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 Search. The Company manages and segments its business based on the services it offers to its customers as described below:

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Nurse and Allied Staffing – Nurse and Allied Staffing provides traditional staffing, recruiting, and value-added total talent 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.

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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.


●	Search – Search includes retained and contingent search services for physicians, healthcare executives, and other healthcare professionals, as well as recruitment process outsourcing.

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 and integration costs, acquisition-related contingent consideration, restructuring costs, legal settlement charges, impairment charges, and corporate overhead. 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,
	2019			2018		2019			2018
	(amounts in thousands)
Revenue from services:
Nurse and Allied Staffing	$	184,974		$	175,945	$	541,398		$	539,488
Physician Staffing	20,407			21,158		54,594			64,052
Search	3,819			3,614		11,136			12,037
	$	209,200		$	200,717	$	607,128		$	615,577

Contribution income (loss):
Nurse and Allied Staffing	$	16,097		$	16,507	$	46,504		$	50,064
Physician Staffing	811			1,307		1,724			4,190
Search	78			97		(526		)	833
	16,986			17,911		47,702			55,087

Corporate overhead	10,975			10,937		34,744			32,399
Depreciation and amortization	2,907			2,892		9,448			8,764
Acquisition-related contingent consideration	(426		)	16		74			449
Acquisition and integration costs	—			70		311			261
Restructuring costs	1,607			1,351		2,884			1,979
Legal settlement charges	—			—		1,600			—
Impairment charges	1,804			—		16,306			—
Income (loss) from operations	$	119		$	2,645	$	(17,665	)	$	11,235

In the second quarter of 2019, the Company merged its permanent search recruitment brands. As a result, for the three and nine months ended September 30, 2018, $0.4 million and $1.3 million of revenue, respectively, and less than $0.1 million and $0.1 million contribution income, respectively, were reclassified from Nurse and Allied Staffing to Search to conform to the current period presentation.