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 U.S. 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.

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Physician Staffing - Physician Staffing provides physicians in many specialties, 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 U.S.

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, loss on sale of business, acquisition and integration costs, acquisition-related contingent consideration, 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 from operations for the periods indicated are as follows:



	Year Ended December 31,
	2017			2016			2015
	(amounts in thousands)
Revenues:
Nurse and Allied Staffing	$	758,267		$	721,486		$	621,258
Physician Staffing	93,610			98,283			115,336
Other Human Capital Management Services	13,171			13,768			30,827
	$	865,048		$	833,537		$	767,421
Contribution income:
Nurse and Allied Staffing	$	73,614		$	71,992		$	55,718
Physician Staffing	5,256			8,265			10,213
Other Human Capital Management Services	(357		)	(535		)	1,863
	78,513			79,722			67,794

Unallocated corporate overhead (a)	39,190			38,400			32,703
Depreciation and amortization	10,174			9,182			8,066
Loss on sale of business (b)	—			—			2,184
Acquisition and integration costs	1,975			78			902
Acquisition-related contingent consideration	44			814			—
Restructuring costs	1,026			753			1,274
Impairment charges (c)	14,356			24,311			2,100
Income from operations	$	11,748		$	6,184		$	20,565

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(a)	The Company has been centralizing administrative functions to gain efficiencies, which have been recorded in unallocated corporate overhead.


(b)	On August 31, 2015, the Company completed the sale of CCE, and recognized a pre-tax loss of $2.2 million related to the divestiture of the business. See Note 4 - Disposal.


(c)	During the years ended December 31, 2017, 2016, and 2015, the Company recorded non-cash impairment charges of $14.4 million, $24.3 million, and $2.1 million, respectively. See Note 5 - Goodwill, Trade Names, and Other Intangible Assets.