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SEGMENT DATA | 3 Months Ended
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Mar. 31, 2025
Segment Reporting [Abstract] |
SEGMENT DATA | SEGMENT DATA The Company has two operating and reportable segments, Nurse and Allied Staffing and Physician Staffing, which align with its management structure and reflect how the operating results are regularly reviewed by the Chief Executive Officer, who the Company has determined to be its Chief Operating Decision Maker (CODM). The Company’s segments offer services 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 nurse and allied professionals, per diem, and healthcare leaders within nursing, allied, human resources, and finance, managed service programs services, education healthcare services, in-home care services, and outsourcing services. In addition, Nurse and Allied Staffing provides executive search services for healthcare professionals, as well as contingent search and recruitment process outsourcing services, and offers the Company’s SaaS-based, proprietary, vendor management technology, Intellify® to facilities to manage all or a portion of their agency services. Its customers include: public and private acute care hospitals, non-acute care hospitals, government facilities, local healthcare plans, national healthcare plans, managed care providers, public schools, charter schools, academic medical centers, Programs of All-Inclusive Care for the Elderly (PACE) programs, outpatient clinics, ambulatory care facilities, physician practice groups, 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. Revenue, and the profit and loss measure of contribution income, are reported to the CODM by each of the operating segments to assess performance. Contribution income is the profit and loss measure used by the CODM to allocate operating and capital resources to each segment. The Company defines contribution income as income (loss) from operations before depreciation and amortization, acquisition and integration-related (benefits) costs, restructuring (benefits) costs, legal and other losses, impairment charges, and corporate overhead. Management believes that its measure of contribution income is most consistent with that used to measure the corresponding amounts on its consolidated financial statements. The information in the following tables 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. Those include corporate overhead and the remaining line items below contribution income in the consolidated column in the tables below, and are presented to the CODM on a consolidated basis only. Information on reportable segments and a reconciliation to loss before income taxes for the period indicated are as follows:
| Three Months Ended March 31, 2025
| Nurse and Allied Staffing |  | Physician Staffing |  | Consolidated
| (amounts in thousands)
Revenue from services | $ | 242,291 |  |  | $ | 51,117 |  |  | $ | 293,408 |
Direct operating expenses | 194,033 |  |  | 40,717 |  |  |
Employee compensation | 21,369 |  |  | 5,366 |  |  |
Benefits | 2,549 |  |  | 493 |  |  |
Marketing | 1,670 |  |  | 209 |  |  |
Credit loss (income) expense | (10) |  |  | 45 |  |  |
Divisional corporate G&A | 3,718 |  |  | 80 |  |  |
Other segment items(a) | 1,718 |  |  | 178 |  |  |
Contribution Income | $ | 17,244 |  |  | $ | 4,029 |  |  | $ | 21,273 |
Reconciliation of profit or loss: |  |  |  |  |
Corporate overhead(b) |  |  |  |  | 15,136 |
Depreciation and amortization |  |  |  |  | 4,772 |
Acquisition and integration-related costs |  |  |  |  | 2,041 |
Restructuring costs |  |  |  |  | 301 |
Interest expense |  |  |  |  | 543 |
Interest income |  |  |  |  | (681) |
Other expense, net |  |  |  |  | 60 |
Loss before income taxes |  |  |  |  | $ | (899) |
_______________ (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:
| Three Months Ended March 31, 2024
| Nurse and Allied Staffing |  | Physician Staffing |  | Consolidated
| (amounts in thousands)
Revenue from services | $ | 332,186 |  |  | $ | 46,988 |  |  | $ | 379,174 |
Direct operating expenses | 264,880 |  |  | 36,997 |  |  |
Employee compensation | 28,365 |  |  | 5,430 |  |  |
Benefits | 2,326 |  |  | 507 |  |  |
Marketing | 2,209 |  |  | 232 |  |  |
Credit loss expense | 990 |  |  | 300 |  |  |
Divisional corporate G&A | 4,337 |  |  | 121 |  |  |
Other segment items(a) | 1,896 |  |  | 263 |  |  |
Contribution Income | $ | 27,183 |  |  | $ | 3,138 |  |  | $ | 30,321 |
Reconciliation of profit or loss: |  |  |  |  |
Corporate overhead(b) |  |  |  |  | 17,566 |
Depreciation and amortization |  |  |  |  | 4,642 |
Restructuring costs |  |  |  |  | 938 |
Legal and other losses |  |  |  |  | 3,650 |
Impairment charges |  |  |  |  | 604 |
Interest expense |  |  |  |  | 462 |
Interest income |  |  |  |  | (173) |
Other income, net |  |  |  |  | (1,057) |
Income before income taxes |  |  |  |  | $ | 3,689 |
_______________ (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). Revenue is based on services provided. During the three months ended March 31, 2025 and 2024, all revenue was generated in the U.S., and all of the Company’s long-lived assets were located in the U.S. and India. The Company provides its staffing services and workforce solutions in all 50 states. The India location is a cost center with no revenues and an immaterial amount of long-lived assets. The Company had no intersegment revenues between reportable segments for the three months ended March 31, 2025 and 2024. 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 accounting policies of the segments are the same as those described in Note 2 – Summary of Significant Accounting Policies, which also provides information about major customers. See the tables in Note 3 - Revenue Recognition, which present segment revenues by services.

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- Definition The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 48 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-48 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards 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