Segment Data (Tables)

12 Months Ended

Dec. 31, 2024

Segment Reporting [Abstract]

Schedule of Information on Operating Segments and Reconciliation to Income From Operations

Information on reportable segments and a reconciliation to loss before income taxes for the period indicated are as follows:

	Year Ended December 31, 2024
	Nurse and Allied Staffing		Physician Staffing		Consolidated
	(amounts in thousands)
Revenue from services	$	1,145,419	$	198,585	$	1,344,004
Direct operating expenses	911,566		158,186
Employee compensation	100,038		20,436
Benefits	9,054		2,797
Marketing	7,695		713
Credit loss expense (income)	21,479		(47)
Divisional corporate G&A	15,905		382
Other segment items(a)	7,081		769
Contribution Income	$	72,601	$	15,349	$	87,950
Reconciliation of profit or loss:
Corporate overhead(b)					68,507
Depreciation and amortization					18,200
Acquisition and integration-related costs					4,219
Restructuring costs					4,333
Legal and other losses					6,668
Impairment charges					2,888
Interest expense					2,188
Interest income					(2,050)
Other income, net					(605)
Loss before income taxes					$	(16,398)

_______________

(a) For each reportable segment, the other segment items category includes the following expenses: rent, insurance, maintenance, utilities, professional services, office, software and hardware, taxes, and miscellaneous employee expenses.

(b) 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).

Information on reportable segments and a reconciliation to income before income taxes for the period indicated are as follows:

	Year Ended December 31, 2023
	Nurse and Allied Staffing		Physician Staffing		Consolidated
	(amounts in thousands)
Revenue from services	$	1,841,428	$	178,300	$	2,019,728
Direct operating expenses	1,430,128		139,190
Employee compensation	144,471		23,207
Benefits	15,704		2,353
Marketing	10,452		852
Credit loss expense	13,587		975
Divisional corporate G&A	21,550		505
Other segment items(a)	8,759		1,430
Contribution Income	$	196,777	$	9,788	$	206,565
Reconciliation of profit or loss:
Corporate overhead(b)					71,049
Depreciation and amortization					18,347
Acquisition and integration-related costs					59
Restructuring costs					2,553
Legal and other losses					1,125
Impairment charges					719
Interest expense					8,094
Loss on early extinguishment of debt					1,723
Interest income					(83)
Other expense, net					85
Income before income taxes					$	102,894

_______________

(a) For each reportable segment, the other segment items category includes the following expenses: rent, insurance, maintenance, utilities, professional services, office, software and hardware, taxes, and miscellaneous employee expenses.

(b) 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).

Information on reportable segments and a reconciliation to income before income taxes for the period indicated are as follows:

	Year Ended December 31, 2022
	Nurse and Allied Staffing		Physician Staffing		Consolidated
	(amounts in thousands)
Revenue from services	$	2,697,155	$	106,226	$	2,803,381
Direct operating expenses	2,098,219		80,704
Employee compensation	171,057		15,740
Benefits	13,983		1,341
Marketing	14,518		821
Credit loss expense	9,340		269
Divisional corporate G&A	26,622		844
Other segment items(a)	11,197		999
Contribution Income	$	352,219	$	5,508	$	357,727
Reconciliation of profit or loss:
Corporate overhead(b)					67,087
Depreciation and amortization					12,576
Acquisition and integration-related costs					726
Restructuring costs					1,861
Impairment charges					5,597
Interest expense					14,391
Loss on early extinguishment of debt					3,728
Interest income					(10)
Other income, net					(1,326)
Income before income taxes					$	253,097

_______________

(a) For each reportable segment, the other segment items category includes the following expenses: rent, insurance, maintenance, utilities, professional services, office, software and hardware, taxes, and miscellaneous employee expenses.

(b) 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).