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Segment Information - Reconciliation of Revenue and Segment Operating Income by Reportable Segment (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Jun. 30, 2021
Jun. 30, 2020
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue $ 857,445 $ 608,351 $ 1,743,390 $ 1,210,812
Segment operating income 99,174 38,401 203,576 74,144
Depreciation and amortization 24,740 22,071 47,994 42,160
Depreciation (included in cost of revenue) 616 355 1,087 500
Share-based compensation 6,019 6,347 15,306 11,274
Interest expense, net, and other 10,111 11,443 19,055 22,497
Income before income taxes 89,063 26,958 184,521 51,647
Nurse and allied solutions        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue 624,485 444,464 1,281,146 868,810
Physician and leadership solutions        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue 139,104 108,622 279,860 246,464
Technology and workforce solutions        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue 93,856 55,265 182,384 95,538
Operating segments        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue 857,445 608,351 1,743,390 1,210,812
Segment operating income 154,176 98,339 319,011 187,811
Operating segments | Nurse and allied solutions        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue 624,485 444,464 1,281,146 868,810
Segment operating income 89,674 61,175 191,204 120,783
Operating segments | Physician and leadership solutions        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue 139,104 108,622 279,860 246,464
Segment operating income 21,849 15,325 43,065 29,894
Operating segments | Technology and workforce solutions        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenue 93,856 55,265 182,384 95,538
Segment operating income 42,653 21,839 84,742 37,134
Unallocated corporate overhead        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Unallocated corporate overhead $ 23,627 $ 31,165 $ 51,048 $ 59,733