Note payable, number of payment installments
Note Payable, Number Of Payment Installments
Note Payable, Number Of Payment Installments
Noncontrolling interest
Effective Income Tax Rate Reconciliation, Noncontrolling Interest Income (Loss), Amount
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
Business Acquisition [Axis]
Business Acquisition [Axis]
Revision of Prior Period [Axis]
Revision of Prior Period [Axis]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Foreign
Current Foreign Tax Expense (Benefit)
Total minimum lease payments
Lessee, Operating Lease, Liability, to be Paid
Non-current accrued claims:
Liability for Claims and Claims Adjustment Expense [Abstract]
Consolidated net income (loss)
Net (loss) income
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest
Related Party Transactions [Abstract]
Related Party Transactions [Abstract]
Bad debt expense
Accounts Receivable, Credit Loss Expense (Reversal)
Business performance, term
Business Combination, Contingent Consideration, Term
Business Combination, Contingent Consideration, Term
Non-current deferred tax assets
Deferred Income Tax Assets, Net
Total debt
Long-Term Debt, Gross
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
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Finance lease right-of-use assets
Finance Lease, Right-of-Use Asset, after Accumulated Amortization
Senior Secured Asset-Based Loan
Lines of Credit, Fair Value Disclosure
Property, Plant and Equipment [Abstract]
Property, Plant and Equipment [Abstract]
Deferred:
Deferred Income Tax Expense (Benefit), Continuing Operations [Abstract]
Basis spread on variable rate, additional credit spread associated with SOFR
Line Of Credit Facility, Basis Spread On Variable Rate, Additional Credit Spread Associated With SOFR
Line Of Credit Facility, Basis Spread On Variable Rate, Additional Credit Spread Associated With SOFR
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]
2024
Long-Term Debt, Maturity, Year Two
Trade names, indefinite-lived
Indefinite-Lived Trade Names
Gain on lease termination
Gain (Loss) on Termination of Lease
Deferred compensation liability
Deferred Compensation [Member]
Deferred Compensation [Member]
Business Combinations
Business Combinations Policy [Policy Text Block]
Debt Instrument [Axis]
Debt Instrument [Axis]
Property and equipment
Property, Plant and Equipment, Gross
MDA Holdings Inc
M D A Holdings Inc [Member]
MDA Holdings Inc [Member]
Maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Abstract]
Debt instrument
Debt Instrument, Fair Value Disclosure
Revenue from Contract with Customer, Product and Service [Extensible List]
Revenue from Contract with Customer, Product and Service [Extensible Enumeration]
Depreciation
Deferred Tax Liabilities, Property, Plant and Equipment
Write-Offs, Net of Recoveries
SEC Schedule, 12-09, Valuation Allowances and Reserves, Deduction
Performance shares, attainment level certification period
Performance Shares, Attainment Level Certification Period
Performance Shares, Attainment Level Certification Period
Balance at beginning of period
Balance at end of period
Restructuring Reserve
Computer software
Software and Software Development Costs [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]
Non-current accrued claims
Non-current accrued claims
Liability for Claims and Claims Adjustment Expense
Deferred compensation assets
Deferred Compensation Plan Assets
Fair Value Measurement [Domain]
Fair Value Measurement [Domain]
Selected, Inc
Selected, Inc [Member]
Selected, Inc
Interest margin (percent)
Debt Instrument, Basis Spread on Variable Rate
Statistical Measurement [Domain]
Statistical Measurement [Domain]
Net deferred taxes
Deferred Tax Assets, Net
Officers' compensation
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Officer Compensation
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Officer Compensation
Weighted average discount rate
Operating Lease, Weighted Average Discount Rate, Percent
Swingline Sublimit
Swing Loans Sublimit [Member]
Swing Loans Sublimit [Member]
Stated interest rate (percent)
Debt Instrument, Interest Rate, Stated Percentage
Reductions as a result of a lapse of applicable statute of limitations
Unrecognized Tax Benefits, Reduction Resulting from Lapse of Applicable Statute of Limitations
Asset Acquisition [Table]
Asset Acquisition [Table]
Additional paid-in capital
Additional Paid in Capital, Common Stock
SOFR
Secured Overnight Financing Rate (SOFR) [Member]
Secured Overnight Financing Rate (SOFR)
Acquisitions (in shares)
Stock Issued During Period, Shares, Acquisitions
U.S.
Domestic Tax Authority [Member]
Other non-cash costs
Other Noncash Income (Expense)
State
Current State and Local Tax Expense (Benefit)
Income taxes paid
Income Taxes Paid
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.
Net income (loss) attributable to common stockholders
Net income attributable to common stockholders
Net Income (Loss) Attributable to Parent
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
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
Schedule of Maturities of Long-term Debt
Schedule of Maturities of Long-Term Debt [Table Text Block]
Accrued professional liability claims
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Other
Share Repurchase Program [Domain]
Share Repurchase Program [Domain]
Equity Component [Domain]
Equity Component [Domain]
Term Loan
Secured Debt [Member]
Valuation allowances
Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Amount
Deferred compensation asset
Assets, Fair Value Disclosure
Implementation costs, amortization
Hosting Arrangement, Service Contract, Implementation Cost, Expense, Amortization
Additions based on tax positions related to the current year
Unrecognized Tax Benefits, Increase Resulting from Current Period Tax Positions
Leases
Lessee, Operating Leases [Text Block]
Related Party [Domain]
Related Party [Domain]
Fair Value Measurements
Fair Value Measurement, Policy [Policy Text Block]
Plan Name [Axis]
Plan Name [Axis]
Legal fees to be recovered
Legal Fees To Be Recovered
Legal Fees To Be Recovered
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.
Supplemental disclosure of cash flow information:
Supplemental Cash Flow Information [Abstract]
Workforce Solutions Group, Inc.
Workforce Solutions Group, Inc. [Member]
Workforce Solutions Group, Inc.
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
Corporate overhead
Segment Reporting Unallocated Corporate Expenses
Segment Reporting Unallocated Corporate Expenses
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
Plan Name [Domain]
Plan Name [Domain]
Mediscan
Mediscan [Member]
Mediscan [Member]
Goodwill [Line Items]
Goodwill [Line Items]
Statement of Cash Flows [Abstract]
Statement of Cash Flows [Abstract]
Non-current debt, less current portion
Long-Term Line of Credit
Entity Address, State or Province
Entity Address, State or Province
Level 1
Fair Value, Inputs, Level 1 [Member]
Tax on unrepatriated earnings
Deferred Tax Liabilities, Undistributed Foreign Earnings
Award Type [Axis]
Award Type [Axis]
Maximum annual repurchase amount
Stock Repurchase Program, Maximum Annual Authorized Amount
Stock Repurchase Program, Maximum Annual Authorized Amount
Net cash provided by (used in) operating activities
Net Cash Provided by (Used in) Operating Activities
Goodwill and Intangible Assets Disclosure [Line Items]
Goodwill And Intangible Assets Disclosure [Line Items]
Goodwill and Intangible Assets Disclosure [Line Items]
Operating lease liabilities - current
Less: operating lease liabilities - current
Operating Lease, Liability, Current
Significant Accounting Policies [Table]
Significant Accounting Policies [Table]
Significant Accounting Policies [Table]
Summary of Restricted Stock Award Activity
Share-Based Payment Arrangement, Restricted Stock and Restricted Stock Unit, Activity [Table Text Block]
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Uncertain tax positions
Effective Income Tax Rate Reconciliation, Tax Contingency, Amount
Accounts receivable
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables
Property and equipment
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment
Document Annual Report
Document Annual Report
Liability Class [Axis]
Liability Class [Axis]
Legal Entity [Axis]
Legal Entity [Axis]
Contribution income
Contribution loss
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
Non-current debt, less current portion
Long-Term Debt, Excluding Current Maturities
Total liabilities
Liabilities
Weighted average remaining lease term
Operating Lease, Weighted Average Remaining Lease Term
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Goodwill acquisition adjustment
Goodwill, Purchase Accounting Adjustments
Cash flows from investing activities
Net Cash Provided by (Used in) Investing Activities [Abstract]
Cash and cash equivalents
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Fair Value, Measurements, Fair Value Hierarchy [Domain]
Fair Value Hierarchy and NAV [Domain]
Fair Value Hierarchy and NAV [Domain]
Schedule of Property and Equipment
Property, Plant and Equipment [Table Text Block]
Current:
Current Income Tax Expense (Benefit), Continuing Operations [Abstract]
Document Type
Document Type
Estimated useful life of assets
Estimated useful life
Property, Plant and Equipment, Useful Life
Number of Shares
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Concentration Risk Benchmark [Domain]
Concentration Risk Benchmark [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Restructuring Type [Axis]
Restructuring Type [Axis]
Supplemental Balance Sheet Information
Assets And Liabilities, Leases [Table Text Block]
Assets And Liabilities, Leases [Table Text Block]
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
Segments [Axis]
Segments [Axis]
Debt
Debt Disclosure [Text Block]
Product and Service [Domain]
Product and Service [Domain]
Entity Shell Company
Entity Shell Company
Deferred income tax expense (benefit)
Total
Deferred Income Tax Expense (Benefit)
(Reductions) additions based on tax positions related to prior years
Unrecognized Tax Benefits, Decrease Resulting from Prior Period Tax Positions
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
2023
Lessee, Operating Lease, Liability, to be Paid, Year One
Equity consideration for acquisition (in shares)
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares
Amended And Restated Credit Agreement
Amended And Restated Credit Agreement [Member]
Amended And Restated Credit Agreement [Member]
2025
Long-Term Debt, Maturity, Year Three
Earnout Notes Payable
Earnout Notes Payable [Member]
Earnout Notes Payable
Deferred Tax Liabilities:
Components of Deferred Tax Liabilities [Abstract]
SEC Schedule, 12-09, Valuation Allowances and Reserves [Domain]
SEC Schedule, 12-09, Valuation Allowances and Reserves [Domain]
Revenue Benchmark
Revenue Benchmark [Member]
Document Period End Date
Document Period End Date
Salaries and payroll taxes
Accrued Salaries, Current
Total assets
Assets
Recognition of earnout payment liability
Amount Determined For Earnout Payment Related To Prior Year
Amount Determined For Earnout Payment Related To Prior Year
Write-Offs, net of Recoveries
Accounts Receivable, Allowance for Credit Loss, Writeoff
Debt Disclosure [Abstract]
Debt Disclosure [Abstract]
Earnings Per Share [Abstract]
Earnings Per Share [Abstract]
Antidilutive Securities [Axis]
Antidilutive Securities [Axis]
Performance Stock Awards
Performance Shares [Member]
Accrued expenses
Accrued Liabilities, Current
Accrued workers’ compensation claims
Workers' Compensation Liability, Noncurrent
Insurance recovery receivable
Insurance recovery receivable
Insurance Settlements Receivable, Current
Term Loan Agreement
Term Loan Agreement [Member]
Term Loan Agreement
Schedule of Restructuring and Related Costs [Table]
Schedule of Restructuring and Related Costs [Table]
Current portion of debt
Long-Term Debt, Current Maturities
2027
Lessee, Operating Lease, Liability, to be Paid, Year Five
Restructuring
Restructuring Reserve, Noncurrent
Net cash (used in) provided by financing activities
Net Cash Provided by (Used in) Financing Activities
Accounting Policies [Abstract]
Accounting Policies [Abstract]
Stock repurchase program, authorized amount
Stock Repurchase Program, Authorized Amount
Accrued compensation and benefits
Accrued compensation and benefits
Employee-related Liabilities, Current
Variable and other lease costs
Variable Lease, Cost
Senior Secured Asset-Based Loan
Line of Credit [Member]
Stockholders' equity:
Stockholders' Equity Attributable to Parent [Abstract]
Segments [Domain]
Segments [Domain]
Schedule of Goodwill [Table]
Schedule of Goodwill [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]
Insurance Claims
Liability Reserve Estimate, Policy [Policy Text Block]
Deferred compensation
Deferred compensation liabilities
Deferred Compensation Liability, Classified, Noncurrent
Aggregate goodwill acquired, beginning of period
Aggregate goodwill acquired, end of period
Goodwill, Gross
Sale of business
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Dissolution of noncontrolling interest
Noncontrolling Interest, Decrease from Redemptions or Purchase of Interests
Cash and Cash Equivalents
Cash and Cash Equivalents, Policy [Policy Text Block]
Balance Sheet Details
Supplemental Balance Sheet Disclosures [Text Block]
Comprehensive income (loss)
Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest
Related Party Transaction [Line Items]
Related Party Transaction [Line Items]
Schedule of Components of Income Tax Expense (Benefit)
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
Award Type [Domain]
Award Type [Domain]
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]
Pretax total unrecognized compensation cost related to share options- period
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition
Loss on early extinguishment of debt
Gain (Loss) on Extinguishment of Debt
Income Tax Contingency [Table]
Income Tax Contingency [Table]
Accounts Receivable, Allowance for Doubtful Accounts, and Concentration of Credit Risk
Receivable [Policy Text Block]
Insurance recovery receivable:
Insurance Recovery Receivable. Current [Abstract]
Insurance Recovery Receivable. Current
Income taxes receivable
Income Taxes Receivable, Current
Operating lease liabilities
Deferred Tax Assets, Operating Lease Liabilities
Deferred Tax Assets, Operating Lease Liabilities
Computer equipment
Computer Equipment [Member]
Cash consideration, gross
Payments to Acquire Businesses, Gross
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]
Line Of Credit Sublimit [Axis]
Line Of Credit Sublimit [Axis]
Line Of Credit Sublimit [Axis]
Gross profit
Gross Profit
Entity Registrant Name
Entity Registrant Name
Direct operating expenses
Direct Operating Costs
Numerator:
Net Income (Loss) Available to Common Stockholders, Diluted [Abstract]
Software
Software Development [Member]
Restructuring Reserve [Roll Forward]
Restructuring Reserve [Roll Forward]
Customer relationships
Customer Relationships [Member]
Entity Address, City or Town
Entity Address, City or Town
Insurance recovery for health claims
Insurance Receivable for Health, Current
Insurance Receivable for Health, Current
Employee Benefit Plans
Retirement Benefits [Text Block]
Leases [Abstract]
Leases [Abstract]
Operating expenses:
Operating Expenses [Abstract]
Beginning balance
Ending balance
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest
Net operating loss carryforwards
Deferred Tax Assets, Operating Loss Carryforwards
Deferred compensation liability
Obligations, Fair Value Disclosure
Asset Class [Domain]
Asset Class [Domain]
Physician Staffing
Physician Staffing
Physician Staffing [Member]
Physician staffing [Member]
Minimum
Minimum [Member]
Statement of Financial Position [Abstract]
Statement of Financial Position [Abstract]
Entity Emerging Growth Company
Entity Emerging Growth Company
Common stock, par value (usd per share)
Common Stock, Par or Stated Value Per Share
Proceeds from term loan
Proceeds from Issuance of Secured Debt
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Table]
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Table]
Debt Issuance Costs
Debt Issuance Costs, Net
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Capitalized implementation costs
Cloud computing asset
Hosting Arrangement, Service Contract, Implementation Cost, Capitalized, after Accumulated Amortization
Auditor Name
Auditor Name
Fair Value Measurements
Fair Value Disclosures [Text Block]
Net operating loss carryforwards
Operating Loss Carryforwards
Trading Symbol
Trading Symbol
Entity File Number
Entity File Number
Average market price (in usd per share)
Treasury Stock Acquired, Average Cost Per Share
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
Trade accounts payable
Accounts Payable, Trade, Current
2026
Finite-Lived Intangible Asset, Expected Amortization, Year Four
(Reductions) additions based on tax positions related to prior years
Unrecognized Tax Benefits, Increase Resulting from Prior Period Tax Positions
Quarterly installment amount
Debt Instrument, Periodic Payment, Principal
Insurance Type and Tier Identifier [Axis]
Insurance Type and Tier Identifier [Axis]
Foreign
Deferred Foreign Income Tax Expense (Benefit)
Fair Value by Liability Class [Domain]
Fair Value by Liability Class [Domain]
Disposal Group Classification [Axis]
Disposal Group Classification [Axis]
Title of Individual [Axis]
Title of Individual [Axis]
Granted (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period
Stock exercised (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Non-Option Equity Instruments, Exercised
Concentration Risk Benchmark [Axis]
Concentration Risk Benchmark [Axis]
Use of Estimates
Use of Estimates, Policy [Policy Text Block]
Weighted average amortization period if not accelerated
Weighted Average Amortization Period If Not Accelerated
Weighted Average Amortization Period If Not Accelerated
Acquisitions
Business Combination Disclosure [Text Block]
LIBOR
London Interbank Offered Rate (LIBOR) [Member]
Net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Fair Value Option, Disclosures [Table]
Fair Value Option, Disclosures [Table]
Concentration risk percentage
Concentration Risk, Percentage
Accounts payable and accrued expenses
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Income Taxes
Income Tax Disclosure [Text Block]
Revenue from related parties
Revenue from Related Parties
Extinguishment fees
Payment for Debt Extinguishment or Debt Prepayment Cost
State
Deferred State and Local Income Tax Expense (Benefit)
Credit Facility [Domain]
Credit Facility [Domain]
Amortization of assets
Amortization of Intangible Assets
Schedule of Changes in Carrying Amount of Goodwill by Segment
Schedule of Goodwill [Table Text Block]
Interest paid
Interest Paid, Excluding Capitalized Interest, Operating Activities
Provision for allowances
Provision for Doubtful Accounts and Other Allowances
Provision for Doubtful Accounts and Other Allowances
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 income per share attributable to common stockholders - Basic (usd per share)
Earnings Per Share, Basic
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
2025
Lessee, Operating Lease, Liability, to be Paid, Year Three
Other
Other Liabilities, Miscellaneous, Noncurrent
Other Liabilities, Miscellaneous, Noncurrent
Fair value of shares vested
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period, Fair Value
Accounts payable and accrued expenses
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable
Cash payments to noncontrolling shareholder
Payments to Noncontrolling Interests
Concentration Risk Type [Domain]
Concentration Risk Type [Domain]
Total stockholders' equity
Stockholders' Equity Attributable to Parent
Prepaid expenses
Prepaid Expense, Current
Board of Directors
Director [Member]
Temporary Staffing Services
Temporary Staffing Services [Member]
Temporary Staffing Services [Member]
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
Deferred compensation asset
Investments [Member]
Line of Credit Facility [Line Items]
Line of Credit Facility [Line Items]
Credit carryforwards
Deferred Tax Assets, Tax Credit Carryforwards
Type Of Amortization [Domain]
Type Of Amortization [Domain]
[Domain] for Type Of Amortization [Axis]
Other
Deferred Tax Assets, Other
Entity Interactive Data Current
Entity Interactive Data Current
Cumulative pretax income for preceding 12 quarters
Cumulative Pretax Income, Including Permanent Items
Cumulative Pretax Income, Including Permanent Items
Accumulated Amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Schedule of Property, Plant and Equipment [Table]
Property, Plant and Equipment [Table]
Stockholders' Equity
Shareholders' Equity and Share-Based Payments [Text Block]
Changes in operating assets and liabilities:
Increase (Decrease) in Operating Capital [Abstract]
2025
Finite-Lived Intangible Asset, Expected Amortization, Year Three
2027
Long-Term Debt, Maturity, Year Five
Portion at Fair Value Measurement
Portion at Fair Value Measurement [Member]
(Accumulated Deficit) Retained Earnings
Retained Earnings [Member]
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Common Stock
Common Stock [Member]
Vesting of restricted stock
Shares Issued, Value, Share-Based Payment Arrangement, after Forfeiture
Number of reportable segments
Number of Reportable Segments
Schedule of Lease Costs
Lease, Cost [Table Text Block]
Stock repurchase and retirement
Payments for Repurchase of Common Stock
Contingent consideration liabilities
Earnout liabilities
Business Combination, Contingent Consideration, Liability
Thereafter
Long-Term Debt, Maturity, after Year Five
Income Taxes
Income Tax, Policy [Policy Text Block]
Revenue Recognition
Revenue [Policy Text Block]
Statement [Table]
Statement [Table]
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
Interest rate at period end (percent)
Debt Instrument, Interest Rate, Effective Percentage
Acquisitions
Stock Issued During Period, Value, Acquisitions
Payment for debt prepayment
Payment For Debt Prepayment
Payment For Debt Prepayment
Furniture and fixtures
Furniture and Fixtures [Member]
Current assets:
Assets, Current [Abstract]
Operating lease liabilities
Increase (Decrease) In Operating Lease Liabilities
Increase (Decrease) In Operating Lease Liabilities
Operating lease liabilities - non-current
Operating lease liabilities - non-current
Operating Lease, Liability, Noncurrent
Statistical Measurement [Axis]
Statistical Measurement [Axis]
Payment of contingent consideration
Payment for contingent liability
Payment for Contingent Consideration Liability, Financing Activities
Non-current insurance recovery receivable
Non-current insurance recovery receivable
Insurance Settlements Receivable, Noncurrent
Insurance recovery for professional liability claims
Insurance Receivable for Malpractice, Noncurrent
Leasehold improvements
Leasehold Improvements [Member]
Retained earnings (accumulated deficit)
Retained Earnings (Accumulated Deficit)
Impaired Long-Lived Assets Held and Used, Asset Name [Domain]
Impaired Long-Lived Assets Held and Used, Asset Name [Domain]
Accounts receivable, net of allowances of $14,696 in 2022 and $6,881 in 2021
Accounts Receivable, after Allowance for Credit Loss, Current
Equity Components [Axis]
Equity Components [Axis]
Ohio Based Business
Ohio Based Business [Member]
Ohio Based Business
Allowance for doubtful accounts
Deferred Tax Asset, Tax Deferred Expense, Reserve and Accrual, Accounts Receivable, Allowance for Credit Loss
Related Party Transactions
Related Party Transactions Disclosure [Text Block]
Comprehensive Income (Loss)
Comprehensive Income, Policy [Policy Text Block]
Revision of Prior Period [Domain]
Revision of Prior Period [Domain]
IT Project
IT Project [Member]
IT Project
Document Fiscal Year Focus
Document Fiscal Year Focus
Prepaid implementation costs
Hosting Arrangement, Service Contract, Implementation Cost, Prepaid
Hosting Arrangement, Service Contract, Implementation Cost, Prepaid
Cash flows from operating activities
Net Cash Provided by (Used in) Operating Activities [Abstract]
Statement [Line Items]
Statement [Line Items]
Accounts payable and accrued expenses
Accounts Payable and Other Accrued Liabilities, Current
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
Current portion of earnout liability
Business Combination, Contingent Consideration, Liability, Current
Variable Rate [Domain]
Variable Rate [Domain]
Accrued professional liability claims
Malpractice Loss Contingency, Accrual, Undiscounted, Current
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
Gross Carrying Amount
Finite-Lived Intangible Assets, Gross
Selling, general and administrative expenses
Selling, General and Administrative Expense
Accrued health care claims
Other Employee-related Liabilities, Current
Summary of Balance Sheet Details
Condensed Balance Sheet [Table Text Block]
Total
Current Income Tax Expense (Benefit)
Operating lease right-of-use assets
Operating Lease, Right-of-Use Asset
Accumulated Other Comprehensive Loss, net
AOCI Attributable to Parent [Member]
Operating lease right-of-use assets
Deferred Tax Liabilities, Right-Of-Use Assets
Deferred Tax Liabilities, Right-Of-Use Assets
Auditor Firm ID
Auditor Firm ID
Type of Restructuring [Domain]
Type of Restructuring [Domain]
Document Transition Report
Document Transition Report
Foreign Tax Authority
Foreign Tax Authority [Member]
Goodwill and Intangible Assets Disclosure [Table]
Goodwill And Intangible Assets Disclosure [Table]
Goodwill and Intangible Assets Disclosure [Table]
Local Phone Number
Local Phone Number
Income (loss) from operations
Operating Income (Loss)
Recent Accounting Pronouncements
New Accounting Pronouncements, Policy [Policy Text Block]
Other
Unrecognized Tax Benefits, Increase (Decrease) Resulting From Other Deductions
The gross amount of increase (decrease) in unrecognized tax benefits resulting from other items.
Share-based compensation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Share-Based Compensation Cost
Effective of diluted shares:
Weighted Average Number of Shares Outstanding, Diluted, Adjustment [Abstract]
State
State and Local Jurisdiction [Member]
Borrowing base availability
Line Of Credit Facility, Borrowing Base Availability
Line Of Credit Facility, Borrowing Base Availability
Line Of Credit Sublimit [Domain]
Line Of Credit Sublimit [Domain]
[Domain] for Line Of Credit Sublimit [Axis]
Weighted average common shares outstanding:
Denominator:
Weighted Average Number of Shares Outstanding Reconciliation [Abstract]
Common stock, shares outstanding (in shares)
Beginning balance (in shares)
Ending balance (in shares)
Common Stock, Shares, Outstanding
Service
Service [Member]
Goodwill
Goodwill, net of impairment loss, beginning of period
Goodwill, net of impairment loss, end of period
Goodwill
Other Current Liabilities
Other Current Liabilities [Member]
Balance Sheet Related Disclosures [Abstract]
Balance Sheet Related Disclosures [Abstract]
Property, Plant and Equipment, Type [Axis]
Long-Lived Tangible Asset [Axis]
Notes payable
Notes Payable
Foreign tax expense
Effective Income Tax Rate Reconciliation, Foreign Income Tax Rate Differential, Amount
Type Of Amortization [Axis]
Type Of Amortization [Axis]
Type Of Amortization [Axis]
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Goodwill, Trade Names, and Other Intangible Assets
Goodwill and Intangible Assets Disclosure [Text Block]
Income tax expense (benefit)
Income tax expense (benefit)
Income Tax Expense (Benefit)
Finance Lease, Right-of-Use Asset, Statement of Financial Position [Extensible List]
Finance Lease, Right-of-Use Asset, Statement of Financial Position [Extensible Enumeration]
Non-cash lease expense
Operating Lease Expense, Non-Cash
Operating Lease Expense, Non-Cash
Valuation allowance
Valuation allowance
Deferred Tax Assets, Valuation Allowance
Property and Equipment
Property, Plant and Equipment, Policy [Policy Text Block]
2026
Lessee, Operating Lease, Liability, to be Paid, Year Four
Income Statement [Abstract]
Income Statement [Abstract]
Entity Public Float
Entity Public Float
Federal
Deferred Federal Income Tax Expense (Benefit)
Impairment of long-lived assets held-for-use
Impairment, Long-Lived Asset, Held-for-Use
Additional Paid-In Capital
Additional Paid-in Capital [Member]
Audit Information [Abstract]
Audit Information [Abstract]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Document Fiscal Period Focus
Document Fiscal Period Focus
Line of credit term
Line of Credit Facility, Expiration Period
Diluted (in shares)
Weighted average common shares - Diluted (in shares)
Weighted Average Number of Shares Outstanding, Diluted
Less accumulated depreciation and amortization
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
Goodwill, Trade Names, and Other Intangible Assets
Goodwill and Intangible Assets, Intangible Assets, Policy [Policy Text Block]
Interest margin floor (percent)
Debt Instrument, Variable Interest Rate Floor
Debt Instrument, Variable Interest Rate Floor
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
Fair Value Measurement [Table]
Fair Value Measurement [Table]
Fair Value Measurement [Table]
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table]
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table]
Other Income Tax Authority
Other Income Tax Authority [Member]
Other Income Tax Authority
Accounts Receivable, Allowance for Credit Loss [Roll Forward]
Accounts Receivable, Allowance for Credit Loss [Roll Forward]
ICFR Auditor Attestation Flag
ICFR Auditor Attestation Flag
Base Rate
Base Rate [Member]
Accounts payable and accrued expenses
Accounts Payable and Accrued Liabilities, Current
Common stock—$0.0001 par value; 100,000,000 shares authorized; 36,302,618 and 37,023,644 shares issued and outstanding at December 31, 2022 and 2021, respectively
Common Stock, Value, Issued
Carrying Amount
Reported Value Measurement [Member]
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
Performance attainment percentage
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Performance Attainment Percentage
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Performance Attainment Percentage
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
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
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]
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]
Uncertain tax positions - non-current
Long-term unrecognized tax benefits
Liability for Uncertainty in Income Taxes, Noncurrent
Short-term lease expense
Short-Term Lease, Cost
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.
Accrued other and prepaid expenses
Deferred Tax Assets, Accrued Other Liabilities and Prepaid Expenses
Deferred Tax Assets, Accrued Other Liabilities and Prepaid Expenses
Services
Product Concentration Risk [Member]
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
Foreign currency translation adjustment, net of taxes
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax
Foreign
Income (Loss) from Continuing Operations before Income Taxes, Foreign
Accrued bonuses and commissions
Accrued Bonuses, Current
Less: Net income attributable to noncontrolling interest in subsidiary
Net Income (Loss) Attributable to Noncontrolling Interest
Contingencies
Commitments and Contingencies Disclosure [Text Block]
Accumulated impairment loss, beginning of period
Accumulated impairment loss, end of period
Goodwill, Impaired, Accumulated Impairment Loss
Current liabilities:
Liabilities, Current [Abstract]
Common stock, shares issued (in shares)
Common Stock, Shares, Issued
Net income (loss) attributable to common stockholders - Basic
Net Income (Loss) from Continuing Operations Available to Common Shareholders, Basic
Other
Effective Income Tax Rate Reconciliation, Other Adjustments, Amount
Security deposits
Deposits Assets, Noncurrent
Associated acquisition related costs
Business Combination, Acquisition Related Costs
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]
Amendment Flag
Amendment Flag
Intangible assets- useful life
Finite-Lived Intangible Asset, Useful Life
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
Operating lease expense
Operating Lease, Cost
Accrued workers’ compensation claims
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Employee Benefits
Face amount
Debt Instrument, Face Amount
SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract]
SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract]
Borrowings under Senior Secured Asset-Based revolving credit facility
Proceeds from Long-Term Lines of Credit
Comprehensive income (loss) attributable to common stockholders
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Senior Secured Asset-Based Loan
Senior Secured Asset-Based Loan [Member]
Senior Secured Asset-Based Loan [Member]
Aggregate goodwill acquired
Goodwill, Acquired During Period
Total liabilities assumed
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities
Entity Current Reporting Status
Entity Current Reporting Status
Deferred Tax Assets:
Components of Deferred Tax Assets [Abstract]
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets Disclosure [Abstract]
Other current liabilities
Other Liabilities, Current
Other non-current assets
Other non-current assets
Other Assets, Noncurrent
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
Payments and adjustments
Payments for Restructuring
Sales allowance, billing-related adjustments
Sales Allowance, Billing-Related Adjustments
Sales Allowance, Billing-Related Adjustments
Depreciation and amortization
Depreciation, Depletion and Amortization
Disaggregation of Revenue [Table]
Disaggregation of Revenue [Table]
Prior Repurchase Program And New Repurchase Program
Prior Repurchase Program And New Repurchase Program [Member]
Prior Repurchase Program And New Repurchase Program
Unused commitment fee percentage
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage
Principal payments on note payable
Payments of notes payable
Repayments of Notes Payable
Employee Termination Costs
Employee Severance [Member]
Right of use impairment charge
Operating Lease, Impairment Loss
Thereafter
Finite-Lived Intangible Asset, Expected Amortization, after Year Five
Self insured retention per claim
Malpractice Insurance, Policy, Self Insured Retention Per Claim
Malpractice Insurance, Policy, Self Insured Retention Per Claim
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Other intangible assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Earnout liability
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability
Effect of exchange rate changes on cash
Effect of Exchange Rate on Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Continuing Operations
Property and equipment, net
Property and equipment, net of accumulated depreciation and amortization
Property, Plant and Equipment, Net
Cash paid for amounts included in the measurement of operating lease liabilities
Operating Lease, Payments
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.
Schedule of Estimated Annual Amortization Expense
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]
Quarterly Financial Data (Unaudited)
Quarterly Financial Information [Text Block]
Office equipment
Office Equipment [Member]
Title of Individual [Domain]
Title of Individual [Domain]
Note Payable
Notes Payable, Other Payables [Member]
Search Services
Search Services [Member]
Search Services [Member]
Databases
Database Rights [Member]
Accounts receivable, allowance for credit losses
Accounts Receivable, Allowance for Credit Loss, Current
Forfeited (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeited in Period
Other (income) expense, net
Other Nonoperating Income (Expense)
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Common stock, shares authorized (in shares)
Common Stock, Shares Authorized
Non-current earnout liability
Business Combination, Contingent Consideration, Liability, Noncurrent
Schedule of Related Party Transactions, by Related Party [Table]
Schedule of Related Party Transactions, by Related Party [Table]
Impairment, Long Lived Asset, Held For Use, Statement Of Income Or Comprehensive Income Extensible Enumeration Not Disclosed Flag
Impairment, Long Lived Asset, Held For Use, Statement Of Income Or Comprehensive Income Extensible Enumeration Not Disclosed Flag
Impairment, Long Lived Asset, Held For Use, Statement Of Income Or Comprehensive Income Extensible Enumeration Not Disclosed Flag
Corporate Joint Venture
Corporate Joint Venture [Member]
Maximum
Maximum [Member]
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Share-based awards
Share-Based Payment Arrangement [Member]
Stock repurchase and retirement
Stock repurchase and retirement
Stock Repurchased and Retired During Period, Value
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Total current assets
Assets, Current
Income tax payable
Taxes Payable, Current
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Entity Small Business
Entity Small Business
Measurement Basis [Axis]
Measurement Basis [Axis]
Shares issued (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Shares Issued in Period
Net Carrying Amount
Finite-Lived Intangible Assets, Net
Line of Credit Facility [Table]
Line of Credit Facility [Table]
Distribution to noncontrolling shareholder
Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders
Accrued workers’ compensation claims
Workers' Compensation Liability, Current
Summary of Significant Accounting Policies
Significant Accounting Policies [Text Block]
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Property and Equipment
Property, Plant and Equipment Disclosure [Text Block]
ABL Credit Agreement
ABL Credit Agreement [Member]
ABL Credit Agreement
Stock repurchase and retirement (in shares)
Stock repurchase and retirement (in shares)
Stock Repurchased and Retired During Period, Shares
Property, Plant and Equipment, Type [Domain]
Long-Lived Tangible Asset [Domain]
Non-current debt, less current portion
Other Long-Term Debt, Noncurrent
Accounts receivable
Increase (Decrease) in Accounts Receivable
Title of 12(b) Security
Title of 12(b) Security
Organization and Basis of Presentation
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
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.
Employer match vesting duration
Defined Contribution Plan, Vesting Period Of Employer Match
Defined Contribution Plan, Vesting Period Of Employer Match
Schedule of Reconciliation of Beginning and Ending Amounts of Unrecognized Tax Benefits
Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block]
Total operating expenses
Costs and Expenses
Subcontractor payable
Subcontractor Payable, Current
Subcontractor Payable, Current
HireUp
HireUp Leadership Inc [Member]
HireUp Leadership Inc
Repayments of outstanding debt
Repayments of Lines of Credit
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Business Combination and Asset Acquisition [Abstract]
Income Tax Contingency [Line Items]
Income Tax Contingency [Line Items]
Vesting of restricted stock (in shares)
Shares Issued, Shares, Share-Based Payment Arrangement, after Forfeiture
Debt issuance costs
Debt issuance costs
Payments of Debt Issuance Costs
Present value of future minimum lease payments
Operating Lease, Liability
Segment Data
Segment Reporting Disclosure [Text Block]
Balance at Beginning of Period
Balance at End of Period
SEC Schedule, 12-09, Valuation Allowances and Reserves, Amount
Accelerated Amortization
Accelerated Amortization [Member]
Accelerated Amortization [Member]
Share-Based Compensation
Share-Based Payment Arrangement [Policy Text Block]
Insurance recovery for professional liability claims
Insurance Receivable for Malpractice, Current
Schedule of Acquired Intangible Assets
Schedule of Intangible Assets and Goodwill [Table Text Block]
2024
Finite-Lived Intangible Asset, Expected Amortization, Year Two
Liabilities and Stockholders' Equity
Liabilities and Equity [Abstract]
Fair Value
Estimate of Fair Value Measurement [Member]
Fair Value, Recurring and Nonrecurring [Table]
Fair Value, Recurring and Nonrecurring [Table]
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
Other comprehensive loss:
Comprehensive Income (Loss), Net of Tax, Attributable to Parent [Abstract]
Restructuring costs
Charged to restructuring costs
Restructuring Charges
Income Tax Authority [Axis]
Income Tax Authority [Axis]
Prepaid expenses and other assets
Increase (Decrease) in Other Operating Assets
2026
Long-Term Debt, Maturity, Year Four
Non-current insurance recovery receivable:
Insurance Recovery Receivable. Noncurrent [Abstract]
Insurance Recovery Receivable. Noncurrent
Auditor Location
Auditor Location
Write off of debt issuance costs
Write off of Deferred Debt Issuance Cost
Entity Filer Category
Entity Filer Category
Basic (in shares)
Weighted average common shares - Basic (in shares)
Weighted Average Number of Shares Outstanding, Basic
Federal
Current Federal Tax Expense (Benefit)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Table]
Disposal Groups, Including Discontinued Operations [Table]
Nurse And Allied Staffing
Nurse And Allied Staffing [Member]
Nurse and allied staffing [Member]
Number of contingent liabilities assumed
Business Combination, Number Of Contingent Liabilities Assumed
Business Combination, Number Of Contingent Liabilities Assumed
Equity compensation
Share-Based Payment Arrangement, Expense
Commitments and contingencies
Commitments and Contingencies
Security Exchange Name
Security Exchange Name
Acquisition-related settlements
Proceeds From Acquisition-Related Settlements
Proceeds From Acquisition-Related Settlements
Weighted average useful life of assets acquired
Acquired Finite-Lived Intangible Assets, Weighted Average Useful Life
Net income (loss) attributable to common stockholders - Diluted
Net Income (Loss) from Continuing Operations Available to Common Shareholders, Diluted
Schedule Quarterly Financial Data
Quarterly Financial Information [Table Text Block]
Letters of credit outstanding
Letters of Credit Outstanding, Amount
Restricted Stock Awards
Restricted Stock [Member]
Fair Value Measurement [Line Items]
Fair Value Measurement [Line Items]
Fair Value Measurement [Line Items]
Property, Plant and Equipment [Line Items]
Property, Plant and Equipment [Line Items]
Revenue from services
Revenues from services
Revenue from Contract with Customer, Excluding Assessed Tax
Entity Well-known Seasoned Issuer
Entity Well-known Seasoned Issuer
Income taxes
Increase (Decrease) in Income Taxes Payable
Equity consideration for acquisition value
Business Combination, Consideration Transferred, Equity Interests Issued and Issuable
Valuation Allowance for Deferred Tax Assets
SEC Schedule, 12-09, Valuation Allowance, Deferred Tax Asset [Member]
Stock Appreciation Rights
Stock Appreciation Rights (SARs) [Member]
Shares reserved for future issuance (in shares)
Common Stock, Capital Shares Reserved for Future Issuance
Cover [Abstract]
Cover [Abstract]
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-Term Debt Instruments [Table]
Leases
Lessee, Leases [Policy Text Block]
Entity Voluntary Filers
Entity Voluntary Filers
Impairment charges for goodwill
Goodwill, Impairment Loss
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]
Beginning balance
Ending balance
Accounts Receivable, Allowance for Credit Loss
Non-deductible items
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Amount
Leased Property
Leased Property [Member]
Leased Property
Revenue Recognition
Revenue from Contract with Customer [Text Block]
Segment Reporting [Abstract]
Segment Reporting [Abstract]
Letter of credit for malpractice claims
Malpractice Loss Contingency, Letters of Credit and Surety Bonds
Standby Letters Of Credit Sublimit
Standby Letters Of Credit Sublimit [Member]
Standby Letters Of Credit Sublimit [Member]
Noncontrolling Interest in Subsidiary
Noncontrolling Interest [Member]
Documents Incorporated by Reference
Documents Incorporated by Reference [Text Block]
Cash paid for shares withheld for taxes
Payment, Tax Withholding, Share-Based Payment Arrangement
Total liabilities and stockholders' equity
Liabilities and Equity
Debt term
Debt Instrument, Term
Schedule of Significant Components of Deferred Tax Assets and Liabilities
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
Related Party [Axis]
Related Party [Axis]
Long-term Debt, Type [Axis]
Long-Term Debt, Type [Axis]
Goodwill balances
Goodwill [Roll Forward]
Accrued vacation
Accrued Vacation, Current
Repayments on Senior Secured Asset-Based revolving credit facility
Repayments of Long-Term Lines of Credit
Common shares amount left remaining to repurchase under the plan (up to)
Stock Repurchase Program, Remaining Authorized Repurchase Amount
Share-based awards (shares)
Incremental Common Shares Attributable to Dilutive Effect of Share-Based Payment Arrangements
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
Intangible assets
Deferred Tax Assets, Goodwill and Intangible Assets
SEC Schedule, 12-09, Valuation Allowances and Reserves Type [Axis]
SEC Schedule, 12-09, Valuation Allowances and Reserves Type [Axis]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Gross deferred tax assets
Deferred Tax Assets, Gross
Schedule of Components of Loss Before Income Taxes
Schedule of Income before Income Tax, Domestic and Foreign [Table Text Block]
Lease-Related Exit Costs
Exit Costs [Member]
Exit Costs [Member]
Acquisitions, net of cash acquired
Payments to Acquire Businesses, Net of Cash Acquired
Level 2
Fair Value, Inputs, Level 2 [Member]
Schedule of Information on Operating Segments and Reconciliation to Income From Operations
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table Text Block]
Debt Discount and Debt Issuance Costs
Debt, Policy [Policy Text Block]
Current Fiscal Year End Date
Current Fiscal Year End Date
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
Less: amount of lease payments representing interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
Significant Accounting Policies [Line Items]
Significant Accounting Policies [Line Items]
Significant Accounting Policies [Line Items]
Other current assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Other
Other Services
Other Services [Member]
Other Services [Member]
Net income (loss) per share attributable to common stockholders - Diluted (usd per share)
Net income (loss) per share attributable to common stockholders - Diluted (usd per share)
Net income per share attributable to common stockholders - Diluted (usd per share)
Earnings Per Share, Diluted
Other intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
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
Stock vesting period
Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period
Equity compensation
APIC, Share-Based Payment Arrangement, Increase for Cost Recognition
Concentration Risk Type [Axis]
Concentration Risk Type [Axis]
Total current liabilities
Liabilities, Current
Percent ownership in joint venture unit
Joint Venture, Percent Ownership
Joint Venture, Percent Ownership
2024
Lessee, Operating Lease, Liability, to be Paid, Year Two
Other current assets
Other Assets, Current
Unrecognized tax benefits
Balance at January 1
Balance at December 31
Unrecognized Tax Benefits
Deferred tax assets
Deferred Tax Assets, Net of Valuation Allowance
Indefinite-lived intangibles
Deferred Tax Liabilities, Intangible Assets
Restructuring Cost and Reserve [Line Items]
Restructuring Cost and Reserve [Line Items]
Share Repurchase Program [Axis]
Share Repurchase Program [Axis]
Unrecognized tax benefits, which would affect the effective tax rate
Unrecognized Tax Benefits that Would Impact Effective Tax Rate
United States
Income (Loss) from Continuing Operations before Income Taxes, Domestic
Other non-current liabilities:
Other Liabilities, Noncurrent [Abstract]
Schedule of Allowance for Credit Loss
Accounts Receivable, Allowance for Credit Loss [Table Text Block]
Other expenses (income):
Nonoperating Income (Expense) [Abstract]
Omnibus Plan
Omnibus Plan [Member]
Omnibus Plan [Member]
Schedule of Operating Lease Maturity
Lessee, Operating Lease, Liability, Maturity [Table Text Block]
Entity Address, Address Line One
Entity Address, Address Line One
Income Tax Authority [Domain]
Income Tax Authority [Domain]
Other
Proceeds from (Payments for) Other Financing Activities
Accrued compensation and benefits:
Employee-related Liabilities [Abstract]
Other non-current assets:
Other Assets, Noncurrent [Abstract]
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.
Product and Service [Axis]
Product and Service [Axis]
Net working capital adjustment
Business Combination, Consideration Transferred, Net Working Capital Adjustment
Business Combination, Consideration Transferred, Net Working Capital Adjustment
Change in valuation allowance
Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount
Unbilled contracts receivable
Unbilled Contracts Receivable
Fair Value Disclosures [Abstract]
Fair Value Disclosures [Abstract]
Remaining borrowing capacity
Line of Credit Facility, Remaining Borrowing Capacity
Interest expense
Interest Expense
Accrued professional liability claims
Malpractice Loss Contingency, Accrual, Undiscounted, Noncurrent
Trade names
Trade Names [Member]
Credit Facility [Axis]
Credit Facility [Axis]
Acquisition and integration-related costs
Acquisition And Integration-Related Costs
Acquisition And Integration-Related Costs
Company contribution net of forfeitures
Defined Contribution Plan, Employer Discretionary Contribution Amount
Schedule of Long-term Debt Instruments
Schedule of Long-Term Debt Instruments [Table Text Block]
Equity [Abstract]
Equity [Abstract]
Borrowing base, percentage of assets
Line Of Credit, Borrowing Base, Percentage Of Assets
Line Of Credit, Borrowing Base, Percentage Of Assets
Vested (in shares)
Vested (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period
Entity Tax Identification Number
Entity Tax Identification Number
Restructuring Costs
Costs Associated with Exit or Disposal Activities or Restructurings, Policy [Policy Text Block]
Asset Acquisition [Line Items]
Asset Acquisition [Line Items]
Accounts payable and accrued expenses:
Accounts Payable and Accrued Liabilities [Abstract]
Impaired Long-Lived Assets Held and Used by Type [Axis]
Impaired Long-Lived Assets Held and Used by Type [Axis]
Deferred tax liability
Deferred Tax and Other Liabilities, Noncurrent
Advertising costs
Advertising Expense
Schedule of Disaggregation of Revenue
Disaggregation of Revenue [Table Text Block]
Deferred tax liabilities
Deferred Tax Liabilities, Gross
Revenue from Contract with Customer [Abstract]
Revenue from Contract with Customer [Abstract]
Non-compete agreements
Noncompete Agreements [Member]
Quarterly Financial Information Disclosure [Abstract]
Quarterly Financial Information Disclosure [Abstract]
Type and Tier Identifier [Domain]
Type and Tier Identifier [Domain]
Other Changes
SEC Schedule, 12-09, Valuation Allowances and Reserves, Increase (Decrease) Adjustment
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]
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
Change in cash and cash equivalents
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
State taxes, net of federal benefit
Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Amount
Schedule of Restructuring Costs
Restructuring and Related Costs [Table Text Block]
Schedule II - Valuation and Qualifying Accounts
SEC Schedule, 12-09, Schedule of Valuation and Qualifying Accounts Disclosure [Text Block]
2027
Finite-Lived Intangible Asset, Expected Amortization, Year Five
Entity Central Index Key
Entity Central Index Key
Antidilutive Securities, Name [Domain]
Antidilutive Securities, Name [Domain]
Principal payments on term loan
Repayments of Secured Debt
Allowances for Accounts Receivable
SEC Schedule, 12-09, Allowance, Credit Loss [Member]
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]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [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]
Entity [Domain]
Entity [Domain]
New Repurchase Program
New Repurchase Program [Member]
New Repurchase Program
City Area Code
City Area Code
Short term leases period
Lease Expiration Period
Apartments lease period for field employees under short-term agreements.
Assets
Assets [Abstract]
Net debt issuance costs
Debt Issuance Costs, Noncurrent, Net
Impairment charges for intangible assets
Impairment of Intangible Assets (Excluding Goodwill)
Long-term Debt, Type [Domain]
Long-Term Debt, Type [Domain]
Revision of Prior Period, Adjustment
Revision of Prior Period, Adjustment [Member]
Retirement Benefits [Abstract]
Retirement Benefits [Abstract]
Statement of Stockholders' Equity [Abstract]
Statement of Stockholders' Equity [Abstract]
Tax at U.S. statutory rate
Effective Income Tax Rate Reconciliation at Federal Statutory Income Tax Rate, Amount
Advertising
Advertising Cost [Policy Text Block]
Cash flows from financing activities
Net Cash Provided by (Used in) Financing Activities [Abstract]
Asset Class [Axis]
Asset Class [Axis]
Earnings Per Share
Earnings Per Share, Policy [Policy Text Block]
2023
Long-Term Debt, Maturity, Year One
Equity compensation
Share-Based Payment Arrangement, Noncash Expense
Claims-Based Liability Insurance
Claims-Based Liability Insurance [Member]
Claims-Based Liability Insurance [Member]
Variable Rate [Axis]
Variable Rate [Axis]
Other non-current liabilities
Other non-current liabilities
Other Liabilities, Noncurrent
Mint
Mint Medical Physician Staffing, LP And Lotus Medical Staffing LLC [Member]
Mint Medical Physician Staffing, LP And Lotus Medical Staffing LLC
Disposal Group Classification [Domain]
Disposal Group Classification [Domain]
Other
Increase (Decrease) in Other Operating Liabilities
Return to provision
Effective Income Tax Rate Reconciliation, Return To Provision, Amount
Effective Income Tax Rate Reconciliation, Return To Provision, Amount
Purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
Impairment charges
Asset Impairment Charges
Construction in progress
Asset under Construction [Member]
Escrow account
Escrow Deposit
Disaggregation of Revenue [Line Items]
Disaggregation of Revenue [Line Items]
Stock expired (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Non-Option Equity Instruments, Expirations
2021 Term Loan Credit Agreement
2021 Term Loan Credit Agreement [Member]
2021 Term Loan Credit Agreement
2023
Finite-Lived Intangible Asset, Expected Amortization, Year One
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]
Right-of-use assets acquired under operating lease
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability
Fair Value, Option, Quantitative Disclosures [Line Items]
Fair Value, Option, Quantitative Disclosures [Line Items]
Less: Net income attributable to noncontrolling interest in subsidiary
Income (Loss) from Continuing Operations, Net of Tax, Attributable to Noncontrolling Interest
Cloud Computing Arrangements
Cloud Computing Arrangements [Policy Text Block]
Cloud Computing Arrangements