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SEGMENT DATA
9 Months Ended
Sep. 30, 2017
Segment Reporting [Abstract]  
SEGMENT DATA
SEGMENT DATA

In accordance with the Segment Reporting Topic of the FASB ASC, the Company reports three business segments – Nurse and Allied Staffing, Physician Staffing, and Other Human Capital Management Services. The Company manages and segments its business based on the services it offers to its customers as described below:

Nurse and Allied Staffing – Nurse and Allied Staffing provides traditional staffing, recruiting, and value-added workforce solutions including: temporary and permanent placement of travel and local branch-based nurse and allied professionals, MSP services, education healthcare services, and outsourcing services. Its clients include: public and private acute-care and non-acute care hospitals, government facilities, public schools and charter schools, outpatient clinics, ambulatory care facilities, physician practice groups, retailers, and many other healthcare providers throughout the United States. Substantially all of the results of the Advantage acquisition have been aggregated with the Company's Nurse and Allied Staffing business segment. See Note 3 - Acquisitions.

Physician Staffing – Physician Staffing provides physicians in many specialties, as well as certified registered nurse anesthetists (CRNAs), nurse practitioners (NPs), and physician assistants (PAs) as independent contractors on temporary assignments throughout the U.S. at various healthcare facilities, such as acute and non-acute care facilities, medical group practices, government facilities, and managed care organizations. Less than 2% of the business related to the Advantage acquisition is managed by, and included in, the Physician Staffing business segment.

Other Human Capital Management Services – Other Human Capital Management Services includes retained and contingent search services for physicians, healthcare executives and other healthcare professionals within the United States.

The Company’s management evaluates performance of each segment primarily based on revenue and contribution income. The Company defines contribution income as income or loss from operations before depreciation and amortization, acquisition-related contingent consideration, acquisition and integration costs, restructuring costs, 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 and is provided in accordance with the Segment Reporting Topic of the FASB ASC. The Company’s management does not evaluate, manage or measure performance of segments using asset information; accordingly, total asset information by segment is not prepared or disclosed. The information in the following table is derived from the segments’ internal financial information as used for corporate management purposes. Certain corporate expenses are not allocated to and/or among the operating segments.

Information on operating segments and a reconciliation to income (loss) from operations for the periods indicated are as follows:
 
Three Months Ended
 
Nine Months Ended
 
September 30,
 
September 30,
 
2017
 
2016
 
2017
 
2016
 
(amounts in thousands)
Revenues:
 

 
 
 
 
 
 
Nurse and Allied Staffing
$
200,492

 
$
186,623

 
$
564,527

 
$
527,436

Physician Staffing
24,871

 
25,090

 
71,055

 
73,470

Other Human Capital Management Services
3,125

 
3,275

 
9,792

 
10,108

 
$
228,488

 
$
214,988

 
$
645,374

 
$
611,014

 
 
 
 
 
 
 
 
Contribution income:
 
 
 
 
 
 
 
Nurse and Allied Staffing
$
20,663

 
$
19,472

 
$
54,426

 
$
53,877

Physician Staffing
1,340

 
2,400

 
4,207

 
6,003

Other Human Capital Management Services
(1
)
 
(154
)
 
(200
)
 
(196
)
 
22,002

 
21,718

 
58,433

 
59,684

 
 
 
 
 
 
 
 
Unallocated corporate overhead
9,301

 
9,449

 
30,414

 
29,608

Depreciation and amortization
2,849

 
2,092

 
7,325

 
6,969

Acquisition-related contingent consideration
(605
)
 
237

 
(54
)
 
707

Acquisition and integration costs
1,366

 

 
1,953

 

Restructuring costs
724

 
611

 
724

 
611

Impairment charges

 

 

 
24,311

Income (loss) from operations
$
8,367

 
$
9,329

 
$
18,071

 
$
(2,522
)