CCRN Cross Country Health

Cross Country Healthcare, Inc. (the “Company”) (Nasdaq: CCRN) today announced financial results for its first quarter ended March 31, 2024.

SELECTED FINANCIAL INFORMATION:

 

 

 

Variance

Variance

 

 

 

Q1 2024 vs

Q1 2024 vs

Dollars are in thousands, except per share amounts

Q1 2024

Q1 2023

Q4 2023

Revenue

$

379,174

 

 

(39)

%

 

(8)

%

Gross profit margin*

 

20.4

%

 

(200)

bps

 

(150)

bps

Net income attributable to common stockholders

$

2,692

 

 

(91)

%

 

(70)

%

Diluted EPS

$

0.08

 

$

(0.73)

 

$

(0.18)

 

Adjusted EBITDA*

$

15,282

 

 

(71)

%

 

(26)

%

Adjusted EBITDA margin*

 

4.0

%

 

(440)

bps

 

(100)

bps

Adjusted EPS*

$

0.19

 

$

(0.65)

 

$

(0.10)

 

Cash flows provided by operations

$

6,011

 

 

(87)

%

 

(50)

%

* Represents amounts that are not calculated in accordance with U.S. generally accepted accounting principles (GAAP) and are referred to as non-GAAP measures. Please refer to the accompanying discussion below of how these non-GAAP financial measures are calculated and used under “Non-GAAP Financial Measures” and tables reconciling these measures to the closest GAAP measure.

First Quarter Business Highlights

• Revenue, Adjusted EBITDA, and Adjusted EPS all within guidance ranges
• Physician Staffing and Homecare Staffing experienced year-over-year revenue growth
• No debt outstanding as of March 31, 2024
• Repurchased approximately 300,000 shares of common stock for $6.4 million

“Our first quarter results reflect our ability to execute in a challenging market. We are especially pleased with the momentum we are seeing in physician staffing, homecare, and education,” said John A. Martins, President and Chief Executive Officer of Cross Country Healthcare. He continued, “With near-term headwinds for contingent nursing labor, we continue to right-size our infrastructure while managing the business for the long-term. I am encouraged by the prospects for growth and improved profitability as we execute our strategy as a tech-enabled workforce solutions provider.”

First quarter consolidated revenue was $379.2 million, a decrease of 39% year-over-year and 8% sequentially. Consolidated gross profit margin was 20.4%, down 200 basis points year-over-year and 150 basis points sequentially. Net income attributable to common stockholders was $2.7 million compared to $29.4 million in the prior year and $9.0 million in the prior quarter. Diluted earnings per share (EPS) was $0.08 compared to $0.81 in the prior year and $0.26 in the prior quarter. Adjusted earnings before interest, taxes, depreciation, and amortization (EBITDA) was $15.3 million, or 4.0% of revenue, as compared with $52.1 million, or 8.4% of revenue, in the prior year, and $20.6 million, or 5.0% of revenue, in the prior quarter. Adjusted EPS was $0.19, compared to $0.84 in the prior year and $0.29 in the prior quarter.

Quarterly Business Segment Highlights

Nurse and Allied Staffing

Revenue was $332.2 million, a decrease of 43% year-over-year and 10% sequentially. Contribution income was $27.2 million, a decrease from $67.2 million year-over-year and $33.9 million sequentially. Average field contract personnel on a full-time equivalent (FTE) basis were 9,124 as compared with 12,518 in the prior year and 9,570 in the prior quarter. Revenue per FTE per day was $397 compared to $513 in the prior year and $414 in the prior quarter.

Physician Staffing

Revenue was $47.0 million, an increase of 16% year-over-year and flat sequentially. Contribution income was $3.1 million, an increase from $1.7 million year-over-year and $1.9 million sequentially. Total days filled were 23,785 as compared with 22,097 in the prior year and 23,578 in the prior quarter. Revenue per day filled was $1,976 as compared with $1,829 in the prior year and $1,988 in the prior quarter.

Cash Flow and Balance Sheet Highlights

Net cash provided by operating activities for the three months ended March 31, 2024 was $6.0 million, as compared to $46.9 million for the three months ended March 31, 2023 and $12.1 million for the three months ended December 31, 2023.

During the first quarter, the Company repurchased a total of 0.3 million shares of the Company’s common stock for an aggregate price of $6.4 million, at an average market price of $20.51 per share. As of March 31, 2024, the Company had 34.3 million unrestricted shares outstanding and $70.9 million remaining for share repurchase.

As of March 31, 2024, the Company had $5.2 million in cash and cash equivalents with no debt outstanding. There were no borrowings drawn under its revolving senior secured asset-based credit facility (ABL). As of March 31, 2024, borrowing base availability under the ABL was $200.1 million, with $186.3 million of availability net of $13.8 million of letters of credit.

Outlook for Second Quarter 2024

The guidance below applies to management’s expectations for the second quarter of 2024.

 

Q2 2024 Range

 

Year-over-Year

 

Sequential

Change

 

Change

 

 

 

 

 

 

Revenue

$330 million - $340 million

 

(39)% - (37)%

 

(13)% - (10)%

 

 

 

 

 

 

Adjusted EBITDA*

$10.0 million - $15.0 million

 

(77)% - (66)%

 

(35)% - (2)%

 

 

 

 

 

 

Adjusted EPS*

$0.10 - $0.20

 

$(0.59) - $(0.49)

 

$(0.09) - $0.01

* Refer to discussion of non-GAAP financial measures and reconciliation tables 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.

INVITATION TO CONFERENCE CALL

The Company will hold its quarterly conference call on Wednesday, May 1, 2024, at 5:00 P.M. Eastern Time to discuss its first quarter 2024 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 1st through May 15th on the Company’s website and a replay of the conference call will be available by telephone by calling 800-835-8067 from anywhere in the U.S. or 203-369-3354 from non-U.S. locations - Passcode: 5204.

ABOUT CROSS COUNTRY HEALTHCARE

Cross Country Healthcare, Inc. is a market-leading, tech-enabled workforce solutions and advisory firm with 38 years of industry experience and insight. We help clients tackle complex labor-related challenges and achieve high-quality outcomes, while reducing complexity and improving visibility through data-driven insights. Diversity, equality, and inclusion is at the heart of the organization’s overall corporate social responsibility program, and closely aligned with our 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 GAAP. Such non-GAAP financial measures are provided for consistency and comparability to prior year results; furthermore, management believes such non-GAAP financial measures are useful to investors when evaluating the Company’s performance, as such non-GAAP financial measures 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 2024 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, including data privacy and protection laws, social, ethical, and security issues relating to the use of artificial intelligence, 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, 2023, as filed and updated in our Quarterly Reports on Form 10-Q and other filings with the SEC. You should consult any further disclosures that 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,

 

2024

 

 

2023

 

 

2023

 

 

Revenue from services

$

379,174

 

 

 

$

622,707

 

 

 

$

414,035

 

Operating expenses:

 

 

 

 

 

 

 

Direct operating expenses

 

301,877

 

 

 

 

483,284

 

 

 

 

323,546

 

Selling, general and administrative expenses

 

63,252

 

 

 

 

84,260

 

 

 

 

67,566

 

Bad debt expense

 

1,290

 

 

 

 

4,908

 

 

 

 

4,165

 

Depreciation and amortization

 

4,642

 

 

 

 

4,904

 

 

 

 

4,471

 

Restructuring costs

 

938

 

 

 

 

429

 

 

 

 

863

 

Legal and other losses

 

3,650

 

 

 

 

1,125

 

 

 

 

—

 

Impairment charges

 

604

 

 

 

 

—

 

 

 

 

—

 

Total operating expenses

 

376,253

 

 

 

 

578,910

 

 

 

 

400,611

 

Income from operations

 

2,921

 

 

 

 

43,797

 

 

 

 

13,424

 

Other expenses (income):

 

 

 

 

 

 

 

Interest expense

 

462

 

 

 

 

3,690

 

 

 

 

586

 

Other income, net

 

(1,230

)

 

 

 

(12

)

 

 

 

(131

)

Income before income taxes

 

3,689

 

 

 

 

40,119

 

 

 

 

12,969

 

Income tax expense

 

997

 

 

 

 

10,683

 

 

 

 

3,931

 

Net income attributable to common stockholders

$

2,692

 

 

 

$

29,436

 

 

 

$

9,038

 

 

 

 

 

 

 

 

 

Net income per share attributable to common stockholders - Basic

$

0.08

 

 

 

$

0.82

 

 

 

$

0.26

 

 

 

 

 

 

 

 

 

Net income per share attributable to common stockholders - Diluted

$

0.08

 

 

 

$

0.81

 

 

 

$

0.26

 

 

 

 

 

 

 

 

 

Weighted average common shares outstanding:

 

 

 

 

 

 

 

Basic

 

34,216

 

 

 

 

35,864

 

 

 

 

34,481

 

Diluted

 

34,597

 

 

 

 

36,560

 

 

 

 

34,685

 

 

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,

 

2024

 

 

2023

 

 

2023

Adjusted EBITDA:a

 

 

 

 

 

 

 

Net income attributable to common stockholders

$

2,692

 

 

 

$

29,436

 

 

 

$

9,038

 

Interest expense

 

462

 

 

 

 

3,690

 

 

 

 

586

 

Income tax expense

 

997

 

 

 

 

10,683

 

 

 

 

3,931

 

Depreciation and amortization

 

4,642

 

 

 

 

4,904

 

 

 

 

4,471

 

Acquisition and integration-related benefits

 

—

 

 

 

 

(18

)

 

 

 

—

 

Restructuring costsb

 

938

 

 

 

 

429

 

 

 

 

863

 

Legal and other lossesc

 

3,650

 

 

 

 

1,125

 

 

 

 

—

 

Impairment chargesd

 

604

 

 

 

 

—

 

 

 

 

—

 

Loss on disposal of fixed assets

 

—

 

 

 

 

—

 

 

 

 

44

 

Loss on lease termination

 

—

 

 

 

 

8

 

 

 

 

—

 

Other income, net

 

(1,230

)

 

 

 

(20

)

 

 

 

(175

)

Equity compensation

 

1,198

 

 

 

 

1,775

 

 

 

 

1,166

 

System conversion costse

 

1,329

 

 

 

 

129

 

 

 

 

668

 

Adjusted EBITDAa

$

15,282

 

 

 

$

52,141

 

 

 

$

20,592

 

Adjusted EBITDA margina

 

4.0

%

 

 

 

8.4

%

 

 

 

5.0

%

 

 

 

 

 

 

 

 

Adjusted EPS:f

 

 

 

 

 

 

 

Numerator:

 

 

 

 

 

 

 

Net income attributable to common stockholders

$

2,692

 

 

 

$

29,436

 

 

 

$

9,038

 

Non-GAAP adjustments - pretax:

 

 

 

 

 

 

 

Acquisition and integration-related benefits

 

—

 

 

 

 

(18

)

 

 

 

—

 

Restructuring costsb

 

938

 

 

 

 

429

 

 

 

 

863

 

Legal and other lossesc

 

3,650

 

 

 

 

1,125

 

 

 

 

—

 

Impairment chargesd

 

604

 

 

 

 

—

 

 

 

 

—

 

Other income, net

 

(1,115

)

 

 

 

—

 

 

 

 

—

 

System conversion costse

 

1,329

 

 

 

 

129

 

 

 

 

668

 

Tax impact of non-GAAP adjustments

 

(1,405

)

 

 

 

(427

)

 

 

 

(400

)

Adjusted net income attributable to common stockholders - non-GAAP

$

6,693

 

 

 

$

30,674

 

 

 

$

10,169

 

 

 

 

 

 

 

 

 

Denominator:

 

 

 

 

 

 

 

Weighted average common shares - basic, GAAP

 

34,216

 

 

 

 

35,864

 

 

 

 

34,481

 

Dilutive impact of share-based payments

 

381

 

 

 

 

696

 

 

 

 

204

 

Adjusted weighted average common shares - diluted, non-GAAP

 

34,597

 

 

 

 

36,560

 

 

 

 

34,685

 

 

 

 

 

 

 

 

 

Reconciliation:

 

 

 

 

 

 

 

Diluted EPS, GAAP

$

0.08

 

 

 

$

0.81

 

 

 

$

0.26

 

Non-GAAP adjustments - pretax:

 

 

 

 

 

 

 

Restructuring costsb

 

0.02

 

 

 

 

0.01

 

 

 

 

0.02

 

Legal and other lossesc

 

0.10

 

 

 

 

0.03

 

 

 

 

—

 

Impairment chargesd

 

0.02

 

 

 

 

—

 

 

 

 

—

 

Other income, net

 

(0.03

)

 

 

 

—

 

 

 

 

—

 

System conversion costse

 

0.04

 

 

 

 

—

 

 

 

 

0.03

 

Tax impact of non-GAAP adjustments

 

(0.04

)

 

 

 

(0.01

)

 

 

 

(0.02

)

Adjusted EPS, non-GAAPf

$

0.19

 

 

 

$

0.84

 

 

 

$

0.29

 

 

Cross Country Healthcare, Inc.

Consolidated Balance Sheets

(Unaudited, amounts in thousands)

 

 

March 31,

 

 

December 31,

 

2024

 

 

2023

 

 

 

 

 

Assets

 

 

 

 

Current assets:

 

 

 

 

Cash and cash equivalents

$

5,242

 

 

 

$

17,094

 

Accounts receivable, net

 

357,458

 

 

 

 

372,352

 

Income taxes receivable

 

6,326

 

 

 

 

6,898

 

Prepaid expenses

 

7,616

 

 

 

 

7,681

 

Insurance recovery receivable

 

8,815

 

 

 

 

9,097

 

Other current assets

 

1,861

 

 

 

 

2,031

 

Total current assets

 

387,318

 

 

 

 

415,153

 

Property and equipment, net

 

28,200

 

 

 

 

27,339

 

Operating lease right-of-use assets

 

1,831

 

 

 

 

2,599

 

Goodwill

 

135,430

 

 

 

 

135,430

 

Other intangible assets, net

 

51,742

 

 

 

 

54,468

 

Deferred tax assets

 

6,805

 

 

 

 

5,954

 

Insurance recovery receivable

 

23,120

 

 

 

 

25,714

 

Cloud computing

 

7,209

 

 

 

 

5,987

 

Other assets

 

6,784

 

 

 

 

6,673

 

Total assets

$

648,439

 

 

 

$

679,317

 

 

 

 

 

 

Liabilities and Stockholders’ Equity

 

 

 

 

Current liabilities:

 

 

 

 

Accounts payable and accrued expenses

$

68,921

 

 

 

$

85,333

 

Accrued compensation and benefits

 

51,606

 

 

 

 

52,297

 

Operating lease liabilities

 

2,362

 

 

 

 

2,604

 

Earnout liability

 

4,100

 

 

 

 

6,794

 

Other current liabilities

 

1,453

 

 

 

 

1,559

 

Total current liabilities

 

128,442

 

 

 

 

148,587

 

Operating lease liabilities

 

2,130

 

 

 

 

2,663

 

Accrued claims

 

34,299

 

 

 

 

34,853

 

Earnout liability

 

—

 

 

 

 

5,000

 

Uncertain tax positions

 

11,339

 

 

 

 

10,603

 

Other liabilities

 

4,039

 

 

 

 

4,218

 

Total liabilities

 

180,249

 

 

 

 

205,924

 

 

 

 

 

 

Commitments and contingencies

 

 

 

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

Common stock

 

4

 

 

 

 

4

 

Additional paid-in capital

 

228,525

 

 

 

 

236,417

 

Accumulated other comprehensive loss

 

(1,388

)

 

 

 

(1,385

)

Retained earnings

 

241,049

 

 

 

 

238,357

 

Total stockholders’ equity

 

468,190

 

 

 

 

473,393

 

Total liabilities and stockholders’ equity

$

648,439

 

 

 

$

679,317

 

Cross Country Healthcare, Inc.

Segment Datag

(Unaudited, amounts in thousands)

 

 

Three Months Ended

 

Year-over-Year

 

Sequential

 

March 31,

% of

 

March 31,

% of

 

December 31,

% of

 

% change

 

% change

 

2024

Total

 

2023

Total

 

2023

Total

 

Fav (Unfav)

 

Fav (Unfav)

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue from services:

 

 

 

 

 

 

 

 

 

 

 

 

Nurse and Allied Staffing

$

332,186

88

%

 

$

582,302

 

94

%

 

$

367,155

89

%

 

(43

)%

 

(10

)%

Physician Staffing

 

46,988

12

%

 

 

40,405

 

6

%

 

 

46,880

11

%

 

16

%

 

—

%

 

$

379,174

100

%

 

$

622,707

 

100

%

 

$

414,035

100

%

 

(39

)%

 

(8

)%

 

 

 

 

 

 

 

 

 

 

 

 

 

Contribution income:h

 

 

 

 

 

 

 

 

 

 

 

 

Nurse and Allied Staffing

$

27,183

 

 

$

67,169

 

 

 

$

33,901

 

 

(60

)%

 

(20

)%

Physician Staffing

 

3,138

 

 

 

1,724

 

 

 

 

1,947

 

 

82

%

 

61

%

 

 

30,321

 

 

 

68,893

 

 

 

 

35,848

 

 

(56

)%

 

(15

)%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate overheadi

 

17,566

 

 

 

18,656

 

 

 

 

17,090

 

 

6

%

 

(3

)%

Depreciation and amortization

 

4,642

 

 

 

4,904

 

 

 

 

4,471

 

 

5

%

 

(4

)%

Restructuring costsb

 

938

 

 

 

429

 

 

 

 

863

 

 

(119

)%

 

(9

)%

Legal and other lossesc

 

3,650

 

 

 

1,125

 

 

 

 

—

 

 

(224

)%

 

(100

)%

Impairment chargesd

 

604

 

 

 

—

 

 

 

 

—

 

 

(100

)%

 

(100

)%

Other benefits

 

—

 

 

 

(18

)

 

 

 

—

 

 

(100

)%

 

—

%

Income from operations

$

2,921

 

 

$

43,797

 

 

 

$

13,424

 

 

(93

)%

 

(78

)%

 

 

 

 

 

 

 

 

 

 

 

 

 

Other benefits include acquisition and integration-related benefits.

 

Cross Country Healthcare, Inc.

Summary Condensed Consolidated Statements of Cash Flows

(Unaudited, amounts in thousands)

 

 

 

 

 

 

 

 

 

Three Months Ended

 

March 31,

 

 

March 31,

 

 

December 31,

 

2024

 

 

2023

 

 

2023

 

 

 

 

 

 

 

 

Net cash provided by operating activities

$

6,011

 

 

 

$

46,865

 

 

 

$

12,074

 

Net cash used in investing activities

 

(2,210

)

 

 

 

(3,496

)

 

 

 

(2,875

)

Net cash used in financing activities

 

(15,653

)

 

 

 

(46,681

)

 

 

 

(6,416

)

Effect of exchange rate changes on cash

 

—

 

 

 

 

(1

)

 

 

 

10

 

Change in cash and cash equivalents

 

(11,852

)

 

 

 

(3,313

)

 

 

 

2,793

 

Cash and cash equivalents at beginning of period

 

17,094

 

 

 

 

3,604

 

 

 

 

14,301

 

Cash and cash equivalents at end of period

$

5,242

 

 

 

$

291

 

 

 

$

17,094

 

 

 

 

 

 

 

 

 

Cross Country Healthcare, Inc.

Other Financial Data

(Unaudited)

 

 

Three Months Ended

 

March 31,

 

 

March 31,

 

 

December 31,

 

2024

 

 

2023

 

 

2023

 

 

 

 

 

 

 

 

Revenue from services

$

379,174

 

 

 

$

622,707

 

 

 

$

414,035

 

Less: Direct operating expenses

 

301,877

 

 

 

 

483,284

 

 

 

 

323,546

 

Gross profit

$

77,297

 

 

 

$

139,423

 

 

 

$

90,489

 

Consolidated gross profit marginj

 

20.4

%

 

 

 

22.4

%

 

 

 

21.9

%

 

 

 

 

 

 

 

 

Nurse and Allied Staffing statistical data:

 

 

 

 

 

 

 

FTEsk

 

9,124

 

 

 

 

12,518

 

 

 

 

9,570

 

Average Nurse and Allied Staffing revenue per FTE per dayl

$

397

 

 

 

$

513

 

 

 

$

414

 

 

 

 

 

 

 

 

 

Physician Staffing statistical data:

 

 

 

 

 

 

 

Days filledm

 

23,785

 

 

 

 

22,097

 

 

 

 

23,578

 

Revenue per day filledn

$

1,976

 

 

 

$

1,829

 

 

 

$

1,988

 

(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 and other losses, 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, and system conversion 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)

Restructuring costs were primarily comprised of employee termination costs, lease-related exit costs, and reorganization costs as part of planned cost savings initiatives.

(c)

Includes legal costs and other settlement charges as presented on the consolidated statements of operations, as well as losses pertaining to matters outside the normal course of operations.

(d)

Impairment charges of $0.6 million for the three months ended March 31, 2024 were related to right-of-use assets and related property in connection with vacated leases in the first quarter of 2024.

(e)

System conversion costs include enterprise resource planning 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.

(f)

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 and other losses, impairment charges, gain or loss on derivative, loss on early extinguishment of debt, gain or loss on sale of business, system conversion 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 Adjusted EPS 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 than EPS. Quarterly non-GAAP adjustment may vary due to rounding.

(g)

Segment data is provided in accordance with the Segment Reporting Topic of the Financial Accounting Standards Board Accounting Standards Codification.

(h)

Contribution income is defined as income (loss) from operations before depreciation and amortization, acquisition and integration-related (benefits) costs, restructuring (benefits) costs, legal and other losses, impairment charges, and corporate overhead. Contribution income is a financial measure used by management when assessing segment performance.

(i)

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 Company-wide projects (initiatives).

(j)

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.

(k)

FTEs represent the average number of Nurse and Allied Staffing contract personnel on a full-time equivalent basis.

(l)

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.

(m)

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.

(n)

Revenue per day filled is calculated by dividing revenue as reported by days filled for the period presented.

 

View source version on businesswire.com: https://www.businesswire.com/news/home/20240430440141/en/

Cross Country Healthcare, Inc. William J. Burns, Executive Vice President & Chief Financial Officer 561-237-2555 wburns@crosscountry.com