Cross Country Healthcare Announces Fourth Quarter and Full Year 2015 Financial Results
FOURTH QUARTER FINANCIAL HIGHLIGHTS:
-
Revenue was
$193.1 million , up 3% both on a year-over-year and pro forma basis -
Adjusted EBITDA was
$10.9 million or 5.7% of revenue versus$6.2 million or 3.3% of revenue in the prior year -
Adjusted earnings per share (EPS) was
$0.18 compared to$0.03 in the prior year
FULL YEAR FINANCIAL HIGHLIGHTS:
-
Revenue was
$767.4 million , up 24% year-over-year and 5% on a pro forma basis -
Adjusted EBITDA was
$37.6 million or 4.9% of revenue versus$17.2 million or 2.8% of revenue in the prior year -
Adjusted EPS was
$0.54 compared to$0.09 in the prior year -
Cash flow from operations was
$18.2 million compared to cash flow used in operations of$4.1 million
Note: Refer to table and discussion of Non-GAAP financial measures below.
"This was a year of significant improvement for
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 Other Human Capital Management Services was
Cash Flow and Balance Sheet Highlights
Cash flow used in operating activities was
Outlook for First Quarter and Full Year 2016
Q1 2016 Range | Year-over-Year | |||
Change | ||||
Revenue |
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5% - 6% | ||
Gross profit margin | 25.0% - 25.5% | (30) - 20 bps | ||
Adjusted EBITDA margin | 3.7% - 4.2% | 40 - 90 bps | ||
Adjusted EPS |
|
|
||
FY 2016 Range | Year-over-Year | |||
Change | ||||
Revenue |
|
7% - 9% | ||
Adjusted EBITDA margin | 5.5% - 6.0% | 60 - 110 bps |
In addition to providing quarterly guidance for the first quarter, the
Company also is issuing full year 2016 estimates for Revenue and
Adjusted EBITDA margin. The full year estimate for Adjusted EBIITDA
margin reflects approximately
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 divestitures, mergers, acquisitions or other business combinations, any impairment charges or valuation allowances, any acquisition-related measurement period adjustments, or any material legal or restructuring charges.
INVITATION TO CONFERENCE CALL
The Company will hold its quarterly conference call on
ABOUT
Headquartered in
Copies of this and other news releases as well as additional information
about
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
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, but are not limited to, 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 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 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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2015 | 2014 | 2015 | 2015 | 2014 | |||||||||||||||||||
Revenue from services | $ | 193,148 | $ | 188,134 | $ | 195,692 | $ | 767,421 | $ | 617,825 | |||||||||||||
Operating expenses: | |||||||||||||||||||||||
Direct operating expenses | 142,669 | 140,493 | 144,206 | 570,056 | 460,021 | ||||||||||||||||||
Selling, general and administrative expenses | 39,991 | 41,538 | 39,227 | 161,275 | 141,018 | ||||||||||||||||||
Bad debt expense | 228 | 295 | 549 | 999 | 1,016 | ||||||||||||||||||
Depreciation | 954 | 1,070 | 953 | 3,856 | 3,866 | ||||||||||||||||||
Amortization | 1,263 | 995 | 982 | 4,210 | 3,575 | ||||||||||||||||||
Loss on sale of business (a) | — | — | 2,184 | 2,184 | — | ||||||||||||||||||
Acquisition and integration costs (b) | 160 | 2,532 | 584 | 902 | 7,957 | ||||||||||||||||||
Restructuring costs | 127 | 85 | 140 | 1,274 | 840 | ||||||||||||||||||
Impairment charges (c) | 2,100 | 10,000 | — | 2,100 | 10,000 | ||||||||||||||||||
Total operating expenses | 187,492 | 197,008 | 188,825 | 746,856 | 628,293 | ||||||||||||||||||
Income (loss) from operations | 5,656 | (8,874 | ) | 6,867 | 20,565 | (10,468 | ) | ||||||||||||||||
Other expenses (income): | |||||||||||||||||||||||
Interest expense | 1,647 | 1,784 | 1,654 | 6,810 | 4,160 | ||||||||||||||||||
Loss on derivative liability | 9,516 | 9,363 | 2,894 | 9,901 | 16,671 | ||||||||||||||||||
Other (income) expense, net | (276 | ) | (46 | ) | (100 | ) | (306 | ) | 19 | ||||||||||||||
(Loss) income before income taxes | (5,231 | ) | (19,975 | ) | 2,419 | 4,160 | (31,318 | ) | |||||||||||||||
Income tax expense (benefit) | 696 | 112 | (2,732 | ) | (794 | ) | 216 | ||||||||||||||||
Consolidated net (loss) income | (5,927 | ) | (20,087 | ) | 5,151 | 4,954 | (31,534 | ) | |||||||||||||||
Less: Net income attributable to noncontrolling interest in subsidiary | 171 | 131 | 142 | 536 | 249 | ||||||||||||||||||
Net (loss) income attributable to common shareholders | $ | (6,098 | ) | $ | (20,218 | ) | $ | 5,009 | $ | 4,418 | $ | (31,783 | ) | ||||||||||
Net (loss) income per share attributable to common shareholders - Basic and Diluted | $ | (0.19 | ) | $ | (0.65 | ) | $ | 0.16 | $ | 0.14 | $ | (1.02 | ) | ||||||||||
Weighted average common shares outstanding: | |||||||||||||||||||||||
Basic | 31,817 | 31,264 | 31,541 | 31,514 | 31,190 | ||||||||||||||||||
Diluted (d) | 31,817 | 31,264 | 32,168 | 32,162 | 31,190 | ||||||||||||||||||
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Reconciliation of Non-GAAP Financial Measures | |||||||||||||||||||||||
(Unaudited, amounts in thousands) | |||||||||||||||||||||||
Three Months Ended | Year Ended | ||||||||||||||||||||||
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2015 | 2014 | 2015 | 2015 | 2014 | |||||||||||||||||||
Adjusted EBITDA: (e) | |||||||||||||||||||||||
Consolidated net (loss) income attributable to common shareholders | $ | (6,098 | ) | $ | (20,218 | ) | $ | 5,009 | $ | 4,418 | $ | (31,783 | ) | ||||||||||
Depreciation | 954 | 1,070 | 953 | 3,856 | 3,866 | ||||||||||||||||||
Amortization | 1,263 | 995 | 982 | 4,210 | 3,575 | ||||||||||||||||||
Interest expense | 1,647 | 1,784 | 1,654 | 6,810 | 4,160 | ||||||||||||||||||
Income tax expense (benefit) | 696 | 112 | (2,732 | ) | (794 | ) | 216 | ||||||||||||||||
Acquisition and integration costs (b) | 160 | 2,532 | 584 | 902 | 7,957 | ||||||||||||||||||
Restructuring costs | 127 | 85 | 140 | 1,274 | 840 | ||||||||||||||||||
Loss on derivative liability | 9,516 | 9,363 | 2,894 | 9,901 | 16,671 | ||||||||||||||||||
Loss on sale of business (a) | — | — | 2,184 | 2,184 | — | ||||||||||||||||||
Other (income) expense, net | (276 | ) | (46 | ) | (100 | ) | (306 | ) | 19 | ||||||||||||||
Impairment charges (c) | 2,100 | 10,000 | — | 2,100 | 10,000 | ||||||||||||||||||
Equity compensation | 687 | 429 | 557 | 2,460 | 1,387 | ||||||||||||||||||
Net income attributable to noncontrolling interest in subsidiary | 171 | 131 | 142 | 536 | 249 | ||||||||||||||||||
Adjusted EBITDA (e) | $ | 10,947 | $ | 6,237 | $ | 12,267 | $ | 37,551 | $ | 17,157 | |||||||||||||
Adjusted EPS: (f) | |||||||||||||||||||||||
Reported diluted EPS | $ | (0.19 | ) | $ | (0.65 | ) | $ | 0.16 | $ | 0.14 | $ | (1.02 | ) | ||||||||||
Acquisition and integration costs (b) | — | 0.05 | 0.01 | 0.02 | 0.15 | ||||||||||||||||||
Restructuring costs | — | — | — | 0.02 | 0.02 | ||||||||||||||||||
Impairment charges (c) | 0.04 | 0.29 | — | 0.04 | 0.29 | ||||||||||||||||||
Gain on sale of business, after taxes (a) | — | — | (0.04 | ) | (0.04 | ) | — | ||||||||||||||||
Loss on derivative liability | 0.18 | 0.18 | 0.06 | 0.19 | 0.32 | ||||||||||||||||||
Valuation allowance on adjusted items | 0.15 | 0.15 | 0.04 | 0.17 | 0.32 | ||||||||||||||||||
Adjustment for change in dilutive shares (f) | — | 0.01 | — | — | 0.01 | ||||||||||||||||||
Adjusted EPS (f) | $ | 0.18 | $ | 0.03 | $ | 0.23 | $ | 0.54 | $ | 0.09 | |||||||||||||
Weighted average common shares outstanding - diluted | 31,817 | 31,264 | 32,168 | 32,162 | 31,190 | ||||||||||||||||||
Adjustment to diluted shares (f) | 684 | 447 | — | — | 335 | ||||||||||||||||||
Adjusted weighted average common shares - diluted | 32,501 | 31,711 | 32,168 | 32,162 | 31,525 | ||||||||||||||||||
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Consolidated Balance Sheets | |||||||||||||||||||||||
(Unaudited, amounts in thousands) | |||||||||||||||||||||||
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2015 | 2014 | ||||||||||||||||||||||
Assets | |||||||||||||||||||||||
Current assets: | |||||||||||||||||||||||
Cash and cash equivalents | $ | 2,453 | $ | 4,995 | |||||||||||||||||||
Accounts receivable, net | 146,873 | 113,129 | |||||||||||||||||||||
Income taxes receivable | — | 307 | |||||||||||||||||||||
Prepaid expenses | 4,521 | 6,073 | |||||||||||||||||||||
Insurance recovery receivable | 2,866 | 5,624 | |||||||||||||||||||||
Other current assets | 2,032 | 1,055 | |||||||||||||||||||||
Total current assets | 158,745 | 131,183 | |||||||||||||||||||||
Property and equipment, net | 10,470 | 12,133 | |||||||||||||||||||||
Trade names, net | 39,252 | 38,201 | |||||||||||||||||||||
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95,096 | 90,647 | |||||||||||||||||||||
Other identifiable intangible assets, net | 43,662 | 33,823 | |||||||||||||||||||||
Debt issuance costs, net | 878 | 1,257 | |||||||||||||||||||||
Other non-current assets | 17,994 | 17,889 | |||||||||||||||||||||
Total assets | $ | 366,097 | $ | 325,133 | |||||||||||||||||||
Liabilities and Stockholders' Equity | |||||||||||||||||||||||
Current liabilities: | |||||||||||||||||||||||
Accounts payable and accrued expenses | $ | 41,098 | $ | 27,314 | |||||||||||||||||||
Accrued employee compensation and benefits | 29,402 | 28,731 | |||||||||||||||||||||
Current portion of long-term debt and capital lease obligations | 8,071 | 3,607 | |||||||||||||||||||||
Sales tax payable | 2,411 | 2,573 | |||||||||||||||||||||
Deferred purchase price | 2,184 | — | |||||||||||||||||||||
Deferred tax liabilities | — | 1,981 | |||||||||||||||||||||
Income tax payable | — | — | |||||||||||||||||||||
Other current liabilities | 2,880 | 2,790 | |||||||||||||||||||||
Total current liabilities | 86,046 | 66,996 | |||||||||||||||||||||
Long-term debt and capital lease obligations | 81,803 | 70,467 | |||||||||||||||||||||
Non-current deferred tax liabilities | 18,475 | 18,038 | |||||||||||||||||||||
Long-term accrued claims | 30,070 | 32,068 | |||||||||||||||||||||
Long-term deferred purchase price | 3,533 | 2,333 | |||||||||||||||||||||
Other long-term liabilities | 4,826 | 4,899 | |||||||||||||||||||||
Total liabilities | 224,753 | 194,801 | |||||||||||||||||||||
Commitments and contingencies | |||||||||||||||||||||||
Stockholders' equity: | |||||||||||||||||||||||
Common stock | 3 | 3 | |||||||||||||||||||||
Additional paid-in capital | 254,108 | 247,467 | |||||||||||||||||||||
Accumulated other comprehensive loss | (1,207 | ) | (1,118 | ) | |||||||||||||||||||
Accumulated deficit | (112,056 | ) | (116,474 | ) | |||||||||||||||||||
Total |
140,848 | 129,878 | |||||||||||||||||||||
Noncontrolling interest | 496 | 454 | |||||||||||||||||||||
Total stockholders' equity | 141,344 | 130,332 | |||||||||||||||||||||
Total liabilities and stockholders' equity | $ | 366,097 | $ | 325,133 |
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Segment Data (g) | |||||||||||||||||||||||||
(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 | ||||||||||||||||||
2015 | Total | 2014 | Total | 2015 | Total | Fav (Unfav) | Fav (Unfav) | ||||||||||||||||||
Revenue from services: | |||||||||||||||||||||||||
Nurse and |
$ | 162,131 | 84% | $ | 147,381 | 78% | $ | 157,338 | 80% | 10.0% | 3.0% | ||||||||||||||
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27,236 | 14% | 30,361 | 16% | 30,959 | 16% | (10.3 )% | (12.0)% | |||||||||||||||||
Other Human Capital Management Services | 3,781 | 2% | 10,392 | 6% | 7,395 | 4% | (63.6 )% | (48.9)% | |||||||||||||||||
$ | 193,148 | 100% | $ | 188,134 | 100% | $ | 195,692 | 100% | 2.7 % | (1.3)% | |||||||||||||||
Contribution income: (i) | |||||||||||||||||||||||||
Nurse and |
$ | 15,131 | $ | 11,207 | $ | 16,251 | 35.0 % | (6.9)% | |||||||||||||||||
|
2,672 | 2,520 | 3,197 | 6.0% | (16.4)% | ||||||||||||||||||||
Other Human Capital Management Services | 142 | 635 | 372 | (77.6)% | (61.8)% | ||||||||||||||||||||
17,945 | 14,362 | 19,820 | 24.9% | (9.5)% | |||||||||||||||||||||
Unallocated corporate overhead | 7,685 | 8,554 | 8,110 | 10.2% | 5.2% | ||||||||||||||||||||
Depreciation | 954 | 1,070 | 953 | 10.8% | (0.1)% | ||||||||||||||||||||
Amortization | 1,263 | 995 | 982 | (26.9)% | (28.6)% | ||||||||||||||||||||
Loss on sale of business (a) | — | — | 2,184 | NM | 100.0% | ||||||||||||||||||||
Acquisition and integration costs (b) | 160 | 2,532 | 584 | 93.7% | 72.6% | ||||||||||||||||||||
Restructuring costs | 127 | 85 | 140 | (49.4)% | 9.3% | ||||||||||||||||||||
Impairment charges (c) | 2,100 | 10,000 | — | 79.0% | NM | ||||||||||||||||||||
Income (loss) from operations | $ | 5,656 | $ | (8,874 | ) | $ | 6,867 | 163.7% | (17.6)% | ||||||||||||||||
Year Ended |
Year-over- Year |
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% of |
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% of | % change | |||||||||||||||||||||
2015 | Total | 2014 | Total | Fav (Unfav) | |||||||||||||||||||||
Revenue from services: | |||||||||||||||||||||||||
Nurse and |
$ | 621,258 | 81% | $ | 459,195 | 74% | 35.3% | ||||||||||||||||||
|
115,336 | 15% | 121,145 | 20% | (4.8)% | ||||||||||||||||||||
Other Human Capital Management Services | 30,827 | 4% | 37,485 | 6% | (17.8)% | ||||||||||||||||||||
$ | 767,421 | 100% | $ | 617,825 | 100% | 24.2% | |||||||||||||||||||
Contribution income: (i) | |||||||||||||||||||||||||
Nurse and |
$ | 54,499 | $ | 36,486 | 49.4% | ||||||||||||||||||||
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10,213 | 6,540 | 56.2% | ||||||||||||||||||||||
Other Human Capital Management Services | 1,863 | 514 | 262.5% | ||||||||||||||||||||||
66,575 | 43,540 | 52.9% | |||||||||||||||||||||||
Unallocated corporate overhead | 31,484 | 27,770 | (13.4)% | ||||||||||||||||||||||
Depreciation | 3,856 | 3,866 | 0.3% | ||||||||||||||||||||||
Amortization | 4,210 | 3,575 | (17.8)% | ||||||||||||||||||||||
Loss on sale of business (a) | 2,184 | — | NM | ||||||||||||||||||||||
Acquisition and integration costs (b) | 902 | 7,957 | 88.7% | ||||||||||||||||||||||
Restructuring costs | 1,274 | 840 | (51.7)% | ||||||||||||||||||||||
Impairment charges (c) | 2,100 | 10,000 | 79.0% | ||||||||||||||||||||||
Income (loss) from operations | $ | 20,565 | $ | (10,468 | ) | 296.5% | |||||||||||||||||||
NM-Not meaningful. | |||||||||||||||||||||||||
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Other Financial Data | |||||||||||||||||||||||||
(Unaudited) | |||||||||||||||||||||||||
Three Months Ended | Year Ended | ||||||||||||||||||||||||
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2015 | 2014 | 2015 | 2015 | 2014 | |||||||||||||||||||||
Net cash (used in) provided by operating activities (in thousands) | $ | (631 | ) | $ | (1,016 | ) | $ | 12,869 | $ | 18,235 | $ | (4,072 | ) | ||||||||||||
Nurse and |
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FTEs (h) (j) | 6,792 | 6,340 | 6,646 | 6,624 | 4,764 | ||||||||||||||||||||
Average Nurse and |
$ | 259 | $ | 253 | $ | 257 | $ | 257 | $ | 264 | |||||||||||||||
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Days filled (h) (l) | 18,131 | 19,873 | 20,543 | 77,601 | 82,473 | ||||||||||||||||||||
Revenue per day filled (h) (m) | $ | 1,392 | $ | 1,485 | $ | 1,505 | $ | 1,463 | $ | 1,457 |
(a) On
(b) Acquisition and integration costs in the three months and year ended
(c) The fourth quarter of 2015 and 2014 include non-cash impairment
charges of
(d) When applying the if-converted method to our Convertible Notes,
3,521,126 shares related to the Convertible Notes, issued in
(e) Adjusted EBITDA, a non-GAAP (Generally Accepted Accounting Principles) financial measure, is defined as net income (loss) attributable to common shareholders before depreciation, amortization, interest expense, income tax expense (benefit), acquisition and integration costs, restructuring costs, loss on derivative liability, loss on sale of business, other expense (income), net, impairment charges, equity compensation and 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 (loss) attributable to common shareholders 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) Adjusted EPS, a non-GAAP financial measure, is defined as net income
(loss) attributable to common shareholders per diluted share (reported
EPS) before the diluted EPS impact of acquisition and integration costs,
restructuring costs, impairment charges, loss on sale of business and
loss on derivative liability. 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. For
the three months ended
(g) Segment data provided is in accordance with the Segment Reporting Topic of the FASB ASC.
(h) Effective
(i) Contribution income is defined as income (loss) from operations before depreciation, amortization, loss on sale of business, acquisition and integration costs, restructuring costs, 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.
(j) FTEs represent the average number of Nurse and
(k) Average revenue per FTE per day is calculated by dividing the Nurse
and
(l) Days filled is calculated by dividing the total hours filled during the period by 8 hours.
(m) Revenue per day filled is calculated by dividing the actual revenue
invoiced by
View source version on businesswire.com: http://www.businesswire.com/news/home/20160309006367/en/
President
and Chief Executive Officer
wgrubbs@crosscountry.com
Source:
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