Goodwill and Other Identifiable Intangible Assets - Narrative (Detail) (USD $)	3 Months Ended				12 Months Ended						3 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Dec. 31, 2012 Income Approach Valuation Technique [Member]	Dec. 31, 2012 Income Approach Valuation Technique [Member] Minimum [Member]	Dec. 31, 2012 Income Approach Valuation Technique [Member] Maximum [Member]	Dec. 31, 2012 Market Approach Valuation Technique [Member]	Dec. 31, 2012 Market Approach Valuation Technique [Member] Minimum [Member]	Dec. 31, 2012 Market Approach Valuation Technique [Member] Maximum [Member]	Dec. 31, 2013 Physician Staffing [Member]	Dec. 31, 2013 Nurse and allied staffing [Member]
Goodwill and Intangible Assets Disclosure [Line Items]
Goodwill impairment charge		$ 11,900,000	$ 23,500,000	$ 18,732,000
Impairment of intangibles	$ 6,400,000										$ 6,174,000	$ 226,000
Forecast period used to calculate discounted cash flows					10 years
Terminal value growth rate					2.50%
Cash flow discount rates						11.00%	18.70%
Total enterprise value/revenue multiples									0.43	1.0
Total enterprise value/EBITDA multiples									4.17	10.0
Percentage assumed - weighting to revenue multiples								50.00%
Percentage assumed - weighting to EBITDA multiples								50.00%