v3.26.1
SEGMENT INFORMATION - Schedule of Reconciliation of Revenue, Gross Profit and Operating Income by Reportable Segment (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Segment Reporting [Line Items]        
Revenue $ 673,237 $ 658,175 $ 2,051,598 $ 1,347,708
Cost of revenue 467,355 461,776 1,476,880 953,189
Gross profit 205,882 196,399 574,718 394,519
Segment selling, general and administrative expenses 147,391 154,584 365,816 302,315
Income (loss) from operations 26,908 (123,715) 144,079 (111,208)
Depreciation and amortization 31,583 37,753 64,823 75,635
Share-based compensation     19,731 18,208
Goodwill impairment loss 0 109,515 0 109,515
Long-lived assets impairment loss 0 18,262 0 18,262
Interest expense, net, and other 7,009 11,360 13,721 23,684
Income (loss) before income taxes 19,899 (135,075) 130,358 (134,892)
Nurse and Allied Solutions        
Segment Reporting [Line Items]        
Revenue 421,968 381,871 1,549,310 795,132
Physician and Leadership Solutions        
Segment Reporting [Line Items]        
Revenue 164,582 174,531 328,506 348,596
Technology and Workforce Solutions        
Segment Reporting [Line Items]        
Revenue 86,687 101,773 173,782 203,980
Operating segments        
Segment Reporting [Line Items]        
Revenue 673,237 658,175 2,051,598 1,347,708
Cost of revenue 467,355 461,776 1,476,880 953,189
Gross profit 205,882 196,399 574,718 394,519
Segment selling, general and administrative expenses 114,491 121,353 296,329 239,498
Depreciation (included in cost of revenue) (2,515) (2,132) (4,935) (4,107)
Income (loss) from operations 93,906 77,178 283,324 159,128
Operating segments | Nurse and Allied Solutions        
Segment Reporting [Line Items]        
Revenue 421,968 381,871 1,549,310 795,132
Cost of revenue 301,940 290,746 1,146,819 610,134
Gross profit 120,028 91,125 402,491 184,998
Segment selling, general and administrative expenses 61,789 62,642 190,922 124,277
Depreciation (included in cost of revenue) 0 0 0 0
Income (loss) from operations 58,239 28,483 211,569 60,721
Operating segments | Physician and Leadership Solutions        
Segment Reporting [Line Items]        
Revenue 164,582 174,531 328,506 348,596
Cost of revenue 120,899 125,371 241,976 251,883
Gross profit 43,683 49,160 86,530 96,713
Segment selling, general and administrative expenses 32,637 35,674 64,666 68,765
Depreciation (included in cost of revenue) 0 0 0 0
Income (loss) from operations 11,046 13,486 21,864 27,948
Operating segments | Technology and Workforce Solutions        
Segment Reporting [Line Items]        
Revenue 86,687 101,773 173,782 203,980
Cost of revenue 44,516 45,659 88,085 91,172
Gross profit 42,171 56,114 85,697 112,808
Segment selling, general and administrative expenses 20,065 23,037 40,741 46,456
Depreciation (included in cost of revenue) (2,515) (2,132) (4,935) (4,107)
Income (loss) from operations 24,621 35,209 49,891 70,459
Corporate        
Segment Reporting [Line Items]        
Unallocated corporate overhead 23,045 24,404 49,740 44,609
Reconciling Item        
Segment Reporting [Line Items]        
Depreciation and amortization 31,583 37,753 64,823 75,635
Depreciation (included in cost of revenue) 2,515 2,132 4,935 4,107
Share-based compensation 9,855 8,827 19,747 18,208
Goodwill impairment loss   109,515   109,515
Long-lived assets impairment loss   18,262   18,262
Interest expense, net, and other $ 7,009 $ 11,360 $ 13,721 $ 23,684