Information on Operating Segments and Reconciliation to Income From Operations (Detail) (USD $)	3 Months Ended													12 Months Ended
	Dec. 31, 2013		Sep. 30, 2013	Jun. 30, 2013	Mar. 31, 2013		Dec. 31, 2012		Sep. 30, 2012		Jun. 30, 2012		Mar. 31, 2012	Dec. 31, 2013		Dec. 31, 2012		Dec. 31, 2011
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenue from unaffiliated customers	$ 109,178,547	[1]	$ 108,047,986	$ 110,768,343	$ 110,315,840	[2]	$ 111,730,808	[3]	$ 112,257,707	[3]	$ 108,847,135	[3]	$ 109,799,496	$ 438,310,716		$ 442,635,146		$ 439,377,460
Contribution income														28,550,825	[4]	23,956,377	[4]	34,569,941	[4]
Unallocated corporate overhead														22,286,031	[5]	22,574,066	[5]	20,299,783	[5]
Depreciation														3,885,688		4,904,845		5,965,002
Amortization														2,294,077		3,381,743		3,493,408
Acquisition costs														473,488		0		0
Restructuring costs														483,578		0		0
Legal settlement charge														(750,000)		0		0
Impairment charges														6,400,000		54,132,407		0
(Loss) income from continuing operations														(8,022,037)		(24,518,497)		5,911,434
Nurse and allied staffing [Member]
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenue from unaffiliated customers														278,972,901		277,753,525		278,793,599
Contribution income														19,188,403	[4],[5]	11,360,870	[4],[5]	20,077,583	[4],[5]
Physician Staffing [Member]
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenue from unaffiliated customers														121,371,017		123,545,045		118,780,800
Contribution income														8,616,916	[4]	10,651,879	[4]	11,320,076	[4]
Other human capital management services [Member]
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenue from unaffiliated customers														37,966,798		41,336,576		41,803,061
Contribution income														745,506	[4]	1,943,628	[4]	3,172,282	[4]
Segment, Continuing Operations [Member]
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Depreciation														3,885,688		4,904,845		5,965,002
Amortization														2,294,077		2,263,556		2,393,722
Restructuring costs														483,578		0		0
Legal settlement charge														750,000		0		0
Impairment charges														$ 6,400,000	[6]	$ 18,732,407	[6]	$ 0	[6]

[1] On December 2, 2013, the Company acquired the operating assets of On Assignment, Inc.’s Allied Healthcare Staffing division. The acquisition has been accounted for in accordance with FASB ASC Topic 805-Business Combinations, using the purchase method. The results of On Assignment's operations have been included in the Company's consolidated statements of operations since December 2, 2013, the date of the acquisition. See Note 5 - Acquisitions. During the fourth quarter of 2013, the Company recorded a deferred tax assets valuation allowance of approximately $48,406,398 and a trade names impairment charge of $6,400,000. See Note 12 - Income Taxes and Note 4 - Goodwill, Trade Names and Other Identifiable Intangible Assets.

[2] The Company sold its clinical trial services business on February 15, 2013. The clinical trial services business has been classified as discontinued operations. The transaction resulted in a gain on sale of $3,968,714 pretax, or $2,055,907 after tax. See Note 3 – Assets Held for Sale and Discontinued Operations.

[3] During the second, third and fourth quarters of 2012, the Company recorded impairment charges of approximately $18,732,000, $23,500,000 and $11,900,000, respectively. See Note 4 – Goodwill, Trade Names and Other Identifiable Intangible Assets and Note 3 – Assets Held for Sale and Discontinued Operations.

[4] The Company defines contribution income as income from operations before depreciation, amortization, acquisition costs, restructuring costs, legal settlement charges, impairment charges and corporate expenses not specifically identified to a reporting segment. Contribution income is used by management when assessing segment performance and is provided in accordance with the Segment Reporting Topic of the FASB ASC

[5] In 2013, the Company refined its methodology for allocating certain corporate overhead expenses to its nurse and allied staffing segment expenses to more accurately reflect this segment’s profitability. Prior year information has been reclassified to conform to current year presentation.

[6] During the fourth quarter of 2013, the Company recorded a trade names impairment charge of $6,400,000. During the year ended December 31, 2012, the Company recorded pretax impairment charges in its continuing operations of $18,732,407. Refer to discussion in Note 4-Goodwill, Trade Names and Other Identifiable Intangible Assets.