Cross Country Healthcare Announces Second Quarter 2014 Financial Results
-
Revenue increased 11% year-over-year and 4% sequentially to
$122.7 million -
Adjusted EBITDA was
$3.3 million or 2.7% of revenue -
Cash Flow from Operations was$3.8 million -
Issued third Quarter Guidance: Revenue of
$187.0 million -$192.0 million and Adjusted EBITDA margin of 3.0% - 3.5%
Second quarter consolidated revenue was
For the six months ended June 30, 2014, consolidated revenue was
On
Quarterly Business Segment Highlights
Nursing & Allied
Revenue from the nurse and allied staffing business segment increased
26% from the same quarter last year, and 3% sequentially. Contribution
income in this segment was
Revenue from the physician staffing business decreased 11% year over
year and increased 6% sequentially. The year over year decrease relates
to a combination of lower average bill rates and lower volume. On a
sequential basis, the increase is due to increased volume. Contribution
income was
Other Human Capital Management Services
Revenue from the other human capital management services business
segment was
Cash flow provided by operating activities was
Outlook for Third Quarter 2014
The Company also provided its guidance for the third quarter of 2014:
Range | Year over Year | |||
Change | ||||
Revenue |
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73 - 78% | ||
Gross Profit Margin | 26.0% - 26.5% | (10) - 40 bps | ||
Adjusted EBITDA margin | 3.0% - 3.5% | 30 - 80 bps | ||
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
The Company will hold its quarterly conference call on Thursday,
August 7, 2014, at
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 it excludes certain items that management believes are not indicative of the Company's operating performance. 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.
ABOUT
Copies of this and other news releases as well as additional information
about
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 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 December 31, 2013, and our
other
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 | Six Months Ended | |||||||||||||||||||||||
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2014 | 2013 | 2014 | 2014 | 2013 | ||||||||||||||||||||
Revenue from services | $ | 122,656 | $ | 110,768 | $ | 118,091 | $ | 240,747 | $ | 221,084 | ||||||||||||||
Operating expenses: | ||||||||||||||||||||||||
Direct operating expenses | 90,220 | 82,930 | 87,641 | 177,861 | 164,370 | |||||||||||||||||||
Selling, general and administrative expenses | 29,167 | 26,603 | 29,455 | 58,622 | 53,668 | |||||||||||||||||||
Bad debt expense | 32 | 132 | 432 | 464 | 554 | |||||||||||||||||||
Depreciation | 817 | 1,040 | 974 | 1,791 | 2,062 | |||||||||||||||||||
Amortization | 784 | 566 | 785 | 1,569 | 1,132 | |||||||||||||||||||
Acquisition and integration costs (a) | 2,747 | — | 295 | 3,042 | — | |||||||||||||||||||
Restructuring costs | 755 | 375 | — | 755 | 375 | |||||||||||||||||||
Legal settlement charge | — | 750 | — | — | 750 | |||||||||||||||||||
Total operating expenses | 124,522 | 112,396 | 119,582 | 244,104 | 222,911 | |||||||||||||||||||
Loss from operations | (1,866 | ) | (1,628 | ) | (1,491 | ) | (3,357 | ) | (1,827 | ) | ||||||||||||||
Other expenses (income): | ||||||||||||||||||||||||
Foreign exchange loss (gain) | 27 | (110 | ) | 47 | 74 | (101 | ) | |||||||||||||||||
Interest expense | 289 | 164 | 255 | 544 | 444 | |||||||||||||||||||
Loss on early extinguishment and modification of debt (b) | — | — | — | — | 1,419 | |||||||||||||||||||
Other (income) expense, net | (7 | ) | 10 | 60 | 54 | (51 | ) | |||||||||||||||||
Loss from continuing operations before income taxes | (2,175 | ) | (1,692 | ) | (1,853 | ) | (4,029 | ) | (3,538 | ) | ||||||||||||||
Income tax expense (benefit) | 1,006 | (257 | ) | (1,071 | ) | (65 | ) | (757 | ) | |||||||||||||||
Loss from continuing operations | (3,181 | ) | (1,435 | ) | (782 | ) | (3,964 | ) | (2,781 | ) | ||||||||||||||
(Loss) income from discontinued operations, net of income taxes (c) | — | (22 | ) | — | — | 2,482 | ||||||||||||||||||
Net loss | $ | (3,181 | ) | $ | (1,457 | ) | $ | (782 | ) | $ | (3,964 | ) | $ | (299 | ) | |||||||||
Net (loss) income per common share, basic: | ||||||||||||||||||||||||
Continuing operations | $ | (0.10 | ) | $ | (0.05 | ) | $ | (0.03 | ) | $ | (0.13 | ) | $ | (0.09 | ) | |||||||||
Discontinued operations | — | — | — | — | 0.08 | |||||||||||||||||||
Net loss | $ | (0.10 | ) | $ | (0.05 | ) | $ | (0.03 | ) | $ | (0.13 | ) | $ | (0.01 | ) | |||||||||
Net (loss) income per common share, diluted: | ||||||||||||||||||||||||
Continuing operations | $ | (0.10 | ) | $ | (0.05 | ) | $ | (0.03 | ) | $ | (0.13 | ) | $ | (0.09 | ) | |||||||||
Discontinued operations | — | — | — | — | 0.08 | |||||||||||||||||||
Net loss | $ | (0.10 | ) | $ | (0.05 | ) | $ | (0.03 | ) | $ | (0.13 | ) | $ | (0.01 | ) | |||||||||
Weighted average common shares outstanding: | ||||||||||||||||||||||||
Basic | 31,151 | 30,961 | 31,098 | 31,125 | 30,932 | |||||||||||||||||||
Diluted | 31,151 | 30,961 | 31,098 | 31,125 | 30,932 | |||||||||||||||||||
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Reconciliation of Non-GAAP Financial Measures | ||||||||||||||||||||||||
Adjusted EBITDA (d) | ||||||||||||||||||||||||
(Unaudited, amounts in thousands) | ||||||||||||||||||||||||
Three Months Ended | Six Months Ended | |||||||||||||||||||||||
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2014 | 2013 | 2014 | 2014 | 2013 | ||||||||||||||||||||
Loss from operations | $ | (1,866 | ) | $ | (1,628 | ) | $ | (1,491 | ) | $ | (3,357 | ) | $ | (1,827 | ) | |||||||||
Depreciation | 817 | 1,040 | 974 | 1,791 | 2,062 | |||||||||||||||||||
Amortization | 784 | 566 | 785 | 1,569 | 1,132 | |||||||||||||||||||
Acquisition and integration costs (a) | 2,747 | — | 295 | 3,042 | — | |||||||||||||||||||
Restructuring costs | 755 | 375 | — | 755 | 375 | |||||||||||||||||||
Legal settlement charge | — | 750 | — | — | 750 | |||||||||||||||||||
Equity compensation | 90 | 585 | 452 | 542 | 1,184 | |||||||||||||||||||
Adjusted EBITDA (d) | $ | 3,327 | $ | 1,688 | $ | 1,015 | $ | 4,342 | $ | 3,676 | ||||||||||||||
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Consolidated Balance Sheets | ||||||||||||||||||||||||
(Amounts in thousands) | ||||||||||||||||||||||||
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2014 | 2013 | |||||||||||||||||||||||
(Unaudited) | ||||||||||||||||||||||||
Assets | ||||||||||||||||||||||||
Current assets: | ||||||||||||||||||||||||
Cash and cash equivalents | $ | 9,293 | $ | 8,055 | ||||||||||||||||||||
Accounts receivable, net | 106,901 | 60,750 | ||||||||||||||||||||||
Income taxes receivable | 648 | 538 | ||||||||||||||||||||||
Prepaid expenses | 7,752 | 6,163 | ||||||||||||||||||||||
Insurance recovery receivable | 6,507 | 3,886 | ||||||||||||||||||||||
Indemnity escrow receivable | 3,750 | 3,750 | ||||||||||||||||||||||
Other current assets | 749 | 793 | ||||||||||||||||||||||
Total current assets | 135,600 | 83,935 | ||||||||||||||||||||||
Property and equipment, net | 12,394 | 6,170 | ||||||||||||||||||||||
Trade names, net | 46,501 | 42,301 | ||||||||||||||||||||||
Goodwill, net | 96,034 | 77,266 | ||||||||||||||||||||||
Other identifiable intangible assets, net | 32,829 | 26,198 | ||||||||||||||||||||||
Debt issuance costs, net | 1,260 | 464 | ||||||||||||||||||||||
Non-current insurance recovery receivable | 16,056 | 10,914 | ||||||||||||||||||||||
Non-current security deposits | 705 | 997 | ||||||||||||||||||||||
Total assets | $ | 341,379 | $ | 248,245 | ||||||||||||||||||||
Liabilities and Stockholders' Equity | ||||||||||||||||||||||||
Current liabilities: | ||||||||||||||||||||||||
Accounts payable and accrued expenses | $ | 21,717 | $ | 10,272 | ||||||||||||||||||||
Accrued employee compensation and benefits | 37,046 | 19,148 | ||||||||||||||||||||||
Current portion of long-term debt | 11,711 | 8,483 | ||||||||||||||||||||||
Sales tax payable | 2,530 | 2,404 | ||||||||||||||||||||||
Deferred tax liabilities | 622 | 535 | ||||||||||||||||||||||
Other current liabilities | 1,556 | 4,063 | ||||||||||||||||||||||
Total current liabilities | 75,182 | 44,905 | ||||||||||||||||||||||
Long-term debt | 53,086 | 93 | ||||||||||||||||||||||
Non-current deferred tax liabilities | 18,475 | 16,849 | ||||||||||||||||||||||
Long-term accrued claims | 28,302 | 18,303 | ||||||||||||||||||||||
Long-term deferred purchase price | 2,500 | — | ||||||||||||||||||||||
Long-term unrecognized tax benefits | 2,475 | 4,013 | ||||||||||||||||||||||
Other long-term liabilities | 4,116 | 3,415 | ||||||||||||||||||||||
Total liabilities | 184,136 | 87,578 | ||||||||||||||||||||||
Commitments and contingencies | ||||||||||||||||||||||||
Stockholders' equity: | ||||||||||||||||||||||||
Common stock | 3 | 3 | ||||||||||||||||||||||
Additional paid-in capital | 246,637 | 246,325 | ||||||||||||||||||||||
Accumulated other comprehensive loss | (1,040 | ) | (970 | ) | ||||||||||||||||||||
Noncontrolling interest | 298 |
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— | |||||||||||||||||||||
Accumulated deficit | (88,655 | ) | (84,691 | ) | ||||||||||||||||||||
Total stockholders' equity | 157,243 | 160,667 | ||||||||||||||||||||||
Total liabilities and stockholders' equity | $ | 341,379 | $ | 248,245 | ||||||||||||||||||||
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Segment Data (e) | ||||||||||||||||||||||||
(Unaudited, amounts in thousands) | ||||||||||||||||||||||||
Three Months Ended | YOY | 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 allied staffing (f) | $ | 82,616 | 67% | $ | 65,656 | 59% | $ | 80,193 | 68% | 26% | 3% | |||||||||||||
Physician staffing (f) | 30,849 | 25% | 34,837 | 32% | 29,136 | 25% | (11)% | 6% | ||||||||||||||||
Other human capital management services | 9,191 | 8% | 10,275 | 9% | 8,762 | 7% | (11)% | 5% | ||||||||||||||||
$ | 122,656 | 100% | $ | 110,768 | 100% | $ | 118,091 | 100% | 11% | 4% | ||||||||||||||
Contribution income (g) | ||||||||||||||||||||||||
Nurse and allied staffing (f) (h) | $ | 6,652 | $ | 3,493 | $ | 5,969 | 90% | 11% | ||||||||||||||||
Physician staffing (f) | 1,874 | 2,562 | 751 | (27)% | 150% | |||||||||||||||||||
Other human capital management services | (232 | ) | 534 | 166 | (143)% |
(240)% |
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8,294 | 6,589 | 6,886 | 26% | 20% | ||||||||||||||||||||
Unallocated corporate overhead (h) | 5,057 | 5,486 | 6,323 | 8% | 20% | |||||||||||||||||||
Depreciation | 817 | 1,040 | 974 | 21% | 16% | |||||||||||||||||||
Amortization | 784 | 566 | 785 | (39)% | —% | |||||||||||||||||||
Acquisition and integration costs (a) | 2,747 | — | 295 | (100)% | (831)% | |||||||||||||||||||
Restructuring costs | 755 | 375 | — | (101)% | (100)% | |||||||||||||||||||
Legal settlement charge | — | 750 | — | 100% | —% | |||||||||||||||||||
Loss from operations | $ | (1,866 | ) | $ | (1,628 | ) | $ | (1,491 | ) | (15)% | (25)% | |||||||||||||
Six Months Ended | YOY | |||||||||||||||||||||||
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% of |
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% of | % change | ||||||||||||||||||||
2014 | Total | 2013 | Total | Fav (Unfav) | ||||||||||||||||||||
Revenue from services: | ||||||||||||||||||||||||
Nurse and allied staffing (f) | $ | 162,809 | 68% | $ | 136,729 | 62% | 19% | |||||||||||||||||
Physician staffing (f) | 59,985 | 25% | 64,580 | 29% | (7)% | |||||||||||||||||||
Other human capital management services | 17,953 | 7% | 19,775 | 9% | (9)% | |||||||||||||||||||
$ | 240,747 | 100% | $ | 221,084 | 100% | 9% | ||||||||||||||||||
Contribution income (g) | ||||||||||||||||||||||||
Nurse and allied staffing (f) (h) | $ | 12,621 | $ | 8,667 | 46% | |||||||||||||||||||
Physician staffing (f) | 2,625 | 4,788 | (45)% | |||||||||||||||||||||
Other human capital management services | (66 | ) | 824 | (108)% | ||||||||||||||||||||
15,180 | 14,279 | 6% | ||||||||||||||||||||||
Unallocated corporate overhead (h) | 11,380 | 11,787 | 3% | |||||||||||||||||||||
Depreciation | 1,791 | 2,062 | 13% | |||||||||||||||||||||
Amortization | 1,569 | 1,132 | (39)% | |||||||||||||||||||||
Acquisition and integration costs (a) | 3,042 | — | (100)% | |||||||||||||||||||||
Restructuring costs | 755 | 375 | (101)% | |||||||||||||||||||||
Legal settlement charge | — | 750 | 100% | |||||||||||||||||||||
Loss from operations | $ | (3,357 | ) | $ | (1,827 | ) | (84)% | |||||||||||||||||
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Other Financial Data | ||||||||||||||||||||||||
(Unaudited) | ||||||||||||||||||||||||
Three Months Ended | Six Months Ended | |||||||||||||||||||||||
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2014 | 2013 | 2014 | 2014 | 2013 | ||||||||||||||||||||
Net cash provided by (used in) operating activities (in thousands) | $ | 3,778 | $ | 5,913 | $ | (9,234 | ) | $ | (5,456) | $ | 4,398 | |||||||||||||
Nurse and allied staffing statistical data: |
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FTEs (f) (i) | 3,177 | 2,300 | 3,107 | 3,142 | 2,391 | |||||||||||||||||||
Average nurse and allied staffing revenue per FTE per day (f) (j) | $ | 286 | $ | 314 | $ | 287 | $ | 286 | $ | 316 | ||||||||||||||
Physician staffing statistical data: |
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Days filled (f) (k) | 21,147 | 24,462 | 20,801 | 41,948 | 45,850 | |||||||||||||||||||
Revenue per day filled (f) (l) | $ | 1,444 | $ | 1,405 | $ | 1,423 | $ | 1,433 | $ | 1,395 | ||||||||||||||
(a) On
On
(b) Loss on early extinguishment and modification of debt relate to the write-off of unamortized net debt issuance costs related to the repayment of the Company's term loan and revolver in 2013.
(c) The Company sold its clinical trial services business on
(d) 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 charges, impairment charges and non-cash 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.
(e) Segment data provided is in accordance with the Segment Reporting Topic of the FASB ASC.
(f) Effective
(g) Contribution income is defined as income or loss from operations before depreciation, amortization, acquisition and integration costs, restructuring costs, legal settlement charges, 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.
(h) Certain prior year amounts have been reclassified to conform to the current period's presentation. In 2014, the Company refined its methodology for allocating certain corporate overhead expenses and the nurse and allied staffing expenses to more accurately reflect this segment's profitability.
(i) FTEs represent the average number of nurse and allied contract staffing personnel on a full-time equivalent basis.
(j) 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.
(k) Days filled is calculated by dividing the total hours filled during
the period by 8 hours. Effective
(l) Revenue per day filled is calculated by dividing the applicable
revenue generated by the Company's physician staffing segment by days
filled for the period presented. Effective
President
and Chief Executive Officer
wgrubbs@crosscountry.com
Source:
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