XML 32 R18.htm IDEA: XBRL DOCUMENT v3.20.2
SEGMENT DATA
 6 Months Ended
Jun. 30, 2020
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 Search. 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 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.

● 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 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-related costs, restructuring costs, legal settlement charges, impairment charges, and corporate overhead. Contribution income is a financial measure used by the Company when assessing segment performance and is provided in accordance with the Segment Reporting Topic of the FASB ASC. The Company 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 loss from operations for the periods indicated are as follows:

Three Months EndedSix Months Ended
June 30,June 30,
 2020201920202019
 (amounts in thousands)
Revenue from services:    
Nurse and Allied Staffing$198,098  $180,787  $386,331  $356,424  
Physician Staffing16,872  18,028  35,053  34,187  
Search1,809  3,942  5,459  7,317  
$216,779  $202,757  $426,843  $397,928  
Contribution income (loss):
Nurse and Allied Staffing$20,638  $16,111  $34,795  $30,407  
Physician Staffing1,219  508  1,850  913  
Search(1,051) (181) (1,386) (604) 
20,806  16,438  35,259  30,716  
Corporate overhead (a)13,224  11,439  24,494  23,769  
Depreciation and amortization3,929  3,557  7,225  6,541  
Acquisition and integration-related costs—  299  77  811  
Restructuring costs2,330  137  2,894  1,277  
Legal settlement charges—  1,600  —  1,600  
Impairment charges15,011  14,502  15,011  14,502  
Loss from operations$(13,688) $(15,096) $(14,442) $(17,784) 
_______________

(a) Corporate overhead includes unallocated executive leadership and other centralized corporate functional support costs such as finance, IT, legal, human resources, and marketing, as well as public company expenses and corporate-wide projects (initiatives).