
|
|
|
148,735
|
|
|
Operating lease liabilities - non-current
|
|
3,845
|
|
|
|
|
4,880
|
|
|
Non-current accrued claims
|
|
35,914
|
|
|
|
|
35,881
|
|
|
Non-current earnout liability
|
|
13,000
|
|
|
|
|
18,000
|
|
|
Uncertain tax positions - non-current
|
|
8,427
|
|
|
|
|
7,646
|
|
|
Other non-current liabilities
|
|
4,074
|
|
|
|
|
3,838
|
|
|
Total liabilities
|
|
468,611
|
|
|
|
|
490,620
|
|
|
|
|
|
|
|
|
Commitments and contingencies
|
|
|
|
|
|
|
|
|
|
|
|
Stockholders' equity:
|
|
|
|
|
|
Common stock
|
|
4
|
|
|
|
|
4
|
|
|
Additional paid-in capital
|
|
258,144
|
|
|
|
|
292,876
|
|
|
Accumulated other comprehensive loss
|
|
(1,380
|
)
|
|
|
|
(1,387
|
)
|
|
Retained earnings
|
|
195,162
|
|
|
|
|
165,726
|
|
|
Total stockholders' equity
|
|
451,930
|
|
|
|
|
457,219
|
|
|
Total liabilities and stockholders' equity
|
$
|
920,541
|
|
|
|
$
|
947,839
|
|
|
|
|
|
|
|
|
|
|
|
Cross Country Healthcare, Inc.
|
|
Segment Dataj
|
|
(Unaudited, amounts in thousands)
|
|
|
|
|
Three Months Ended
|
|
Year-over-Year
|
|
Sequential
|
|
|
March 31,
|
% of
|
|
March 31,
|
% of
|
|
December 31,
|
% of
|
|
% change
|
|
% change
|
|
|
2023
|
Total
|
|
2022
|
Total
|
|
2022
|
Total
|
|
Fav (Unfav)
|
|
Fav (Unfav)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue from services:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Nurse and Allied Staffing
|
$
|
582,302
|
|
94
|
%
|
|
$
|
765,580
|
97
|
%
|
|
$
|
591,090
|
94
|
%
|
|
(24
|
)%
|
|
(1
|
)%
|
|
Physician Staffing
|
|
40,405
|
|
6
|
%
|
|
|
23,152
|
3
|
%
|
|
|
37,128
|
6
|
%
|
|
75
|
%
|
|
9
|
%
|
|
|
$
|
622,707
|
|
100
|
%
|
|
$
|
788,732
|
100
|
%
|
|
$
|
628,218
|
100
|
%
|
|
(21
|
)%
|
|
(1
|
)%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Contribution income:k
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Nurse and Allied Staffing
|
$
|
67,169
|
|
|
|
$
|
110,101
|
|
|
$
|
69,941
|
|
|
(39
|
)%
|
|
(4
|
)%
|
|
Physician Staffing
|
|
1,724
|
|
|
|
|
1,765
|
|
|
|
1,686
|
|
|
(2
|
)%
|
|
2
|
%
|
|
|
|
68,893
|
|
|
|
|
111,866
|
|
|
|
71,627
|
|
|
(38
|
)%
|
|
(4
|
)%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Corporate overheadl
|
|
18,656
|
|
|
|
|
16,254
|
|
|
|
16,803
|
|
|
(15
|
)%
|
|
(11
|
)%
|
|
Depreciation and amortization
|
|
4,904
|
|
|
|
|
2,719
|
|
|
|
3,162
|
|
|
(80
|
)%
|
|
(55
|
)%
|
|
Restructuring costsc
|
|
429
|
|
|
|
|
480
|
|
|
|
2
|
|
|
11
|
%
|
|
NM
|
|
|
Legal settlement chargesd
|
|
1,125
|
|
|
|
|
—
|
|
|
|
—
|
|
|
(100
|
)%
|
|
(100
|
)%
|
|
Impairment chargese
|
|
—
|
|
|
|
|
1,741
|
|
|
|
—
|
|
|
100
|
%
|
|
—
|
%
|
|
Other costs
|
|
(18
|
)
|
|
|
|
40
|
|
|
|
196
|
|
|
145
|
%
|
|
109
|
%
|
|
Income from operations
|
$
|
43,797
|
|
|
|
$
|
90,632
|
|
|
$
|
51,464
|
|
|
(52
|
)%
|
|
(15
|
)%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other costs include acquisition and integration-related (benefits) costs.
|
|
NM-Not meaningful.
|
|
|
Cross Country Healthcare, Inc.
|
|
Summary Condensed Consolidated Statements of Cash Flows
|
|
(Unaudited, amounts in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
March 31,
|
|
|
March 31,
|
|
|
December 31,
|
|
|
2023
|
|
|
2022
|
|
|
2022
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) operating activities
|
$
|
46,865
|
|
|
|
$
|
(29,038
|
)
|
|
|
$
|
4,320
|
|
|
Net cash used in investing activities
|
|
(3,496
|
)
|
|
|
|
(2,096
|
)
|
|
|
|
(37,111
|
)
|
|
Net cash (used in) provided by financing activities
|
|
(46,681
|
)
|
|
|
|
31,308
|
|
|
|
|
6,075
|
|
|
Effect of exchange rate changes on cash
|
|
(1
|
)
|
|
|
|
(2
|
)
|
|
|
|
—
|
|
|
Change in cash and cash equivalents
|
|
(3,313
|
)
|
|
|
|
172
|
|
|
|
|
(26,716
|
)
|
|
Cash and cash equivalents at beginning of period
|
|
3,604
|
|
|
|
|
1,036
|
|
|
|
|
30,320
|
|
|
Cash and cash equivalents at end of period
|
$
|
291
|
|
|
|
$
|
1,208
|
|
|
|
$
|
3,604
|
|
|
|
|
|
|
|
|
|
|
|
Cross Country Healthcare, Inc.
|
|
Other Financial Data
|
|
(Unaudited)
|
|
|
|
|
Three Months Ended
|
|
|
March 31,
|
|
|
March 31,
|
|
|
December 31,
|
|
|
2023
|
|
|
2022
|
|
|
2022
|
|
|
|
|
|
|
|
|
|
|
Revenue from services
|
$
|
622,707
|
|
|
|
$
|
788,732
|
|
|
|
$
|
628,218
|
|
|
Less: Direct operating expenses
|
|
483,284
|
|
|
|
|
613,938
|
|
|
|
|
489,276
|
|
|
Gross profit
|
$
|
139,423
|
|
|
|
$
|
174,794
|
|
|
|
$
|
138,942
|
|
|
Consolidated gross profit marginm
|
|
22.4
|
%
|
|
|
|
22.2
|
%
|
|
|
|
22.1
|
%
|
|
|
|
|
|
|
|
|
|
|
Nurse and Allied Staffing statistical data:
|
|
|
|
|
|
|
|
|
FTEsn
|
|
12,518
|
|
|
|
|
13,454
|
|
|
|
|
12,447
|
|
|
Average Nurse and Allied Staffing revenue per FTE per dayo
|
$
|
513
|
|
|
|
$
|
628
|
|
|
|
$
|
510
|
|
|
|
|
|
|
|
|
|
|
|
Physician Staffing statistical data:
|
|
|
|
|
|
|
|
|
Days filledp
|
|
22,097
|
|
|
|
|
13,068
|
|
|
|
|
21,335
|
|
|
Revenue per day filledq
|
$
|
1,829
|
|
|
|
$
|
1,772
|
|
|
|
$
|
1,740
|
|
| (a) |
|
Adjusted EBITDA, a non-GAAP financial measure, is defined as net income (loss) attributable to common stockholders before interest expense, income tax expense (benefit),
depreciation and amortization, acquisition and integration-related (benefits) costs, restructuring (benefits) costs, legal settlements and fees, impairment charges, gain or loss on derivative, loss on early extinguishment of debt, gain
or loss on disposal of fixed assets, gain or loss on lease termination, gain or loss on sale of business, other expense (income), net, equity compensation, enterprise resource planning (ERP) system costs, and applicant tracking system
costs. Adjusted EBITDA is not and 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 net income attributable to
common stockholders as an indicator of operating performance. Management uses Adjusted EBITDA for planning purposes and as one performance measure in its incentive programs for certain members of its management team. Adjusted EBITDA, as
defined, closely matches the operating measure as defined by the Company's credit facilities. Adjusted EBITDA Margin is calculated by dividing Adjusted EBITDA by the Company's consolidated revenue.
|
|
(b)
|
|
Acquisition and integration-related (benefits) costs included costs for legal and advisory fees for the Mint Medical Physician Staffing, LP and Lotus Medical Staffing LLC
acquisition that closed in October 2022 and the HireUp Leadership Inc. acquisition that closed in December 2022.
|
|
(c)
|
|
Restructuring costs were primarily comprised of employee termination costs, lease-related exit costs, and reorganization costs as part of planned cost savings initiatives.
|
|
(d)
|
|
Legal settlements and fees included legal settlement charges as presented on the consolidated statements of operations, as well as legal fees pertaining to non-operational
legal matters outside the normal course of operations, which are included in selling, general and administrative expenses. For the three months ended March 31, 2023, the Company incurred $1.1 million, including legal fees, to settle a
wage and hour class action lawsuit.
|
|
(e)
|
|
Impairment charges for the three months ended March 31, 2022 were comprised of $1.7 million related to right-of-use assets and related property in connection with vacated
leases.
|
|
(f)
|
|
Loss on early extinguishment of debt for the three months ended December 31, 2022 consisted of a prepayment premium and the write-off of debt issuance costs related to the
optional prepayment on our term loan made in the fourth quarter of 2022.
|
|
(g)
|
|
The gain on lease termination for the three months ended December 31, 2022 was primarily a result of the early termination of the lease for one of the Company's corporate
offices, recognized in 2022.
|
|
(h)
|
|
System conversion costs include ERP system costs related to the upgrading and integrating of our middle and back-office platforms, with certain development costs
capitalized and amortized in accordance with the Company's policies, and applicant tracking system costs related to the Company's project to replace its legacy system supporting its travel nurse staffing business.
|
|
(i)
|
|
Adjusted EPS, a non-GAAP financial measure, is defined as net income (loss) attributable to common stockholders per diluted share before the diluted EPS impact of
acquisition and integration-related (benefits) costs, restructuring (benefits) costs, legal settlements and fees, impairment charges, gain or loss on derivative, loss on early extinguishment of debt, gain or loss on sale of business,
ERP system costs, applicant tracking system costs, and nonrecurring income tax adjustments. Adjusted EPS is not and should not be considered a measure of financial performance under GAAP. Management presents Adjusted EPS because it
believes that Adjusted EPS is a useful supplement to its reported EPS as an indicator of operating performance. Management believes it provides a more useful comparison of the Company's underlying business performance from period to
period and is more representative of the future earnings capacity of the Company. Quarterly non-GAAP adjustment may vary due to rounding.
|
|
(j)
|
|
Segment data is provided in accordance with the Segment Reporting Topic of the Financial Accounting Standards Board Accounting Standards Codification.
|
|
(k)
|
|
Contribution income is defined as income (loss) from operations before depreciation and amortization, acquisition and integration-related (benefits) costs, restructuring
(benefits) costs, legal settlement charges, impairment charges, and corporate overhead. Contribution income is a financial measure used by management when assessing segment performance.
|
|
(l)
|
|
Corporate overhead includes unallocated executive leadership and other centralized corporate functional support costs such as finance, IT, legal, human resources, and
marketing, as well as public company expenses and corporate-wide projects (initiatives).
|
|
(m)
|
|
Gross profit is defined as revenue from services less direct operating expenses. The Company's gross profit excludes allocated depreciation and amortization expense. Gross
profit margin is calculated by dividing gross profit by revenue from services.
|
|
(n)
|
|
FTEs represent the average number of Nurse and Allied Staffing contract personnel on a full-time equivalent basis.
|
|
(o)
|
|
Average revenue per FTE per day is calculated by dividing Nurse and Allied Staffing revenue, excluding permanent placement, per FTE by the number of days worked in the
respective periods.
|
|
(p)
|
|
Days filled is calculated by dividing the total hours invoiced during the period, including an estimate for the impact of accrued revenue, by 8 hours.
|
|
(q)
|
|
Revenue per day filled is calculated by dividing revenue as reported by days filled for the period presented.
|
