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Segment Data - Operating Segments (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]                      
Revenues $ 215,096 $ 209,200 $ 202,757 $ 195,171 $ 200,907 $ 200,717 $ 204,572 $ 210,288 $ 822,224 $ 816,484 $ 865,048
Contribution income                 66,288 71,718 78,513
Unallocated corporate overhead                 46,246 44,589 39,190
Depreciation and amortization                 14,075 11,780 10,174
Acquisition and integration costs                 311 491 1,975
Acquisition-related contingent consideration                 (110) 2,557 44
Restructuring costs                 3,571 2,758 1,026
Legal settlement charges     1,600           1,600 0 0
Impairment charges   $ 1,800             16,306 22,423 14,356
(Loss) income from operations                 (15,711) (12,880) 11,748
Nurse and Allied Staffing                      
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]                      
Revenues                 732,815 718,613 756,476
Contribution income                 64,353 66,200 73,825
Impairment charges     $ 14,500                
Physician Staffing                      
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]                      
Revenues                 74,605 82,305 93,610
Contribution income                 2,758 4,755 5,256
Impairment charges         $ 22,400            
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Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]                      
Revenues                 14,804 15,566 14,962
Contribution income                 $ (823) $ 763 $ (568)