CCRN 2015.03.31-Q1 Press Release


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549
 
FORM 8-K
 
CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934


Date of Report (Date of earliest event reported)
May 6, 2015
 
Cross Country Healthcare, Inc.
(Exact name of registrant as specified in its charter)
 
Delaware
0-33169
13-4066229
(State or Other Jurisdiction
of Incorporation)
(Commission
File Number)
(I.R.S. Employer
Identification No.)
6551 Park of Commerce Blvd., N.W., Boca Raton, FL 33487
(Address of Principal Executive Office) (Zip Code)

(561) 998-2232

(Registrant’s telephone number, including area code)

Not Applicable

(Former name or former address, if changed since last report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions :

o    Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o    Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o    Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o    Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
 





Section 2 – Financial Information
Item 2.02     Results of Operations and Financial Condition
(a)  On May 6, 2015, Cross Country Healthcare, Inc. (“the Company”) issued a press release announcing results for the quarter ended March 31, 2015, a copy of which is attached as Exhibit 99.1 to this Current Report on Form 8-K. This information is being furnished under Item 2.02 and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liability of such section.

Section 7 – Regulation FD
Item 7.01     Regulation FD Disclosure
Incorporated by reference is a press release issued by the Company on May 6, 2015, which is attached hereto as Exhibit 99.1. This information is being furnished under Item 7.01 and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liability of such section.
Section 9 – Financial Statements and Exhibits
Item 9.01     Financial Statements and Exhibits
(d) Exhibits

 
Exhibit
 
Description
 
 
 
 
 
99.1
 
Press Release issued by the Company on May 6, 2015
 





SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, hereunto duly authorized.
 
 
CROSS COUNTRY HEALTHCARE, INC.
 
 
 
 
 
 
 
 
 
 
By:
/s/ William J. Burns
 
 
 
William J. Burns
Dated:
May 6, 2015
 
Chief Financial Officer





CCRN 2015.03.31-Q1 PR Exhibit 99.1
             Exhibit 99.1



CROSS COUNTRY HEALTHCARE ANNOUNCES FIRST QUARTER
2015 FINANCIAL RESULTS

BOCA RATON, Fla., May 6, 2015--Cross Country Healthcare, Inc. (Nasdaq: CCRN) today announced financial results for the first quarter ended March 31, 2015.

Revenue was $186.0 million, up 57% year-over-year and 5% on a pro forma basis*

Adjusted EBITDA was $6.2 million or 3.3% of revenue versus $1.0 million or 0.9% of revenue in the prior year

Net income attributable to common shareholders was $0.05 per diluted share; Adjusted net income attributable to common shareholders was $0.03 per diluted share

Second Quarter Guidance: Revenue of $188 million - $192 million and Adjusted EBITDA margin of 3.7% - 4.2%

* See discussion of Non-GAAP financial measures below.

“We had a good start to 2015 with strong year-over-year revenue growth and a $5 million improvement in our Adjusted EBITDA,” said William J Grubbs, President and Chief Executive Officer. Mr. Grubbs continued, “We are well positioned for continued improvement throughout the year and, as previously announced, expect to achieve our targeted 5% Adjusted EBITDA by the fourth quarter.”

First quarter consolidated revenue was $186.0 million, an increase of 57% year-over-year, and a decrease of 1% sequentially. On a pro forma basis, revenue was up 5% year-over-year. The Company's consolidated gross profit margin was 25.3%, down 50 basis points year-over-year and flat sequentially. Adjusted EBITDA was $6.2 million or 3.3% of revenue, as compared with $1.0 million or 0.9% of revenue in the prior year (see table titled “Reconciliation of Non-GAAP Financial Measures”). Net income attributable to common shareholders was $2.9 million, or $0.05 per diluted share, compared to a net loss of $0.8 million or $0.03 per diluted share in the prior year.

Quarterly Business Segment Highlights
 
Nurse and Allied Staffing

Revenue from Nurse and Allied Staffing increased 85% year-over-year and 1% sequentially. On a pro forma basis, revenue was up 8% year-over-year. Contribution income in this segment was $10.6 million, up from $6.0 million in the prior year. The year-over-year increase in segment revenue and contribution income was due to the impact of the Medical Staffing Network, LLC (MSN) acquisition combined with organic growth. Average field FTEs increased to 6,454 from 3,119 in the prior year. Revenue per FTE per day was $257 compared to $288 year-over-year reflecting the impact of the lower average bill rates of MSN.



             Exhibit 99.1


Physician Staffing

Revenue from Physician Staffing decreased 4% year-over-year and 10% sequentially, primarily due to lower volume. Contribution income was $2.1 million, up from $0.7 million in the prior year due primarily to lower charges related to professional liability. Compared to the prior year, total days filled decreased to 17,413 from 20,123 while revenue per day filled increased to $1,587 from $1,444.

Other Human Capital Management Services

Revenue from Other Human Capital Management Services was $9.5 million, an increase of 8% year-over-year and down 9% sequentially. The year-over-year increase was due to growth in the physician and executive search business, partially offset by a decline in the education and training business. Contribution income was $0.6 million, compared to $0.2 million.

Cash Flow and Balance Sheet Highlights

Cash flow provided by operating activities was $0.3 million for the quarter. At March 31, 2015, the Company had $7.5 million in cash and cash equivalents and $61.5 million of outstanding debt, comprised of $6.5 million under our revolver and $55.0 million of subordinated debt at par. The Company had $39.0 million of availability under its credit facility at March 31, 2015.

Outlook for Second Quarter 2015

The Company also provided guidance for the second quarter of 2015:
 
Range
 
Year-over-Year
Change
 
 
 
 
Revenue
$188 million - $192 million
 
53% - 57%
 
 
 
 
Gross profit margin
25.5% - 26.0%
 
(90) - (40) bps
 
 
 
 
Adjusted EBITDA margin
3.7% - 4.2%
 
100 - 150 bps
 
 
 
 
Adjusted net income attributable to common shareholders per diluted share
$0.05 - $0.07
 
$0.04 - $0.06

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. Adjusted net income attributable to common shareholders per diluted share assumes an adjusted weighted average share count consistent with March 31, 2015.



             Exhibit 99.1



INVITATION TO CONFERENCE CALL

The Company will hold its quarterly conference call on Thursday, May 7, 2015, at 9:00 A.M. Eastern Time to discuss its first quarter 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. From May 7th through May 21st, a replay of the webcast will be available 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: 2015.

ABOUT CROSS COUNTRY HEALTHCARE

Cross Country Healthcare, Inc., headquartered in Boca Raton, Florida, is a national leader in providing leading-edge healthcare recruiting, staffing and workforce management solutions. 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 provide both retained and contingent placement services for physicians, as well as retained search services for healthcare executives. We have more than 6,000 active contracts with a broad range of clients, including acute care hospitals, physician practice groups, nursing facilities, rehabilitation and sports medicine clinics, government facilities, as well as nonclinical settings such as homecare and schools. Through our national staffing teams and network of more than 70 branch office locations, we are able to place clinicians for 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, workforce assessments, internal resource pool consulting and development, electronic medical record transition staffing, and recruitment process outsourcing. In addition, we provide education and training programs for healthcare professionals through seminars and e-learning tools.

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 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.




             Exhibit 99.1


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 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.



             Exhibit 99.1


Cross Country Healthcare, Inc.
Consolidated Statements of Operations
(Unaudited, amounts in thousands, except per share data)
 
 
 
 
 
 
 
 
 
Three Months Ended
 
March 31,
 
 
March 31,
 
 
December 31,
 
2015
 
 
2014
 
 
2014
 
 
Revenue from services
$
185,964

 
 
$
118,091

 
 
$
188,134

Operating expenses:
 
 
 
 
 
 
 
Direct operating expenses
138,927

 
 
87,641

 
 
140,493

Selling, general and administrative expenses
41,166

 
 
29,455

 
 
41,538

Bad debt expense
91

 
 
432

 
 
295

Depreciation
960

 
 
974

 
 
1,070

Amortization
982

 
 
785

 
 
995

Acquisition and integration costs (a)
118

 
 
295

 
 
2,532

Restructuring costs

 
 

 
 
85

Impairment charges (b)

 
 

 
 
10,000

Total operating expenses
182,244

 
 
119,582

 
 
197,008

Income (loss) from operations
3,720

 
 
(1,491
)
 
 
(8,874
)
Other expenses (income):
 
 
 
 
 
 
 
Interest expense
1,737

 
 
255

 
 
1,784

(Gain) loss on derivative liability
(2,147
)
 
 

 
 
9,363

Other expense (income), net
43

 
 
107

 
 
(46
)
Income (loss) before income taxes
4,087

 
 
(1,853
)
 
 
(19,975
)
Income tax expense (benefit)
1,037

 
 
(1,071
)
 
 
112

Consolidated net income (loss)
3,050

 
 
(782
)
 
 
(20,087
)
Less: Net income attributable to noncontrolling interest in subsidiary
116

 
 

 
 
131

Net income (loss) attributable to common shareholders
$
2,934

 
 
$
(782
)
 
 
$
(20,218
)
 
 
 
 
 
 
 
 
Net income (loss) per share attributable to common shareholders - Basic
$
0.09

 
 
$
(0.03
)
 
 
$
(0.65
)
 
 
 
 
 
 
 
 
Net income (loss) per share attributable to common shareholders - Diluted
$
0.05

 
 
$
(0.03
)
 
 
$
(0.65
)
 
 
 
 
 
 
 
 
Weighted average common shares outstanding:
 
 
 
 
 
 
 
Basic
31,294

 
 
31,098

 
 
31,264

Diluted (c)
35,454

 
 
31,098

 
 
31,264

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cross Country Healthcare, Inc.
Reconciliation of Non-GAAP Financial Measure
(Unaudited, amounts in thousands)
 
 
Three Months Ended
 
March 31,
 
 
March 31,
 
 
December 31,
 
2015
 
 
2014
 
 
2014
Adjusted EBITDA (d):
 
 
 
 
 
 
 
Consolidated net income (loss) attributable to common shareholders
$
2,934

 
 
$
(782
)
 
 
$
(20,218
)
Depreciation
960

 
 
974

 
 
1,070

Amortization
982

 
 
785

 
 
995

Interest expense
1,737

 
 
255

 
 
1,784

Income tax expense (benefit)
1,037

 
 
(1,071
)
 
 
112

Acquisition and integration costs (a)
118

 
 
295

 
 
2,532

Restructuring costs

 
 

 
 
85

Impairment charges (b)

 
 

 
 
10,000

(Gain) loss on derivative liability
(2,147
)
 
 

 
 
9,363

Other expense (income), net
43

 
 
107

 
 
(46
)
Equity compensation
376

 
 
452

 
 
429

Net income attributable to noncontrolling interest in subsidiary
116

 
 

 
 
131

Adjusted EBITDA
$
6,156

 
 
$
1,015

 
 
$
6,237

 
 
 
 
 
 
 
 
Adjusted net income attributable to common shareholders per diluted share:
 
 
 
 
 
 
 
Net income (loss) attributable to common shareholders per diluted share
$
0.05

 
 
$
(0.03
)
 
 
$
(0.65
)
Acquisition and integration costs (a)

 
 
0.01

 
 
0.05

Restructuring costs

 
 

 
 

Impairment charges (b)

 
 

 
 
0.29

(Gain) loss on derivative liability
(0.04
)
 
 

 
 
0.18

Valuation allowance on adjusted items
(0.02
)
 
 
0.01

 
 
0.15

Adjustment for change in dilutive shares (e)
0.04

 
 

 
 
0.01

Adjusted net income attributable to common shareholders per diluted share
$
0.03

 
 
$
(0.01
)
 
 
$
0.03

 
 
 
 
 
 
 
 
Weighted average common shares outstanding - diluted
35,454

 
 
31,098

 
 
31,264

Adjustment to diluted shares
(3,521
)
 
 

 
 
447

Adjusted weighted average common shares - diluted
31,933

 
 
31,098

 
 
31,711

 
 
 
 
 
 
 
 
Cross Country Healthcare, Inc.
Consolidated Balance Sheets
(Unaudited, amounts in thousands)
 
 
March 31,
 
 
December 31,
 
2015
 
 
2014
 
 
 
 
 
Assets
 
 
 
 
Current assets:
 
 
 
 
Cash and cash equivalents
$
7,465

 
 
$
4,995

Accounts receivable, net
121,145

 
 
113,129

Income taxes receivable
238

 
 
307

Prepaid expenses
5,862

 
 
6,073

Insurance recovery receivable
5,893

 
 
5,624

Other current assets
693

 
 
1,055

Total current assets
141,296

 
 
131,183

Property and equipment, net
11,756

 
 
12,133

Trade names, net
38,201

 
 
38,201

Goodwill, net
90,647

 
 
90,647

Other identifiable intangible assets, net
32,841

 
 
33,823

Debt issuance costs, net
1,163

 
 
1,257

Other non-current assets
17,594

 
 
17,889

Total assets
$
333,498

 
 
$
325,133

 
 
 
 
 
Liabilities and Stockholders' Equity
 
 
 
 
Current liabilities:
 
 
 
 
Accounts payable and accrued expenses
$
24,265

 
 
$
27,314

Accrued employee compensation and benefits
36,230

 
 
28,731

Current portion of long-term debt and capital lease obligations
6,608

 
 
3,607

Sales tax payable
2,636

 
 
2,573

Deferred purchase price
2,223

 
 

Deferred tax liabilities
1,716

 
 
1,981

Other current liabilities
2,761

 
 
2,790

Total current liabilities
76,439

 
 
66,996

Long-term debt and capital lease obligations
68,664

 
 
70,467

Non-current deferred tax liabilities
19,142

 
 
18,038

Long-term accrued claims
30,427

 
 
32,068

Long-term deferred purchase price

 
 
2,333

Other long-term liabilities
5,249

 
 
4,899

Total liabilities
199,921

 
 
194,801

 
 
 
 
 
Commitments and contingencies
 
 
 
 
 
 
 
 
 
Stockholders' equity:
 
 
 
 
Common stock
3

 
 
3

Additional paid-in capital
247,778

 
 
247,467

Accumulated other comprehensive loss
(1,104
)
 
 
(1,118
)
Accumulated deficit
(113,540
)
 
 
(116,474
)
Total Cross Country Healthcare, Inc. stockholders' equity
133,137

 
 
129,878

Noncontrolling interest
440

 
 
454

Total stockholders' equity
133,577

 
 
130,332

Total liabilities and stockholders' equity
$
333,498

 
 
$
325,133


Cross Country Healthcare, Inc.
Segment Data (f)
(Unaudited, amounts in thousands)
 
 
Three Months Ended
 
Year-over-Year
 
Sequential
 
March 31,
% of
 
March 31,
% of
 
December 31,
% of
 
% change
 
% change
 
2015
Total
 
2014
Total
 
2014
Total
 
Fav (Unfav)
 
Fav (Unfav)
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenue from services:
 
 
 
 
 
 
 
 
 
 
 
 
Nurse and Allied Staffing (g)
$
149,112

80
%
 
$
80,730

68
%
 
$
147,382

78
%
 
85
 %
 
1
 %
Physician Staffing (g)
27,347

15
%
 
28,599

24
%
 
30,360

16
%
 
(4
)%
 
(10
)%
Other Human Capital Management Services
9,505

5
%
 
8,762

8
%
 
10,392

6
%
 
8
 %
 
(9
)%
 
$
185,964

100
%
 
$
118,091

100
%
 
$
188,134

100
%
 
57
 %
 
(1
)%
 
 
 
 
 
 
 
 
 
 
 
 
 
Contribution income (h)
 
 
 
 
 
 
 
 
 
 
 
 
Nurse and Allied Staffing (g)
$
10,602

 
 
$
5,989

 
 
$
11,208

 
 
77
 %
 
(5
)%
Physician Staffing (g)
2,116

 
 
731

 
 
2,520

 
 
189
 %
 
(16
)%
Other Human Capital Management Services
602

 
 
166

 
 
635

 
 
263
 %
 
(5
)%
 
13,320

 
 
6,886

 
 
14,363

 
 
93
 %
 
(7
)%
 
 
 
 
 
 
 
 
 
 
 
 
 
Unallocated corporate overhead
7,540

 
 
6,323

 
 
8,555

 
 
(19
)%
 
12
 %
Depreciation
960

 
 
974

 
 
1,070

 
 
1
 %
 
10
 %
Amortization
982

 
 
785

 
 
995

 
 
(25
)%
 
1
 %
Acquisition and integration costs (a)
118

 
 
295

 
 
2,532

 
 
60
 %
 
95
 %
Restructuring costs

 
 

 
 
85

 
 
 %
 
100
 %
Impairment charges (b)

 
 

 
 
10,000

 
 
 %
 
100
 %
Income (loss) from operations
$
3,720

 
 
$
(1,491
)
 
 
$
(8,874
)
 
 
349
 %
 
142
 %
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Cross Country Healthcare, Inc.
Other Financial Data
(Unaudited)
 
 
Three Months Ended
 
March 31,
 
 
March 31,
 
 
December 31,
 
2015
 
 
2014
 
 
2014
 
 
 
 
 
 
 
 
Net cash provided by (used in) operating activities (in thousands)
$
270

 
 
$
(9,234
)
 
 
$
(1,016
)

 
 
 
 
 
 
 
Nurse and Allied Staffing statistical data:
 
 
 
 
 
 
 
FTEs (g) (i)
6,454

 
 
3,119

 
 
6,340

Average Nurse and Allied Staffing revenue per FTE per day (g) (j)
$
257

 
 
$
288

 
 
$
253


 
 
 
 
 
 
 
Physician Staffing statistical data:
 
 
 
 
 
 
 
Days filled (g) (k)
17,413

 
 
20,123

 
 
19,874

Revenue per day filled (g) (l)
$
1,587

 
 
$
1,444

 
 
$
1,486


(a)
On June 30, 2014, the Company acquired substantially all of the operating assets and certain liabilities of MSN. For the three months ended March 31, 2015 and December 31, 2014, $0.1 million and $2.5 million, respectively, of acquisition and integration costs were related to this acquisition. On December 2, 2013, the Company acquired the operating assets of On Assignment, Inc.’s Allied Healthcare staffing division. For the three months ended March 31, 2014, $0.3 million of acquisition and integration costs were related to this acquisition. The results of MSN have been included in the Company's consolidated statements of operations since its date of acquisition.
(b)
The fourth quarter of 2014 includes non-cash impairment charges of $10.0 million ($9.1 million after taxes) related to Physician Staffing trade names.
(c)
When applying the if-converted method to our Convertible Notes for the three months ended March 31, 2015, 3,521,126 shares related to the Convertible Notes, issued in June 2014 in conjunction with the MSN acquisition, are included in diluted weighted average shares because their effect was dilutive. For the three months ended December 31, 2014, their effect was anti-dilutive.
(d)
Adjusted EBITDA, a non-GAAP (Generally Accepted Accounting Principles) financial measure, is defined as net income (loss) attributable to common shareholders before depreciation and amortization, interest expense, income tax expense (benefit), acquisition and integration costs, restructuring costs, legal settlement charge, (gain) loss on derivative liability, impairment charges, other expense (income), net, 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.
(e)
Adjustments to net income attributable to common shareholders in the three months ended March 31, 2015 had the effect of changing the impact of applying the if-converted method on our Convertible Notes from being dilutive to being anti-dilutive. For the three months ended December 31, 2014, the adjustments to net loss attributable to common shareholders had the effect of converting the net loss to net income.  As a result, potentially dilutive shares of 446,847 that were excluded in the unadjusted per share calculation have been included in the adjusted weighted average common shares outstanding - diluted.
(f)
Segment data provided is in accordance with the Segment Reporting Topic of the FASB ASC.
(g)
Effective January 1, 2015, the portion of MDA's allied health staffing business with attributes similar to the Nurse and Allied Staffing business is being reported in the Nurse and Allied Staffing segment. Prior period amounts have been reclassified to conform to the current period presentation.
(h)
Contribution income is defined as income (loss) from operations before depreciation and amortization, 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.
(i)
FTEs represent the average number of Nurse and Allied Staffing contract 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 and excludes accrued days filled.
(l)
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.