Segment Information (Tables)

3 Months Ended

Mar. 31, 2020

Segment Reporting [Abstract]

Reconciliation of Revenue and Segment Operating Income by Reportable Segment

The following table, which includes reclassified prior period data to conform to the new segment reporting structure, provides a reconciliation of revenue and operating income by reportable segment to consolidated results and was derived from each segment’s internal financial information as used for corporate management purposes:

	Three Months Ended March 31,
	2020		2019
Revenue
Nurse and allied solutions	$	424,346	$	373,472
Physician and leadership solutions	137,842		137,077
Technology and workforce solutions	40,273		21,892
	$	602,461	$	532,441
Segment operating income
Nurse and allied solutions	$	59,608	$	53,556
Physician and leadership solutions	14,569		15,872
Technology and workforce solutions	15,295		10,383
	89,472		79,811
Unallocated corporate overhead	28,568		17,863
Depreciation and amortization	20,089		11,710
Depreciation (included in cost of revenue)	145		—
Share-based compensation	4,927		5,186
Interest expense, net, and other	11,054		5,673
Income before income taxes	$	24,689	$	39,379

Disaggregation of Revenue

The following tables present the Company’s revenue disaggregated by service type:

	Three Months Ended March 31, 2020
	Nurse and Allied Solutions		Physician and Leadership Solutions		Technology and Workforce Solutions		Total
Temporary staffing	$	392,671	$	119,596	$	—	$	512,267
Permanent placement	—		18,246		—		18,246
Outsourced workforce	31,675		—		17,680		49,355
SaaS-based technologies	—		—		22,593		22,593
Total revenue	$	424,346	$	137,842	$	40,273	$	602,461

	Three Months Ended March 31, 2019
	Nurse and Allied Solutions		Physician and Leadership Solutions		Technology and Workforce Solutions		Total
Temporary staffing	$	337,029	$	118,840	$	—	$	455,869
Permanent placement	—		18,237		—		18,237
Outsourced workforce	36,443		—		3,695		40,138
SaaS-based technologies	—		—		18,197		18,197
Total revenue	$	373,472	$	137,077	$	21,892	$	532,441

Summary of Goodwill by Reportable Segment

The following table summarizes the activity related to the carrying value of goodwill by reportable segment:

	Nurse and Allied Solutions			Physician and Leadership Solutions		Technology and Workforce Solutions			Total
Balance, January 1, 2020	$	344,316		$	163,348	$	87,887		$	595,551
Goodwill adjustment for b4health acquisition	—			—		(66		)	(66		)
Goodwill from Stratus Video acquisition	—			—		255,974			255,974
Reallocation due to change in segments	(14,600		)	297		14,303			—
Balance, March 31, 2020	$	329,716		$	163,645	$	358,098		$	851,459
Accumulated impairment loss as of December 31, 2019 and March 31, 2020	$	154,444		$	60,495	$	—		$	214,939