Condensed Consolidated Statements of Operations (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended				6 Months Ended
	Jun. 30, 2014		Jun. 30, 2013		Jun. 30, 2014		Jun. 30, 2013
Income Statement [Abstract]
Revenue from services	$ 122,656		$ 110,768	[1]	$ 240,747		$ 221,084	[1]
Operating expenses:
Direct operating expenses	90,220		82,930		177,861		164,370
Selling, general and administrative expenses	29,167		26,603		58,622		53,668
Bad debt expense	32		132		464		554
Depreciation	817	[2]	1,040	[1]	1,791	[2]	2,062	[1]
Amortization	784	[2]	566	[1]	1,569	[2]	1,132	[1]
Acquisition and integration costs	2,747		0	[1]	3,042	[2]	0	[1]
Restructuring costs	755	[2]	375	[1]	755	[2]	375	[1]
Legal settlement charge	0	[2]	750	[1]	0	[2]	750	[1]
Total operating expenses	124,522		112,396		244,104		222,911
Loss from operations	(1,866)	[2]	(1,628)	[1]	(3,357)	[2]	(1,827)	[1]
Other expenses (income):
Foreign exchange loss (gain)	27		(110)		74		(101)
Interest expense	289		164		544		444
Loss on early extinguishment and modification of debt	0		0		0		1,419
Other (income) expense, net	(7)		10		54		(51)
Loss from continuing operations before income taxes	(2,175)		(1,692)		(4,029)		(3,538)
Income tax expense (benefit)	1,006		(257)		(65)		(757)
Loss from continuing operations	(3,181)		(1,435)		(3,964)		(2,781)
(Loss) income from discontinued operations, net of income taxes	0		(22)		0		2,482
Net loss	$ (3,181)		$ (1,457)		$ (3,964)		$ (299)
Basic (loss) income per common share from:
Continuing operations (in usd per share)	$ (0.10)		$ (0.05)		$ (0.13)		$ (0.09)
Discontinued operations (in usd per share)	$ 0.00		$ 0.00		$ 0.00		$ 0.08
Net income (loss) (in usd per share)	$ (0.10)		$ (0.05)		$ (0.13)		$ (0.01)
Diluted (loss) income per common share from:
Continuing operations (in usd per share)	$ (0.10)		$ (0.05)		$ (0.13)		$ (0.09)
Discontinued operations (in usd per share)	$ 0.00		$ 0.00		$ 0.00		$ 0.08
Net income (loss) (in usd per share)	$ (0.10)		$ (0.05)		$ (0.13)		$ (0.01)
Weighted average common shares outstanding:
Basic (shares)	31,151		30,961		31,125		30,932
Diluted (shares)	31,151		30,961		31,125		30,932

[1] Prior year data has been reclassified to conform to the current year's presentation. Effective January 1, 2014, the Company merged its Allied Health Group, LLC subsidiary with its Medical Doctor Associates, LLC subsidiary. The decision to merge these companies was based on a number of factors including the consolidation of back office processes and other operational efficiencies. Along with this merger, the Company evaluated the Allied Health Group trade name and determined that it would be more valuable to use it for the Company’s nurse and allied staffing business, and as a result, transferred the trade name effective January 1, 2014. The allied health staffing business of MDA has primarily consisted of higher-level allied professionals, such as physician assistants and nurse practitioners, whose job functions are becoming increasingly more similar to those of physicians than to other allied health professionals. The 2014 change in legal structure and processes, along with the current market dynamics has changed the Company’s approach/conclusion to aggregate this business with its nurse and allied staffing business segment for 2014. The Company has revised its segments for 2014 reporting to include this business with its physician staffing business segment.

[2] In 2014, the Company refined its methodology for allocating certain corporate overhead expenses to its nurse and allied staffing segment to more accurately reflect this segment’s profitability. Prior year information has been reclassified to conform to current year presentation.