7Baggers

Cross Country Healthcare Quarterly Balance Sheets Chart

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Annual
 
 Goodwill  
 Account Receivables  
 Cash and Cash Eq  
20200930 20201231 20210331 20210630 20210930 20211231 20220331 20220630 20220930 20221231 20230331 20230630 20230930 20231231 20240331 20240630 20240930 20241231 20250331 20250630 0100.28200.55300.83401.1501.38601.65701.93Milllion

Cross Country Healthcare Quarterly Balance Sheets Table

Quarterly
 | 
Annual
 
Unit: USD2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-12-31 2004-09-30 2004-06-30 2003-09-30 2003-06-30 2003-03-31 2001-09-30 
                                                                                          
  assets                                                                                        
  current assets:                                                                                        
  cash and cash equivalents81,193,000 80,697,000 81,633,000 64,021,000 69,601,000 5,242,000 17,094,000 14,301,000 673,000 291,000 3,604,000 30,320,000 279,000 1,208,000 1,036,000 842,000 18,127,000 13,488,000 1,600,000 3,446,000 6,234,000 12,599,000 1,032,000 9,458,000 24,830,000 18,286,000 16,019,000 28,065,000 32,559,000 32,621,000 25,537,000 10,765,000 33,936,000 13,401,000 20,630,000 26,707,000 10,229,000 1,876,000 2,453,000 24,584,000 8,679,000 7,465,000 7,732,000 9,293,000 7,158,000 8,054,613 32,453,000 25,915,000 20,905,000 10,462,692 4,832,000 6,207,000 8,946,000 10,648,035 14,305,000 16,009,000 9,858,000 10,956,664     12,003,000 11,537,000 19,087,000 10,172,841 12,637,000 4,812,000 3,525,000 9,066,537      58,000 1,555,000        18,139,000 14,283,000 14,221,000  
  accounts receivable201,694,000 219,789,000 223,238,000 244,987,000 242,333,000 357,458,000 372,352,000 410,373,000 484,885,000 627,076,000 641,611,000 610,897,000 701,926,000 677,432,000 493,910,000 301,040,000 256,487,000 245,489,000 170,003,000 168,769,000 156,104,000 164,801,000 169,528,000 170,339,000 150,515,000 154,758,000 166,128,000 167,200,000 162,424,000 160,334,000 173,603,000 181,608,000 155,903,000 161,765,000 173,620,000 147,173,000 144,611,000 143,575,000 146,873,000 125,470,000 120,621,000                       82,591,000 104,534,000  126,380,000 107,503,000 114,967,000  123,848,000 114,886,000 116,287,000  107,343,000 97,144,000 103,072,000  104,431,000 101,494,000 100,109,000  101,537,000 102,846,000 109,506,000 112,939,000 96,498,000 82,848,000 
  income taxes receivable5,394,000 5,893,000 10,389,000 10,128,000 8,967,000 6,326,000 6,898,000 5,239,000 4,128,000 1,783,000 10,915,000                             158,000 207,000 238,000 792,000 648,000 230,000 537,912 2,843,000 2,173,000 1,503,000 585,709 1,841,000 3,431,000 1,868,000 1,878,923  1,165,000 5,314,000 5,595,319  479,000 6,995,000 7,404,830  788,000  977,539     2,333,000 2,747,000 5,146,000 1,602,269 5,030,000 4,483,000 2,436,000 2,751,743 4,959,000 6,583,000 2,637,000 3,099,678  2,153,000 211,000 2,660,000   
  prepaid expenses8,036,000 8,295,000 7,848,000 4,554,000 6,248,000 7,616,000 7,681,000 4,779,000 6,753,000 10,937,000 11,067,000 3,952,000 6,774,000 7,689,000 7,648,000 3,418,000 5,183,000 5,430,000 5,455,000 3,348,000 5,275,000 6,374,000 6,097,000 3,764,000 5,706,000 4,844,000 6,208,000 5,870,000 6,433,000 6,143,000 5,287,000 5,142,000 6,230,000 5,727,000 6,126,000 5,271,000 5,070,000 4,882,000 4,521,000 4,817,000 6,697,000 5,862,000 8,385,000 7,752,000 6,389,000 6,162,730 6,139,000 6,410,000 6,683,000 5,580,473 6,876,000 6,992,000 7,041,000 7,440,632 7,340,000 6,712,000 6,829,000                                
  insurance recovery receivable11,360,000 9,343,000 9,255,000 12,102,000 8,796,000 8,815,000 9,097,000 7,807,000 7,828,000 7,266,000 7,434,000 6,202,000 5,750,000 5,336,000 5,041,000 4,655,000 4,725,000 4,752,000 4,698,000 4,883,000 4,954,000 5,130,000 5,011,000 4,631,000 4,462,000 7,003,000 4,186,000 3,287,000 3,074,000 3,278,000 3,497,000 2,813,000 3,197,000 3,386,000 3,037,000 2,704,000 2,811,000 2,961,000 2,866,000 3,156,000 4,196,000 5,893,000 4,611,000 6,507,000 3,402,000 3,886,285 4,092,000 3,798,000 3,974,000 5,483,889                                       
  other current assets1,379,000 1,182,000 2,637,000 794,000 1,813,000 1,861,000 2,031,000 2,730,000 1,367,000 1,259,000 1,042,000 8,646,000 3,594,000 641,000 638,000 3,318,000 868,000 575,000 1,355,000 1,995,000 1,985,000 1,726,000 1,689,000 1,496,000 1,729,000 1,593,000 2,364,000 1,821,000 1,210,000 1,093,000 963,000 1,654,000 1,249,000 1,857,000 2,198,000 1,555,000 1,714,000 1,462,000 2,032,000 1,539,000 1,020,000 693,000 1,072,000 749,000 1,393,000 793,197 672,000 663,000 674,000 1,049,275 731,000 637,000 638,000 701,244 553,000 556,000 640,000 334,127 11,291,000 7,684,000 8,059,000 854,343 8,629,000 12,676,000 15,690,000 1,188,263 18,962,000 17,209,000 18,187,000 1,558,220 18,151,000 17,615,000 18,904,000 1,602,154 17,310,000 14,229,000 22,148,000 9,413,710 22,562,000 23,438,000 12,410,000 8,353,044 11,832,000 12,305,000 12,219,000 11,909,000 11,160,000 12,525,000 
  total current assets309,056,000 325,199,000 335,000,000 336,586,000 337,758,000 387,318,000 415,153,000 445,229,000 505,634,000 648,612,000 675,673,000 660,017,000 718,323,000 692,306,000 508,273,000 313,273,000 285,390,000 269,734,000 183,111,000 182,441,000 174,552,000 190,630,000 183,357,000 189,688,000 187,242,000 186,484,000 194,905,000 206,243,000 205,700,000 203,469,000 208,887,000 201,982,000 200,515,000 186,136,000 205,611,000 183,410,000 164,435,000 154,756,000 158,745,000 159,724,000 141,420,000 141,296,000 131,098,000 135,600,000 94,537,000 83,934,918 117,343,000 115,727,000 115,636,000 145,368,085 106,715,000 103,864,000 105,449,000 104,806,526 110,479,000 108,277,000 104,896,000 104,414,503 99,274,000 95,384,000 107,650,000 106,207,511 102,859,000 124,402,000 155,894,000 161,380,029 169,451,000 136,055,000 142,953,000 149,139,525 149,692,000 141,956,000 149,127,000 146,225,122 137,127,000 122,617,000 136,808,000 140,752,202 138,747,000 137,404,000 121,357,000 116,687,468 113,369,000 117,304,000 140,075,000 141,791,000 121,889,000 95,373,000 
  property and equipment, net of accumulated depreciation of 23,709 in 2025 and 19,285 in 202428,221,000                                                                                        
  operating lease right-of-use assets2,003,000 2,219,000 2,468,000 2,700,000 2,635,000 1,831,000 2,599,000 2,628,000 2,306,000 2,506,000 3,254,000 3,249,000 5,058,000 5,447,000 7,488,000 8,064,000 8,625,000 9,835,000 10,447,000 10,526,000 11,553,000 16,263,000 16,964,000 17,796,000 20,254,000 20,965,000                                                               
  goodwill135,060,000 135,060,000 135,060,000 135,430,000 135,430,000 135,430,000 135,430,000 135,430,000 137,020,000 141,520,000 163,268,000 113,360,000 113,360,000 119,490,000 119,490,000 112,990,000 127,995,000 90,924,000 90,924,000 90,924,000 90,924,000 101,066,000 101,066,000 101,066,000 101,177,000 101,081,000 101,060,000 117,589,000 117,589,000 117,589,000 117,589,000 123,244,000 79,648,000 79,648,000 79,648,000 77,376,000 77,376,000 95,096,000 95,096,000 80,758,000 90,647,000 90,647,000 91,109,000 96,034,000 77,266,000 77,265,907 62,712,000 62,712,000 62,712,000 62,712,109 102,788,000 124,674,000 143,550,000 143,343,521 143,410,000 143,563,000 143,568,000 143,349,300 143,480,000 143,194,000 130,367,000 130,700,479 130,698,000 130,916,000 122,533,000 122,597,725 366,340,000 339,602,000 335,101,000 326,118,839 325,253,000 313,798,000 310,688,000 310,172,759 307,749,000 302,854,000 302,854,000 302,853,504 302,854,000 302,854,000 302,854,000  309,276,000 309,110,000 309,274,000 308,687,000 229,310,000 220,138,000 
  other intangible assets37,744,000 39,965,000 42,186,000 46,453,000 49,016,000 51,742,000 54,468,000 57,256,000 60,171,000 63,086,000 44,723,000 40,843,000 42,863,000 40,543,000 42,344,000 44,145,000 31,850,000 33,341,000 34,831,000 36,322,000 39,001,000 42,483,000 44,957,000 48,725,000 50,810,000 53,298,000 55,182,000 55,599,000 57,392,000 59,185,000 60,976,000 62,763,000 34,690,000 35,762,000                                                       
  deferred tax assets8,181,000 8,804,000 8,104,000 9,038,000 10,064,000 6,805,000 5,954,000 6,534,000                                       13,371,000 13,135,000 13,022,000 12,560,907 11,952,000 11,264,000 11,323,000 10,644,689 12,188,000 12,193,000 12,192,000 11,800,778 12,601,000 12,622,000 12,399,000 11,793,734 11,911,000 11,810,000 11,583,000 11,287,126 6,472,000 6,531,000 6,274,000 6,172,133 5,360,000 6,708,000 8,790,000 10,993,999 7,444,000 6,703,000 7,597,000 7,642,205           
  cloud computing12,070,000 11,358,000 10,846,000 9,735,000 8,916,000 7,209,000 5,987,000 5,455,000                                                                                 
  other assets5,320,000 5,320,000 5,809,000 6,694,000 6,699,000 6,784,000 6,673,000 6,616,000                                                               1,474,000 1,266,000    633,000   1,397,000 1,632,000 1,769,000  2,603,000 2,755,000 3,169,000 3,276,000 1,114,000 194,000 
  total assets553,818,000 576,235,000 589,251,000 597,423,000 602,883,000 648,439,000 679,317,000 707,739,000 771,130,000 920,541,000 947,839,000 882,512,000 938,961,000 916,434,000 732,809,000 520,420,000 493,638,000 442,353,000 356,973,000 357,838,000 352,201,000 386,979,000 382,374,000 393,991,000 396,968,000 441,435,000 427,003,000 456,938,000 459,201,000 459,794,000 467,687,000 456,656,000 382,490,000 368,395,000 388,378,000 364,736,000 344,366,000 360,040,000 366,097,000 339,726,000 331,654,000 333,498,000 336,468,000 341,379,000 259,859,000 248,244,566 275,498,000 274,529,000 281,396,000 305,923,555 301,338,000 317,250,000 334,651,000 335,909,787 345,944,000 345,878,000 343,728,000 348,207,767 356,873,000 353,418,000 354,423,000 356,588,895 367,762,000 392,553,000 418,041,000 425,849,444 667,342,000 533,226,000 536,344,000 535,307,561 536,646,000 508,555,000 507,389,000 504,032,439 492,233,000 463,776,000 477,351,000 481,661,257 480,656,000 478,700,000 460,717,000 455,994,775 460,926,000 465,173,000 489,795,000 492,294,000 386,411,000 360,774,000 
  liabilities and stockholders’ equity                                                                                        
  current liabilities:                                                                                        
  accounts payable and accrued expenses49,004,000 56,325,000 64,946,000 58,436,000 55,682,000 68,921,000 85,333,000 114,797,000 139,555,000 176,881,000 185,507,000 192,032,000 189,805,000 164,224,000 109,753,000 73,033,000 61,155,000 59,797,000 49,877,000 48,619,000 54,183,000 51,095,000 45,726,000 50,291,000 50,180,000 48,143,000 43,744,000 50,268,000 46,772,000 46,810,000 50,597,000 55,034,000 52,435,000 46,606,000 58,837,000 45,397,000 38,224,000 36,164,000 41,098,000 32,109,000 26,301,000 24,265,000 19,129,000 21,717,000 9,576,000 10,272,039 10,302,000 11,977,000 12,513,000 10,129,605 10,381,000 9,064,000 8,628,000 9,018,156 10,728,000 10,552,000 8,524,000 7,943,515 7,349,000 7,531,000 7,894,000 8,143,281 8,539,000 9,720,000 11,813,000 12,440,207 12,885,000 7,365,000 8,587,000 10,202,777 11,838,000 10,042,000 11,278,000 13,744,554 12,998,000 7,700,000 8,620,000 12,081,732 9,464,000 5,553,000 5,923,000 5,993,159 6,834,000 6,466,000 2,615,000 2,632,000 2,195,000 8,933,000 
  accrued compensation and benefits45,264,000 50,056,000 47,646,000 54,285,000 46,609,000 51,606,000 52,297,000 57,420,000 56,021,000 69,684,000 72,605,000 70,947,000 65,409,000 74,733,000 65,580,000 54,875,000 52,153,000 53,383,000 35,540,000 39,961,000 36,274,000 37,199,000 31,307,000 34,683,000 34,577,000 31,690,000 33,332,000 31,666,000 32,559,000 31,586,000 34,271,000 32,039,000 31,073,000 28,745,000 33,243,000 30,651,000 28,964,000 28,317,000 29,402,000 32,613,000 34,251,000 36,230,000 34,012,000 37,046,000 20,672,000 19,148,312    21,650,233    16,332,147    17,257,862    16,139,503    21,333,514                       
  operating lease liabilities1,307,000 1,687,000 2,089,000 2,060,000 2,085,000 2,362,000 2,604,000 2,782,000                                                                                 
  earnout liability  4,411,000 4,100,000 4,100,000 4,100,000 6,794,000 6,910,000                                                                                 
  other current liabilities590,000 980,000 1,310,000 1,796,000 1,639,000 1,453,000 1,559,000 1,669,000 1,359,000 2,259,000 1,876,000 1,803,000 1,769,000 1,122,000 1,364,000 1,466,000 945,000 3,677,000 3,497,000 3,354,000 3,441,000 5,743,000 3,554,000 3,578,000 4,255,000 4,892,000 3,075,000 2,567,000 2,861,000 3,615,000 2,845,000 7,146,000 6,097,000 4,546,000 2,749,000 6,386,000 4,701,000 4,999,000 2,880,000 2,511,000 2,760,000 2,761,000 4,441,000 1,556,000 2,908,000 4,062,875 6,972,000 5,643,000 5,742,000 4,289,403 5,864,000 5,565,000 5,178,000 4,001,874 4,163,000 4,345,000 4,057,000 3,744,510 3,934,000 3,628,000 3,565,000 3,113,019 7,095,000 6,985,000 6,853,000 6,682,120 8,357,000 8,279,000 8,480,000 7,815,181 8,895,000 7,871,000 6,613,000 5,931,539 13,816,000 4,685,000 4,881,000 4,377,830 4,958,000 4,305,000 4,619,000 4,326,114 4,391,000 4,450,000 5,932,000 5,470,000 3,650,000 3,887,000 
  total current liabilities96,165,000 109,048,000 120,402,000 120,677,000 110,115,000 128,442,000 148,587,000 183,578,000 216,027,000 264,908,000 271,640,000 276,790,000 268,658,000 283,245,000 199,770,000 144,662,000 122,060,000 121,660,000 93,423,000 96,666,000 98,781,000 99,002,000 85,465,000 93,488,000 94,144,000 89,788,000 85,386,000 91,955,000 88,442,000 87,636,000 94,588,000 94,219,000 89,605,000 79,897,000 97,092,000 84,706,000 73,922,000 77,692,000 86,046,000 74,115,000 73,160,000 76,439,000 65,545,000 75,182,000 55,482,000 44,905,135 37,376,000 38,190,000 38,134,000 72,586,105 68,359,000 36,158,000 53,504,000 46,349,710 44,733,000 41,438,000 37,387,000 36,903,382 36,279,000 35,080,000 35,798,000 34,556,175 41,347,000 44,973,000 53,298,000 56,281,483 74,512,000 50,080,000 56,414,000 50,409,119 49,630,000 45,732,000 57,075,000 66,120,289 69,692,000 51,382,000 63,837,000 69,882,571 65,255,000 61,696,000 43,445,000 44,758,302 50,587,000 48,375,000 48,856,000 48,439,000 48,879,000 61,146,000 
  accrued claims30,288,000 33,982,000 34,425,000 34,893,000 35,614,000 34,299,000 34,853,000 32,652,000                                                                                 
  uncertain tax positions10,265,000 10,168,000 10,117,000 11,169,000 11,642,000 11,339,000 10,603,000 9,906,000                                                                                 
  other liabilities3,397,000 3,204,000 3,566,000 3,645,000 3,798,000 4,039,000 4,218,000 3,902,000                                                                                 
  total liabilities141,576,000 158,025,000 170,292,000 172,732,000 163,821,000 180,249,000 205,924,000 238,078,000 300,782,000 468,611,000 490,620,000 459,803,000 528,150,000 560,361,000 435,281,000 303,621,000 301,507,000 268,679,000 202,064,000 208,918,000 203,127,000 225,577,000 218,874,000 230,344,000 232,280,000 225,425,000 208,805,000 219,683,000 222,330,000 223,693,000 229,968,000 247,308,000 180,842,000 172,501,000 236,576,000 205,493,000 200,089,000 199,255,000 224,753,000 197,707,000 195,106,000 199,921,000 186,435,000 184,136,000 99,589,000 87,577,986 62,725,000 62,983,000 68,157,000 96,800,766 83,150,000 82,772,000 85,111,000 86,609,490 94,844,000 96,602,000 96,516,000 102,198,891 105,282,000 104,088,000 106,823,000 110,518,357 124,345,000 150,563,000 180,832,000 191,826,332 268,590,000 140,834,000 149,971,000 144,870,363 148,814,000 126,537,000 129,372,000 129,176,861 126,085,000 96,558,000 113,905,000 122,375,213 124,798,000 126,301,000 110,320,000 109,620,837 122,448,000 131,904,000 172,772,000 178,368,000 77,856,000 232,013,000 
  commitments and contingencies                                                                                        
  stockholders’ equity:                                                                                        
  common stock3,000 3,000  3,000 3,000 4,000  4,000 4,000 4,000  4,000 4,000 4,000  4,000 4,000 4,000  4,000 4,000 4,000  4,000 4,000 4,000  4,000 4,000 4,000  4,000 4,000 4,000  3,000 3,000 3,000  3,000 3,000 3,000 3,000 3,000 3,000  3,000 3,000 3,000  3,000 3,000 3,000  3,000 3,000 3,000  3,000 3,000 3,000  3,000 3,000 3,000  3,000 3,000 3,000  3,000 3,000 3,000  3,000 3,000 3,000  3,000 3,000 3,000  3,000 3,000 3,000 3,000 3,000 2,000 
  additional paid-in capital202,770,000 202,074,000 202,338,000 204,273,000 215,449,000 228,525,000 236,417,000 241,732,000 255,216,000 258,144,000 292,876,000 297,143,000 320,000,000 318,125,000 321,552,000 318,415,000 316,644,000 309,711,000 310,388,000 309,049,000 307,985,000 305,935,000 305,643,000 304,764,000 303,795,000 302,802,000 303,048,000 302,007,000 301,353,000 302,325,000 305,362,000 304,957,000 303,917,000 303,115,000 256,570,000 256,118,000 255,310,000 254,542,000 254,108,000 248,698,000 248,218,000 247,778,000 247,038,000 246,637,000 246,777,000 246,324,580 245,860,000 245,466,000 245,523,000 244,924,076 244,277,000 243,666,000 243,434,000 243,170,554 244,925,000 244,151,000 243,648,000 243,004,522 242,412,000 241,914,000 241,431,000 240,869,496 238,909,000 238,166,000 237,696,000 237,371,902 237,093,000 235,714,000 235,956,000 245,843,655 250,272,000 251,781,000 253,364,000 254,272,635 253,503,000 254,269,000 254,929,000 255,339,487 256,797,000 258,320,000 257,567,000 257,179,760 254,854,000 254,779,000 253,624,000 257,396,000 258,790,000 119,099,000 
  accumulated other comprehensive loss-1,441,000 -1,436,000 -1,441,000 -1,397,000 -1,389,000 -1,388,000 -1,385,000 -1,394,000 -1,379,000 -1,380,000 -1,387,000 -1,373,000 -1,335,000 -1,304,000 -1,293,000 -1,312,000 -1,310,000 -1,286,000 -1,280,000 -1,294,000 -1,327,000 -1,318,000 -1,240,000 -1,244,000 -2,335,000 -1,661,000 -1,462,000 -1,033,000 -1,160,000 -1,554,000 -1,166,000 -1,198,000 -1,183,000 -1,207,000 -1,241,000 -1,219,000 -1,234,000 -1,214,000 -1,207,000 -1,190,000 -1,136,000 -1,104,000 -1,075,000 -1,040,000 -1,037,000 -970,113 -983,000 -902,000 -723,000 -3,082,704 -2,904,000 -3,603,000 -2,812,000 -3,373,162 -2,796,000 -2,060,000 -2,048,000 -2,400,731 -2,230,000 -3,077,000 -3,146,000 -2,978,897                           
  retained earnings210,910,000 217,569,000 218,059,000 221,812,000 224,999,000 241,049,000 238,357,000 229,319,000 216,507,000 195,162,000 165,726,000 126,935,000 92,142,000 39,248,000                                       8,915,000 9,499,824 8,968,000 7,182,000 5,609,000 5,401,975 11,406,000 10,490,000 9,312,000 8,176,838 7,778,000 6,810,000  1,482,530    144,427,143   124,650,000 120,579,733   108,514,000 103,943,344   92,827,000 89,190,958       
  total stockholders’ equity412,242,000 418,210,000  424,691,000 439,062,000 468,190,000                                            209,122,789    249,300,297    246,008,876    246,070,538            374,855,578   363,446,000 359,286,044    346,373,938 338,478,000  317,023,000 313,926,000   
  total liabilities and stockholders’ equity553,818,000 576,235,000  597,423,000 602,883,000 648,439,000                                            305,923,555    335,909,787    348,207,767    356,588,895            504,032,439   477,351,000 481,661,257    455,994,775 460,926,000  489,795,000 492,294,000   
  property and equipment, net of accumulated depreciation of 21,837 in 2025 and 19,285 in 2024 28,117,000                                                                                       
  property and equipment  28,850,000    27,339,000    19,662,000    15,833,000    12,351,000    11,832,000    13,628,000    14,086,000    12,818,000    10,470,000                         22,987,000 24,582,000  25,639,000 22,147,000 22,475,000  24,284,000 21,807,000 20,908,000  19,108,000 17,495,000 16,494,000  16,413,000 15,209,000 12,780,000  12,632,000 12,582,000 12,104,000 12,502,000 11,900,000 9,622,000 
  liabilities and stockholders' equity                                                                                        
  stockholders' equity:                                                                                        
  common stock—0.0001 par value; 100,000,000 shares authorized; 32,277,395 and 34,384,905 shares issued and outstanding at december 31, 2024 and 2023, respectively  3,000                                                                                      
  total stockholders' equity  418,959,000    473,393,000 469,661,000 470,348,000 451,930,000 457,219,000 422,709,000 410,811,000 356,073,000 297,528,000 216,799,000 192,131,000 173,674,000 154,909,000 148,920,000 149,074,000 161,402,000 163,500,000 163,647,000 164,688,000 216,010,000 218,198,000 237,255,000 236,871,000 236,101,000 237,719,000 209,348,000 201,648,000 195,894,000 151,802,000 159,243,000 144,277,000 160,785,000 141,344,000 142,019,000 136,548,000 133,577,000 150,033,000 157,243,000 160,270,000 160,666,580 212,773,000 211,546,000 213,239,000  218,188,000 234,478,000 249,540,000  251,100,000 249,276,000 247,212,000  251,591,000 249,330,000 247,600,000  243,417,000 241,990,000 237,209,000 234,023,112 398,752,000 392,392,000 386,373,000 390,437,198 387,832,000 382,018,000 378,017,000  366,148,000 367,218,000   355,858,000 352,399,000 350,397,000   333,269,000   308,555,000 128,761,000 
  total liabilities and stockholders' equity  589,251,000    679,317,000 707,739,000 771,130,000 920,541,000 947,839,000 882,512,000 938,961,000 916,434,000 732,809,000 520,420,000 493,638,000 442,353,000 356,973,000 357,838,000 352,201,000 386,979,000 382,374,000 393,991,000 396,968,000 441,435,000 427,003,000 456,938,000 459,201,000 459,794,000 467,687,000 456,656,000 382,490,000 368,395,000 388,378,000 364,736,000 344,366,000 360,040,000 366,097,000 339,726,000 331,654,000 333,498,000 336,468,000 341,379,000 259,859,000 248,244,566 275,498,000 274,529,000 281,396,000  301,338,000 317,250,000 334,651,000  345,944,000 345,878,000 343,728,000  356,873,000 353,418,000 354,423,000  367,762,000 392,553,000 418,041,000 425,849,444 667,342,000 533,226,000 536,344,000 535,307,561 536,646,000 508,555,000 507,389,000  492,233,000 463,776,000   480,656,000 478,700,000 460,717,000   465,173,000   386,411,000 360,774,000 
  property and equipment, net of accumulated depreciation of 20,792 in 2024 and 15,808 in 2023   28,975,000                                                                                     
  property and equipment, net of accumulated depreciation of 18,859 in 2024 and 15,808 in 2023    29,033,000                                                                                    
  property and equipment, net of accumulated depreciation of 17,135 in 2024 and 15,808 in 2023     28,200,000                                                                                   
  debt                                                                                        
  common stock—0.0001 par value; 100,000,000 shares authorized; 34,384,905 and 36,302,618 shares issued and outstanding at december 31, 2023 and 2022, respectively      4,000                                                                                  
  property and equipment, net of accumulated depreciation of 19,805 in 2023 and 17,682 in 2022       26,262,000                                                                                 
  property and equipment, net of accumulated depreciation of 20,443 in 2023 and 17,682 in 2022        24,844,000                                                                                
  non-current deferred tax assets        7,618,000 7,708,000 7,092,000 8,791,000 8,096,000 9,117,000 11,525,000           26,944,000 23,750,000 17,160,000 18,382,000 19,455,000 20,219,000                12,960,000 12,916,000 13,517,000 16,182,628 12,500,000 4,807,000   2,508,000 2,485,000 2,476,000 2,483,645 5,010,000 5,144,000 5,294,000 5,390,350    15,064,598                       
  non-current insurance recovery receivable        21,946,000 22,780,000 23,058,000 20,753,000                               16,867,000 16,056,000 11,695,000 10,913,527 10,449,000 9,879,000 14,725,000                                        
  other non-current assets        11,591,000 11,247,000 11,109,000 11,043,000 27,120,000 26,925,000 21,956,000 21,171,000 20,300,000 19,593,000 19,409,000 19,362,000 18,311,000 18,672,000 18,298,000 18,863,000 18,657,000 18,620,000 18,076,000 20,214,000 19,364,000 19,427,000 19,228,000 19,190,000 18,373,000 18,668,000 17,135,000 18,122,000 17,010,000 17,916,000 17,994,000 18,361,000 17,263,000 17,594,000                                               
  operating lease liabilities - current        3,292,000 3,584,000 4,132,000 4,489,000 4,145,000 4,026,000 4,090,000 4,362,000 4,381,000 4,803,000 4,509,000 4,732,000 4,883,000 4,965,000 4,878,000 4,936,000 5,132,000 5,063,000                                                               
  current portion of earnout liability        15,800,000 12,500,000 7,500,000 7,500,000 7,500,000 8,250,000 7,500,000 7,500,000                                                                         
  non-current debt        31,000,000                                                                                
  operating lease liabilities - non-current        3,150,000 3,845,000 4,880,000 5,493,000 7,017,000 9,704,000 10,853,000 12,280,000 13,467,000 13,978,000 15,234,000 15,762,000 16,757,000 17,992,000 19,070,000 20,112,000 21,447,000 22,426,000                                                               
  non-current accrued claims        32,235,000 35,914,000 35,881,000                                                                              
  non-current earnout liability        5,200,000 13,000,000 18,000,000  7,500,000 8,250,000 9,000,000                                                                          
  uncertain tax positions - non-current        9,194,000 8,427,000 7,646,000                                                                              
  other non-current liabilities        3,976,000 4,074,000 3,838,000                                                                              
  property and equipment, net of accumulated depreciation of 18,953 in 2023 and 17,682 in 2022         23,082,000                                                                               
  non-current debt, less current portion         138,443,000 148,735,000                                                                              
  current portion of debt             1,750,000 4,176,000 3,426,000 3,426,000                                                                        
  income tax payable          20,000 19,000 30,000 29,140,000 7,307,000                                                                          
  common stock—0.0001 par value; 100,000,000 shares authorized; 36,302,618 and 37,023,644 shares issued and outstanding at december 31, 2022 and 2021, respectively          4,000                                                                              
  property and equipment, net of accumulated depreciation of 19,846 in 2022 and 17,729 in 2021           18,556,000                                                                             
  trade names, indefinite-lived           5,900,000 5,900,000 5,900,000 5,900,000 5,900,000 5,900,000 5,900,000 5,900,000 5,900,000 5,900,000 5,900,000 5,900,000 5,900,000 5,900,000        35,402,000 35,402,000 35,402,000                                                      
  long-term debt, less current portion           129,755,000 205,376,000 218,475,000 176,366,000 98,665,000 110,777,000      70,974,000 70,556,000 70,613,000 75,489,000 77,944,000 83,132,000 90,494,000 92,314,000 92,259,000                                                          
  non-current deferred tax liabilities           237,000 222,000 207,000 190,000 9,388,000 9,515,000 6,858,000 6,592,000 6,874,000 6,860,000 7,555,000 7,523,000 7,824,000 7,791,000      105,000 14,763,000 14,353,000 13,751,000 13,154,000 12,585,000 12,188,000 18,945,000 18,475,000 16,598,000 19,692,000 19,142,000 19,535,000 18,475,000 17,659,000 16,849,051       95,000 58,111             49,767,000 49,544,000 49,545,000  45,880,000 43,302,000 47,904,000  38,331,000 37,032,000 34,924,000 32,546,179           
  long-term accrued claims           33,104,000 26,869,000 26,443,000 25,314,000 25,521,000 24,790,000 24,624,000 25,412,000 25,677,000 25,042,000 27,392,000 26,938,000 29,616,000 29,764,000 29,887,000 29,299,000 30,566,000 29,215,000 29,705,000 28,757,000 30,695,000 29,066,000 29,512,000 28,870,000 30,156,000 28,532,000 30,001,000 30,070,000 30,594,000 28,749,000 30,427,000 32,546,000 28,302,000 19,653,000 18,303,096 17,335,000 16,824,000 22,147,000                                        
  other long-term liabilities           14,424,000 12,508,000 14,037,000 13,788,000 5,605,000 5,898,000 5,534,000 7,995,000 7,901,000 6,586,000 5,988,000 4,037,000 8,748,000 8,521,000 3,023,000 8,767,000 8,773,000 8,877,000 8,956,000 9,171,000 7,682,000 8,084,000 7,601,000 7,399,000 5,037,000 4,955,000 4,779,000 4,826,000 4,482,000 4,850,000 5,249,000 4,147,000 4,116,000 4,209,000 3,414,949 7,905,000 7,844,000 7,733,000 24,038,352 14,560,000 14,345,000 14,735,000 15,153,683 16,051,000 16,176,000 16,728,000 19,740,008 20,293,000 18,705,000 19,459,000 19,181,003 17,568,000 17,734,000 15,979,000 15,907,551 9,117,000 9,962,000 9,720,000 10,529,727 10,386,000 9,997,000                 
  property and equipment, net of accumulated depreciation of 19,240 in 2022 and 17,729 in 2021            18,241,000                                                                            
  property and equipment, net of accumulated depreciation of 18,092 in 2022 and 17,729 in 2021             16,706,000                                                                           
  common stock—0.0001 par value; 100,000,000 shares authorized; 37,023,644 and 36,177,279 shares issued and outstanding at december 31, 2021 and 2020, respectively              4,000                                                                          
  accumulated deficit              -22,735,000 -100,308,000 -123,741,000 -135,289,000 -154,737,000 -159,349,000 -158,015,000 -143,864,000 -141,775,000 -140,631,000 -137,503,000 -85,829,000 -84,062,000 -64,371,000 -63,930,000 -65,275,000 -67,111,000 -95,061,000 -101,784,000 -106,634,000 -104,089,000 -96,206,000 -110,272,000 -93,034,000 -112,056,000 -105,958,000 -110,967,000 -113,540,000 -96,257,000 -88,655,000 -85,473,000 -84,690,996 -32,107,000 -33,021,000 -31,564,000                                        
  total cross country healthcare, inc. stockholders' equity              297,528,000 216,799,000 191,597,000 173,140,000 154,375,000 148,410,000 148,647,000 160,757,000 162,632,000 162,893,000 163,961,000 215,316,000 217,528,000 236,607,000 236,267,000 235,500,000 237,089,000 208,702,000 200,954,000 195,278,000 151,243,000                                                      
  noncontrolling interest in subsidiary                534,000 534,000 534,000 510,000 427,000 645,000 868,000 754,000 727,000 694,000 670,000 648,000 604,000 601,000 630,000 646,000                                                         
  property and equipment, net of accumulated depreciation of 18,225 in 2021 and 17,013 in 2020               14,877,000                                                                         
  long-term contingent consideration               7,500,000 15,000,000                                                                        
  property and equipment, net of accumulated depreciation of 18,299 in 2021 and 17,013 in 2020                13,578,000                                                                        
  property and equipment, net of accumulated depreciation of 17,774 in 2021 and 17,013 in 2020                 13,026,000                                                                       
  revolving credit facility                 96,025,000 53,408,000 56,038,000 49,101,000 67,648,000                                                                   
  contingent consideration                      4,867,000   4,812,000 7,409,000 5,257,000 5,302,000 5,082,000 5,088,000 4,618,000 4,390,000 5,571,000 5,301,000 2,773,000 2,754,000                                                    
  common stock—0.0001 par value; 100,000,000 shares authorized; 36,177,279 and 35,870,560 shares issued and outstanding at december 31, 2020 and 2019, respectively                  4,000                                                                      
  property and equipment, net of accumulated depreciation of 22,130 in 2020 and 23,276 in 2019                   12,363,000                                                                     
  property and equipment, net of accumulated depreciation of 21,416 in 2020 and 23,276 in 2019                    11,960,000                                                                    
  property and equipment, net of accumulated depreciation of 24,078 in 2020 and 23,276 in 2019                     11,965,000                                                                   
  current portion of long-term debt                          5,235,000 7,454,000 6,250,000 5,625,000 6,875,000                 232,000 338,000 33,682,348 34,275,000 3,959,000 22,960,000 16,997,533 11,893,000 10,975,000 9,495,000 7,957,495 6,395,000 6,047,000 5,676,000 5,733,299 5,863,000 7,136,000 8,177,000 15,825,642 9,214,000 3,093,000 7,849,000 5,066,757 1,196,000 1,500,000 1,966,000 1,550,089 2,619,000 2,288,000 3,598,000    1,661,000       22,220,000 
  common stock—0.0001 par value; 100,000,000 shares authorized; 35,870,560 and 35,625,692 shares issued and outstanding at december 31, 2019 and 2018, respectively                      4,000                                                                  
  property and equipment, net of accumulated depreciation of 34,617 in 2019 and 33,476 in 2018                       11,953,000                                                                 
  property and equipment, net of accumulated depreciation of 35,639 in 2019 and 33,476 in 2018                        12,928,000                                                                
  property and equipment, net of accumulated depreciation of 34,582 in 2019 and 33,476 in 2018                         13,641,000                                                               
  trade names                         20,402,000 20,402,000 26,702,000 26,702,000 26,702,000 26,702,000 35,402,000      39,179,000 39,252,000 38,201,000 38,201,000 38,201,000 48,201,000 46,501,000 42,301,000 42,301,331                                           
  common stock—0.0001 par value; 100,000,000 shares authorized; 35,625,692 and 35,838,108 shares issued and outstanding at december 31, 2018 and 2017, respectively                          4,000                                                              
  property and equipment, net of accumulated depreciation of 33,808 in 2018 and 30,678 in 2017                           13,431,000                                                             
  property and equipment, net of accumulated depreciation of 32,958 in 2018 and 30,678 in 2017                            14,072,000                                                            
  property and equipment, net of accumulated depreciation of 31,794 in 2018 and 30,678 in 2017                             13,967,000                                                           
  common stock—0.0001 par value; 100,000,000 shares authorized; 35,838,108 and 32,339,285 shares issued and outstanding at december 31, 2017 and 2016, respectively                              4,000                                                          
  property and equipment, net of accumulated depreciation of 46,386 in 2017 and 43,141 in 2016                               14,075,000                                                         
  long-term debt and capital lease obligations, less current portion                               95,331,000 35,344,000 36,169,000 84,760,000 70,236,000 77,738,000 65,267,000 81,803,000 71,918,000 68,655,000 68,664,000                                               
  property and equipment, net of accumulated depreciation of 45,364 in 2017 and 43,141 in 2016                                13,862,000                                                        
  noncontrolling interest                                694,000 616,000 559,000 547,000 470,000 488,000 496,000 466,000 430,000 440,000                                               
  property and equipment, net of accumulated depreciation of 44,178 in 2017 and 43,141 in 2016                                 12,779,000                                                       
  other intangible assets subject to amortization, net of accumulated amortization of 43,333 in 2016 and 38,419 in 2015                                  36,835,000                                                      
  debt issuance costs                                  929,000 981,000 1,017,000 313,000 878,000 973,000 1,068,000 1,163,000 1,310,000 1,260,000 406,000  521,000 578,000 636,000   832,000 1,038,000  1,419,000 1,659,000 1,888,000  2,342,000 2,575,000 1,333,000  1,800,000 2,148,000 2,444,000  2,910,000 549,000 386,000    526,000  600,000  662,000            
  current portion of long-term debt and capital lease obligations                                  2,263,000 2,272,000 2,033,000 6,049,000 8,071,000 88,000 3,104,000 6,608,000 4,607,000 11,711,000 19,400,000 8,483,088 146,000                                          
  deferred purchase price                                     2,163,000 2,184,000 2,210,000 2,207,000 2,223,000                                               
  common stock—0.0001 par value; 100,000,000 shares authorized; 32,339,285 and 31,951,960 shares issued and outstanding at december 31, 2016 and 2015, respectively                                  3,000                                                      
  property and equipment, net of accumulated depreciation of 42,191 in 2016 and 39,368 in 2015                                   12,434,000                                                     
  other intangible assets, net of accumulated amortization of 43,664 in 2016 and 39,754 in 2015                                   72,413,000                                                     
  total cross country healthcare stockholders' equity                                   158,696,000 143,807,000 160,297,000 140,848,000 141,553,000 136,118,000 133,137,000 149,709,000 156,945,000                                             
  property and equipment, net of accumulated depreciation of 41,194 in 2016 and 39,368 in 2015                                    11,018,000                                                    
  intangible assets, net of accumulated amortization of 42,567 in 2016 and 39,754 in 2015                                    73,510,000                                                    
  property and equipment, net of accumulated depreciation of 40,373 in 2016 and 39,368 in 2015                                     10,452,000                                                   
  other identifiable intangible assets, net of accumulated amortization of 39,704 in 2016 and 38,370 in 2015                                     42,328,000                                                   
  long-term deferred purchase price                                     2,571,000 3,533,000    2,424,000 2,500,000                                             
  other identifiable intangible assets, net of accumulated amortization of 38,370 in 2015 and 34,209 in 2014                                      43,662,000                                                  
  sales tax payable                                      2,411,000 2,545,000 2,797,000 2,636,000 2,718,000 2,530,000 2,366,000 2,403,994                                           
  deferred tax liabilities                                       2,039,000 1,740,000 1,716,000 638,000 622,000 560,000 534,827                                           
  common stock—0.0001 par value; 100,000,000 shares authorized; 31,951,960 and 31,292,596 shares issued and outstanding at december 31, 2015 and 2014, respectively                                      3,000                                                  
  property and equipment, net of accumulated depreciation of 38,554 in 2015 and 47,590 in 2014                                       10,833,000                                                 
  other identifiable intangible assets, net of accumulated amortization of 37,156 in 2015 and 34,209 in 2014                                       30,876,000                                                 
  property and equipment, net of accumulated depreciation of 38,642 in 2015 and 47,590 in 2014                                        11,197,000                                                
  other identifiable intangible assets, net of accumulated amortization of 36,174 in 2015 and 34,209 in 2014                                        31,858,000                                                
  accounts receivables                                         121,145,000 108,506,000 106,901,000 72,215,000 60,750,181 57,773,000 63,633,000  62,674,176       68,156,000 64,395,140 66,543,000 64,299,000 66,892,000 70,172,107 70,316,000   117,793,812    116,132,763    114,734,971    107,787,418    95,438,605       
  property and equipment, net of accumulated depreciation of 48,554 in 2015 and 47,590 in 2014                                         11,756,000                                               
  other identifiable intangible assets, net of accumulated amortization of 35,191 in 2015 and 34,209 in 2014                                         32,841,000                                               
  indemnity escrow receivable                                           3,750,000 3,750,000 3,750,000 3,750,000 3,750,000 3,750,000                                        
  property and equipment, net of accumulated depreciation of 46,538 in 2014 and 44,779 in 2013                                          12,350,000                                              
  other identifiable intangible assets                                          34,818,000 32,829,000 25,413,000 26,197,905 12,808,000 13,360,000 13,926,000 14,491,982 18,792,000 19,569,000 20,407,000 21,195,362 22,023,000 22,880,000 23,757,000 24,680,450 25,670,000 26,573,000 27,537,000 28,572,449 29,568,000 30,630,000 31,418,000 32,459,083 36,933,000 14,740,000 15,364,000 15,995,632 16,690,000 10,806,000 8,941,000 9,310,361 10,450,000 4,678,000 5,034,000 5,390,366 5,746,000 6,102,000 6,458,000  7,297,000 7,673,000 9,424,000 10,289,000 6,449,000 35,447,000 
  non-current security deposits                                          715,000 705,000 440,000 996,885                                           
  long-term debt and capital lease obligations                                          60,751,000 53,086,000 144,000 93,231 109,000                                          
  long-term unrecognized tax benefits                                          1,487,000 2,475,000 2,442,000 4,012,524                                           
  non-controlling interest                                          324,000 298,000                                             
  property and equipment, net of accumulated depreciation of 46,642 in 2014 and 44,779 in 2013                                           12,394,000                                             
  property and equipment, net of accumulated depreciation of 44,831 in 2014 and 44,779 in 2013                                            7,801,000                                            
  assets held for sale                                                 46,970,964                               762,000 820,500       
  property and equipment, net of accumulated depreciation of44,778,602 in 2013 and 41,917,771 in 2012                                             6,170,499                                           
  debt issuance costs, net of accumulated amortization of 221,588 in 2013 and 3,594,511 in 2012                                             463,594                                           
  liabilities related to assets held for sale                                                 2,834,516                                       
  common stock—0.0001 par value; 100,000,000 shares authorized; 31,085,289 and 30,902,314 shares issued and outstanding at december 31, 2013 and 2012, respectively                                             3,109                                           
  property and equipment, net of accumulated depreciation of 44,819 in 2013 and 41,918 in 2012                                              5,878,000                                          
  trademarks                                              48,701,000 48,701,000 48,701,000 48,701,331 50,680,000 52,067,000 52,099,000 52,053,211 52,068,000 52,101,000 52,103,000 52,054,482 62,847,000 62,784,000 62,784,000 62,857,489 64,557,000 64,608,000 64,411,000 64,443,351 64,815,000 19,073,000 19,092,000 19,152,629 19,253,000 18,922,000 17,199,000 17,198,831 17,199,000 15,499,000 15,499,000  15,499,000 15,499,000 15,499,000  15,749,000 15,749,000 15,749,000 15,749,000 15,749,000  
  other long-term assets                                              376,000 378,000 407,000 8,622,654 464,000 1,257,000 1,362,000 1,294,167 1,402,000 1,525,000 1,506,000 4,577,076 2,961,000 1,276,000 1,639,000 1,617,872 1,656,000 2,097,000 1,773,000 1,244,340 1,254,000 1,060,000 973,000 1,017,034                   
  accrued employee compensation and benefits                                              19,956,000 20,338,000 19,541,000  17,839,000 17,570,000 16,738,000  17,345,000 15,566,000 15,311,000  18,209,000 17,342,000 17,636,000  17,602,000 21,132,000 25,694,000  39,015,000 27,514,000 27,697,000 26,102,213 27,701,000 26,319,000 37,218,000 38,189,715 40,259,000 36,709,000 46,738,000 47,940,247 48,393,000 49,238,000 31,242,000 32,031,385 32,634,000 33,788,000 34,269,000 34,043,000 31,242,000 25,661,000 
  property and equipment, net of accumulated depreciation of 43,956 in 2013 and 41,918 in 2012                                               6,528,000                                         
  long-term debt                                               125,000 143,000 176,309 231,000 32,269,000 16,777,000 25,047,986 34,060,000 38,988,000 42,401,000 45,555,501 48,710,000 50,303,000 51,566,000 56,781,179 63,619,000 85,902,000 109,266,000 117,254,854 135,194,000 31,248,000 34,292,000 34,384,717 42,918,000 27,506,000 24,393,000 19,978,627 18,062,000 8,144,000 15,144,000  28,836,000 35,770,000 39,912,000    112,903,000 118,916,000 17,963,000 161,710,000 
  of 1,919 in 2013 and 1,841 in 2012                                                68,875,000                                        
  property and equipment, net of accumulated depreciation of                                                                                        
  42,942 in 2013 and 41,918 in 2012                                                7,386,000                                        
  see accompanying notes to the condensed consolidated financial statements                                                                                        
  short-term cash investments                                                  2,693,000 1,661,000 1,792,000 1,690,740 1,807,000 1,940,000 1,907,000 1,870,351                               
  property and equipment, net of accumulated depreciation and amortization of 41,917,771 in 2012 and 41,657,234 in 2011                                                 8,234,812                                       
  debt issuance costs, net of accumulated amortization of 3,594,511 in 2012 and 3,317,299 in 2011                                                 1,609,954                                       
  common stock—0.0001 par value; 100,000,000 shares authorized; 30,902,314 and 30,812,023 shares issued and outstanding at december 31, 2012 and 2011, respectively                                                 3,090                                       
  (accumulated deficit) retained earnings                                                 -32,721,673 -23,188,000 -5,588,000                                     
  of 2,005 in 2012 and 2,180 in 2011                                                  76,186,000                                      
  debt issuance costs, net – current                                                  1,604,000                                      
  45,327 in 2012 and 41,657 in 2011                                                  9,399,000                                      
  of 1,890 in 2012 and 2,180 in 2011                                                   73,672,000                                     
  44,083 in 2012 and 41,657 in 2011                                                   10,180,000                                     
  of 1,955 in 2012 and 2,180 in 2011                                                    73,841,000                                    
  43,210 in 2012 and 41,657 in 2011                                                    10,746,000                                    
  of 2,180,125 in 2011 and 3,500,968 in 2010                                                     71,802,263                                   
  property and equipment, net of accumulated depreciation and                                                                                        
  amortization of 41,657,234 in 2011 and 43,412,061 in 2010                                                     12,018,389                                   
  debt issuance costs, net of accumulated amortization                                                                                        
  of 3,317,299 in 2011 and 2,403,790 in 2010                                                     1,198,611                                   
  common stock—0.0001 par value; 100,000,000 shares                                                                                        
  authorized; 30,812,023 and 31,102,682 shares issued and                                                                                        
  outstanding at december 31, 2011 and 2010, respectively                                                     3,081                                   
  of 2,104 in 2011 and 3,501 in 2010                                                      74,286,000                                  
  48,338 in 2011 and 43,412 in 2010                                                      12,635,000                                  
  income taxes payable                                                      604,000    332,000    2,248,000  761,000  5,041,000 3,829,000 3,801,000 1,222,191             520,000    2,235,000  
  of 2,276 in 2011 and 3,501 in 2010                                                       69,702,000                                 
  46,822 in 2011 and 43,412 in 2010                                                       13,388,000                                 
  property and equipment, net of accumulated depreciation of 45,186 in 2011 and 43,412 in 2010                                                        13,534,000                                
  prepaid rent on field employees’ apartments                                                         1,598,169    1,659,509            3,835,350    3,417,413    3,407,932       
  other prepaid expenses                                                         4,932,132    4,593,645    11,189,929    11,321,224    10,678,094               
  deposits on field employees’ apartments, net of allowance of 99,872 in 2010 and 163,368 in 2009                                                         315,122                               
  insurance recoveries receivable                                                         2,616,701    870,328    450,573    428,932    1,931,759               
  property and equipment, net of accumulated depreciation and amortization of 43,412,061 in 2010 and 41,759,619 in 2009                                                         14,536,191                               
  debt issuance costs, net of accumulated amortization of 2,403,790 in 2010 and 1,844,702 in 2009                                                         2,112,120                               
  interest rate swaps - current                                                             1,427,073                           
  common stock—0.0001 par value; 100,000,000 shares authorized; 31,102,682 and 31,009,404 shares issued and outstanding at december 31, 2010 and 2009, respectively                                                         3,110                               
  cash and short-term cash investments                                                          8,839,000 10,300,000 13,305,000 8,568,845                           
  property and equipment, net of accumulated depreciation of 47,683 in 2010 and 41,760 in 2009                                                          15,289,000                              
  interest rate swaps-current                                                          60,000 532,000 1,027,000                            
  property and equipment, net of accumulated depreciation of 45,935 in 2010 and 41,760 in 2009                                                           16,488,000                             
  property and equipment, net of accumulated depreciation of 43,836 in 2010 and 41,760 in 2009                                                            17,819,000                            
  restricted cash                                                               5,000,000 5,000,000 5,000,000 5,000,000                      
  deposits on field employees’ apartments, net of allowance of 163,368 in 2009 and 187,726 in 2008                                                             290,170                           
  property and equipment, net of accumulated depreciation and amortization of 41,759,619 in 2009 and 33,252,084 in 2008                                                             19,706,467                           
  debt issuance costs, net of accumulated amortization of 1,844,702 in 2009 and 705,372 in 2008                                                             1,536,278                           
  interest rate swaps                                                              1,811,000 1,954,000 2,289,000 2,382,444                       
  common stock—0.0001 par value; 100,000,000 shares authorized; 31,009,404 and 30,774,868 shares issued and outstanding at december 31, 2009 and 2008, respectively                                                             3,101                           
  property and equipment, net of accumulated depreciation of 39,649 in 2009 and 33,252 in 2008                                                              21,481,000                          
  non current deferred tax assets                                                              15,143,000 14,765,000 14,986,000                        
  accumulated other comprehensive income                                                              -3,273,000 -2,989,000  -4,834,397    163,242                   
  other stockholders' equity                                                                -490,000  161,656,000 156,675,000 150,414,000  137,557,000 130,234,000   112,642,000 112,946,000   99,058,000 94,076,000    78,487,000   49,762,000 9,660,000 
  prepaid rent on field employees' apartments                                                                 2,734,701    3,661,880                   
  deposits on field employees' apartments, net of allowance of 187,726 in 2008 and 280,681 in 2007                                                                 585,245                       
  property and equipment, net of accumulated depreciation and amortization of 33,252,084 in 2008 and 26,121,576 in 2007                                                                 25,984,710                       
  debt issuance costs, net of accumulated amortization of 705,372 in 2008 and 321,633 in 2007                                                                 2,675,608                       
  common stock—0.0001 par value; 100,000,000 shares authorized; 30,774,868 and 31,576,959 shares issued and outstanding at december 31, 2008 and 2007, respectively                                                                 3,077                       
  deposits on field employees' apartments, net of allowance of 280,681 in 2007 and 389,341 in 2006                                                                     797,836                   
  property and equipment, net of accumulated depreciation and amortization of 26,121,576 in 2007 and 20,003,739 in 2006                                                                     23,460,030                   
  debt issuance costs, net of accumulated amortization of 321,633 in 2007 and 171,315 in 2006                                                                     423,872                   
  accrued legal settlement charge                                                                         6,704,392               
  noncurrent deferred tax liabilities                                                                     49,546,800    43,077,945               
  common stock—0.0001 par value; 100,000,000 shares authorized; 31,576,959 and 32,099,345 shares issued and outstanding at december 31, 2007 and 2006, respectively                                                                     3,158                   
  deposits on field employees’ apartments, net of allowance of 389,341 in 2006 and 380,862 in 2005                                                                         846,526               
  property and equipment, net of accumulated depreciation and amortization of 20,003,739 in 2006 and 15,391,384 in 2005                                                                         20,562,473               
  debt issuance costs, net of accumulated amortization of 171,315 in 2006 and 23,763 in 2005                                                                         562,893               
  common stock—0.0001 par value; 100,000,000 shares authorized; 32,099,345 and 32,132,959 shares issued and outstanding at december 31, 2006 and 2005, respectively                                                                         3,210               
  deposits on field employees' apartments, net of allowance of 380,862 in 2005 and 450,483 in 2004                                                                             624,331           
  estimated receivable for insurance recoveries                                                                             9,115,382           
  property and equipment, net of accumulated depreciation and amortization of 15,391,384 in 2005 and 10,510,343 in 2004                                                                             16,477,240           
  trademark                                                                             15,498,831           
  debt issuance costs, net of accumulated amortization of 23,763 in 2005 and 1,100,676 in 2004                                                                             689,114           
  current portion of long-term debt and notes payable                                                                             5,482,762      3,671,000     
  long-term debt and notes payable                                                                             19,946,463     54,212,000 65,880,000     
  common stock – 0.0001 par value; 100,000,000 shares authorized; 32,132,959 and 32,204,060 shares issued and outstanding at december 31, 2005 and 2004, respectively                                                                             3,213           
  deferred income taxes                                                                              6,795,000 5,889,000 26,963,000 4,949,450 17,649,000 17,649,000 11,013,000 11,013,000 11,014,000 6,554,000 
  current portion of long-term debt and note payable                                                                              2,440,000 2,600,000  2,407,644       
  deferred taxes                                                                                5,439,000        
  deposits on field employees’ apartments, net of allowance of 450,483 in 2004 and 411,160 in 2003                                                                                 618,259       
  property and equipment, net of accumulated depreciation and amortization of 10,510,343 in 2004 and 17,248,084 in 2003                                                                                 11,839,592       
  trademarks, net of accumulated amortization of 1,401,169 in 2004 and 2003                                                                                 15,498,831       
  goodwill, net of accumulated amortization of 20,617,670 in 2004 and 20,873,294 in 2003                                                                                 302,853,504       
  other identifiable intangible assets, net of accumulated amortization of 13,328,005 in 2004 and 11,890,956 in 2003                                                                                 6,813,995       
  debt issuance costs, net of accumulated amortization of 1,100,676 in 2004 and 335,991 in 2003                                                                                 2,301,385       
  long-term debt and note payable                                                                                 39,866,753       
  common stock—0.0001 par value; 100,000,000 shares authorized; 32,204,060 and 31,801,885 shares issued and outstanding at december 31, 2004 and 2003, respectively                                                                                 3,220       
  short-term debt                                                                                  6,208,000      
  other stockholders’ equity                                                                                  83,621,000  63,396,000 56,527,000   
  assets from discontinued operations                                                                                      10,000  
  current portion of debt and note payable                                                                                    6,021,000 6,275,000 9,532,000  
  liabilities from discontinued operations                                                                                    19,000 19,000 25,000  
  interest rate swap                                                                                       2,603,000 
  cash                                                                                        
  note payable                                                                                       134,000 
  net liabilities from discontinued operations                                                                                       311,000 

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