Cross Country Healthcare Announces Third Quarter 2024 Financial Results
Cross Country Healthcare (CCRN) reported Q3 2024 financial results with revenue of $315.1 million, down 29% year-over-year and 7% sequentially. The company posted net income of $2.6 million with diluted EPS of $0.08. Gross profit margin was 20.4%, declining 160 basis points year-over-year.
Notable highlights include revenue growth in Physician Staffing and Homecare Staffing segments, a three-year contract renewal with their largest managed service program, and a strong balance sheet with $64 million cash and no debt. The company repurchased over 800,000 shares for $11.9 million during the quarter.
Cross Country Healthcare (CCRN) ha riportato i risultati finanziari del terzo trimestre del 2024 con un fatturato di 315,1 milioni di dollari, in calo del 29% rispetto all'anno precedente e del 7% rispetto al trimestre precedente. L'azienda ha registrato un utile netto di 2,6 milioni di dollari con un utile per azione diluito di 0,08 dollari. Il margine di profitto lordo è stato del 20,4%, in diminuzione di 160 punti base rispetto all'anno scorso.
Tra i punti salienti ci sono la crescita dei ricavi nei segmenti di Staffing per Medici e Staffing per Assistenza Domiciliare, il rinnovo di un contratto triennale con il loro più grande programma di servizi gestiti e un solido bilancio con 64 milioni di dollari in cassa e senza debiti. L'azienda ha riacquistato oltre 800.000 azioni per 11,9 milioni di dollari durante il trimestre.
Cross Country Healthcare (CCRN) informó los resultados financieros del tercer trimestre de 2024, con ingresos de 315.1 millones de dólares, una caída del 29% en comparación interanual y del 7% secuencialmente. La compañía reportó un ingreso neto de 2.6 millones de dólares con un EPS diluido de 0.08 dólares. El margen de utilidad bruta fue del 20.4%, disminuyendo 160 puntos básicos en comparación con el año anterior.
Los aspectos destacados incluyen el crecimiento de ingresos en los segmentos de Staffing de Médicos y Staffing de Cuidado a Domicilio, la renovación de un contrato de tres años con su programa de servicio gestionado más grande y un balance sólido con 64 millones de dólares en efectivo y sin deudas. La compañía recompró más de 800,000 acciones por 11.9 millones de dólares durante el trimestre.
크로스 카운트리 헬스케어 (CCRN)는 2024년 3분기 재무 결과를 보고하며 수익이 3억 1,510만 달러로 작년 대비 29% 감소하고 지난 분기 대비 7% 감소했다고 발표했습니다. 회사는 260만 달러의 순이익과 희석 주당 순이익(EPS) 0.08 달러를 기록했습니다. 총 이익률은 20.4%로 작년보다 160 베이시스 포인트 감소했습니다.
주요 하이라이트로는 의사 인력 배치 및 가정 간호 인력 배치 부문에서의 수익 성장, 가장 큰 관리 서비스 프로그램과의 3년 계약 갱신, 6400만 달러의 현금 보유 및 무부채의 건전한 대차대조표가 있습니다. 이 회사는 분기 동안 1190만 달러로 800,000주 이상의 자사주 매입을 진행했습니다.
Cross Country Healthcare (CCRN) a annoncé les résultats financiers du troisième trimestre 2024, avec des revenus de 315,1 millions de dollars, en baisse de 29 % par rapport à l'année précédente et de 7 % par rapport au trimestre précédent. La société a affiché un bénéfice net de 2,6 millions de dollars avec un BPA dilué de 0,08 dollar. La marge brute s'élevait à 20,4 %, en baisse de 160 points de base par rapport à l'année précédente.
Parmi les faits marquants, on note une croissance des revenus dans les segments de recrutement de médecins et de soins à domicile, le renouvellement d'un contrat de trois ans avec leur plus grand programme de services gérés et un bilan solide avec 64 millions de dollars en liquidités et sans dettes. L'entreprise a racheté plus de 800 000 actions pour 11,9 millions de dollars au cours du trimestre.
Cross Country Healthcare (CCRN) hat die finanziellen Ergebnisse für das 3. Quartal 2024 veröffentlicht, mit einem Umsatz von 315,1 Millionen Dollar, was einem Rückgang von 29% im Vergleich zum Vorjahr und 7% im Vergleich zum vorherigen Quartal entspricht. Das Unternehmen erzielte einen Nettogewinn von 2,6 Millionen Dollar bei einem verwässerten Gewinn pro Aktie von 0,08 Dollar. Die Bruttomarge betrug 20,4%, was einem Rückgang um 160 Basispunkte im Vergleich zum Vorjahr entspricht.
Zu den bemerkenswerten Highlights gehören das Umsatzwachstum in den Bereichen Arztsourcing und häusliche Pflege, die Verlängerung eines Drei-Jahres-Vertrags mit ihrem größten Managed Service-Programm sowie eine solide Bilanz mit 64 Millionen Dollar in bar und ohne Schulden. Das Unternehmen hat im Laufe des Quartals über 800.000 Aktien für 11,9 Millionen Dollar zurückgekauft.
- Physician Staffing revenue increased 10% year-over-year to $50.3 million
- Strong balance sheet with $64 million cash and zero debt
- Secured three-year contract renewal with largest managed service program
- 4-day improvement in days' sales outstanding year-over-year
- Operating cash flow of $95.9 million for the first nine months
- Revenue declined 29% year-over-year to $315.1 million
- Gross profit margin decreased 160 basis points to 20.4%
- Net income dropped 80% year-over-year
- Adjusted EBITDA margin declined 290 basis points to 3.3%
- Q4 2024 guidance projects continued revenue decline of 25-28% year-over-year
Insights
Cross Country Healthcare's Q3 2024 results reveal significant challenges, with revenue declining
Key concerns include:
- Core nurse staffing segment revenue down
33% YoY - Gross profit margin compression of 160 basis points to
20.4% - Significant decline in average revenue per FTE to
$373 from$434
The healthcare staffing market's normalization is evident in CCRN's results. The decline in revenue per FTE and margins reflects the industry's transition from pandemic-era peaks. However, several positive indicators emerge:
- Bill rate stabilization signals market equilibrium
- Rising demand across service lines
- Strategic contract renewal with largest MSP client
- Growth in diversified segments (Physician, Homecare, Education)
SELECTED FINANCIAL INFORMATION:
|
|
|
Variance |
Variance |
|||||
|
|
|
Q3 2024 vs |
Q3 2024 vs |
|||||
Dollars are in thousands, except per share amounts |
Q3 2024 |
Q3 2023 |
Q2 2024 |
||||||
Revenue |
$ |
315,119 |
|
|
(29 |
)% |
|
(7 |
)% |
Gross profit margin* |
|
20.4 |
% |
|
(160 |
)bps |
|
(40 |
)bps |
Net income attributable to common stockholders |
$ |
2,555 |
|
|
(80 |
)% |
|
116 |
% |
Diluted EPS |
$ |
0.08 |
|
$ |
(0.28 |
) |
$ |
0.55 |
|
Adjusted EBITDA* |
$ |
10,339 |
|
|
(62 |
)% |
|
(27 |
)% |
Adjusted EBITDA margin* |
|
3.3 |
% |
|
(290 |
)bps |
|
(90 |
)bps |
Adjusted EPS* |
$ |
0.12 |
|
$ |
(0.27 |
) |
$ |
0.02 |
|
Cash flows provided by operations |
$ |
7,470 |
|
|
(89 |
)% |
|
(91 |
)% |
* Represents amounts that are not calculated in accordance with |
Third Quarter Business Highlights
- Revenue, Adjusted EBITDA, and Adjusted EPS all within guidance ranges
- Physician Staffing and Homecare Staffing experienced sequential and year-over-year revenue growth
- Secured a three-year contract renewal with our largest managed service program
-
Continued strong balance sheet with
of cash on hand and no debt as of September 30, 2024$64 million -
Repurchased over 800,000 shares of common stock for
$11.9 million
“Our third quarter results reflect the continued stabilization across our core business as well as the ongoing momentum in our Homecare, Physician, and Education Staffing businesses. Though margins remain under pressure, I am encouraged to see demand for our services continue to rise amidst bill rate stability,” said John A. Martins, President and Chief Executive Officer of Cross Country Healthcare. He continued, “We find ourselves well positioned to capitalize on the market as it normalizes, by leveraging our strong balance sheet to make strategic investments, that we believe will deliver long-term profitability."
Third quarter consolidated revenue was
For the nine months ended September 30, 2024, consolidated revenue was
Quarterly Business Segment Highlights
Nurse and Allied Staffing
Revenue was
Physician Staffing
Revenue was
Cash Flow and Balance Sheet Highlights
Net cash provided by operating activities for the three months ended September 30, 2024 was
During the third quarter, the Company repurchased over 800,000 shares of the Company’s common stock for an aggregate price of
As of September 30, 2024, the Company had
Outlook for Fourth Quarter 2024
The guidance below applies to management’s expectations for the fourth quarter of 2024.
|
Q4 2024 Range |
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Year-over-Year |
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Sequential |
Change |
|
Change |
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|
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Revenue |
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|
( |
|
( |
|
|
|
|
|
|
Adjusted EBITDA* |
|
|
( |
|
|
|
|
|
|
|
|
Adjusted EPS* |
|
|
|
|
|
* Refer to discussion of non-GAAP financial measures and the reconciliation tables 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.
INVITATION TO CONFERENCE CALL
The Company will hold its quarterly conference call on Wednesday, November 6, 2024, at 5:00 P.M. Eastern Time to discuss its third quarter 2024 financial results. This call will be webcast live and can be accessed at the Company’s website at ir.crosscountry.com or by dialing 888-566-1290 from anywhere in the
ABOUT CROSS COUNTRY HEALTHCARE
Cross Country Healthcare, Inc. is a market-leading, tech-enabled workforce solutions and advisory firm with 38 years of industry experience and insight. We help clients tackle complex labor-related challenges and achieve high-quality outcomes, while reducing complexity and improving visibility through data-driven insights. Diversity, equality, and inclusion is at the heart of the organization’s overall corporate social responsibility program, and closely aligned with our core values to create a better future for its people, communities, and its stockholders.
Copies of this and other press releases, as well as additional information about the Company, can be accessed online at ir.crosscountry.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 GAAP. Such non-GAAP financial measures are provided for consistency and comparability to prior year results; furthermore, management believes such non-GAAP financial measures are useful to investors when evaluating the Company’s performance, as such non-GAAP financial measures 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 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.
In addition, forward-looking adjusted EBITDA and adjusted EPS for fiscal 2024 exclude potential charges or gains that may be recorded during the fiscal year, including among other things, the potential impact of any future divestitures, mergers, acquisitions, or other business combinations, changes in debt structure, or future significant share repurchases. We have not attempted to provide reconciliations of such forward-looking non-GAAP earnings guidance to the comparable GAAP measure, as permitted by Item 10(e)(1)(i)(B) of Regulation S-K, because the impact and timing of these potential charges or gains is inherently uncertain and difficult to predict and is unavailable without unreasonable efforts. In addition, the Company believes such reconciliations would imply a degree of precision and certainty that could be confusing to investors. Such items could have a substantial impact on GAAP measures of our financial performance.
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 of 1995, and are subject to the “safe harbor” created by those sections. Forward-looking statements consist of statements that are predictive in nature and/or 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. These 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 overall macroeconomic environment, including increased inflation and interest rates, demand for the healthcare services that we provide, both nationally and in the regions in which we operate, 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, 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, including data privacy and protection laws, social, ethical, and security issues relating to the use of artificial intelligence, our customers’ 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, including, without limitation, the risk factors set forth in Item 1A. “Risk Factors” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023, as filed and updated in our Quarterly Reports on Form 10-Q and other filings with the SEC. You should consult any further disclosures that 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 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. Except as may be required by law, the Company undertakes no obligation to update or revise forward-looking statements. All references to “the Company,” “we,” “us,” “our,” or “Cross Country” in this press release mean Cross Country Healthcare, Inc. and its consolidated subsidiaries.
Cross Country Healthcare, Inc. |
|||||||||||||||||||
Consolidated Statements of Operations |
|||||||||||||||||||
(Unaudited, amounts in thousands, except per share data) |
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Three Months Ended |
|
Nine Months Ended |
||||||||||||||||
|
September 30, |
|
September 30, |
|
June 30, |
|
September 30, |
|
September 30, |
||||||||||
|
2024 |
|
2023 |
|
2024 |
|
2024 |
|
2023 |
||||||||||
|
|
|
|
|
|
||||||||||||||
Revenue from services |
$ |
315,119 |
|
|
$ |
442,291 |
|
|
$ |
339,771 |
|
|
$ |
1,034,064 |
|
|
$ |
1,605,693 |
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
||||||||||
Direct operating expenses |
|
250,961 |
|
|
|
344,932 |
|
|
|
268,966 |
|
|
|
821,804 |
|
|
|
1,245,772 |
|
Selling, general and administrative expenses |
|
54,297 |
|
|
|
69,627 |
|
|
|
60,258 |
|
|
|
177,807 |
|
|
|
232,825 |
|
Credit loss expense |
|
1,512 |
|
|
|
2,355 |
|
|
|
18,858 |
|
|
|
21,660 |
|
|
|
10,397 |
|
Depreciation and amortization |
|
4,498 |
|
|
|
4,540 |
|
|
|
4,719 |
|
|
|
13,859 |
|
|
|
13,876 |
|
Restructuring costs |
|
998 |
|
|
|
348 |
|
|
|
2,116 |
|
|
|
4,052 |
|
|
|
1,690 |
|
Legal and other losses |
|
— |
|
|
|
— |
|
|
|
3,946 |
|
|
|
7,596 |
|
|
|
1,125 |
|
Impairment charges |
|
— |
|
|
|
186 |
|
|
|
114 |
|
|
|
718 |
|
|
|
719 |
|
Total operating expenses |
|
312,266 |
|
|
|
421,988 |
|
|
|
358,977 |
|
|
|
1,047,496 |
|
|
|
1,506,404 |
|
Income (loss) from operations |
|
2,853 |
|
|
|
20,303 |
|
|
|
(19,206 |
) |
|
|
(13,432 |
) |
|
|
99,289 |
|
Other expenses (income): |
|
|
|
|
|
|
|
|
|
||||||||||
Interest expense |
|
550 |
|
|
|
669 |
|
|
|
568 |
|
|
|
1,580 |
|
|
|
7,508 |
|
Loss on early extinguishment of debt |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
1,723 |
|
Interest income |
|
(1,107 |
) |
|
|
(5 |
) |
|
|
(235 |
) |
|
|
(1,515 |
) |
|
|
(12 |
) |
Other expense (income) , net |
|
21 |
|
|
|
139 |
|
|
|
23 |
|
|
|
(1,013 |
) |
|
|
145 |
|
Income (loss) before income taxes |
|
3,389 |
|
|
|
19,500 |
|
|
|
(19,562 |
) |
|
|
(12,484 |
) |
|
|
89,925 |
|
Income tax expense (benefit) |
|
834 |
|
|
|
6,688 |
|
|
|
(3,512 |
) |
|
|
(1,681 |
) |
|
|
26,332 |
|
Net income (loss) attributable to common stockholders |
$ |
2,555 |
|
|
$ |
12,812 |
|
|
$ |
(16,050 |
) |
|
$ |
(10,803 |
) |
|
$ |
63,593 |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Net income (loss) per share attributable to common stockholders - Basic |
$ |
0.08 |
|
|
$ |
0.37 |
|
|
$ |
(0.47 |
) |
|
$ |
(0.32 |
) |
|
$ |
1.80 |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Net income (loss) per share attributable to common stockholders - Diluted |
$ |
0.08 |
|
|
$ |
0.36 |
|
|
$ |
(0.47 |
) |
|
$ |
(0.32 |
) |
|
$ |
1.78 |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Weighted average common shares outstanding: |
|
|
|
|
|
|
|
|
|
||||||||||
Basic |
|
33,016 |
|
|
|
34,954 |
|
|
|
33,960 |
|
|
|
33,728 |
|
|
|
35,386 |
|
Diluted |
|
33,058 |
|
|
|
35,152 |
|
|
|
33,960 |
|
|
|
33,728 |
|
|
|
35,742 |
|
Cross Country Healthcare, Inc. |
|||||||||||||||||||
Reconciliation of Non-GAAP Financial Measures |
|||||||||||||||||||
(Unaudited, amounts in thousands, except per share data) |
|||||||||||||||||||
|
|||||||||||||||||||
|
Three Months Ended |
|
Nine Months Ended |
||||||||||||||||
|
September 30, |
|
September 30, |
|
June 30, |
|
September 30, |
|
September 30, |
||||||||||
|
2024 |
|
2023 |
|
2024 |
|
2024 |
|
2023 |
||||||||||
Adjusted EBITDA:a |
|
|
|
|
|
|
|
|
|
||||||||||
Net income (loss) attributable to common stockholders |
$ |
2,555 |
|
|
$ |
12,812 |
|
|
$ |
(16,050 |
) |
|
$ |
(10,803 |
) |
|
$ |
63,593 |
|
Interest expense |
|
550 |
|
|
|
669 |
|
|
|
568 |
|
|
|
1,580 |
|
|
|
7,508 |
|
Income tax expense (benefit)b |
|
834 |
|
|
|
6,688 |
|
|
|
(3,512 |
) |
|
|
(1,681 |
) |
|
|
26,332 |
|
Depreciation and amortization |
|
4,498 |
|
|
|
4,540 |
|
|
|
4,719 |
|
|
|
13,859 |
|
|
|
13,876 |
|
Acquisition and integration-related costs |
|
— |
|
|
|
13 |
|
|
|
— |
|
|
|
— |
|
|
|
59 |
|
Restructuring costsc |
|
998 |
|
|
|
348 |
|
|
|
2,116 |
|
|
|
4,052 |
|
|
|
1,690 |
|
Legal, bankruptcy, and other lossesd |
|
— |
|
|
|
— |
|
|
|
23,319 |
|
|
|
26,969 |
|
|
|
1,125 |
|
Impairment chargese |
|
— |
|
|
|
186 |
|
|
|
114 |
|
|
|
718 |
|
|
|
719 |
|
Loss on disposal of fixed assets |
|
— |
|
|
|
43 |
|
|
|
— |
|
|
|
— |
|
|
|
43 |
|
Loss on early extinguishment of debtf |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
1,723 |
|
Loss on lease termination |
|
— |
|
|
|
96 |
|
|
|
— |
|
|
|
— |
|
|
|
104 |
|
Interest income |
|
(1,107 |
) |
|
|
(5 |
) |
|
|
(235 |
) |
|
|
(1,515 |
) |
|
|
(12 |
) |
Other expense (income), net |
|
21 |
|
|
|
— |
|
|
|
23 |
|
|
|
(1,013 |
) |
|
|
(2 |
) |
Equity compensation |
|
870 |
|
|
|
1,433 |
|
|
|
2,259 |
|
|
|
4,327 |
|
|
|
5,413 |
|
System conversion costsg |
|
1,120 |
|
|
|
425 |
|
|
|
857 |
|
|
|
3,306 |
|
|
|
1,658 |
|
Adjusted EBITDAa |
$ |
10,339 |
|
|
$ |
27,248 |
|
|
$ |
14,178 |
|
|
$ |
39,799 |
|
|
$ |
123,829 |
|
Adjusted EBITDA margina |
|
3.3 |
% |
|
|
6.2 |
% |
|
|
4.2 |
% |
|
|
3.8 |
% |
|
|
7.7 |
% |
|
|
|
|
|
|
|
|
|
|
||||||||||
Adjusted EPS:h |
|
|
|
|
|
|
|
|
|
||||||||||
Numerator: |
|
|
|
|
|
|
|
|
|
||||||||||
Net income (loss) attributable to common stockholders |
$ |
2,555 |
|
|
$ |
12,812 |
|
|
$ |
(16,050 |
) |
|
$ |
(10,803 |
) |
|
$ |
63,593 |
|
Non-GAAP adjustments - pretax: |
|
|
|
|
|
|
|
|
|
||||||||||
Acquisition and integration-related costs |
|
— |
|
|
|
13 |
|
|
|
— |
|
|
|
— |
|
|
|
59 |
|
Restructuring costsc |
|
998 |
|
|
|
348 |
|
|
|
2,116 |
|
|
|
4,052 |
|
|
|
1,690 |
|
Legal, bankruptcy, and other lossesd |
|
— |
|
|
|
— |
|
|
|
23,319 |
|
|
|
26,969 |
|
|
|
1,125 |
|
Impairment chargese |
|
— |
|
|
|
186 |
|
|
|
114 |
|
|
|
718 |
|
|
|
719 |
|
Other income, net |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(1,115 |
) |
|
|
— |
|
Loss on early extinguishment of debtf |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
1,723 |
|
System conversion costsg |
|
1,120 |
|
|
|
425 |
|
|
|
857 |
|
|
|
3,306 |
|
|
|
1,658 |
|
Tax impact of non-GAAP adjustments |
|
(552 |
) |
|
|
(208 |
) |
|
|
(7,066 |
) |
|
|
(9,023 |
) |
|
|
(1,767 |
) |
Adjusted net income attributable to common stockholders - non-GAAP |
$ |
4,121 |
|
|
$ |
13,576 |
|
|
$ |
3,290 |
|
|
$ |
14,104 |
|
|
$ |
68,800 |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Denominator: |
|
|
|
|
|
|
|
|
|
||||||||||
Weighted average common shares - basic, GAAP |
|
33,016 |
|
|
|
34,954 |
|
|
|
33,960 |
|
|
|
33,728 |
|
|
|
35,386 |
|
Dilutive impact of share-based payments |
|
42 |
|
|
|
198 |
|
|
|
42 |
|
|
|
155 |
|
|
|
356 |
|
Adjusted weighted average common shares - diluted, non-GAAP |
|
33,058 |
|
|
|
35,152 |
|
|
|
34,002 |
|
|
|
33,883 |
|
|
|
35,742 |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Reconciliation: |
|
|
|
|
|
|
|
|
|
||||||||||
Diluted EPS, GAAP |
$ |
0.08 |
|
|
$ |
0.36 |
|
|
$ |
(0.47 |
) |
|
$ |
(0.32 |
) |
|
$ |
1.78 |
|
Non-GAAP adjustments - pretax: |
|
|
|
|
|
|
|
|
|
||||||||||
Restructuring costsc |
|
0.03 |
|
|
|
0.01 |
|
|
|
0.06 |
|
|
|
0.12 |
|
|
|
0.05 |
|
Legal, bankruptcy, and other lossesd |
|
— |
|
|
|
— |
|
|
|
0.69 |
|
|
|
0.79 |
|
|
|
0.03 |
|
Impairment chargese |
|
— |
|
|
|
0.01 |
|
|
|
— |
|
|
|
0.02 |
|
|
|
0.02 |
|
Other income, net |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(0.03 |
) |
|
|
— |
|
Loss on early extinguishment of debtf |
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
0.05 |
|
System conversion costsg |
|
0.03 |
|
|
|
0.01 |
|
|
|
0.03 |
|
|
|
0.10 |
|
|
|
0.04 |
|
Tax impact of non-GAAP adjustments |
|
(0.02 |
) |
|
|
— |
|
|
|
(0.21 |
) |
|
|
(0.27 |
) |
|
|
(0.05 |
) |
Adjusted EPS, non-GAAPh |
$ |
0.12 |
$ |
0.39 |
|
|
$ |
0.10 |
|
|
$ |
0.41 |
|
|
$ |
1.92 |
Cross Country Healthcare, Inc. |
|||||||
Consolidated Balance Sheets |
|||||||
(Unaudited, amounts in thousands) |
|||||||
|
|||||||
|
September 30, |
|
December 31, |
||||
|
2024 |
|
2023 |
||||
|
|
|
|
||||
Assets |
|
|
|
||||
Current assets: |
|
|
|
||||
Cash and cash equivalents |
$ |
64,021 |
|
|
$ |
17,094 |
|
Accounts receivable, net |
|
244,987 |
|
|
|
372,352 |
|
Income taxes receivablei |
|
10,128 |
|
|
|
8,620 |
|
Prepaid expenses |
|
4,554 |
|
|
|
7,681 |
|
Insurance recovery receivable |
|
12,102 |
|
|
|
9,097 |
|
Other current assets |
|
794 |
|
|
|
2,031 |
|
Total current assets |
|
336,586 |
|
|
|
416,875 |
|
Property and equipment, net |
|
28,975 |
|
|
|
27,339 |
|
Operating lease right-of-use assets |
|
2,700 |
|
|
|
2,599 |
|
Goodwill |
|
135,430 |
|
|
|
135,430 |
|
Other intangible assets, net |
|
46,453 |
|
|
|
54,468 |
|
Deferred tax assetsi |
|
9,038 |
|
|
|
5,979 |
|
Insurance recovery receivable |
|
21,812 |
|
|
|
25,714 |
|
Cloud computing |
|
9,735 |
|
|
|
5,987 |
|
Other assets |
|
6,694 |
|
|
|
6,673 |
|
Total assets |
$ |
597,423 |
|
|
$ |
681,064 |
|
|
|
|
|
||||
Liabilities and Stockholders’ Equity |
|
|
|
||||
Current liabilities: |
|
|
|
||||
Accounts payable and accrued expensesi |
$ |
58,436 |
|
|
$ |
92,822 |
|
Accrued compensation and benefits |
|
54,285 |
|
|
|
52,297 |
|
Operating lease liabilities |
|
2,060 |
|
|
|
2,604 |
|
Earnout liability |
|
4,100 |
|
|
|
6,794 |
|
Other current liabilities |
|
1,796 |
|
|
|
1,559 |
|
Total current liabilities |
|
120,677 |
|
|
|
156,076 |
|
Operating lease liabilities |
|
2,348 |
|
|
|
2,663 |
|
Accrued claims |
|
34,893 |
|
|
|
34,853 |
|
Earnout liability |
|
— |
|
|
|
5,000 |
|
Uncertain tax positions |
|
11,169 |
|
|
|
10,603 |
|
Other liabilities |
|
3,645 |
|
|
|
4,218 |
|
Total liabilities |
|
172,732 |
|
|
|
213,413 |
|
|
|
|
|
||||
Commitments and contingencies |
|
|
|
||||
|
|
|
|
||||
Stockholders’ equity: |
|
|
|
||||
Common stock |
|
3 |
|
|
|
4 |
|
Additional paid-in capital |
|
204,273 |
|
|
|
236,417 |
|
Accumulated other comprehensive loss |
|
(1,397 |
) |
|
|
(1,385 |
) |
Retained earningsi |
|
221,812 |
|
|
|
232,615 |
|
Total stockholders’ equity |
|
424,691 |
|
|
|
467,651 |
|
Total liabilities and stockholders’ equity |
$ |
597,423 |
|
$ |
681,064 |
Cross Country Healthcare, Inc. |
||||||||||||||||||||||
Segment Dataj |
||||||||||||||||||||||
(Unaudited, amounts in thousands) |
||||||||||||||||||||||
|
||||||||||||||||||||||
|
Three Months Ended |
|
Year-over-
|
|
Sequential |
|||||||||||||||||
|
September 30, |
% of |
|
September 30, |
% of |
|
June 30, |
% of |
|
% change |
|
% change |
||||||||||
|
2024 |
Total |
|
2023 |
Total |
|
2024 |
Total |
|
Fav (Unfav) |
|
Fav (Unfav) |
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Revenue from services: |
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Nurse and Allied Staffing |
$ |
264,853 |
|
84 |
% |
|
$ |
396,595 |
90 |
% |
|
$ |
291,451 |
|
86 |
% |
|
(33 |
)% |
|
(9 |
)% |
Physician Staffing |
|
50,266 |
|
16 |
% |
|
|
45,696 |
10 |
% |
|
|
48,320 |
|
14 |
% |
|
10 |
% |
|
4 |
% |
|
$ |
315,119 |
|
100 |
% |
|
$ |
442,291 |
100 |
% |
|
$ |
339,771 |
|
100 |
% |
|
(29 |
)% |
|
(7 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Contribution income:k |
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Nurse and Allied Staffing |
$ |
19,251 |
|
|
|
$ |
39,226 |
|
|
$ |
5,820 |
|
|
|
(51 |
)% |
|
231 |
% |
|||
Physician Staffing |
|
4,629 |
|
|
|
|
2,576 |
|
|
|
4,033 |
|
|
|
80 |
% |
|
15 |
% |
|||
|
|
23,880 |
|
|
|
|
41,802 |
|
|
|
9,853 |
|
|
|
(43 |
)% |
|
142 |
% |
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Corporate overheadl |
|
15,531 |
|
|
|
|
16,412 |
|
|
|
18,161 |
|
|
|
5 |
% |
|
14 |
% |
|||
Depreciation and amortization |
|
4,498 |
|
|
|
|
4,540 |
|
|
|
4,719 |
|
|
|
1 |
% |
|
5 |
% |
|||
Restructuring costsc |
|
998 |
|
|
|
|
348 |
|
|
|
2,116 |
|
|
|
(187 |
)% |
|
53 |
% |
|||
Legal and other lossesm |
|
— |
|
|
|
|
— |
|
|
|
3,946 |
|
|
|
— |
% |
|
100 |
% |
|||
Impairment chargese |
|
— |
|
|
|
|
186 |
|
|
|
114 |
|
|
|
100 |
% |
|
100 |
% |
|||
Other costs |
|
— |
|
|
|
|
13 |
|
|
|
3 |
|
|
|
100 |
% |
|
100 |
% |
|||
Income (loss) from operations |
$ |
2,853 |
|
|
|
$ |
20,303 |
|
|
$ |
(19,206 |
) |
|
|
(86 |
)% |
|
115 |
% |
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Nine Months Ended |
|
|
|
Year-over-
|
|
|
|||||||||||||||
|
September 30, |
% of |
|
September 30, |
% of |
|
|
|
% change |
|
|
|||||||||||
|
|
2024 |
|
Total |
|
|
2023 |
Total |
|
|
Fav (Unfav) |
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Revenue from services: |
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Nurse and Allied Staffing |
$ |
888,490 |
|
86 |
% |
|
$ |
1,474,273 |
92 |
% |
|
|
|
|
(40 |
)% |
|
|
||||
Physician Staffing |
|
145,574 |
|
14 |
% |
|
|
131,420 |
8 |
% |
|
|
|
|
11 |
% |
|
|
||||
|
$ |
1,034,064 |
|
100 |
% |
|
$ |
1,605,693 |
100 |
% |
|
|
|
|
(36 |
)% |
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Contribution income:k |
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Nurse and Allied Staffing |
$ |
52,254 |
|
|
|
$ |
162,876 |
|
|
|
|
|
(68 |
)% |
|
|
||||||
Physician Staffing |
|
11,800 |
|
|
|
|
7,841 |
|
|
|
|
|
50 |
% |
|
|
||||||
|
|
64,054 |
|
|
|
|
170,717 |
|
|
|
|
|
(62 |
)% |
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Corporate overheadl |
|
51,258 |
|
|
|
|
53,959 |
|
|
|
|
|
5 |
% |
|
|
||||||
Depreciation and amortization |
|
13,859 |
|
|
|
|
13,876 |
|
|
|
|
|
— |
% |
|
|
||||||
Restructuring costsc |
|
4,052 |
|
|
|
|
1,690 |
|
|
|
|
|
(140 |
)% |
|
|
||||||
Legal and other lossesm |
|
7,596 |
|
|
|
|
1,125 |
|
|
|
|
|
(575 |
)% |
|
|
||||||
Impairment chargese |
|
718 |
|
|
|
|
719 |
|
|
|
|
|
— |
% |
|
|
||||||
Other costs |
|
3 |
|
|
|
|
59 |
|
|
|
|
|
95 |
% |
|
|
||||||
(Loss) income from operations |
$ |
(13,432 |
) |
|
|
$ |
99,289 |
|
|
|
|
|
(114 |
)% |
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Other costs include acquisition and integration-related costs. |
Cross Country Healthcare, Inc. |
|||||||||||||||||||
Summary Condensed Consolidated Statements of Cash Flows |
|||||||||||||||||||
(Unaudited, amounts in thousands) |
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Three Months Ended |
|
Nine Months Ended |
||||||||||||||||
|
September 30, |
|
September 30, |
|
June 30, |
|
September 30, |
|
September 30, |
||||||||||
|
2024 |
|
2023 |
|
2024 |
|
2024 |
|
2023 |
||||||||||
|
|
|
|
|
|
|
|
|
|
||||||||||
Net cash provided by operating activities |
$ |
7,470 |
|
|
$ |
70,311 |
|
|
$ |
82,401 |
|
|
$ |
95,882 |
|
|
$ |
236,424 |
|
Net cash used in investing activities |
|
(1,124 |
) |
|
|
(3,408 |
) |
|
|
(2,849 |
) |
|
|
(6,183 |
) |
|
|
(10,900 |
) |
Net cash used in financing activities |
|
(11,926 |
) |
|
|
(53,273 |
) |
|
|
(15,193 |
) |
|
|
(42,772 |
) |
|
|
(214,825 |
) |
Effect of exchange rate changes on cash |
|
— |
|
|
|
(2 |
) |
|
|
— |
|
|
|
— |
|
|
|
(2 |
) |
Change in cash and cash equivalents |
|
(5,580 |
) |
|
|
13,628 |
|
|
|
64,359 |
|
|
|
46,927 |
|
|
|
10,697 |
|
Cash and cash equivalents at beginning of period |
|
69,601 |
|
|
|
673 |
|
|
|
5,242 |
|
|
|
17,094 |
|
|
|
3,604 |
|
Cash and cash equivalents at end of period |
$ |
64,021 |
|
|
|
14,301 |
|
|
$ |
69,601 |
|
|
$ |
64,021 |
|
|
$ |
14,301 |
|
|
|
|
|
|
|
|
|
|
|
Cross Country Healthcare, Inc. |
|||||||||||||||||||
Other Financial Data |
|||||||||||||||||||
(Unaudited) |
|||||||||||||||||||
|
|||||||||||||||||||
|
Three Months Ended |
|
Nine Months Ended |
||||||||||||||||
|
September 30, |
|
September 30, |
|
June 30, |
|
September 30, |
|
September 30, |
||||||||||
|
2024 |
|
2023 |
|
2024 |
|
2024 |
|
2023 |
||||||||||
|
|
|
|
|
|
|
|
|
|
||||||||||
Revenue from services |
$ |
315,119 |
|
|
$ |
442,291 |
|
|
$ |
339,771 |
|
|
$ |
1,034,064 |
|
|
$ |
1,605,693 |
|
Less: Direct operating expenses |
|
250,961 |
|
|
|
344,932 |
|
|
|
268,966 |
|
|
|
821,804 |
|
|
|
1,245,772 |
|
Gross profit |
$ |
64,158 |
|
|
$ |
97,359 |
|
|
$ |
70,805 |
|
|
$ |
212,260 |
|
|
$ |
359,921 |
|
Consolidated gross profit marginn |
|
20.4 |
% |
|
|
22.0 |
% |
|
|
20.8 |
% |
|
|
20.5 |
% |
|
|
22.4 |
% |
|
|
|
|
|
|
|
|
|
|
||||||||||
Nurse and Allied Staffing statistical data: |
|
|
|
|
|
|
|
|
|
||||||||||
FTEso |
|
7,660 |
|
|
|
9,849 |
|
|
|
8,415 |
|
|
|
8,400 |
|
|
|
11,251 |
|
Average Nurse and Allied Staffing revenue per FTE per dayp |
$ |
373 |
|
|
$ |
434 |
|
|
$ |
377 |
|
|
$ |
383 |
|
|
$ |
476 |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Physician Staffing statistical data: |
|
|
|
|
|
|
|
|
|
||||||||||
Days filledq |
|
24,424 |
|
|
|
23,004 |
|
|
|
24,252 |
|
|
|
72,461 |
|
|
|
68,927 |
|
Revenue per day filledr |
$ |
2,058 |
|
|
$ |
1,986 |
|
|
$ |
1,992 |
|
|
$ |
2,009 |
|
|
$ |
1,907 |
|
(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 (benefits) costs, restructuring (benefits) costs, legal and other losses, customer bankruptcy loss, 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 system conversion costs. Adjusted EBITDA is not and 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 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 decrease in income tax expense for the three and nine months ended September 30, 2024 related to a decrease in book income primarily driven by credit loss expense. |
(c) |
Restructuring costs were primarily comprised of employee termination costs, lease-related exit costs, and reorganization costs as part of planned cost savings initiatives. |
(d) |
Includes legal costs and other settlement charges as presented on the consolidated statements of operations, losses pertaining to matters outside the normal course of operations, and |
(e) |
Impairment charges for the nine months ended September 30, 2024 were related to right-of-use assets and related property in connection with vacated leases during 2024. Impairment charges for the nine months ended September 30, 2023 primarily related to the write-off of an abandoned IT project. |
(f) |
Loss on early extinguishment of debt for the nine months ended September 30, 2023 consisted of the write-off of debt issuance costs related to the payoff and termination of the term loan on June 30, 3023. |
(g) |
System conversion costs include enterprise resource planning system costs related to the upgrading and integrating of our middle and back-office platforms, with certain development costs capitalized and amortized in accordance with the Company’s policies, and applicant tracking system costs related to the Company’s project to replace its legacy system supporting its travel nurse staffing business. |
(h) |
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 (benefits) costs, restructuring (benefits) costs, legal and other losses, customer bankruptcy loss, impairment charges, gain or loss on derivative, loss on early extinguishment of debt, gain or loss on sale of business, system conversion costs, and nonrecurring income tax adjustments. Adjusted EPS is not and 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 Adjusted EPS 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 than EPS. Quarterly non-GAAP adjustment may vary due to rounding. |
(i) |
Financial information included in the December 31, 2023 balance sheet includes immaterial revisions to the Company's previously-reported financial information. Please see the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2024, as filed with the SEC, for more information. |
(j) |
Segment data is provided in accordance with the Segment Reporting Topic of the Financial Accounting Standards Board Accounting Standards Codification. |
(k) |
Contribution income is defined as income (loss) from operations before depreciation and amortization, acquisition and integration-related (benefits) costs, restructuring (benefits) costs, legal and other losses, impairment charges, and corporate overhead. Contribution income is a financial measure used by management when assessing segment performance. |
(l) |
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 Company-wide projects (initiatives). |
(m) |
Legal and other losses includes legal costs and other settlement charges as presented on the consolidated statements of operations and losses pertaining to matters outside the normal course of operations. |
(n) |
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. |
(o) |
FTEs represent the average number of Nurse and Allied Staffing contract personnel on a full-time equivalent basis. |
(p) |
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. |
(q) |
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. |
(r) |
Revenue per day filled is calculated by dividing revenue as reported by days filled for the period presented. |
View source version on businesswire.com: https://www.businesswire.com/news/home/20241105337918/en/
Cross Country Healthcare, Inc.
William J. Burns, Executive Vice President & Chief Financial Officer
561-237-2555
wburns@crosscountry.com
Source: Cross Country Healthcare, Inc.
FAQ
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