Goodwill, Trade Names, and Other Intangible Assets - Goodwill Rollforward (Details) - USD ($) $ in Thousands		3 Months Ended	12 Months Ended
	Oct. 01, 2025	Dec. 31, 2024	Dec. 31, 2025
Goodwill balances
Aggregate goodwill acquired			$ 445,902
Accumulated impairment loss			(310,842)
Goodwill, net of impairment loss			135,060
Impairment charges		$ (400)	(71,257)
Aggregate goodwill acquired		445,902	445,902
Accumulated impairment loss		(310,842)	(382,099)
Goodwill, net of impairment loss		135,060	63,803
Nurse And Allied Staffing
Goodwill balances
Aggregate goodwill acquired			382,381
Accumulated impairment loss			(270,244)
Goodwill, net of impairment loss			112,137
Impairment charges	$ (64,200)		(64,214)
Aggregate goodwill acquired		382,381	382,381
Accumulated impairment loss		(270,244)	(334,458)
Goodwill, net of impairment loss		112,137	47,923
Physician Staffing
Goodwill balances
Aggregate goodwill acquired			63,521
Accumulated impairment loss			(40,598)
Goodwill, net of impairment loss			22,923
Impairment charges	$ (7,100)		(7,043)
Aggregate goodwill acquired		63,521	63,521
Accumulated impairment loss		(40,598)	(47,641)
Goodwill, net of impairment loss		$ 22,923	$ 15,880