Goodwill, Trade Names, and Other Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2025

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Acquired Intangible Assets

The Company had the following acquired intangible assets:

	December 31, 2025						December 31, 2024
	Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount		Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount
	(amounts in thousands)
Intangible assets subject to amortization:
Databases	$	27,730	$	17,333	$	10,397	$	36,530	$	21,945	$	14,585
Customer relationships	47,338		30,100		17,238		52,538		30,837		21,701
Other intangible assets, net	$	75,068	$	47,433	$	27,635	$	89,068	$	52,782	$	36,286
Intangible assets not subject to amortization:
Trade names, indefinite-lived					$	—					$	5,900

Schedule of Estimated Annual Amortization Expense

As of December 31, 2025, estimated annual amortization expense was as follows:

Years Ending December 31:	(amounts in thousands)
2026	$	7,481
2027	6,191
2028	4,791
2029	4,107
2030	1,701
Thereafter	3,364
	$	27,635

Schedule of Changes in Carrying Amount of Goodwill by Segment

The changes in the carrying amount of goodwill by reportable segment are as follows:

	Nurse And Allied Staffing		Physician Staffing		Total
	(amounts in thousands)
Balances as of December 31, 2024
Aggregate goodwill acquired	$	382,381	$	63,521	$	445,902
Accumulated impairment loss	(270,244)		(40,598)		(310,842)
Goodwill, net of impairment loss	112,137		22,923		135,060
Changes to aggregate goodwill in 2025
Impairment charges (a)	(64,214)		(7,043)		(71,257)
Balances as of December 31, 2025
Aggregate goodwill acquired	382,381		63,521		445,902
Accumulated impairment loss	(334,458)		(47,641)		(382,099)
Goodwill, net of impairment loss	$	47,923	$	15,880	$	63,803

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(a) Represents the write-off of the relative fair value of the goodwill across all reporting units.