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Mar 09, 2016

Cross Country Healthcare Announces Fourth Quarter and Full Year 2015 Financial Results

BOCA RATON, Fla.--(BUSINESS WIRE)-- Cross Country Healthcare, Inc. (NASDAQ:CCRN) today announced financial results in line with its expectations for the fourth quarter and full year ended December 31, 2015.

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 Cross Country Healthcare. After only the second full year executing our turnaround plan, I am extremely pleased with the progress we are making. We continue to execute on our strategy as a leader in healthcare staffing and as a provider of value-added workforce solutions," said William J. Grubbs, President and Chief Executive Officer. "We reached our fourth quarter Adjusted EBITDA target of 5% one quarter early and exceeded that goal for both the third and fourth quarters. Full year Adjusted EBITDA grew by more than $20 million to 4.9% representing a 210 basis point improvement. The market remains robust and we expect 2016 to be another year of providing our shareholders with superior returns."

Fourth quarter consolidated revenue was $193.1 million, an increase of 3% year-over-year and a decrease of 1% sequentially. On a pro forma basis, fourth quarter revenue was up 3% year-over-year. The Company's consolidated gross profit margin was 26.1%, up 80 basis points year-over-year and down 20 basis points sequentially. Adjusted EBITDA was $10.9 million or 5.7% of revenue, as compared with $6.2 million or 3.3% of revenue in the prior year. Net loss attributable to common shareholders was $6.1 million, or $0.19 per diluted share, compared to a net loss of $20.2 million or $0.65 per diluted share in the prior year. Adjusted EPS was $0.18 compared to $0.03 in the prior year and $0.23 in the prior quarter.

For the year ended December 31, 2015, consolidated revenue was $767.4 million, an increase of 24% year-over-year. On a pro forma basis, revenue was up 5% year-over-year. Consolidated gross profit margin was 25.7%, up 20 basis points from the prior year. Adjusted EBITDA was $37.6 million or 4.9% of revenue, as compared with $17.2 million or 2.8% of revenue in the prior year. Net income attributable to common shareholders was $4.4 million, or $0.14 per diluted share, compared to a net loss of $31.8 million or $1.02 per diluted share in the prior year. Adjusted EPS was $0.54 compared to $0.09 in the prior year.

Quarterly Business Segment Highlights

Nurse and Allied Staffing

Revenue from Nurse and Allied Staffing increased 10% year-over-year and 3% sequentially. Contribution income in this segment was $15.1 million, up from $11.2 million in the prior year. The year-over-year increase in segment revenue and contribution income resulted from organic growth, improved margins, and the impact of the Mediscan acquisition. Average field FTEs increased to 6,792 from 6,340 in the prior year. Revenue per FTE per day was $259 compared to $253 in the prior year, driven primarily by improved pricing.

Physician Staffing

Revenue from Physician Staffing decreased 10% year-over-year and 12% sequentially, primarily due to a decrease in volume. Contribution income was $2.7 million, up from $2.5 million in the prior year resulting from improvement in gross margins and lower SG&A costs, partly offset by volume declines. Compared to the prior year, total days filled decreased to 18,131 from 19,873 and revenue per day filled decreased to $1,392 from $1,485 due to the mix of business.

Other Human Capital Management Services

Revenue from Other Human Capital Management Services was $3.8 million, a decrease of 64% year-over-year and 49% sequentially as a result of the divestiture of the education seminars business. Contribution income was $0.1 million, compared to $0.6 million in the prior year.

Cash Flow and Balance Sheet Highlights

Cash flow used in operating activities was $0.6 million compared to $1.0 million used in the same period of the prior year. Cash flow provided by operating activities for the full year was $18.2 million compared to $4.1 million used in the prior year. At December 31, 2015, the Company had $2.5 million in cash and cash equivalents, $8.0 million drawn on its senior credit facility, and $55.0 million of subordinated debt at par. The Company had $40.1 million of availability under the senior credit facility at December 31, 2015.

Outlook for First Quarter and Full Year 2016

  Q1 2016 Range   Year-over-Year
Change
 
Revenue $195 million - $198 million 5% - 6%
 
Gross profit margin 25.0% - 25.5% (30) - 20 bps
 
Adjusted EBITDA margin 3.7% - 4.2% 40 - 90 bps
 
Adjusted EPS $0.06 - $0.08 $0.03 - $0.05
 
 
FY 2016 Range Year-over-Year
Change
 
Revenue $820 million - $840 million 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 $4 - $5 million in planned investments, primarily for upgrades to existing IT related platforms, with approximately $1 million expected to be incurred in the first quarter. The quarterly guidance reflects approximately 80 basis points for costs associated with the annual payroll tax reset and 50 basis points for the impact from incremental investments. Excluding the combined impact from those costs, would imply an underlying Adjusted EBITDA margin of between 5.0 - 5.5% for the quarter, in line with our recent quarterly trends. Excluding the impact of the IT investments for the full year, our underlying Adjusted EBITDA margin for the full year would be between 6.0-6.5%.

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 Thursday, March 10, 2016, at 9:00 A.M. Eastern Time to discuss its fourth quarter and full year 2015 financial results. This call will be webcast live and can be accessed at the Company's website at www.crosscountryhealthcare.com or by dialing 800-857-6331 from anywhere in the U.S. or by dialing 517-623-4781 from non-U.S. locations - Passcode: Cross Country. A replay of the webcast will be available from March 10th through March 24th at the Company's website and a replay of the conference call will be available by telephone by calling 800-395-7443 from anywhere in the U.S. or 203-369-3271 from non-U.S. locations - Passcode: 2016.

ABOUT CROSS COUNTRY HEALTHCARE

Headquartered in Boca Raton, Florida, Cross Country Healthcare, Inc. is a national leader in providing leading-edge healthcare workforce solutions. Our solutions are geared towards assisting our clients solve labor-related issues while maintaining high quality outcomes. With more than 30 years of experience, we are dedicated to placing highly qualified nurses and physicians as well as allied health, advanced practice, and case management professionals. We also provide both retained and contingent placement services for physicians, as well as retained search services for healthcare executives. We have more than 9,500 active contracts with a broad range of clients in both clinical and nonclinical settings, including acute care hospitals, physician practice groups, nursing facilities, both public schools and charter schools, rehabilitation and sports medicine clinics, government facilities, and homecare. Through our national staffing teams and network of more than 70 branch office locations, we are able to place clinicians on travel and per diem assignments, local short-term contracts and permanent positions. We are a market leader in providing flexible workforce management solutions, which include managed services programs (MSP), internal resource pool consulting and development, electronic medical record (EMR) transition staffing, recruitment process outsourcing, predictive modeling and consultative services.

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 operating performance. Pro forma measures 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 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 December 31, 2014, and our other Securities and Exchange Commission filings made prior to the date hereof.

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 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     Year Ended
December 31,     December 31,     September 30, December 31,   December 31,
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  
 
 
Cross Country Healthcare, Inc.
Reconciliation of Non-GAAP Financial Measures
(Unaudited, amounts in thousands)
 
Three Months Ended Year Ended
December 31, December 31, September 30, December 31, December 31,
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  
 
 
Cross Country Healthcare, Inc.
Consolidated Balance Sheets
(Unaudited, amounts in thousands)
 
December 31, December 31,
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
Goodwill, net 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 Cross Country Healthcare, Inc. stockholders' equity 140,848 129,878
Noncontrolling interest 496   454  
Total stockholders' equity 141,344   130,332  
Total liabilities and stockholders' equity $ 366,097   $ 325,133  

 

Cross Country Healthcare, Inc.
Segment Data (g)
(Unaudited, amounts in thousands)
 
  Three Months Ended  

Year-over-

Year

  Sequential
December 31,   % of   December 31,   % of   September 30,   % of % change % change
2015 Total 2014 Total 2015 Total Fav (Unfav) Fav (Unfav)
 
Revenue from services:
Nurse and Allied Staffing (h) $ 162,131 84% $ 147,381 78% $ 157,338 80% 10.0% 3.0%
Physician Staffing (h) 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 Allied Staffing (h) $ 15,131 $ 11,207 $ 16,251 35.0 % (6.9)%
Physician Staffing (h) 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

December 31, % of December 31, % of % change
2015 Total 2014 Total Fav (Unfav)
 
Revenue from services:
Nurse and Allied Staffing (h) $ 621,258 81% $ 459,195 74% 35.3%
Physician Staffing (h) 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 Allied Staffing (h) $ 54,499 $ 36,486 49.4%
Physician Staffing (h) 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.
 
 
Cross Country Healthcare, Inc.
Other Financial Data
(Unaudited)
 
Three Months Ended Year Ended
December 31, December 31, September 30, December 31, December 31,
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 Allied Staffing statistical data:

FTEs (h) (j) 6,792 6,340 6,646 6,624 4,764
Average Nurse and Allied Staffing revenue per FTE per day (h) (k) $ 259 $ 253 $ 257 $ 257 $ 264
 

Physician Staffing statistical data:

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 August 31, 2015, the Company completed the sale of Cross Country Education, LLC. The Company recognized a pre-tax loss of $2.2 million related to the divestiture of the business. In addition, the Company recorded a tax benefit of $3.5 million from the reversal of valuation allowances associated with this business, resulting in an after-tax gain of $1.3 million.

(b) Acquisition and integration costs in the three months and year ended December 31, 2015 and the three months ended September 30, 2015 are primarily related to due diligence efforts for the Mediscan acquisition that closed on October 30, 2015. In the three months ended December 31, 2014, acquisition and integration costs were from the June 2014 Medical Staffing Network Healthcare (MSN) acquisition, and in the year ended December 31, 2014, acquisition and integration costs were from both the MSN acquisition and the December 2013 allied healthcare staffing business acquisition. The results of these acquisitions have been included in the Company's consolidated statements of operations since their respective dates of acquisition.

(c) The fourth quarter of 2015 and 2014 include non-cash impairment charges of $2.1 million ($1.3 million after tax) and $10.0 million ($9.1 million after tax), respectively, related to Physician Staffing trade name. The tax impact on these impairment charges was fully offset by a valuation allowance on deferred tax assets.

(d) When applying the if-converted method to our Convertible Notes, 3,521,126 shares related to the Convertible Notes, issued in June 2014 in conjunction with the MSN acquisition, are not included in diluted weighted average shares for all of the periods presented because their effect was anti-dilutive.

(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 December 31, 2015 and December 31, 2014 and the year ended December 31, 2014, the adjustments to reported diluted EPS had the effect of converting the net loss to net income. As a result, potentially dilutive shares that were excluded in the unadjusted per share calculation have been included in the adjusted weighted average common shares outstanding - diluted.

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

(h) Effective January 1, 2015, we reclassified a portion of our business from the Physician Staffing segment to the Nurse and Allied Staffing segment. Prior period amounts have been reclassified to conform to the current period presentation. The entire Mediscan business has been reported in Nurse and Allied Staffing.

(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 Allied Staffing contract personnel on a full-time equivalent basis.

(k) Average revenue per FTE per day is calculated by dividing the Nurse and Allied Staffing revenue by the number of days worked in the respective periods. Nurse and Allied Staffing revenue also includes revenue from permanent placement of nurses.

(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 Physician Staffing by days filled for the period presented and it excludes permanent placement and accrued revenue.

Cross Country Healthcare, Inc.
William J. Grubbs, 561-237-6202
President and Chief Executive Officer
wgrubbs@crosscountry.com

Source: Cross Country Healthcare, Inc.

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