Discontinued Operations and Disposal Groups [Abstract] Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Table] Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Table] Disposal Group Name [Axis] Disposal Group Name [Axis] Disposal Groups, Including Discontinued Operations, Name [Domain] Disposal Groups, Including Discontinued Operations, Name [Domain] Clinical Trial Services [Member] Clinical Trial Services [Member] Clinical trial services [Member] Business Segments [Axis] Segments [Axis] Segment [Domain] Segments [Domain] Statement, Operating Activities Segment [Axis] Operating Activities [Axis] Segment, Operating Activities [Domain] Operating Activities [Domain] Segment, Discontinued Operations [Member] Discontinued Operations [Member] Indefinite-lived Intangible Assets by Major Class [Axis] Indefinite-lived Intangible Assets [Axis] Indefinite-lived Intangible Assets, Major Class Name [Domain] Indefinite-lived Intangible Assets, Major Class Name [Domain] Trademarks [Member] Trademarks [Member] Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] Aggregate amount of selling prices Proceeds from Divestiture of Businesses Adjustment to reflect additional gain (loss) on disposal Discontinued Operation, Amount of Adjustment to Prior Period Gain (Loss) on Disposal, Net of Tax Earn-out related to certain performance-based milestones Earnout Consideration From Divestiture Of Business Earn -out consideration from divestiture of business related to certain performance-based milestones. Release of escrow to the buyer release of escrow to the buyer release of escrow to the buyer Indemnity escrow receivable Escrow Deposit Escrow deposit term (in years) Escrow Deposit Term Escrow Deposit Term Goodwill impairment charge Goodwill, Impairment Loss Trademark impairment charge Asset Impairment Charges Income from operations Discontinued Operation, Income (Loss) from Discontinued Operation, before Income Tax Debt Disclosure [Abstract] Long-Term Debt Long-term Debt [Text Block] Goodwill and Intangible Assets Disclosure [Abstract] Goodwill and Intangible Assets Disclosure [Table] Goodwill And Intangible Assets Disclosure [Table] Goodwill and Intangible Assets Disclosure [Table] Indefinite-lived Intangible Assets [Axis] Trade Names [Member] Trade Names [Member] Legal Entity [Axis] Legal Entity [Axis] Entity [Domain] Entity [Domain] Physician staffing [Member] Physician Staffing [Member] Physician staffing [Member] Nurse and allied staffing [Member] Nurse And Allied Staffing [Member] Nurse and allied staffing [Member] Education And Training [Member] Education And Training [Member] Education And Training [Member] Valuation Technique [Axis] Valuation Technique [Axis] Valuation Technique [Domain] Valuation Technique [Domain] Income Approach Valuation Technique [Member] Income Approach Valuation Technique [Member] Market Approach Valuation Technique [Member] Market Approach Valuation Technique [Member] Range [Axis] Range [Axis] Range [Domain] Range [Domain] Minimum [Member] Minimum [Member] Maximum [Member] Maximum [Member] Goodwill and Intangible Assets Disclosure [Line Items] Goodwill And Intangible Assets Disclosure [Line Items] Goodwill and Intangible Assets Disclosure [Line Items] Impairment of intangibles Impairment of Intangible Assets, Indefinite-lived (Excluding Goodwill) Forecast period used to calculate discounted cash flows (in years) Goodwill And Other Intangible Assets Impairment Test Number Of Years Of Projected Cash Flow Discrete financial forecast number of years used in estimating fair value of reporting units. Terminal value growth rate (as a percentage) Fair Value Inputs, Long-term Revenue Growth Rate Cash flow discount rates (as a percentage) Fair Value Inputs, Discount Rate Total enterprise value/revenue multiples Fair Value Inputs, Revenue Multiple Total enterprise value/EBITDA multiples Fair Value Inputs, Earnings before Interest, Taxes, Depreciation, and Amortization Multiple Percentage assumed - weighting to revenue multiples Fair Value Inputs Weighting To Revenue Multiples Percentage of assumed market value weighting to revenue multiples, used as an input to measure fair value. Percentage assumed - weighting to EBITDA multiples Fair Value Inputs Weighting To E B I T D A Multiples Percentage of assumed market value weighting to EBITDA multiples, used as an input to measure fair value. Fair Value Disclosures [Abstract] Fair Value Measurements, Recurring and Nonrecurring [Table] Fair Value Measurements, Recurring and Nonrecurring [Table] Long-term Debt, Type [Axis] Long-term Debt, Type [Axis] Long-term Debt, Type [Domain] Long-term Debt, Type [Domain] Convertible Notes, Net [Member] Convertible Notes, Net [Member] Convertible Notes, Net [Member] Liability Class [Axis] Liability Class [Axis] Fair Value by Liability Class [Domain] Fair Value by Liability Class [Domain] Deferred Compensation [Member] Deferred Compensation [Member] Deferred Compensation [Member] Fair Value, Hierarchy [Axis] Fair Value, Hierarchy [Axis] Fair Value, Measurements, Fair Value Hierarchy [Domain] Fair Value Hierarchy [Domain] Fair Value, Inputs, Level 1 [Member] Fair Value, Inputs, Level 1 [Member] Fair Value, Inputs, Level 3 [Member] Fair Value, Inputs, Level 3 [Member] Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] Escrow receivable Escrow Deposit Fair Value Escrow receivable, fair value. Deferred compensation Obligations, Fair Value Disclosure Convertible Notes derivative liability Debt Instrument, Fair Value Disclosure Income Tax Disclosure [Abstract] Income Taxes Income Tax Disclosure [Text Block] Related Party Transactions [Abstract] Related Party Transactions Related Party Transactions Disclosure [Text Block] Schedule of Long-term Debt Instruments [Table] Schedule of Long-term Debt Instruments [Table] Credit Facility [Axis] Credit Facility [Axis] Credit Facility [Domain] Credit Facility [Domain] Term Loan Facility [Member] Term Loan Facility [Member] Term Loan Facility [Member] Convertible Notes Payable [Member] Convertible Notes Payable [Member] Revolving Credit Facility [Member] Revolving Credit Facility [Member] Capital Lease and Note Payable [Member] Capital Lease And Promissory Note [Member] Capital Lease and Promissory Note [Member] Debt Instrument [Line Items] Debt Instrument [Line Items] 2015 Long-term Debt, Maturities, Repayments of Principal in Next Twelve Months 2016 Long-term Debt, Maturities, Repayments of Principal in Year Two 2017 Long-term Debt, Maturities, Repayments of Principal in Year Three 2018 Long-term Debt, Maturities, Repayments of Principal in Year Four 2019 Long-term Debt, Maturities, Repayments of Principal in Year Five Thereafter Long-term Debt, Maturities, Repayments of Principal after Year Five Total Long-term Debt Property, Plant and Equipment [Abstract] Property and Equipment Property, Plant and Equipment [Table Text Block] Summary of Estimated Fair Values of Financial Assets and Liabilities Measured on a Recurring Basis Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block] Fair Value, Assets and Liabilities Measured on recurring Basis, Unobservable Input Reconciliation Fair Value, Assets and Liabilities Measured on recurring Basis, Unobservable Input Reconciliation [Table Text Block] Fair Value, Assets and Liabilities Measured on recurring Basis, Unobservable Input Reconciliation [Table Text Block] Fair Value of Goodwill Measured On Non-Recurring Basis Fair Value Measurements, Nonrecurring [Table Text Block] Carrying Amounts and Estimated Fair Values of Significant Financial Instrument that were not Measured at Fair Value Fair Value, by Balance Sheet Grouping [Table Text Block] Disclosure Changes In Carrying Amount Of Goodwill By Segment [Abstract] Disclosure - Changes in Carrying Amount of Goodwill by Segment [Abstract] Schedule of Goodwill [Table] Schedule of Goodwill [Table] Goodwill [Line Items] Goodwill [Line Items] Accounting Policies [Abstract] Use of Estimates Use of Estimates, Policy [Policy Text Block] Cash and Cash Equivalents Cash and Cash Equivalents, Policy [Policy Text Block] Accounts Receivable, Allowance for Doubtful Accounts, and Concentration of Credit Risk Receivables, Policy [Policy Text Block] Prepaid Rent and Deposits Prepaid Rent And Deposits Policy [Text Block] Disclosure of accounting policy for prepaid rent and deposits on field employees' apartments related to short-term agreements. Property and Equipment Property, Plant and Equipment, Policy [Policy Text Block] Goodwill, Trade Names, and Other Identifiable Intangible Assets Goodwill and Intangible Assets, Intangible Assets, Policy [Policy Text Block] Debt Discount and Debt Issuance Costs Debt, Policy [Policy Text Block] Derivative Financial Instruments Derivatives, Policy [Policy Text Block] Sales and Other State Non-income Tax Liabilities Sales And Other State Non Income Tax Liabilities Policy [Text Block] Disclosure of accounting policy for sales and other state non-income tax liabilities. Reserves for Claims Liability Reserve Estimate, Policy [Policy Text Block] Revenue Recognition Revenue Recognition, Policy [Policy Text Block] Share-Based Compensation Share-based Compensation, Option and Incentive Plans Policy [Policy Text Block] Advertising Advertising Costs, Policy [Policy Text Block] Restructuring Costs Costs Associated with Exit or Disposal Activities or Restructurings, Policy [Policy Text Block] Operating Leases Lease, Policy [Policy Text Block] Income Taxes Income Tax, Policy [Policy Text Block] Comprehensive Loss Comprehensive Income, Policy [Policy Text Block] Fair Value Measurements Fair Value Measurement, Policy [Policy Text Block] Recent Accounting Pronouncements New Accounting Pronouncements, Policy [Policy Text Block] Segment Reporting [Abstract] Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table] Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table] Segment, Continuing Operations [Member] Continuing Operations [Member] Other human capital management services [Member] Other Human Capital Management Services [Member] Other human capital management services [Member] Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items] Number of Operating Segments Number of Operating Segments Revenue from unaffiliated customers Sales Revenue, Services, Net Contribution income Segment Reporting Information Operating Income Loss Before Depreciation And Amortization And Unallocated Corporate Expenses Income from operation before depreciation, amortization and corporate expenses not specifically identified to a reporting segment. Unallocated corporate overhead Segment Reporting Unallocated Corporate Expenses Segment Reporting Unallocated Corporate Expenses Depreciation Depreciation Amortization Amortization of Intangible Assets Acquisition and integration costs Business Combination, Acquisition and Integration Related Costs Business Combination, Acquisition and Integration Related Costs Restructuring costs Restructuring Charges Legal settlement charge Gain (Loss) Related to Litigation Settlement Impairment charges (Loss) income from continuing operations Operating Income (Loss) Quarterly Financial Information Disclosure [Abstract] Quarterly Financial Data (Unaudited) Quarterly Financial Information [Text Block] Equity [Abstract] Expected dividend yield (as a percentage) Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Rate Expected volatility (as a percentage) Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate Risk-free interest rate (as a percentage) Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate Expected life (in years) Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Term Schedule Of Indefinite Lived And Finite Lived Intangible Assets [Table] Schedule Of Indefinite Lived And Finite Lived Intangible Assets [Table] Schedule Of Indefinite Lived And Finite Lived Intangible Assets [Table] Finite-Lived Intangible Assets by Major Class [Axis] Finite-Lived Intangible Assets by Major Class [Axis] Finite-Lived Intangible Assets, Major Class Name [Domain] Finite-Lived Intangible Assets, Major Class Name [Domain] Database Rights [Member] Database Rights [Member] Customer Relationships [Member] Customer Relationships [Member] Noncompete Agreements [Member] Noncompete Agreements [Member] Finite-Lived and Indefinite-Lived Intangible Assets [Line Items] Finite Lived And Indefinite Lived Intangible Assets [Line Items] Finite-Lived and Indefinite-Lived Intangible Assets [Line Items] Intangible assets subject to amortization, gross carrying amount Finite-Lived Intangible Assets, Gross Intangible assets subject to amortization, accumulated amortization Finite-Lived Intangible Assets, Accumulated Amortization Intangible assets subject to amortization, net carrying amount Finite-Lived Intangible Assets, Net Goodwill Goodwill Trade names Indefinite-Lived Trademarks Intangible assets not subject to amortization, net Intangible Assets Not Subject To Amortization Net Carrying Amount Net carrying amount of intangible assets that are not subject to amortization. Balance Sheet Related Disclosures [Abstract] Balance Sheet Details Supplemental Balance Sheet Disclosures [Text Block] Business Combinations [Abstract] Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table] Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table] Customer Lists [Member] Customer Lists [Member] Long Term Loan And Security Agreement [Axis] Long Term Loan And Security Agreement [Axis] Long Term Loan And Security Agreement [Axis] Long Term Loan And Security Agreement [Domain] Long Term Loan And Security Agreement [Domain] Long Term Loan And Security Agreement [Domain] First Lien Loan Agreement [Member] First Lien Loan Agreement [Member] First Lien Loan Agreement [Member] Subordinated Debt [Member] Subordinated Debt [Member] Line of Credit [Member] Line of Credit [Member] Nonrecurring Adjustment [Axis] Nonrecurring Adjustment [Axis] Nonrecurring Adjustment [Domain] Nonrecurring Adjustment [Domain] Acquisition-related Costs [Member] Acquisition-related Costs [Member] Business Acquisition Secondary [Axis] Business Acquisition Secondary [Axis] Business Acquisition Secondary [Axis] Business Acquisition Secondary [Domain] Business Acquisition Secondary [Domain] Business Acquisition Secondary [Domain] Business Acquisition [Axis] Business Acquisition [Axis] Business Acquisition, Acquiree [Domain] Business Acquisition, Acquiree [Domain] Medical Staffing Network [Member] Medical Staffing Network [Member] Medical Staffing Network [Member] On Assignment [Member] On Assignment [Member] On Assignment [Member] MDA Holdings Inc [Member] M D A Holdings Inc [Member] MDA Holdings Inc [Member] Business Acquisition, Contingent Consideration [Line Items] Business Acquisition, Contingent Consideration [Line Items] Consideration transferred Business Combination, Consideration Transferred Acquisition of assets of Medical Staffing Network, net of cash acquired Payments to Acquire Businesses, Net of Cash Acquired Business combination, amount deposited in escrow, working capital adjustment Business Combination, Amount Deposited in Escrow, Working Capital Adjustment Business Combination, Amount Deposited in Escrow, Working Capital Adjustment Consideration deferred Business Combination, Consideration Deferred Business Combination, Consideration Deferred Period of deferred consideration (in months) Business Combination, Consideration Deferred, Period Business Combination, Consideration Deferred, Period Business combination, amount received from escrow, working capital adjustment Proceeds from Previous Acquisition Long-term Debt Term (in years) Debt Instrument, Term Debt conversion price Debt Instrument, Convertible, Conversion Price Credit facility borrowing capacity Line of Credit Facility, Maximum Borrowing Capacity Number of locations of operations Number of Locations of Operations Number of Locations of Operations Gross accounts receivable Business Combination. Recognized Identifiable Assets Acquired Liabilities Assumed, Accounts Receivable, Gross Business Combination. Recognized Identifiable Assets Acquired Liabilities Assumed, Accounts Receivable, Gross Receivables not expected to be collected Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Bad Debts Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Bad Debts Claim attached Professional Liability Insurance, Claim Attached Professional Liability Insurance, Claim Attached Policy limit Professional Liability Policy, Limit Professional Liability Policy, Limit Estimated fair value of professional liabilities related to stop loss policy Health Care Organization, Stop Loss Policy, Estimated Fair Value Of Professional Liabilities Health Care Organization, Stop Loss Policy, Fair Value Of Professional Liabilities Estimated recovery receivable related to stop loss policy Health Care Organization, Stop Loss Policy, Estimated Recovery Receivable Health Care Organization, Stop Loss Policy, Estimated Recovery Receivable Policy, coverage per occurrence Primary Professional Liability Policy, Coverage per Occurrence Primary Professional Liability Policy, Coverage per Occurrence Policy coverage Primary Professional Liability Policy, Coverage Primary Professional Liability Policy, Coverage Excess layer limit per occurrence Professional Liability Policy, Excess Layer Limit per Occurrence Professional Liability Policy, Excess Layer Limit per Occurrence Excess layer limit Professional Liability Policy, Excess Layer Limit Professional Liability Policy, Excess Layer Limit Other intangible assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill Intangible assets- useful life Finite-Lived Intangible Asset, Useful Life Finite-lived intangible assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles Weighted average useful life (in years) Acquired Finite-lived Intangible Assets, Weighted Average Useful Life Noncontrolling interest Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Fair Value Noncontrolling interest fair value assessment, discounted cash flow method, utilization percentage Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Valuation Technique, Discounted Cash Flow Method, Utilization Percentage Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Valuation Technique, Discounted Cash Flow Method, Utilization Percentage Noncontrolling interest fair value assessment, guideline public company method, utilization percentage Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Valuation Technique, Guideline Public Company Method, Utilization Percentage Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Valuation Technique, Guideline Public Company Method, Utilization Percentage Noncontrolling interest fair value assessment, mergers and acquisition method, utilization percentage Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Valuation Technique, Mergers and Acquisition Method, Utilization Percentage Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Valuation Technique, Mergers and Acquisition Method, Utilization Percentage Acquisition costs Business Combination, Acquisition Related Costs Cash Cash Number of branch-based employees Business Combination, Number of Branch-based Employees Business Combination, Number of Branch-based Employees Number of staffing specialties acquired Business Combination, Number of Staffing Specialties Business Combination, Number of Staffing Specialties Number of branch offices acquired Business Combination, Number of Branch Offices Business Combination, Number of Branch Offices Adjustment for nonrecurring costs in Net Loss Net Income (Loss), Including Portion Attributable to Noncontrolling Interest Escrow deposit balance Escrow Deposit Indemnity Remaining Amount Remaining indemnity escrow deposit balance for earn-out consideration from divestiture of business related to certain performance-based milestones. Schedule of Property, Plant and Equipment [Table] Property, Plant and Equipment [Table] Property, Plant and Equipment, Type [Axis] Property, Plant and Equipment, Type [Axis] Property, Plant and Equipment, Type [Domain] Property, Plant and Equipment, Type [Domain] Computer Equipment [Member] Computer Equipment [Member] Computer software [Member] Software Development [Member] Office Equipment [Member] Office Equipment [Member] Furniture and Fixtures [Member] Furniture and Fixtures [Member] Leasehold Improvements [Member] Leasehold Improvements [Member] Property, Plant and Equipment [Line Items] Property, Plant and Equipment [Line Items] Property and equipment Property, Plant and Equipment, Gross Less accumulated depreciation and amortization Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment Property and equipment, net of accumulated depreciation and amortization Property, Plant and Equipment, Net Estimated useful life Property, Plant and Equipment, Useful Life Earnings Per Share [Abstract] Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table] Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table] Antidilutive Securities [Axis] Antidilutive Securities [Axis] Antidilutive Securities, Name [Domain] Antidilutive Securities, Name [Domain] Convertible Debt Securities [Member] Convertible Debt Securities [Member] Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] Common stock shares that have been excluded from the per share calculation Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount Dilutive shares excluded due to net loss Dilutive Securities Excluded From Computation Of Earnings Per Share, Amount Potentially dilutive shares excluded from calculation of earnings per share due to the Company's net loss in the period. Tax at U.S. statutory rate Effective Income Tax Rate Reconciliation at Federal Statutory Income Tax Rate, Amount State taxes, net of federal benefit Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Amount Non-deductible meals and entertainment Effective Income Tax Rate Reconciliation, Nondeductible Expense, Meals and Entertainment, Amount Foreign tax expense Effective Income Tax Rate Reconciliation, Foreign Income Tax Rate Differential, Amount Valuation allowances Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Amount Uncertain tax positions Effective Income Tax Rate Reconciliation, Tax Contingency, Amount Deferred tax rate differential Effective Income Tax Rate Reconciliation, Change in Enacted Tax Rate, Amount Deferred tax write-offs Tax Reconciliation Deferred Tax Writeoffs Amount of deferred tax write-offs attributable to tax expense related to an overstatement of deferred tax assets for share based payments related to prior periods. Audit settlements Effective Income Tax Rate Reconciliation, Tax Settlement, Amount Tax on unrepatriated earnings Income Tax Reconciliation Unrepatriated Of Foreign Earnings The portion of the difference between total income tax expense or benefit as reported in the Income Statement and the expected income tax expense or benefit computed by applying the domestic federal statutory income tax rates to pretax income from continuing operations attributable to the unrepatriated of foreign earnings in the period. Tax on repatriated earnings Effective Income Tax Rate Reconciliation, Repatriation of Foreign Earnings, Amount Tax true ups and other Effective Income Tax Rate Reconciliation, Other Adjustments, Amount Total income tax expense (benefit) for continuing operations Income Tax Expense (Benefit) Schedule of Business Acquisitions, by Acquisition [Table] Schedule of Business Acquisitions, by Acquisition [Table] Class of Stock [Axis] Class of Stock [Axis] Class of Stock [Domain] Class of Stock [Domain] Business Acquisition [Line Items] Business Acquisition [Line Items] Revenue from services Business Acquisition, Pro Forma Revenue Net loss attributable to common shareholders Business Acquisition, Pro Forma Net Income (Loss) Net loss per common share - basic (usd per share) Business Acquisition, Pro Forma Earnings Per Share, Basic Net loss per common share - diluted (usd per share) Business Acquisition, Pro Forma Earnings Per Share, Diluted Compensation and Retirement Disclosure [Abstract] Company contribution net of forfeitures Defined Contribution Plan, Employer Discretionary Contribution Amount Deferred compensation liabilities Deferred Compensation Liability, Classified, Noncurrent Measurement Frequency [Axis] Measurement Frequency [Axis] Fair Value, Measurement Frequency [Domain] Fair Value, Measurement Frequency [Domain] Fair Value, Measurements, Nonrecurring [Member] Fair Value, Measurements, Nonrecurring [Member] Indefinite-lived intangible assets (excluding goodwill), fair value disclosure Indefinite-lived Intangible Assets (Excluding Goodwill), Fair Value Disclosure Statement of Cash Flows [Abstract] Operating activities Net Cash Provided by (Used in) Operating Activities [Abstract] Net (loss) income Adjustments to reconcile net loss to net cash (used in) provided by operating activities: Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract] Bad debt expense Provision For Doubtful Accounts Including Discontinued Operations Provision For Doubtful Accounts Including Discontinued Operations Depreciation Depreciation Continuing And Discontinued Operations Depreciation Continuing And Discontinued Operations Amortization Amortization of Intangible Assets for Continuing and Discontinued Operations Amortization of Intangible Assets for Continuing and Discontinued Operations Amortization of debt discount and debt issuance costs Amortization of Financing Costs Impairment charges Asset Impairment Charges Continuing and Discontinued Operations Asset Impairment Charges Continuing and Discontinued Operations Loss on early extinguishment and modification of debt Gains (Losses) on Extinguishment of Debt Deferred income tax (benefit) expense Deferred Income Tax Expense Benefit From Continuing And Discontinued Operations Deferred income tax expense benefit from continuing and discontinued operations. Change in fair value of convertible note derivatives liability Derivative, Gain (Loss) on Derivative, Net Equity compensation Share-based Compensation Gain on sale of clinical trial services business Gain (Loss) on Disposition of Business Other noncash costs Other Noncash Income (Expense) Changes in operating assets and liabilities: Increase (Decrease) in Operating Capital [Abstract] Accounts receivable Increase (Decrease) in Accounts Receivable Prepaid expenses and other assets Increase (Decrease) in Other Operating Assets Income taxes Increase (Decrease) in Income Taxes Payable, Net of Income Taxes Receivable Accounts payable and accrued expenses Increase (Decrease) in Accounts Payable and Accrued Liabilities Other liabilities Increase (Decrease) in Other Operating Liabilities Net cash (used in) provided by operating activities Net Cash Provided by (Used in) Operating Activities Cash flows from investing activities Net Cash Provided by (Used in) Investing Activities [Abstract] Proceeds from sale of business segment, net of cash sold and transaction costs Proceeds from Divestiture of Businesses, Net of Cash Divested Acquisition of assets of Medical Staffing Network, net of cash acquired Acquisition of assets of On Assignment, Inc. Payments to Acquire Business Two, Net of Cash Acquired Purchases of property and equipment Payments to Acquire Property, Plant, and Equipment Liquidation of foreign cash investments Proceeds from Sale, Maturity and Collection of Investments Other investing activities Payments for (Proceeds from) Other Investing Activities Net cash (used in) provided by investing activities Net Cash Provided by (Used in) Investing Activities Cash flows from financing activities Net Cash Provided by (Used in) Financing Activities [Abstract] Debt issuance costs Payments of Debt Issuance Costs Repurchase of stock for tax withholdings Payments Related to Tax Withholding for Share-based Compensation Stock repurchase and retirement Payments for Repurchase of Common Stock Cash payment to noncontrolling shareholder Payments of Ordinary Dividends, Noncontrolling Interest Proceeds from borrowing on Second Lien Term Loan Proceeds from Issuance of Long-term Debt Principal payments on term loan Repayments of Long-term Debt Proceeds from borrowing on Convertible Notes Proceeds from Convertible Debt Borrowings under revolving credit facility Proceeds from Lines of Credit Repayments on revolving credit facility Repayments of Lines of Credit Borrowings under Senior Secured Asset-Based revolving credit facility Proceeds from Long-term Lines of Credit Repayments on Senior Secured Asset-Based revolving credit facility Repayments of Long-term Lines of Credit Repayments of capital lease obligations and note payable Repayments of Debt and Capital Lease Obligations Net cash provided by (used in) financing activities Net Cash Provided by (Used in) Financing Activities Effect of exchange rate changes on cash Effect of Exchange Rate on Cash and Cash Equivalents Net decrease in cash and cash equivalents Cash and Cash Equivalents, Period Increase (Decrease) Cash and cash equivalents at beginning of year Cash and Cash Equivalents, at Carrying Value Cash and cash equivalents at end of year Supplemental disclosure of noncash investing and financing activities: Cash Flow, Noncash Investing and Financing Activities Disclosure [Abstract] Equipment purchased through capital lease obligations Capital Lease Obligations Incurred Insurance premium financing Financing Of Insurance Premium Insurance premium financing. Supplemental disclosure of cash flow information: Supplemental Cash Flow Information [Abstract] Interest paid Interest Paid Income taxes paid Income Taxes Paid Income tax refunds Proceeds from Income Tax Refunds Components of Numerator and Denominator for Computation of Basic and Diluted Earnings per Share Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] Share option grants Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures Weighted average grant date fair value of options granted during the period Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value Total intrinsic value of options exercised Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Intrinsic Value Components of Income (Loss) Before Income Taxes Schedule of Income before Income Tax, Domestic and Foreign [Table Text Block] Components of Income Tax Expense (Benefit) Schedule of Components of Income Tax Expense (Benefit) [Table Text Block] Significant Components of Deferred Tax Assets and Liabilities Schedule of Deferred Tax Assets and Liabilities [Table Text Block] Reconciliation of Income Tax Computed At U. S. Federal Statutory Rate to Income Tax (Benefit) Expense Schedule of Effective Income Tax Rate Reconciliation [Table Text Block] Reconciliation of Beginning and Ending Amounts of Unrecognized Tax Benefits Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block] Statement of Financial Position [Abstract] Accounts receivable, allowance for doubtful accounts Allowance for Doubtful Accounts Receivable, Current Debt issuance costs, accumulated amortization Accumulated Amortization of Noncurrent Deferred Finance Costs Common stock, par value (usd per share) Common Stock, Par or Stated Value Per Share Common stock, shares authorized Common Stock, Shares Authorized Common stock, shares issued Common Stock, Shares, Issued Common stock, shares outstanding Common Stock, Shares, Outstanding Valuation and Qualifying Accounts [Abstract] Schedule II - Valuation and Qualifying Accounts Schedule of Valuation and Qualifying Accounts Disclosure [Text Block] Acquisitions Business Combination Disclosure [Text Block] Current Current Income Tax Expense (Benefit), Continuing Operations [Abstract] Federal Current Federal Tax Expense (Benefit) State Current State and Local Tax Expense (Benefit) Foreign Current Foreign Tax Expense (Benefit) Current Income Tax Expense (Benefit), Total Current Income Tax Expense (Benefit) Deferred Deferred Income Tax Expense (Benefit), Continuing Operations [Abstract] Federal Deferred Federal Income Tax Expense (Benefit) State Deferred State and Local Income Tax Expense (Benefit) Foreign Deferred Foreign Income Tax Expense (Benefit) Total Deferred Income Tax Expense (Benefit) Continuing operations Discontinued operations Discontinued Operation, Tax Effect of Discontinued Operation Income tax expense (benefit), continuing operations, discontinued operations, total Income Tax Expense (Benefit), Continuing Operations, Discontinued Operations, Extraordinary Items Commitments and Contingencies Disclosure [Abstract] Loss Contingencies [Table] Loss Contingencies [Table] Loss Contingency Nature [Axis] Loss Contingency Nature [Axis] Loss Contingency, Nature [Domain] Loss Contingency, Nature [Domain] Tax Years 2008 to 2010 [Member] Tax Years 2008 To 2010 [Member] Tax Years 2008 to 2010 [Member] Tax Years 2005 to 2011 [Member] Tax Years 2005 To 2011 [Member] Tax Years 2005 to 2011 [Member] Tax Years 2007 to 2012 [Member] Tax Years 2007 to 2012 [Member] Tax Years 2007 to 2012 [Member] Loss Contingencies [Line Items] Loss Contingencies [Line Items] Operating lease expense Operating Leases, Rent Expense, Net Pretax liability related to the non-income tax matters LossContingencyNonIncomeTaxMattersPreTax Amount of accrued additional pretax liability related to non-income tax matters. Taxes paid to settle with certain states Non-Income Tax Matters, Tax Paid, State Non-Income Tax Matters, Tax Paid, State Settlement Litigation Settlement, Amount Payments for legal settlement Payments for Legal Settlements Assets Assets [Abstract] Current assets: Assets, Current [Abstract] Cash and cash equivalents Accounts receivable, less allowance for doubtful accounts of $1,425 and $1,651 at December 31, 2014 and 2013, respectively Accounts Receivable, Net, Current Income taxes receivable Income Taxes Receivable, Current Prepaid expenses Prepaid Expense, Current Insurance recovery receivable Insurance Settlements Receivable, Current Other current assets Other Assets, Current Total current assets Assets, Current Property and equipment, net of accumulated depreciation Trade Names, net Other identifiable intangible assets, net Debt issuance costs, net of accumulated amortization of $522 and $222 at December 31, 2014 and 2013, respectively Deferred Finance Costs, Noncurrent, Net Non-current insurance recovery receivable Insurance Settlements Receivable, Noncurrent Non-current security deposits Other Assets, Noncurrent Total assets Assets Liabilities and Stockholders' Equity Liabilities and Equity [Abstract] Current liabilities: Liabilities, Current [Abstract] Accounts payable and accrued expenses Accounts Payable and Other Accrued Liabilities, Current Accrued compensation and benefits Employee-related Liabilities, Current Current portion of long-term debt and capital lease obligations Long-term Debt and Capital Lease Obligations, Current Sales tax payable Sales and Excise Tax Payable, Current Deferred tax liabilities Deferred Tax Liabilities, Gross, Current Other current liabilities Other Liabilities, Current Total current liabilities Liabilities, Current Long-term debt and capital lease obligations, less current portion Long-term Debt and Capital Lease Obligations Non-current deferred tax liabilities Deferred Tax Liabilities, Net, Noncurrent Long-term accrued claims Liability for Claims and Claims Adjustment Expense Long-term deferred purchase price Long-term Deferred Purchase Price Long-term Deferred Purchase Price Long-term unrecognized tax benefits Unrecognized Tax Benefits, Noncurrent Unrecognized Tax Benefits, Noncurrent Other long-term liabilities Liabilities, Other than Long-term Debt, Noncurrent Total liabilities Liabilities Commitments and contingencies Commitments and Contingencies Stockholders' equity: Stockholders' Equity Attributable to Parent [Abstract] Common stock—$0.0001 par value; 100,000,000 shares authorized; 31,292,596 and 31,085,289 shares issued and outstanding at December 31, 2014 and 2013, respectively Common Stock, Value, Issued Additional paid-in capital Additional Paid in Capital, Common Stock Accumulated other comprehensive loss Accumulated Other Comprehensive Income (Loss), Net of Tax Accumulated deficit Retained Earnings (Accumulated Deficit) Total Cross Country Healthcare, Inc. stockholders' equity Stockholders' Equity Attributable to Parent Noncontrolling interest Stockholders' Equity Attributable to Noncontrolling Interest Total stockholders' equity Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest Total liabilities and stockholders' equity Liabilities and Equity Property and Equipment Property, Plant and Equipment Disclosure [Text Block] Summary of Restricted Stock Award Activity Schedule of Share-based Compensation, Restricted Stock and Restricted Stock Units Activity [Table Text Block] Stock Options and Stock Appreciation Rights Granted and Exercised Intrinsic Value Of Options Exercised And Weighted Average Grant Date Fair Value Of Stock Options Granted Table [Text Block] Tabular disclosure of the total intrinsic value of options exercised and the weighted average grant date fair value of options granted during the period. Assumptions Used to Estimate Fair Value of Options Granted Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions [Table Text Block] Summary of Share Option Plans Activities Schedule of Share-based Compensation, Stock Options, Activity [Table Text Block] Insurance recovery for workers’ compensation Insurance Recovery For Workers Compensation Current The current portion of the amount receivable from insurance for recovery for workers compensation. Insurance recovery for professional liability Insurance Receivable for Malpractice, Current Insurance recovery receivable Insurance recovery for workers’ compensation – long-term Insurance Recovery For Workers Compensation Noncurrent The long term portion of the amount receivable from insurance for recovery for workers compensation. Insurance recovery for professional liability – long-term Insurance Receivable for Malpractice, Noncurrent Non-current insurance recovery receivable Salaries and payroll taxes Accrued Salaries, Current Bonuses Accrued Bonuses, Current Accrual for workers’ compensation claims Workers' Compensation Liability, Current Accrual for health care benefits Other Employee Related Liabilities, Current Accrual for professional liability insurance Malpractice Loss Contingency, Accrual, Undiscounted, Current Accrual for vacation Accrued Vacation, Current Accrued compensation and benefits Accrual for workers’ compensation claims Workers' Compensation Liability, Noncurrent Accrual for professional liability insurance Malpractice Loss Contingency, Accrual, Undiscounted, Noncurrent Long-term accrued claims Accounts Payable and Accrued Liabilities, Noncurrent Deferred compensation Deferred rent Deferred Rent Credit, Noncurrent Other Other Liabilities, Noncurrent Other long-term liabilities 2015 Finite-Lived Intangible Assets, Amortization Expense, Next Twelve Months 2016 Finite-Lived Intangible Assets, Amortization Expense, Year Two 2017 Finite-Lived Intangible Assets, Amortization Expense, Year Three 2018 Finite-Lived Intangible Assets, Amortization Expense, Year Four 2019 Finite-Lived Intangible Assets, Amortization Expense, Year Five Thereafter Finite-Lived Intangible Assets, Amortization Expense, after Year Five Intangible assets subject to amortization, net carrying amount Significant Accounting Policies [Table] Significant Accounting Policies [Table] Significant Accounting Policies [Table] Subsequent Event Type [Axis] Subsequent Event Type [Axis] Subsequent Event Type [Domain] Subsequent Event Type [Domain] Investment Type [Axis] Investment Type [Axis] Investment Type Categorization [Domain] Investments [Domain] Major Customers [Axis] Customer [Axis] Name of Major Customer [Domain] Customer [Domain] Supplementary Insurance Information, Channel Name [Axis] Supplementary Insurance Information Channel Name [Axis] Supplementary Insurance Information, Channel Name [Axis] Supplementary Insurance Information, Channel Name [Domain] Supplementary Insurance Information Channel Name [Domain] Supplementary Insurance Information, Channel Name [Domain] Balance Sheet Location [Axis] Balance Sheet Location [Axis] Balance Sheet Location [Domain] Balance Sheet Location [Domain] Other Current Liabilities [Member] Other Current Liabilities [Member] Insurance Type and Tier Identifier [Axis] Insurance Type and Tier Identifier [Axis] Type and Tier Identifier [Domain] Type and Tier Identifier [Domain] Occurrence-Based Professional Liability Insurance [Member] Occurrence Based Professional Liability Insurance [Member] Occurrence-Based Professional Liability Insurance [Member] Restructuring Type [Axis] Restructuring Type [Axis] Type of Restructuring [Domain] Type of Restructuring [Domain] Ongoing Postemployment Benefits [Member] Ongoing Postemployment Benefits [Member] Ongoing Postemployment Benefits [Member] Facility Closing [Member] Facility Closing [Member] Exit Costs [Member] Exit Costs [Member] Exit Costs [Member] Significant Accounting Policies [Line Items] Significant Accounting Policies [Line Items] Significant Accounting Policies [Line Items] Contract terms Contractual Term The amount of time the payments are typically required to be made from the date services are provided. Short term leases period Lease Expiration Period Apartments lease period for field employees under short-term agreements. Estimated useful life of assets Intangible assets- useful life Outstanding standby letters of credit as collateral Outstanding Letters Of Credit Amount of standby letters of credit issued as collateral to guarantee payments of workers compensation claims. Letter of credit for malpractice claims Malpractice Loss Contingency, Letters of Credit and Surety Bonds Accrued revenue Accrued Fees and Other Revenue Receivable Deferred revenue Deferred Revenue, Current Equity compensation Allocated Share-based Compensation Expense Deferred tax benefits related to share based compensation Excess Tax Benefit from Share-based Compensation, Operating Activities Advertising costs Advertising Expense Prepaid expenses, advertising Prepaid Advertising Acquisition costs Integration costs Business Combination, Integration Related Costs Restructuring liabilities assumed Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Restructuring Liabilities Cumulative impact of currency fluctuations Accumulated Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Net of Tax Reclassification of currency translation adjustments related to sale of clinical trial services business Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Reclassification Adjustment from AOCI, Realized upon Sale or Liquidation, before Tax Income tax expense (benefit) related to items of other comprehensive income Other Comprehensive Income (Loss), Tax, Portion Attributable to Parent Quarterly Financial Data Schedule of Quarterly Financial Information [Table Text Block] Derivative Instruments and Hedging Activities Disclosure [Abstract] Convertible Notes Derivative Liability Derivatives and Fair Value [Text Block] Earnings Per Share Earnings Per Share [Text Block] Current deferred tax assets (liabilities): Deferred Tax Assets Liabilities Current [Abstract] Deferred Tax Assets Liabilities Current [Abstract] Accrued other and prepaid expenses Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Accrued Liabilities Accrued settlement charge Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Legal Settlements Allowance for doubtful accounts Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Allowance for Doubtful Accounts Other Deferred Tax Assets Other Assets Current Amount before allocation of valuation allowances of deferred tax asset attributable to deductible temporary differences from other assets expected to be realized or consumed within one year. Gross deferred tax assets Deferred Tax Assets, Gross, Current Valuation allowance Deferred Tax Assets, Valuation Allowance, Current Deferred tax assets (liabilities), net, current Deferred Tax Assets, Net, Current Non-current deferred tax (liabilities) and assets: Deferred Tax Assets Liabilities Noncurrent [Abstract] Deferred Tax Assets Liabilities Noncurrent [Abstract] Amortization Deferred Tax Liabilities Amortization Amount of deferred tax liability attributable to taxable temporary differences from amortization. Depreciation Deferred Tax Assets (Liabilities), Net, Depreciation Amount of deferred tax liability attributable to taxable temporary differences from depreciation. Identifiable intangibles Deferred Tax Liabilities, Intangible Assets Net operating loss carryforwards Deferred Tax Assets, Operating Loss Carryforwards Derivative interest Deferred Tax Assets (Liabilities), Net, Derivatives Deferred Tax Assets (Liabilities), Net, Derivatives Accrued professional liability Deferred Tax Liabilities Accrued Professional Liability Current Amount before allocation of valuation allowances of deferred tax asset attributable to deductible temporary differences from Accrued professional liability expected to be realized or consumed within one year. Accrued workers’ compensation Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Employee Compensation Tax on unrepatriated earnings Deferred Tax Liabilities, Undistributed Foreign Earnings Share-based compensation Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Share-based Compensation Cost Other Deferred Tax Assets (Liabilities), Other Assets, Noncurrent Amount before allocation of valuation allowances of deferred tax asset attributable to deductible temporary differences from other assets expected to be realized or consumed after one year. Gross deferred tax assets Deferred Tax Assets, Gross, Noncurrent Valuation allowance Deferred Tax Assets, Valuation Allowance, Noncurrent Deferred tax asset (liabilities), net, noncurrent Deferred Tax Assets, Net, Noncurrent Deferred tax assets (liabilities), net Deferred Tax Assets, Net Variable Rate [Axis] Variable Rate [Axis] Variable Rate [Domain] Variable Rate [Domain] Treasury Rate [Member] Treasury Rate [Member] Treasury Rate [Member] Convertible Senior Notes [Member] Convertible Senior Notes [Member] Convertible Senior Notes [Member] Debt Instrument, Redemption, Period [Axis] Debt Instrument, Redemption, Period [Axis] Debt Instrument, Redemption, Period [Domain] Debt Instrument, Redemption, Period [Domain] Debt Instrument, Redemption, Period One [Member] Debt Instrument, Redemption, Period One [Member] Debt Instrument, Redemption, Period Two [Member] Debt Instrument, Redemption, Period Two [Member] Debt Instrument, Redemption, Period Three [Member] Debt Instrument, Redemption, Period Three [Member] Second Lien Term Loan [Member] Second Lien Term Loan [Member] Second Lien Term Loan [Member] Lender Name [Axis] Lender Name [Axis] Line of Credit Facility, Lender [Domain] Line of Credit Facility, Lender [Domain] Standby Letters of Credit [Member] Standby Letters of Credit [Member] Swingline loans [Member] Swingline Borrowings [Member] Swingline Borrowings [Member] Debt Instrument [Axis] Debt Instrument [Axis] Debt Instrument, Name [Domain] Debt Instrument, Name [Domain] Debt Modifications [Member] Debt Modifications [Member] Debt Modifications [Member] LIBOR [Member] Libor [Member] Libor [Member] Base Rate [Member] Base Rate [Member] Write off debt issuance cost Write off of Deferred Debt Issuance Cost Debt financing costs Debt Issuance Cost Line of credit, subfacility for standby letters of credit Line Of Credit Facility Sub Limit For Letters Of Credit Line of credit, subfacility for standby letters of credit. Subfacility loans percentage up to aggregate revolver commitments Borrowing Availability As Percentage Of Commitments Subfacility for swingline loans maximum borrowing percentage of aggregate revolver commitments. Aggregate amount of advances under the line of credit (borrowing base) Line Of Credit Facility Borrowing Base Maximum line of credit facility borrowing base Line of credit facility, eligible billed accounts receivable per the loan agreement Line Of Credit Facility Borrowing Base Percentage Of Eligible Billed Accounts Receivable Line of credit facility maximum borrowing percentage of billed accounts receivable. Line of credit facility, eligible unbilled accounts receivable per the loan agreement Line Of Credit Facility Borrowing Base Percentage Of Eligible Unbilled Accounts Receivable Line of credit facility maximum borrowing percentage of unbilled accounts receivable. Line of credit facility, eligible borrowing of unbilled accounts receivable Line Of Credit Facility Borrowing Base Plus Eligible Unbilled Accounts Receivable Line of credit facility maximum eligible borrowing of unbilled accounts receivable. Interest margin Debt Instrument, Basis Spread on Variable Rate Interest rate description Line of Credit Facility, Interest Rate Description Interest rate increase Debt Instrument, Interest Rate, Increase (Decrease) Quarterly commitment fee on the average daily unused portion Line of Credit Facility, Unused Capacity, Commitment Fee Percentage Debt covenant, loan cap threshold Debt Instrument Covenant Loan Cap Threshold Minimum percentage of Loan Cap threshold required of the Company to avoid Fixed Charge Coverage Ratio financial covenant. Debt covenant, threshold Debt Instrument Covenant Threshold Minimum dollar threshold required of the Company to avoid Fixed Charge Coverage Ratio financial covenant. Debt covenant, availability threshold Debt Instrument Covenant, Availability Threshold Debt Instrument Covenant, Availability Threshold Fixed charge coverage ratio, minimum Fixed Charge Coverage Ratio Minimum The minimum permitted fixed coverage ratio required under key financial covenant defined by the credit agreement for the current fiscal year end period. Current borrowing capacity Line of Credit Facility, Current Borrowing Capacity Letters of credit outstanding Letters of Credit Outstanding, Amount Amount drawn under credit facility Long-term Line of Credit Remaining borrowing capacity Line of Credit Facility, Remaining Borrowing Capacity Debt issuance costs Unamortized discount Debt Instrument, Unamortized Discount Proceeds from debt, net Proceeds from Debt, Net of Issuance Costs Basis spread, floor Debt Instrument, Basis Spread on Variable Rate, Floor Debt Instrument, Basis Spread on Variable Rate, Floor Percent of aggregate principal Prepayment of Debt, Prepayment Premium, Percent of Aggregate Principal Prepayment of Debt, Prepayment Premium, Percent of Aggregate Principal Basis spread on discount Debt, Basis Spread on Discount Rate on Prepayment, Percentage Debt, Basis Spread on Discount Rate on Prepayment, Percentage Percent of principal redeemed Debt Instrument, Redemption Price, Percentage of Principal Amount Redeemed Mandatory prepayment in excess cash flow, percent Mandatory Prepayments As Percentage Of Excess Cash Flow Mandatory prepayment as percentage of excess cash flow as defined in the new credit agreement. Mandatory prepayments in excess of cash flow, threshold Mandatory Prepayments in Excess of Cash Flow, Threshold Mandatory Prepayments in Excess of Cash Flow, Threshold Percent of net cash proceeds of asset sales Mandatory Prepayments, Percentage of Net Cash Proceeds of Asset Sold Mandatory Prepayments, Percentage of Net Cash Proceeds of Asset Sold Percent of net cash proceeds of issuances of debt offerings Mandatory Prepayments, Percent of Cash Proceeds of Issuances of Debt Mandatory Prepayments, Percent of Cash Proceeds of Issuances of Debt Percent of net cash proceeds of equity offerings Mandatory Prepayment, Percent of Net Cash Proceeds of Equity Offering Mandatory Prepayment, Percent of Net Cash Proceeds of Equity Offering Debt/EBITDA ratio Debt To Ebitda Ratio Ratio to measure ability to pay off incurred debt. Long-term Debt Debt Instrument, Face Amount Unamortized discount, interest rate portion Debt Instrument, Unamortized Discount, Interest Rate Portion Debt Instrument, Unamortized Discount, Interest Rate Portion Unamortized discount, conversion and redemption features Debt Instrument, Unamortized Discount, Conversion and Redemption Features Debt Instrument, Unamortized Discount, Conversion and Redemption Features Number of convertible shares of common stock Debt Instrument, Convertible, Number of Equity Instruments Percent of conversion price threshold Debt Instrument, Convertible, Threshold Percentage of Stock Price Trigger Trading days threshold Debt Instrument, Convertible, Threshold Trading Days Consecutive trading days period Debt Instrument, Convertible, Threshold Consecutive Trading Days Interest rate Debt Instrument, Interest Rate, Stated Percentage Interest rate that may be paid-in-kind Debt Instrument, Interest, Percent Paid in Kind, Maximum Debt Instrument, Interest, Percent Paid in Kind, Maximum Percent of principal of Convertible Notes redeemed for required premium payment Convertible Debt Redeemed After Permissible Date, Redemption Premium, Percent of Principal Convertible Debt Redeemed after Permissible Date, Redemption Premium, Percent of Principal Percent of principal amount of Convertible Notes redeemed Convertible Debt Redeemed Before Permissible Date, Redemption Premium, Percent of Principal Convertible Debt Redeemed Before Permissible Date, Redemption Premium, Percent of Principal Basis spread on discount rate Convertible Debt, Basis Spread on Discount Rate on Redemption, Percentage Convertible Debt, Basis Spread on Discount Rate on Redemption, Percentage Statement of Comprehensive Income [Abstract] Other comprehensive income, before income taxes: Other Comprehensive Income (Loss), before Tax, Portion Attributable to Parent [Abstract] Unrealized foreign currency translation gain (loss) Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, before Tax, Portion Attributable to Parent Reclassification of currency translation adjustments related to sale of clinical trial services business (See Note 2 - Summary of Significant Accounting Policies) Write-down of marketable securities Other Comprehensive (Income) Loss, Reclassification Adjustment from AOCI for Write-down of Securities, before Tax Net change in fair value of marketable securities Other Comprehensive Income (Loss), Available-for-sale Securities Adjustment, before Tax, Portion Attributable to Parent Other comprehensive income, before income taxes Other Comprehensive Income (Loss), before Tax, Portion Attributable to Parent Other comprehensive (loss) income, net of tax Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent Consolidated comprehensive loss Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest Less: Net income attributable to noncontrolling interest in subsidiary Net Income (Loss) Attributable to Noncontrolling Interest Consolidated comprehensive loss Comprehensive Income (Loss), Net of Tax, Attributable to Parent Fair Value Measurements Fair Value Disclosures [Text Block] Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table] Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table] Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward] Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward] Share options outstanding at beginning of year Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number Granted (in shares) Exercised (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period Forfeited/expired (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Forfeitures in Period Share options outstanding at end of year Share options exercisable at end of year Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Number Share options unvested at end of year Share-based Compensation Arrangement by Share-based Payment Award, Options, Nonvested, Number of Shares Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract] Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract] Share options outstanding at beginning of year, weighted average exercise price (usd per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price Granted, weighted average exercise price (usd per share) Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price Exercised, weighted average exercise price (usd per share) Share-based Compensation Arrangements by Share-based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price Forfeited/expired, weighted average exercise price (usd per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Forfeitures and Expirations in Period, Weighted Average Exercise Price Share options outstanding at end of year, weighted average exercise price (usd per share) Share options exercisable at end of year, weighted average exercise price (usd per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Exercise Price Share options unvested at end of year, weighted average exercise price (usd per share) Share Based Compensation Arrangement By Share Based Payment Award Nonvested Options Outstanding Weighted Average Exercise Price The weighted-average exercise price as of the balance sheet date for unvested share options. Share options outstanding at end of year, weighted-average remaining contractual life (in years) Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term Share options exercisable at end of year, weighted-average remaining contractual life (in years) Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term Share options unvested at end of year, weighted-average remaining contractual life (in years) Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Weighted Average Remaining Contractual Term Weighted average remaining contractual term for shares options unvested , in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. Share options outstanding at end of year Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Intrinsic Value Share options exercisable at end of year Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Intrinsic Value Share options unvested at end of year Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Aggregate Intrinsic Value Amount of difference between fair value of the underlying shares reserved for issuance and exercise price of unvested portions of options. Long-term Debt Schedule of Debt [Table Text Block] Aggregate Scheduled Maturities of Debt Schedule of Maturities of Long-term Debt [Table Text Block] Employee Benefit Plans Pension and Other Postretirement Benefits Disclosure [Text Block] Document Documentand Entity Information [Abstract] Document Documentand Entity Information [Abstract] Document Type Document Type Amendment Flag Amendment Flag Document Period End Date Document Period End Date Document Fiscal Year Focus Document Fiscal Year Focus Document Fiscal Period Focus Document Fiscal Period Focus Trading Symbol Trading Symbol Entity Registrant Name Entity Registrant Name Entity Central Index Key Entity Central Index Key Current Fiscal Year End Date Current Fiscal Year End Date Entity Well-known Seasoned Issuer Entity Well-known Seasoned Issuer Entity Current Reporting Status Entity Current Reporting Status Entity Voluntary Filers Entity Voluntary Filers Entity Filer Category Entity Filer Category Entity Common Stock, Shares Outstanding Entity Common Stock, Shares Outstanding Entity Public Float Entity Public Float United States Income (Loss) from Continuing Operations before Income Taxes, Domestic Foreign Income (Loss) from Continuing Operations before Income Taxes, Foreign Loss from continuing operations before income taxes Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Extraordinary Items, Noncontrolling Interest Revenue Disposal Group, Including Discontinued Operation, Revenue Income (loss) from discontinued operations before gain on sale and income taxes Discontinued Operation, Income (Loss) from Discontinued Operation During Phase-out Period, before Income Tax Gain on sale of discontinued operations Discontinued Operation, Gain (Loss) from Disposal of Discontinued Operation, before Income Tax Income tax (expense) benefit Income (loss) from discontinued operations, net of income taxes Income (Loss) from Discontinued Operations, Net of Tax, Attributable to Parent Revenues and Components of Discontinued Operations, Net of Tax Schedule of Disposal Groups, Including Discontinued Operations, Income Statement, Balance Sheet and Additional Disclosures [Table Text Block] Fair Value Measurements, Recurring and Nonrecurring, Valuation Techniques Fair Value Measurements, Recurring and Nonrecurring, Valuation Techniques [Table Text Block] Revolver credit facility, interest rate Line of Credit Facility, Interest Rate at Period End Acquired Intangible Assets Schedule of Intangible Assets and Goodwill [Table Text Block] Estimated Annual Amortization Expense Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block] Changes in Carrying Amount of Goodwill by Segment Schedule of Goodwill [Table Text Block] Fair Value, Option, Quantitative Disclosures [Table] Fair Value, Option, Quantitative Disclosures [Table] First Lien Term Loan [Member] First Lien Term Loan [Member] First Lien Term Loan [Member] Fair Value Hierarchy [Domain] Fair Value, Inputs, Level 2 [Member] Fair Value, Inputs, Level 2 [Member] Measurement Basis [Axis] Measurement Basis [Axis] Fair Value Measurement [Domain] Fair Value Measurement [Domain] Portion at Fair Value Measurement [Member] Portion at Fair Value Measurement [Member] Reported Value Measurement [Member] Reported Value Measurement [Member] Estimate of Fair Value Measurement [Member] Estimate of Fair Value Measurement [Member] Fair Value, Option, Quantitative Disclosures [Line Items] Fair Value, Option, Quantitative Disclosures [Line Items] Fair value Embedded Derivative Liability [Member] Embedded Derivative Liability [Member] Embedded Derivative Liability [Member] Closing share price Share Price Conversion price Fair Value Assumptions, Exercise Price Risk free rate Fair Value Assumptions, Risk Free Interest Rate Expected volatility Fair Value Assumptions, Expected Volatility Rate Dividend yield Fair Value Assumptions, Expected Dividend Rate Expected life Fair Value Assumptions, Expected Term Change in stock price (usd per share) Fair Value Inputs, Sensitivity Analysis, Change in Stock Price Fair Value Inputs, Sensitivity Analysis, Change in Stock Price Change in valuation of embedded derivative liability due to dollar change in stock price Embedded Derivative, Fair Value Of Embedded Derivative Liability, Change In Valuation Due To Dollar Increase (Decrease) In Stock Price Embedded Derivative, Fair Value Of Embedded Derivative Liability, Change In Valuation Due To Dollar Increase (Decrease) In Stock Price Change in interest rates (as a percentage) Fair Value Inputs, Sensitivity Analysis, Change in Interest Rates Fair Value Inputs, Sensitivity Analysis, Change in Interest Rates Change in valuation of embedded derivative liability due to percentage change in interest rates Embedded Derivative, Fair Value Of Embedded Derivative Liability, Change In Valuation Due To Dollar Increase (Decrease) In Interest Rates Embedded Derivative, Fair Value Of Embedded Derivative Liability, Change In Valuation Due To Dollar Increase (Decrease) In Interest Rates Stockholders' Equity Shareholders' Equity and Share-based Payments [Text Block] Segment Information Segment Reporting Disclosure [Text Block] Cash acquired Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents Accounts receivable, net Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables Other current assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Other Property and equipment Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment Other assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets Total assets acquired Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets Accounts payable Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable Accrued employee compensation and benefits Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities, Accrued Employee Compensation and Benefits Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities, Accrued Employee Compensation and Benefits Other liabilities Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Other Total liabilities assumed Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities Net assets acquired Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest Net assets acquired Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net Schedule of Related Party Transactions, by Related Party [Table] Schedule of Related Party Transactions, by Related Party [Table] Related Party [Axis] Related Party [Axis] Related Party [Domain] Related Party [Domain] InteliStaf [Member] Corporate Joint Venture [Member] Related Party Transaction [Axis] Related Party Transaction [Axis] Related Party Transaction [Domain] Related Party Transaction [Domain] Related Party Transaction [Line Items] Related Party Transaction [Line Items] Revenue from related parties Revenue from Related Parties Account receivable due from related parties Accounts Receivable, Related Parties Percent ownership in joint venture Joint Venture, Percent Ownership Joint Venture, Percent Ownership Receivable balance with joint venture Due from Joint Ventures, Current Payable balance with joint venture Due to Related Parties, Current Award Type [Axis] Award Type [Axis] Award Type [Domain] Equity Award [Domain] Restricted Stock [Member] Restricted Stock [Member] Performance Shares [Member] Performance Shares [Member] Number of Shares Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward] Unvested restricted stock awards, beginning balance Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number Granted (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period Vested (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period Forfeited (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Forfeited in Period Unvested restricted stock awards, ending balance Weighted average grant date fair value Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract] Unvested restricted stock awards, beginning balance Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value Granted (usd per share) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value Vested (usd per share) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value Forfeited (usd per share) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Forfeitures, Weighted Average Grant Date Fair Value Unvested restricted stock awards, ending balance Goodwill balances Goodwill [Roll Forward] Aggregate goodwill acquired Goodwill, Gross Accumulated impairment loss Goodwill, Impaired, Accumulated Impairment Loss Goodwill, net of impairment loss Changes to aggregate goodwill in 2014 Goodwill, Translation and Purchase Accounting Adjustments [Abstract] Goodwill acquired Goodwill, Acquired During Period Balance at January 1 Unrecognized Tax Benefits Additions based on tax positions related to the current year Unrecognized Tax Benefits, Increase Resulting from Current Period Tax Positions Additions based on tax positions related to prior years Unrecognized Tax Benefits, Increase Resulting from Prior Period Tax Positions Reductions based on settlements of tax positions related to the prior year Unrecognized Tax Benefits, Decrease Resulting from Prior Period Tax Positions Reductions for tax positions as a result of a lapse of the applicable statute of limitations Unrecognized Tax Benefits, Reduction Resulting from Lapse of Applicable Statute of Limitations Other Unrecognized Tax Benefits Increases Decreases Resulting From Other Deductions The gross amount of increases ( decreases) in unrecognized tax benefits resulting from other items. Balance at December 31 Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation [Table] Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation [Table] Derivative Financial Instruments, Liabilities [Member] Derivative Financial Instruments, Liabilities [Member] Asset Class [Axis] Asset Class [Axis] Asset Class [Domain] Asset Class [Domain] Escrow Receivable [Member] Escrow Receivable [Member] Escrow Receivable [Member] Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] Escrow Receivable Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward] Beginning balance Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset Value Additions Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Issuances Settlements Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Settlements Valuation loss for the period Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Gain (Loss) Included in Earnings Ending balance Convertible Notes Derivative Liability Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward] Beginning balance Fair Value, Measurement with Unobservable Inputs Reconciliations, Recurring Basis, Liability Value Additions Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Issuances Settlements Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements Valuation loss for the period Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings Ending balance Embedded derivative Embedded Derivative, Fair Value of Embedded Derivative Liability Change in fair value of convertible note derivatives liability Future Minimum Lease Payments Schedule of Future Minimum Rental Payments for Operating Leases [Table Text Block] Loss from continuing operations including portion attributable to noncontrolling interest Income (Loss) from Continuing Operations, Including Portion Attributable to Noncontrolling Interest Less: Income attributable to noncontrolling interest in subsidiary Income (Loss) from Continuing Operations Attributable to Noncontrolling Interest Loss from continuing operations attributable to common shareholders Income (Loss) from Continuing Operations Attributable to Parent Income (loss) from discontinued operations, net of income taxes Income (Loss) from Discontinued Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest Net loss attributable to common shareholders Net Income (Loss) Attributable to Parent Basic (loss) income per share attributable to common shareholders Earnings Per Share, Basic [Abstract] Continuing operations (usd per share) Income (Loss) from Continuing Operations, Per Basic Share Discontinued operations (usd per share) Income (Loss) from Discontinued Operations and Disposal of Discontinued Operations, Net of Tax, Per Basic Share Net (loss) income (usd per share) Earnings Per Share, Basic Diluted (loss) income per share attributable to common shareholders Earnings Per Share, Diluted [Abstract] Continuing operations (usd per share) Income (Loss) from Continuing Operations, Per Diluted Share Discontinued operations (usd per share) Income (Loss) from Discontinued Operations and Disposal of Discontinued Operations, Net of Tax, Per Diluted Share Net (loss) income (usd per share) Earnings Per Share, Diluted Weighted-average number of shares outstanding-basic (shares) Weighted Average Number of Shares Outstanding, Basic Plus dilutive equity awards Weighted Average Number Diluted Shares Outstanding Adjustment Weighted-average number of shares outstanding-diluted (shares) Weighted Average Number of Shares Outstanding, Diluted Balance Sheet Details Condensed Balance Sheet [Table Text Block] 2015 Operating Leases, Future Minimum Payments Due, Next Twelve Months 2016 Operating Leases, Future Minimum Payments, Due in Two Years 2017 Operating Leases, Future Minimum Payments, Due in Three Years 2018 Operating Leases, Future Minimum Payments, Due in Four Years 2019 Operating Leases, Future Minimum Payments, Due in Five Years Thereafter Operating Leases, Future Minimum Payments, Due Thereafter Operating Leases, Future Minimum Payments Due, Total Operating Leases, Future Minimum Payments Due Income Statement [Abstract] Revenue from services Operating expenses: Operating Expenses [Abstract] Direct operating expenses Cost of Services Selling, general and administrative expenses Selling, General and Administrative Expense Bad debt expense Provision for Doubtful Accounts Total operating expenses Costs and Expenses Loss from operations Other expenses (income): Nonoperating Income (Expense) [Abstract] Foreign exchange loss (gain) Foreign Currency Transaction Gain (Loss), before Tax Interest expense Interest Expense Other (income) expense, net Other Nonoperating Income (Expense) Income tax expense (benefit) Loss from continuing operations Consolidated net loss Basic (loss) income per share attributable to common shareholders Diluted (loss) income per share attributable to common shareholders Weighted average common shares outstanding—basic (shares) Weighted average common shares outstanding—diluted (shares) Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block] Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block] Business Acquisition, Pro Forma Information Business Acquisition, Pro Forma Information [Table Text Block] Plan Name [Axis] Plan Name [Axis] Plan Name [Domain] Plan Name [Domain] 2014 Omnibus Incentive Plan [Member] 2014 Omnibus Incentive Plan [Member] 2014 Omnibus Incentive Plan [Member] 2007 Stock Incentive Plan [Member] Incentive Compensation Plan 2007 [Member] Incentive Compensation Plan 2007 [Member] The 1999 Plan [Member] Stock Option And Equity Participation Plan 1999 [Member] Stock Option and Equity Participation Plan 1999 [Member] Stock Appreciation Rights (SARs) [Member] Stock Appreciation Rights (SARs) [Member] Title of Individual [Axis] Title of Individual [Axis] Title of Individual with Relationship to Entity [Domain] Relationship to Entity [Domain] Ten Percent Or More Stockholders [Member] Ten Percent Or More Stockholders [Member] Ten Percent Or More Stockholders [Member] Common stock authorized for stock repurchase program Stock Repurchase Program, Number of Shares Authorized to be Repurchased Stock repurchase and retirement (in shares) Stock Repurchased and Retired During Period, Shares Shares repurchased, average price per share (usd per share) Treasury Stock Acquired, Average Cost Per Share Stock repurchase and retirement Stock Repurchased and Retired During Period, Value Common stock left remaining to repurchase under the plan (in shares) Stock Repurchase Program, Remaining Number of Shares Authorized to be Repurchased Aggregate stock repurchase amount Stock Repurchase Program, Authorized Amount Aggregate number of common stock shares authorized for issuance Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized Exercise price of the fair market value of common stock Share-based Compensation Arrangement by Share-based Payment Award, Purchase Price of Common Stock, Percent Stock expiration period Share Based Compensation Arrangement By Share Based Payment Award Options Expiration Period Share based compensation arrangement by share based payment award options expiration period. Pretax of total unrecognized compensation cost related to non-vested restricted stock awards Employee Service Share-based Compensation, Nonvested Awards, Compensation Not yet Recognized, Share-based Awards Other than Options Pretax total unrecognized compensation cost related to share options- period Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition Fair value of shares vested Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Fair Value Pretax total unrecognized compensation cost related to share options Employee Service Share-based Compensation, Nonvested Awards, Compensation Not yet Recognized, Stock Options Stock vesting percentage per year Share Based Compensation Arrangement By Share Based Payment Award Percentage Of Shares Vested Share based compensation arrangement by share based payment award stock award and option vesting rate per year. Stock vesting period Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period Shares options outstanding vested or expected to vest Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Number Shares options outstanding vested or expected to vest -weighted average exercise price Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Exercisable, Weighted Average Exercise Price Shares options outstanding vested or expected to vest ,intrinsic value Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Aggregate Intrinsic Value Shares options outstanding vested or expected to vest -weighted average contractual life Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Weighted Average Remaining Contractual Term Registration of common stock held by three existing shareholders Shelf Registration Shares Registration on Form S-3 with the SEC of common stock shares held by existing shareholders for secondary public offering. Public offering shares Stock Issued During Period, Shares, New Issues Organization, Consolidation and Presentation of Financial Statements [Abstract] Organization and Basis of Presentation Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block] Valuation and Qualifying Accounts Disclosure [Table] Valuation and Qualifying Accounts Disclosure [Table] Valuation Allowances and Reserves Type [Axis] Valuation Allowances and Reserves Type [Axis] Valuation Allowances and Reserves [Domain] Valuation Allowances and Reserves [Domain] Allowance for Doubtful Accounts [Member] Allowance for Doubtful Accounts [Member] Valuation Allowance of Deferred Tax Assets [Member] Valuation Allowance of Deferred Tax Assets [Member] Valuation and Qualifying Accounts Disclosure [Line Items] Valuation and Qualifying Accounts Disclosure [Line Items] Balance at Beginning of Period Valuation Allowances and Reserves, Balance Charged to Costs and Expenses Valuation Allowances and Reserves, Charged to Cost and Expense Write-offs Valuation Allowances and Reserves, Deductions Recoveries Valuation Allowances and Reserves, Recoveries Other Changes Valuation Allowances and Reserves, Adjustments Balance at End of Period Summary of Significant Accounting Policies Significant Accounting Policies [Text Block] Threshold period, past due for payment of services provided (in days) Threshold Period, Past Due for Payment of Services Provided Threshold Period, Past Due for Payment of Services Provided Convertible Note Derivative Liability [Member] Convertible Note Derivative Liability [Member] Convertible Note Derivative Liability [Member] Debt Capital lease obligations Capital Lease Obligations And Other Carrying value of capital lease obligations and note payable as of the balance sheet date. Total debt Debt and Capital Lease Obligations Less current portion Commitments and Contingencies Commitments and Contingencies Disclosure [Text Block] Income Tax Contingency [Table] Income Tax Contingency [Table] Scenario [Axis] Scenario [Axis] Scenario, Unspecified [Domain] Scenario, Unspecified [Domain] Prior Period Adjustment [Member] Restatement Adjustment [Member] Indefinite-lived Intangible Assets [Member] Indefinite-lived Intangible Assets [Member] Income Tax Authority [Axis] Income Tax Authority [Axis] Income Tax Authority [Domain] Income Tax Authority [Domain] United States Tax Authority [Member] Domestic Tax Authority [Member] India [Member] Foreign Tax Authority [Member] Income Tax Contingency [Line Items] Income Tax Contingency [Line Items] Deferred tax liabilities relating to indefinite lived intangible assets Valuation allowance Deferred Tax Assets, Valuation Allowance Federal, state and foreign net operating loss carryforwards Operating Loss Carryforwards Change in valuation allowance Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount Out-or-period adjustment, decrease in net loss per diluted share (usd per share) Prior Period Adjustment, Decrease in Loss Per Share, Diluted Prior Period Adjustment, Decrease in Loss Per Share, Diluted Deferred liabilities on undistributed foreign earnings Undistributed foreign earnings Undistributed Earnings of Foreign Subsidiaries Repatriated amount of foreign earnings Repatriation Of Foreign Earnings Amount Repatriated amount of foreign earnings. Unrecognized tax benefits Unrecognized tax benefits, which would affect the effective tax rate Unrecognized Tax Benefits that Would Impact Effective Tax Rate Gross increases in current year unrecognized tax Unrecognized Tax Benefits Period Gross Increases The gross amount of increases in unrecognized tax benefits related to federal and state tax issues. Gross decreases in current year unrecognized tax related to prior year uncertain positions and the closure of tax years Unrecognized Tax Benefits Period Gross Decreases The gross amount of decreases in unrecognized tax benefits related to settlement of certain state issue and the closure of open tax years. Recognized interest and penalties Income Tax Examination, Penalties and Interest Expense Unrecognized tax benefit accrued interest and penalties Unrecognized Tax Benefits, Income Tax Penalties and Interest Accrued Statement of Stockholders' Equity [Abstract] Statement [Table] Statement [Table] Equity Components [Axis] Equity Components [Axis] Equity Component [Domain] Equity Component [Domain] Common Stock Common Stock [Member] Additional Paid-In Capital Additional Paid-in Capital [Member] Accumulated Other Comprehensive Income (Loss) Accumulated Other Comprehensive Income (Loss) [Member] Retained Earnings Retained Earnings [Member] Noncontrolling Interest [Member] Noncontrolling Interest [Member] Statement [Line Items] Statement [Line Items] Increase (Decrease) in Stockholders' Equity [Roll Forward] Increase (Decrease) in Stockholders' Equity [Roll Forward] Beginning Balance (in shares) Shares, Outstanding Beginning Balance Exercise of stock options (in shares) Vesting of restricted stock (in shares) Stock Issued During Period, Shares, Restricted Stock Award, Net of Forfeitures Vesting of restricted stock Stock Issued During Period, Value, Restricted Stock Award, Net of Forfeitures Tax deficit of share-based compensation Adjustment to Additional Paid in Capital, Income Tax Effect from Share-based Compensation, Net Equity compensation Adjustments to Additional Paid in Capital, Share-based Compensation, Requisite Service Period Recognition Stock repurchase and retirement (in shares) Stock repurchase and retirement Foreign currency translation adjustment, net of deferred taxes Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax Net change in fair value of marketable securities Other Comprehensive Income (Loss), Available-for-sale Securities Adjustment, Net of Tax, Portion Attributable to Parent Acquisition of InteliStaf of Oklahoma, LLC Noncontrolling Interest, Increase from Business Combination Distribution to noncontrolling shareholder Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders Ending Balance (in shares) Ending Balance Information on Operating Segments and Reconciliation to Income From Operations Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table Text Block] Discontinued Operations Disposal Groups, Including Discontinued Operations, Disclosure [Text Block] Goodwill and Other Identifiable Intangible Assets Goodwill and Intangible Assets Disclosure [Text Block] Gross profit Gross Profit Income (loss) from discontinued operations, net of tax Discontinuing operations (usd per share) Net (loss) income (usd per share) Discontinuing operations (usd per share) Net (loss) income (usd per share) Net increase (decrease) in favor value of embedded derivative Embedded Derivative, Gain (Loss) on Embedded Derivative, Net Gain on sale of discontinued operations, net of tax Discontinued Operation, Gain (Loss) on Disposal of Discontinued Operation, Net of Tax Change in valuation allowance