Segment Data - Operating Segments (Details) - USD ($) $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2025	Sep. 30, 2025	Jun. 30, 2025	Mar. 31, 2025	Dec. 31, 2024	Sep. 30, 2024	Jun. 30, 2024	Mar. 31, 2024	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenues from services:	$ 236,761	$ 250,052	$ 274,072	$ 293,408	$ 309,940	$ 315,119	$ 339,771	$ 379,174	$ 1,054,293	$ 1,344,004	$ 2,019,728
Direct operating expenses									840,722	1,069,752	1,569,318
Credit loss expense (credit)	355	(861)	30	$ 35	(228)	1,512	18,858	1,290	(441)	21,432	14,562
Segment Reconciliation [Abstract]
Depreciation and amortization									16,794	18,200	18,347
Acquisition and integration-related (income) costs									(3,394)	4,219	59
Restructuring costs	$ 1,300	$ 1,500	$ 600			$ 1,000	2,100	900	3,746	4,333	2,553
Legal and other losses					$ 1,200		$ 3,900	$ 3,700	2,749	6,668	1,125
Impairment charges									77,851	2,888	719
Interest expense									2,216	2,188	8,094
Loss on early extinguishment of debt									0	0	1,723
Interest income									(3,129)	(2,050)	(83)
Other expense (income), net									9	(605)	85
(Loss) income before income taxes									(83,510)	(16,398)	102,894
Operating Segments
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenues from services:									1,054,293	1,344,004	2,019,728
Contribution Income									74,149	87,950	206,565
Segment Reporting, Reconciling Item, Corporate Nonsegment
Segment Reconciliation [Abstract]
Corporate overhead									60,817	68,507	71,049
Nurse And Allied Staffing
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenues from services:									862,784	1,145,419	1,841,428
Nurse And Allied Staffing | Operating Segments
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenues from services:									862,784	1,145,419	1,841,428
Direct operating expenses									688,261	911,566	1,430,128
Employee compensation									80,432	100,038	144,471
Benefits									8,982	9,054	15,704
Marketing									6,578	7,695	10,452
Credit loss expense (credit)									(381)	21,479	13,587
Divisional corporate G&A									14,211	15,905	21,550
Other segment items									6,788	7,081	8,759
Contribution Income									57,913	72,601	196,777
Physician Staffing
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenues from services:									191,509	198,585	178,300
Physician Staffing | Operating Segments
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenues from services:									191,509	198,585	178,300
Direct operating expenses									152,461	158,186	139,190
Employee compensation									19,106	20,436	23,207
Benefits									1,811	2,797	2,353
Marketing									843	713	852
Credit loss expense (credit)									(60)	(47)	975
Divisional corporate G&A									317	382	505
Other segment items									795	769	1,430
Contribution Income									$ 16,236	$ 15,349	$ 9,788