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Segment Information - Reconciliation of Revenue and Segment Operating Income by Reportable Segment (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue $ 602,461 $ 532,441
Segment operating income 35,743 45,052
Depreciation and amortization 20,089 11,710
Depreciation (included in cost of revenue) 145 0
Share-based compensation 4,927 5,186
Interest expense, net, and other 11,054 5,673
Income before income taxes 24,689 39,379
Technology and Workforce Solutions    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue 40,273 21,892
Nurse and allied solutions    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue 424,346 373,472
Physician and leadership solutions    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue 137,842 137,077
Operating segments    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue 602,461 532,441
Segment operating income 89,472 79,811
Operating segments | Technology and Workforce Solutions    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue 40,273 21,892
Segment operating income 15,295 10,383
Operating segments | Nurse and allied solutions    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue 424,346 373,472
Segment operating income 59,608 53,556
Operating segments | Physician and leadership solutions    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Revenue 137,842 137,077
Segment operating income 14,569 15,872
Unallocated corporate overhead    
Segment Reporting, Revenue Reconciling Item [Line Items]    
Unallocated corporate overhead $ 28,568 $ 17,863