XML 35 R23.htm IDEA: XBRL DOCUMENT v3.25.2

SEGMENT INFORMATION (Tables)

6 Months Ended

Jun. 30, 2025

Segment Reporting [Abstract]

Schedule of Reconciliation of Revenue and Operating Income by Reportable Segment

The following tables provide reconciliations of revenue, gross profit and operating income by reportable segment to consolidated results and were derived from each segment’s internal financial information as used for corporate management purposes. Segment operating income represents income (loss) before income taxes plus depreciation, amortization of intangible assets, share-based compensation, impairment losses for goodwill and long-lived assets, interest expense, net, and other, and unallocated corporate overhead.

			Three Months Ended June 30, 2025
			Nurse and Allied Solutions						Physician and Leadership Solutions						Technology and Workforce Solutions						Total
Revenue			$	381,871					$	174,531					$	101,773					$	658,175
Cost of revenue			290,746						125,371						45,659						461,776
Gross profit			91,125						49,160						56,114						196,399
Segment selling, general and administrative expenses			62,642						35,674						23,037						121,353
Depreciation (included in cost of revenue)			—						—						(2,132)						(2,132)
Segment operating income			$	28,483					$	13,486					$	35,209					77,178
Unallocated corporate overhead																					24,404
Depreciation and amortization																					37,753
Depreciation (included in cost of revenue)																					2,132
Share-based compensation																					8,827
Goodwill impairment loss																					109,515
Long-lived assets impairment loss																					18,262
Interest expense, net, and other																					11,360
Loss before income taxes																					$	(135,075)

			Three Months Ended June 30, 2024
			Nurse and Allied Solutions						Physician and Leadership Solutions						Technology and Workforce Solutions						Total
Revenue			$	442,399					$	186,065					$	112,221					$	740,685
Cost of revenue			336,893						129,344						44,621						510,858
Gross profit			105,506						56,721						67,600						229,827
Segment selling, general and administrative expenses			59,299						35,060						21,978						116,337
Depreciation (included in cost of revenue)			—						—						(1,637)						(1,637)
Segment operating income			$	46,207					$	21,661					$	47,259					115,127
Unallocated corporate overhead																					26,350
Depreciation and amortization																					43,101
Depreciation (included in cost of revenue)																					1,637
Share-based compensation																					6,357
Interest expense, net, and other																					15,715
Income before income taxes																					$	21,967

			Six Months Ended June 30, 2025
			Nurse and Allied Solutions						Physician and Leadership Solutions						Technology and Workforce Solutions						Total
Revenue			$	795,132					$	348,596					$	203,980					$	1,347,708
Cost of revenue			610,134						251,883						91,172						953,189
Gross profit			184,998						96,713						112,808						394,519
Segment selling, general and administrative expenses			124,277						68,765						46,456						239,498
Depreciation (included in cost of revenue)			—						—						(4,107)						(4,107)
Segment operating income			$	60,721					$	27,948					$	70,459					159,128
Unallocated corporate overhead																					44,609
Depreciation and amortization																					75,635
Depreciation (included in cost of revenue)																					4,107
Share-based compensation																					18,208
Goodwill impairment loss																					109,515
Long-lived assets impairment loss																					18,262
Interest expense, net, and other																					23,684
Loss before income taxes																					$	(134,892)

			Six Months Ended June 30, 2024
			Nurse and Allied Solutions						Physician and Leadership Solutions						Technology and Workforce Solutions						Total
Revenue			$	961,696					$	374,862					$	225,005					$	1,561,563
Cost of revenue			725,767						258,571						89,892						1,074,230
Gross profit			235,929						116,291						135,113						487,333
Segment selling, general and administrative expenses			136,380						72,408						47,019						255,807
Depreciation (included in cost of revenue)			—						—						(3,435)						(3,435)
Segment operating income			$	99,549					$	43,883					$	91,529					234,961
Unallocated corporate overhead																					53,983
Depreciation and amortization																					85,820
Depreciation (included in cost of revenue)																					3,435
Share-based compensation																					14,096
Interest expense, net, and other																					32,343
Income before income taxes																					$	45,284

Schedule of Disaggregation of Revenue

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

			Three Months Ended June 30, 2025
			Nurse and Allied Solutions						Physician and Leadership Solutions						Technology and Workforce Solutions						Total
Travel nurse staffing			$	208,018					$	—					$	—					$	208,018
Labor disruption services			15,751						—						—						15,751
Local staffing			9,708						—						—						9,708
Allied staffing			145,637						—						—						145,637
Locum tenens staffing			—						142,551						—						142,551
Interim leadership staffing			—						22,742						—						22,742
Temporary staffing			379,114						165,293						—						544,407
Permanent placement (1)			2,757						9,238						—						11,995
Language services			—						—						75,706						75,706
Vendor management systems			—						—						19,023						19,023
Other solutions			—						—						4,785						4,785
Technology-enabled services			—						—						99,514						99,514
Talent planning and acquisition			—						—						2,259						2,259
Total revenue			$	381,871					$	174,531					$	101,773					$	658,175

			Three Months Ended June 30, 2024
			Nurse and Allied Solutions						Physician and Leadership Solutions						Technology and Workforce Solutions						Total
Travel nurse staffing			$	276,632					$	—					$	—					$	276,632
Labor disruption services			372						—						—						372
Local staffing			10,794						—						—						10,794
Allied staffing			151,373						—						—						151,373
Locum tenens staffing			—						142,742						—						142,742
Interim leadership staffing			—						30,239						—						30,239
Temporary staffing			439,171						172,981						—						612,152
Permanent placement (1)			3,228						13,084						—						16,312
Language services			—						—						75,318						75,318
Vendor management systems			—						—						27,590						27,590
Other solutions			—						—						5,121						5,121
Technology-enabled services			—						—						108,029						108,029
Talent planning and acquisition			—						—						4,192						4,192
Total revenue			$	442,399					$	186,065					$	112,221					$	740,685

			Six Months Ended June 30, 2025
			Nurse and Allied Solutions						Physician and Leadership Solutions						Technology and Workforce Solutions						Total
Travel nurse staffing			$	423,465					$	—					$	—					$	423,465
Labor disruption services			54,382						—						—						54,382
Local staffing			19,429						—						—						19,429
Allied staffing			293,133						—						—						293,133
Locum tenens staffing			—						283,397						—						283,397
Interim leadership staffing			—						46,559						—						46,559
Temporary staffing			790,409						329,956						—						1,120,365
Permanent placement (1)			4,723						18,640						—						23,363
Language services			—						—						150,616						150,616
Vendor management systems			—						—						38,434						38,434
Other solutions			—						—						9,734						9,734
Technology-enabled services			—						—						198,784						198,784
Talent planning and acquisition			—						—						5,196						5,196
Total revenue			$	795,132					$	348,596					$	203,980					$	1,347,708

			Six Months Ended June 30, 2024
			Nurse and Allied Solutions						Physician and Leadership Solutions						Technology and Workforce Solutions						Total
Travel nurse staffing			$	611,001					$	—					$	—					$	611,001
Labor disruption services			400						—						—						400
Local staffing			23,292						—						—						23,292
Allied staffing			321,129						—						—						321,129
Locum tenens staffing			—						287,984						—						287,984
Interim leadership staffing			—						60,511						—						60,511
Temporary staffing			955,822						348,495						—						1,304,317
Permanent placement (1)			5,874						26,367						—						32,241
Language services			—						—						146,740						146,740
Vendor management systems			—						—						56,653						56,653
Other solutions			—						—						10,949						10,949
Technology-enabled services			—						—						214,342						214,342
Talent planning and acquisition			—						—						10,663						10,663
Total revenue			$	961,696					$	374,862					$	225,005					$	1,561,563

(1) Includes revenue from international nurse permanent placement, physician permanent placement and executive search.

The following table presents the Company’s international nurse revenue by service type:

			Three Months Ended June 30,												Six Months Ended June 30,
			2025						2024						2025						2024
International nurse staffing (1)			$	29,619					$	41,469					$	61,525					$	88,292
International nurse permanent placement (2)			2,757						3,228						4,723						5,874
Total international nurse revenue			$	32,376					$	44,697					$	66,248					$	94,166

(1) Included in “Travel nurse staffing” as presented in the preceding tables.

(2) Included in “Permanent placement” as presented in the preceding tables.

X

- Definition

Tabular disclosure of disaggregation of revenue into categories depicting how nature, amount, timing, and uncertainty of revenue and cash flows are affected by economic factor.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 5
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479806/606-10-50-5

+ Details

Name:	us-gaap_DisaggregationOfRevenueTableTextBlock
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:textBlockItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 25
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-25

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 22
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-22

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 30
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-30

+ Details

Name:	us-gaap_ScheduleOfSegmentReportingInformationBySegmentTextBlock
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:textBlockItemType
Balance Type:	na
Period Type:	duration

X

- References

No definition available.

+ Details

Name:	us-gaap_SegmentReportingAbstract
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration