XML 45 R25.htm IDEA: XBRL DOCUMENT v3.20.4
Segment Data
 12 Months Ended
Dec. 31, 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, and many other healthcare providers throughout the U.S.
 
•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 U.S. 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:
 Year Ended December 31,
 202020192018
(amounts in thousands)
Revenues from services:   
Nurse and Allied Staffing$757,949 $732,815 $718,613 
Physician Staffing67,934 74,605 82,305 
Search10,534 14,804 15,566 
 $836,417 $822,224 $816,484 
Contribution income (loss):   
Nurse and Allied Staffing$75,293 $64,353 $66,200 
Physician Staffing3,619 2,758 4,755 
Search(1,124)(823)763 
 77,788 66,288 71,718 
Corporate overhead(a)
51,900 46,246 44,589 
Depreciation and amortization12,671 14,075 11,780 
Acquisition and integration-related costs77 201 3,048 
Restructuring costs6,052 3,571 2,758 
Legal settlement charges— 1,600 — 
Impairment charges16,248 16,306 22,423 
Loss from operations$(9,160)$(15,711)$(12,880)
_______________

(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).

In the second quarter of 2019, the Company merged its permanent search recruitment brands. As a result, for the year ended December 31, 2018 $1.7 million of revenue and $0.2 million of contribution income were reclassified from Nurse and Allied Staffing to Search to conform to the current period presentation.