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     191  0 Kommentare Cross Country Healthcare Announces Second Quarter 2022 Financial Results

    Cross Country Healthcare, Inc. (the "Company") (Nasdaq: CCRN) today announced financial results for its second quarter ended June 30, 2022.

    SELECTED FINANCIAL INFORMATION:

     

     

     

     

     

    Variance

     

    Variance

     

     

     

     

     

    Q2 2022 vs

     

    Q2 2022 vs

    Dollars are in thousands, except per share amounts

    Q2 2022

     

    Q2 2021

     

    Q1 2022

    Revenue

    $

    753,561

     

     

     

    127

     

    %

     

    (4

    )

    %

    Gross profit margin*

     

    22.6

     

    %

     

    70

     

    bps

     

    40

     

    bps

    Net income attributable to common stockholders

    $

    52,894

     

     

     

    358

     

    %

     

    (15

    )

    %

    Diluted EPS

    $

    1.40

     

     

    $

    1.09

     

     

    $

    (0.23

    )

    Adjusted EBITDA*

    $

    83,490

     

     

     

    244

     

    %

     

    (14

    )

    %

    Adjusted EBITDA margin*

     

    11.1

     

    %

     

    380

     

    bps

     

    (120

    )

    bps

    Adjusted EPS*

    $

    1.40

     

     

    $

    0.93

     

     

    $

    (0.30

    )

    Cash flows used in operations

    $

    18,141

     

     

     

    17

     

    %

     

    162

     

    %

    * Refer to accompanying tables and discussion of non-GAAP (Generally Accepted Accounting Principles) financial measures below.

    Second Quarter Business Highlights

    • Revenue and Adjusted EBITDA exceeded guidance ranges
    • Record number of professionals on assignment
    • Double-digit year-over-year growth across all lines of business
    • Adjusted EBITDA margin of 11.1%
    • Launched Intellify, our proprietary Vendor Management System for Managed Service Programs (MSPs)
    • Rise in demand throughout the quarter, especially for travel assignments
    • $50.0 million optional prepayment on the term loan

    “Our second quarter 2022 results reflect continued strong performance that showcases our ongoing success in leveraging technology and our deep relationships to efficiently place professionals across the healthcare continuum. We are emerging from the pandemic as a fundamentally different company, with a comprehensive suite of technologies that position us for long-term, sustained growth across all lines of business,” said John Martins, President and Chief Executive Officer of Cross Country Healthcare. He continued, “We remain committed to our investments in people and technology, and we see a strong demand from both existing and new MSP clients setting up a solid runway for continued growth.”

    Second quarter consolidated revenue was $753.6 million, an increase of 127% year-over-year and a decrease of 4% sequentially. Consolidated gross profit margin was 22.6%, up 70 basis points year-over-year and up 40 basis points sequentially. Net income attributable to common stockholders was $52.9 million compared to $11.5 million in the prior year and $62.0 million in the prior quarter. Diluted earnings per share (EPS) was $1.40 compared to $0.31 in the prior year and $1.63 in the prior quarter. Adjusted earnings before interest, taxes, depreciation, and amortization (EBITDA) was $83.5 million or 11.1% of revenue, as compared with $24.3 million or 7.3% of revenue in the prior year, and $97.4 million or 12.3% of revenue in the prior quarter. Adjusted EPS was $1.40 compared to $0.47 in the prior year and $1.70 in the prior quarter.

    For the six months ended June 30, 2022, consolidated revenue was $1.5 billion, an increase of 133% year-over-year. Consolidated gross profit margin was 22.4%, up 60 basis points year-over-year. Net income attributable to common stockholders was $114.9 million, or $3.03 per diluted share, compared to $31.0 million, or $0.84 per diluted share, in the prior year. Adjusted EBITDA was $180.9 million or 11.7% of revenue, as compared with $51.0 million or 7.7% of revenue in the prior year. Adjusted EPS was $3.10 compared to $1.05 in the prior year.

    Quarterly Business Segment Highlights

    Nurse and Allied Staffing

    Revenue was $731.4 million, an increase of 131% year-over-year and a decrease of 4% sequentially. Contribution income was $97.6 million, an increase compared to $35.3 million in the prior year and a decrease compared to $110.1 million in the prior quarter. Average field contract personnel on a full-time equivalent (FTE) basis were 13,494 as compared with 7,578 in the prior year and 13,454 in the prior quarter. Revenue per FTE per day was $591 compared to $454 in the prior year and $628 in the prior quarter. The increase in the average number of FTEs was primarily due to headcount growth in travel nurse and allied, as well as the year-over-year additional headcount resulting from the Workforce Solutions Group (WSG) acquisition in June 2021. In the second quarter of 2022, average bill rates were down in the mid-single digits as expected, but volumes were stronger as we continued to experience high demand across a wide range of specialties spanning the healthcare continuum. A spike in professionals on assignment and volume growth primarily drove the year-over-year revenue improvement.

    Physician Staffing

    Revenue was $22.1 million, an increase of 41% year-over-year and a decrease of 4% sequentially. Contribution income was $1.2 million, an increase compared to $0.6 million in the prior year and a decrease compared to $1.8 million in the prior quarter. Total days filled were 12,416 as compared with 9,775 in the prior year and 13,068 in the prior quarter. Revenue per day filled was $1,781 as compared with $1,600 in the prior year and $1,772 in the prior quarter. The year-over-year increase in revenue was primarily due to an increase in volume in primary care physicians and certified registered nurse anesthetists. The year-over-year increase in contribution income was driven by higher revenue, partially offset by higher direct costs.

    Cash Flow and Balance Sheet Highlights

    Cash flow provided by operations for the quarter was $18.1 million, primarily due to the strong net income growth, partly offset by an increase in accounts receivable. Days' sales outstanding, net of amounts owed to subcontractors, was 66 days as of June 30, 2022, up 10 days year-over-year and up 4 days sequentially, primarily due to the timing of revenue recognized throughout the quarter. For the six months ended June 30, 2022, cash flow used in operations was $10.9 million compared to $9.4 million in the prior year.

    Given positive cash from operations, the Company made a $50.0 million optional prepayment on its Subordinated Term Loan to reduce interest costs. At June 30, 2022, the Company had $0.3 million in cash and cash equivalents and $123.9 million principal balance on its term loan, with $85.0 million of borrowings drawn under its ABL facility, and $17.5 million of letters of credit outstanding. As of June 30, 2022, borrowing base availability under the ABL was $300.0 million, with $197.5 million of excess availability.

    Outlook for Third Quarter 2022

    The guidance below applies to management’s expectations for the third quarter of 2022.

     

    Q3 2022 Range

     

    Year-over-Year

     

    Sequential

    Change

     

    Change

     

     

     

     

     

     

    Revenue

    $605 million - $615 million

     

    61% - 64%

     

    (20)% - (18)%

     

     

     

     

     

     

    Gross Profit Margin*

    22.3% - 22.8%

     

    (10) bps - 40 bps

     

    (30) bps - 20 bps

     

     

     

     

     

     

    Adjusted EBITDA*

    $55.0 million - $60.0 million

     

    83% - 99%

     

    (34)% - (28)%

     

     

     

     

     

     

    Adjusted EPS*

    $0.85 - $0.95

     

    $0.24 - $0.34

     

    ($0.55) - ($0.45)

    * Refer to discussion of non-GAAP financial measures below.

    The above estimates are based on current management expectations and, as such, are forward-looking and actual results may differ materially. The above ranges do not include the potential impact of any future divestitures, mergers, acquisitions, or other business combinations, changes in debt structure, or future significant share repurchases.

    See accompanying non-GAAP financial measures and tables below.

    INVITATION TO CONFERENCE CALL

    The Company will hold its quarterly conference call on Wednesday, August 3, 2022, at 5:00 P.M. Eastern Time to discuss its second quarter 2022 financial results. This call will be webcast live and can be accessed at the Company’s website at ir.crosscountryhealthcare.com or by dialing 888-566-1290 from anywhere in the U.S. or by dialing 773-799-3776 from non-U.S. locations - Passcode: Cross Country. A replay of the webcast will be available from August 3rd through August 17th on the Company’s website and a replay of the conference call will be available by telephone by calling 800-814-6746 from anywhere in the U.S. or 203-369-3827 from non-U.S. locations - Passcode: 8322.

    ABOUT CROSS COUNTRY HEALTHCARE

    Cross Country Healthcare, Inc. is a leading tech-enabled workforce solutions and advisory firm with 36 years of industry experience and insight. We solve complex labor-related challenges for customers while providing high-quality outcomes and exceptional patient care. As a multi-year Best of Staffing award winner, we are committed to an exceptionally high level of service to our clients and our homecare, education, and clinical and non-clinical healthcare professionals. Our locum tenens line of business, Cross Country Locums, has been certified by the National Committee for Quality Assurance (NCQA), the leader in healthcare accreditation, since 2001. We are the first publicly traded staffing firm to obtain The Joint Commission Certification, which we still hold with a Letter of Distinction. Cross Country Healthcare is rated as the top staffing and recruiting employer for women by InHerSights, and CertifiedTM by Great Place to Work. For two consecutive years, we have received the Top Workplaces USA award and were recently recognized as a recipient of the Top Workplaces Award for Innovation and Leadership by Energage. We have a history of investing in diversity, equality, and inclusion as a key component of the organization’s overall corporate social responsibility program, closely aligned with its core values to create a better future for its people, communities, and its stockholders.

    Copies of this and other news releases and additional information about the Company can be obtained online at ir.crosscountryhealthcare.com. Stockholders and prospective investors can also register to automatically receive the Company’s press releases, filings with the Securities and Exchange Commission (SEC), and other notices by e-mail.

    NON-GAAP FINANCIAL MEASURES

    This press release and the accompanying financial statement tables reference non-GAAP financial measures, such as gross profit margin, adjusted EBITDA, and adjusted EPS. 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 future operating performance. Pro forma measures, if applicable, 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 STATEMENTS

    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, Section 21E of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and the Private Securities Litigation Reform 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", "could", 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: the potential impacts of the COVID-19 pandemic on our business, financial condition, and results of operations, 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 clientsability 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 potential liabilities, losses, or other exposures in connection with the WSG acquisition, 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, including, without limitation, the risk factors set forth in Item 1A. "Risk Factors" in the Companys Annual Report on Form 10-K for the year ended December 31, 2021, and in our other filings with the SEC. You should consult any further disclosures the Company makes on related subjects in its filings with the SEC.

    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 managements 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 factorslikely 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, and/or (iv) our strategy, which is based in part on this analysis, will be successful. Except as may be required by law, 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

     

     

    Six Months Ended

     

    June 30,

     

    June 30,

     

    March 31,

     

     

    June 30,

     

    June 30,

     

    2022

     

    2021

     

    2022

     

     

    2022

     

    2021

     

     

     

     

     

     

     

    Revenue from services

    $

    753,561

     

     

    $

    331,827

     

     

    $

    788,732

     

     

     

    $

    1,542,293

     

     

    $

    661,068

     

    Operating expenses:

     

     

     

     

     

     

     

     

     

     

    Direct operating expenses

     

    583,156

     

     

     

    259,237

     

     

     

    613,938

     

     

     

     

    1,197,094

     

     

     

    517,013

     

    Selling, general and administrative expenses

     

    86,009

     

     

     

    50,344

     

     

     

    76,813

     

     

     

     

    162,822

     

     

     

    96,671

     

    Bad debt expense

     

    3,192

     

     

     

    466

     

     

     

    2,369

     

     

     

     

    5,561

     

     

     

    970

     

    Depreciation and amortization

     

    3,481

     

     

     

    2,199

     

     

     

    2,719

     

     

     

     

    6,200

     

     

     

    4,452

     

    Acquisition and integration-related costs

     

     

     

     

    924

     

     

     

    40

     

     

     

     

    40

     

     

     

    924

     

    Restructuring (benefits) costs

     

    (1,114

    )

     

     

    835

     

     

     

    480

     

     

     

     

    (634

    )

     

     

    2,073

     

    Impairment charges

     

     

     

     

    1,921

     

     

     

    1,741

     

     

     

     

    1,741

     

     

     

    2,070

     

    Total operating expenses

     

    674,724

     

     

     

    315,926

     

     

     

    698,100

     

     

     

     

    1,372,824

     

     

     

    624,173

     

    Income from operations

     

    78,837

     

     

     

    15,901

     

     

     

    90,632

     

     

     

     

    169,469

     

     

     

    36,895

     

    Other expenses (income):

     

     

     

     

     

     

     

     

     

     

    Interest expense

     

    3,857

     

     

     

    1,196

     

     

     

    3,521

     

     

     

     

    7,378

     

     

     

    1,867

     

    Loss on early extinguishment of debt

     

    1,912

     

     

     

     

     

     

     

     

     

     

    1,912

     

     

     

     

    Other income, net

     

    (1,084

    )

     

     

    (204

    )

     

     

    (8

    )

     

     

     

    (1,092

    )

     

     

    (241

    )

    Income before income taxes

     

    74,152

     

     

     

    14,909

     

     

     

    87,119

     

     

     

     

    161,271

     

     

     

    35,269

     

    Income tax expense

     

    21,258

     

     

     

    3,361

     

     

     

    25,136

     

     

     

     

    46,394

     

     

     

    4,273

     

    Net income attributable to common stockholders

    $

    52,894

     

     

    $

    11,548

     

     

    $

    61,983

     

     

     

    $

    114,877

     

     

    $

    30,996

     

     

     

     

     

     

     

     

     

     

     

     

    Net income per share attributable to common stockholders - Basic

    $

    1.41

     

     

    $

    0.32

     

     

    $

    1.67

     

     

     

    $

    3.08

     

     

    $

    0.85

     

     

     

     

     

     

     

     

     

     

     

     

    Net income per share attributable to common stockholders - Diluted

    $

    1.40

     

     

    $

    0.31

     

     

    $

    1.63

     

     

     

    $

    3.03

     

     

    $

    0.84

     

     

     

     

     

     

     

     

     

     

     

     

    Weighted average common shares outstanding:

     

     

     

     

     

     

     

     

     

     

    Basic

     

    37,471

     

     

     

    36,625

     

     

     

    37,028

     

     

     

     

    37,251

     

     

     

    36,404

     

    Diluted

     

    37,757

     

     

     

    37,203

     

     

     

    37,973

     

     

     

     

    37,866

     

     

     

    37,120

     

     

     

     

     

     

     

     

     

     

     

     

    Cross Country Healthcare, Inc.

    Reconciliation of Non-GAAP Financial Measures

    (Unaudited, amounts in thousands, except per share data)

     

     

    Three Months Ended

     

     

    Six Months Ended

     

    June 30,

     

     

    June 30,

     

     

    March 31,

     

     

    June 30,

     

    June 30,

     

    2022

     

     

    2021

     

     

    2022

     

     

    2022

     

    2021

    Adjusted EBITDA:a

     

     

     

     

     

     

     

     

     

     

     

     

    Net income attributable to common stockholders

    $

    52,894

     

     

     

    $

    11,548

     

     

     

    $

    61,983

     

     

     

    $

    114,877

     

     

    $

    30,996

     

    Interest expense

     

    3,857

     

     

     

     

    1,196

     

     

     

     

    3,521

     

     

     

     

    7,378

     

     

     

    1,867

     

    Income tax expenseb

     

    21,258

     

     

     

     

    3,361

     

     

     

     

    25,136

     

     

     

     

    46,394

     

     

     

    4,273

     

    Depreciation and amortization

     

    3,481

     

     

     

     

    2,199

     

     

     

     

    2,719

     

     

     

     

    6,200

     

     

     

    4,452

     

    Acquisition and integration-related costsc

     

     

     

     

     

    924

     

     

     

     

    40

     

     

     

     

    40

     

     

     

    924

     

    Restructuring (benefits) costsd

     

    (1,114

    )

     

     

     

    835

     

     

     

     

    480

     

     

     

     

    (634

    )

     

     

    2,073

     

    Legal settlements and feese

     

     

     

     

     

    28

     

     

     

     

     

     

     

     

     

     

     

    403

     

    Impairment chargesf

     

     

     

     

     

    1,921

     

     

     

     

    1,741

     

     

     

     

    1,741

     

     

     

    2,070

     

    Loss on disposal of fixed assets

     

    6

     

     

     

     

     

     

     

     

    19

     

     

     

     

    25

     

     

     

     

    Loss on early extinguishment of debtg

     

    1,912

     

     

     

     

     

     

     

     

     

     

     

     

    1,912

     

     

     

     

    Gain on lease terminationh

     

    (1,064

    )

     

     

     

    (197

    )

     

     

     

    (21

    )

     

     

     

    (1,085

    )

     

     

    (224

    )

    Other income, net

     

    (26

    )

     

     

     

    (7

    )

     

     

     

    (6

    )

     

     

     

    (32

    )

     

     

    (17

    )

    Equity compensation

     

    2,114

     

     

     

     

    2,137

     

     

     

     

    1,601

     

     

     

     

    3,715

     

     

     

    3,486

     

    Applicant tracking system costsi

     

    172

     

     

     

     

    315

     

     

     

     

    195

     

     

     

     

    367

     

     

     

    690

     

    Adjusted EBITDAa

    $

    83,490

     

     

     

    $

    24,260

     

     

     

    $

    97,408

     

     

     

    $

    180,898

     

     

    $

    50,993

     

    Adjusted EBITDA margina

     

    11.1

    %

     

     

     

    7.3

    %

     

     

     

    12.3

    %

     

     

     

    11.7

    %

     

     

    7.7

    %

     

     

     

     

     

     

     

     

     

     

     

     

     

    Adjusted EPS:j

     

     

     

     

     

     

     

     

     

     

     

     

    Numerator:

     

     

     

     

     

     

     

     

     

     

     

     

    Net income attributable to common stockholders

    $

    52,894

     

     

     

    $

    11,548

     

     

     

    $

    61,983

     

     

     

    $

    114,877

     

     

    $

    30,996

     

    Non-GAAP adjustments - pretax:

     

     

     

     

     

     

     

     

     

     

     

     

    Acquisition and integration-related costsc

     

     

     

     

     

    924

     

     

     

     

    40

     

     

     

     

    40

     

     

     

    924

     

    Restructuring (benefits) costsd

     

    (1,114

    )

     

     

     

    835

     

     

     

     

    480

     

     

     

     

    (634

    )

     

     

    2,073

     

    Legal settlements and feese

     

     

     

     

     

    28

     

     

     

     

     

     

     

     

     

     

     

    403

     

    Impairment chargesf

     

     

     

     

     

    1,921

     

     

     

     

    1,741

     

     

     

     

    1,741

     

     

     

    2,070

     

    Applicant tracking system costsi

     

    172

     

     

     

     

    315

     

     

     

     

    195

     

     

     

     

    367

     

     

     

    690

     

    Loss on early extinguishment of debtg

     

    1,912

     

     

     

     

     

     

     

     

     

     

     

     

    1,912

     

     

     

     

    Nonrecurring income tax adjustmentsk

     

     

     

     

     

    1,942

     

     

     

     

     

     

     

     

     

     

     

    1,942

     

    Tax impact of non-GAAP adjustments

     

    (1,061

    )

     

     

     

    (11

    )

     

     

     

    184

     

     

     

     

    (878

    )

     

     

    (12

    )

    Adjusted net income attributable to common stockholders - non-GAAP

    $

    52,803

     

     

     

    $

    17,502

     

     

     

    $

    64,623

     

     

     

    $

    117,425

     

     

    $

    39,086

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Denominator:

     

     

     

     

     

     

     

     

     

     

     

     

    Weighted average common shares - basic, GAAP

     

    37,471

     

     

     

     

    36,625

     

     

     

     

    37,028

     

     

     

     

    37,251

     

     

     

    36,404

     

    Dilutive impact of share-based payments

     

    286

     

     

     

     

    578

     

     

     

     

    945

     

     

     

     

    615

     

     

     

    716

     

    Adjusted weighted average common shares - diluted, non-GAAP

     

    37,757

     

     

     

     

    37,203

     

     

     

     

    37,973

     

     

     

     

    37,866

     

     

     

    37,120

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Reconciliation:

     

     

     

     

     

     

     

     

     

     

     

     

    Diluted EPS, GAAP

    $

    1.40

     

     

     

    $

    0.31

     

     

     

    $

    1.63

     

     

     

    $

    3.03

     

     

    $

    0.84

     

    Non-GAAP adjustments - pretax:

     

     

     

     

     

     

     

     

     

     

     

     

    Acquisition and integration-related costsc

     

     

     

     

     

    0.03

     

     

     

     

     

     

     

     

     

     

     

    0.03

     

    Restructuring (benefits) costsd

     

    (0.03

    )

     

     

     

    0.02

     

     

     

     

    0.01

     

     

     

     

    (0.02

    )

     

     

    0.05

     

    Legal settlements and feese

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    0.01

     

    Impairment chargesf

     

     

     

     

     

    0.05

     

     

     

     

    0.05

     

     

     

     

    0.05

     

     

     

    0.05

     

    Applicant tracking system costsi

     

     

     

     

     

    0.01

     

     

     

     

    0.01

     

     

     

     

    0.01

     

     

     

    0.02

     

    Loss on early extinguishment of debtg

     

    0.05

     

     

     

     

     

     

     

     

     

     

     

     

    0.05

     

     

     

     

    Nonrecurring income tax adjustmentsk

     

     

     

     

     

    0.05

     

     

     

     

     

     

     

     

     

     

     

    0.05

     

    Tax impact of non-GAAP adjustments

     

    (0.02

    )

     

     

     

     

     

     

     

     

     

     

     

    (0.02

    )

     

     

     

    Adjusted EPS, non-GAAPj

    $

    1.40

     

     

     

    $

    0.47

     

     

     

    $

    1.70

     

     

     

    $

    3.10

     

     

    1.05 

     

    Cross Country Healthcare, Inc.

    Consolidated Balance Sheets

    (Unaudited, amounts in thousands)

     

     

    June 30,

     

     

    December 31,

     

    2022

     

     

    2021

     

     

     

     

     

    Assets

     

     

     

     

    Current assets:

     

     

     

     

    Cash and cash equivalents

    $

    279

     

     

     

    $

    1,036

     

    Accounts receivable, net

     

    701,926

     

     

     

     

    493,910

     

    Prepaid expenses

     

    6,774

     

     

     

     

    7,648

     

    Insurance recovery receivable

     

    5,750

     

     

     

     

    5,041

     

    Other current assets

     

    3,594

     

     

     

     

    638

     

    Total current assets

     

    718,323

     

     

     

     

    508,273

     

    Property and equipment, net

     

    18,241

     

     

     

     

    15,833

     

    Operating lease right-of-use assets

     

    5,058

     

     

     

     

    7,488

     

    Goodwill

     

    113,360

     

     

     

     

    119,490

     

    Trade names, indefinite-lived

     

    5,900

     

     

     

     

    5,900

     

    Other intangible assets, net

     

    42,863

     

     

     

     

    42,344

     

    Non-current deferred tax assets

     

    8,096

     

     

     

     

    11,525

     

    Other non-current assets

     

    27,120

     

     

     

     

    21,956

     

    Total assets

    $

    938,961

     

     

     

    $

    732,809

     

     

     

     

     

     

    Liabilities and Stockholders' Equity

     

     

     

     

    Current liabilities:

     

     

     

     

    Accounts payable and accrued expenses

    $

    189,805

     

     

     

    $

    109,753

     

    Accrued compensation and benefits

     

    65,409

     

     

     

     

    65,580

     

    Current portion of debt

     

     

     

     

     

    4,176

     

    Operating lease liabilities - current

     

    4,145

     

     

     

     

    4,090

     

    Income tax payable

     

    30

     

     

     

     

    7,307

     

    Current portion of earnout liability

     

    7,500

     

     

     

     

    7,500

     

    Other current liabilities

     

    1,769

     

     

     

     

    1,364

     

    Total current liabilities

     

    268,658

     

     

     

     

    199,770

     

    Long-term debt, less current portion

     

    205,376

     

     

     

     

    176,366

     

    Operating lease liabilities - non-current

     

    7,017

     

     

     

     

    10,853

     

    Non-current deferred tax liabilities

     

    222

     

     

     

     

    190

     

    Long-term accrued claims

     

    26,869

     

     

     

     

    25,314

     

    Non-current earnout liability

     

    7,500

     

     

     

     

    9,000

     

    Other long-term liabilities

     

    12,508

     

     

     

     

    13,788

     

    Total liabilities

     

    528,150

     

     

     

     

    435,281

     

     

     

     

     

     

    Commitments and contingencies

     

     

     

     

     

     

     

     

     

    Stockholders' equity:

     

     

     

     

    Common stock

     

    4

     

     

     

     

    4

     

    Additional paid-in capital

     

    320,000

     

     

     

     

    321,552

     

    Accumulated other comprehensive loss

     

    (1,335

    )

     

     

     

    (1,293

    )

    Retained earnings (accumulated deficit)

     

    92,142

     

     

     

     

    (22,735

    )

    Total stockholders' equity

     

    410,811

     

     

     

     

    297,528

     

    Total liabilities and stockholders' equity

    $

    938,961

     

     

     

    732,809 

     

    Cross Country Healthcare, Inc.

    Segment Datal

    (Unaudited, amounts in thousands)

     

     

    Three Months Ended

     

    Year-over-Year

     

    Sequential

     

    June 30,

     

    % of

     

    June 30,

     

    % of

     

    March 31,

     

    % of

     

    % change

     

    % change

     

    2022

     

    Total

     

    2021

     

    Total

     

    2022

     

    Total

     

    Fav (Unfav)

     

    Fav (Unfav)

     

     

     

     

     

     

     

     

     

     

     

     

     

    Revenue from services:

     

     

     

     

     

     

     

     

     

     

     

     

    Nurse and Allied Staffing

    $

    731,443

     

    97

    %

     

    $

    316,188

    95

    %

     

    $

    765,580

    97

    %

     

    131

    %

     

    (4

    )%

    Physician Staffing

     

    22,118

     

    3

    %

     

     

    15,639

    5

    %

     

     

    23,152

    3

    %

     

    41

    %

     

    (4

    )%

     

    $

    753,561

     

    100

    %

     

    $

    331,827

    100

    %

     

    $

    788,732

    100

    %

     

    127

    %

     

    (4

    )%

     

     

     

     

     

     

     

     

     

     

     

     

     

    Contribution income:m

     

     

     

     

     

     

     

     

     

     

     

     

    Nurse and Allied Staffing

    $

    97,567

     

     

     

    $

    35,284

     

     

    $

    110,101

     

     

    177

    %

     

    (11

    )%

    Physician Staffing

     

    1,220

     

     

     

     

    562

     

     

     

    1,765

     

     

    117

    %

     

    (31

    )%

     

     

    98,787

     

     

     

     

    35,846

     

     

     

    111,866

     

     

    176

    %

     

    (12

    )%

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Corporate overheadn

     

    17,583

     

     

     

     

    14,066

     

     

     

    16,254

     

     

    (25

    )%

     

    (8

    )%

    Depreciation and amortization

     

    3,481

     

     

     

     

    2,199

     

     

     

    2,719

     

     

    (58

    )%

     

    (28

    )%

    Acquisition and integration-related costsc

     

     

     

     

     

    924

     

     

     

    40

     

     

    100

    %

     

    100

    %

    Restructuring (benefits) costsd

     

    (1,114

    )

     

     

     

    835

     

     

     

    480

     

     

    233

    %

     

    332

    %

    Impairment chargesf

     

     

     

     

     

    1,921

     

     

     

    1,741

     

     

    100

    %

     

    100

    %

    Income from operations

    $

    78,837

     

     

     

    $

    15,901

     

     

    $

    90,632

     

     

    396

    %

     

    (13

    )%

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Six Months Ended

     

     

     

    Year-over-Year

     

     

     

    June 30,

     

    % of

     

    June 30,

     

    % of

     

     

     

    % change

     

     

     

    2022

     

    Total

     

    2021

     

    Total

     

     

    Fav (Unfav)

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Revenue from services:

     

     

     

     

     

     

     

     

     

     

     

     

    Nurse and Allied Staffing

    $

    1,497,023

     

    97

    %

     

    $

    629,196

    95

    %

     

     

     

     

    138

    %

     

     

    Physician Staffing

     

    45,270

     

    3

    %

     

     

    31,872

    5

    %

     

     

     

     

    42

    %

     

     

     

    $

    1,542,293

     

    100

    %

     

    $

    661,068

    100

    %

     

     

     

     

    133

    %

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Contribution income:m

     

     

     

     

     

     

     

     

     

     

     

     

    Nurse and Allied Staffing

    $

    207,668

     

     

     

    $

    72,701

     

     

     

     

     

    186

    %

     

     

    Physician Staffing

     

    2,985

     

     

     

     

    1,990

     

     

     

     

     

    50

    %

     

     

     

     

    210,653

     

     

     

     

    74,691

     

     

     

     

     

    182

    %

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Corporate overheadn

     

    33,837

     

     

     

     

    28,277

     

     

     

     

     

    (20

    )%

     

     

    Depreciation and amortization

     

    6,200

     

     

     

     

    4,452

     

     

     

     

     

    (39

    )%

     

     

    Acquisition and integration-related costsc

     

    40

     

     

     

     

    924

     

     

     

     

     

    96

    %

     

     

    Restructuring (benefits) costsd

     

    (634

    )

     

     

     

    2,073

     

     

     

     

     

    131

    %

     

     

    Impairment chargesf

     

    1,741

     

     

     

     

    2,070

     

     

     

     

     

    16

    %

     

     

    Income from operations

    $

    169,469

     

     

     

    $

    36,895

     

     

     

     

     

    359

    %

     

     

     

    Cross Country Healthcare, Inc.

    Summary Condensed Consolidated Statements of Cash Flows

    (Unaudited, amounts in thousands)

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Three Months Ended

     

     

    Six Months Ended

     

    June 30,

     

     

    June 30,

     

     

    March 31,

     

     

    June 30,

     

    June 30,

     

    2022

     

     

    2021

     

     

    2022

     

     

    2022

     

    2021

     

     

     

     

     

     

     

     

     

     

     

     

     

    Net cash provided by (used in) operating activities

    $

    18,141

     

     

     

    $

    15,505

     

     

     

    $

    (29,038

    )

     

     

    $

    (10,897

    )

     

    $

    (9,422

    )

    Net cash used in investing activities

     

    (1,752

    )

     

     

     

    (26,286

    )

     

     

     

    (2,096

    )

     

     

     

    (3,848

    )

     

     

    (27,472

    )

    Net cash (used in) provided by financing activities

     

    (17,321

    )

     

     

     

    15,434

     

     

     

     

    31,308

     

     

     

     

    13,987

     

     

     

    53,438

     

    Effect of exchange rate changes on cash

     

    3

     

     

     

     

    (14

    )

     

     

     

    (2

    )

     

     

     

    1

     

     

     

    (17

    )

    Change in cash and cash equivalents

     

    (929

    )

     

     

     

    4,639

     

     

     

     

    172

     

     

     

     

    (757

    )

     

     

    16,527

     

    Cash and cash equivalents at beginning of period

     

    1,208

     

     

     

     

    13,488

     

     

     

     

    1,036

     

     

     

     

    1,036

     

     

     

    1,600

     

    Cash and cash equivalents at end of period

    $

    279

     

     

     

    $

    18,127

     

     

     

    $

    1,208

     

     

     

    $

    279

     

     

    $

    18,127

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Cross Country Healthcare, Inc.

    Other Financial Data

    (Unaudited)

     

     

    Three Months Ended

     

     

    Six Months Ended

     

    June 30,

     

     

    June 30,

     

     

    March 31,

     

     

    June 30,

     

    June 30,

     

    2022

     

     

    2021

     

     

    2022

     

     

    2022

     

    2021

     

     

     

     

     

     

     

     

     

     

     

     

     

    Consolidated gross profit margino

     

    22.6

    %

     

     

     

    21.9

    %

     

     

     

    22.2

    %

     

     

     

    22.4

    %

     

     

    21.8

    %

     

     

     

     

     

     

     

     

     

     

     

     

     

    Nurse and Allied Staffing statistical data:

     

     

     

     

     

     

     

     

     

     

     

     

    FTEsp

     

    13,494

     

     

     

     

    7,578

     

     

     

     

    13,454

     

     

     

     

    13,474

     

     

     

    7,096

     

    Average Nurse and Allied Staffing revenue per FTE per dayq

    $

    591

     

     

     

    $

    454

     

     

     

    $

    628

     

     

     

    $

    609

     

     

    $

    486

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Physician Staffing statistical data:

     

     

     

     

     

     

     

     

     

     

     

     

    Days filledr

     

    12,416

     

     

     

     

    9,775

     

     

     

     

    13,068

     

     

     

     

    25,484

     

     

     

    19,244

     

    Revenue per day filleds

    $

    1,781

     

     

     

    $

    1,600

     

     

     

    $

    1,772

     

     

     

    $

    1,776

     

     

    $

    1,656

     

    (a)

    Adjusted EBITDA, a non-GAAP financial measure, is defined as net income (loss) attributable to common stockholders before interest expense, income tax expense (benefit), depreciation and amortization, acquisition and integration-related costs, restructuring (benefits) costs, legal settlements and fees, impairment charges, gain or loss on derivative, loss on early extinguishment of debt, gain or loss on disposal of fixed assets, gain or loss on lease termination, gain or loss on sale of business, other expense (income), net, equity compensation, and applicant tracking system costs. 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 attributable to common stockholders as an indicator of operating performance. Management uses Adjusted EBITDA for planning purposes and as one performance measure in its incentive programs for certain members of its management team. Adjusted EBITDA, as defined, closely matches the operating measure as defined by the Company's credit facilities. Adjusted EBITDA Margin is calculated by dividing Adjusted EBITDA by the Company's consolidated revenue.

    (b)

    The Company released the majority of its valuation allowance on deferred tax assets as of December 31, 2021, resulting in increased income tax expense in 2022.

    (c)

    Acquisition and integration-related costs include costs for legal and advisory fees for the Workforce Solutions Group (WSG) acquisition that closed on June 8, 2021.

    (d)

    Restructuring (benefits) costs are primarily comprised of employee termination costs, lease-related exit costs, and reorganization costs as part of planned cost savings initiatives. Amounts for the three and six months ended June 30, 2022 include a benefit associated with the early termination of one of the Company's corporate offices which was previously restructured.

    (e)

    Legal settlements and fees include legal settlement charges as presented on the consolidated statements of operations as well as legal fees pertaining to non-operational legal matters outside the normal course of operations which are included in selling, general and administrative expenses. For the three and six months ended June 30, 2021, we incurred legal fees related to various legal matters outside the normal course of operations.

    (f)

    Impairment charges for the six months ended June 30, 2022 was comprised of $1.7 million related to right-of-use assets and related property in connection with leases that were vacated. Impairment charges for the six months ended June 30, 2021 was comprised of $1.9 million related to right-of-use assets and related property in connection with leases that were vacated during the second quarter and $0.1 million related to the write-off of a discontinued software development project.

    (g)

    Loss on early extinguishment of debt for the three and six months ended June 30, 2022 consists of a prepayment premium and the write-off of debt issuance costs related to the optional prepayment on our term loan made in the second quarter of 2022.

    (h)

    The gain on lease termination for the three and six months ended June 20, 2022 is a result of the early termination of one of the Company's corporate offices, recognized in the second quarter of 2022.

    (i)

    Applicant tracking system costs are related to the Company's project to replace its legacy system supporting its travel nurse staffing business. These costs are reported in selling, general and administrative expenses on the consolidated statement of operations and included in corporate overhead in segment data.

    (j)

    Adjusted EPS, a non-GAAP financial measure, is defined as net income (loss) attributable to common stockholders per diluted share before the diluted EPS impact of acquisition and integration-related costs, restructuring (benefits) costs, legal settlements and fees, impairment charges, gain or loss on derivative, loss on early extinguishment of debt, gain or loss on sale of business, applicant tracking system costs, and nonrecurring income tax adjustments. 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.

    (k)

    Non-recurring income tax adjustment for the three and six months ended June 30, 2021 reflects a valuation allowance related to a state rate change as a result of the WSG acquisition.

    (l)

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

    (m)

    Contribution income is defined as income (loss) from operations before depreciation and amortization, acquisition and integration-related costs, restructuring (benefits) costs, legal settlement charges, impairment charges, and corporate overhead. Contribution income is a financial measure used by management when assessing segment performance.

    (n)

    Corporate overhead includes unallocated executive leadership and other centralized corporate functional support costs such as finance, IT, legal, human resources, and marketing, as well as public company expenses and corporate-wide projects (initiatives).

    (o)

    Gross profit is defined as revenue from services less direct operating expenses. The Company's gross profit excludes allocated depreciation and amortization expense. Gross profit margin is calculated by dividing gross profit by revenue from services.

    (p)

    FTEs represent the average number of Nurse and Allied Staffing contract personnel on a full-time equivalent basis.

    (q)

    Average revenue per FTE per day is calculated by dividing Nurse and Allied Staffing revenue, excluding permanent placement, per FTE by the number of days worked in the respective periods.

    (r)

    Days filled is calculated by dividing the total hours invoiced during the period, including an estimate for the impact of accrued revenue, by 8 hours.

    (s)

    Revenue per day filled is calculated by dividing revenue as reported by days filled for the period presented.

     




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    Cross Country Healthcare Announces Second Quarter 2022 Financial Results Cross Country Healthcare, Inc. (the "Company") (Nasdaq: CCRN) today announced financial results for its second quarter ended June 30, 2022. SELECTED FINANCIAL INFORMATION:           Variance   Variance           Q2 2022 vs   Q2 2022 vs Dollars are …

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