7Baggers

Cross Country Healthcare, Inc
(NASDAQ:CCRN) 

CCRN stock logo

Cross Country Healthcare, Inc. provides talent management and other consultative services for healthcare clients in the United States. The company operates in three segments: Nurse and Allied Staffing, Physician Staffing, and Search. The Nurse and Allied Staffing segment offers traditional staffing,...

Founded: 1986
Full Time Employees: 1,700
Sector: Industrials
Industry: Staffing & Employment Services

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Quarterly
Annual
    Unit: USD2025-12-31 2025-09-30 2025-06-30 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 
                                                                                              
      revenue from services
    236,761,000 250,052,000 274,072,000 293,408,000 309,940,000 315,119,000 339,771,000 379,174,000 414,035,000 442,291,000 540,695,000 622,707,000 628,218,000 636,098,000 753,561,000 788,732,000 640,679,000 374,905,000 331,827,000 329,241,000 215,606,000 193,968,000 216,779,000 210,064,000 215,096,000 209,200,000 202,757,000 195,171,000 200,907,000 200,717,000 204,572,000 210,288,000 219,674,000 228,488,000 209,313,000 207,573,000 222,523,000 214,988,000 199,443,000 196,583,000 193,148,000 195,692,000 192,617,000 185,964,000 188,944,000 122,656,000 118,091,000 109,178,716 108,048,000 110,768,000 110,316,000 60,568,146 129,123,000 126,272,000 126,672,000 124,729,224 131,169,000 126,042,000 122,046,000 113,676,524 115,687,000 117,837,000 121,361,000 124,139,482 129,635,000 149,046,000 175,417,000 205,910,671 178,134,000 170,951,000 179,251,000 181,716,469 185,124,000 175,339,000 176,093,000 175,744,931 162,876,000 156,697,000 159,834,000 165,785,586 162,571,000 159,000,000 158,036,000 149,123,876 165,070,000 167,305,000 184,389,000 165,912,000 161,003,000 133,486,000 
      operating expenses:
                                                                                              
      direct operating expenses
    188,779,000 199,125,000 218,068,000 234,750,000 247,948,000 250,961,000 268,966,000 301,877,000 323,546,000 344,932,000 417,556,000 483,284,000 489,276,000 492,553,000 583,156,000 613,938,000 493,529,000 291,111,000 259,237,000 257,776,000 161,214,000 145,965,000 166,045,000 160,461,000 161,935,000 158,194,000 151,169,000 146,917,000 150,348,000 149,155,000 150,883,000 156,535,000 161,371,000 168,008,000   164,890,000 156,778,000 144,597,000 145,537,000 142,669,000 144,206,000 144,254,000 138,927,000 141,667,000 90,220,000 87,641,000 80,616,878 79,864,000 82,930,000 81,440,000 46,225,041 97,352,000 94,405,000 93,068,000 90,115,323 95,426,000 91,433,000 89,070,000 81,079,100 83,258,000 84,185,000 87,728,000 87,966,313 94,281,000 108,251,000 130,358,000 151,578,776 130,696,000 125,311,000 134,074,000 135,002,163 139,266,000 133,736,000 135,604,000 134,484,737 125,083,000 120,455,000 122,445,000 127,270,978 124,662,000 127,714,000 123,456,000 123,325,451 126,614,000 127,195,000 139,512,000 124,928,000 121,481,000 99,387,000 
      selling, general and administrative expenses
    51,250,000 46,894,000 50,050,000 52,486,000 55,570,000 54,297,000 60,258,000 63,252,000 67,566,000 69,627,000 78,938,000 84,260,000 81,171,000 80,216,000 86,009,000 76,813,000 65,774,000 52,847,000 50,344,000 46,327,000 44,870,000 40,804,000 42,254,000 45,881,000 45,572,000 44,407,000 45,944,000 46,036,000 33,751,000 44,086,000 45,284,000 45,634,000 35,295,500 47,346,000 46,600,000 47,236,000 33,382,500 45,922,000 44,675,000 42,933,000 39,991,000 39,227,000 40,891,000 41,166,000 40,858,000 29,167,000 29,455,000 26,944,849 25,504,000 26,603,000 27,065,000 17,968,687 29,586,000 30,742,000 31,120,000 29,131,077 29,061,000 29,475,000 28,871,000 27,146,689 26,630,000 27,322,000 27,885,000 28,492,550 28,858,000 32,803,000 34,664,000 39,052,286 33,475,000 32,123,000 32,165,000 31,765,133 31,486,000 29,923,000 29,518,000 28,393,095 26,790,000 26,816,000 28,173,000 26,025,808 26,686,000 26,562,000 25,524,000 15,426,378 27,588,000 28,426,000 29,198,000 26,383,000 25,013,000 17,802,000 
      credit loss (credit) expense
    355,000 -861,000                                                                                         
      depreciation and amortization
    3,833,000 4,088,000 4,101,000 4,772,000 4,341,000 4,498,000 4,719,000 4,642,000 4,471,000 4,540,000 4,432,000 4,904,000 3,162,000 3,214,000 3,481,000 2,719,000 2,720,000 2,680,000 2,199,000 2,253,000 2,199,000 3,247,000 3,929,000 3,296,000 4,627,000 2,907,000 3,557,000 2,984,000 3,016,000 2,892,000 2,963,000 2,909,000 2,849,000 2,849,000 2,285,000 2,191,000                                                       
      acquisition and integration-related costs
    3,045,750 4,147,000 5,995,000 2,041,000         196,000 490,000  40,000 83,000 61,000 924,000     77,000                                                                   
      restructuring costs
    1,327,000 1,530,000 588,000 301,000 281,000 998,000 2,116,000 938,000 863,000 348,000 913,000 429,000 2,000 2,493,000  480,000 239,000 318,000 835,000 1,238,000 842,000 2,316,000 2,330,000 564,000 687,000 1,607,000 137,000 1,140,000 779,000 1,351,000 193,000 435,000 302,000 724,000   142,000 611,000   127,000 140,000 1,007,000   755,000  -422 109,000 375,000                                         
      legal and other losses
    548,000 1,102,000 1,099,000  -928,000  3,946,000 3,650,000                                                                                   
      impairment charges
        2,170,000  114,000 604,000  186,000 533,000   3,856,000  1,741,000   1,921,000 149,000 166,000 1,071,000 15,011,000   1,804,000 14,502,000            24,311,000             -23,499,593 23,500,000                                      
      total operating expenses
    308,366,000 256,025,000 279,931,000 294,385,000 313,373,000 312,266,000 358,977,000 376,253,000 400,611,000 421,988,000 505,506,000 578,910,000 576,754,000 583,923,000 674,724,000 698,100,000 564,717,000 348,458,000 315,926,000 308,247,000 209,943,000 194,349,000 230,467,000 210,818,000 213,142,000 209,081,000 217,853,000 197,859,000 225,022,000 198,072,000 200,230,000 206,040,000 225,997,000 220,121,000 50,079,000 50,020,000 213,817,000 205,659,000 216,459,000 191,418,000 187,492,000 188,825,000 188,295,000 182,244,000 187,181,000 124,522,000 119,582,000 116,287,753 107,134,000 112,396,000 110,515,000 41,188,643 152,717,000 146,538,000 126,710,000 122,006,290 127,014,000 123,440,000 120,985,000 122,019,999 112,748,000 114,480,000 118,938,000 121,856,845 125,875,000 144,549,000 168,255,000 438,410,282 166,876,000 159,854,000 169,182,000 169,701,425 172,744,000 166,035,000 167,773,000 163,214,488 162,433,000 149,160,000 152,168,000 155,853,768 153,054,000 155,884,000 150,868,000 140,323,695 155,752,000 158,030,000 171,718,000 154,143,000 148,309,000 122,158,000 
      income from operations
    -71,605,000 -5,973,000 -5,859,000 -977,000 -3,433,000 2,853,000 -19,206,000 2,921,000 13,424,000 20,303,000 35,189,000 43,797,000 51,464,000 52,175,000 78,837,000 90,632,000 75,962,000 26,447,000 15,901,000 20,994,000 5,663,000 -381,000 -13,688,000 -754,000 1,954,000 119,000 -15,096,000 -2,688,000 -24,115,000 2,645,000 4,342,000 4,248,000 -6,323,000 8,367,000 6,449,000 3,255,000 8,706,000 9,329,000 -17,016,000 5,165,000 5,656,000 6,867,000 4,322,000 3,720,000 1,763,000 -1,866,000 -1,491,000 -228,250 914,000 -1,628,000 -199,000 -10,974,500 -23,594,000 -20,266,000 -38,000 2,722,934 4,155,000 2,602,000 1,061,000 -8,343,475 2,939,000 3,357,000 2,423,000 2,282,637 3,760,000 4,497,000 7,162,000 -232,499,611 11,258,000 11,097,000 10,069,000 12,015,044 12,380,000 9,304,000 8,320,000 12,530,443 443,000 7,537,000 7,666,000 9,931,818 9,517,000 3,116,000 7,168,000 8,800,181 9,318,000 9,275,000 12,671,000 11,769,000 12,694,000 11,328,000 
      yoy
    1985.79% -309.36% -69.49% -133.45% -125.57% -85.95% -154.58% -93.33% -73.92% -61.09% -55.36% -51.68% -32.25% 97.28% 395.80% 331.70% 1241.37% -7041.47% -216.17% -2884.35% 189.82% -420.17% -9.33% -71.95% -108.10% -95.50% -447.67% -163.28% 281.39% -68.39% -32.67% 30.51% -172.63% -10.31% -137.90% -36.98% 53.93% 35.85% -493.71% 38.84% 220.82% -468.01% -389.87% -1729.79% 92.89% 14.62% 649.25% -97.92% -103.87% -91.97% 423.68% -503.04% -667.85% -878.86% -103.58% -132.64% 41.37% -22.49% -56.21% -465.52% -21.84% -25.35% -66.17% -100.98% -66.60% -59.48% -28.87% -2035.07% -9.06% 19.27% 21.02% -4.11% 2694.58% 23.44% 8.53% 26.16% -95.35% 141.88% 6.95% 12.86% 2.14% -66.40% -43.43% -25.23% -26.60% -18.12%     
      qoq
    1098.81% 1.95% 499.69% -71.54% -220.33% -114.85% -757.51% -78.24% -33.88% -42.30% -19.65% -14.90% -1.36% -33.82% -13.01% 19.31% 187.22% 66.32% -24.26% 270.72% -1586.35% -97.22% 1715.38% -138.59% 1542.02% -100.79% 461.61% -88.85% -1011.72% -39.08% 2.21% -167.18% -175.57% 29.74% 98.13% -62.61% -6.68% -154.82% -429.45% -8.68% -17.64% 58.88% 16.18% 111.00% -194.48% 25.15% 553.23% -124.97% -156.14% 718.09% -98.19% -53.49% 16.42% 53231.58% -101.40% -34.47% 59.68% 145.24% -112.72% -383.89% -12.45% 38.55% 6.15% -39.29% -16.39% -37.21% -103.08% -2165.19% 1.45% 10.21% -16.20% -2.95% 33.06% 11.83% -33.60% 2728.54% -94.12% -1.68% -22.81% 4.36% 205.42% -56.53% -18.55% -5.56% 0.46% -26.80% 7.66% -7.29% 12.06%  
      other expenses
                                                                                              
      interest expense
    568,000 556,000 549,000 543,000 608,000 550,000 568,000 462,000 586,000 669,000 3,149,000 3,690,000 3,515,000 3,498,000 3,857,000 3,521,000 2,817,000 2,182,000 1,196,000 671,000 671,000 608,000 744,000 867,000 1,048,000 1,398,000 1,438,000 1,422,000 1,429,000 1,512,000 1,447,000 1,266,000 1,239,000 1,221,000 535,000 1,219,000 1,428,000 1,435,000 1,608,000 1,635,000 1,647,000 1,654,000 1,772,000 1,737,000 1,832,000 289,000 255,000 215,149 190,000 164,000 280,000 707,299 424,000 581,000 629,000 676,109 730,000 722,000 728,000 754,582 1,134,000 1,127,000 1,056,000 1,295,457 1,664,000 1,513,000 1,701,000 2,264,537 788,000 533,000 639,000 764,398 808,000 529,000 486,000 485,223 273,000 320,000 386,000 635,579 953,000 952,000 917,000 795,791 970,000 1,012,000 1,571,000 655,000 586,000 4,375,000 
      interest income
    -882,000 -864,000 -702,000 -681,000 -535,000 -1,107,000                                                                                     
      other expense
    -46,000 -28,000  60,000 408,000 21,000 -212,000  -131,000 134,000 11,000                                                                                
      income before income taxes
    -71,245,000 -5,637,000 -5,729,000 -899,000 -3,914,000 3,389,000 -19,562,000 3,689,000 12,969,000 19,500,000 30,306,000 40,119,000 46,350,000 48,704,000 74,152,000 87,119,000 73,299,000 24,640,000 14,909,000 20,360,000 4,666,000 -979,000 -14,427,000 -1,590,000 -708,000 -2,603,000 -16,512,000 -4,388,000 -25,538,000 1,267,000 2,993,000 3,083,000 -7,523,000 7,203,000 5,973,000 -1,352,000 -6,800,000 15,091,000 -23,729,000 19,983,000 2,347,750 2,419,000 2,885,000 4,087,000        -11,499,500 -24,397,000 -20,827,000 -774,000 2,239,346 3,640,000 1,952,000 399,000 -9,101,600 1,748,000 2,258,000 1,324,000 951,684 2,271,000 2,898,000 5,534,000 7,645,750 10,549,000 10,598,000 9,436,000                    
      income tax expense
    11,684,000 -863,000 930,000 -409,000 -161,000 834,000 -3,512,000 997,000 3,931,000 6,688,000 8,961,000 10,683,000 7,559,000 13,911,000 21,258,000 25,136,000 -4,274,000 1,207,000 3,361,000 912,000 -156,000 169,000 -379,000 178,000 -108,000 94,000 34,758,000 -3,012,000 929,250 1,385,000 1,169,000 1,163,000    366,000    797,000                606,250 1,854,000 379,000 192,000 525,250 832,000 1,080,000 189,000 1,101,750 1,303,000 606,000 2,498,000 3,047,750 4,378,000 4,227,000 3,586,000 -25,569,200 4,464,000 3,314,000 3,032,000 -15,805,868 50,000 2,793,000 2,817,000 -16,146,426 3,314,000 838,000 2,419,000 -21,381,770 3,214,000 3,166,000 4,296,000 4,301,000 4,686,000  
      net income attributable to common stockholders
    -2,980,750 -4,774,000  -490,000 -3,753,000 2,555,000 -16,050,000 2,692,000 9,038,000 12,812,000 21,345,000 29,436,000 38,791,000 34,793,000 52,894,000 61,983,000                                                                           
      other comprehensive income:
                                                                                              
      unrealized foreign currency translation loss, net of tax
    -21,250 -85,000 -5,000  -3,000 -8,000   -1,750 -15,000   -14,000 -38,000 -31,000                                                                            
      comprehensive income
    -82,963,000 -4,859,000  -485,000 -3,797,000 2,547,000 -16,051,000 2,689,000 9,047,000 12,797,000 21,346,000 29,443,000 38,777,000 34,755,000 52,863,000 61,972,000                                                                           
      net income per share
    -2.56 -0.15 -0.2 -0.02 -0.12 0.08 -0.47 0.08 0.27 0.37 0.6 0.82 1.07 0.94 1.41 1.67 2.11 0.63 0.32 0.54 0.13 -0.04 -0.39 -0.06 -0.03 -0.09 -1.44 -0.05 -0.56 -0.01 0.04 0.05 0.79 0.19 0.14 -0.06 -0.24 0.44 -0.54 0.6 0.083 0.16 0.08 0.09                                               
      weighted-average common shares outstanding:
                                                                                              
      basic
    32,409 32,524 32,492 32,282 33,379 33,016 33,960 34,216 35,158 34,954 35,351 35,864 37,012 37,101 37,471 37,028 36,689 36,963 36,625 36,181     35,815 35,865 35,824 35,700 35,657 35,594 35,652 35,803 35,018 35,748 35,651 32,872 32,132 32,221 32,085 31,956 31,514 31,541 31,398 31,294 31,245,000 31,151,000 31,098,000  31,085,000 30,961,000 30,902,000  30,902,000 30,799,000 30,766,000  31,225,000 31,148,000 31,103,000  31,088,000 31,041,000 31,009,000  30,814,000 30,791,000 30,775,000  30,710,000 30,667,000 31,149,000                    
      diluted
    32,409 32,524 32,492 32,282 33,379 33,058 33,960 34,597 35,476 35,152 35,524 36,560 37,536 37,492 37,757 37,973 37,392 37,582 37,203 37,034     35,815 35,865 35,824 35,700 35,657 35,594 35,832 36,087 36,166 36,036 36,021 36,480 36,246 36,255 32,085 36,180 32,162 32,168 32,040 35,454 31,245,000 31,151,000 31,098,000  31,161,000 30,961,000 30,902,000  30,902,000 30,799,000 30,766,000  31,242,000 31,218,000 31,190,000  31,112,000 31,220,000 31,154,000  31,002,000 30,953,000 30,934,000  30,911,000 30,853,000 31,333,000                    
      credit loss expense
      30,000 35,000 -228,000 1,512,000 18,858,000                                                                                    
      other income
      23,000     -1,230,000    -12,000 -279,750 -27,000 -1,084,000 -8,000 -154,000 -375,000 -204,000 -37,000 -11,500 -10,000 -5,000 -31,000 144,000 -54,000 -76,000 -82,000 -49,000 -170,000 -98,000 -101,000 -39,000 -57,000 -59,000  -87,000 -92,000 -34,000 -17,000 -276,000 -100,000 27,000 43,000 -51,000 -7,000 60,000 -35,675 -32,000 10,000 -61,000 -63,210 -90,000 133,000 36,000 -70,366 -67,000 -78,000 -83,000     63 -193,000                          
      net loss attributable to common stockholders
      -6,659,000                                                                                        
      other comprehensive loss:
                                                                                              
      comprehensive loss
      -6,664,000                                                                                        
      unrealized foreign currency translation gain, net of tax
       5,000   -1,000 -3,000   1,000 7,000                                                                               
      loss on early extinguishment of debt
              1,723,000  1,816,000  1,912,000          1,470,000 94,000 54,000 360,000 43,000 36,000      4,969,000   1,568,000            1,419,000                                     960,000   
      bad debt expense
           1,290,000 4,165,000 2,355,000 3,134,000 4,908,000 2,947,000 1,101,000 3,192,000 2,369,000 2,372,000 1,441,000 466,000 504,000 652,000 946,000 898,000 539,000 505,000 588,000 645,000 270,000 892,000 502,000 611,000 199,000 746,000 433,000 326,000 323,000 97,000 19,000 228,000 249,000 228,000 549,000 131,000 91,000 257,000 32,000 432,000 309,195 215,000 132,000 422,000 138,107 256,000 281,000 111,000 343,805 146,000 -149,000 238,000 178,795 115,000 -211,000 211,000 -56,750 -303,000 171,000 -95,000 263,711 203,000  484,000 293,626  480,000 785,000 437,368  150,000 -128,000 593,840 144,000 37,000 402,000 -198,700  530,000 787,000   456,000 
      legal settlement charges
               1,125,000               1,600,000                                                                
      restructuring (benefits) costs
                  -1,114,000                                                                            
      unrealized foreign currency translation loss
                   -11,000                                                                           
      consolidated net income
                    77,573,000 23,433,000 11,548,000 19,448,000     -600,000 -2,697,000 -51,270,000 -1,376,000 -19,343,000 -118,000 1,824,000 1,920,000 28,256,000 7,044,000 5,220,000 -1,718,000 -7,649,000 14,289,000 -17,095,000 19,186,000 -5,927,000 5,151,000 2,680,000 3,050,000                                               
      less: net income attributable to noncontrolling interest in subsidiary
                        210,000 186,000 103,000 321,000 544,000 431,000 404,000 391,000 348,000 323,000 285,000 278,000 306,000 321,000 370,000 292,000 235,000 223,000 142,000 164,000 171,000 142,000 107,000 116,000                                               
      net income attributable to common shareholders
                    13,607,250 23,433,000 11,548,000 19,448,000     -1,144,000 -3,128,000 -51,674,000 -1,767,000 -19,691,000 -441,000 1,539,000 1,642,000 27,950,000 6,723,000 4,850,000 -2,010,000 -7,884,000 14,066,000 -17,237,000 19,022,000 -6,098,000 5,009,000 2,573,000 2,934,000                                               
      loss on derivative
                            321,000 1,284,000                                                                 
      consolidated net incomes
                        4,822,000 -1,148,000 -14,048,000 -1,768,000                                                                   
      net loss attributable to common shareholders
                        4,612,000 -1,334,000 -14,151,000 -2,089,000                                                                   
      weighted-average common shares outstanding:
                                                                                              
      basic and diluted
                        36,088 36,176 36,123 35,873                                                                   
      acquisition-related contingent consideration
                            -184,000 -426,000 253,000 247,000 2,108,000 16,000 220,000 213,000 98,000 -605,000 281,000 270,000 107,000 237,000 183,000 287,000                                                   
      acquisition and integration costs
                              46,000 265,000 230,000 70,000 76,000 115,000 22,000 1,366,000 587,000      160,000 584,000 40,000 118,000 2,383,000 2,747,000 295,000                                            
      gain on derivative liability
                                    -395,250   -1,581,000   3,571,000 -16,436,000   -362,000 -2,147,000                                               
      other incomes
                                                                                              
      income tax benefit
                                    -35,779,000 159,000 753,000  -1,258,750 802,000     205,000 1,037,000 169,000 1,006,000 -1,071,000 45,611,548 -644,000 -257,000 -500,000                                        
      cost of services
                                      152,785,000 154,298,000                                                       
      gross profit
                                      56,528,000 53,275,000                                                       
      yoy
                                                                                              
      qoq
                                      6.11%                                                        
      depreciation
                                        1,109,000 995,000 1,059,000 1,005,000 954,000 953,000 989,000 960,000 1,005,000 817,000 974,000 933,688 890,000 1,040,000 1,022,000 532,845 1,220,000 1,559,000 1,593,000 1,597,677 1,548,000 1,804,000 1,841,000 1,887,548 1,782,000 2,221,000 2,153,000 2,128,088 2,034,000 2,306,000 2,305,000 2,284,712 1,789,000 1,777,000 1,786,000 1,950,538 1,370,000 1,505,000 1,484,000 1,428,441 1,315,000 1,383,000 1,322,000 1,607,513 1,206,000 1,215,000 1,130,000 1,170,984 1,024,000 1,352,000 1,230,000 1,038,000 1,068,000 627,000 
      amortization
                                        1,104,000 1,097,000 1,406,000 1,407,000 1,263,000 982,000 983,000 982,000 1,011,000 784,000 785,000 610,077 552,000 566,000 566,000 -176,444 803,000 819,000 818,000 818,408 833,000 877,000 965,000 963,867 963,000 963,000 961,000 971,968 1,005,000 1,018,000 1,023,000 1,136,797 713,000 643,000 673,000 690,311 622,000 370,000 369,000 440,005 418,000 356,000 356,000 355,629 356,000 356,000 356,000 599,582 526,000 527,000 991,000 818,000 747,000 3,886,000 
      loss on sale of business
                                             2,184,000                                                 
      (gain) loss on derivative liability
                                        14,165,000 -7,105,000                                                     
      income tax (benefit) expense
                                          -6,634,000  696,000 -2,732,000          7,160,111 -6,797,000 -6,323,000 -190,000                                    
      loss on derivative liability
                                            9,516,000 2,894,000                                                 
      legal settlement charge
                                                     750,000                      -346  21,000 13,000 -2,122,608 8,827,000              
      foreign exchange (gain) loss
                                                -11,000   -38,500 -53,000       -122,155 -148,000                                  
      change in fair value of convertible note derivative liability
                                                7,308,000                                              
      loss on early extinguishment and modification of debt
                                                   10                                           
      income from continuing operations before income taxes
                                                -7,315,000 -2,175,000 -1,853,000 -7,310,463 809,000 -1,692,000                      11,216,709 11,513,000 8,775,000 7,834,000 12,045,220 170,000 7,217,000 7,280,000 7,936,845 8,564,000 2,164,000 6,251,000 8,004,390 8,348,000 8,263,000 11,100,000 11,114,000 12,108,000  
      income from continuing operations
                                                -7,484,000 -3,181,000 -782,000 -6,694,037 1,453,000 -1,435,000 -1,346,000                     7,267,509 7,049,000 5,461,000 4,802,000 7,559,352 120,000 4,424,000 4,463,000 4,932,419 5,250,000 1,326,000 3,832,000 5,514,620 5,134,000 5,097,000 6,804,000 6,813,000 7,422,000  
      income from discontinued operations, net of income taxes
                                                   337,688 -539,000 -22,000                                         
      net income
                                                -7,484,000 -3,181,000 -782,000 -52,584,323 914,000 -1,457,000 1,158,000 -9,533,497 -17,600,000 -14,504,000 -584,000 531,849 1,786,000 1,573,000 207,000 -6,003,863 916,000 1,178,000 1,135,000 398,308 968,000 2,292,000 3,036,000 -161,336,613 6,171,000 6,371,000 5,850,000 7,267,509 7,049,000 5,461,000 4,802,000 7,511,389 122,000 4,433,000 4,570,000 4,885,386 4,982,000 1,249,000 3,636,000 5,570,695 5,134,000 5,097,000 6,803,000 6,830,000 7,051,000 3,922,000 
      yoy
                                                -918.82% 118.33% -167.53% 451.57% -105.19% -89.95% -298.29% -1892.52% -1085.44% -1022.06% -382.13% -108.86% 94.98% 33.53% -81.76% -1607.34% -5.37% -48.60% -62.62% -100.25% -84.31% -64.02% -48.10% -2319.97% -12.46% 16.66% 21.82% -3.25% 5677.87% 23.19% 5.08% 53.75% -97.55% 254.92% 25.69% -12.30% -2.96% -75.50% -46.55% -18.44% -27.19% 29.96%     
      qoq
                                                135.27% 306.78% -98.51% -5853.21% -162.73% -225.82% -112.15% -45.83% 21.35% 2383.56% -209.81% -70.22% 13.54% 659.90% -103.45% -755.44% -22.24% 3.79% 184.96% -58.85% -57.77% -24.51% -101.88% -2714.43% -3.14% 8.91% -19.50% 3.10% 29.08% 13.72% -36.07% 6056.88% -97.25% -3.00% -6.46% -1.94% 298.88% -65.65% -34.73% 8.51% 0.73% -25.08% -0.40% -3.13% 79.78%  
      less: net income attributable to non-controlling interest in subsidiary
                                                118,000                                              
      net income attributable to cross country healthcare, inc.
                                                -7,602,000                                              
      basic income per common share from:
                                                                                              
      continuing operations
                                                -240 -100 -30 38.25 50                                          
      discontinued operations
                                                   -59.93 -20                                          
      diluted income per common share from:
                                                                                              
      foreign exchange gain
                                                 27,000    -110,000  8,000 114,000           7,750 18,000 86,000 -73,000 -29,750 -79,000 -34,000 -6,000                    
      foreign exchange loss
                                                  47,000    9,000    71,000   6,000 17,000 3,543 57,000  43,000         33,937 59,000                  
      impairment charge
                                                         18,732,000                                     
      net income per common share, basic:
                                                                                              
      net income per common share, diluted:
                                                                                              
      income from discontinued operations
                                                      80                                        
      before income taxes
                                                      -1,846,000                                        
      income from discontinued operations,
                                                                                              
      net of income taxes
                                                      2,504,000                                        
      see accompanying notes to the condensed consolidated financial statements
                                                                                              
      debt financing costs
                                                       68,250 273,000                                      
      loss on modification of debt
                                                       -497 82,000                                      
      net income per common share:
                                                                                              
      basic
                                                       -265 -570 -470 -20 27.5 60 50 10 25 30 40 40 50 30 70 100 150 200 210 190                    
      diluted
                                                       -265 -570 -470 -20 27.5 60 50 10 25 30 40 40 50 30 70 100 147.5 200 210 190                    
      other incomes:
                                                                                              
      foreign exchange (income) loss
                                                         -153,000        -28,000                             
      discontinued operations, net of income taxes
                                                                               29,500 2,000 9,000 107,000 -135,250 -268,000 -77,000 -196,000     17,000   
      net income per common share - basic:
                                                                                              
      net income per common share - diluted:
                                                                                              
      weighted-average common shares outstanding-basic
                                                                            31,954,000 32,038,000 32,134,000  32,067,000 32,092,000 32,127,000  32,290,000 32,253,000 32,207,000  32,025,000 31,974,000 32,037,000 32,225,000 32,247,000  
      weighted-average common shares outstanding-diluted
                                                                            32,433,000 32,613,000 32,848,000  32,618,000 32,726,000 32,821,000  32,943,000 32,775,000 32,680,000  32,504,000 32,584,000 32,581,000 32,581,000 32,607,000  
      other expenses:
                                                                                              
      non-recurring secondary offering costs
                                                                                           16,000   
      net income/(loss) per common share - basic:
                                                                                              
      net income per common share-basic
                                                                                          210    
      net income/(loss) per common share - diluted:
                                                                                              
      net income per common share-diluted
                                                                                          210    
      non-recurring indirect transaction costs
                                                                                              
      income before income taxes and discontinued operations
                                                                                             6,953,000 
      income before discontinued operations
                                                                                             3,922,000 
      net income/(loss) per common share- basic and diluted:
                                                                                              
      weighted-average common shares outstanding
                                                                                             23,206,000 
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2025-12-31 2025-09-30 2025-06-30 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 equivalents
      108,738,000 99,132,000 81,193,000 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 receivable
      167,512,000 180,208,000 201,694,000 219,789,000 223,238,000 244,987,000 242,333,000 357,458,000 372,352,000 410,373,000 484,885,000 627,076,000 641,611,000 610,897,000 701,926,000 677,432,000 493,910,000 301,040,000 256,487,000 245,489,000 170,003,000 168,769,000 156,104,000 164,801,000 169,528,000 170,339,000 150,515,000 154,758,000 166,128,000 167,200,000 162,424,000 160,334,000 173,603,000 181,608,000 155,903,000 161,765,000 173,620,000 147,173,000 144,611,000 143,575,000 146,873,000 125,470,000 120,621,000                       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 receivable
      3,594,000 3,760,000 5,394,000 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 expenses
      7,561,000 5,289,000 8,036,000 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 receivable
      4,851,000 5,632,000 11,360,000 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 assets
      1,333,000 1,092,000 1,379,000 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 assets
      293,589,000 295,113,000 309,056,000 325,199,000 335,000,000 336,586,000 337,758,000 387,318,000 415,153,000 445,229,000 505,634,000 648,612,000 675,673,000 660,017,000 718,323,000 692,306,000 508,273,000 313,273,000 285,390,000 269,734,000 183,111,000 182,441,000 174,552,000 190,630,000 183,357,000 189,688,000 187,242,000 186,484,000 194,905,000 206,243,000 205,700,000 203,469,000 208,887,000 201,982,000 200,515,000 186,136,000 205,611,000 183,410,000 164,435,000 154,756,000 158,745,000 159,724,000 141,420,000 141,296,000 131,098,000 135,600,000 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
      27,775,000 28,269,000 28,221,000 28,117,000 28,850,000 28,975,000 29,033,000 28,200,000 27,339,000 26,262,000 24,844,000 23,082,000 19,662,000 18,556,000 18,241,000 16,706,000 15,833,000 14,877,000 13,578,000 13,026,000 12,351,000 12,363,000 11,960,000 11,965,000 11,832,000 11,953,000 12,928,000 13,641,000 13,628,000 13,431,000 14,072,000 13,967,000 14,086,000 14,075,000 13,862,000 12,779,000 12,818,000 12,434,000 11,018,000 10,452,000 10,470,000 10,833,000 11,197,000 11,756,000 12,350,000 12,394,000 7,801,000 6,170,499 5,878,000 6,528,000  8,234,812       13,534,000 14,536,191 15,289,000 16,488,000 17,819,000 19,706,467 21,481,000 22,987,000 24,582,000 25,984,710 25,639,000 22,147,000 22,475,000 23,460,030 24,284,000 21,807,000 20,908,000 20,562,473 19,108,000 17,495,000 16,494,000 16,477,240 16,413,000 15,209,000 12,780,000 11,839,592 12,632,000 12,582,000 12,104,000 12,502,000 11,900,000 9,622,000 
        operating lease right-of-use assets
      2,206,000 1,851,000 2,003,000 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                                                               
        goodwill
      63,803,000 135,060,000 135,060,000 135,060,000 135,060,000 135,430,000 135,430,000 135,430,000 135,430,000 135,430,000 137,020,000 141,520,000 163,268,000 113,360,000 113,360,000 119,490,000 119,490,000 112,990,000 127,995,000 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 assets
      27,635,000 35,523,000 37,744,000 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 assets
       9,460,000 8,181,000 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 computing
      14,028,000 12,855,000 12,070,000 11,358,000 10,846,000 9,735,000 8,916,000 7,209,000 5,987,000 5,455,000                                                                                 
        deferred compensation asset
      2,938,000                                                                                          
        other assets
      2,118,000 5,207,000 5,320,000 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 assets
      448,951,000 538,231,000 553,818,000 576,235,000 589,251,000 597,423,000 602,883,000 648,439,000 679,317,000 707,739,000 771,130,000 920,541,000 947,839,000 882,512,000 938,961,000 916,434,000 732,809,000 520,420,000 493,638,000 442,353,000 356,973,000 357,838,000 352,201,000 386,979,000 382,374,000 393,991,000 396,968,000 441,435,000 427,003,000 456,938,000 459,201,000 459,794,000 467,687,000 456,656,000 382,490,000 368,395,000 388,378,000 364,736,000 344,366,000 360,040,000 366,097,000 339,726,000 331,654,000 333,498,000 336,468,000 341,379,000 259,859,000 248,244,566 275,498,000 274,529,000 281,396,000 305,923,555 301,338,000 317,250,000 334,651,000 335,909,787 345,944,000 345,878,000 343,728,000 348,207,767 356,873,000 353,418,000 354,423,000 356,588,895 367,762,000 392,553,000 418,041,000 425,849,444 667,342,000 533,226,000 536,344,000 535,307,561 536,646,000 508,555,000 507,389,000 504,032,439 492,233,000 463,776,000 477,351,000 481,661,257 480,656,000 478,700,000 460,717,000 455,994,775 460,926,000 465,173,000 489,795,000 492,294,000 386,411,000 360,774,000 
        liabilities and stockholders' equity
                                                                                                
        current liabilities:
                                                                                                
        accounts payable and accrued expenses
      46,034,000 42,311,000 49,004,000 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 benefits
      28,378,000 41,856,000 45,264,000 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 liabilities
      1,163,000 846,000 1,307,000 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 liabilities
      2,181,000 531,000 590,000 980,000 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 liabilities
      77,756,000 85,544,000 96,165,000 109,048,000 120,402,000 120,677,000 110,115,000 128,442,000 148,587,000 183,578,000 216,027,000 264,908,000 271,640,000 276,790,000 268,658,000 283,245,000 199,770,000 144,662,000 122,060,000 121,660,000 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 
        deferred tax liabilities
      2,522,000                                         2,039,000 1,740,000 1,716,000 638,000 622,000 560,000 534,827                                           
        accrued claims
      30,028,000 29,266,000 30,288,000 33,982,000 34,425,000 34,893,000 35,614,000 34,299,000 34,853,000 32,652,000                                                                                 
        uncertain tax positions
      10,427,000 10,346,000 10,265,000 10,168,000 10,117,000 11,169,000 11,642,000 11,339,000 10,603,000 9,906,000                                                                                 
        deferred compensation liability
      2,590,000                                                                                          
        other liabilities
      1,651,000 3,575,000 3,397,000 3,204,000 3,566,000 3,645,000 3,798,000 4,039,000 4,218,000 3,902,000                                                                                 
        total liabilities
      126,129,000 130,089,000 141,576,000 158,025,000 170,292,000 172,732,000 163,821,000 180,249,000 205,924,000 238,078,000 300,782,000 468,611,000 490,620,000 459,803,000 528,150,000 560,361,000 435,281,000 303,621,000 301,507,000 268,679,000 202,064,000 208,918,000 203,127,000 225,577,000 218,874,000 230,344,000 232,280,000 225,425,000 208,805,000 219,683,000 222,330,000 223,693,000 229,968,000 247,308,000 180,842,000 172,501,000 236,576,000 205,493,000 200,089,000 199,255,000 224,753,000 197,707,000 195,106,000 199,921,000 186,435,000 184,136,000 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 stock—0.0001 par value...
      3,000    3,000    4,000    4,000    4,000    4,000    4,000    4,000    4,000    3,000    3,000       3,109    3,090        3,110    3,101    3,077    3,158    3,210        3,220       
        additional paid-in capital
      201,172,000 203,529,000 202,770,000 202,074,000 202,338,000 204,273,000 215,449,000 228,525,000 236,417,000 241,732,000 255,216,000 258,144,000 292,876,000 297,143,000 320,000,000 318,125,000 321,552,000 318,415,000 316,644,000 309,711,000 310,388,000 309,049,000 307,985,000 305,935,000 305,643,000 304,764,000 303,795,000 302,802,000 303,048,000 302,007,000 301,353,000 302,325,000 305,362,000 304,957,000 303,917,000 303,115,000 256,570,000 256,118,000 255,310,000 254,542,000 254,108,000 248,698,000 248,218,000 247,778,000 247,038,000 246,637,000 246,777,000 246,324,580 245,860,000 245,466,000 245,523,000 244,924,076 244,277,000 243,666,000 243,434,000 243,170,554 244,925,000 244,151,000 243,648,000 243,004,522 242,412,000 241,914,000 241,431,000 240,869,496 238,909,000 238,166,000 237,696,000 237,371,902 237,093,000 235,714,000 235,956,000 245,843,655 250,272,000 251,781,000 253,364,000 254,272,635 253,503,000 254,269,000 254,929,000 255,339,487 256,797,000 258,320,000 257,567,000 257,179,760 254,854,000 254,779,000 253,624,000 257,396,000 258,790,000 119,099,000 
        accumulated other comprehensive loss
      -1,560,000 -1,526,000 -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 earnings
      123,207,000 206,136,000 210,910,000 217,569,000 218,059,000 221,812,000 224,999,000 241,049,000 238,357,000 229,319,000 216,507,000 195,162,000 165,726,000 126,935,000 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' equity
      322,822,000    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
      448,951,000    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 
        liabilities and stockholders’ equity
                                                                                                
        stockholders’ equity:
                                                                                                
        common stock
       3,000 3,000 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 
        total stockholders’ equity
       408,142,000 412,242,000 418,210,000  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’ equity
       538,231,000 553,818,000 576,235,000  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   
        debt
                                                                                                
        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                                                                              
        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                                                                          
        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                 
        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                                                         
        long-term contingent consideration
                       7,500,000 15,000,000                                                                        
        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                                                    
        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 
        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                                           
        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                                               
        noncontrolling interest
                                        694,000 616,000 559,000 547,000 470,000 488,000 496,000 466,000 430,000 440,000                                               
        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                                               
        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                                             
        intangible assets, net of accumulated amortization of 42,567 in 2016 and 39,754 in 2015
                                            73,510,000                                                    
        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                                           
        other identifiable intangible assets, net of accumulated amortization of 37,156 in 2015 and 34,209 in 2014
                                               30,876,000                                                 
        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       
        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                                        
        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                                             
        assets held for sale
                                                         46,970,964                               762,000 820,500       
        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                                       
        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 
        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                                        
        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                               
        debt issuance costs, net of accumulated amortization of 3,594,511 in 2012 and 3,317,299 in 2011
                                                         1,609,954                                       
        (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                                   
        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                                   
        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                                 
        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               
        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                           
        cash and short-term cash investments
                                                                  8,839,000 10,300,000 13,305,000 8,568,845                           
        interest rate swaps-current
                                                                  60,000 532,000 1,027,000                            
        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                           
        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                       
        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                       
        debt issuance costs, net of accumulated amortization of 705,372 in 2008 and 321,633 in 2007
                                                                         2,675,608                       
        deposits on field employees' apartments, net of allowance of 280,681 in 2007 and 389,341 in 2006
                                                                             797,836                   
        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               
        deposits on field employees’ apartments, net of allowance of 389,341 in 2006 and 380,862 in 2005
                                                                                 846,526               
        debt issuance costs, net of accumulated amortization of 171,315 in 2006 and 23,763 in 2005
                                                                                 562,893               
        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           
        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...
                                                                                     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       
        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       
        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 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2025-12-31 2025-09-30 2025-06-30 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 2003-09-30 
                                                                                              
          cash flows from operating activities
                                                                                              
          consolidated net income
           -490,000 -3,753,000 2,555,000 -16,050,000 2,692,000 9,038,000 12,812,000 21,345,000 29,436,000 38,791,000 34,793,000 52,894,000 61,983,000 77,573,000 23,433,000 11,548,000 19,448,000     -600,000 -2,697,000 -51,270,000 -1,376,000 -19,343,000 -118,000 1,824,000 1,920,000 28,256,000 7,044,000 5,220,000 -1,718,000 -7,649,000 14,289,000 -17,095,000 19,186,000 -5,927,000 5,151,000 2,680,000 3,050,000                                           
          adjustments to reconcile net income to net cash from operating activities:
                                                                                              
          depreciation and amortization
        3,833,000 4,088,000 4,101,000 4,772,000 4,341,000 4,498,000 4,719,000 4,642,000 4,471,000 4,540,000 4,432,000 4,904,000 3,162,000 3,214,000 3,481,000 2,719,000 2,720,000 2,680,000 2,199,000 2,253,000 2,199,000 3,247,000 3,929,000 3,296,000 4,627,000 2,907,000 3,557,000 2,984,000 3,016,000 2,892,000 2,963,000 2,909,000 2,849,000 2,849,000 2,285,000 2,191,000 2,213,000 2,092,000 2,465,000 2,412,000 2,217,000 1,935,000 1,972,000 1,942,000                                           
          provision for allowances
        295,000 -959,000 -200,000 -135,000 -719,000 1,422,000 18,914,000 1,170,000 3,816,000 3,732,000 3,636,000 6,171,000 5,312,000 2,803,000 4,034,000 3,179,000 2,663,000 1,909,000 832,000 1,095,000 914,000 1,173,000 1,301,000 881,000 689,000 592,000 992,000 970,000 2,316,000 1,287,000                                                         
          deferred income tax expense
            1,002,000    674,000 1,120,000 107,000 -597,000 2,265,000 -679,000 1,048,000 2,428,000 -12,724,000 -126,000   -282,000 14,000 -695,000 31,000 -297,000 31,000 34,571,000 -3,146,000  1,178,000 1,043,000 825,000  409,000 603,000 597,000    471,000   574,000 838,000 1,079,000   43,705,296 -310,000 200,000 2,305,000             10,217,802 -66,000 -795,000 -119,000  145,000 -282,000 103,000 3,008,518 3,808,000 -1,160,000 5,691,000 -1,195,068 2,808,000 3,003,000 2,423,000 779,908 967,000 1,421,000 1,478,000    
          non-cash lease expense
        279,000 244,000 252,000 250,000 261,000 257,000 233,000 241,000 288,000 288,000 283,000 252,000 413,000 432,000 438,000 567,000 558,000 582,000 662,000 622,000 615,000 675,000 1,066,000 1,191,000 1,190,000 1,275,000 1,270,000 1,254,000                                                           
          impairment charges
            2,170,000 114,000 604,000 186,000   3,856,000 1,741,000   166,000 1,071,000   1,804,000                        11,900,407                                   
          loss on early extinguishment of debt
                  1,816,000              360,000 43,000    4,969,000            1,419,000                                   
          equity-related severance and compensation
                                                                                              
          other non-cash costs
        142,000 207,000 204,000 202,000 -512,000 206,000 202,000 203,000 249,000 345,000 342,000 316,000 135,000   446,000 995,000 61,000 143,000 629,000 530,000 153,000 164,000 143,000 -910,000 -205,000 802,000 365,000 2,456,000 124,000 329,000 322,000  486,000 11,000 11,000  1,000    1,000                                             
          changes in operating assets and liabilities:
                                                                                              
          accounts receivable
        12,402,000 22,446,000 18,294,000 3,584,000 22,468,000 -4,076,000 96,211,000 13,724,000 34,204,000 70,780,000 138,556,000 7,887,000 -26,226,000 88,227,000 -28,529,000 -186,701,000 -195,533,000 -46,613,000 307,000 -76,581,000 -2,148,000 -13,839,000 7,396,000 3,846,000 124,000 -20,417,000 3,251,000 10,400,000 75,000 -6,063,000 -3,790,000 12,598,000 6,371,000 -12,446,000 4,966,000 10,817,000 -27,210,000 -3,580,000 -2,491,000 2,500,000 -14,781,000 -5,793,000 -28,000 -8,106,000 -2,003,000 2,699,000 -11,897,000 -3,285,613 5,644,000 5,110,000 -5,432,000 739,589 -2,744,000 -126,000 -2,125,000 2,130,838 -4,762,000 -1,392,000 -3,950,000 1,942,796 -2,312,000 2,806,000 3,020,000 -75,217 12,581,000 21,994,000 13,238,000 6,192,354 4,913,000 7,470,000 680,000 7,284,988 -6,988,000 2,125,000 -2,337,000 -7,792,803 -6,503,000 5,778,000 4,843,000 -3,949,664 -3,082,000 -1,421,000 -5,171,000 3,916,571 1,211,000 2,597,000 
          prepaid expenses and other assets
        -3,754,000 2,054,000 -691,000 57,000 -5,612,000 1,698,000 151,000 -1,227,000 -2,975,000 -129,000 3,843,000 -471,000 -8,151,000 1,660,000 133,000 -557,000 -3,105,000 -195,000 -632,000 568,000 -2,374,000 847,000 180,000 -736,000 -3,057,000 1,510,000 1,450,000 -1,477,000 -1,369,000 -146,000 -522,000 -477,000 705,000 832,000 543,000 -264,000 -846,000 -1,601,000 670,000 -105,000 884,000 321,000 860,000 598,000                                           
          income taxes
        231,000 1,733,000 663,000 4,549,000 -1,334,000 89,000 -2,326,000 1,293,000 -967,000 -415,000 -1,560,000 9,897,000 -6,891,000 -4,199,000 -31,071,000 22,050,000                     -21,000 189,000 -413,000 -252,000 782,000 -78,000 -416,000 87,000 -1,119,000 -397,000 -2,239,000 1,512,599 -164,000 -728,000 -759,000 1,606,750 1,195,000 -863,000 -190,000 -2,178,374 1,598,000 4,684,000 207,000 -8,961,266 926,000 6,744,000 496,000 -9,915,665 2,502,000 451,000 1,578,000 -6,109,691 1,317,000 52,000 2,491,000                
          accounts payable and accrued expenses
        -9,267,000 -3,449,000 -12,681,000 -9,173,000 3,839,000 -333,000 -17,767,000 -15,492,000 -37,015,000 -23,048,000 -54,557,000 -11,991,000 -7,444,000 8,718,000 15,459,000 62,979,000 46,611,000 14,661,000 -4,493,000 26,507,000 -3,149,000 -1,519,000 841,000 11,066,000 -9,105,000 128,000 4,828,000 2,841,000 -5,420,000 3,255,000 856,000 -5,786,000 -4,020,000 3,194,000 7,638,000 -16,087,000 14,736,000 10,641,000 1,061,000 -6,068,000 3,388,000 6,635,000 -1,630,000 2,820,000 -1,578,000 2,630,000 2,190,000 18,144 -1,572,000 -5,022,000 6,256,000 1,834,000 2,005,000 630,000 -341,000 -3,854,931 1,864,000 2,170,000 1,163,000 -1,070,573 519,000 -1,096,000 1,360,000 -3,658,928 -4,554,000 -6,525,000 3,368,000 -11,891,174 -780,000 -1,302,000 -905,000 -3,749,094 1,688,000 -2,828,000 -3,438,000 -643,755 7,913,000 -10,949,000 -4,664,000 2,165,558 3,190,000 17,619,000 128,000 -1,433,084 -786,000  
          operating lease liabilities
        -397,000 -652,000 -578,000 -562,000 -563,000 -652,000 -791,000 -785,000 -812,000 -1,406,000 -1,069,000 -1,084,000 -1,145,000 -1,143,000 -1,401,000 -1,273,000 -2,161,000 -1,227,000 -2,250,000 -1,115,000 -1,478,000 -1,482,000 -1,445,000 -1,467,000 -1,465,000 -1,523,000 -1,433,000 -1,399,000                                                           
          other
        3,998,000 -350,000 19,000 1,989,000 948,000 -152,000 -243,000 -1,443,000 -63,000 73,000 -571,000 370,000 96,000 1,089,000 -1,624,000 -200,000 7,401,000 233,000 59,000 298,000 774,000 1,288,000 797,000 -248,000 135,000 1,364,000 898,000 -1,227,000 -494,000 -475,000 -352,000 -1,014,000 2,337,000 -581,000 -769,000 -1,000,000             58,000 57,000 61,000                                    
          net cash from operating activities
        18,239,000 20,114,000 4,217,000 5,681,000 24,234,000 7,470,000 82,401,000 6,011,000 12,074,000 70,311,000 119,248,000 46,865,000 4,320,000 140,627,000 18,141,000 -29,038,000 -73,365,000 -2,831,000 15,505,000 -24,927,000 1,929,000 -8,456,000 16,569,000 17,162,000 -5,351,000 -14,249,000 12,355,000 12,787,000 -760,000 3,818,000 4,666,000 13,273,000 16,803,000 3,180,000 24,115,000 1,410,000 -2,124,000 19,402,000 10,303,000 2,564,000 -631,000 12,869,000 5,727,000 270,000 2,475,000 3,703,000 -9,234,000 -2,899,988 7,161,000 5,913,000 -1,515,000  1,903,000 2,402,000 1,401,000 3,666,200 3,254,000 10,003,000 1,373,000 6,736,573 1,111,000 13,400,000 10,274,000 2,443,282 19,466,000 24,835,000 25,575,000 10,061,173 13,760,000 15,837,000 11,335,000 18,637,949 8,696,000 10,187,000 -1,557,000 3,206,670 9,610,000 9,871,000 10,230,000 9,924,330 11,214,000 6,326,000 3,326,000 6,284,361 10,266,000 14,900,000 
          capital expenditures
        -2,117,000 -2,191,000 -1,967,000 -1,886,000 -2,531,000 -1,124,000 -2,849,000 -2,210,000 -2,875,000 -3,425,000 -3,996,000 -3,678,000 -2,023,000 -2,915,000 -1,752,000 -2,096,000 -2,280,000 -1,888,000 -1,816,000 -1,186,000 -956,000 -1,169,000 -1,528,000 -962,000 -898,000 -478,000 -455,000 -1,109,000 -1,192,000 -1,116,000 -1,286,000 -1,003,000 -1,068,000 -657,000 -2,296,000 -1,090,000 -1,498,000 -2,408,000 -1,634,000 -982,000 -572,000 -757,000 -451,000 -582,000 -929,000 -261,000 -2,588,000 -1,074,663 -249,000 -195,000 -232,000  -425,000 -1,233,000 -462,000 -1,000,129 -808,000 -1,353,000 -837,000 -1,137,101 -573,000 -410,000 -271,000 -351,769 -459,000 -668,000 -974,000 -1,301,610 -1,113,000 -1,468,000 -806,000 -1,619,884 -3,130,000 -1,698,000 -1,830,000 -1,924,000 -2,099,000 -617,679 -1,073,000 
          free cash flows
        16,122,000 17,923,000 2,250,000 3,795,000 21,703,000 6,346,000 79,552,000 3,801,000 9,199,000 66,886,000 115,252,000 43,187,000 2,297,000 137,712,000 16,389,000 -31,134,000 -75,645,000 -4,719,000 13,689,000 -26,113,000 973,000 -9,625,000 15,041,000 16,200,000 -6,249,000 -14,727,000 11,900,000 11,678,000 -1,952,000 2,702,000 3,380,000 12,270,000 15,735,000 2,523,000 21,819,000 320,000 -3,622,000 16,994,000 8,669,000 1,582,000 -1,203,000 12,112,000 5,276,000 -312,000 1,546,000 3,442,000 -11,822,000 -3,974,651 6,912,000 5,718,000 -1,747,000  1,478,000 1,169,000 939,000 2,666,071 2,446,000 8,650,000 536,000 5,599,472 538,000 12,990,000 10,003,000 2,091,513 19,007,000 24,167,000 24,601,000 8,759,563 12,647,000 14,369,000 10,529,000 17,018,065 5,566,000 8,489,000 -3,387,000 3,206,670 9,610,000 9,871,000 10,230,000 9,924,330 11,214,000 4,402,000 1,227,000 5,666,682 9,193,000 14,900,000 
          cash flows from investing activities
                                                                                              
          acquisition-related settlements
                  182,000               26,000 -136,000 -2,000 -123,000 -2,000 -24,000 -53,000       277,000                                               
          purchases of property and equipment
        -2,117,000 -2,191,000 -1,967,000 -1,886,000 -2,531,000 -1,124,000 -2,849,000 -2,210,000 -2,875,000 -3,425,000 -3,996,000 -3,678,000 -2,023,000 -2,915,000 -1,752,000 -2,096,000 -2,280,000 -1,888,000 -1,816,000 -1,186,000 -956,000 -1,169,000 -1,528,000 -962,000 -898,000 -478,000 -455,000 -1,109,000 -1,192,000 -1,116,000 -1,286,000 -1,003,000 -1,068,000 -657,000 -2,296,000 -1,090,000 -1,498,000 -2,408,000 -1,634,000 -982,000 -572,000 -757,000 -451,000 -582,000 -929,000 -261,000 -2,588,000 -1,074,663 -249,000 -195,000 -232,000 -98,877 -425,000 -1,233,000 -462,000 -1,000,129 -808,000 -1,353,000 -837,000 -1,137,101 -573,000 -410,000 -271,000 -351,769 -459,000 -668,000 -974,000 -1,301,610 -1,113,000 -1,468,000 -806,000 -1,619,884 -3,130,000 -1,698,000 -1,830,000       -1,924,000 -2,099,000 -617,679 -1,073,000  
          net cash from investing activities
        -2,117,000 -2,191,000 -1,967,000 -1,886,000 -2,531,000 -1,124,000 -2,849,000 -2,210,000 -2,875,000 -3,408,000 -3,996,000 -3,496,000 -37,111,000 -2,915,000 -1,752,000 -2,096,000 -4,686,000 -1,888,000 -26,286,000 -1,186,000 -956,000 -1,169,000 -1,528,000 -962,000 -898,000 -368,000 -429,000 -1,245,000 -3,124,000 -1,239,000 -1,288,000 -1,027,000 -1,121,000 -86,873,000 -2,296,000 -1,090,000 -3,398,000 -1,908,000 -3,769,000 -705,000 -29,319,000 6,282,000 -451,000 -582,000 3,269,000 -45,620,000 -2,588,000 -29,823,344 -442,000 -362,000 45,832,000 2,500,626 -477,000 -1,298,000 -551,000 -1,050,036 -856,000 -1,410,000 -880,000 -1,217,609 -1,474,000 -13,236,000 -271,000 -351,800 -472,000 -8,182,000 -999,000 154,360 -114,310,000 -5,969,000 -9,436,000 -91,095 -22,249,000 -10,643,000 -2,345,000 -5,291,519 -18,709,000 -2,297,000 -1,550,000 -1,658,519 -1,915,000 -1,924,000 -2,915,000 9,651,195 -1,141,000  
          cash flows from financing activities
                                                                                              
          principal payments on term loan
                  -50,000,000 -50,001,000 -437,000 -438,000        -71,376,000                                                             
          borrowings under senior secured asset-based revolving credit facility
        365,000 356,000 355,000 373,000 353,000 352,000 3,153,000 14,166,000 55,606,000 111,966,000 205,985,000 347,434,000 424,222,000 375,696,000 484,936,000 415,176,000                     2,600,000 57,200,000 25,300,000 4,500,000 13,000,000 21,300,000                                           
          repayments on senior secured asset-based revolving credit facility
        -365,000 -356,000 -355,000 -373,000 -353,000 -352,000 -3,153,000 -14,166,000 -55,606,000 -142,966,000 -241,385,000 -357,834,000 -356,622,000 -451,496,000 -451,438,000 -372,874,000                     -2,600,000 -6,000,000 -59,200,000 -17,300,000 -7,500,000 -16,500,000 -18,300,000                                           
          cash paid for shares withheld for taxes
        -6,000   -6,000 -248,000 -2,706,000 -13,000 -5,000 -372,000 -4,514,000 -239,000 -5,028,000 -204,000 -2,026,000                 -314,000 -38,000                                                 
          payment of contingent consideration
        -4,411,000 -6,579,000                           -135,000 -17,000                                               
          stock repurchase and retirement
        -6,519,000 -314,000 -4,077,000 -11,920,000 -14,945,000 -6,368,000 -6,403,000 -14,768,000 -4,723,000 -31,760,000 -10,937,000                -300,000 -1,815,000 -2,885,000                    -248 -374,000             -405 -664,000 -10,111,000 -4,873,876 -1,836,000 -1,847,000 -2,325,000 -84,293 -1,216,000 -798,000 -666,000 -1,951,324       
          net cash from financing activities
        -6,519,000 -6,000 -1,756,000 -4,725,000 -4,077,000 -11,926,000 -15,193,000 -15,653,000 -6,416,000 -53,273,000 -114,871,000 -46,681,000 6,075,000 -107,661,000 -17,321,000 31,308,000 78,225,000 -12,569,000 15,434,000 38,004,000 -2,827,000 6,818,000 -21,402,000 -4,599,000 -2,186,000 -735,000 -5,383,000 -9,295,000 -8,176,000 -7,025,000 -3,417,000 -5,149,000 -915,000 60,527,000 -1,273,000 -7,583,000 -548,000 -1,024,000 1,838,000 -2,430,000 7,831,000 -3,211,000 -4,043,000 2,778,000 -7,294,000 44,081,000 10,858,000 8,321,680 -102,000 -425,000 -33,856,000 -1,248,920 -2,946,000 -3,662,000 -2,726,000 -6,155,220 -4,010,000 -2,454,000 -1,617,000 -1,618,315 -1,245,000 -3,056,000 -5,272,000 -5,574,084 -18,483,000 -24,442,000 -15,637,000 -12,478,901 108,496,000 -8,543,000 -7,397,000 -9,480,317 13,553,000 456,000 3,902,000 2,084,849 9,041,000 -9,071,000 -7,125,000 -8,265,811 -9,299,000 -4,402,000 -411,000 -15,935,556 -9,125,000 -10,105,000 
          effect of exchange rate changes on cash
        3,000 22,000 2,000 -6,000     10,000   -1,000 -10,000 3,000 -2,000 20,000 3,000 -14,000 -3,000 8,000 19,000 -4,000 -34,000 9,000 -20,000 1,000 20,000 14,000 -48,000 -23,000 -13,000 5,000 -5,000 -11,000 34,000 -7,000 8,000 -19,000 -6,000 -12,000 -35,000 -19,000 4,000 -11,000 -29,000 67,000 3,573 -79,000 -116,000 -19,000 -61,179 145,000 -181,000 174,000 -117,573 -92,000 12,000 25,000 -75,812 148,000 -113,000 5,000 48,606 -45,000 239,000 -25,000 -201,328 -121,000 -38,000 -43,000                
          change in cash and cash equivalents
        9,606,000 17,939,000 496,000 -936,000 17,612,000 -5,580,000 64,359,000 -11,852,000 2,793,000 13,628,000 382,000 -3,313,000 -26,716,000 30,041,000 -929,000 172,000 194,000 -17,285,000 4,639,000 11,888,000 -1,846,000 -2,788,000 -6,365,000 11,567,000 -8,426,000 -15,372,000 6,544,000 2,267,000 -12,046,000 -4,494,000 -62,000 7,084,000 14,772,000 -23,171,000 20,535,000 -7,229,000 -6,077,000 16,478,000 8,353,000 -577,000 -22,131,000 15,905,000 1,214,000 2,470,000 -1,561,000 2,135,000 -897,000 -24,398,079 6,538,000 5,010,000 10,442,000 5,630,657 -1,375,000 -2,739,000 -1,702,000 -3,656,629 -1,704,000 6,151,000 -1,099,000   -3,005,000 4,736,000  466,000 -7,550,000 8,914,000 -2,464,696 7,825,000 1,287,000 -5,541,000       -1,497,000 1,555,000        
          cash and cash equivalents at beginning of year
                                                                                              
          cash and cash equivalents at end of year
                                                                                              
          supplemental disclosure of cash flow information:
                                                                                              
          interest paid
                                                                                              
          income taxes paid
                                                                                              
          consolidated net loss
         -4,774,000                   4,822,000 -1,148,000 -14,048,000 -1,768,000                                                               
          adjustments to reconcile net loss to net cash from operating activities:
                                                                                              
          deferred income tax benefit
         -1,240,000 623,000 -680,000   -3,225,000 -809,000                             567,000                -8,120,000 -5,680,000 -463,000  -100,000 -390,000 -158,000  -213,000 -275,000 -476,000                        
          equity compensation
         766,000 870,000 1,318,000 1,698,000 870,000 2,259,000 1,198,000 1,166,000 1,433,000 2,205,000 1,775,000 2,187,000 1,491,000 2,114,000 1,601,000 1,637,000 1,771,000 2,137,000 1,349,000 1,340,000 1,064,000 2,072,000 927,000 879,000 982,000 1,004,000 531,000 1,211,000 981,000 914,000 469,000 997,000 1,068,000 1,278,000 737,000 765,000 847,000 1,119,000 648,000 687,000 557,000 840,000 376,000 416,000 90,000 452,000                                        
          cash and cash equivalents at beginning of period
         81,633,000  17,094,000  3,604,000  1,036,000  1,600,000  1,032,000  16,019,000  25,537,000  20,630,000  2,453,000  4,995,000 8,055,000  10,463,000  10,648,000  10,957,000   8,569,000  10,173,000  9,066,000               
          cash and cash equivalents at end of period
         17,939,000 496,000 80,697,000  -5,580,000 64,359,000 5,242,000  13,628,000 382,000 291,000  30,041,000 -929,000 1,208,000  -17,285,000 4,639,000 13,488,000  -2,788,000 -6,365,000 12,599,000  -15,372,000 6,544,000 18,286,000  -4,494,000 -62,000 32,621,000  -23,171,000 20,535,000 13,401,000  16,478,000 8,353,000 1,876,000  15,905,000 1,214,000 7,465,000 -1,561,000 2,135,000 7,158,000  6,538,000 5,010,000 20,905,000  -1,375,000 -2,739,000 8,946,000  -1,704,000 6,151,000 9,858,000   -3,005,000 13,305,000  466,000 -7,550,000 19,087,000  7,825,000 1,287,000 3,525,000       -1,497,000 1,555,000       3,856,000 
          acquisitions, net of cash acquired
                        -2,406,000                                                                    
          principal payments on note payable
                    -2,426,000 -1,000 -2,425,000                                                                 
          debt issuance costs
                    -78,000 -67,000 -3,092,000 -1,525,000 -108,000          -568,000        -192,000       -148,000   95 -506,000   -44,000     -98       525 -2,436,000                  
          proceeds from term loan
                        75,000,000                                                                     
          other investing activities
                                                           -52,832 -52,000 -65,000 -89,000 -49,907 -48,000 -57,000 -43,000 -80,324                           
          cash payments to noncontrolling shareholder
                           -185,000 -103,000 -321,000 -544,000             -223,000                                                  
          other non-cash (benefits) costs
                                                                                              
          borrowings under revolving credit facility
                         14,486,000 125,965,000 148,016,000  118,138,000 85,553,000 107,274,000                             15,100,000 6,000,000 1,200,000                                
          repayments on revolving credit facility
                         -26,476,000 -206,000,000 -105,400,000  -111,200,000 -104,100,000 -110,600,000                       -10,000,000                                    
          proceeds under senior secured asset-based revolving credit facility
                                                                                              
          amortization of debt discount and debt issuance costs
                                          75,000 354,000 413,000 413,000 432,000 470,000 475,000 475,000 470,000 466,000                                           
          non-cash gain on derivative liability
                                                                                              
          convertible note cash payment
                                                                                             
          extinguishment fees
                                        -578,000                                                 
          proceeds from senior secured asset-based revolving credit facility
                                                                                              
          other liabilities
                                   480,000 483,000 -251,000 -651,000 -178,000 865,000 -412,000 318,000 76,000 -128,000 1,609,000 220,000 -1,347,000 -44,000 478,000 197,000 255,000 2,896,000 -1,318,000 572,000 -190,160 1,024,000 49,000 657,000 70,065 294,000 293,000 999,000 -70,168 -53,000 -428,000 113,000 -128,805 263,000 -138,000 489,000          1,015,000              
          principal payments on term loans
                                   -7,500,000 -7,374,000 -6,250,000 -1,250,000 -1,250,000                                                      
          gain on derivative liability
                                         -1,581,000   3,571,000 -16,436,000   -362,000 -2,147,000                                           
          proceeds from sale of business
                                                                                             
          proceeds from term loans
                                                                                             
          borrowings on revolving credit facility
                                                                                             
          write-off of property and equipment
                                                                                              
          benefit from allowances
                                       671,000 1,634,000 1,136,000 897,000 1,038,000 764,000 1,016,000 1,456,000 798,000 229,000 908,000                                             
          (gain) loss on derivative liability
                                            14,165,000                                                  
          acquisition-related contingent consideration
                                          281,000 270,000 107,000 192,000 183,000 287,000                                               
          other noncash costs, including loss on sale of business
                                                                                              
          transaction costs related to sale of business
                                                                                             
          repayments of debt
                                          -504,000 -6,005,000                                                   
          borrowings on debt
                                                                                              
          acquisition-related settlements - mediscan
                                                                                            
          acquisition-related settlements - medical staffing network
                                                                                            
          proceeds from borrowing on senior credit facility
                                                                                            
          principal payment on senior credit facility
                                                                                              
          principal payments on second lien term loan
                                                                                            
          proceeds from borrowing on second lien term loan
                                                                                              
          proceeds from borrowing on convertible note
                                                                                             
          repayments of capital lease obligations
                                            -11,000 -13,000 -20,000 -27,000 -28,000 -27,000 -26,000 -27,000                                           
          loss on sale of business
                                                                                              
          principal payment on term loan
                                                                                              
          deferred income tax (benefit) expense
                                                -157,000      681,000                                        
          cash payment to noncontrolling shareholder
                                              -160,000 -172,000 -141,000 -106,000 -117,000 -130,000                                           
          repurchase of stock for tax withholdings
                                               -214,000 -78,000 -400,000 -65,000                                           
          loss on derivative liability
                                                9,516,000                                              
          loss on early extinguishment and modification of debt
                                                       10                                       
          gain on sale of business
                                                                                              
          other noncash costs
                                                     2,000 97,000                                        
          proceeds from sale of businesses
                                                                                             
          income tax refunds
                                                                                              
          acquisition, net of cash acquired
                                                                                              
          acquisition of assets of medical staffing network, net of cash acquired
                                                    448,000                                          
          bad debt expense
                                                   91,000 257,000 32,000 432,000 308,920 215,000 132,000 427,000 222,715 256,000 281,000 111,000 343,805 146,000 -149,000 238,000 178,795   211,000  -303,000 171,000 -95,000 263,711 203,000 484,000 293,626 480,000 785,000 437,368 150,000 -128,000 593,840 144,000 37,000 402,000 -198,700  
          operating activities
                                                                                              
          net income
                                                    -7,484,000 -3,182,000 -782,000 -52,584,323 914,000 -1,457,000 1,158,000 -9,533,497 -17,600,000 -14,504,000 -584,000 531,849 1,786,000 1,573,000 207,000 -6,003,863 916,000 1,178,000 1,135,000 398,308 968,000 2,292,000 3,036,000 -161,336,613 6,171,000 6,371,000 5,850,000 7,267,509 7,049,000 5,461,000 4,802,000 7,511,389 122,000 4,433,000 4,570,000 4,885,386 4,982,000 1,249,000 3,636,000 5,570,695 5,134,000 6,803,000 
          depreciation
                                                    1,005,000 817,000 974,000 933,688 890,000 1,040,000 1,022,000 1,194,184 1,220,000 1,559,000 1,593,000 1,597,677 1,548,000 1,804,000 1,841,000 1,887,548 1,782,000 2,221,000 2,153,000 2,128,088 2,034,000 2,306,000 2,305,000 2,284,712 1,789,000 1,777,000 1,786,000 1,950,538 1,370,000 1,505,000 1,484,000 1,428,441 1,315,000 1,383,000 1,322,000 1,607,513 1,206,000 1,215,000 1,130,000 1,170,984 1,024,000 1,230,000 
          amortization
                                                    1,011,000 784,000 785,000 610,077 552,000 566,000 566,000 941,743 803,000 819,000 818,000 818,408 833,000 877,000 965,000 963,867 963,000 963,000 961,000 971,968 1,005,000 1,018,000 1,023,000 1,136,797 713,000 643,000 673,000 690,311 622,000 370,000 369,000 440,005 418,000 356,000 356,000 355,629 356,000 356,000 356,000 599,582 526,000 991,000 
          amortization of debt issuance costs
                                                    97,000 52,000 57,000                                        
          amortization of debt discount
                                                                                              
          change in fair value of convertible note derivative liability
                                                                                              
          gain on sale of clinical trial services business
                                                       45,286 71,000 73,000 -4,158,000                                    
          other assets
                                                    206,000 617,000 -556,000  -612,000 5,308,000 -5,636,000  30,000 58,000 464,000  -620,000 183,000 -124,000                            
          investing activities
                                                                                              
          proceeds from sale of clinical trial services business segment, net of cash sold and transaction costs
                                                                                              
          financing activities
                                                                                              
          principal repayments on term loan
                                                        -23,125,000                                    
          proceeds from borrowing on term loan
                                                                                            
          repayments on asset-based revolving credit facility
                                                    -29,304,000 -18,000,000 -9,700,000 -5,800,175 -49,244,000                                    
          borrowings under asset-based revolving credit facility
                                                    22,200,000 10,305,000 20,600,000 14,200,175 49,244,000                                    
          principal payments on capital lease obligations and note payable
                                                    -26,000 -28,000 -42,000  -102,000 -124,000 -225,000                                    
          repurchase of stock for restricted stock tax withholdings
                                                    -16,000       1,000                                
          proceeds from sale of business segment, net of cash sold and transaction costs
                                                       -48,681 -193,000 -167,000 46,064,000                                    
          debt financing costs
                                                                                              
          acquisition of assets of on assignment, inc.
                                                                                              
          liquidation of foreign cash investments
                                                                                              
          repayments of capital lease obligations and note payable
                                                                                              
          supplemental disclosure of noncash investing and financing activities:
                                                                                              
          equipment purchased through capital lease obligations
                                                                                              
          insurance premium financing
                                                                                              
          impairment charge
                                                                                              
          share-based compensation
                                                        451,000 585,000 599,000  611,000 731,000 638,000  774,000 832,000 644,000                            
          adjustments to reconcile net income
                                                                                              
          provided by operating activities:
                                                                                              
          see accompanying notes to the condensed consolidated financial statements.
                                                                                              
          loss on modification of debt
                                                           -497                                   
          other noncash charges
                                                             472,000 481,000 -683,168 240,000 239,000 227,000 -636,246 -1,097,000 838,000 715,000 -835,551 -229,000 789,000 765,000  432,000 339,000 237,000 -110,858 149,000 65,000 57,000 -145,445 48,000 43,000 265,000        
          net cash from (used by) operating activities
                                                                                              
          acquisition of mda holdings, inc.
                                                                                              
          repayments of revolving credit facility
                                                                                              
          repayment of capital lease obligations and note payable
                                                                                              
          supplemental disclosure of cash flow information
                                                                                              
          principal payments on short term debt
                                                                                              
          deferred and other financing costs
                                                                                              
          adjustments to reconcile net income to net cash provided by
                                                                                              
          operating activities:
                                                                                              
          repayment of debt
                                                             -9,509,000 -3,508,000  -4,010,000 -2,246,000 -4,117,000  -1,245,000 -3,876,000 -6,772,000  -26,477,000 -35,595,000 -17,137,000  -17,089,000 -33,248,000 -35,680,000  -44,084,000 -35,344,000 -44,045,000  -9,326,000 -8,398,000 -8,862,000  -7,829,000 -29,788,000 -55,512,000  -23,630,000  
          adjustments to reconcile net income to net cash provided
                                                                                              
          by operating activities:
                                                                                              
          legal settlement charge
                                                                                   -2,122,608           
          acquisition of akos limited
                                                                                              
          exercise of stock options
                                                                       1,315,518 132,000   -127 900,000 92,000 22,000 247,214 263,000 243,000 1,146,000 955,797 11,000 105,000 221,000 244,564       
          tax benefit of stock option exercises
                                                                       78,194 12,000   -1,135 121,000 29,000 3,000 -17,033 29,000 15,000 250,000            
          release of restricted cash
                                                                                             
          repayment of debt and note payable
                                                                                              
          proceeds from issuance of debt
                                                                     2,500,000 1,500,000 4,650,000 2,850,000 11,075,000 1,500,000 1,000,000 127,000,000 25,448,000 38,369,000 34,026,000 59,192,000 37,389,000 48,876,000 66,720,000 19,575,000 2,175,000 70,888,695 250,000 24,760,000 54,810,000 9,540,000 14,500,000 
          supplemental disclosure of noncash investing and financing activities
                                                                                              
          other acquisition related payments
                                                                                              
          borrowings under our revolving credit facility
                                                                 2,500,000                            
          prepaid rent, deposits, and other assets
                                                                                              
          acquisition of mda holdings, inc., net of cash acquired
                                                                                              
          acquisition of assent consulting, net of cash acquired
                                                                                              
          acquisition of akos limited, net of cash acquired
                                                                                              
          acquisition of assets of metropolitan research associates, llc and metropolitan research staffing associates, llc
                                                                                              
          repurchase of stock for restricted tax withholdings
                                                                                              
          other current assets
                                                                    -2,693,000 370,000 210,000  4,044,000 3,066,000 450,000  -1,271,000 967,000 -728,000                
          change in cash and short-term cash investments
                                                                                              
          cash and short-term cash investments at beginning of period
                                                                                              
          cash and short-term cash investments at end of period
                                                                                              
          other comprehensive income, before tax
                                                                                              
          foreign currency translation adjustments
                                                                                              
          net change in fair value of hedging transactions
                                                                                              
          net change in fair value of marketable securities
                                                                                              
          income tax expense related to items of other comprehensive income
                                                                                              
          other comprehensive income, net of tax
                                                                                              
          comprehensive income
                                                                                              
          prepaid rent, deposits, and other current assets
                                                                                              
          accrued legal settlement charge
                                                                               -392 -6,704,000            
          cash and short-term cash investments at beginning of year
                                                                                              
          cash and short-term cash investments at end of year
                                                                                              
          intangible assets subject to amortization:
                                                                                              
          databases
                                                                                              
          customer relations
                                                                                              
          non-compete agreements
                                                                                              
          trademark
                                                                                              
          intangible assets not subject to amortization:
                                                                                              
          goodwill
                                                                                              
          trademarks
                                                                                              
          other current liabilities
                                                                        121,000 68,000 26,000 -1,558,378 128,000 -198,000 664,000    681,000 945,479 301,000 -196,000 609,000       462,000 
          acquisition related payments
                                                                         -7,514,000 -25,000   -4,501,000 -8,630,000                
          income from discontinued operations
                                                                                   -47,963 2,000 9,000 107,000 -47,033 -268,000 -77,000 -196,000    
          net cash from continuing operations
                                                                               18,637,949 8,696,000 10,187,000 -1,557,000 3,112,983 9,609,000 9,849,000 10,098,000 9,444,959 11,319,000 6,715,000 3,380,000 8,404,384 10,266,000 14,901,000 
          net cash from discontinued operations
                                                                                   93,687 1,000 22,000 132,000 479,371 -105,000 -389,000 -54,000    
          other acquisitions and related payments
                                                                                              
          loss from discontinued operations
                                                                                   47,963 -2,000 -9,000 -107,000 47,033 268,000 77,000 196,000    
          noncash items
                                                                                              
          change in net assets from discontinued operations
                                                                                   9,646 34,000 199,000 308,839 194,000 80,000 -250,000   
          investing activities of discontinued operations:
                                                                                              
          other investing activities of discontinued operations
                                                                                       -30 -816,000    
          income taxes receivable and other assets
                                                                                              
          other noncash items
                                                                                    -1,000 -21,000 -174,000        
          other financing activities
                                                                                    -3,000 20,000 7,000   626,000 291,000  5,000  
          supplemental disclosures of noncash financing activities:
                                                                                              
          equipment purchased through financing agreements
                                                                                       485,000      
          income taxes and other assets
                                                                                              
          acquisitions
                                                                                 -8,945,000 -515,000            
          income taxes receivable and other current assets
                                                                                  -2,947,000   5,857,000 609,000        
          acquisition of assets of med-staff, inc.
                                                                                              
          acquisition and earnout payments related to discontinued businesses
                                                                                              
          net proceeds from sale of discontinued operations
                                                                                              
          financing activities of discontinued operations
                                                                                              
          income tax receivable and other current assets
                                                                                         -14,043,000 491,000    
          additions of property and equipment
                                                                                    -2,579,000 -2,295,000 -1,550,000        
          adjustments to reconcile net income to net cash provided by operating activities:
                                                                                              
          acquisition of assets of heritage professional education, llc
                                                                                              
          acquisition and earn out payments related to discontinued businesses
                                                                                              
          issuance of common stock in exchange for employee services
                                                                                              
          other non-cash charges
                                                                                        222,000 152,000 548,000    
          income taxes payable and other current liabilities
                                                                                              
          depreciation, amortization and bad debt expense
                                                                                              
          other non-cash items
                                                                                              
          acquisitions and earnout payments
                                                                                            -68,000  
          earn out payments related to discontinued business
                                                                                              
          financing activities of discontinued operations:
                                                                                              
          other financing activities of discontinued operations
                                                                                              
          supplemental disclosures of noncash investing and financing activities:
                                                                                              
          income tax payable and other current liabilities
                                                                                         -339,000 578,000    
          investing activites of discontinued operations:
                                                                                              
          amortization of unearned compensation
                                                                                             16,000 
          (income) income from discontinued operations
                                                                                              
          other current liabilities and income taxes payable
                                                                                              
          gain on sale of consulting business
                                                                                              
          loss on impairment of discontinued operations
                                                                                              
          change in net assets of discontinued operations
                                                                                              
          acquisition of novapro assets
                                                                                              
          initial public offering costs
                                                                                              
          amortization of deferred compensation
                                                                                            16,000  
          tax benefit from stock option exercises
                                                                                              
          discontinued operations, net of income taxes
                                                                                             1,000 
          prepaid rent, deposits and other current assets
                                                                                              
          impairment loss on discontinued operations
                                                                                              
          investing activities of discontinued operations
                                                                                              
          acquistions
                                                                                              
          purchase of property and equipment
                                                                                              
          increase in software development costs
                                                                                              
          change in cash
                                                                                              
          cash at beginning of period
                                                                                              
          cash at end of period
                                                                                              
          revenue from services
                                                                                              
          net income per common share - basic and diluted