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Dec 31, 2021

Cross Country Healthcare Q4 2021 Earnings Report

Cross Country Healthcare reported historic Q4 and full year financial performance driven by solid execution.

Key Takeaways

Cross Country Healthcare's Q4 2021 revenue reached $640.7 million, a 197% increase year-over-year and 71% sequentially, with net income attributable to common stockholders at $77.6 million, and adjusted EPS at $1.40.

Historic fourth quarter and full year financial performance due to solid execution

Fourth quarter financial performance exceeded all original guidance ranges

Year-over-year and sequential volume growth across all lines of business

Adjusted EBITDA margin of 12.6% for the quarter

Total Revenue
$641M
Previous year: $216M
+197.2%
EPS
$1.4
Previous year: $0.19
+636.8%
Gross Profit
$147M
Previous year: $54.4M
+170.9%
Cash and Equivalents
$1.04M
Previous year: $1.6M
-35.3%
Free Cash Flow
-$75.6M
Previous year: $973K
-7874.4%
Total Assets
$733M
Previous year: $357M
+105.3%

Cross Country Healthcare

Cross Country Healthcare

Cross Country Healthcare Revenue by Segment

Forward Guidance

The company provided guidance for Q1 2022.

Positive Outlook

  • Revenue between $740 million and $750 million
  • Adjusted EBITDA between $80.0 million and $85.0 million
  • Adjusted EPS between $1.38 and $1.48
  • Average bill rates are anticipated to remain elevated at or slightly above the fourth quarter
  • Company will continue to see volume growth throughout 2022

Challenges Ahead

  • Gross Profit Margin between 21.5% and 22.0%
  • Adjusted EBITDA to be down 1% to up 5% sequentially
  • Adjusted EPS to be down $0.02 to up $0.08 sequentially
  • Rates will likely decline as COVID-19 hospitalizations decline
  • Does not include the potential impact of any future divestitures, mergers, acquisitions, or other business combinations, changes in debt structure, or future share repurchases

Revenue & Expenses

Visualization of income flow from segment revenue to net income