Leases [Abstract]
2019
Lessee, Operating Lease, Liability, Payments, Remainder of Fiscal Year
2020
Lessee, Operating Lease, Liability, Payments, Due Year Two
2021
Lessee, Operating Lease, Liability, Payments, Due Year Three
2022
Lessee, Operating Lease, Liability, Payments, Due Year Four
2023
Lessee, Operating Lease, Liability, Payments, Due Year Five
Thereafter
Lessee, Operating Lease, Liability, Payments, Due after Year Five
Total minimum lease payments
Lessee, Operating Lease, Liability, Payments, Due
Less: amount of lease payments representing interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
Present value of future minimum lease payments
Operating Lease, Liability
Less: current lease obligations
Operating Lease, Liability, Current
Non-current lease obligations
Operating Lease, Liability, Noncurrent
Accounting Policies [Abstract]
New Accounting Pronouncements or Change in Accounting Principle [Table]
New Accounting Pronouncements or Change in Accounting Principle [Table]
Adjustments for New Accounting Pronouncements [Axis]
Adjustments for New Accounting Pronouncements [Axis]
Type of Adoption [Domain]
Type of Adoption [Domain]
Adjustment for ASU 2016-02
Accounting Standards Update 2016-02 [Member]
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Operating lease right-of-use assets
Operating Lease, Right-of-Use Asset
Operating lease liabilities
Accrued lease payments
Accrued Rent
Prepaid rent
Prepaid Rent
Earnings Per Share [Abstract]
Numerator:
Net Income (Loss) Available to Common Stockholders, Diluted [Abstract]
Net (loss) income attributable to common shareholders - Basic and Diluted
Net Income (Loss) Attributable to Parent
Denominator:
Weighted Average Number of Shares Outstanding Reconciliation [Abstract]
Weighted average common shares - Basic (shares)
Weighted Average Number of Shares Outstanding, Basic
Effect of diluted shares:
Incremental Weighted Average Shares Attributable to Dilutive Effect [Abstract]
Share-based awards (shares)
Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements
Weighted average common shares - Diluted (shares)
Weighted Average Number of Shares Outstanding, Diluted
Net (loss) income per share attributable to common shareholders - Basic (in dollars per share)
Earnings Per Share, Basic
Net (loss) income per share attributable to common shareholders - Diluted (in dollars per share)
Earnings Per Share, Diluted
Income Tax Disclosure [Abstract]
Valuation Allowance [Table]
Valuation Allowance [Table]
Income Tax Authority [Axis]
Income Tax Authority [Axis]
Income Tax Authority [Domain]
Income Tax Authority [Domain]
Domestic Tax Authority [Member]
Domestic Tax Authority [Member]
State and Local Jurisdiction [Member]
State and Local Jurisdiction [Member]
Valuation Allowance [Line Items]
Valuation Allowance [Line Items]
Effective tax rate
Effective Income Tax Rate Reconciliation, Percent
Effective tax rate, excluding discrete items
Effective Income Tax Rate, Continuing Operations, Excluding Discrete Items
Effective Income Tax Rate Continuing Operations Excluding Discrete Items
Valuation allowance
Deferred Tax Assets, Valuation Allowance
Valuation allowance, income tax expense
Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Amount
Deferred tax assets, other comprehensive loss
Deferred Tax Assets, Other Comprehensive Loss
Unrecognized tax benefits
Unrecognized Tax Benefits
Unrecognized tax benefits that would impact effective tax rate
Unrecognized Tax Benefits that Would Impact Effective Tax Rate
Reduction in unrecognized tax benefits from statute of limitations expirations
Unrecognized Tax Benefits, Reduction Resulting from Lapse of Applicable Statute of Limitations
Gross decrease to current year unrecognized tax benefits related to federal and state tax issues
Unrecognized Tax Benefits, Decrease Resulting from Current Period Tax Positions
Fair Value Disclosures [Abstract]
Summary of Estimated Fair Values of Financial Assets and Liabilities Measured on a Recurring Basis
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]
Schedule of reconciliation of opening and closing balances for fair value measurements categorized within Level 3
Fair Value, Liabilities Measured on Recurring Basis [Table Text Block]
Carrying Amounts and Estimated Fair Values of Significant Financial Instrument that were not Measured at Fair Value
Fair Value, by Balance Sheet Grouping [Table Text Block]
2019
Operating Leases, Future Minimum Payments Due, Next Twelve Months
2020
Operating Leases, Future Minimum Payments, Due in Two Years
2021
Operating Leases, Future Minimum Payments, Due in Three Years
2022
Operating Leases, Future Minimum Payments, Due in Four Years
2023
Operating Leases, Future Minimum Payments, Due in Five Years
Thereafter
Operating Leases, Future Minimum Payments, Due Thereafter
Total minimum lease payments
Operating Leases, Future Minimum Payments Due
Goodwill and Intangible Assets Disclosure [Abstract]
Acquired Intangible Assets
Schedule of Intangible Assets and Goodwill [Table Text Block]
Estimated Annual Amortization Expense
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Liability Class [Axis]
Liability Class [Axis]
Fair Value by Liability Class [Domain]
Fair Value by Liability Class [Domain]
Contingent Consideration Liabilities [Member]
Contingent Consideration Liability [Member]
Contingent Consideration Liability [Member]
Fair Value Assets Measures on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Convertible Note Derivative Liability
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Beginning balance
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability Value
Payments
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements
Valuation adjustment
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Period Increase (Decrease)
Ending balance
Schedule of Restructuring and Related Costs [Table]
Schedule of Restructuring and Related Costs [Table]
Restructuring Plan [Axis]
Restructuring Plan [Axis]
Restructuring Plan [Domain]
Restructuring Plan [Domain]
Cost Optimization Project [Member]
Cost Optimization Project [Member]
Cost Optimization Project [Member]
2019 Restructuring Plan [Member]
2019 Restructuring Plan [Member]
2019 Restructuring Plan [Member]
Restructuring Type [Axis]
Restructuring Type [Axis]
Type of Restructuring [Domain]
Type of Restructuring [Domain]
Employee Termination Costs [Member]
Employee Severance [Member]
Lease-Related Exit Costs [Member]
Exit Costs [Member]
Exit Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring Cost and Reserve [Line Items]
ASC 842 lease reclassification
Restructuring Reserve, Adjustment For New Accounting Pronouncement
Restructuring Reserve, Adjustment For New Accounting Pronouncement
Restructuring Reserve [Roll Forward]
Restructuring Reserve [Roll Forward]
Beginning balance
Restructuring Reserve
Charged to restructuring costs
Restructuring Charges
Payments
Payments for Restructuring
Ending balance
Schedule Of Indefinite Lived And Finite Lived Intangible Assets [Table]
Schedule Of Indefinite Lived And Finite Lived Intangible Assets [Table]
Schedule Of Indefinite Lived And Finite Lived Intangible Assets [Table]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Databases [Member]
Database Rights [Member]
Customer relationships [Member]
Customer Relationships [Member]
Non-compete agreements [Member]
Noncompete Agreements [Member]
Trade names [Member]
Trade Names [Member]
Finite-Lived and Indefinite-Lived Intangible Assets [Line Items]
Finite Lived And Indefinite Lived Intangible Assets [Line Items]
Finite-Lived and Indefinite-Lived Intangible Assets [Line Items]
Gross Carrying Amount
Finite-Lived Intangible Assets, Gross
Accumulated Amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Intangible assets subject to amortization, net carrying amount
Finite-Lived Intangible Assets, Net
Trade names, indefinite-lived
Indefinite-Lived Trade Names
Statement of Cash Flows [Abstract]
Cash flows from operating activities
Net Cash Provided by (Used in) Operating Activities [Abstract]
Consolidated net (loss) income
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Depreciation and amortization
Depreciation, Depletion and Amortization
Provision for allowances
Provision for Doubtful Accounts and Other Allowances
Provision for Doubtful Accounts and Other Allowances
Deferred income tax expense
Deferred Income Tax Expense (Benefit)
Non-cash lease expense
Operating Lease Expense, Non-Cash
Operating Lease Expense, Non-Cash
Impairment charges
Asset Impairment Charges
Equity compensation
Share-based Payment Arrangement, Noncash Expense
Other non-cash costs
Other Noncash Expense
Changes in operating assets and liabilities:
Increase (Decrease) in Operating Capital [Abstract]
Accounts receivable
Increase (Decrease) in Accounts Receivable
Prepaid expenses and other assets
Increase (Decrease) in Other Operating Assets
Accounts payable and accrued expenses
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Operating lease liabilities
Increase (Decrease) In Operating Lease Liabilities
Increase (Decrease) In Operating Lease Liabilities
Other
Increase (Decrease) in Other Operating Liabilities
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
Cash flows from investing activities
Net Cash Provided by (Used in) Investing Activities [Abstract]
Acquisition-related settlements
Payments for (Proceeds from) Previous Acquisition
Purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
Cash flows from financing activities
Net Cash Provided by (Used in) Financing Activities [Abstract]
Principal payments on Term Loan
Repayments of Long-term Debt
Stock repurchase and retirement
Payments for Repurchase of Common Stock
Other
Proceeds from (Payments for) Other Financing Activities
Net cash used in financing activities
Net Cash Provided by (Used in) Financing Activities
Effect of exchange rate changes on cash
Effect of Exchange Rate on Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
Change in cash and cash equivalents
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Cash and cash equivalents at beginning of period
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
Cash and cash equivalents at end of period
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Significant Accounting Policies [Text Block]
INCOME TAXES
Income Tax Disclosure [Text Block]
Components of Numerator and Denominator for Computation of Basic and Diluted Earnings per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Commitments and Contingencies Disclosure [Abstract]
Legal settlement charges
Loss Contingency Accrual, Provision
Derivative Instruments and Hedging Activities Disclosure [Abstract]
DERIVATIVE
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Equity [Abstract]
COMPREHENSIVE INCOME
Comprehensive Income (Loss) Note [Text Block]
Revenue from Contract with Customer [Abstract]
Unbilled contracts receivable
Unbilled Contracts Receivable
Disaggregation of Revenue [Table]
Disaggregation of Revenue [Table]
Segments [Axis]
Segments [Axis]
Segments [Domain]
Segments [Domain]
Nurse And Allied Staffing [Member]
Nurse And Allied Staffing [Member]
Nurse and allied staffing [Member]
Physician Staffing [Member]
Physician Staffing [Member]
Physician staffing [Member]
Search [Member]
Search Services [Member]
Search Services [Member]
Product and Service [Axis]
Product and Service [Axis]
Product and Service [Domain]
Product and Service [Domain]
Temporary Staffing Services [Member]
Temporary Staffing Services [Member]
Temporary Staffing Services [Member]
Other Services [Member]
Other Services [Member]
Other Services [Member]
Disaggregation of Revenue [Line Items]
Disaggregation of Revenue [Line Items]
Revenue
Revenue from Contract with Customer, Excluding Assessed Tax
Loss on currency fluctuations
Accumulated Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Net of Tax
Unrealized loss on derivatives
AOCI, Cash Flow Hedge, Cumulative Gain (Loss), after Tax
Debt Disclosure [Abstract]
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Domain]
Long-term Debt, Type [Domain]
Senior Debt [Member]
Senior Debt Obligations [Member]
Debt Instrument [Axis]
Debt Instrument [Axis]
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
Term Loan [Member]
Term Loan [Member]
Term Loan [Member]
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Long term debt
Long-term Debt, Gross
Less current portion
Long-term Debt, Current Maturities
Long-term debt
Long-term Debt, Excluding Current Maturities
Debt Issuance Costs
Debt Issuance Costs, Net
Interest Rate
Debt Instrument, Interest Rate, Stated Percentage
Statement of Financial Position [Abstract]
Assets
Assets [Abstract]
Current assets:
Assets, Current [Abstract]
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Accounts receivable, net of allowances of $3,375 in 2019 and $3,705 in 2018
Accounts Receivable, after Allowance for Credit Loss, Current
Prepaid expenses
Prepaid Expense, Current
Insurance recovery receivable
Insurance Settlements Receivable, Current
Other current assets
Other Assets, Current
Total current assets
Assets, Current
Property and equipment, net of accumulated depreciation of $34,617 in 2019 and $33,476 in 2018
Property, Plant and Equipment, Net
Goodwill
Goodwill
Trade names, indefinite-lived
Other intangible assets, net
Non-current deferred tax assets
Deferred Tax Assets, Net
Other non-current assets
Other Assets, Noncurrent
Total assets
Assets
Liabilities and Stockholders' Equity
Liabilities and Equity [Abstract]
Current liabilities:
Liabilities, Current [Abstract]
Accounts payable and accrued expenses
Accounts Payable and Other Accrued Liabilities, Current
Accrued compensation and benefits
Employee-related Liabilities, Current
Current portion of long-term debt
Operating lease liabilities - current
Other current liabilities
Other Liabilities, Current
Total current liabilities
Liabilities, Current
Long-term debt, less current portion
Operating lease liabilities - non-current
Non-current deferred tax liabilities
Deferred Tax Liabilities, Net
Long-term accrued claims
Liability for Claims and Claims Adjustment Expense
Other long-term liabilities
Other Liabilities, Noncurrent
Total liabilities
Liabilities
Commitments and contingencies
Commitments and Contingencies
Stockholders' equity:
Stockholders' Equity Attributable to Parent [Abstract]
Common stock
Common Stock, Value, Issued
Additional paid-in capital
Additional Paid in Capital, Common Stock
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Accumulated deficit
Retained Earnings (Accumulated Deficit)
Total Cross Country Healthcare, Inc. stockholders' equity
Stockholders' Equity Attributable to Parent
Noncontrolling interest in subsidiary
Stockholders' Equity Attributable to Noncontrolling Interest
Total stockholders' equity
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest
Total liabilities and stockholders' equity
Liabilities and Equity
Business Combinations [Abstract]
ACQUISITIONS
Business Combination Disclosure [Text Block]
Disaggregation of Revenue
Disaggregation of Revenue [Table Text Block]
CONTINGENCIES
Commitments and Contingencies Disclosure [Text Block]
Subsequent Events [Abstract]
Subsequent Event [Table]
Subsequent Event [Table]
Secured Debt [Member]
Secured Debt [Member]
Swing Loan [Member]
Swing Loan [Member]
Swing Loan [Member]
Standby Letters of Credit [Member]
Standby Letters of Credit [Member]
Asset-Based Credit Facility [Member]
Asset-Based Credit Facility [Member]
Asset-Based Credit Facility [Member]
Credit Facility [Axis]
Credit Facility [Axis]
Credit Facility [Domain]
Credit Facility [Domain]
Line of Credit [Member]
Line of Credit [Member]
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Subsequent Event [Member]
Subsequent Event [Member]
Subsequent Event [Line Items]
Subsequent Event [Line Items]
Maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Debt term
Debt Instrument, Term
Borrowing base
Line of Credit Facility, Current Borrowing Capacity
Restructuring and Related Costs
Restructuring and Related Costs [Table Text Block]
Related Party Transactions [Abstract]
RELATED PARTY TRANSACTIONS
Related Party Transactions Disclosure [Text Block]
Shares excluded from diluted weighted average shares (shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Statement of Comprehensive Income [Abstract]
Consolidated net (loss) income
Other comprehensive income, before income tax:
Other Comprehensive Income (Loss), before Tax, Portion Attributable to Parent [Abstract]
Unrealized foreign currency translation (loss) gain
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, before Tax
Unrealized (loss) gain on interest rate contracts
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax
Reclassification adjustment to statement of operations
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax
Other comprehensive income, before income tax
Other Comprehensive Income (Loss), before Tax
Taxes on other comprehensive income:
Other Comprehensive Income (Loss), Tax1 [Abstract]
Other Comprehensive Income (Loss), Tax1 [Abstract]
Income tax effect related to foreign currency translation adjustments
Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Tax
Income tax effect related to unrealized (loss) gain on interest rate contracts
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, Tax
Income tax expense related to reclassification adjustment to statement of operations
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, Tax
Valuation allowance adjustment
Other Comprehensive Income (Loss), Cash Flow Hedge, Deferred Tax Assets, Valuation Allowance Adjustment
Other Comprehensive Income (Loss), Cash Flow Hedge, Deferred Tax Assets, Valuation Allowance Adjustment
Taxes on other comprehensive income
Other Comprehensive Income (Loss), Tax
Other comprehensive income, net of tax
Other Comprehensive Income (Loss), Net of Tax
Comprehensive (loss) income
Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest
Less: Net income attributable to noncontrolling interest in subsidiary
Net Income (Loss) Attributable to Noncontrolling Interest
Comprehensive (loss) income attributable to common shareholders
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Fair Value Option, Disclosures [Table]
Fair Value Option, Disclosures [Table]
Term Loan, Net [Member]
Measurement Basis [Axis]
Measurement Basis [Axis]
Fair Value Measurement [Domain]
Fair Value Measurement [Domain]
Portion at Fair Value Measurement [Member]
Portion at Fair Value Measurement [Member]
Carrying Amount [Member]
Reported Value Measurement [Member]
Fair Value [Member]
Estimate of Fair Value Measurement [Member]
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
Fair Value, Measurements, Fair Value Hierarchy [Domain]
Fair Value Hierarchy and NAV [Domain]
Fair Value, Inputs, Level 2 [Member]
Fair Value, Inputs, Level 2 [Member]
Fair Value, Option, Quantitative Disclosures [Line Items]
Fair Value, Option, Quantitative Disclosures [Line Items]
Financial Liabilities, Carrying Amount
Long-term Debt
Financial Liabilities, Fair Value
Debt Instrument, Fair Value Disclosure
2019
Finite-Lived Intangible Assets, Amortization Expense, Remainder of Fiscal Year
2020
Finite-Lived Intangible Assets, Amortization Expense, Year Two
2021
Finite-Lived Intangible Assets, Amortization Expense, Year Three
2022
Finite-Lived Intangible Assets, Amortization Expense, Year Four
2023
Finite-Lived Intangible Assets, Amortization Expense, Year Five
Thereafter
Finite-Lived Intangible Assets, Amortization Expense, after Year Five
Segment Reporting [Abstract]
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table]
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table]
Business Segments
Segments [Domain]
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Revenue from services
Revenues
Contribution income (loss)
Operating Income Loss Before D And A Acquisition And Integration Contingent Consideration Restructuring Legal Impairment And Corporate Overheard
Operating Income Loss Before D And A Acquisition And Integration Contingent Consideration Restructuring Legal Impairment And Corporate Overheard
Corporate overhead
Segment Reporting Unallocated Corporate Expenses
Segment Reporting Unallocated Corporate Expenses
Acquisition-related contingent consideration
Business Combination, Contingent Consideration Arrangements, Expense
Business Combination, Contingent Consideration Arrangements, Expense
Acquisition and integration costs
Business Combination, Acquisition Related Costs
Restructuring costs
Legal settlement charges
Legal Fees
Income (loss) from operations
Operating Income (Loss)
Schedule of Related Party Transactions, by Related Party [Table]
Schedule of Related Party Transactions, by Related Party [Table]
Related Party [Axis]
Related Party [Axis]
Related Party [Domain]
Related Party [Domain]
Board of Directors Chairmen [Member]
Board of Directors Chairman [Member]
InteliStaf [Member]
Corporate Joint Venture [Member]
Affiliated Entity [Member]
Affiliated Entity [Member]
Related Party Transaction [Line Items]
Related Party Transaction [Line Items]
Revenue from related parties
Revenue from Related Parties
Accounts receivable from related parties (less than)
Accounts Receivable, Related Parties
Joint venture, percent ownership
Joint Venture, Percent Ownership
Joint Venture, Percent Ownership
Receivable balance with joint venture
Due from Joint Ventures, Current
Payable balance with joint venture
Due to Related Parties, Current
Rent expense
Payments for Rent
LEASES
Lessee, Operating Leases [Text Block]
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Nurse And Allied Staffing [Member]
Search Services [Member]
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Number of operating segments
Number of Operating Segments
Increase (decrease) in revenue
Increase (Decrease) In Revenue
Increase (Decrease) In Revenue
Increase (decrease) in contribution income (loss)
Increase (Decrease) In Contribution Income (Loss)
Increase (Decrease) In Contribution Income (Loss)
Summary of Restricted Stock Activity
Share-based Payment Arrangement, Restricted Stock and Restricted Stock Unit, Activity [Table Text Block]
Consolidation
Consolidation, Policy [Policy Text Block]
Basis of Accounting
Basis of Accounting, Policy [Policy Text Block]
Use of Estimates
Use of Estimates, Policy [Policy Text Block]
Restructuring Costs
Costs Associated with Exit or Disposal Activities or Restructurings, Policy [Policy Text Block]
Recently Adopted Accounting Pronouncement
New Accounting Pronouncements, Policy [Policy Text Block]
FAIR VALUE MEASUREMENTS
Fair Value Disclosures [Text Block]
Weighted-average remaining lease term
Operating Lease, Weighted Average Remaining Lease Term
Weighted average discount rate
Operating Lease, Weighted Average Discount Rate, Percent
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Award Type [Axis]
Award Type [Axis]
Award Type [Domain]
Award Type [Domain]
Restricted Stock [Member]
Restricted Stock [Member]
Performance Stock [Member]
Performance Shares [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of Shares
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Unvested restricted stock awards, Beginning balance (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number
Granted (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period
Vested (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period
Forfeited (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Forfeited in Period
Unvested restricted stock awards, Ending balance (in shares)
Weighted Average Grant Date Fair Value (in usd per share)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract]
Unvested restricted stock awards, Beginning balance (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value
Granted (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value
Vested (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value
Forfeited (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Forfeitures, Weighted Average Grant Date Fair Value
Unvested restricted stock awards, Ending balance (in dollars per share)
Line of Credit Facility [Table]
Line of Credit Facility [Table]
Letters of Credit [Member]
Letter of Credit [Member]
Third Amendment, Amended And Restated Credit Agreement [Member]
Third Amendment, Amended And Restated Credit Agreement [Member]
Third Amendment, Amended And Restated Credit Agreement [Member]
Line of Credit Facility [Line Items]
Line of Credit Facility [Line Items]
Payment for debt extinguishment
Repayments of Lines of Credit
Payment of fees, expenses, and accrued interest
Payments of Debt Issuance Costs
Backstop for outstanding letters of credit
Line Of Credit Facility, Backstop
Line Of Credit Facility, Backstop
Borrowing availability
Line of Credit Facility, Remaining Borrowing Capacity
Loss on early extinguishment of debt
Gain (Loss) on Extinguishment of Debt
Percentage of secured eligible accounts receivable
Debt Instrument, Borrowing Base, Percentage Of Secured Eligible Accounts Receivable
Debt Instrument, Borrowing Base, Percentage Of Secured Eligible Accounts Receivable
Amount of supplemental availability
Debt Instrument, Borrowing Base, Supplemental Availability, Amount
Debt Instrument, Borrowing Base, Supplemental Availability, Amount
Additional capacity
Line Of Credit Facility, Accordion Feature, Higher Borrowing Capacity Option
Line Of Credit Facility, Accordion Feature, Higher Borrowing Capacity Option
STOCKHOLDERS' EQUITY
Shareholders' Equity and Share-based Payments [Text Block]
EARNINGS PER SHARE
Earnings Per Share [Text Block]
Schedule of Goodwill [Table]
Schedule of Goodwill [Table]
Goodwill [Line Items]
Goodwill [Line Items]
Impairment of indefinite lived asset
Impairment of Intangible Assets, Indefinite-lived (Excluding Goodwill)
Amortization expense
Amortization of Intangible Assets
Increase (decrease) in goodwill
Goodwill, Period Increase (Decrease)
Derivative [Table]
Derivative [Table]
Derivative Instrument [Axis]
Derivative Instrument [Axis]
Derivative Contract [Domain]
Derivative Contract [Domain]
Interest Rate Swap [Member]
Interest Rate Swap [Member]
Hedging Relationship [Axis]
Hedging Relationship [Axis]
Hedging Relationship [Domain]
Hedging Relationship [Domain]
Cash flow hedging [Member]
Cash Flow Hedging [Member]
Derivative [Line Items]
Derivative [Line Items]
Percentage of debt balance with fixed interest rate
Long-term Debt, Percentage Bearing Fixed Interest, Percentage Rate
Interest rate swap fixed rate percentage
Derivative, Fixed Interest Rate
Interest rate swaps
Derivative Liability
Cash payment for derivative termination
Payment For Derivative Termination
Payment For Derivative Termination
Loss on derivative
Derivative, Gain (Loss) on Derivative, Net
REVENUE RECOGNITION
Revenue from Contract with Customer [Text Block]
Equity Components [Axis]
Equity Components [Axis]
Equity Component [Domain]
Equity Component [Domain]
Common Stock [Member]
Common Stock [Member]
Income Statement Location [Axis]
Income Statement Location [Axis]
Income Statement Location [Domain]
Income Statement Location [Domain]
Selling, General and Administrative Expenses [Member]
Selling, General and Administrative Expenses [Member]
Shares repurchased and retired (in shares)
Stock Repurchased and Retired During Period, Shares
Value of shares repurchased and retired
Stock Repurchased and Retired During Period, Value
Shares repurchased (in dollars per share)
Stock Repurchased During Period, Price Per Share
Stock Repurchased During Period, Price Per Share
Common shares left remaining to repurchase under the plan (up to) (in shares)
Stock Repurchase Program, Remaining Number of Shares Authorized to be Repurchased
Vesting period
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period
Share-based compensation
Share-based Payment Arrangement, Expense
Vested in period, net (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Net
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Net
Information on Operating Segments and Reconciliation to Loss From Operations
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table Text Block]
Document and Entity Information [Abstract]
Document and Entity Information [Abstract]
Entity Registrant Name
Entity Registrant Name
Entity Central Index Key
Entity Central Index Key
Current Fiscal Year End Date
Current Fiscal Year End Date
Entity Filer Category
Entity Filer Category
Entity Emerging Growth Company
Entity Emerging Growth Company
Entity Small Business
Entity Small Business
Document Type
Document Type
Document Period End Date
Document Period End Date
Document Fiscal Year Focus
Document Fiscal Year Focus
Document Fiscal Period Focus
Document Fiscal Period Focus
Amendment Flag
Amendment Flag
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Entity Current Reporting Status
Entity Current Reporting Status
Entity Shell Company
Entity Shell Company
Scenario [Axis]
Scenario [Axis]
Scenario [Domain]
Scenario [Domain]
Forecast [Member]
Forecast [Member]
Debt Covenant Terms [Axis]
Debt Covenant Terms [Axis]
Debt Covenant Terms [Axis]
Debt Covenant Terms [Domain]
Debt Covenant Terms [Domain]
[Domain] for Debt Covenant Terms [Axis]
Covenant Term 5 [Member]
Covenant Term 5 [Member]
Covenant Term 5 [Member]
Covenant Term 6 [Member]
Covenant Term 6 [Member]
Covenant Term 6 [Member]
Covenant Term 7 [Member]
Covenant Term 7 [Member]
Covenant Term 7 [Member]
Revolving Credit Facility [Member]
Revolving Credit Facility [Member]
Second Amendment, Amended And Restated Credit Agreement [Member]
Second Amendment, Amended And Restated Credit Agreement [Member]
Second Amendment, Amended And Restated Credit Agreement [Member]
First Amendment, Amended And Restated Credit Agreement [Member]
First Amendment, Amended And Restated Credit Agreement [Member]
First Amendment, Amended And Restated Credit Agreement [Member]
Amended And Restated Credit Agreement [Member]
Amended And Restated Credit Agreement [Member]
Amended And Restated Credit Agreement [Member]
Variable Rate [Axis]
Variable Rate [Axis]
Variable Rate [Domain]
Variable Rate [Domain]
LIBOR [Member]
London Interbank Offered Rate (LIBOR) [Member]
Debt Instrument, Redemption, Period [Axis]
Debt Instrument, Redemption, Period [Axis]
Debt Instrument, Redemption, Period [Domain]
Debt Instrument, Redemption, Period [Domain]
Fiscal Quarters Ending December 31, 2018 Through June 30, 2019 [Member]
Fiscal Quarters Ending December 31, 2018 Through June 30, 2019 [Member]
Fiscal Quarters Ending December 31, 2018 Through June 30, 2019 [Member]
Fiscal Quarter Ending September 30, 2019 [Member]
Fiscal Quarter Ending September 30, 2019 [Member]
Fiscal Quarter Ending September 30, 2019 [Member]
Fiscal Quarter Ending December 31, 2019 [Member]
Fiscal Quarter Ending December 31, 2019 [Member]
Fiscal Quarter Ending December 31, 2019 [Member]
Fiscal Quarter Ending March 31, 2020 [Member]
Fiscal Quarter Ending March 31, 2020 [Member]
Fiscal Quarter Ending March 31, 2020 [Member]
Fiscal Quarter Ending June 30, 2020 [Member]
Fiscal Quarter Ending June 30, 2020 [Member]
Fiscal Quarter Ending June 30, 2020 [Member]
Fiscal Quarter Ending September 30, 2020 [Member]
Fiscal Quarter Ending September 30, 2020 [Member]
Fiscal Quarter Ending September 30, 2020 [Member]
Each Fiscal Quarter Ending Thereafter [Member]
Each Fiscal Quarter Ending Thereafter [Member]
Each Fiscal Quarter Ending Thereafter [Member]
Statistical Measurement [Axis]
Statistical Measurement [Axis]
Statistical Measurement [Domain]
Statistical Measurement [Domain]
Maximum [Member]
Maximum [Member]
Minimum [Member]
Minimum [Member]
Consolidated net leverage ratio
Consolidated Net Leverage Ratio
Consolidated Net Leverage Ratio
Consolidated fixed charge coverage ratio
Debt Covenant, Consolidated Fixed Charge Coverage Ratio
Debt Covenant, Consolidated Fixed Charge Coverage Ratio
Consolidated asset coverage ratio
Debt Covenant, Consolidated Asset Coverage Ratio
Debt Covenant, Consolidated Asset Coverage Ratio
Increase in consolidated net leverage ratio
Debt Covenant, Consolidated Net Leverage Ratio, Increase (Decrease), Percentage
Debt Covenant, Consolidated Net Leverage Ratio, Increase (Decrease), Percentage
Increase in commitment fee percentage
Line Of Credit Facility, Commitment Fee Percentage, Increase (Decrease)
Line Of Credit Facility, Commitment Fee Percentage, Increase (Decrease)
Reduction in revolving commitments
Line of Credit Facility, Increase (Decrease), Net
Payment of debt issuance costs
Payment for debt prepayment
Payment for Debt Extinguishment or Debt Prepayment Cost
Interest margin
Debt Instrument, Basis Spread on Variable Rate
Interest rate increase (decrease) (percent)
Debt Instrument, Interest Rate, Increase (Decrease) in Event of Default
Debt Instrument, Interest Rate, Increase (Decrease) in Event of Default
Quarterly commitment fee on the average daily unused portion (percent)
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage
Letters of credit outstanding
Letters of Credit Outstanding, Amount
New Accounting Pronouncements and Changes in Accounting Principles [Abstract]
RECENT ACCOUNTING PRONOUNCEMENTS
New Accounting Pronouncements and Changes in Accounting Principles [Text Block]
Income Statement [Abstract]
Operating expenses:
Operating Expenses [Abstract]
Direct operating expenses
Direct Operating Costs
Selling, general and administrative expenses
Selling, General and Administrative Expense
Bad debt expense
Accounts Receivable, Credit Loss Expense (Reversal)
Total operating expenses
Costs and Expenses
Income (loss) from operations
Other expenses (income):
Nonoperating Income (Expense) [Abstract]
Interest expense
Interest Expense
Other income, net
Other Nonoperating Income (Expense)
(Loss) income before income taxes
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest
Income tax expense
Income Tax Expense (Benefit)
Consolidated net (loss) income
Net (loss) income attributable to common shareholders
Weighted average common shares outstanding:
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Basic (shares)
Diluted (shares)
Supplemental Balance Sheet Information
Assets And Liabilities, Leases [Table Text Block]
Assets And Liabilities, Leases [Table Text Block]
Operating Lease Maturity
Lessee, Operating Lease, Liability, Maturity [Table Text Block]
Future Minimum Lease Payments under Topic 840
Schedule of Future Minimum Rental Payments for Operating Leases [Table Text Block]
Lease Costs
Lease, Cost [Table Text Block]
Fair Value, Recurring and Nonrecurring [Table]
Fair Value, Recurring and Nonrecurring [Table]
Asset Class [Axis]
Asset Class [Axis]
Asset Class [Domain]
Asset Class [Domain]
Investments [Member]
Investments [Member]
Deferred compensation [Member]
Deferred Compensation [Member]
Deferred Compensation [Member]
Fair Value, Inputs, Level 1 [Member]
Fair Value, Inputs, Level 1 [Member]
Fair Value, Inputs, Level 3 [Member]
Fair Value, Inputs, Level 3 [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Deferred compensation asset
Assets, Fair Value Disclosure
Deferred compensation liability
Obligations, Fair Value Disclosure
Contingent consideration liabilities
Business Combination, Contingent Consideration, Liability
Statement of Stockholders' Equity [Abstract]
Statement [Table]
Statement [Table]
Additional Paid-In Capital [Member]
Additional Paid-in Capital [Member]
Accumulated Other Comprehensive Loss, net [Member]
AOCI Attributable to Parent [Member]
(Accumulated Deficit) Retained Earnings [Member]
Retained Earnings [Member]
Noncontrolling Interest in Subsidiary [Member]
Noncontrolling Interest [Member]
Statement [Line Items]
Statement [Line Items]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Beginning Balance (in shares)
Shares, Outstanding
Beginning Balance
Exercise of share options (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period
Vesting of restricted stock and performance stock awards (in shares)
Shares Issued, Shares, Share-based Payment Arrangement, after Forfeiture
Vesting of restricted stock and performance stock awards
Shares Issued, Value, Share-based Payment Arrangement, after Forfeiture
Equity compensation
APIC, Share-based Payment Arrangement, Increase for Cost Recognition
Stock repurchase and retirement (in shares)
Stock repurchase and retirement
Foreign currency translation adjustment, net of taxes
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax
Net change in hedging transaction, net of taxes
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax
Distribution to noncontrolling shareholder
Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders
Net (loss) income
Ending Balance (in shares)
Ending Balance
Organization, Consolidation and Presentation of Financial Statements [Abstract]
ORGANIZATION AND BASIS OF PRESENTATION
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Business Acquisition [Axis]
Business Acquisition [Axis]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Advantage RN, LLC [Member]
Advantage RN, LLC [Member]
Advantage RN, LLC [Member]
Business Combination, Consideration Transferred [Axis]
Business Combination, Consideration Transferred [Axis]
Business Combination, Consideration Transferred [Axis]
Business Combination, Consideration Transferred [Domain]
Business Combination, Consideration Transferred [Domain]
[Domain] for Business Combination, Consideration Transferred [Axis]
Purchase Price [Member]
Purchase Price [Member]
Purchase Price [Member]
Contingent Consideration by Type [Axis]
Contingent Consideration by Type [Axis]
Contingent Consideration Type [Domain]
Contingent Consideration Type [Domain]
Deferred Consideration Transferred [Member]
Deferred Consideration Transferred [Member]
Deferred Consideration Transferred [Member]
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Cash consideration
Payments to Acquire Businesses, Net of Cash Acquired
Purchase price
Business Combination, Consideration Transferred
Net working capital adjustment
Business Combination, Consideration Transferred, Net Working Capital Adjustment
Business Combination, Consideration Transferred, Net Working Capital Adjustment
Reimbursement from working capital adjustment settled
Business Combination, Consideration Transferred, Net Working Capital Adjustment, Reimbursement
Business Combination, Consideration Transferred, Net Working Capital Adjustment, Reimbursement
Contingent liability
Period of deferred consideration
Business Combination, Consideration Deferred, Period
Business Combination, Consideration Deferred, Period
Release of remaining contingent liability
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability
Remaining liability released to seller
Business Combination, Contingent Consideration, Released To Seller
Business Combination, Contingent Consideration, Released To Seller
Number of escrow accounts
Business Combination, Contingent Consideration, Liability, Number Of Escrow Accounts
Business Combination, Contingent Consideration, Liability, Number Of Escrow Accounts
Escrow deposit related to tax liabilities
Business Combination, Escrow Deposit Related To Tax Liabilities
Business Combination, Escrow Deposit Related To Tax Liabilities
Escrow deposit related to post close liabilities
Business Combination, Escrow Deposit Related To Post Close Liabilities
Business Combination, Escrow Deposit Related To Post Close Liabilities
Escrow release/disbursement related to tax liabilities
Business Combination, Escrow Deposit Release Related To Tax Liabilities
Business Combination, Escrow Deposit Release Related To Tax Liabilities
Release of escrow to seller
Business Combination, Escrow Deposit Release
Business Combination, Escrow Deposit Release
Escrow release related to post close liabilities
Business Combination, Escrow Deposit Release Related To Post Close Liabilities
Business Combination, Escrow Deposit Release Related To Post Close Liabilities
Term Loan [Member]
Long-term Debt, Fiscal Year Maturity [Abstract]
Long-term Debt, Fiscal Year Maturity [Abstract]
2019
Long-term Debt, Maturities, Repayments of Principal, Remainder of Fiscal Year
2020
Long-term Debt, Maturities, Repayments of Principal in Year Two
2021
Long-term Debt, Maturities, Repayments of Principal in Year Three
2022
Long-term Debt, Maturities, Repayments of Principal in Year Four
2023
Long-term Debt, Maturities, Repayments of Principal in Year Five
Thereafter
Long-term Debt, Maturities, Repayments of Principal after Year Five
SEGMENT DATA
Segment Reporting Disclosure [Text Block]
Accounts receivable, allowance for doubtful accounts
Accounts Receivable, Allowance for Credit Loss, Current
Property and equipment, accumulated depreciation
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
Long-term Debt
Schedule of Debt [Table Text Block]
Aggregate scheduled maturities of debt
Schedule of Maturities of Long-term Debt [Table Text Block]
DEBT
Debt Disclosure [Text Block]
SUBSEQUENT EVENTS
Subsequent Events [Text Block]
Assumed Additional Contingent Purchase Price Liabilities [Member]
Assumed Additional Contingent Purchase Price Liabilities [Member]
Assumed Additional Contingent Purchase Price Liabilities [Member]
Mediscan [Member]
Mediscan [Member]
Mediscan [Member]
Contingent consideration, range of outcomes, high
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High
Contingent liability paid
Payments for Previous Acquisition
Fair Value Measurement [Table]
Fair Value Measurement [Table]
Fair Value Measurement [Table]
Property, Plant and Equipment, Type [Axis]
Property, Plant and Equipment, Type [Axis]
Property, Plant and Equipment, Type [Domain]
Property, Plant and Equipment, Type [Domain]
Leasehold Improvements, Property And Equipment [Member]
Leasehold Improvements, Property And Equipment [Member]
Leasehold Improvements, Property And Equipment [Member]
Fair Value Measurement [Line Items]
Fair Value Measurement [Line Items]
Fair Value Measurement [Line Items]
Right of use impairment charge
Operating Lease, Impairment Loss
Write off of property, plant and equipment
Tangible Asset Impairment Charges
Threshold period, past due for payment of services provided
Threshold Period, Past Due for Payment of Services Provided
Threshold Period, Past Due for Payment of Services Provided
GOODWILL, TRADE NAMES, AND OTHER INTANGIBLE ASSETS
Goodwill and Intangible Assets Disclosure [Text Block]
Cash paid for amounts included in the measurement of operating lease liabilities
Operating Lease, Payments
Right-of-use assets obtained in exchange for new operating lease liabilities
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability
Operating lease expense
Operating Lease, Cost
Short-term lease expense
Short-term Lease, Cost
Variable and other lease costs
Variable Lease, Cost