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SEGMENT DATA
9 Months Ended
Sep. 30, 2018
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 Unites 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 4 - Acquisitions.

Physician Staffing – Physician Staffing provides physicians in many specialties, as well as certified registered nurse anesthetists, nurse practitioners, and physician assistants as independent contractors on temporary assignments throughout the United States at various healthcare facilities, such as acute and non-acute care facilities, medical group practices, government facilities, and managed care organizations.

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 from operations before depreciation and amortization, acquisition-related contingent consideration, acquisition and integration costs, restructuring costs, 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:
 
Three Months Ended
 
Nine Months Ended
 
September 30,
 
September 30,
 
2018
 
2017
 
2018
 
2017
 
(amounts in thousands)
Revenue from services:
 

 
 
 
 
 
 
Nurse and Allied Staffing
$
176,344

 
$
200,492

 
$
540,788

 
$
564,527

Physician Staffing
21,158

 
24,871

 
64,052

 
71,055

Other Human Capital Management Services
3,215

 
3,125

 
10,737

 
9,792

 
$
200,717

 
$
228,488

 
$
615,577

 
$
645,374

 
 
 
 
 
 
 
 
Contribution income:
 
 
 
 
 
 
 
Nurse and Allied Staffing
$
16,534

 
$
20,663

 
$
50,203

 
$
54,426

Physician Staffing
1,307

 
1,340

 
4,190

 
4,207

Other Human Capital Management Services
70

 
(1
)
 
694

 
(200
)
 
17,911

 
22,002

 
55,087

 
58,433

 
 
 
 
 
 
 
 
Unallocated corporate overhead
10,937

 
9,301

 
32,399

 
30,414

Depreciation and amortization
2,892

 
2,849

 
8,764

 
7,325

Acquisition-related contingent consideration
16

 
(605
)
 
449

 
(54
)
Acquisition and integration costs
70

 
1,366

 
261

 
1,953

Restructuring costs
1,351

 
724

 
1,979

 
724

Income from operations
$
2,645

 
$
8,367

 
$
11,235

 
$
18,071