Company ProfileWe are a leading provider of nurse and allied staffing services in the United States, a national provider of multi-specialty locum tenens (temporary physician staffing) services, a provider of clinical trials services to global pharmaceutical and biotechnology customers, as well as a provider of other human capital management services focused on healthcare. We have approximately 5,000 contracts with hospital, healthcare providers, pharmaceutical and biotechnology customers, and other healthcare organizations. Our nurse and allied staffing business segment represents 66% of our revenue (LTM 3/31/08) and is comprised of travel and per diem nurse staffing and travel allied health staffing. Travel nurse staffing is our largest business. Our locum tenens business represents 17% of our revenue and consists of temporary physician staffing and allied staffing. Our clinical trials services business segment represents 11% of our revenue and consists of service offerings that include traditional staffing, as well as clinical trials management, drug safety monitoring and regulatory services to pharmaceutical and biotechnology customers. Our other human capital management services business segment represents approximately 6% of our revenue and consists of education and training as well as retained search services related to physicians and healthcare executives. Nurse & Allied Staffing We market our nurse and allied staffing services to hospitals and healthcare facilities through our Cross Country Staffing and MedStaff brands to provide these clients with travel and per diem staffing solutions. We provide credentialed registered nurses (RNs) for travel and per diem staffing assignments at public and private healthcare facilities, and at for-profit and not-for-profit facilities located predominantly throughout the U.S. The vast majority of our assignments are at acute care hospitals, including teaching institutions, trauma centers and community hospitals located in major metropolitan areas. We also provide allied health professionals in a wide range of specialties that include operating room technicians, rehabilitation therapists, radiology technicians and respiratory therapists. Our fees are paid directly by our clients and, in certain cases, by third-party administrative payors. As a result, we have no direct exposure to Medicare or Medicaid reimbursements. Cross Country Staffing is our core brand that markets its staffing services to hospitals and healthcare facilities throughout the U.S. as well as operates differentiated recruiting brands to source RNs and allied healthcare professionals on a domestic and international basis. These brands include Cross Country TravCorps, NovaPro, Cross Country Local and Assignment America. As part of its business strategy, Cross Country Staffing is pursuing and implementing exclusive and preferred provider relationships with hospital clients and group purchasing organizations. Cross Country Staffing provides clients with a suite of solutions to facilitate the efficient management of their temporary workforce while decreasing overall operating costs. These solutions range from efficiency-enhancing technology to full vendor management solutions. MedStaff markets both its travel nurse staffing services and per diem nurse staffing of healthcare professionals to public and private hospitals and healthcare facilities across the U.S. MedStaff primarily focuses on high levels of customized service to its clientele on a national basis and in those local markets where it maintains branch offices. Through its HealthStaffers affiliate, MedStaff markets its services to government and military treatment facilities. top Locum Tenens (Temporary Physician Staffing) We entered the locum tenens business in September 2008 upon our acquisition of substantially all of the assets of privately-held MDA Holdings, Inc. (MDA). MDA provides locum tenens and allied healthcare staffing solutions to the healthcare industry in all 50 states. Locum tenens involves placing physicians (both general practitioners and specialists) on temporary assignments in a variety of healthcare settings. The locum tenens market represents a wide range of physician specialties including, but not limited to, anesthesiology, radiology, surgical specialties, family practice and internal medicine. top Clinical Research Staffing Our ClinForce subsidiary provides clinical research professionals for both in-sourced and out-sourced fixed-term contract assignments and permanent placement services to many of the world’s leading companies in the pharmaceutical, biotechnology, medical device companies as well as contract research organizations in North America. We provide professionals in such areas as clinical research and clinical data sciences, medial review and writing, and regulatory affairs. Metropolitan Research provides drug safety monitoring and contract research services to the pharmaceutical, biotech and medical device industries while providing its healthcare professional candidates with temporary or permanent clinical staffing career opportunities. top AKOS is a UK-based company that supports pharmaceutical and biotechnology companies in Europe, the United States, Canada and Asia. It provides drug safety/pharmacovigilance, regulatory and clinical Assent pprovides clinical trails staffing services to pharmaceutical and biotechnology companies in Other Human Capital Management Services Education & Training Services Our Cross Country Education subsidiary provides continuing education programs to the healthcare industry. It holds one-day seminars, as well as national conferences, on topics relevant to nurses and other healthcare professionals. Cross Country University (CCU) under the direction of Franklin A. Shaffer, EdD, RN, FAAN, was founded by Cross Country Staffing (CCS) on the belief that positive patient outcomes are directly influenced by the competence of all healthcare providers. CCU sets industry standards and provides lifelong-learning opportunities for healthcare professionals. Retained Search Our Cejka Search subsidiary, a nationally recognized retained search organization, provides physician and executive search services throughout the U.S. exclusively to the healthcare industry, including hospitals and physician practice groups, pharmaceutical companies and insurance companies. top
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