Home Health Cross Country Healthcare Announces Second Quarter 2020 Financial Results

Cross Country Healthcare Announces Second Quarter 2020 Financial Results

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Cross Country Healthcare Announces Second Quarter 2020 Financial Results

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BOCA RATON, Fla.–()–Cross Country Healthcare, Inc. (the “Company”) (Nasdaq: CCRN) today announced financial results for its second quarter ended June 30, 2020.

SELECTED FINANCIAL INFORMATION:

 

 

 

Variance

Variance

 

 

 

Q2 2020 vs

Q2 2020 vs

Dollars are in thousands, except per share amounts

Q2 2020

Q2 2019

Q1 2020

Revenue

$

216,779

 

 

7

 

%

3

 

%

Gross profit margin*

23.4

 

%

(200

)

bps

(20

)

bps

Net loss attributable to common shareholders

$

(14,151

)

 

73

 

%

(577

)

%

Diluted EPS

$

(0.39

)

 

$

1.05

 

 

$

(0.33

)

 

Adjusted EBITDA*

$

11,612

 

 

84

 

%

152

 

%

Adjusted EPS*

$

0.16

 

 

$

0.15

 

 

$

0.17

 

 

Cash flows provided by operations

$

16,569

 

 

34

 

%

(3

)

%

* Refer to accompanying tables and discussion of Non-GAAP financial measures below.

“Our second quarter results reflect Cross Country’s position as a leader in the market, as well as strong execution in filling an unprecedented level of demand from clients responding to COVID-19,” said Kevin C. Clark, Co-Founder and Chief Executive Officer. He continued, “We are continuing to adapt to rapid changes in demand across our industry, and we are committed to achieving our long-term goal for growth and improved profitability.”

Second quarter consolidated revenue was $216.8 million, an increase of 7% year-over-year and 3% sequentially. Consolidated gross profit margin was 23.4%, down 200 basis points year-over-year and down 20 basis points sequentially. Net loss attributable to common shareholders was $14.2 million compared to $51.7 million in the prior year and $2.1 million in the prior quarter. Diluted EPS was a loss of $0.39 per share compared to losses of $1.44 per share in the prior year and $0.06 per share in the prior quarter. Adjusted EBITDA was $11.6 million or 5.4% of revenue, as compared with $6.3 million or 3.1% of revenue in the prior year, and $4.6 million or 2.2% of revenue in the prior quarter. Adjusted EPS was $0.16 compared to $0.01 in the prior year and a loss of $0.01 in the prior quarter.

The three and six months ended June 30, 2020 included non-cash impairment charges of $15.0 million, which was comprised of $10.5 million related to goodwill and customer relationships for the Search business and $4.5 million related to right-of-use assets and related property and equipment in connection with leases that were vacated during the quarter.

For the six months ended June 30, 2020, consolidated revenue was $426.8 million, an increase of 7% year-over-year. Consolidated gross profit margin was 23.5%, down 160 basis points year-over-year. Net loss attributable to common shareholders was $16.2 million, or $0.45 per diluted share, compared to a loss of $53.4 million, or $1.49 per diluted share, in the prior year. Adjusted EBITDA was $16.2 million or 3.8% of revenue, as compared with $9.9 million or 2.5% of revenue in the prior year. Adjusted EPS was $0.15 compared to $0.03 in the prior year.

Quarterly Business Segment Highlights

Nurse and Allied Staffing

Revenue from Nurse and Allied Staffing was $198.1 million, an increase of 10% year-over-year and 5% sequentially. Contribution income was $20.6 million, an increase compared to $16.1 million in the prior year and $14.2 million in the prior quarter. Average field FTEs were 5,801 as compared with 7,016 in the prior year and 7,145 in the prior quarter. Revenue per FTE per day was $375 compared to $283 in the prior year and $290 in the prior quarter.

Physician Staffing

Revenue from Physician Staffing was $16.9 million, a decrease of 6% year-over-year and 7% sequentially. Contribution income was $1.2 million, an increase compared to $0.5 in the prior year and $0.6 million in the prior quarter. Total days filled were 9,195 as compared with 10,754 in the prior year and 10,199 in the prior quarter. Revenue per day filled was $1,835 as compared with $1,676 in the prior year and $1,783 in the prior quarter.

Search

Revenue from Search was $1.8 million, a decrease of 54% year-over-year and 50% sequentially. Contribution loss was $1.1 million, compared to losses of $0.2 million in the prior year and $0.3 million in the prior quarter.

Cash Flow and Balance Sheet Highlights

Cash flow generated from operations for the quarter was $16.6 million compared to $12.4 million generated in the prior year and $17.2 million generated in the prior quarter, driven by strong cash collections. For the six months ended June 30, 2020, cash flow from operations was $33.7 million, compared to $25.1 in the prior year.

On June 30, 2020, the Company amended its ABL Loan Agreement (ABL), which increased the current aggregate committed size of the ABL from $120.0 million to $130.0 million. As of June 30, 2020, the Company had $6.2 million in cash and cash equivalents, $49.1 million of borrowings drawn under its ABL, and $19.6 million of letters of credit outstanding. Availability under the ABL is subject to a borrowing base, which was $130.0 million as of June 30, 2020.

Outlook for Third Quarter 2020

The guidance below applies to management’s expectations for the third quarter of 2020.

 

Q3 2020 Range

 

Year-over-Year

 

Sequential

Change

 

Change

 

 

 

 

 

 

Revenue

$170 million – $180 million

 

(19)% – (14)%

 

(22)% – (17)%

 

 

 

 

 

 

Gross Profit Margin

23.8% – 24.3%

 

(60) bps – (10) bps

 

40 bps – 90 bps

 

 

 

 

 

 

Adjusted EBITDA

$4.0 million – $6.0 million

 

(45)% – (17)%

 

(66)% – (48)%

 

 

 

 

 

 

Adjusted EPS

$(0.06) – $(0.02)

 

$(0.11) – $(0.07)

 

$(0.22) – $(0.18)

The Company continues to assess the impacts from COVID-19 on its operations, which were significant in the second quarter, and are expected to continue into the third quarter. As a result of the volatility and uncertainty from the pandemic, the Company has decided to widen the guidance ranges for the third quarter. Though the Company does not provide full year guidance, management expects to see sequential improvement in Revenue and Adjusted EBITDA for the fourth quarter, given the most recent trend in demand.

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 share repurchases. The guidance also reflects the impacts from certain cost actions the Company has identified, and actual results may differ depending on timing and further actions it may take. See accompanying Non-GAAP financial measures and tables below.

INVITATION TO CONFERENCE CALL

The Company will hold its quarterly conference call on Wednesday, August 5, 2020, at 5:00 P.M. Eastern Time to discuss its second quarter 2020 financial results. This call will be webcast live and can be accessed at the Company’s website at www.crosscountryhealthcare.com or by dialing 888-566-1099 from anywhere in the U.S. or by dialing 773-799-3716 from non-U.S. locations – Passcode: Cross Country. A replay of the webcast will be available from August 5th through August 20th at the Company’s website and a replay of the conference call will be available by telephone by calling 866-486-4654 from anywhere in the U.S. or 203-369-1642 from non-U.S. locations – Passcode: 2020.

ABOUT CROSS COUNTRY HEALTHCARE

Cross Country Healthcare, Inc. (CCH) is a leader in providing total talent management including strategic workforce solutions, contingent staffing, permanent placement and other consultative services for healthcare clients. Leveraging nearly 35 years of expertise and insight, CCH solves complex labor-related challenges for clients while providing high-quality outcomes and exceptional patient care. As a multi-year Best of Staffing® Award winner, CCH is committed to excellence in delivery of its services and was the first public company to earn The Joint Commission Gold Seal of Approval® for Health Care Staffing Services Certification with Distinction.

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 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 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 “could”, 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, but are not limited to, the following: the potential impacts of the COVID-19 pandemic on our business, financial condition, and results of operations, 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, 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 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 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 Companys Annual Report on Form 10-K for the year ended December 31, 2019, and our other Securities and Exchange Commission filings. You should consult any further disclosures the Company makes on related subjects in its filings with the Securities and Exchange Commission.

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 managements 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

 

Six Months Ended

 

June 30,

 

June 30,

 

March 31,

 

June 30,

 

June 30,

 

2020

 

2019

 

2020

 

2020

 

2019

 

 

 

 

 

 

Revenue from services

$

216,779

 

 

$

202,757

 

 

$

210,064

 

 

$

426,843

 

 

$

397,928

 

Operating expenses:

 

 

 

 

 

 

 

 

 

Direct operating expenses

166,045

 

 

151,169

 

 

160,461

 

 

326,506

 

 

298,086

 

Selling, general and administrative expenses

42,254

 

 

45,944

 

 

45,881

 

 

88,135

 

 

91,980

 

Bad debt expense

898

 

 

645

 

 

539

 

 

1,437

 

 

915

 

Depreciation and amortization

3,929

 

 

3,557

 

 

3,296

 

 

7,225

 

 

6,541

 

Acquisition and integration-related costs

 

 

299

 

 

77

 

 

77

 

 

811

 

Restructuring costs

2,330

 

 

137

 

 

564

 

 

2,894

 

 

1,277

 

Legal settlement charges

 

 

1,600

 

 

 

 

 

 

1,600

 

Impairment charges

15,011

 

 

14,502

 

 

 

 

15,011

 

 

14,502

 

Total operating expenses

230,467

 

 

217,853

 

 

210,818

 

 

441,285

 

 

415,712

 

Loss from operations

(13,688

)

 

(15,096

)

 

(754

)

 

(14,442

)

 

(17,784

)

Other expenses (income):

 

 

 

 

 

 

 

 

 

Interest expense

744

 

 

1,438

 

 

867

 

 

1,611

 

 

2,860

 

Loss on early extinguishment of debt

 

 

54

 

 

 

 

 

 

414

 

Other income, net

(5

)

 

(76

)

 

(31

)

 

(36

)

 

(158

)

Loss before income taxes

(14,427

)

 

(16,512

)

 

(1,590

)

 

(16,017

)

 

(20,900

)

Income tax (benefit) expense

(379

)

 

34,758

 

 

178

 

 

(201

)

 

31,746

 

Consolidated net loss

(14,048

)

 

(51,270

)

 

(1,768

)

 

(15,816

)

 

(52,646

)

Less: Net income attributable to noncontrolling interest in subsidiary

103

 

 

404

 

 

321

 

 

424

 

 

795

 

Net loss attributable to common shareholders

$

(14,151

)

 

$

(51,674

)

 

$

(2,089

)

 

$

(16,240

)

 

$

(53,441

)

 

 

 

 

 

 

 

 

 

 

Net loss per share attributable to common shareholders – Basic and Diluted

$

(0.39

)

 

$

(1.44

)

 

$

(0.06

)

 

$

(0.45

)

 

$

(1.49

)

 

 

 

 

 

 

 

 

 

 

Weighted average common shares outstanding:

 

 

 

 

 

 

 

 

 

Basic and Diluted

36,123

 

 

35,824

 

 

35,873

 

 

35,998

 

 

35,763

 

 

 

 

 

 

 

 

 

 

 

 

Cross Country Healthcare, Inc.

Reconciliation of Non-GAAP Financial Measures

(Unaudited, amounts in thousands, except per share data)

 

 

Three Months Ended

 

Six Months Ended

 

June 30,

 

June 30,

 

March 31,

 

June 30,

 

June 30,

 

2020

 

2019

 

2020

 

2020

 

2019

Adjusted EBITDA: (a)

 

 

 

 

 

 

 

 

 

Net loss attributable to common shareholders

$

(14,151

)

 

$

(51,674

)

 

$

(2,089

)

 

$

(16,240

)

 

$

(53,441

)

Interest expense

744

 

 

1,438

 

 

867

 

 

1,611

 

 

2,860

 

Income tax (benefit) expense

(379

)

 

34,758

 

 

178

 

 

(201

)

 

31,746

 

Depreciation and amortization

3,929

 

 

3,557

 

 

3,296

 

 

7,225

 

 

6,541

 

Acquisition and integration-related costs (b)

 

 

299

 

 

77

 

 

77

 

 

811

 

Restructuring costs (c)

2,330

 

 

137

 

 

564

 

 

2,894

 

 

1,277

 

Legal settlements and fees (d)

1,561

 

 

1,600

 

 

 

 

1,561

 

 

1,600

 

Impairment charges (e)

15,011

 

 

14,502

 

 

 

 

15,011

 

 

14,502

 

Loss on early extinguishment of debt (f)

 

 

54

 

 

 

 

 

 

414

 

Other income, net

(5

)

 

(76

)

 

(31

)

 

(36

)

 

(158

)

Equity compensation

2,072

 

 

1,004

 

 

927

 

 

2,999

 

 

1,535

 

Applicant tracking system costs (g)

397

 

 

315

 

 

502

 

 

899

 

 

1,449

 

Net income attributable to noncontrolling interest in subsidiary

103

 

 

404

 

 

321

 

 

424

 

 

795

 

Adjusted EBITDA (a)

$

11,612

 

 

$

6,318

 

 

$

4,612

 

 

$

16,224

 

 

$

9,931

 

 

 

 

 

 

 

 

 

 

 

Adjusted EPS: (h)

 

 

 

 

 

 

 

 

 

Numerator:

 

 

 

 

 

 

 

 

 

Net loss attributable to common shareholders

$

(14,151

)

 

$

(51,674

)

 

$

(2,089

)

 

$

(16,240

)

 

$

(53,441

)

Non-GAAP adjustments – pretax:

 

 

 

 

 

 

 

 

 

Acquisition and integration-related costs (b)

 

 

299

 

 

77

 

 

77

 

 

811

 

Restructuring costs (c)

2,330

 

 

137

 

 

564

 

 

2,894

 

 

1,277

 

Legal settlements and fees (d)

1,561

 

 

1,600

 

 

 

 

1,561

 

 

1,600

 

Impairment charges (excluding rebranding impacts) (e)

15,011

 

 

 

 

 

 

15,011

 

 

 

Rebranding impairments and accelerated amortization (e)

1,406

 

 

15,106

 

 

731

 

 

2,137

 

 

15,106

 

Loss on early extinguishment of debt (f)

 

 

54

 

 

 

 

 

 

414

 

Applicant tracking system costs (g)

397

 

 

315

 

 

502

 

 

899

 

 

1,449

 

Nonrecurring income tax adjustments

313

 

 

35,675

 

 

 

 

313

 

 

35,675

 

Tax impact of non-GAAP adjustments

(958

)

 

(1,151

)

 

(12

)

 

(970

)

 

(1,985

)

Adjusted net income (loss) attributable to common shareholders – non-GAAP

$

5,909

 

 

$

361

 

 

$

(227

)

 

$

5,682

 

 

$

906

 

 

 

 

 

 

 

 

 

 

 

Denominator:

 

 

 

 

 

 

 

 

 

Weighted average common shares – basic, GAAP

36,123

 

 

35,824

 

 

35,873

 

 

35,998

 

 

35,763

 

Dilutive impact of share-based payments (i)

76

 

 

117

 

 

455

 

 

265

 

 

107

 

Adjusted weighted average common shares – diluted, non-GAAP

36,199

 

 

35,941

 

 

36,328

 

 

36,263

 

 

35,870

 

 

 

 

 

 

 

 

 

 

 

Reconciliation:

 

 

 

 

 

 

 

 

 

Diluted EPS, GAAP

$

(0.39

)

 

$

(1.44

)

 

$

(0.06

)

 

$

(0.45

)

 

$

(1.49

)

Non-GAAP adjustments – pretax:

 

 

 

 

 

 

 

 

 

Acquisition and integration-related costs (b)

 

 

0.01

 

 

 

 

 

 

0.03

 

Restructuring costs (c)

0.06

 

 

 

 

0.02

 

 

0.08

 

 

0.03

 

Legal settlements and fees (d)

0.04

 

 

0.05

 

 

 

 

0.04

 

 

0.05

 

Impairment charges (excluding rebranding impacts) (e)

0.42

 

 

 

 

 

 

0.42

 

 

 

Rebranding impairments and accelerated amortization (e)

0.04

 

 

0.42

 

 

0.02

 

 

0.06

 

 

0.42

 

Loss on early extinguishment of debt (f)

 

 

 

 

 

 

 

 

0.01

 

Applicant tracking system costs (g)

0.01

 

 

0.01

 

 

0.01

 

 

0.02

 

 

0.04

 

Nonrecurring income tax adjustments

0.01

 

 

0.99

 

 

 

 

0.01

 

 

0.99

 

Tax impact of non-GAAP adjustments

(0.03

)

 

(0.03

)

 

 

 

(0.03

)

 

(0.05

)

Adjusted EPS, non-GAAP (h)

$

0.16

 

 

$

0.01

 

 

$

(0.01

)

 

$

0.15

 

 

$

0.03

 

 
 

Cross Country Healthcare, Inc.

Consolidated Balance Sheets

(Unaudited, amounts in thousands)

 

 

June 30,

 

December 31,

 

2020

 

2019

 

 

 

 

Assets

 

 

 

Current assets:

 

 

 

Cash and cash equivalents

$

6,234

 

 

$

1,032

 

Accounts receivable, net

156,104

 

 

169,528

 

Prepaid expenses

5,275

 

 

6,097

 

Insurance recovery receivable

4,954

 

 

5,011

 

Other current assets

1,985

 

 

1,689

 

Total current assets

174,552

 

 

183,357

 

Property and equipment, net

11,960

 

 

11,832

 

Operating lease right-of-use assets

11,553

 

 

16,964

 

Goodwill

90,924

 

 

101,066

 

Trade names, indefinite-lived

5,900

 

 

5,900

 

Other intangible assets, net

39,001

 

 

44,957

 

Other non-current assets

18,311

 

 

18,298

 

Total assets

$

352,201

 

 

$

382,374

 

 

 

 

 

Liabilities and Stockholders’ Equity

 

 

 

Current liabilities:

 

 

 

Accounts payable and accrued expenses

$

54,183

 

 

$

45,726

 

Accrued employee compensation and benefits

36,274

 

 

31,307

 

Operating lease liabilities – current

4,883

 

 

4,878

 

Other current liabilities

3,441

 

 

3,554

 

Total current liabilities

98,781

 

 

85,465

 

Revolving credit facility

49,101

 

 

70,974

 

Operating lease liabilities – non-current

16,757

 

 

19,070

 

Non-current deferred tax liabilities

6,860

 

 

7,523

 

Long-term accrued claims

25,042

 

 

26,938

 

Contingent consideration

 

 

4,867

 

Other long-term liabilities

6,586

 

 

4,037

 

Total liabilities

203,127

 

 

218,874

 

 

 

 

 

Commitments and contingencies

 

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

Common stock

4

 

 

4

 

Additional paid-in capital

307,985

 

 

305,643

 

Accumulated other comprehensive loss

(1,327

)

 

(1,240

)

Accumulated deficit

(158,015

)

 

(141,775

)

Total Cross Country Healthcare, Inc. stockholders’ equity

148,647

 

 

162,632

 

Noncontrolling interest in subsidiary

427

 

 

868

 

Total stockholders’ equity

149,074

 

 

163,500

 

Total liabilities and stockholders’ equity

$

352,201

 

 

$

382,374

 

 
 

Cross Country Healthcare, Inc.

Segment Data (j)

(Unaudited, amounts in thousands)

 

 

Three Months Ended

 

Year-over-Year

 

Sequential

 

June 30,

% of

 

June 30,

% of

 

March 31,

% of

 

% change

 

% change

 

2020

Total

 

2019

Total

 

2020

Total

 

Fav (Unfav)

 

Fav (Unfav)

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue from services:

 

 

 

 

 

 

 

 

 

 

 

 

Nurse and Allied Staffing

$

198,098

 

91

%

 

$

180,787

 

89

%

 

$

188,233

 

89

%

 

10

%

 

5

%

Physician Staffing

16,872

 

8

%

 

18,028

 

9

%

 

18,181

 

9

%

 

(6

)%

 

(7

)%

Search

1,809

 

1

%

 

3,942

 

2

%

 

3,650

 

2

%

 

(54

)%

 

(50

)%

 

$

216,779

 

100

%

 

$

202,757

 

100

%

 

$

210,064

 

100

%

 

7

%

 

3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

Contribution income (loss): (k)

 

 

 

 

 

 

 

 

 

 

 

 

Nurse and Allied Staffing

$

20,638

 

 

 

$

16,111

 

 

 

$

14,157

 

 

 

28

%

 

46

%

Physician Staffing

1,219

 

 

 

508

 

 

 

631

 

 

 

140

%

 

93

%

Search

(1,051

 

 

(181

 

 

(335

 

 

(481

)%

 

(214

)%

 

20,806

 

 

 

16,438

 

 

 

14,453

 

 

 

27

%

 

44

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate overhead (l)

13,224

 

 

 

11,439

 

 

 

11,270

 

 

 

(16

)%

 

(17

)%

Depreciation and amortization

3,929

 

 

 

3,557

 

 

 

3,296

 

 

 

(10

)%

 

(19

)%

Acquisition and integration-related costs (b)

 

 

 

299

 

 

 

77

 

 

 

100

%

 

100

%

Restructuring costs (c)

2,330

 

 

 

137

 

 

 

564

 

 

 

NM

 

 

(313

)%

Legal settlement charges (d)

 

 

 

1,600

 

 

 

 

 

 

100

%

 

%

Impairment charges (e)

15,011

 

 

 

14,502

 

 

 

 

 

 

(4

)%

 

(100

)%

Loss from operations

$

(13,688

 

 

$

(15,096

 

 

$

(754

)

 

 

9

%

 

NM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Six Months Ended

 

 

 

Year-over-Year

 

 

 

June 30,

% of

 

June 30,

% of

 

 

 

% change

 

 

 

2020

Total

 

2019

Total

 

 

Fav (Unfav)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue from services:

 

 

 

 

 

 

 

 

 

 

 

 

Nurse and Allied Staffing

$

386,331

 

91

%

 

$

356,424

 

89

%

 

 

 

 

8

%

 

 

Physician Staffing

35,053

 

8

%

 

34,187

 

9

%

 

 

 

 

3

%

 

 

Search

5,459

 

1

%

 

7,317

 

2

%

 

 

 

 

(25

)%

 

 

 

$

426,843

 

100

%

 

$

397,928

 

100

%

 

 

 

 

7

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contribution income (loss): (k)

 

 

 

 

 

 

 

 

 

 

 

 

Nurse and Allied Staffing

$

34,795

 

 

 

$

30,407

 

 

 

 

 

 

14

%

 

 

Physician Staffing

1,850

 

 

 

913

 

 

 

 

 

 

103

%

 

 

Search

(1,386

)

 

 

(604

)

 

 

 

 

 

(129

)%

 

 

 

35,259

 

 

 

30,716

 

 

 

 

 

 

15

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate overhead (l)

24,494

 

 

 

23,769

 

 

 

 

 

 

(3

)%

 

 

Depreciation and amortization

7,225

 

 

 

6,541

 

 

 

 

 

 

(10

)%

 

 

Acquisition and integration-related costs (b)

77

 

 

 

811

 

 

 

 

 

 

91

%

 

 

Restructuring costs (c)

2,894

 

 

 

1,277

 

 

 

 

 

 

(127

)%

 

 

Legal settlement charges (d)

 

 

 

1,600

 

 

 

 

 

 

100

%

 

 

Impairment charges (e)

15,011

 

 

 

14,502

 

 

 

 

 

 

(4

)%

 

 

Loss from operations

$

(14,442

)

 

 

$

(17,784

 

 

 

 

 

19

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NM-Not meaningful.

 

 

 

 

 

 

 

 

 

 

 

 

 
 

Cross Country Healthcare, Inc.

Summary Condensed Consolidated Statements of Cash Flows

(Unaudited, amounts in thousands)

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Six Months Ended

 

June 30,

 

June 30,

 

March 31,

 

June 30,

 

June 30,

 

2020

 

2019

 

2020

 

2020

 

2019

 

 

 

 

 

 

 

 

 

 

Net cash provided by operating activities

$

16,569

 

 

$

12,355

 

 

$

17,162

 

 

$

33,731

 

 

$

25,142

 

Cash used in investing activities

(1,528

)

 

(429

)

 

(962

)

 

(2,490

)

 

(1,674

)

Net cash used in financing activities

(21,402

)

 

(5,383

)

 

(4,599

)

 

(26,001

)

 

(14,678

)

Effect of exchange rate changes on cash

(4

)

 

1

 

 

(34

)

 

(38

)

 

21

 

Change in cash and cash equivalents

(6,365

)

 

6,544

 

 

11,567

 

 

5,202

 

 

8,811

 

Cash and cash equivalents at beginning of period

12,599

 

 

18,286

 

 

1,032

 

 

1,032

 

 

16,019

 

Cash and cash equivalents at end of period

$

6,234

 

 

$

24,830

 

 

$

12,599

 

 

$

6,234

 

 

$

24,830

 

 

 

 

 

 

 

 

 

 

 

 

Cross Country Healthcare, Inc.

Other Financial Data

(Unaudited)

 

 

Three Months Ended

 

Six Months Ended

 

June 30,

 

June 30,

 

March 31,

 

June 30,

 

June 30,

 

2020

 

2019

 

2020

 

2020

 

2019

 

 

 

 

 

 

 

 

 

 

Consolidated gross profit margin (m)

23.4

%

 

25.4

%

 

23.6

%

 

23.5

%

 

25.1

%

 

 

 

 

 

 

 

 

 

 

Nurse and Allied Staffing statistical data:

 

 

 

 

 

 

 

 

 

FTEs (n)

5,801

 

 

7,016

 

 

7,145

 

 

6,473

 

 

7,016

 

Average Nurse and Allied Staffing revenue per FTE per day (o)

$

375

 

 

$

283

 

 

$

290

 

 

$

328

 

 

$

281

 

 

 

 

 

 

 

 

 

 

 

Physician Staffing statistical data:

 

 

 

 

 

 

 

 

 

Days filled (p)

9,195

 

 

10,754

 

 

10,199

 

 

19,394

 

 

21,034

 

Revenue per day filled (q)

$

1,835

 

 

$

1,676

 

 

$

1,783

 

 

$

1,807

 

 

$

1,625

 

(a)

Adjusted EBITDA, a non-GAAP (Generally Accepted Accounting Principles) financial measure, is defined as net (loss) income attributable to common shareholders before interest expense, income tax expense (benefit), depreciation and amortization, acquisition and integration-related costs, restructuring 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, other expense (income), net, equity compensation, applicant tracking system costs, and includes net income attributable to noncontrolling interest in subsidiary. 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 net income attributable to common shareholders 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 typically used in the Company’s credit facilities in calculating various ratios. Adjusted EBITDA Margin is calculated by dividing Adjusted EBITDA by the Company’s consolidated revenue.

(b)

Acquisition and integration-related costs include costs for prior acquisitions, costs incurred for potential transactions, and accretion and valuation adjustments related to the contingent consideration liability for the Mediscan acquisition.

(c)

Restructuring costs are 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 include legal settlement charges as presented on the consolidated statements of operations as well as legal fees pertaining to non-operational legal matters which are included in selling, general and administrative expenses. For the three months ended June 30, 2019, we incurred legal settlement charges pertaining to the resolution of a medical malpractice lawsuit in excess of carrier limits as well as a California wage and hour class action settlement. For the six months ended June 30, 2020, we incurred $1.6 million in legal fees related to an ongoing legal matter outside the normal course of operations, the majority of which were incurred during the second quarter.

(e)

The three and six months ended June 30, 2020 included non-cash impairment charges of $15.0 million, which was comprised of $10.5 million related to goodwill and other intangible assets for the Search business and $4.5 million related to right-of-use assets and related property and equipment in connection with leases that were vacated during the quarter. Impairment charges in 2019 related to trade name impairment of $14.5 million related to Nurse and Allied Staffing resulting from the Company’s rebranding initiative. Rebranding impairments and accelerated amortization related to finite-lived trade names in connection with the rebranding initiatives.

(f)

Loss on early extinguishment of debt relates to the write-off of debt issuance costs as a result of an optional reduction in borrowing capacity in the revolving credit facility exercised in the first quarter of 2019, and optional prepayments on the Company’s term loan of $7.5 million and $5.0 million made in the first and second quarters of 2019, respectively.

(g)

Applicant tracking system costs are related to the Company’s project to replace its legacy system supporting its travel nurse staffing business. These costs are reported in selling, general and administrative expenses on the consolidated statement of operations and included in corporate overhead in segment data.

(h)

Adjusted EPS, a non-GAAP financial measure, is defined as net (loss) income attributable to common shareholders per diluted share before the diluted EPS impact of acquisition and integration-related costs, restructuring costs, legal settlements and fees, impairment charges, rebranding impairments and accelerated amortization, gain or loss on derivative, loss on early extinguishment of debt, gain or loss on sale of business, applicant tracking system costs, and nonrecurring income tax adjustments. Adjusted EPS 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.

(i)

Due to the net loss for the three months ended June 30, 2020, June 30, 2019, and March 31, 2020, and for the six months ended June 30, 2020 and 2019, 76, 117, 455, 265, and 107 shares (in thousands) were excluded from diluted weighted average shares.

(j)

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

(k)

Contribution income is defined as income or loss from operations before depreciation and amortization, acquisition and integration-related costs, restructuring 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 the Nurse and Allied Staffing revenue per FTE by the number of days worked in the respective periods. Nurse and Allied Staffing revenue also includes revenue from the permanent placement of nurses.

(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.

 

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