Earnings Labs

Cross Country Healthcare, Inc. (CCRN)

Q1 2010 Earnings Call· Sun, May 9, 2010

$10.24

-0.58%

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Transcript

Operator

Operator

Welcome to the Cross Country Healthcare first quarter 2010 earnings conference call. At this time, all participants are in a listen-only mode. After the presentation, we will conduct a question-and-answer session. (Operator Instructions) Today's conference is being recorded and if you have any objections, you may disconnect at this time. I would now like to turn the meeting over to Mr. Howard Goldman, Director of Investor and Corporate Relations. Sir, you may begin.

Howard Goldman

Management

Good morning. And thank you for listening to our conference call, which is also being webcast and for your interest in the company. With me today are Joe Boshart, our President and Chief Executive Officer and Emile Hensel, our Chief Financial Officer. On this call we will review our first-quarter 2010 results, for which we distributed our earnings press release after the close of business yesterday. If you do not have a copy, it is available on our website at www.crosscountry.com. Replay information for this call is also provided in the press release. Before we begin, I'd first like to remind everyone that this discussion contains forward-looking statements. Statements that are predictive in nature, that depend upon or refer to future events or conditions, or that include words such as expects, anticipates, beliefs, estimates and similar expressions are forward-looking statements. These statements involve known and unknown risks, uncertainties and other factors that may cause our actual results in performance to be materially different from any future results or performance expressed or implied by these forward-looking statements. These factors were set forth under the forward-looking statement section of our press release for the first quarter of 2010, as well as under the caption "Risk Factors" in our 10-K for the year ended December 31, 2009. Although we believe that these statements are based upon reasonable assumptions, we cannot guarantee future results. Given these uncertainties, the forward-looking statements discussed on this teleconference might not occur. Cross Country Healthcare does not have a policy of updating or revising forward-looking statements and thus it should not be assumed that our silence over time means that actual events are occurring as expressed or implied in such forward-looking statements. And now, I will turn the call over to Joe.

Joe Boshart

Management

Thank you, Howard. And thank to everyone listening in for joining us this morning. As reported in our press release issued last evening, our revenue for the first quarter of 2010 was $121 million, down 31% from a year ago. Net income was $1.1 million, down 63% from the year-ago quarter. EPS was $0.04 per diluted share and cash flow for the first quarter was $10.3 million. On a sequential basis, revenue was down 2% from the fourth quarter of 2009, which was primarily the result of two less billing days. So at this point we believe we have weathered the worst of the downturn in our operating environment and have emerged in an attractive competitive position, given the relative strength of our balance sheet and our recent organic market share gains. Two years ago on our quarterly public conference call and reiterated several times subsequently, we outlined our strategy to investors, which was to grow our market position and our margins in our core nurse and allied staffing business, make strategic acquisitions in high-growth, high-margin businesses, opportunistically buy back our shares and maintain a strong balance sheet to provide financial flexibility. While these strategic objectives may not have sounded particularly exciting at the time, our discipline in staying true to these objectives has resulted in our relative outperformance, vis-a-vis competitors. And at all times, we maintain control of our destiny by staying well within the covenants and commitments we made to our lenders in the past. As a result, we believe we currently have the lowest borrowing cost among major competitors in our industry. In 2009, despite the worst operating environment in almost two decades, we maintained profitability in every quarter, even after including a significant cost to right size our organization, which were accounted for as ordinary operating…

Emile Hensel

Management

Thank you, Joe and good morning everyone. First, I will go over the results for the first quarter and then review our revenue and earnings guidance for the second quarter that we provided in the press release issued last evening. Revenue in the first quarter was $121 million, down 31% versus the prior year and 2% sequentially. The year-over-year decline reflects the very weak demand that we have been experiencing for the past 18 months. The sequential decrease is due to two fewer days in the first quarter as compared to the fourth quarter. Our gross profit margin was 27.7%, up 270 basis points over the prior-year quarter, but down 60 basis points sequentially. The year-over-year margin improvement was due to a change in business mix among segments, coupled with improvements in the bill-pay spread as well as lower housing expenses. The sequential decline is due to seasonal factors related to the reset of payroll taxes. The preceding margin comparisons reflect a reclassification to direct costs of certain prior-year SG&A expenses in our Cejka Physician Search business, to conform with the current year presentation. The full-year impact of this reclassification would have reduced our 2009 gross profit margin by 70 basis points. SG&A expenses in the first quarter were down at 17% from the prior year, reflecting our efforts to reduce overhead expenses during the past year. On a sequential basis, SG&A expenses were up 1.5% due to the reset of payroll taxes. Our SG&A expenses in the first quarter included approximately $600,000 in equity-based compensation expenses as compared to approximately $300,000 in the prior-year quarter. Net interest expense was $1.1 million, down 38% from the prior-year quarter and 19% sequentially, reflecting the continued delevering of our balance sheet made possible by our strong operating cash flow. Depreciation expense was…

Operator

Operator

Thank you. At this time we are ready to begin the question-and-answer session. (Operator Instructions) Our first question comes from Tobey Sommer with SunTrust. Frank Pinkerton – SunTrust: Hi. This is Frank, in for Tobey. In your prepared remarks on the nursing side, you mentioned a higher mix of per diem. I wanted to see if you could give any additional color about that, or any visibility you see there?

Joe Boshart

Management

Yes. Frank, the per diem is roughly flat year-over-year and because of the declines in the travel nursing business it has, by definition, taken a higher share of the overall revenue that we report. I think most clients are more inclined to take less risk. If you take a step back and look at some of what's been reported already, companies that are in the high-cost segment of nurse staffing have suffered the most. I think it's a very cost-conscious market right now and one that wants to take the lowest commitment it can get. And per diem is, by definition, the lowest duration of temporary staffing commitment that a hospital can make. So I think, as a result, it has tended to have better dynamics, better trends over the last 18 to 24 months. Frank Pinkerton – SunTrust: Okay. Great. And on the physician side, you mentioned anesthesiology and surgery being slightly weaker. Any stabilization in that as you look out across, even in the next quarter or two, any signs that that's stabilizing?

Joe Boshart

Management

Well, I think it has been stabilizing; it's just stabilizing at a significantly lower level than what we were historically accustomed to. It isn't getting worse, it doesn't appear to be getting better either. Frank Pinkerton – SunTrust: Okay. Great. And one quick numbers question. What's the share count embedded for guidance?

Emile Hensel

Management

$31.5 million.

Joe Boshart

Management

Shares.

Emile Hensel

Management

All right. Shares, right. Frank Pinkerton – SunTrust: Thank you very much.

Joe Boshart

Management

Okay. Thanks, Frank.

Operator

Operator

The next question is from Paul Condra with BMO Capital Market. Paul Condra – BMO Capital Markets: Hey. Excuse me. Great. Thanks for taking my call. I wondered if you could comment, are you seeing any changes in the length of nurse contracts or any trends there that you could identify.

Joe Boshart

Management

Yeah. They have become shorter as – consistent with the answer I just gave. The hospitals tend to be leaning more towards a lower length of commitment. That has been a trend that has been in place for a while. I don't think it's getting, as we speak, worse, it's just historically we were very close to 13-week contracts on average and today that is closer to 12 weeks. Many of the physicians in our system have – and are two-month or eight-week durations, so it is a reality of the current environment, but one that we've been able to navigate and making adjustments to the package that we offer to nurses. That allows us to, as you can see, maintain or even grow our margin. Paul Condra – BMO Capital Markets: And has that declined – I'm mean, has that happened pretty steadily over the past year or so or have you seen it sort of accelerate at certain points or slow, anything like that?

Joe Boshart

Management

I think at this time last year the change was more abrupt. I don't think year-over-year it's significantly lower. In fact it may even be a little higher. I just don't have the information in front of me. Emile, do you have any?

Emile Hensel

Management

I think you're correct. I think that's stabilized.

Joe Boshart

Management

Great. Paul Condra – BMO Capital Markets: Okay. Great. Thank you. And then, I just wondered, maybe you could comment on the bill rate also. Are you seeing any further pressure there or how does that look?

Joe Boshart

Management

Well, I think it's been remarkable how well bill rates have held up in a very demand-constrained environment. We did, as we reported, Emile just discussed, show 3% year-over-year bill rate declines. I don't expect it to get worse than that. Some of that 3% is really a function of the geographic mix of our business. We're seeing a little more relative strength in markets like Arizona and Florida than we've seen for a couple of years in the mix of our business and those tend to be lower bill rate locations because of the lower cost of housing in those markets. So not all the 3% is really a function of – year-over-year declines in bill rates, some of it is just a change in where we're actually placing nurses. I'm hearing very few bill rate increases. I do hear of bill rate decreases. So my gut is that the topline will continue to be somewhat negative on a dollar-per-hour basis. But, again, as you can see in our gross margin numbers that we've been able to offset that lower bill rate where it is evident with lower pay rates and it's just the nature of the market today that it is more a function of demand than supply to grow the business right now and we're able to offset any topline pressure with a reduction in our direct cost. Paul Condra – BMO Capital Markets: Great. That's very helpful. And just to stay on with this topic. In the last quarter, you mentioned that you were seeing about two to three open orders per nurse and this had been below the historical five to ten level. I wonder if you could talk about those trends at all.

Joe Boshart

Management

We're almost at an identical point in demand. The level of demand is essentially the same as it was when we reported in March. Paul Condra – BMO Capital Markets: Okay. Thank you. And just one more quick one, did you make any other debt payments in the second quarter, aside from the MDA earn-out?

Emile Hensel

Management

Yes. We made – we prepaid an additional $5 million of debt during the second quarter. Oh, the second quarter or the first quarter? Paul Condra – BMO Capital Markets: Yes. Sorry.

Emile Hensel

Management

No further prepayments in the second quarter.

Joe Boshart

Management

As we said in the – we do anticipate ending the quarter with less debt than we ended the first quarter. Paul Condra – BMO Capital Markets: Okay. Great. Thank you very much.

Joe Boshart

Management

Thanks, Paul.

Operator

Operator

Thank you. (Operator Instructions) The next question is from Jim Janesky with Stifel Nicolaus. Jim Janesky – Stifel Nicolaus: Yes. Joe, can you give us an idea of – how the nurses are reacting to the improving employment environment. It's not, it certainly isn't a terrific employment situation but it is improving, versus last year at this time, if not for all of 2009. It's just – are there any changes in the way, any changes in turnover or anything you're experiencing?

Joe Boshart

Management

No. If you look at the BLS data, they're a little more favorable or maybe a little less unfavorable than they had been trending. Clearly, there's still a lot of hiring going on in the healthcare sector. Anecdotally, you do still hear of hospitals having waiting lists of nurses that would like to either come on staff or pick up more shifts. So I think, inevitably, that dynamic will change with a strengthening labor market, but when you take a step back the labor market isn't especially strong. It's just not as, horrifically, negative as it was a year ago. It was modestly positive in the last jobs number that came out. We hope to see a continuation of that trend tomorrow. But I wouldn't – it is not our expectation that we're going to get a real inflection in job creation. And I think that's really what's needed to change the behavior and the psychology of nurses and their willingness to work as many hours as they have been directly for hospital employers. Jim Janesky – Stifel Nicolaus: You touched upon healthcare reform, there is some uncertainty but it's going to take – There will probably be some changes, of course and then it could take a couple of years to enact. I mean, do you think hospitals will – that the reform could start affecting hospital decision-making ahead of enactment?

Joe Boshart

Management

I think uncertainty was a negative across all our businesses. I think it affected the behavior of physicians. I think it did kind of paralyze hospitals, just not knowing, where we're going. I know that hospitals are concerned about where reimbursement is going to go over the next couple of years. Just anecdotally, we hear that that is a concern. But I think now that the – at least you can understand what the playing field looks like. I actually think that's going to be a positive, directionally, a positive for the business. We'll just have to see how that plays out. Jim Janesky – Stifel Nicolaus: Okay. Thanks.

Joe Boshart

Management

Okay. Thanks for calling in, Jim.

Operator

Operator

And at this time there are no further questions.

Joe Boshart

Management

Okay. Well, we would like to thank everyone for joining us on the call. And we look forward to reporting you on our second-quarter results this summer. Take care.