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Acquisitions - On Assignment Narrative (Details) (USD $)
 12 Months Ended 1 Months Ended 12 Months Ended 3 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2013
Nurse and allied staffing [Member]
Dec. 31, 2012
Nurse and allied staffing [Member]
Dec. 31, 2013
Revolving Credit Facility [Member]
Dec. 31, 2013
On Assignment [Member]
lease
specialty
branch
Dec. 31, 2013
On Assignment [Member]
Customer Relationships [Member]
Dec. 31, 2013
On Assignment [Member]
Customer Lists [Member]
Dec. 31, 2013
On Assignment [Member]
Noncompete Agreements [Member]
Dec. 31, 2013
On Assignment [Member]
Nurse and allied staffing [Member]
Dec. 31, 2013
On Assignment [Member]
Revolving Credit Facility [Member]
Line of Credit [Member]
Mar. 17, 2014
Subsequent Event [Member]
On Assignment [Member]
lease
Business Acquisition [Line Items]                          
Consideration transferred             $ 28,700,000            
Cash             24,673,000            
Debt           8,400,000           4,500,000  
Acquisition costs 473,488 0 0       473,000            
Number of leases to be assumed             15            
Number of leases assumed                         4
Amount of operating lease future payments assumed 19,065,246                       383,765
Number of Subleases Assumed             7            
Number of branch-based employees acquired             84            
Number of staffing specialties acquired             125            
Number of branch offices acquired             23            
Actual revenue from acquisition                     3,407,193    
Actual earnings from acquisition                     295,251    
Intangible assets             14,000,000 10,400,000 3,400,000 200,000      
Intangible assets- useful life               16 years 10 years 5 years      
Goodwill $ 77,265,907 $ 62,712,109   $ 14,553,798 $ 0   $ 14,553,798