Note payable, number of payment installments
Note Payable, Number Of Payment Installments
Note Payable, Number Of Payment Installments
2021 Term Loan Credit Agreement, Aggregate Amount of all Increases
2021 Term Loan Credit Agreement, Aggregate Amount Of All Possible Increases [Member]
2021 Term Loan Credit Agreement, Aggregate Amount Of All Possible Increases
Trade names, indefinite-lived
Trade names, indefinite-lived
Indefinite-Lived Trade Names
Supplemental disclosure of cash flow information:
Supplemental Cash Flow Information [Abstract]
Earnings Per Share
Earnings Per Share, Policy [Policy Text Block]
Vested (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period
State
Current State and Local Tax Expense (Benefit)
Business performance, term
Business Combination, Contingent Consideration, Term
Business Combination, Contingent Consideration, Term
Fair Value, Measurements, Fair Value Hierarchy [Domain]
Fair Value Hierarchy and NAV [Domain]
Fair Value Hierarchy and NAV [Domain]
Leasehold improvements
Leasehold Improvements [Member]
Net income (loss) attributable to common stockholders
Net income attributable to common stockholders
Net Income (Loss) Attributable to Parent
Accounts Receivable, Allowance for Doubtful Accounts, and Concentration of Credit Risk
Receivable [Policy Text Block]
Earnout performance criterion, conversion to note payable
Business Combination, Contingent Consideration Arrangements, Performance Criterion, Conversion To Debt
Business Combination, Contingent Consideration Arrangements, Performance Criterion, Conversion To Debt
Earnout liability
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability
Operating lease right-of-use assets
Operating Lease, Right-of-Use Asset
Net operating loss carryforwards
Deferred Tax Assets, Operating Loss Carryforwards
Restructuring Costs
Costs Associated with Exit or Disposal Activities or Restructurings, Policy [Policy Text Block]
Accrued compensation and benefits
Accrued compensation and benefits
Employee-related Liabilities, Current
Accumulated Amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Associated acquisition related costs
Business Combination, Acquisition Related Costs
Statistical Measurement [Domain]
Statistical Measurement [Domain]
Schedule of Maturities of Long-term Debt
Schedule of Maturities of Long-term Debt [Table Text Block]
Deferred compensation liability
Deferred Compensation [Member]
Deferred Compensation [Member]
Security Exchange Name
Security Exchange Name
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Quarterly Financial Information Disclosure [Abstract]
Quarterly Financial Information Disclosure [Abstract]
Income tax effect related to unrealized foreign currency translation (loss) gain
Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Tax
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
MDA Holdings Inc
M D A Holdings Inc [Member]
MDA Holdings Inc [Member]
Revenue from Contract with Customer [Abstract]
Revenue from Contract with Customer [Abstract]
Payment for contingent liability
Payment for Contingent Consideration Liability, Financing Activities
Additional paid-in capital
Additional Paid in Capital, Common Stock
Restructuring Type [Axis]
Restructuring Type [Axis]
Performance shares, attainment level certification period
Performance Shares, Attainment Level Certification Period
Performance Shares, Attainment Level Certification Period
Weighted-average remaining lease term
Operating Lease, Weighted Average Remaining Lease Term
Other non-current assets
Other non-current assets
Other Assets, Noncurrent
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]
Impaired Long-Lived Assets Held and Used by Type [Axis]
Impaired Long-Lived Assets Held and Used by Type [Axis]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Segments [Axis]
Segments [Axis]
Derivative Financial Instruments
Derivatives, Policy [Policy Text Block]
Retirement Benefits [Abstract]
Retirement Benefits [Abstract]
Change in cash and cash equivalents
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Selected, Inc
Selected, Inc [Member]
Selected, Inc
Noncontrolling interest
Effective Income Tax Rate Reconciliation, Noncontrolling Interest Income (Loss), Amount
Entity File Number
Entity File Number
2023
Long-Term Debt, Maturity, Year Two
Equity compensation
APIC, Share-based Payment Arrangement, Increase for Cost Recognition
Indefinite-lived intangibles
Deferred Tax Liabilities, Intangible Assets
Total intrinsic value of options exercised
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Intrinsic Value
Officers' compensation
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Officer Compensation
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Officer Compensation
Swingline Sublimit
Swing Loans Sublimit [Member]
Swing Loans Sublimit [Member]
Type and Tier Identifier [Domain]
Type and Tier Identifier [Domain]
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Accrual for bonuses and commissions
Accrued Bonuses, Current
Lessee, Lease, Description [Line Items]
Lessee, Lease, Description [Line Items]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Legal settlement charges
Litigation Settlement, Expense
Amortization of assets
Amortization of Intangible Assets
Weighted average useful life of assets acquired
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life
Additions based on tax positions related to prior years
Unrecognized Tax Benefits, Increase Resulting from Prior Period Tax Positions
Accelerated amortization resulting from the changes in the estimated remaining life of the trade name (in dollars per share)
Impact Of Accelerated Amortization On Earnings Per Share
Impact Of Accelerated Amortization On Earnings Per Share
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.
Variable and other lease costs
Variable Lease, Cost
Net deferred taxes
Deferred Tax Assets, Net
Accrued workers’ compensation claims
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Employee Benefits
Antidilutive securities (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Weighted average discount rate
Operating Lease, Weighted Average Discount Rate, Percent
Total assets acquired
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets Acquired Including Goodwill
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets Acquired Including Goodwill
Liability Class [Axis]
Liability Class [Axis]
Deferred tax assets
Deferred Tax Assets, Net of Valuation Allowance
Business Combination and Asset Acquisition [Abstract]
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
Fair value of shares vested
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Fair Value
Business Acquisition [Axis]
Business Acquisition [Axis]
Cash Flow Hedging
Cash Flow Hedging [Member]
Title of Individual [Domain]
Title of Individual [Domain]
Accrued professional liability claims
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Other
Award Type [Domain]
Award Type [Domain]
Note payable, number of installments paid
Note Payable, Number Of Installments Paid
Note Payable, Number Of Installments Paid
Long-term note payable
Notes Payable, Noncurrent
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table]
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table]
Local Phone Number
Local Phone Number
Credit Facility [Domain]
Credit Facility [Domain]
Assets
Assets [Abstract]
Related Party Transactions [Abstract]
Related Party Transactions [Abstract]
Direct operating expenses
Direct Operating Costs
2024
Long-Term Debt, Maturity, Year Three
Accumulated impairment loss, beginning of period
Accumulated impairment loss, end of period
Goodwill, Impaired, Accumulated Impairment Loss
Legal fees to be recovered
Legal Fees To Be Recovered
Legal Fees To Be Recovered
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.
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.
Granted (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period
Workforce Solutions Group, Inc.
Workforce Solutions Group, Inc. [Member]
Workforce Solutions Group, Inc.
Goodwill, Trade Names, and Other Intangible Assets
Goodwill and Intangible Assets Disclosure [Text Block]
Concentration risk percentage
Concentration Risk, Percentage
Right-of-use assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Right-Of-Use Assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Right-Of-Use Assets
Property and Equipment
Property, Plant and Equipment, Policy [Policy Text Block]
Distribution to noncontrolling shareholder
Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders
Corporate overhead
Segment Reporting Unallocated Corporate Expenses
Segment Reporting Unallocated Corporate Expenses
Mediscan
Mediscan [Member]
Mediscan [Member]
Trade names
Trade Names
Trade Names [Member]
Accumulated Deficit
Retained Earnings [Member]
Debt Instrument [Axis]
Debt Instrument [Axis]
Debt instrument
Debt Instrument, Fair Value Disclosure
Advertising
Advertising Cost [Policy Text Block]
Contingencies
Commitments and Contingencies Disclosure [Text Block]
Derivative
Derivatives and Fair Value [Text Block]
Payments for previous acquisition
Payments for Previous Acquisition
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Escrow disbursed to pay taxes
Business Combination, Escrow Disbursed To Pay Taxes
Business Combination, Escrow Disbursed To Pay Taxes
Maximum annual repurchase amount
Stock Repurchase Program, Maximum Annual Authorized Amount
Stock Repurchase Program, Maximum Annual Authorized Amount
Related Party [Axis]
Related Party [Axis]
Goodwill and Intangible Assets Disclosure [Line Items]
Goodwill And Intangible Assets Disclosure [Line Items]
Goodwill and Intangible Assets Disclosure [Line Items]
Advantage
Advantage RN, LLC [Member]
Advantage RN, LLC [Member]
Senior Secured Asset-Based Loan, Supplemental Activities Lending
Senior Secured Asset-Based Loan, Supplemental Activities Lending [Member]
Senior Secured Asset-Based Loan, Supplemental Activities Lending [Member]
Significant Accounting Policies [Table]
Significant Accounting Policies [Table]
Significant Accounting Policies [Table]
Term Loan
Secured Debt [Member]
Accounts receivable
Increase (Decrease) in Accounts Receivable
Right-of-use assets acquired under operating lease
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability
Schedule of Significant Components of Deferred Tax Assets and Liabilities
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Common stock left remaining to repurchase under the plan (in shares)
Stock Repurchase Program, Remaining Number of Shares Authorized to be Repurchased
Property, Plant and Equipment [Line Items]
Property, Plant and Equipment [Line Items]
Entity Well-known Seasoned Issuer
Entity Well-known Seasoned Issuer
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Comprehensive income (loss)
Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Contribution income
Operating Income Loss Before D And A Acquisition And Integration Contingent Consideration Restructuring Legal Impairment And Corporate Overheard
Operating Income Loss Before D And A Acquisition And Integration Contingent Consideration Restructuring Legal Impairment And Corporate Overheard
Other comprehensive income (loss), before income tax
Other Comprehensive Income (Loss), before Tax
Number of operating segments
Number of Operating Segments
Remaining borrowing capacity
Line of Credit Facility, Remaining Borrowing Capacity
Derivative fixed interest rate
Derivative, Fixed Interest Rate
Net income (loss) per share attributable to common stockholders - Basic (usd per share)
Net income (loss) per share attributable to common stockholders - Basic (usd per share)
Net (loss) income per share attributable to common stockholders - Basic (usd per share)
Earnings Per Share, Basic
Current portion of earnout liability
Business Combination, Contingent Consideration, Liability, Current
Indefinite-lived Intangible Assets, Major Class Name [Domain]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
2024
Lessee, Operating Lease, Liability, to be Paid, Year Three
Balance Sheet Details
Condensed Balance Sheet [Table Text Block]
Revenue Recognition
Revenue from Contract with Customer [Text Block]
Assumed Additional Contingent Purchase Price Liabilities
Assumed Additional Contingent Purchase Price Liabilities [Member]
Assumed Additional Contingent Purchase Price Liabilities [Member]
Thereafter
Finite-Lived Intangible Asset, Expected Amortization, after Year Five
Unvested restricted stock awards, beginning balance (in shares)
Unvested restricted stock awards, ending balance (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number
Allowances for Accounts Receivable
SEC Schedule, 12-09, Allowance, Credit Loss [Member]
SEC Schedule, 12-09, Valuation Allowances and Reserves Type [Axis]
SEC Schedule, 12-09, Valuation Allowances and Reserves Type [Axis]
2022
Long-Term Debt, Maturity, Year One
Prepaid expenses
Prepaid Expense, Current
Schedule of Disaggregation of Revenue
Disaggregation of Revenue [Table Text Block]
2026
Long-Term Debt, Maturity, Year Five
Number of Shares
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Fair Value Measurement [Domain]
Fair Value Measurement [Domain]
Schedule II - Valuation and Qualifying Accounts
SEC Schedule, 12-09, Schedule of Valuation and Qualifying Accounts Disclosure [Text Block]
Other intangible assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles
Credit carryforwards
Deferred Tax Assets, Tax Credit Carryforwards
Supplemental Balance Sheet Information
Assets And Liabilities, Leases [Table Text Block]
Assets And Liabilities, Leases [Table Text Block]
Net deferred taxes
Deferred Tax Liabilities, Net
Cash paid for amounts included in the measurement of operating lease liabilities
Operating Lease, Payments
Other non-cash costs
Other Noncash Income (Expense)
Depreciation
Deferred Tax Liabilities, Property, Plant and Equipment
Unrealized loss on interest rate contracts
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax
Deferred compensation assets
Deferred Compensation Plan Assets
Threshold period, past due for payment of services provided
Threshold Period, Past Due for Payment of Services Provided
Threshold Period, Past Due for Payment of Services Provided
Long-term accrued claims:
Liability for Claims and Claims Adjustment Expense [Abstract]
Bad debt expense
Accounts Receivable, Credit Loss Expense (Reversal)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Table]
Disposal Groups, Including Discontinued Operations [Table]
Amended And Restated Credit Agreement
Amended And Restated Credit Agreement [Member]
Amended And Restated Credit Agreement [Member]
Total debt
Total debt
Long-term Debt, Gross
Goodwill balances
Goodwill [Roll Forward]
Earnout Notes Payable
Earnout Notes Payable [Member]
Earnout Notes Payable
Entity Voluntary Filers
Entity Voluntary Filers
Other Changes
SEC Schedule, 12-09, Valuation Allowances and Reserves, Increase (Decrease) Adjustment
Fair Value, Option, Quantitative Disclosures [Line Items]
Fair Value, Option, Quantitative Disclosures [Line Items]
Proceeds from term loan
Proceeds from Issuance of Secured Debt
Plan Name [Axis]
Plan Name [Axis]
Finance lease right-of-use assets
Finance Lease, Right-of-Use Asset, after Accumulated Amortization
Deferred compensation asset
Assets, Fair Value Disclosure
Level 1
Fair Value, Inputs, Level 1 [Member]
Cash flows from investing activities
Net Cash Provided by (Used in) Investing Activities [Abstract]
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]
Insurance recovery for professional liability claims
Insurance Receivable for Malpractice, Current
Impairment charges for goodwill
Goodwill, Impairment Loss
Fair Value by Liability Class [Domain]
Fair Value by Liability Class [Domain]
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Abstract]
State taxes, net of federal benefit
Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Amount
Entity Small Business
Entity Small Business
Base Rate
Base Rate [Member]
Recognition of earnout payment liability
Amount Determined For Earnout Payment Related To Prior Year
Amount Determined For Earnout Payment Related To Prior Year
Additions based on tax positions related to the current year
Unrecognized Tax Benefits, Increase Resulting from Current Period Tax Positions
Total liabilities and stockholders' equity
Liabilities and Equity
Net change in hedging transaction, net of taxes
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax
Non-compete agreements
Noncompete Agreements [Member]
Service
Service [Member]
Term Loan Agreement
Term Loan Agreement [Member]
Term Loan Agreement
Lessee, Lease, Description [Table]
Lessee, Lease, Description [Table]
Impairment of intangibles indefinite lived
Impairment of Intangible Assets, Indefinite-lived (Excluding Goodwill)
Liabilities and Stockholders' Equity
Liabilities and Equity [Abstract]
Unrecognized tax benefits, which would affect the effective tax rate
Unrecognized Tax Benefits that Would Impact Effective Tax Rate
Derivative [Line Items]
Derivative [Line Items]
Hedging Relationship [Domain]
Hedging Relationship [Domain]
Interest Rate Swap
Interest Rate Swap [Member]
Restructuring Reserve [Roll Forward]
Restructuring Reserve [Roll Forward]
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Table]
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Table]
Income Tax Contingency [Table]
Income Tax Contingency [Table]
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]
Earnings Per Share
Earnings Per Share [Text Block]
Right of use impairment charge
Operating Lease, Impairment Loss
Operating expenses:
Operating Expenses [Abstract]
Entity Interactive Data Current
Entity Interactive Data Current
Thereafter
Long-Term Debt, Maturity, after Year Five
2025
Finite-Lived Intangible Asset, Expected Amortization, Year Four
Long-term debt, less current portion
Other Long-term Debt, Noncurrent
Minimum
Minimum [Member]
Organization and Basis of Presentation
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
Long-term unrecognized tax benefits
Liability for Uncertainty in Income Taxes, Noncurrent
Gross profit
Gross Profit
Operating lease liabilities
Deferred Tax Assets, Operating Lease Liabilities
Deferred Tax Assets, Operating Lease Liabilities
2023
Lessee, Operating Lease, Liability, to be Paid, Year Two
Long-term debt, less current portion
Long-term Line of Credit
Effect of exchange rate changes on cash
Effect of Exchange Rate on Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
Line Of Credit Sublimit [Axis]
Line Of Credit Sublimit [Axis]
Line Of Credit Sublimit [Axis]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Selling, general and administrative expenses
Selling, General and Administrative Expense
Debt Issuance Costs
Debt Issuance Costs, Net
Indefinite-lived Intangible Assets [Axis]
Indefinite-lived Intangible Assets [Axis]
Unrecognized tax benefits
Balance at January 1
Balance at December 31
Unrecognized Tax Benefits
Income Tax Authority [Domain]
Income Tax Authority [Domain]
Gross deferred tax assets
Deferred Tax Assets, Gross
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Entity Address, State or Province
Entity Address, State or Province
Other non-current assets:
Other Assets, Noncurrent [Abstract]
Balance at beginning of period
Balance at end of period
Restructuring Reserve
Insurance recovery for health claims
Insurance Receivable for Health, Current
Insurance Receivable for Health, Current
Non-current deferred tax assets
Deferred Income Tax Assets, Net
Acquisitions
Stock Issued During Period, Value, Acquisitions
Current liabilities:
Liabilities, Current [Abstract]
2025
Long-Term Debt, Maturity, Year Four
Revenue Recognition
Revenue [Policy Text Block]
Revision of Prior Period [Axis]
Revision of Prior Period [Axis]
Physician Staffing
Physician Staffing
Physician Staffing [Member]
Physician staffing [Member]
Acquisitions, net of cash acquired
Payments to Acquire Businesses, Net of Cash Acquired
Debt
Debt Disclosure [Text Block]
Beginning balance (in shares)
Ending balance (in shares)
Shares, Outstanding
Schedule of Components of Income Tax Expense (Benefit)
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
Intangible assets
Deferred Tax Assets, Goodwill and Intangible Assets
Senior Secured Asset-Based Loan
Line of Credit [Member]
Valuation allowance adjustment
Other Comprehensive Income (Loss), Cash Flow Hedge, Deferred Tax Assets, Valuation Allowance Adjustment
Other Comprehensive Income (Loss), Cash Flow Hedge, Deferred Tax Assets, Valuation Allowance Adjustment
Leases
Lessee, Leases [Policy Text Block]
Unrecognized tax benefit accrued interest and penalties
Unrecognized Tax Benefits, Income Tax Penalties and Interest Accrued
Accounting Policies [Abstract]
Accounting Policies [Abstract]
Derivative Instrument [Axis]
Derivative Instrument [Axis]
Capitalized implementation costs
Cloud computing asset
Hosting Arrangement, Service Contract, Implementation Cost, Capitalized, after Accumulated Amortization
Amended And Restated Credit Agreement, Early Extinguishment of Debt
Amended And Restated Credit Agreement, Early Extinguishment of Debt [Member]
Amended And Restated Credit Agreement, Early Extinguishment of Debt
Number of reportable segments
Number of Reportable Segments
Lease liability - non-current
Business Combination, Recognized Identifiable Asset Acquired and Liability Assumed, Lease Obligation, Noncurrent
Business Combination, Recognized Identifiable Asset Acquired and Liability Assumed, Lease Obligation, Noncurrent
Federal
Current Federal Tax Expense (Benefit)
Present value of future minimum lease payments
Operating Lease, Liability
Letters of credit outstanding
Letters of Credit Outstanding, Amount
Document Transition Report
Document Transition Report
Common stock—$0.0001 par value; 100,000,000 shares authorized; 37,023,644 and 36,177,279 shares issued and outstanding at December 31, 2021 and 2020, respectively
Common Stock, Value, Issued
Disaggregation of Revenue [Line Items]
Disaggregation of Revenue [Line Items]
Share-based awards
Convertible Notes and Share-based Payment Awards [Member]
Convertible Notes and Share-based Payment Awards [Member]
Pretax total unrecognized compensation cost related to share options- period
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition
Unvested restricted stock awards, beginning balance (usd per share)
Unvested restricted stock awards, ending balance (usd per share)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value
Aggregate goodwill acquired
Goodwill, Acquired During Period
Performance Stock Awards
Performance Shares [Member]
Commitments and contingencies
Commitments and Contingencies
Letter of credit for malpractice claims
Malpractice Loss Contingency, Letters of Credit and Surety Bonds
Leases
Lessee, Operating Leases [Text Block]
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Schedule of 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]
Entity Emerging Growth Company
Entity Emerging Growth Company
Accounts receivable, allowance for credit losses
Accounts Receivable, Allowance for Credit Loss, Current
Acquisitions
Business Combination Disclosure [Text Block]
Weighted average amortization period if not accelerated
Weighted Average Amortization Period If Not Accelerated
Weighted Average Amortization Period If Not Accelerated
Restricted Stock Awards
Restricted Stock [Member]
Debt issuance costs
Debt issuance costs
Payments of Debt Issuance Costs
ICFR Auditor Attestation Flag
ICFR Auditor Attestation Flag
Services
Product Concentration Risk [Member]
Disposal Group Classification [Axis]
Disposal Group Classification [Axis]
Antidilutive Securities, Name [Domain]
Antidilutive Securities, Name [Domain]
Foreign
Deferred Foreign Income Tax Expense (Benefit)
Legal Entity [Axis]
Legal Entity [Axis]
Auditor Name
Auditor Name
Cover [Abstract]
Cover [Abstract]
Share-based awards (shares)
Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements
Quarterly installment amount
Debt Instrument, Periodic Payment, Principal
Goodwill [Line Items]
Goodwill [Line Items]
Total operating expenses
Costs and Expenses
Numerator:
Net Income (Loss) Available to Common Stockholders, Diluted [Abstract]
Cash and Cash Equivalents
Cash and Cash Equivalents, Policy [Policy Text Block]
Provision for allowances
Provision for Doubtful Accounts and Other Allowances
Provision for Doubtful Accounts and Other Allowances
Less: amount of lease payments representing interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
Cumulative impact of currency fluctuations
Accumulated Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Before Tax
Accumulated Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Before Tax
Income Tax Contingency [Line Items]
Income Tax Contingency [Line Items]
Income Tax Authority [Axis]
Income Tax Authority [Axis]
Other
Other Liabilities, Miscellaneous, Noncurrent
Other Liabilities, Miscellaneous, Noncurrent
Revenue from related parties
Revenue from Related Parties
Equity consideration for acquisition (in shares)
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares
Entity [Domain]
Entity [Domain]
Revenue from services
Revenues from services
Revenue from Contract with Customer, Excluding Assessed Tax
Temporary Staffing Services
Temporary Staffing Services [Member]
Temporary Staffing Services [Member]
Share-based compensation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Share-based Compensation Cost
Amended And Restated Credit Agreement, Reduction In Borrowing Capacity
Amended And Restated Credit Agreement, Reduction In Borrowing Capacity [Member]
Amended And Restated Credit Agreement, Reduction In Borrowing Capacity
Office equipment
Office Equipment [Member]
Type Of Amortization [Domain]
Type Of Amortization [Domain]
[Domain] for Type Of Amortization [Axis]
Accrual for vacation
Accrued Vacation, Current
Current:
Current Income Tax Expense (Benefit), Continuing Operations [Abstract]
Cumulative pretax income for preceding 12 quarters
Cumulative Pretax Income, Including Permanent Items
Cumulative Pretax Income, Including Permanent Items
Equity [Abstract]
Equity [Abstract]
Carrying Amount
Reported Value Measurement [Member]
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
Comprehensive Income (Loss)
Comprehensive Income, Policy [Policy Text Block]
Payments
Payments for Restructuring
Note Payable
Notes Payable, Other Payables [Member]
Common Stock
Common Stock [Member]
Variable Rate [Axis]
Variable Rate [Axis]
Foreign
Income (Loss) from Continuing Operations before Income Taxes, Foreign
Segment Data
Segment Reporting Disclosure [Text Block]
Dissolution of noncontrolling interest
Noncontrolling Interest, Decrease from Redemptions or Purchase of Interests
Income (loss) from operations
Operating Income (Loss)
Company contribution net of forfeitures
Defined Contribution Plan, Employer Discretionary Contribution Amount
Schedule of Property, Plant and Equipment [Table]
Property, Plant and Equipment [Table]
Operating lease liabilities - current
Less: operating lease liabilities - current
Operating Lease, Liability, Current
2023
Finite-Lived Intangible Asset, Expected Amortization, Year Two
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Document Fiscal Year Focus
Document Fiscal Year Focus
Property, Plant and Equipment [Abstract]
Property, Plant and Equipment [Abstract]
Equity compensation
Share-based Payment Arrangement, Noncash Expense
Payment for debt prepayment
Payment For Debt Prepayment
Payment For Debt Prepayment
Variable Rate [Domain]
Variable Rate [Domain]
Additional Paid-In Capital
Additional Paid-in Capital [Member]
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Senior Secured Asset-Based Loan
Lines of Credit, Fair Value Disclosure
Operating lease liabilities
Increase (Decrease) In Operating Lease Liabilities
Increase (Decrease) In Operating Lease Liabilities
Insurance Type and Tier Identifier [Axis]
Insurance Type and Tier Identifier [Axis]
Long-term Debt, Type [Domain]
Long-term Debt, Type [Domain]
Payments of debt restructuring costs
Payments of Debt Restructuring Costs
Interest payable
Interest Payable
Deferred compensation
Deferred compensation liabilities
Deferred Compensation Liability, Classified, Noncurrent
Income taxes paid
Income Taxes Paid
Impairment charges
Asset Impairment Charges
Derivative, notional amount
Derivative, Notional Amount
Other (income) expense, net
Other Nonoperating Income (Expense)
Other
Increase (Decrease) in Other Operating Liabilities
Accrual for workers’ compensation claims
Workers' Compensation Liability, Current
Legal fees
Legal Fees
Stock repurchase and retirement (in shares)
Stock Repurchased and Retired During Period, Shares
Impaired Long-Lived Assets Held and Used, Asset Name [Domain]
Impaired Long-Lived Assets Held and Used, Asset Name [Domain]
Purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
Other current liabilities
Other Liabilities, Current
Prepaid implementation costs
Hosting Arrangement, Service Contract, Implementation Cost, Prepaid
Hosting Arrangement, Service Contract, Implementation Cost, Prepaid
Contingent Consideration by Type [Axis]
Contingent Consideration by Type [Axis]
Maximum
Maximum [Member]
Unrealized foreign currency translation (loss) gain
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, before Tax
Repayments on revolving credit facility
Repayments Of Revolving Credit Facility
Repayments Of Revolving Credit Facility
Total liabilities
Liabilities
Award Type [Axis]
Award Type [Axis]
2022
Finite-Lived Intangible Asset, Expected Amortization, Year One
Cash flows from financing activities
Net Cash Provided by (Used in) Financing Activities [Abstract]
Payment for derivative termination
Payment For Derivative Termination
Payment For Derivative Termination
Schedule of Operating Lease Maturity
Lessee, Operating Lease, Liability, Maturity [Table Text Block]
Total Cross Country Healthcare, Inc. stockholders' equity
Stockholders' Equity Attributable to Parent
Operating lease right-of-use assets
Deferred Tax Liabilities, Right-Of-Use Assets
Deferred Tax Liabilities, Right-Of-Use Assets
Release of escrow to seller
Business Combination, Escrow Deposit Release
Business Combination, Escrow Deposit Release
Net operating loss carryforwards
Operating Loss Carryforwards
Deferred compensation liability
Obligations, Fair Value Disclosure
Balance Sheet Related Disclosures [Abstract]
Balance Sheet Related Disclosures [Abstract]
Common stock, shares issued (in shares)
Common Stock, Shares, Issued
City Area Code
City Area Code
Accounts payable and accrued expenses
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Goodwill and Intangible Assets Disclosure [Table]
Goodwill And Intangible Assets Disclosure [Table]
Goodwill and Intangible Assets Disclosure [Table]
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets Disclosure [Abstract]
Entity Address, City or Town
Entity Address, City or Town
Loss on early extinguishment of debt
Gain (Loss) on Extinguishment of Debt
Other
Unrecognized Tax Benefits, Increase (Decrease) Resulting From Other Deductions
The gross amount of increase (decrease) in unrecognized tax benefits resulting from other items.
Estimated useful life of assets
Estimated useful life
Property, Plant and Equipment, Useful Life
Line Of Credit Sublimit [Domain]
Line Of Credit Sublimit [Domain]
[Domain] for Line Of Credit Sublimit [Axis]
Stockholders' equity:
Stockholders' Equity Attributable to Parent [Abstract]
Schedule of Reconciliation of Beginning and Ending Amounts of Unrecognized Tax Benefits
Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block]
Computer software
Software and Software Development Costs [Member]
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Escrow payment related to tax liabilities
Payments To Acquire Businesses, Escrow, Portion Related To Tax Liabilities
Payments To Acquire Businesses, Escrow, Portion Related To Tax Liabilities
Type Of Amortization [Axis]
Type Of Amortization [Axis]
Type Of Amortization [Axis]
Operating lease liabilities - non-current
Operating lease liabilities - non-current
Operating Lease, Liability, Noncurrent
Total
Current Income Tax Expense (Benefit)
Face amount
Debt Instrument, Face Amount
Interest expense
Interest Expense
Non-cash lease expense
Operating Lease Expense, Non-Cash
Operating Lease Expense, Non-Cash
Deferred:
Deferred Income Tax Expense (Benefit), Continuing Operations [Abstract]
Interest rate at period end (percent)
Debt Instrument, Interest Rate, Effective Percentage
Audit Information [Abstract]
Audit Information [Abstract]
Net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Accumulated deficit
Retained Earnings (Accumulated Deficit)
Revenue from Contract with Customer, Product and Service [Extensible List]
Revenue from Contract with Customer, Product and Service [Extensible Enumeration]
Unused commitment fee percentage
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage
Statement of Stockholders' Equity [Abstract]
Statement of Stockholders' Equity [Abstract]
Interest margin floor (percent)
Debt Instrument, Variable Interest Rate Floor
Debt Instrument, Variable Interest Rate Floor
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Revision of Prior Period [Domain]
Revision of Prior Period [Domain]
Entity Filer Category
Entity Filer Category
Unrecognized tax benefits, amount reclassified from deferred tax assets to noncurrent liabilities
Unrecognized Tax Benefits, Amount Reclassified From Deferred Tax Assets To Noncurrent Liabilities
Unrecognized Tax Benefits, Amount Reclassified From Deferred Tax Assets To Noncurrent Liabilities
Accrual for healthcare claims
Other Employee-related Liabilities, Current
Deferred tax liabilities
Deferred Tax Liabilities, Gross
Business Acquisition [Line Items]
Business Acquisition [Line Items]
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]
Other Income Tax Authority
Other Income Tax Authority [Member]
Other Income Tax Authority
Income Statement [Abstract]
Income Statement [Abstract]
Corporate Joint Venture
Corporate Joint Venture [Member]
Fair Value
Estimate of Fair Value Measurement [Member]
Entity Registrant Name
Entity Registrant Name
Asset Class [Domain]
Asset Class [Domain]
Repayments of outstanding debt
Repayments of Lines of Credit
Accounts receivable
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables
Less: Net income attributable to noncontrolling interest in subsidiary
Income (Loss) from Continuing Operations, Net of Tax, Attributable to Noncontrolling Interest
Write-Offs, Net of Recoveries
SEC Schedule, 12-09, Valuation Allowances and Reserves, Deduction
Other
Effective Income Tax Rate Reconciliation, Other Adjustments, Amount
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Income tax expense (benefit)
Income tax expense (benefit)
Income Tax Expense (Benefit)
Total stockholders' equity
Beginning balance
Ending balance
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest
Accounts receivable, net of allowances of $6,881 in 2021 and $4,021 in 2020
Accounts Receivable, after Allowance for Credit Loss, Current
Amendment Flag
Amendment Flag
Equity Components [Axis]
Equity Components [Axis]
Entity Tax Identification Number
Entity Tax Identification Number
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Fair Value Disclosures [Abstract]
Fair Value Disclosures [Abstract]
Antidilutive Securities [Axis]
Antidilutive Securities [Axis]
Net income (loss) attributable to common stockholders - Diluted
Net Income (Loss) from Continuing Operations Available to Common Shareholders, Diluted
Insurance recovery for workers’ compensation claims
Insurance Recovery For Workers Compensation Noncurrent
The long term portion of the amount receivable from insurance for recovery for workers compensation.
Document Fiscal Period Focus
Document Fiscal Period Focus
Total current assets
Assets, Current
Accrued other and prepaid expenses
Deferred Tax Assets, Accrued Other Liabilities and Prepaid Expenses
Deferred Tax Assets, Accrued Other Liabilities and Prepaid Expenses
Deferred compensation asset
Investments [Member]
Total minimum lease payments
Lessee, Operating Lease, Liability, to be Paid
Disaggregation of Revenue [Table]
Disaggregation of Revenue [Table]
Concentration Risk Type [Domain]
Concentration Risk Type [Domain]
Forfeited (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Forfeited in Period
Weighted average common shares outstanding:
Denominator:
Weighted Average Number of Shares Outstanding Reconciliation [Abstract]
Accrual for professional liability claims
Malpractice Loss Contingency, Accrual, Undiscounted, Noncurrent
Asset Acquisition [Table]
Asset Acquisition [Table]
Valuation allowances
Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Amount
Share-Based Compensation
Share-based Payment Arrangement [Policy Text Block]
Federal
Deferred Federal Income Tax Expense (Benefit)
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]
Statement of Financial Position [Abstract]
Statement of Financial Position [Abstract]
SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract]
SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract]
Change in valuation allowance
Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount
Non-current earnout liability
Business Combination, Contingent Consideration, Liability, Noncurrent
Fair Value Measurements
Fair Value Measurement, Policy [Policy Text Block]
Current portion of debt
Long-term Debt, Current Maturities
Product and Service [Axis]
Product and Service [Axis]
Property, Plant and Equipment, Type [Domain]
Long-Lived Tangible Asset [Domain]
Accounts Receivable, Allowance for Credit Loss [Roll Forward]
Accounts Receivable, Allowance for Credit Loss [Roll Forward]
Fair Value Option, Disclosures [Table]
Fair Value Option, Disclosures [Table]
Entity Public Float
Entity Public Float
Documents Incorporated by Reference
Documents Incorporated by Reference [Text Block]
Pretax of total unrecognized compensation cost related to non-vested restricted stock awards
Share-based Payment Arrangement, Nonvested Award, Excluding Option, Cost Not yet Recognized, Amount
Chief Executive Officer
Chief Executive Officer [Member]
Revenue Benchmark
Revenue Benchmark [Member]
Equity Component [Domain]
Equity Component [Domain]
Short-term lease expense
Short-term Lease, Cost
Vesting of restricted stock (in shares)
Shares Issued, Shares, Share-based Payment Arrangement, after Forfeiture
2022
Lessee, Operating Lease, Liability, to be Paid, Year One
Foreign currency translation adjustment, net of taxes
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax
Shares issued (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Shares Issued in Period
Senior Secured Asset-Based Loan
Senior Secured Asset-Based Loan [Member]
Senior Secured Asset-Based Loan [Member]
Deferred Tax Assets:
Components of Deferred Tax Assets [Abstract]
Equity consideration for acquisition value
Business Combination, Consideration Transferred, Equity Interests Issued and Issuable
Statement [Line Items]
Statement [Line Items]
SEC Schedule, 12-09, Valuation Allowances and Reserves [Domain]
SEC Schedule, 12-09, Valuation Allowances and Reserves [Domain]
Deferred tax assets, amount reclassified from unrecognized tax benefits
Deferred Tax Assets, Amount Reclassified From Unrecognized Tax Benefits
Deferred Tax Assets, Amount Reclassified From Unrecognized Tax Benefits
Acquisitions( in shares )
Stock Issued During Period, Shares, Acquisitions
Impairment charges for intangible assets
Impairment of Intangible Assets, Finite-lived
Sales allowance, billing-related adjustments
Sales Allowance, Billing-Related Adjustments
Sales Allowance, Billing-Related Adjustments
Net debt issuance costs
Debt Issuance Costs, Noncurrent, Net
Insurance recovery receivable:
Insurance Recovery Receivable [Abstract]
Insurance Recovery Receivable
Vesting of restricted stock
Shares Issued, Value, Share-based Payment Arrangement, after Forfeiture
U.S.
Domestic Tax Authority [Member]
Contingent consideration, range of outcomes, high
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High
Self insured retention per claim
Malpractice Insurance, Policy, Self Insured Retention Per Claim
Malpractice Insurance, Policy, Self Insured Retention Per Claim
2025
Lessee, Operating Lease, Liability, to be Paid, Year Four
Debt Disclosure [Abstract]
Debt Disclosure [Abstract]
Number of locations acquired
Number Of Locations Acquired
Number Of Locations Acquired
Level 2
Fair Value, Inputs, Level 2 [Member]
Property, Plant and Equipment, Type [Axis]
Long-Lived Tangible Asset [Axis]
Schedule of Acquired Intangible Assets
Schedule of Intangible Assets and Goodwill [Table Text Block]
Valuation allowance
Valuation allowance
Deferred Tax Assets, Valuation Allowance
Auditor Location
Auditor Location
Loss on derivative
Loss on derivative liability
Derivative, Gain (Loss) on Derivative, Net
Segment Reporting [Abstract]
Segment Reporting [Abstract]
Type of Restructuring [Domain]
Type of Restructuring [Domain]
Intangible assets- useful life
Finite-Lived Intangible Asset, Useful Life
Insurance recovery for workers’ compensation claims
Insurance Recovery For Workers Compensation Current
The current portion of the amount receivable from insurance for recovery for workers compensation.
Restructuring Cost and Reserve [Line Items]
Restructuring Cost and Reserve [Line Items]
Employee Benefit Plans
Retirement Benefits [Text Block]
Use of Estimates
Use of Estimates, Policy [Policy Text Block]
Schedule of 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]
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Asset Class [Axis]
Asset Class [Axis]
Document Annual Report
Document Annual Report
Search Services
Search Services [Member]
Search Services [Member]
Sale of business
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Title of 12(b) Security
Title of 12(b) Security
Taxes on other comprehensive income (loss)
Other Comprehensive Income (Loss), Tax
Total assets
Assets
Revision of Prior Period, Adjustment
Revision of Prior Period, Adjustment [Member]
Board of Directors
Director [Member]
Plan Name [Domain]
Plan Name [Domain]
Deferred Tax Liabilities:
Components of Deferred Tax Liabilities [Abstract]
Cash payments to noncontrolling shareholder
Payments to Noncontrolling Interests
Common stock, shares authorized (in shares)
Common Stock, Shares Authorized
Interest paid
Interest Paid, Excluding Capitalized Interest, Operating Activities
Principal payments on term loan
Repayments of Secured Debt
Title of Individual [Axis]
Title of Individual [Axis]
Principal payments on note payable
Payments of notes payable
Repayments of Notes Payable
Document Type
Document Type
Stock Appreciation Rights
Stock Appreciation Rights (SARs) [Member]
Product and Service [Domain]
Product and Service [Domain]
Noncontrolling Interest in Subsidiary
Noncontrolling Interest [Member]
Balance Sheet Details
Supplemental Balance Sheet Disclosures [Text Block]
Stated interest rate (percent)
Debt Instrument, Interest Rate, Stated Percentage
Derivative Contract [Domain]
Derivative Contract [Domain]
Less: Net income attributable to noncontrolling interest in subsidiary
Net Income (Loss) Attributable to Noncontrolling Interest
Contingent consideration liabilities
Earnout liabilities
Business Combination, Contingent Consideration, Liability
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Summary of Significant Accounting Policies
Significant Accounting Policies [Text Block]
Tax on unrepatriated earnings
Deferred Tax Liabilities, Undistributed Foreign Earnings
Net cash (used in) provided by operating activities
Net Cash Provided by (Used in) Operating Activities
Valuation Allowance for Deferred Tax Assets
SEC Schedule, 12-09, Valuation Allowance, Deferred Tax Asset [Member]
Fair Value, Recurring and Nonrecurring [Table]
Fair Value, Recurring and Nonrecurring [Table]
Furniture and fixtures
Furniture and Fixtures [Member]
Schedule of Lease Costs
Lease, Cost [Table Text Block]
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
Construction in progress
Asset under Construction [Member]
Basic (shares)
Weighted average common shares - Basic (shares)
Weighted Average Number of Shares Outstanding, Basic
Net loss per share attributable to common stockholders - Diluted (usd per share)
Net income (loss) per share attributable to common stockholders - Diluted (usd per share)
Earnings Per Share, Diluted
Effective of diluted shares:
Incremental Weighted Average Shares Attributable to Dilutive Effect [Abstract]
State
State and Local Jurisdiction [Member]
Accrued compensation and benefits:
Employee-related Liabilities [Abstract]
Segments [Domain]
Segments [Domain]
Due to joint venture
Due to Related Parties, Current
Repayments on Senior Secured Asset-Based revolving credit facility
Repayments of Long-term Lines of Credit
ABL Credit Agreement
ABL Credit Agreement [Member]
ABL Credit Agreement
Hedging Relationship [Axis]
Hedging Relationship [Axis]
Net income (loss) attributable to common stockholders - Basic
Net Income (Loss) from Continuing Operations Available to Common Shareholders, Basic
Non-deductible items
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Amount
Line of credit term
Line of Credit Facility, Expiration Period
Outstanding standby letters of credit as collateral
Outstanding Letters Of Credit, Collateral to Guarantee Payments Under Self Insured Plan
Amount of standby letters of credit issued as collateral to guarantee payments of workers compensation claims.
Foreign tax expense (benefit)
Effective Income Tax Rate Reconciliation, Foreign Income Tax Rate Differential, Amount
Employer match vesting duration
Defined Contribution Plan, Vesting Period Of Employer Match
Defined Contribution Plan, Vesting Period Of Employer Match
Schedule of Restructuring and Related Costs [Table]
Schedule of Restructuring and Related Costs [Table]
Unbilled contracts receivable
Unbilled Contracts Receivable
Comprehensive income (loss) attributable to common stockholders
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Quarterly Financial Data (Unaudited)
Quarterly Financial Information [Text Block]
Databases
Database Rights [Member]
Employee Termination Costs
Employee Severance [Member]
Net cash provided by (used in) financing activities
Net Cash Provided by (Used in) Financing Activities
Debt Discount and Debt Issuance Costs
Debt, Policy [Policy Text Block]
Non-current deferred tax liabilities
Deferred Income Tax Liabilities, Net
Related Party Transaction [Line Items]
Related Party Transaction [Line Items]
Stock vesting period
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period
Other Noncurrent Liabilities
Other Noncurrent Liabilities [Member]
Accelerated Amortization
Accelerated Amortization [Member]
Accelerated Amortization [Member]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Property and equipment
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment
Notes payable
Notes Payable
Summary of Restricted Stock Award Activity
Share-based Payment Arrangement, Restricted Stock and Restricted Stock Unit, Activity [Table Text Block]
Goodwill and Intangible Assets
Goodwill And Intangible Assets [Member]
Goodwill And Intangible Assets
Accrual for workers’ compensation claims
Workers' Compensation Liability, Noncurrent
Schedule of 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]
Fair Value Measurements
Fair Value Disclosures [Text Block]
Insurance Claims
Liability Reserve Estimate, Policy [Policy Text Block]
Restructuring costs
Charged to restructuring costs
Restructuring Charges
Concentration Risk Type [Axis]
Concentration Risk Type [Axis]
Allowance for doubtful accounts
Deferred Tax Asset, Tax Deferred Expense, Reserve and Accrual, Accounts Receivable, Allowance for Credit Loss
Impairment of long-lived assets held-for-use
Impairment, Long-Lived Asset, Held-for-Use
Depreciation and amortization
Depreciation, Depletion and Amortization
Salaries and payroll taxes
Accrued Salaries, Current
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]
2024
Finite-Lived Intangible Asset, Expected Amortization, Year Three
Number of vesting installments
Share-based Compensation Arrangement by Share-based Payment Award, Number Of Vesting Installments
Share-based Compensation Arrangement by Share-based Payment Award, Number Of Vesting Installments
Proceeds under Senior Secured Asset-Based revolving credit facility
Proceeds from Long-term Lines of Credit
Foreign Tax Authority
Foreign Tax Authority [Member]
Business Combinations
Business Combinations Policy [Policy Text Block]
Accumulated Other Comprehensive Loss
AOCI Attributable to Parent [Member]
Schedule of Restructuring Costs
Restructuring and Related Costs [Table Text Block]
Common stock, shares outstanding (in shares)
Common Stock, Shares, Outstanding
Accounts payable and accrued expenses
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable
Derivative [Table]
Derivative [Table]
Accrual for professional liability claims
Malpractice Loss Contingency, Accrual, Undiscounted, Current
Implementation costs, amortization
Hosting Arrangement, Service Contract, Implementation Cost, Expense, Amortization
Document Period End Date
Document Period End Date
Nurse And Allied Staffing
Nurse And Allied Staffing [Member]
Nurse and allied staffing [Member]
Entity Central Index Key
Entity Central Index Key
Concentration Risk Benchmark [Domain]
Concentration Risk Benchmark [Domain]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Schedule Quarterly Financial Data
Quarterly Financial Information [Table Text Block]
Number of contingent liabilities assumed
Business Combination, Number Of Contingent Liabilities Assumed
Business Combination, Number Of Contingent Liabilities Assumed
State
Deferred State and Local Income Tax Expense (Benefit)
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]
Schedule of Property and Equipment
Property, Plant and Equipment [Table Text Block]
Impact on net (loss) income per share
Impact Of Accelerated Amortization On Basic Earnings Per Share
Impact Of Accelerated Amortization On Basic Earnings Per Share
Debt term
Debt Instrument, Term
Reductions based on tax positions related to prior years
Unrecognized Tax Benefits, Decrease Resulting from Prior Period Tax Positions
Contingent Consideration Type [Domain]
Contingent Consideration Type [Domain]
Customer relationships
Customer Relationships [Member]
Property and equipment, net
Property and equipment, net of accumulated depreciation and amortization
Property, Plant and Equipment, Net
Property and Equipment
Property, Plant and Equipment Disclosure [Text Block]
Stockholders' Equity
Shareholders' Equity and Share-based Payments [Text Block]
Other long-term liabilities
Other long-term liabilities
Other Liabilities, Noncurrent
Schedule of Long-term Debt Instruments
Schedule of Long-term Debt Instruments [Table Text Block]
Schedule of Estimated Annual Amortization Expense
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Trading Symbol
Trading Symbol
Earnings Per Share [Abstract]
Earnings Per Share [Abstract]
Leased Property
Leased Property [Member]
Leased Property
Standby Letters Of Credit Sublimit
Standby Letters Of Credit Sublimit [Member]
Standby Letters Of Credit Sublimit [Member]
Property and equipment
Property, Plant and Equipment, Gross
Beginning balance
Ending balance
Accounts Receivable, Allowance for Credit Loss
Other
Deferred Tax Liabilities, Other
Prepaid expenses and other assets
Increase (Decrease) in Other Operating Assets
Other Current Liabilities
Other Current Liabilities [Member]
Line of Credit Facility [Table]
Line of Credit Facility [Table]
Amount of indebtedness permitted from other sources
Line Of Credit, Amount Of Indebtedness Permitted By Senior Secured Asset Based Loan To Be Borrowed From Other Sources
Line Of Credit, Amount Of Indebtedness Permitted By Senior Secured Asset Based Loan To Be Borrowed From Other Sources
Aggregate goodwill acquired, beginning of period
Aggregate goodwill acquired, end of period
Goodwill, Gross
Income tax effect related to unrealized loss on interest rate contracts
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, Tax
Long-term debt, less current portion
Long-term Debt, Excluding Current Maturities
Lease-Related Exit Costs
Exit Costs [Member]
Exit Costs [Member]
Schedule of Goodwill [Table]
Schedule of Goodwill [Table]
Schedule of Related Party Transactions, by Related Party [Table]
Schedule of Related Party Transactions, by Related Party [Table]
Equity compensation
Share-based Payment Arrangement, Expense
Lease liability - current
Business Combination, Recognized Identifiable Asset Acquired and Liability Assumed, Lease Obligation, Current
Business Combination, Recognized Identifiable Asset Acquired and Liability Assumed, Lease Obligation, Current
Charged to (Released from) Operations
SEC Schedule, 12-09, Valuation Allowances and Reserves, Additions, Charge To (Release From) Cost And Expense
SEC Schedule, 12-09, Valuation Allowances and Reserves, Additions, Charge To (Release From) Cost And Expense
Entity Current Reporting Status
Entity Current Reporting Status
Significant Accounting Policies [Line Items]
Significant Accounting Policies [Line Items]
Significant Accounting Policies [Line Items]
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]
Other Services
Other Services [Member]
Other Services [Member]
Accrued compensation and benefits
Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Accrued Compensation And Benefits
Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Accrued Compensation And Benefits
Asset Acquisition [Line Items]
Asset Acquisition [Line Items]
Consolidated net income (loss)
Consolidated net income (loss)
Net (loss) income
Consolidated net income
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest
Percent ownership in joint venture unit
Joint Venture, Percent Ownership
Joint Venture, Percent Ownership
Schedule of Components of Loss Before Income Taxes
Schedule of Income before Income Tax, Domestic and Foreign [Table Text Block]
Total liabilities assumed
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities
Receivable balance with joint venture
Due from Joint Ventures, Current
Cash and cash equivalents at beginning of year
Cash and cash equivalents at end of year
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
Common stock, par value (usd per share)
Common Stock, Par or Stated Value Per Share
Senior Debt
Senior Debt Obligations [Member]
Statement of Comprehensive Income [Abstract]
Statement of Comprehensive Income [Abstract]
Income tax payable
Taxes Payable, Current
Current assets:
Assets, Current [Abstract]
Other
Proceeds from (Payments for) Other Financing Activities
Gross Carrying Amount
Finite-Lived Intangible Assets, Gross
Shares reserved for future issuance (in shares)
Common Stock, Capital Shares Reserved for Future Issuance
Leases [Abstract]
Leases [Abstract]
Workforce Solutions Group Inc Member
Workforce Solutions Group Inc Member [Member]
Workforce Solutions Group Inc Member
Income Taxes
Income Tax, Policy [Policy Text Block]
LIBOR
London Interbank Offered Rate (LIBOR) [Member]
Goodwill, Trade Names, and Other Intangible Assets
Goodwill and Intangible Assets, Intangible Assets, Policy [Policy Text Block]
Omnibus Plan
Omnibus Plan [Member]
Omnibus Plan [Member]
Borrowings under Senior Secured Asset-Based revolving credit facility
Borrowings Under Long-Term Line Of Credit
Borrowings Under Long-Term Line Of Credit
Disposal Group Classification [Domain]
Disposal Group Classification [Domain]
Long-term accrued claims
Long-term accrued claims
Liability for Claims and Claims Adjustment Expense
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Debt fixed interest rate
Long-term Debt, Percentage Bearing Fixed Interest, Percentage Rate
Exercise of share options (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period
Diluted (shares)
Weighted average common shares - Diluted (shares)
Weighted Average Number of Shares Outstanding, Diluted
United States
Income (Loss) from Continuing Operations before Income Taxes, Domestic
Sales and Other State Non-income Tax Liabilities
Sales And Other State Non Income Tax Liabilities Policy [Policy Text Block]
Disclosure of accounting policy for sales and other state non-income tax liabilities.
Other comprehensive (loss) income, net of tax
Other Comprehensive Income (Loss), Net of Tax
Income Taxes
Income Tax Disclosure [Text Block]
Net working capital adjustment
Business Combination, Consideration Transferred, Net Working Capital Adjustment
Business Combination, Consideration Transferred, Net Working Capital Adjustment
Long-term Debt, Type [Axis]
Long-term Debt, Type [Axis]
Related Party [Domain]
Related Party [Domain]
Interest margin (percent)
Debt Instrument, Basis Spread on Variable Rate
Finance Lease, Right-of-Use Asset, Statement of Financial Position [Extensible List]
Finance Lease, Right-of-Use Asset, Statement of Financial Position [Extensible Enumeration]
Write-Offs, net of Recoveries
Accounts Receivable, Allowance for Credit Loss, Writeoff
Reductions as a result of a lapse of applicable statute of limitations
Unrecognized Tax Benefits, Reduction Resulting from Lapse of Applicable Statute of Limitations
Measurement Basis [Axis]
Measurement Basis [Axis]
Escrow payment related to post-close liabilities
Payments To Acquire Businesses, Escrow, Portion Related To Post-Close Liabilities
Payments To Acquire Businesses, Escrow, Portion Related To Post-Close Liabilities
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table Text Block]
2026
Finite-Lived Intangible Asset, Expected Amortization, Year Five
Insurance recovery for professional liability claims
Insurance Receivable for Malpractice, Noncurrent
Other long-term liabilities:
Other Liabilities, Noncurrent [Abstract]
Statement of Cash Flows [Abstract]
Statement of Cash Flows [Abstract]
Other expenses (income):
Nonoperating Income (Expense) [Abstract]
Auditor Firm ID
Auditor Firm ID
Acquisition and integration-related costs
Acquisition And Integration-Related Costs
Acquisition And Integration-Related Costs
Borrowing base, percentage of assets
Line Of Credit, Borrowing Base, Percentage Of Assets
Line Of Credit, Borrowing Base, Percentage Of Assets
Credit Facility [Axis]
Credit Facility [Axis]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Other comprehensive (loss) income, before income tax:
Other Comprehensive Income (Loss), before Tax, Portion Attributable to Parent [Abstract]
Entity Address, Address Line One
Entity Address, Address Line One
Restructuring
Restructuring Reserve, Noncurrent
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
Schedule of Information on Operating Segments and Reconciliation to Income From Operations
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table Text Block]
Portion at Fair Value Measurement
Portion at Fair Value Measurement [Member]
Changes in operating assets and liabilities:
Increase (Decrease) in Operating Capital [Abstract]
Less accumulated depreciation and amortization
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
Other current assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Other
Cash flows from operating activities
Net Cash Provided by (Used in) Operating Activities [Abstract]
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
Entity Shell Company
Entity Shell Company
Total current liabilities
Liabilities, Current
Cash paid for shares withheld for taxes
Payment, Tax Withholding, Share-based Payment Arrangement
Cash consideration, gross
Payments to Acquire Businesses, Gross
Income tax effect related to reclassification adjustment to statement of operations
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, Tax
Borrowings under revolving credit facility
Borrowings Under Lines Of Credit
Borrowings Under Lines Of Credit
Maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Term Loan, net
Term Loan [Member]
Term Loan [Member]
Cash and cash equivalents
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents
Health Care System Affiliated With A Board Member
Health Care System Affiliated With A Board Member [Member]
Health Care System Affiliated With A Board Member
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Current Fiscal Year End Date
Current Fiscal Year End Date
Line of Credit Facility [Line Items]
Line of Credit Facility [Line Items]
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
Statement [Table]
Statement [Table]
Other current assets
Other Assets, Current
Advertising costs
Advertising Expense
Recent Accounting Pronouncements
New Accounting Pronouncements, Policy [Policy Text Block]
Other
Deferred Tax Assets, Other
Other Comprehensive Income (Loss), Tax [Abstract]
Other Comprehensive Income (Loss), Tax1 [Abstract]
Other Comprehensive Income (Loss), Tax1 [Abstract]
Short term leases period
Lease Expiration Period
Apartments lease period for field employees under short-term agreements.
Statistical Measurement [Axis]
Statistical Measurement [Axis]
Tax at U.S. statutory rate
Effective Income Tax Rate Reconciliation at Federal Statutory Income Tax Rate, Amount
Non-current security deposits
Deposits Assets, Noncurrent
Other intangible assets, net
Net Carrying Amount
Finite-Lived Intangible Assets, Net
Goodwill
Goodwill, net of impairment loss, beginning of period
Goodwill, net of impairment loss, end of period
Goodwill
Reclassification adjustment to statement of operations
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax
Noncontrolling interest in subsidiary
Stockholders' Equity Attributable to Noncontrolling Interest
Balance at Beginning of Period
Balance at End of Period
SEC Schedule, 12-09, Valuation Allowances and Reserves, Amount
Claims-Based Liability Insurance
Claims-Based Liability Insurance [Member]
Claims-Based Liability Insurance [Member]
Write off of debt issuance costs
Write off of Deferred Debt Issuance Cost
Foreign
Current Foreign Tax Expense (Benefit)
Schedule of Changes in Carrying Amount of Goodwill by Segment
Schedule of Goodwill [Table Text Block]
Adjustments to reconcile net income (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]
Return to provision
Effective Income Tax Rate Reconciliation, Return To Provision, Amount
Effective Income Tax Rate Reconciliation, Return To Provision, Amount
Operating lease expense
Operating Lease, Cost
Computer equipment
Computer Equipment [Member]
Accounts payable and accrued expenses
Accounts Payable and Other Accrued Liabilities, Current
2021 Term Loan Credit Agreement
2021 Term Loan Credit Agreement [Member]
2021 Term Loan Credit Agreement
Related Party Transactions
Related Party Transactions Disclosure [Text Block]
Concentration Risk Benchmark [Axis]
Concentration Risk Benchmark [Axis]
Uncertain tax positions
Effective Income Tax Rate Reconciliation, Tax Contingency, Amount
Schedule of Allowance for Credit Loss
Accounts Receivable, Allowance for Credit Loss [Table Text Block]
Deferred income tax (benefit) expense
Total
Deferred Income Tax Expense (Benefit)
Insurance recovery receivable
Insurance recovery receivable
Insurance Settlements Receivable, Current
Cloud Computing Arrangements
Cloud Computing Arrangements [Policy Text Block]
Cloud Computing Arrangements