Overview Financials News + Filings IR Vault Key Docs Charts Holdings Ownership Insiders
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| In millions, except per share items | Dec-31-22 | Dec-31-21 | Dec-31-20 | Dec-31-19 | Dec-31-18 | Dec-31-17 | Dec-31-16 | Dec-31-15 |
| | 10-K | 10-K | 10-K | 10-K | 10-K | 10-K | 10-K | 10-K |
| Revenues: |
| Healthcare staffing | 2,806.6 | 1,676.7 | 836.4 | 822.2 | 800.9 | 850.1 | | |
| Search | | | | | 15.6 | 15.0 | | |
| Physician Staffing Segment | | | | | | | 98.3 | 115.3 |
| Other | | | | | | | 735.3 | 663.9 |
| Total revenues [+] | 2,806.6 | 1,676.7 | 836.4 | 822.2 | 816.5 | 865.0 | 833.5 | 779.2 |
| Services | 2,806.6 | 1,676.7 | 836.4 | 822.2 | 816.5 | | | 767.4 |
| Revenue growth [+] | 67.4% | 100.5% | 1.7% | 0.7% | -5.6% | 3.8% | 7.0% | 26.1% |
| Healthcare staffing | 67.4% | 100.5% | 1.7% | 2.7% | -5.8% | | | |
| Search | | | | | 4.0% | | | |
| Physician Staffing Segment | | | | | | | -14.8% | -4.8% |
| Nurse and Allied Staffing Segment | | | | | | | 16.1% | 35.3% |
| Cost of goods sold | 2,178.9 | 1,301.7 | 633.7 | 618.2 | 606.9 | 636.5 | 611.8 | 570.1 |
| Gross profit | 627.7 | 375.0 | 202.7 | 204.0 | 209.6 | 228.6 | 221.7 | 209.2 |
| Gross margin | 22.4% | 22.4% | 24.2% | 24.8% | 25.7% | 26.4% | 26.6% | 26.8% |
| Selling, general and administrative | 324.2 | 215.3 | 173.8 | 182.0 | 180.2 | 187.4 | 179.8 | 161.3 |
| Other operating expenses | 10.3 | 5.9 | 3.1 | 2.2 | 5.3 | 1.8 | 0.6 | 13.7 |
| EBITDA [+] | 293.1 | 153.9 | 25.8 | 19.8 | 24.1 | 39.3 | 41.3 | 34.2 |
| EBITDA growth | 90.5% | 496.1% | 30.1% | -17.6% | -38.8% | -4.8% | 20.9% | 337.6% |
| EBITDA margin | 10.4% | 9.2% | 3.1% | 2.4% | 2.9% | 4.5% | 5.0% | 4.4% |
| Depreciation and amortization | 12.6 | 9.9 | 12.7 | 14.1 | 11.8 | 10.2 | 9.2 | 8.1 |
| EBIT [+] | 280.6 | 144.0 | 13.1 | 5.8 | 12.3 | 29.1 | 32.1 | 26.1 |
| EBIT growth | 94.8% | 995.9% | 127.9% | -53.1% | -57.8% | -9.3% | 23.0% | 6922.3% |
| EBIT margin | 10.0% | 8.6% | 1.6% | 0.7% | 1.5% | 3.4% | 3.9% | 3.4% |
| Non-recurring items [+] | 7.5 | 4.7 | 22.3 | 21.5 | 25.2 | 17.4 | 26.0 | 5.6 |
| Asset impairment | 5.6 | 2.1 | 16.2 | 16.3 | 22.4 | 14.4 | 24.3 | 2.1 |
| Restructuring charges | 1.9 | 2.6 | 6.1 | 3.6 | 2.8 | 3.0 | 1.6 | 1.3 |
| Loss (gain) on sale of business | | | | | | | | 2.2 |
| Legal settlement | | | | 1.6 | | | | |
| Interest expense, net [+] | 14.4 | 6.9 | 2.9 | 5.3 | 5.3 | 4.1 | 6.0 | 6.8 |
| Interest expense | 14.4 | 6.9 | 2.9 | 5.3 | 5.7 | 4.2 | 6.1 | 6.8 |
| Interest income | | | | | 0.4 | 0.1 | 0.1 | |
| Other income (expense), net [+] | -2.4 | 0.8 | -0.3 | -3.2 | -0.1 | -3.3 | 4.4 | -9.6 |
| Gain (loss) on debt retirement | -3.7 | | | -2.0 | -0.1 | -5.0 | -1.6 | |
| Gain (loss) on derivative instruments | | | | 1.3 | | -1.6 | -5.8 | 9.9 |
| Other | 1.3 | 0.8 | -0.3 | 0.1 | 0.4 | 0.2 | 0.2 | 0.3 |
| Pre-tax income | 256.3 | 133.2 | -12.3 | -24.2 | -18.2 | 4.3 | 4.5 | 4.2 |
| Income taxes | 67.9 | 1.2 | -0.2 | 31.7 | -2.5 | -34.5 | -4.2 | -0.8 |
| Tax rate | 26.5% | 0.9% | 1.5% | | 13.6% | | | |
| Minority interest | | | 0.8 | | | | | |
| Net income | 188.5 | 132.0 | -13.0 | -55.9 | -15.7 | 38.8 | 8.7 | 5.0 |
| Net margin | 6.7% | 7.9% | -1.5% | -6.8% | -1.9% | 4.5% | 1.0% | 0.6% |
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| Basic EPS [+] | $5.09 | $3.60 | ($0.36) | ($1.56) | ($0.44) | $1.11 | $0.27 | $0.16 |
| Growth | 41.5% | -1101.7% | -77.0% | 254.4% | -139.8% | 307.8% | 72.9% | -115.5% |
| Diluted EPS [+] | $5.02 | $3.53 | ($0.36) | ($1.56) | ($0.44) | $1.07 | $0.24 | $0.15 |
| Growth | 42.2% | -1082.9% | -77.0% | 254.4% | -141.1% | 345.4% | 56.4% | -115.2% |
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| Shares outstanding (basic) [+] | 37.0 | 36.7 | 36.1 | 35.8 | 35.7 | 35.0 | 32.1 | 31.5 |
| Growth | 0.9% | 1.7% | 0.8% | 0.4% | 1.8% | 9.0% | 2.0% | 1.0% |
| Shares outstanding (diluted) [+] | 37.5 | 37.4 | 36.1 | 35.8 | 35.7 | 36.2 | 36.2 | 32.2 |
| Growth | 0.4% | 3.6% | 0.8% | 0.4% | -1.4% | -0.2% | 12.7% | 3.1% |
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| EBIT is a non-GAAP figure that excludes all non-recurring expenses: restructuring costs, asset impairments, IPR&D writeoffs, and other unusual charges. |
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