Cross Country Healthcare, Inc |
Consolidated Statements of Operations |
(Unaudited, amounts in thousands, except per share data) |
|
| | Three Months Ended | | | | Year Ended |
| | December 31, | | | | | December 31, | | | | | September 30, | | | | December 31, | | December 31, |
| | 2013 (a) | | | | | 2012 | | | | | 2013 | | | | 2013 (a) | | 2012 |
| | | | | | | | | | | | | | | | | | |
Revenue from services | | $ | 109,179 | | | | | | $ | 111,731 | | | | | | $ | 108,048 | | | | | $ | 438,311 | | | $ | 442,635 | |
Operating expenses: | | | | | | | | | | | | | | | | | | |
Direct operating expenses | | | 80,617 | | | | | | | 83,787 | | | | | | | 79,864 | | | | | | 324,851 | | | | 331,050 | |
Selling, general and administrative expenses | | | 26,945 | | | | | | | 27,055 | | | | | | | 25,504 | | | | | | 106,117 | | | | 109,417 | |
Bad debt expense | | | 309 | | | | | | | 195 | | | | | | | 215 | | | | | | 1,078 | | | | 786 | |
Depreciation | | | 934 | | | | | | | 1,107 | | | | | | | 890 | | | | | | 3,886 | | | | 4,905 | |
Amortization | | | 610 | | | | | | | 566 | | | | | | | 552 | | | | | | 2,294 | | | | 2,263 | |
Acquisition costs (a) | | | 473 | | | | | | | — | | | | | | | — | | | | | | 473 | | | | — | |
Restructuring costs (b) | | | — | | | | | | | — | | | | | | | 109 | | | | | | 484 | | | | — | |
Legal settlement charge (c) | | | — | | | | | | | — | | | | | | | — | | | | | | 750 | | | | — | |
Impairment charges (d) | | | 6,400 | | | | | | | — | | | | | | | — | | | | | | 6,400 | | | | 18,732 | |
Total operating expenses | | | 116,288 | | | | | | | 112,710 | | | | | | | 107,134 | | | | | | 446,333 | | | | 467,153 | |
(Loss) income from operations | | | (7,109 | ) | | | | | | (979 | ) | | | | | | 914 | | | | | | (8,022 | ) | | | (24,518 | ) |
Other expenses (income): | | | | | | | | | | | | | | | | | | |
Foreign exchange loss (gain) | | | 22 | | | | | | | (65 | ) | | | | | | (53 | ) | | | | | (132 | ) | | | (62 | ) |
Interest expense | | | 215 | | | | | | | 433 | | | | | | | 190 | | | | | | 849 | | | | 2,341 | |
Loss on early extinguishment and modification of debt (e) | | | — | | | | | | | — | | | | | | | — | | | | | | 1,419 | | | | 82 | |
Other (income) expense, net | | | (36 | ) | | | | | | (23 | ) | | | | | | (32 | ) | | | | | (119 | ) | | | 16 | |
(Loss) income from continuing operations before income taxes | | | (7,310 | ) | | | | | | (1,324 | ) | | | | | | 809 | | | | | | (10,039 | ) | | | (26,895 | ) |
Income tax expense (benefit) | | | 45,612 | | | | | | | 1,661 | | | | | | | (644 | ) | | | | | 44,211 | | | | (6,150 | ) |
(Loss) income from continuing operations | | | (52,922 | ) | | | | | | (2,985 | ) | | | | | | 1,453 | | | | | | (54,250 | ) | | | (20,745 | ) |
Income (loss) from discontinued operations, net of income taxes (f) | | | 338 | | | | | | | (6,548 | ) | | | | | | (539 | ) | | | | | 2,281 | | | | (21,476 | ) |
Net (loss) income | | $ | (52,584 | ) | | | | | $ | (9,533 | ) | | | | | $ | 914 | | | | | $ | (51,969 | ) | | $ | (42,221 | ) |
| | | | | | | | | | | | | | | | | | |
Net (loss) income per common share, basic: | | | | | | | | | | | | | | | | | | |
Continuing operations | | $ | (1.70 | ) | | | | | $ | (0.10 | ) | | | | | $ | 0.05 | | | | | $ | (1.75 | ) | | $ | (0.67 | ) |
Discontinued operations | | | 0.01 | | | | | | | (0.21 | ) | | | | | | (0.02 | ) | | | | | 0.07 | | | | (0.70 | ) |
Net (loss) income | | $ | (1.69 | ) | | | | | $ | (0.31 | ) | | | | | $ | 0.03 | | | | | $ | (1.68 | ) | | $ | (1.37 | ) |
| | | | | | | | | | | | | | | | | | |
Net (loss) income per common share, diluted: | | | | | | | | | | | | | | | | | | |
Continuing operations | | $ | (1.70 | ) | | | | | $ | (0.10 | ) | | | | | $ | 0.05 | | | | | $ | (1.75 | ) | | $ | (0.67 | ) |
Discontinued operations | | | 0.01 | | | | | | | (0.21 | ) | | | | | | (0.02 | ) | | | | | 0.07 | | | | (0.70 | ) |
Net (loss) income | | $ | (1.69 | ) | | | | | $ | (0.31 | ) | | | | | $ | 0.03 | | | | | $ | (1.68 | ) | | $ | (1.37 | ) |
| | | | | | | | | | | | | | | | | | |
Weighted average common shares outstanding: | | | | | | | | | | | | | | | | | | |
Basic | | | 31,085 | | | | | | | 30,902 | | | | | | | 31,085 | | | | | | 31,009 | | | | 30,843 | |
Diluted | | | 31,085 | | | | | | | 30,902 | | | | | | | 31,161 | | | | | | 31,009 | | | | 30,843 | |
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Cross Country Healthcare, Inc. |
Reconciliation of Non-GAAP Financial Measures |
(Unaudited, amounts in thousands) |
|
| | Three Months Ended | | | | Year Ended |
| | December 31, | | | | | December 31, | | | | | September 30, | | | | December 31, | | December 31, |
| | 2013 (a) | | | | | 2012 | | | | | 2013 | | | | 2013 (a) | | 2012 |
| | | | | | | | | | | | | | | | | | |
Adjusted EBITDA: | | | | | | | | | | | | | | | | | | |
(Loss) income from operations | | $ | (7,109 | ) | | | | | $ | (979 | ) | | | | | $ | 914 | | | | | $ | (8,022 | ) | | $ | (24,518 | ) |
Depreciation | | | 934 | | | | | | | 1,107 | | | | | | | 890 | | | | | | 3,886 | | | | 4,905 | |
Amortization | | | 610 | | | | | | | 566 | | | | | | | 552 | | | | | | 2,294 | | | | 2,263 | |
Acquisition costs (a) | | | 473 | | | | | | | — | | | | | | | — | | | | | | 473 | | | | — | |
Restructuring costs (b) | | | — | | | | | | | — | | | | | | | 109 | | | | | | 484 | | | | — | |
Legal settlement charge (c) | | | — | | | | | | | — | | | | | | | — | | | | | | 750 | | | | — | |
Impairment charges (d) | | | 6,400 | | | | | | | — | | | | | | | — | | | | | | 6,400 | | | | 18,732 | |
Equity compensation | | | 465 | | | | | | | 615 | | | | | | | 451 | | | | | | 2,100 | | | | 2,595 | |
Adjusted EBITDA (g) | | $ | 1,773 | | | | | | $ | 1,309 | | | | | | $ | 2,916 | | | | | $ | 8,365 | | | $ | 3,977 | |
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Adjusted (Loss) Income from Continuing Operations and Adjusted Net Income (Loss): | | | | | | | | | | | | |
(Loss) income from continuing operations | | $ | (52,922 | ) | | | | | $ | (2,985 | ) | | | | | $ | 1,453 | | | | | $ | (54,250 | ) | | $ | (20,745 | ) |
Acquisition costs, net of tax | | | 286 | | | | | | | — | | | | | | | — | | | | | | 286 | | | | — | |
Restructuring costs, net of tax | | | — | | | | | | | — | | | | | | | 68 | | | | | | 310 | | | | — | |
Legal settlement charge, net of tax | | | — | | | | | | | — | | | | | | | — | | | | | | 484 | | | | — | |
Loss on early extinguishment and modification of debt, net of tax | | | — | | | | | | | — | | | | | | | — | | | | | | 890 | | | | 51 | |
Impairment charges, net of tax | | | 3,898 | | | | | | | — | | | | | | | — | | | | | | 3,898 | | | | 12,022 | |
Valuation allowance on deferred tax assets | | | 48,556 | | | | | | | — | | | | | | | — | | | | | | 48,556 | | | | — | |
Adjusted (loss) income from continuing operations (h) | | | (182 | ) | | | | | | (2,985 | ) | | | | | | 1,521 | | | | | | 174 | | | | (8,672 | ) |
Income (loss) from discontinued operations, net of income taxes (f) | | | 338 | | | | | | | (6,548 | ) | | | | | | (539 | ) | | | | | 2,281 | | | | (21,476 | ) |
Adjusted net income (loss) (i) | | $ | 156 | | | | | | $ | (9,533 | ) | | | | | $ | 982 | | | | | $ | 2,455 | | | $ | (30,148 | ) |
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Adjusted (Loss) Income from Continuing Operations per Diluted Share and Adjusted Net Income (loss) per Diluted Share: | | | | | | | | | |
(Loss) income from continuing operations per diluted share | | $ | (1.70 | ) | | | | | $ | (0.10 | ) | | | | | $ | 0.05 | | | | | $ | (1.75 | ) | | $ | (0.67 | ) |
Acquisition costs, net of tax | | | 0.01 | | | | | | | — | | | | | | | — | | | | | | 0.01 | | | | — | |
Restructuring costs, net of tax | | | — | | | | | | | — | | | | | | | 0.00 | | | | | | 0.01 | | | | — | |
Legal settlement charge, net of tax | | | — | | | | | | | — | | | | | | | — | | | | | | 0.01 | | | | — | |
Loss on early extinguishment and modification of debt, net of tax | | | — | | | | | | | — | | | | | | | — | | | | | | 0.03 | | | | 0.00 | |
Impairment charges, net of tax | | | 0.12 | | | | | | | — | | | | | | | — | | | | | | 0.13 | | | | 0.39 | |
Valuation allowance on deferred tax assets | | | 1.56 | | | | | | | — | | | | | | | — | | | | | | 1.57 | | | | — | |
Adjusted (loss) income from continuing operations per diluted share (h) | | | (0.01 | ) | | | | | | (0.10 | ) | | | | | | 0.05 | | | | | | 0.01 | | | | (0.28 | ) |
Income (loss) from discontinued operations per diluted share | | | 0.01 | | | | | | | (0.21 | ) | | | | | | (0.02 | ) | | | | | 0.07 | | | | (0.70 | ) |
Adjusted net income (loss) per diluted share (i) | | $ | 0.00 | | | | | | $ | (0.31 | ) | | | | | $ | 0.03 | | | | | $ | 0.08 | | | $ | (0.98 | ) |
| | | | | | | | | | | | | | | | | | |
Weighted average common shares outstanding - diluted | | | 31,085 | | | | | | | 30,902 | | | | | | | 31,161 | | | | | | 31,009 | | | | 30,843 | |
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Cross Country Healthcare, Inc. | |
Consolidated Balance Sheets (j) | |
(Unaudited, amounts in thousands) | |
| |
| | December 31, | | | | | December 31, | | | | | | | | | | | |
| | 2013 (a) | | | | | 2012 | | | | | | | | | | | |
Assets | | | | | | | | | | | | | | | | | | |
Current assets: | | | | | | | | | | | | | | | | | | |
Cash and cash equivalents | | $ | 8,055 | | | | | | $ | 10,463 | | | | | | | | | | | | |
Accounts receivable, net | | | 60,750 | | | | | | | 62,674 | | | | | | | | | | | | |
Deferred tax assets | | | — | | | | | | | 5,983 | | | | | | | | | | | | |
Income taxes receivable | | | 538 | | | | | | | 586 | | | | | | | | | | | | |
Prepaid expenses | | | 6,163 | | | | | | | 5,580 | | | | | | | | | | | | |
Insurance recovery receivable | | | 3,886 | | | | | | | 5,484 | | | | | | | | | | | | |
Indemnity escrow receivable | | | 3,750 | | | | | | | — | | | | | | | | | | | | |
Assets held for sale | | | — | | | | | | | 46,971 | | | | | | | | | | | | |
Other current assets | | | 793 | | | | | | | 1,049 | | | | | | | | | | | | |
Total current assets | | | 83,935 | | | | | | | 138,790 | | | | | | | | | | | | |
Property and equipment, net | | | 6,170 | | | | | | | 8,235 | | | | | | | | | | | | |
Trade names, net | | | 42,301 | | | | | | | 48,701 | | | | | | | | | | | | |
Goodwill, net | | | 77,266 | | | | | | | 62,712 | | | | | | | | | | | | |
Other identifiable intangible assets, net | | | 26,198 | | | | | | | 14,492 | | | | | | | | | | | | |
Debt issuance costs, net | | | 464 | | | | | | | 1,610 | | | | | | | | | | | | |
Non-current deferred tax assets | | | — | | | | | | | 22,760 | | | | | | | | | | | | |
Non-current insurance recovery receivable | | | 10,914 | | | | | | | 8,210 | | | | | | | | | | | | |
Non-current security deposits | | | 997 | | | | | | | 413 | | | | | | | | | | | | |
Total assets | | $ | 248,245 | | | | | | $ | 305,923 | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | |
Liabilities and Stockholders' Equity | | | | | | | | | | | | | | | | | | |
Current liabilities: | | | | | | | | | | | | | | | | | | |
Accounts payable and accrued expenses | | $ | 10,272 | | | | | | $ | 10,130 | | | | | | | | | | | | |
Accrued employee compensation and benefits | | | 19,148 | | | | | | | 21,650 | | | | | | | | | | | | |
Current portion of long-term debt | | | 8,483 | | | | | | | 33,683 | | | | | | | | | | | | |
Sales tax payable | | | 2,404 | | | | | | | 1,545 | | | | | | | | | | | | |
Liabilities related to assets held for sale | | | — | | | | | | | 2,835 | | | | | | | | | | | | |
Deferred tax liabilities | | | 535 | | | | | | | — | | | | | | | | | | | | |
Other current liabilities | | | 4,063 | | | | | | | 2,744 | | | | | | | | | | | | |
Total current liabilities | | | 44,905 | | | | | | | 72,587 | | | | | | | | | | | | |
Long-term debt | | | 93 | | | | | | | 176 | | | | | | | | | | | | |
Non-current deferred tax liabilities | | | 16,849 | | | | | | | — | | | | | | | | | | | | |
Long-term accrued claims | | | 18,303 | | | | | | | 16,347 | | | | | | | | | | | | |
Long-term unrecognized tax benefits | | | 4,013 | | | | | | | 4,656 | | | | | | | | | | | | |
Other long-term liabilities | | | 3,415 | | | | | | | 3,035 | | | | | | | | | | | | |
Total liabilities | | | 87,578 | | | | | | | 96,801 | | | | | | | | | | | | |
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Commitments and contingencies | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | |
Stockholders' equity: | | | | | | | | | | | | | | | | | | |
Common stock | | | 3 | | | | | | | 3 | | | | | | | | | | | | |
Additional paid-in capital | | | 246,325 | | | | | | | 244,924 | | | | | | | | | | | | |
Accumulated other comprehensive loss | | | (970 | ) | | | | | | (3,083 | ) | | | | | | | | | | | |
Accumulated deficit | | | (84,691 | ) | | | | | | (32,722 | ) | | | | | | | | | | | |
Total stockholders' equity | | | 160,667 | | | | | | | 209,122 | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | |
Total liabilities and stockholders' equity | | $ | 248,245 | | | | | | $ | 305,923 | | | | | | | | | | | | |
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Cross Country Healthcare, Inc. |
Segment Data (k) |
(Unaudited, amounts in thousands) |
|
| | Three Months Ended | | | YOY | | Sequential |
| | December 31, | | % of | | December 31, | | % of | | September 30, | | % of | | % change | | | | % change | |
| | 2013 (a) | | Total | | | 2012 | | Total | | | 2013 | | | Total | Fav (Unfav) | | Fav (Unfav) |
| | | | | | | | | | | | | | | | | | |
Revenue from services: | | | | | | | | | | | | | | | | | | |
Nurse and allied staffing | | $ | 71,237 | | | 65 | % | | | $ | 70,850 | | | 63 | % | | | $ | 67,448 | | | 63 | % | | | 0.5 | % | | | 5.6 | % |
Physician staffing | | | 28,865 | | | 27 | % | | | | 30,667 | | | 28 | % | | | | 31,485 | | | 29 | % | | | (5.9 | )% | | | (8.3 | )% |
Other human capital management services | | | 9,077 | | | 8 | % | | | | 10,214 | | | 9 | % | | | | 9,115 | | | 8 | % | | | (11.1 | )% | | | (0.4 | )% |
| | $ | 109,179 | | | 100 | % | | | $ | 111,731 | | | 100 | % | | | $ | 108,048 | | | 100 | % | | | (2.3 | )% | | | 1.0 | % |
| | | | | | | | | | | | | | | | | | |
Contribution income (l) | | | | | | | | | | | | | | | | | | |
Nurse and allied staffing (m) | | $ | 4,996 | | | | | | $ | 3,590 | | | | | | $ | 5,156 | | | | | | 39.2 | % | | | (3.1 | )% |
Physician staffing | | | 1,797 | | | | | | | 2,460 | | | | | | | 2,191 | | | | | | (27.0 | )% | | | (18.0 | )% |
Other human capital management services | | | (133 | ) | | | | | | 534 | | | | | | | 55 | | | | | | (124.9 | )% | | | (341.8 | )% |
| | | 6,660 | | | | | | | 6,584 | | | | | | | 7,402 | | | | | | 1.2 | % | | | (10.0 | )% |
| | | | | | | | | | | | | | | | | | |
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Unallocated corporate overhead (m) | | | 5,352 | | | | | | | 5,890 | | | | | | | 4,937 | | | | | | 9.1 | % | | | (8.4 | )% |
Depreciation | | | 934 | | | | | | | 1,107 | | | | | | | 890 | | | | | | 15.6 | % | | | (4.9 | )% |
Amortization | | | 610 | | | | | | | 566 | | | | | | | 552 | | | | | | (7.8 | )% | | | (10.5 | )% |
Acquisition costs (a) | | | 473 | | | | | | | — | | | | | | | — | | | | | | (100.0 | )% | | | (100.0 | )% |
Restructuring costs (b) | | | — | | | | | | | — | | | | | | | 109 | | | | | | — | % | | | 100.0 | % |
Impairment charges (d) | | | 6,400 | | | | | | | — | | | | | | | — | | | | | | (100.0 | )% | | | (100.0 | )% |
(Loss) income from operations | | $ | (7,109 | ) | | | | | $ | (979 | ) | | | | | $ | 914 | | | | | | (626.1 | )% | | | 877.8 | % |
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| | Year Ended | | | | | | | | YOY | | |
| | December 31, | | % of | | December 31, | | % of | | | | | | | % change | | | |
| | 2013 (a) | | Total | | | 2012 | | Total | | | | | | Fav (Unfav) | | |
| | | | | | | | | | | | | | | | | | |
Revenue from services: | | | | | | | | | | | | | | | | | | |
Nurse and allied staffing | | $ | 278,973 | | | 63 | % | | | $ | 277,754 | | | 63 | % | | | | | | | | 0.4 | % | | |
Physician staffing | | | 121,371 | | | 28 | % | | | | 123,545 | | | 28 | % | | | | | | | | (1.8 | )% | | |
Other human capital management services | | | 37,967 | | | 9 | % | | | | 41,336 | | | 9 | % | | | | | | | | (8.2 | )% | | |
| | $ | 438,311 | | | 100 | % | | | $ | 442,635 | | | 100 | % | | | | | | | | (1.0 | )% | | |
| | | | | | | | | | | | | | | | | | |
Contribution income (l) | | | | | | | | | | | | | | | | | | |
Nurse and allied staffing (m) | | $ | 19,188 | | | | | | $ | 11,360 | | | | | | | | | | | 68.9 | % | | |
Physician staffing | | | 8,617 | | | | | | | 10,652 | | | | | | | | | | | (19.1 | )% | | |
Other human capital management services | | | 746 | | | | | | | 1,944 | | | | | | | | | | | (61.6 | )% | | |
| | | 28,551 | | | | | | | 23,956 | | | | | | | | | | | 19.2 | % | | |
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| | | | | | | | | | | | | | | | | | |
Unallocated corporate overhead (m) | | | 22,286 | | | | | | | 22,574 | | | | | | | | | | | 1.3 | % | | |
Depreciation | | | 3,886 | | | | | | | 4,905 | | | | | | | | | | | 20.8 | % | | |
Amortization | | | 2,294 | | | | | | | 2,263 | | | | | | | | | | | (1.4 | )% | | |
Acquisition costs (a) | | | 473 | | | | | | | — | | | | | | | | | | | (100.0 | )% | | |
Restructuring costs (b) | | | 484 | | | | | | | — | | | | | | | | | | | (100.0 | )% | | |
Legal settlement charge (c) | | | 750 | | | | | | | — | | | | | | | | | | | (100.0 | )% | | |
Impairment charges (d) | | | 6,400 | | | | | | | 18,732 | | | | | | | | | | | 65.8 | % | | |
(Loss) income from operations | | $ | (8,022 | ) | | | | | $ | (24,518 | ) | | | | | | | | | | 67.3 | % | | |
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Cross Country Healthcare, Inc. |
Other Financial Data |
(Unaudited) |
| |
| | Three Months Ended | | | | Year Ended |
| | December 31, | | | | | December 31, | | | | | September 30, | | | | December 31, | | December 31, |
| | | 2013 (a | ) | | | | | | 2012 | | | | | | | 2013 | | | | | | 2013 (a | ) | | | 2012 | |
| | | | | | | | | | | | | | | | | | |
Net cash (used in) provided by operating activities (in thousands) | | $ | (2,900 | ) | | | | | $ | 4,440 | | | | | | $ | 7,161 | | | | | $ | 8,659 | | | $ | 10,146 | |
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Nurse and allied staffing statistical data: | | | | | | | | | | | | | | | | | | |
FTEs (n) | | | 2,531 | | | | | | | 2,452 | | | | | | | 2,282 | | | | | | 2,420 | | | | 2,446 | |
Days worked (o) | | | 232,852 | | | | | | | 225,584 | | | | | | | 209,944 | | | | | | 883,300 | | | | 895,236 | |
Average nurse and allied staffing revenue per FTE per day (p) | | $ | 306 | | | | | | $ | 314 | | | | | | $ | 321 | | | | | $ | 316 | | | $ | 310 | |
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Physician staffing statistical data: | | | | | | | | | | | | | | | | | | |
Days filled (q) | | | 18,705 | | | | | | | 20,290 | | | | | | | 20,788 | | | | | | 80,294 | | | | 85,001 | |
Revenue per days filled (r) | | $ | 1,543 | | | | | | $ | 1,511 | | | | | | $ | 1,515 | | | | | $ | 1,512 | | | $ | 1,453 | |
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(a) On December 2nd, 2013, the Company acquired the operating assets of On Assignment, Inc.’s Allied Healthcare staffing division for an aggregate purchase price of $28.7 million, subject to post-closing adjustments. Results from operations for the month of December were included in the Company's Consolidated Statement of Operations. |
(b) Restructuring costs primarily related to senior management employee severance pay. |
(c) Legal settlement charge related to an agreement in principle to settle a class action lawsuit that has preliminary been approved by the court in 2014. |
(d) Impairment charges in the three months and year ended December 31, 2013, relate to the impairment of trade names acquired in the Company's MDA acquisition, of which $6.2 million was for a trade name in the Company's physician staffing business segment and $0.2 million was for a trade name in the Company's nurse and allied staffing business segment. Impairment charges in the year ended December 31, 2012 relate to impairment of goodwill related to the Company’s nurse and allied staffing business segment. |
(e) Loss on early extinguishment and modification of debt relate to the write-off of unamortized net debt issuance costs related to the repayment of term loan and revolver in 2013 and modification fees related to our prior credit facility in the third quarter of 2012. |
(f) The Company sold its clinical trial services business on February 15, 2013. The clinical trial services business has been classified as discontinued operations. The transaction resulted in a gain on sale of $4.0 million pretax, or $2.1 million after tax. |
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(g) Adjusted EBITDA, a non-GAAP (Generally Accepted Accounting Principles) financial measure, is defined as income or loss from operations before depreciation, amortization, acquisition costs, restructuring costs, legal settlement charges, impairment charges and non-cash equity compensation. Adjusted EBITDA should not be considered a measure of financial performance under GAAP. Management presents Adjusted EBITDA because it believes that Adjusted EBITDA is a useful supplement to income or loss from operations as an indicator of operating performance. Management uses Adjusted EBITDA as one performance measure in its annual cash incentive program for certain members of its management team. In addition, management monitors Adjusted EBITDA for planning purposes. Adjusted EBITDA, as defined, closely matches the operating measure typically used in the Company's credit facilities in calculating various ratios. Management believes Adjusted EBITDA, as defined, is useful to investors when evaluating the Company's performance as it excludes certain items that management believes are not indicative of the Company's operating performance. Adjusted EBITDA Margin is calculated by dividing Adjusted EBITDA by the Company's consolidated revenue. |
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(h) Adjusted (loss) income from continuing operations and Adjusted (loss) income from continuing operations per diluted share, both non-GAAP financial measures, are defined by (Loss) income from continuing operations and (loss) earnings per diluted share before acquisition costs, restructuring costs, legal settlement charges, loss on early extinguishment and modification of debt, impairment charges and deferred tax assets valuation allowance. Adjusted (loss) income from continuing operations and Adjusted (loss) income from continuing operations per diluted share should not be considered a measure of financial performance under GAAP and have been provided for consistency and comparability of the December 31, 2013 results with the prior periods. Management believes such measures provide a picture of the Company's results that is more comparable among periods since it excludes the impact of items that may recur occasionally, but tend to be irregular as to timing, thereby distorting comparisons between periods. |
(i) Adjusted net income (loss) and Adjusted net income (loss) per diluted share, both non-GAAP financial measures, are defined by Net (loss) income and Net (loss) income per diluted share before acquisition costs, restructuring costs, legal settlement charges, loss on early extinguishment and modification of debt, impairment charges and deferred tax assets valuation allowance. Adjusted net income (loss) and Adjusted net income (loss) per diluted share should not be considered a measure of financial performance under GAAP and have been provided for consistency and comparability of the December 31, 2013 results with the prior periods. Management believes such measures provide a picture of the Company's results that is more comparable among periods since it excludes the impact of items that may recur occasionally, but tend to be irregular as to timing, thereby distorting comparisons between periods. |
(j) Certain prior year amounts have been reclassified to conform to the current period's presentation. |
(k) Segment data provided is in accordance with the Segment Reporting Topic of the FASB ASC. |
(l) Contribution income is defined as income or loss from operations before depreciation, amortization, acquisition costs, restructuring costs, legal settlement charges, impairment charges and corporate expenses not specifically identified to a reporting segment. Contribution income is a financial measure used by management when assessing segment performance. |
(m) Certain prior year amounts have been reclassified to conform to the current period's presentation. In 2013, the Company refined its methodology for allocating certain corporate overhead expenses and the nurse and allied staffing expenses to more accurately reflect this segment's profitability. |
(n) FTEs represent the average number of nurse and allied contract staffing personnel on a full-time equivalent basis. |
(o) Days worked is calculated by multiplying the FTEs by the number of days during the respective period. |
(p) 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. |
(q) Days filled is calculated by dividing the total hours filled during the period by 8 hours. |
(r) Revenue per day filled is calculated by dividing the applicable revenue generated by the Company's physician staffing segment by days filled for the period presented. |