Cross Country Healthcare Announces Fourth Quarter and Full Year 2014 Financial Results
FOURTH QUARTER FINANCIAL HIGHLIGHTS:
-
Revenue was
$188.1 million , up 72% year-over-year and 8% on a pro forma basis* -
Adjusted EBITDA was
$6.2 million or 3.3% of revenue -
Adjusted net income attributable to common shareholders per diluted
share was
$0.03
FULL YEAR FINANCIAL HIGHLIGHTS:
-
Revenue was
$617.8 million , up 41% year-over-year -
Adjusted EBITDA was
$17.2 million or 2.8% of revenue -
Adjusted net income attributable to common shareholders per diluted
share was
$0.09
* See discussion of Non-GAAP financial measures
Grubbs continued, "Throughout the fourth quarter, demand for our services remained strong and resulted in pro forma year-over-year revenue growth of 8.4%, accelerating from 6.8% in the third quarter. Excluding a non-cash adjustment for unamortized insurance premiums, our underlying Adjusted EBITDA would have been 3.8% of revenue, up from 3.5% in the third quarter."
Fourth quarter consolidated revenue was
For the year ended
Quarterly Business Segment Highlights
Nurse and
Revenue from Nurse and
Revenue from
Other Human Capital Management Services
Revenue from the Other Human Capital Management Services increased 14%
from the same quarter last year and sequentially. Contribution income
was
Cash Flow and Balance Sheet Highlights
Cash flow used in operating activities was
Outlook for First Quarter 2015
The Company also provided its guidance for the first quarter of 2015:
Range | Year-over-Year | |||
Change | ||||
Revenue |
|
57%-61% | ||
Gross Profit Margin | 25.0% - 25.5% | (80) - (30) basis points | ||
Adjusted EBITDA Margin | 3.2% - 3.7% | 230 - 280 basis points |
The estimates above are based on current management expectations and, as such, are forward-looking and actual results may differ materially. These ranges do not include the potential impact of any future mergers, acquisitions or other business combinations, any impairment charges or valuation allowances, or any material legal or restructuring charges.
INVITATION TO CONFERENCE CALL
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Copies of this and other news releases as well as additional information
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NON-GAAP FINANCIAL MEASURES
This press release and accompanying financial statement tables reference non-GAAP financial measures. Such non-GAAP financial measures are provided as additional information and should not be considered substitutes for, or superior to, financial measures calculated in accordance with U.S. GAAP. Such non-GAAP financial measures are provided for consistency and comparability to prior year results; furthermore, management believes they are useful to investors when evaluating the Company's performance as they exclude certain items that management believes are not indicative of the Company's operating performance. Pro forma measures are adjusted to include the results of our acquisitions as if they were acquired in the beginning of the periods mentioned. Such non-GAAP financial measures may differ materially from the non-GAAP financial measures used by other companies. The financial statement tables that accompany this press release include a reconciliation of each non-GAAP financial measure to the most directly comparable U.S. GAAP financial measure and a more detailed discussion of each financial measure; as such, the financial statement tables should be read in conjunction with the presentation of these non-GAAP financial measures.
FORWARD LOOKING STATEMENT
In addition to historical information, this press release contains
statements relating to our future results (including certain projections
and business trends) that are "forward-looking statements" within the
meaning of Section 27A of the Securities Act of 1933, as amended, and
Section 21E of the Securities Exchange Act of 1934, as amended (the
"Exchange Act"), and are subject to the "safe harbor" created by those
sections. Forward-looking statements consist of statements that are
predictive in nature, depend upon or refer to future events. Words such
as "expects", "anticipates", "intends", "plans", "believes",
"estimates", "suggests", "appears", "seeks", "will", and variations of
such words and similar expressions are intended to identify
forward-looking statements. Forward-looking statements involve known and
unknown risks, uncertainties and other factors that may cause our actual
results and performance to be materially different from any future
results or performance expressed or implied by these forward-looking
statements. These factors include, without limitation, the following:
our ability to attract and retain qualified nurses, physicians and other
healthcare personnel, costs and availability of short-term housing for
our travel nurses and physicians, demand for the healthcare services we
provide, both nationally and in the regions in which we operate, the
functioning of our information systems, the effect of existing or future
government regulation and federal and state legislative and enforcement
initiatives on our business, our clients' ability to pay us for our
services, our ability to successfully implement our acquisition and
development strategies, including our ability to successfully integrate
acquired businesses and realize synergies from such acquisitions, the
effect of liabilities and other claims asserted against us, the effect
of competition in the markets we serve, our ability to successfully
defend the Company, its subsidiaries, and its officers and directors on
the merits of any lawsuit or determine its potential liability, if any,
and other factors set forth in Item 1A. "Risk Factors" in the Company's
Annual Report on Form 10-K for the year ended
Although we believe that these statements are based upon reasonable
assumptions, we cannot guarantee future results and readers are
cautioned not to place undue reliance on these forward-looking
statements, which reflect management's opinions only as of the date of
this press release. There can be no assurance that (i) we have correctly
measured or identified all of the factors affecting our business or the
extent of these factors' likely impact, (ii) the available information
with respect to these factors on which such analysis is based is
complete or accurate, (iii) such analysis is correct or (iv) our
strategy, which is based in part on this analysis, will be successful.
The Company undertakes no obligation to update or revise forward-looking
statements. All references to "we", "us", "our", or "Cross Country" in
this press release mean
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Consolidated Statements of Operations | |||||||||||||||||||||||
(Unaudited, amounts in thousands, except per share data) | |||||||||||||||||||||||
Three Months Ended | Year Ended | ||||||||||||||||||||||
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2014 | 2013 | 2014 | 2014 | 2013 | |||||||||||||||||||
Revenue from services | $ | 188,134 | $ | 109,179 | $ | 188,944 | $ | 617,825 | $ | 438,311 | |||||||||||||
Operating expenses: | |||||||||||||||||||||||
Direct operating expenses | 140,493 | 80,617 | 141,667 | 460,021 | 324,851 | ||||||||||||||||||
Selling, general and administrative expenses | 41,538 | 26,945 | 40,858 | 141,018 | 106,117 | ||||||||||||||||||
Bad debt expense | 295 | 309 | 257 | 1,016 | 1,078 | ||||||||||||||||||
Depreciation | 1,070 | 934 | 1,005 | 3,866 | 3,886 | ||||||||||||||||||
Amortization | 995 | 610 | 1,011 | 3,575 | 2,294 | ||||||||||||||||||
Acquisition and integration costs (a) | 2,532 | 473 | 2,383 | 7,957 | 473 | ||||||||||||||||||
Restructuring costs | 85 | — | — | 840 | 484 | ||||||||||||||||||
Legal settlement charge | — | — | — | — | 750 | ||||||||||||||||||
Impairment charges (b) | 10,000 | 6,400 | — | 10,000 | 6,400 | ||||||||||||||||||
Total operating expenses | 197,008 | 116,288 | 187,181 | 628,293 | 446,333 | ||||||||||||||||||
(Loss) income from operations | (8,874 | ) | (7,109 | ) | 1,763 | (10,468 | ) | (8,022 | ) | ||||||||||||||
Other expenses (income): | |||||||||||||||||||||||
Foreign exchange (gain) loss | (14 | ) | 22 | (11 | ) | 49 | (132 | ) | |||||||||||||||
Interest expense | 1,784 | 215 | 1,832 | 4,160 | 849 | ||||||||||||||||||
Change in fair value of convertible note derivative liability | 9,363 | — | 7,308 | 16,671 | — | ||||||||||||||||||
Loss on early extinguishment and modification of debt (c) | — | — | — | — | 1,419 | ||||||||||||||||||
Other income |
(32 | ) | (36 | ) | (51 | ) | (30 | ) | (119 | ) | |||||||||||||
Loss from continuing operations before income taxes | (19,975 | ) | (7,310 | ) | (7,315 | ) | (31,318 | ) | (10,039 | ) | |||||||||||||
Income tax expense | 112 | 45,612 | 169 | 216 | 44,211 | ||||||||||||||||||
Loss from continuing operations | (20,087 | ) | (52,922 | ) | (7,484 | ) | (31,534 | ) | (54,250 | ) | |||||||||||||
Income from discontinued operations, net of income taxes (d) | — | 338 | — | — | 2,281 | ||||||||||||||||||
Consolidated net loss | (20,087 | ) | (52,584 | ) | (7,484 | ) | (31,534 | ) | (51,969 | ) | |||||||||||||
Less: Net income attributable to noncontrolling interest in subsidiary | 131 | — | 118 | 249 | — | ||||||||||||||||||
Net loss attributable to common shareholders | $ | (20,218 | ) | $ | (52,584 | ) | $ | (7,602 | ) | $ | (31,783 | ) | $ | (51,969 | ) | ||||||||
Basic (loss) income per share attributable to common shareholders | |||||||||||||||||||||||
Continuing operations | $ | (0.65 | ) | $ | (1.70 | ) | $ | (0.24 | ) | $ | (1.02 | ) | $ | (1.75 | ) | ||||||||
Discontinued operations | — | 0.01 | — | — | 0.07 | ||||||||||||||||||
Net loss | $ | (0.65 | ) | $ | (1.69 | ) | $ | (0.24 | ) | $ | (1.02 | ) | $ | (1.68 | ) | ||||||||
Diluted (loss) income per share attributable to common shareholders | |||||||||||||||||||||||
Continuing operations | $ | (0.65 | ) | $ | (1.70 | ) | $ | (0.24 | ) | $ | (1.02 | ) | $ | (1.75 | ) | ||||||||
Discontinued operations | — | 0.01 | — | — | 0.07 | ||||||||||||||||||
Net loss | $ | (0.65 | ) | $ | (1.69 | ) | $ | (0.24 | ) | $ | (1.02 | ) | $ | (1.68 | ) | ||||||||
Weighted average common shares outstanding: | |||||||||||||||||||||||
Basic | 31,264 | 31,085 | 31,245 | 31,190 | 31,009 | ||||||||||||||||||
Diluted | 31,264 | 31,085 | 31,245 | 31,190 | 31,009 | ||||||||||||||||||
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Reconciliation of Non-GAAP Financial Measures | |||||||||||||||||||||||
(Unaudited, amounts in thousands) | |||||||||||||||||||||||
Three Months Ended | Year Ended | ||||||||||||||||||||||
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2014 | 2013 | 2014 | 2014 | 2013 | |||||||||||||||||||
Adjusted EBITDA: | |||||||||||||||||||||||
(Loss) income from operations | $ | (8,874 | ) | $ | (7,109 | ) | $ | 1,763 | $ | (10,468 | ) | $ | (8,022 | ) | |||||||||
Depreciation | 1,070 | 934 | 1,005 | 3,866 | 3,886 | ||||||||||||||||||
Amortization | 995 | 610 | 1,011 | 3,575 | 2,294 | ||||||||||||||||||
Acquisition and integration costs (a) | 2,532 | 473 | 2,383 | 7,957 | 473 | ||||||||||||||||||
Restructuring costs | 85 | — | — | 840 | 484 | ||||||||||||||||||
Legal settlement charge | — | — | — | — | 750 | ||||||||||||||||||
Impairment charges (b) | 10,000 | 6,400 | — | 10,000 | 6,400 | ||||||||||||||||||
Equity compensation | 429 | 465 | 416 | 1,387 | 2,100 | ||||||||||||||||||
Adjusted EBITDA (e) | $ | 6,237 | $ | 1,773 | $ | 6,578 | $ | 17,157 | $ | 8,365 | |||||||||||||
Adjusted Net Income attributable to common shareholders per Diluted Share: | |||||||||||||||||||||||
Net loss attributable to common shareholders per diluted share (f) | $ | (0.65 | ) | $ | (1.69 | ) | $ | (0.24 | ) | $ | (1.02 | ) | $ | (1.68 | ) | ||||||||
Acquisition and integration costs (a) | 0.05 | 0.01 | 0.05 | 0.15 | 0.01 | ||||||||||||||||||
Restructuring costs | — | — | — | 0.02 | 0.01 | ||||||||||||||||||
Legal settlement charge | — | — | — | — | 0.01 | ||||||||||||||||||
Impairment charges (b) | 0.29 | 0.12 | — | 0.29 | 0.13 | ||||||||||||||||||
Change in fair value of convertible note derivative liability | 0.18 | — | 0.14 | 0.32 | — | ||||||||||||||||||
Loss on early extinguishment and modification of debt (c) | — | — | — | — | 0.03 | ||||||||||||||||||
Valuation allowance on deferred tax assets (g) | 0.15 | 1.56 | 0.12 | 0.32 | 1.56 | ||||||||||||||||||
Adjustment for change in dilutive share count (f) | 0.01 | — | — | 0.01 | 0.01 | ||||||||||||||||||
Adjusted net income attributable to common shareholders per diluted share | $ | 0.03 | $ | 0.00 | $ | 0.07 | $ | 0.09 | $ | 0.08 | |||||||||||||
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Consolidated Balance Sheets | |||||||||||||||||||||||
(Amounts in thousands) | |||||||||||||||||||||||
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2014 | 2013 | ||||||||||||||||||||||
(Unaudited) | |||||||||||||||||||||||
Assets | |||||||||||||||||||||||
Current assets: | |||||||||||||||||||||||
Cash and cash equivalents | $ | 4,995 | $ | 8,055 | |||||||||||||||||||
Accounts receivable, net | 113,129 | 60,750 | |||||||||||||||||||||
Income taxes receivable | 307 | 538 | |||||||||||||||||||||
Prepaid expenses | 6,073 | 6,163 | |||||||||||||||||||||
Insurance recovery receivable | 5,624 | 3,886 | |||||||||||||||||||||
Indemnity escrow receivable | — | 3,750 | |||||||||||||||||||||
Other current assets | 1,055 | 793 | |||||||||||||||||||||
Total current assets | 131,183 | 83,935 | |||||||||||||||||||||
Property and equipment, net | 12,133 | 6,170 | |||||||||||||||||||||
Trade names, net | 38,201 | 42,301 | |||||||||||||||||||||
Goodwill, net | 90,647 | 77,266 | |||||||||||||||||||||
Other identifiable intangible assets, net | 33,823 | 26,198 | |||||||||||||||||||||
Debt issuance costs, net | 1,257 | 464 | |||||||||||||||||||||
Non-current insurance recovery receivable | 16,825 | 10,914 | |||||||||||||||||||||
Non-current security deposits | 1,064 | 997 | |||||||||||||||||||||
Total assets | $ | 325,133 | $ | 248,245 | |||||||||||||||||||
Liabilities and Stockholders' Equity | |||||||||||||||||||||||
Current liabilities: | |||||||||||||||||||||||
Accounts payable and accrued expenses | $ | 27,314 | $ | 10,272 | |||||||||||||||||||
Accrued employee compensation and benefits | 28,731 | 19,148 | |||||||||||||||||||||
Current portion of long-term debt and capital lease obligations | 3,607 | 8,483 | |||||||||||||||||||||
Sales tax payable | 2,573 | 2,404 | |||||||||||||||||||||
Deferred tax liabilities | 1,981 | 535 | |||||||||||||||||||||
Other current liabilities | 2,790 | 4,063 | |||||||||||||||||||||
Total current liabilities | 66,996 | 44,905 | |||||||||||||||||||||
Long-term debt and capital lease obligations | 70,467 | 93 | |||||||||||||||||||||
Non-current deferred tax liabilities | 18,038 | 16,849 | |||||||||||||||||||||
Long-term accrued claims | 32,068 | 18,303 | |||||||||||||||||||||
Long-term deferred purchase price | 2,333 | — | |||||||||||||||||||||
Long-term unrecognized tax benefits | 889 | 4,013 | |||||||||||||||||||||
Other long-term liabilities | 4,010 | 3,415 | |||||||||||||||||||||
Total liabilities | 194,801 | 87,578 | |||||||||||||||||||||
Commitments and contingencies | |||||||||||||||||||||||
Stockholders' equity: | |||||||||||||||||||||||
Common stock | 3 | 3 | |||||||||||||||||||||
Additional paid-in capital | 247,467 | 246,325 | |||||||||||||||||||||
Accumulated other comprehensive loss | (1,118 | ) | (970 | ) | |||||||||||||||||||
Accumulated deficit | (116,474 | ) | (84,691 | ) | |||||||||||||||||||
Total |
129,878 | 160,667 | |||||||||||||||||||||
Noncontrolling interest | 454 | — | |||||||||||||||||||||
Total stockholders' equity | 130,332 | 160,667 | |||||||||||||||||||||
Total liabilities and stockholders' equity | $ | 325,133 | $ | 248,245 |
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Segment Data (h) | ||||||||||||||||||||||||
(Unaudited, amounts in thousands) | ||||||||||||||||||||||||
Three Months Ended | Year-over-Year | Sequential | ||||||||||||||||||||||
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% of |
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% of |
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% of | % change | % change | |||||||||||||||||
2014 | Total | 2013 | Total | 2014 | Total | Fav (Unfav) | Fav (Unfav) | |||||||||||||||||
Revenue from services: | ||||||||||||||||||||||||
Nurse and |
$ | 146,707 | 78% | $ | 69,254 | 64% | $ | 147,518 | 78% | 111.8% | (0.5)% | |||||||||||||
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31,035 | 16% | 30,848 | 28% | 32,286 | 17% | 0.6% | (3.9)% | ||||||||||||||||
Other Human Capital Management Services | 10,392 | 6% | 9,077 | 8% | 9,140 | 5% | 14.5% | 13.7% | ||||||||||||||||
$ | 188,134 | 100% | $ | 109,179 | 100% | $ | 188,944 | 100% | 72.3% | (0.4)% | ||||||||||||||
Contribution income: (j) | ||||||||||||||||||||||||
Nurse and |
$ | 11,130 | $ | 4,759 | $ | 12,575 | 133.9% | (11.5)% | ||||||||||||||||
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2,597 | 1,908 | 1,478 | 36.1% | 75.7% | |||||||||||||||||||
Other Human Capital Management Services | 635 | (133 | ) | (55 | ) | 577.4% | 1,254.5% | |||||||||||||||||
14,362 | 6,534 | 13,998 | 119.8% | 2.6% | ||||||||||||||||||||
Unallocated corporate overhead (k) | 8,554 | 5,226 | 7,836 | (63.7)% | (9.2)% | |||||||||||||||||||
Depreciation | 1,070 | 934 | 1,005 | (14.6)% | (6.5)% | |||||||||||||||||||
Amortization | 995 | 610 | 1,011 | (63.1)% | 1.6% | |||||||||||||||||||
Acquisition and integration costs (a) | 2,532 | 473 | 2,383 | (435.3)% | (6.3)% | |||||||||||||||||||
Restructuring costs | 85 | — | — | (100.0)% | (100.0)% | |||||||||||||||||||
Impairment charges (b) | 10,000 | 6,400 | — | (56.3)% | (100.0)% | |||||||||||||||||||
(Loss) income from operations | $ | (8,874 | ) | $ | (7,109 | ) | $ | 1,763 | (24.8)% | (603.3)% | ||||||||||||||
Year Ended | Year-over-Year | |||||||||||||||||||||||
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% of |
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% of | % change | ||||||||||||||||||||
2014 | Total | 2013 | Total | Fav (Unfav) | ||||||||||||||||||||
Revenue from services: | ||||||||||||||||||||||||
Nurse and |
$ | 457,034 | 74% | $ | 271,563 | 62% | 68.3% | |||||||||||||||||
|
123,306 | 20% | 128,781 | 29% | (4.3)% | |||||||||||||||||||
Other Human Capital Management Services | 37,485 | 6% | 37,967 | 9% | (1.3)% | |||||||||||||||||||
$ | 617,825 | 100% | $ | 438,311 | 100% | 41.0% | ||||||||||||||||||
Contribution income: (j) | ||||||||||||||||||||||||
Nurse and |
$ | 36,326 | $ | 18,424 | 97.2% | |||||||||||||||||||
|
6,700 | 8,939 | (25.0)% | |||||||||||||||||||||
Other Human Capital Management Services | 514 | 746 | (31.1)% | |||||||||||||||||||||
43,540 | 28,109 | 54.9% | ||||||||||||||||||||||
Unallocated corporate overhead (k) | 27,770 | 21,844 | (27.1)% | |||||||||||||||||||||
Depreciation | 3,866 | 3,886 | 0.5% | |||||||||||||||||||||
Amortization | 3,575 | 2,294 | (55.8)% | |||||||||||||||||||||
Acquisition and integration costs (a) | 7,957 | 473 | (1,582.2)% | |||||||||||||||||||||
Restructuring costs | 840 | 484 | (73.6)% | |||||||||||||||||||||
Legal settlement charge | — | 750 | 100.0% | |||||||||||||||||||||
Impairment charges (b) | 10,000 | 6,400 | (56.3)% | |||||||||||||||||||||
(Loss) income from operations | $ | (10,468 | ) | $ | (8,022 | ) | (30.5)% | |||||||||||||||||
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Other Financial Data | ||||||||||||||||||||||||
(Unaudited) | ||||||||||||||||||||||||
Three Months Ended | Year Ended | |||||||||||||||||||||||
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2014 | 2013 | 2014 | 2014 | 2013 | ||||||||||||||||||||
Net cash (used in) provided by operating activities (in thousands) | $ | (1,016 | ) | $ | (2,900 | ) | $ | 2,475 | $ | (4,072) | $ | 8,659 | ||||||||||||
Nurse and |
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FTEs (i) (l) | 6,325 | 2,487 | 6,396 | 4,751 | 2,378 | |||||||||||||||||||
Average Nurse and |
$ | 252 | $ | 303 | $ | 251 | $ | 264 | $ | 313 | ||||||||||||||
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Days filled (i) (n) | 20,767 | 21,020 | 22,742 | 85,457 | 90,881 | |||||||||||||||||||
Revenue per day filled (i) (o) |
$ | 1,454 | $ | 1,412 | $ | 1,425 | $ | 1,436 | $ | 1,405 |
(a) On
(b) The fourth quarter of 2014 and 2013, include non-cash impairment
charges of
(c) Loss on early extinguishment and modification of debt relates to the write-off of unamortized net debt issuance costs related to the repayment of the Company's term loan and revolver in 2013.
(d) The Company sold its Clinical Trial Services business on
(e) Adjusted EBITDA, a non-GAAP (Generally Accepted Accounting Principles) financial measure, is defined as income or loss from operations before depreciation, amortization, acquisition and integration costs, restructuring costs, legal settlement charge, impairment charges, and equity compensation. Adjusted EBITDA should not be considered a measure of financial performance under GAAP. Management presents Adjusted EBITDA because it believes that Adjusted EBITDA is a useful supplement to income or loss from operations as an indicator of operating performance. Management uses Adjusted EBITDA as one performance measure in its annual cash incentive program for certain members of its management team. In addition, management monitors Adjusted EBITDA for planning purposes. Adjusted EBITDA, as defined, closely matches the operating measure typically used in the Company's credit facilities in calculating various ratios. Management believes Adjusted EBITDA, as defined, is useful to investors when evaluating the Company's performance as it excludes certain items that management believes are not indicative of the Company's operating performance. Adjusted EBITDA Margin is calculated by dividing Adjusted EBITDA by the Company's consolidated revenue.
(f) The adjustments to net loss attributable to common shareholders have
the effect of converting our results from a net loss to net income.
Accordingly, the dilutive shares that were excluded from the calculation
of net loss per share attributable to common shareholders have been
included in the per share calculation to determine the adjusted net
income attributable to common shareholders per diluted
share. Potentially dilutive shares included in the adjusted per share
calculations were (amounts in thousands): 447 and 227 for the three
months ended
(g) Includes the impact of establishing a deferred tax asset valuation
allowance in the three months and year ended
(h) Segment data provided is in accordance with the Segment Reporting Topic of the FASB ASC.
(i) Effective
(j) Contribution income is defined as (loss) income from operations before depreciation, amortization, acquisition and integration costs, restructuring costs, legal settlement charge, impairment charges, and corporate expenses not specifically identified to a reporting segment. Contribution income is a financial measure used by management when assessing segment performance.
(k) Certain prior year amounts have been reclassified to conform to the
current period presentation. In 2014, the Company refined its
methodology for allocating certain corporate overhead expenses and the
Nurse and
(l) FTEs represent the average number of nurse and allied contract staffing personnel on a full-time equivalent basis.
(m) Average revenue per FTE per day is calculated by dividing the Nurse
and
(n) Days filled is calculated by dividing the total hours filled during
the period by 8 hours. Effective
(o) Revenue per day filled is calculated by dividing the actual revenue
invoiced by
President
and Chief Executive Officer
wgrubbs@crosscountry.com
Source:
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