Cross Country Healthcare Announces Fourth Quarter and Full Year 2020 Financial Results

BOCA RATON, Fla.–(BUSINESS WIRE)–Feb 24, 2021–
Cross Country Healthcare, Inc. (the "Company") (Nasdaq: CCRN) today announced financial results for its fourth quarter and full year ended December 31, 2020.

SELECTED FINANCIAL INFORMATION:
 
Dollars are in thousands, except per share amounts Q4 2020 Variance
Q4 2020 vs
Q4 2019
Variance
Q4 2020 vs
Q3 2020
Full Year 2020 Variance
2020 vs
2019
Revenue $ 215,606       % 11   % $ 836,417     2   %
Gross profit margin* 25.2   % 50   bps 50   bps 24.2   % (60 ) bps
Net income (loss) attributable to common shareholders $ 4,612     503   % 446   % $ (12,962 )   78   %
Diluted EPS $ 0.13     $ 0.16     $ 0.17     $ (0.36 )   $ 1.25    
Adjusted EBITDA* $ 11,500     39   % 34   % $ 36,322     43   %
Adjusted EPS* $ 0.19     $ 0.12     $ 0.07     $ 0.46     $ 0.31    
Cash flows from operations $ 1,929     136   % 123   % $ 27,204     391   %
 
* Refer to accompanying tables and discussion of Non-GAAP financial measures below.

"Our performance in the fourth quarter once again demonstrates our ability to deliver the critical staff and support needed by our clients. We continue to see significantly higher demand from COVID, driving increases in both the number of clinicians on assignments as well as higher bill rates for the first quarter of 2021," said Kevin Clark, Co-founder and CEO for Cross Country Healthcare.
Fourth quarter consolidated revenue was $215.6 million, representing an increase of 11% sequentially and flat with the prior year. Consolidated gross margin was 25.2%, up 50 basis points year-over-year and sequentially. Net income attributable to common shareholders was $4.6 million compared to losses of $1.1 million in the prior year and $1.3 million in the prior quarter. Diluted EPS was $0.13 per share compared to losses of $0.03 per share in the prior year and $0.04 per share in the prior quarter. Adjusted EBITDA was $11.5 million or 5.3% of revenue, as compared with $8.3 million or 3.9% of revenue in the prior year, and $8.6 million or 4.4% of revenue in the prior quarter. Adjusted EPS was $0.19 compared with $0.07 in the prior year and $0.12 in the prior quarter.
For the year ended December 31, 2020, consolidated revenue was $836.4 million, an increase of 2% over the prior year. Consolidated gross margin was 24.2%, down 60 basis points year-over-year. Net loss attributable to common shareholders was $13.0 million, or a net loss of $0.36 per diluted share, compared to a net loss of $57.7 million, or a loss of $1.61 per diluted share in the prior year. Adjusted EBITDA was $36.3 million or 4.3% of revenue, as compared with $25.5 million or 3.1% of revenue in the prior year. Adjusted EPS was $0.46 compared to $0.15 in the prior year.
Full year 2020 results included non-cash impairment charges of $16.2 million, which was comprised of $10.7 million, primarily related to goodwill and customer relationships for the Search business, and $5.5 million related to right-of-use assets and related property and equipment in connection with leases that were vacated during the year. Results for the year ended December 31, 2020 also included $6.1 million in restructuring costs primarily comprised of employee termination costs and lease-related exit costs.
Quarterly Business Segment Highlights
Nurse and Allied Staffing
Revenue was $196.4 million, representing a 3% increase year-over-year and 12% sequentially. Contribution income was $22.3 million, compared to $17.8 million in the prior year and $18.2 million in the prior quarter. Average field contract personnel on a full-time equivalent (FTE) basis were 5,798 as compared with 7,339 in the prior year and 5,403 in the prior quarter. Revenue per FTE per day was $368 compared to $284 in the prior year and $353 in the prior quarter.
Physician Staffing
Revenue was $16.4 million, a decrease of 18% year-over-year and consistent with the prior quarter. Contribution income was $0.9 million, a decrease compared to $1.0 million in the prior year and an increase compared to $0.8 million in the prior quarter. Total days filled were 9,911 as compared with 11,672 in the prior year and 9,682 in the prior quarter. Revenue per day filled was $1,658 as compared with $1,714 in the prior year and $1,699 in the prior quarter.
Search
Revenue was $2.8 million, a decrease of 24% year-over-year and an increase of 23% sequentially. Contribution income was $0.6 million, compared to losses of $0.3 million in both the prior year and the prior quarter.
Cash Flow and Balance Sheet Highlights
Cash flow provided by operations for the quarter was $1.9 million compared to cash flow used in operations of $5.4 million in the prior year and $8.5 million in the prior quarter, with the principal driver being a six day sequential improvement in days’ sales outstanding. Cash flow provided by operating activities for the full year was $27.2 million compared to $5.5 million in the prior year.
At December 31, 2020, the Company had $1.6 million in cash and cash equivalents, $53.4 million of borrowings drawn under its asset-based loan facility (ABL), and $18.5 million of letters of credit outstanding. Availability under the ABL is subject to a borrowing base, which was $125.5 million as of December 31, 2020, with $53.6 million available for borrowing as of December 31, 2020.
Outlook for First Quarter 2021
The guidance below applies only to management’s expectations for the first quarter of 2021.

  Q1 2021 Range   Year-over-Year Change   Sequential Change
 
           
Revenue $280 million – $295 million   33% – 40%   30% – 37%
           
Gross Profit Margin* 21.2% – 21.7%   (240) bps – (190) bps   (400) bps – (350) bps
           
Adjusted EBITDA* $16.0 million – $18.0 million   247% – 290%   39% – 57%
           
Adjusted EPS* $0.32 – $0.37   $0.33 – $0.38   $0.13 – $0.18
 
* Refer to discussion of Non-GAAP financial measures below.

There remains a high degree of uncertainty regarding the continued impact from COVID-19 on our business. In particular, the outlook above assumes sequential increases in bill rates and the number of clinicians on COVID assignments, and the continued closures of schools in key markets. As a result of the stronger projected performance for both revenue and Adjusted EBITDA, as well as continued uncertainty from the pandemic, the Company continues the use of wider guidance ranges for the first quarter of 2021.
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 share repurchases. The guidance also reflects the impacts from certain cost actions and actual results may differ depending on timing and further actions it may take. See accompanying Non-GAAP financial measures and tables below.
INVITATION TO CONFERENCE CALL
The Company will hold its quarterly conference call on Wednesday, February 24, 2021, at 5:00 P.M. Eastern Time to discuss its fourth quarter and full year 2020 financial results. This call will be webcast live and can be accessed at the Company’s website at www.crosscountryhealthcare.com or by dialing 888-566-1099 from anywhere in the U.S. or by dialing 773-799-3716 from non-U.S. locations – Passcode: Cross Country. A replay of the webcast will be available from February 24th through March 11th at the Company’s website and a replay of the conference call will be available by telephone by calling 800-510-0118 from anywhere in the U.S. or 203-369-3808 from non-U.S. locations – Passcode: 2021.
ABOUT CROSS COUNTRY HEALTHCARE
Cross Country Healthcare, Inc. (CCH) is a leader in providing total talent management including strategic workforce solutions, contingent staffing, permanent placement, and consultative services for healthcare customers. Leveraging our 35 years of industry expertise and insight, CCH solves complex labor-related challenges for customers while providing high-quality outcomes and exceptional patient care. As a multi-year Best of Staffing ® Award winner, CCH is committed to an exceptionally high level of service to both our clients and our healthcare professionals. CCH was the first publicly traded staffing firm to obtain The Joint Commission Certification, which it still holds with a Letter of Distinction. In February 2021, CCH earned Energage’s inaugural 2021 Top Workplaces USA award. CCH has a longstanding history of investing in its diversity, equality, and inclusion strategic initiatives as a key component of the organization’s overall corporate social responsibility program which is closely aligned with its core values to create a better future for its people, communities, the planet, and its shareholders.
Copies of this and other news releases as well as additional information about Cross Country Healthcare can be obtained online at www.crosscountryhealthcare.com. Shareholders and prospective investors can also register to automatically receive the Company’s press releases, made with the Securities and Exchange Commission (SEC) filings and other notices by e-mail.
NON-GAAP FINANCIAL MEASURES
This press release and accompanying financial statement tables reference non-GAAP financial measures, such 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, and 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", and "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 clients’ ability to pay us for our services, our ability to successfully implement our acquisition and development strategies, including our ability to successfully integrate acquired businesses and realize synergies from such acquisitions, the effect of liabilities and other claims asserted against us, the effect of competition in the markets we serve, our ability to successfully defend the Company, its subsidiaries, and its officers and directors on the merits of any lawsuit or determine its potential liability, if any, and other factors set forth in Item 1A. "Risk Factors" in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, 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 management’s opinions only as of the date of this press release. There can be no assurance that (i) we have correctly measured or identified all of the factors affecting our business or the extent of these factors’ likely impact, (ii) the available information with respect to these factors on which such analysis is based is complete or accurate, (iii) such analysis is correct or (iv) our strategy, which is based in part on this analysis, will be successful. The Company undertakes no obligation to update or revise forward-looking statements. All references to "we", "us", "our", or "Cross Country" in this press release mean Cross Country Healthcare, Inc. and its subsidiaries.

 
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,
  2020   2019   2020   2020   2019
       
Revenue from services $ 215,606     $ 215,096     $ 193,968     $ 836,417     $ 822,224  
Operating expenses:                  
Direct operating expenses 161,214     161,935     145,965     633,685     618,215  
Selling, general and administrative expenses 44,870     45,572     40,804     173,809     181,959  
Bad debt expense 652     505     946     3,035     2,008  
Depreciation and amortization 2,199     4,627     3,247     12,671     14,075  
Acquisition and integration-related costs     (184 )       77     201  
Restructuring costs 842     687     2,316     6,052     3,571  
Legal settlement charges                 1,600  
Impairment charges 166         1,071     16,248     16,306  
Total operating expenses 209,943     213,142     194,349     845,577     837,935  
Income (loss) from operations 5,663     1,954     (381 )   (9,160 )   (15,711 )
Other expenses (income):                  
Interest expense 671     1,048     608     2,890     5,306  
Loss on derivative                 1,284  
Loss on early extinguishment of debt     1,470             1,978  
Other expense (income), net 326     144     (10 )   280     (68 )
Income (loss) before income taxes 4,666     (708 )   (979 )   (12,330 )   (24,211 )
Income tax (benefit) expense (156 )   (108 )   169     (188 )   31,732  
Consolidated net income (loss) 4,822     (600 )   (1,148 )   (12,142 )   (55,943 )
Less: Net income attributable to noncontrolling interest in subsidiary 210     544     186     820     1,770  
Net income (loss) attributable to common shareholders $ 4,612     $ (1,144 )   $ (1,334 )   $ (12,962 )   $ (57,713 )
                   
Net income (loss) per share attributable to common shareholders – Basic and Diluted $ 0.13     $ (0.03 )   $ (0.04 )   $ (0.36 )   $ (1.61 )
                   
Weighted average common shares outstanding:                  
Basic 36,177     35,869     36,176     36,088     35,815  
Diluted 36,778     35,869     36,176     36,088     35,815  
 
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,
  2020   2019   2020   2020   2019
Adjusted EBITDA: a                  
Net income (loss) attributable to common shareholders $ 4,612     $ (1,144 )   $ (1,334 )   $ (12,962 )   $ (57,713 )
Interest expense 671     1,048     608     2,890     5,306  
Income tax (benefit) expense b (156 )   (108 )   169     (188 )   31,732  
Depreciation and amortization 2,199     4,627     3,247     12,671     14,075  
Acquisition and integration-related costs c     (184 )       77     201  
Restructuring costs d 842     687     2,316     6,052     3,571  
Legal settlements and fees e 600         837     2,998     1,600  
Impairment charges f 166         1,071     16,248     16,306  
Loss on derivative g                 1,284  
Loss on early extinguishment of debt h     1,470             1,978  
Loss on disposal of fixed assets 364             364      
Other expense (income), net (38 )   144     (10 )   (84 )   (68 )
Equity compensation 1,340     879     1,064     5,403     3,396  
Applicant tracking system costs i 690     323     444     2,033     2,030  
Net income attributable to noncontrolling interest in subsidiary 210     544     186     820     1,770  
Adjusted EBITDA a $ 11,500     $ 8,286     $ 8,598     $ 36,322     $ 25,468  
                   
Adjusted EPS: j                  
Numerator:                  
Net income (loss) attributable to common shareholders $ 4,612     $ (1,144 )   $ (1,334 )   $ (12,962 )   $ (57,713 )
Non-GAAP adjustments – pretax:                  
Acquisition and integration-related costs c     (184 )       77     201  
Restructuring costs d 842     687     2,316     6,052     3,571  
Legal settlements and fees e 600         837     2,998     1,600  
Impairment charges (excluding rebranding impacts) f 166         1,071     16,248     1,804  
Rebranding impairments and accelerated amortization f     1,978     938     3,075     17,379  
Loss on derivative g                 1,284  
Loss on early extinguishment of debt h     1,470             1,978  
Applicant tracking system costs i 690     323     444     2,033     2,030  
Nonrecurring income tax adjustments (18 )   (428 )       295     35,247  
Tax impact of non-GAAP adjustments (2 )       (20 )   (992 )   (2,044 )
Adjusted net income attributable to common shareholders – non-GAAP $ 6,890     $ 2,702     $ 4,252     $ 16,824     $ 5,337  
                   
Denominator:                  
Weighted average common shares – basic, GAAP 36,177     35,869     36,176     36,088     35,815  
Dilutive impact of share-based payments k 601     472     228     340     251  
Adjusted weighted average common shares – diluted, non-GAAP 36,778     36,341     36,404     36,428     36,066  
                   
Reconciliation:                  
Diluted EPS, GAAP $ 0.13     $ (0.03 )   $ (0.04 )   $ (0.36 )   $ (1.61 )
Non-GAAP adjustments – pretax:                  
Acquisition and integration-related costs c     (0.01 )            
Restructuring costs d 0.02     0.02     0.06     0.16     0.10  
Legal settlements and fees e 0.02         0.03     0.09     0.05  
Impairment charges (excluding rebranding impacts) f         0.03     0.45     0.05  
Rebranding impairments and accelerated amortization f     0.05     0.03     0.09     0.48  
Loss on derivative g                 0.04  
Loss on early extinguishment of debt h     0.04             0.05  
Applicant tracking system costs i 0.02     0.01     0.01     0.05     0.06  
Nonrecurring income tax adjustments     (0.01 )       0.01     0.98  
Tax impact of non-GAAP adjustments             (0.03 )   (0.05 )
Adjusted EPS, non-GAAP j $ 0.19     $ 0.07     $ 0.12     $ 0.46     $ 0.15  
 
Cross Country Healthcare, Inc.
Consolidated Balance Sheets
(Unaudited, amounts in thousands)
 
  December 31,   December 31,
  2020   2019
       
Assets      
Current assets:      
Cash and cash equivalents $ 1,600     $ 1,032  
Accounts receivable, net 170,003     169,528  
Prepaid expenses 5,455     6,097  
Insurance recovery receivable 4,698     5,011  
Other current assets 1,355     1,689  
Total current assets 183,111     183,357  
Property and equipment, net 12,351     11,832  
Operating lease right-of-use assets 10,447     16,964  
Goodwill 90,924     101,066  
Trade names, indefinite-lived 5,900     5,900  
Other intangible assets, net 34,831     44,957  
Other non-current assets 19,409     18,298  
Total assets $ 356,973     $ 382,374  
       
Liabilities and Stockholders’ Equity      
Current liabilities:      
Accounts payable and accrued expenses $ 49,877     $ 45,726  
Accrued employee compensation and benefits 35,540     31,307  
Operating lease liabilities – current 4,509     4,878  
Other current liabilities 3,497     3,554  
Total current liabilities 93,423     85,465  
Revolving credit facility 53,408     70,974  
Operating lease liabilities – non-current 15,234     19,070  
Non-current deferred tax liabilities 6,592     7,523  
Long-term accrued claims 25,412     26,938  
Contingent consideration     4,867  
Other long-term liabilities 7,995     4,037  
Total liabilities 202,064     218,874  
       
Commitments and contingencies      
       
Stockholders’ equity:      
Common stock 4     4  
Additional paid-in capital 310,388     305,643  
Accumulated other comprehensive loss (1,280 )   (1,240 )
Accumulated deficit (154,737 )   (141,775 )
Total Cross Country Healthcare, Inc. stockholders’ equity 154,375     162,632  
Noncontrolling interest in subsidiary 534     868  
Total stockholders’ equity 154,909     163,500  
Total liabilities and stockholders’ equity $ 356,973     $ 382,374  
 
Cross Country Healthcare, Inc.
Segment Data l
(Unaudited, amounts in thousands)
 
  Three Months Ended Year-over-Year Sequential
  December 31, % of December 31, % of September 30, % of % change % change
  2020 Total 2019 Total 2020 Total Fav (Unfav) Fav (Unfav)
                 
Revenue from services:                
Nurse and Allied Staffing $ 196,374   91 % $ 191,417   89 % $ 175,244   90 % 2.6 % 12.1 %
Physician Staffing 16,429   8 % 20,011   9 % 16,452   9 % (17.9 )% (0.1 )%
Search 2,803   1 % 3,668   2 % 2,272   1 % (23.6 )% 23.4 %
  $ 215,606   100 % $ 215,096   100 % $ 193,968   100 % 0.2 % 11.2 %
                 
Contribution income (loss): m                
Nurse and Allied Staffing $ 22,265     $ 17,849     $ 18,233     24.7 % 22.1 %
Physician Staffing 942     1,034     827     (8.9 )% 13.9 %
Search 570     (297 )   (308 )   291.9 % 285.1 %
  23,777     18,586     18,752     27.9 % 26.8 %
                 
Corporate overhead n 14,907     11,502     12,499     (29.6 )% (19.3 )%
Depreciation and amortization 2,199     4,627     3,247     52.5 % 32.3 %
Acquisition and integration-related costs c     (184 )       (100.0 )% %
Restructuring costs d 842     687     2,316     (22.6 )% 63.6 %
Impairment charges f 166         1,071     (100.0 )% 84.5 %
Income (loss) from operations $ 5,663     $ 1,954     $ (381 )   189.8 % NM  
                 
  Year Ended     Year-over-Year  
  December 31, % of December 31, % of     % change  
  2020 Total 2019 Total     Fav (Unfav)  
                 
Revenue from services:                
Nurse and Allied Staffing $ 757,949   91 % $ 732,815   89 %     3.4 %  
Physician Staffing 67,934   8 % 74,605   9 %     (8.9 )%  
Search 10,534   1 % 14,804   2 %     (28.8 )%  
  $ 836,417   100 % $ 822,224   100 %     1.7 %  
                 
Contribution income (loss): m                
Nurse and Allied Staffing $ 75,293     $ 64,353         17.0 %  
Physician Staffing 3,619     2,758         31.2 %  
Search (1,124 )   (823 )       (36.6 )%  
  77,788     66,288         17.3 %  
                 
Corporate overhead n 51,900     46,246         (12.2 )%  
Depreciation and amortization 12,671     14,075         10.0 %  
Acquisition and integration-related costs c 77     201         61.7 %  
Restructuring costs d 6,052     3,571         (69.5 )%  
Legal settlement charges e     1,600         100.0 %  
Impairment charges f 16,248     16,306         0.4 %  
Loss from operations $ (9,160 )   $ (15,711 )       41.7 %  
                 
NM-Not meaningful.                
 
Cross Country Healthcare, Inc.
Summary Condensed Consolidated Statements of Cash Flows
(Unaudited, amounts in thousands)
                   
  Three Months Ended   Year Ended
  December 31,   December 31,   September 30,   December 31,   December 31,
  2020   2019   2020   2020   2019
                   
Net cash provided by (used in) operating activities $ 1,929     $ (5,351 )   $ (8,456 )   $ 27,204     $ 5,542  
Net cash used in investing activities (956 )   (898 )   (1,169 )   (4,615 )   (2,940 )
Net cash (used in) provided by financing activities (2,827 )   (2,186 )   6,818     (22,010 )   (17,599 )
Effect of exchange rate changes on cash 8     9     19     (11 )   10  
Change in cash and cash equivalents (1,846 )   (8,426 )   (2,788 )   568     (14,987 )
Cash and cash equivalents at beginning of period 3,446     9,458     6,234     1,032     16,019  
Cash and cash equivalents at end of period $ 1,600     $ 1,032     $ 3,446     $ 1,600     $ 1,032  
                   
 
Cross Country Healthcare, Inc.
Other Financial Data
(Unaudited)
                   
  Three Months Ended   Year Ended
  December 31,   December 31,   September 30,   December 31,   December 31,
  2020   2019   2020   2020   2019
                   
Consolidated gross profit margin o 25.2 %   24.7 %   24.7 %   24.2 %   24.8 %
                   
Nurse and Allied Staffing statistical data:                  
FTEs p 5,798     7,339     5,403     6,037     7,113  
Average Nurse and Allied Staffing revenue per FTE per day q $ 368     $ 284     $ 353     $ 343     $ 282  
                   
Physician Staffing statistical data:                  
Days filled r 9,911     11,672     9,682     38,987     44,381  
Revenue per day filled s $ 1,658     $ 1,714     $ 1,699     $ 1,742     $ 1,681  
(a) Adjusted EBITDA, a non-GAAP (Generally Accepted Accounting Principles) financial measure, is defined as net income (loss) attributable to common shareholders before interest expense, income tax (benefit) expense, depreciation and amortization, acquisition and integration-related costs, restructuring 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 sale of business, other expense (income), net, equity compensation, applicant tracking system costs, and includes net income attributable to noncontrolling interest in subsidiary. Adjusted EBITDA should not be considered a measure of financial performance under GAAP. Management presents Adjusted EBITDA because it believes that Adjusted EBITDA is a useful supplement to net income attributable to common shareholders 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 typically used in the Company’s credit facilities in calculating various ratios. Adjusted EBITDA Margin is calculated by dividing Adjusted EBITDA by the Company’s consolidated revenue.
(b) Income tax expense for the year ended December 31, 2019 includes $35.8 million of expense related to the establishment of valuation allowances on our deferred tax assets in the second quarter.
(c) Acquisition and integration-related costs include costs for prior acquisitions, costs incurred for potential transactions, and accretion and valuation adjustments related to the contingent consideration liability for the Mediscan acquisition.
(d) Restructuring costs are primarily comprised of employee termination costs, lease-related exit costs, and reorganization costs as part of planned cost savings initiatives.
(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 which are included in selling, general and administrative expenses. For the year ended December 31, 2019, we incurred legal settlement charges pertaining to the resolution of a medical malpractice lawsuit in excess of carrier limits as well as a California wage and hour class action settlement. For the year ended December 31, 2020, we incurred $3.0 million in legal fees related to an ongoing legal matter outside the normal course of operations.
(f) Impairment charges in 2020 of $16.2 million were comprised of $10.7 million primarily related to goodwill and other intangible assets for the Search business and $5.5 million related to right-of-use assets and related property and equipment in connection with leases that were vacated during the year. Impairment charges in 2019 related to trade name impairment of $14.5 million related to Nurse and Allied Staffing resulting from the Company’s rebranding initiative and $1.8 million related to the Company’s decision to cease use of certain of its leased properties in conjunction with its restructuring plan. Rebranding impairments and accelerated amortization related to finite-lived trade names in connection with the rebranding initiatives.
(g) Loss on derivative represents the amount paid to terminate an interest rate hedge related to our term loan that was refinanced in October 2019.
(h) Loss on early extinguishment of debt for the year ended December 31, 2019 consists of write-off and extinguishment costs related to the refinancing of our debt in the fourth quarter of 2019, and the write-off of debt issuance costs in the prior quarters related to optional prepayments on our term loan made in the first and second quarters and an optional reduction in borrowing capacity under our prior revolving credit facility.
(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 shareholders per diluted share before the diluted EPS impact of acquisition and integration-related costs, restructuring costs, legal settlements and fees, impairment charges, rebranding impairments and accelerated amortization, 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) Due to the net loss for the three months ended December 31, 2019 and September 30, 2020, and for the years ended December 31, 2020 and 2019, 472, 228, 340, and 251 shares (in thousands), respectively, were excluded from diluted weighted average shares.
(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 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 the Nurse and Allied Staffing revenue per FTE by the number of days worked in the respective periods. Nurse and Allied Staffing revenue also includes revenue from the permanent placement of nurses.
(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.

 
View source version on businesswire.com:https://www.businesswire.com/news/home/20210224005831/en/
CONTACT: Cross Country Healthcare, Inc.
William J. Burns, 561-237-2555
Executive Vice President & Chief Financial Officer
wburns@crosscountry.com
KEYWORD: FLORIDA UNITED STATES NORTH AMERICA
INDUSTRY KEYWORD: GENERAL HEALTH HEALTH PROFESSIONAL SERVICES NURSING HUMAN RESOURCES
SOURCE: Cross Country Healthcare, Inc.
Copyright Business Wire 2021.
PUB: 02/24/2021 04:15 PM/DISC: 02/24/2021 04:15 PM
http://www.businesswire.com/news/home/20210224005831/en