Debt Disclosure [Abstract] Long-term Debt Schedule of Debt [Table Text Block] Aggregate Scheduled Maturities of Debt Schedule of Maturities of Long-term Debt [Table Text Block] Property, Plant and Equipment [Abstract] Property and Equipment Property, Plant and Equipment [Table Text Block] Discontinued Operations and Disposal Groups [Abstract] Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Table] Disposal Groups, Including Discontinued Operations [Table] Disposal Group Classification [Axis] Disposal Group Classification [Axis] Disposal Group Classification [Domain] Disposal Group Classification [Domain] Disposal Group, Disposed of by Sale, Not Discontinued Operations Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] Discontinued Operations Discontinued Operations [Member] Disposal Group Name [Axis] Disposal Group Name [Axis] Disposal Groups, Including Discontinued Operations, Name [Domain] Disposal Group Name [Domain] Cross Country Education, LLC Cross Country Education, LLC [Member] Cross Country Education, LLC [Member] Clinical Trial Services Clinical Trial Services [Member] Clinical trial services [Member] Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] Aggregate amount of selling prices Proceeds from Divestiture of Businesses Escrow deposit Escrow Deposit Earn-out held in escrow, term (in months) Disposal Group, Not Discontinued Operation, Contingent Consideration, Liability Held in Escrow, Term Of Deposit Disposal Group, Not Discontinued Operation, Contingent Consideration, Liability Held in Escrow, Term Of Deposit Earnout (up to) Disposal Group, Not Discontinued Operation, Contingent Consideration, Earn-Out Disposal Group, Not Discontinued Operation, Contingent Consideration, Earn-Out Loss on sale of business Gain (Loss) on Disposition of Business Recorded tax benefit related to sale of business Gain (Loss) on Disposition of Business, Tax Gain (Loss) on Disposition of Business, Tax Gain on sale of discontinued operations, net of tax Gain (Loss) on Disposition of Business, Net of Tax Gain (Loss) on Disposition of Business, Net of Tax Held in escrow, term (in months) Discontinued Operation, Contingent Consideration, Liability Held in Escrow, Term Of Deposit Discontinued Operation, Contingent Consideration, Liability Held in Escrow, Term Of Deposit Equity [Abstract] Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table] Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table] Plan Name [Axis] Plan Name [Axis] Plan Name [Domain] Plan Name [Domain] 2014 Plan 2014 Omnibus Incentive Plan [Member] 2014 Omnibus Incentive Plan [Member] Omnibus Plan Omnibus Plan [Member] Omnibus Plan [Member] 2007 Stock Incentive Plan Incentive Compensation Plan 2007 [Member] Incentive Compensation Plan 2007 [Member] The 1999 Plan Stock Option And Equity Participation Plan 1999 [Member] Stock Option and Equity Participation Plan 1999 [Member] Award Type [Axis] Award Type [Axis] Award Type [Domain] Equity Award [Domain] Restricted Stock Awards Restricted Stock [Member] Performance Stock Awards Performance Shares [Member] Stock Appreciation Rights Stock Appreciation Rights (SARs) [Member] Title of Individual [Axis] Title of Individual [Axis] Title of Individual with Relationship to Entity [Domain] Relationship to Entity [Domain] Ten Percent Or More Stockholders Ten Percent Or More Stockholders [Member] Ten Percent Or More Stockholders [Member] Range [Axis] Range [Axis] Range [Domain] Range [Domain] Minimum Minimum [Member] Maximum Maximum [Member] Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Common stock authorized for stock repurchase program (in shares) Stock Repurchase Program, Number of Shares Authorized to be Repurchased Common stock left remaining to repurchase under the plan (in shares) Stock Repurchase Program, Remaining Number of Shares Authorized to be Repurchased Aggregate stock repurchase amount Stock Repurchase Program, Authorized Amount Aggregate number of common stock shares authorized for issuance (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized Exercise price percentage of the fair market value of common stock Share-based Compensation Arrangement by Share-based Payment Award, Purchase Price of Common Stock, Percent Stock expiration period Share Based Compensation Arrangement By Share Based Payment Award Options Expiration Period Share based compensation arrangement by share based payment award options expiration period. Stock vesting period Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period Granted (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period Percentage of performance attained Share-based Compensation Arrangement by Share-based Payment Award, Level of Performance Attained, Percentage Share-based Compensation Arrangement by Share-based Payment Award, Level of Performance Attained, Percentage Shares issued (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Shares Issued in Period Pretax of total unrecognized compensation cost related to non-vested restricted stock awards Employee Service Share-based Compensation, Nonvested Awards, Compensation Not yet Recognized, Share-based Awards Other than Options Pretax total unrecognized compensation cost related to share options- period Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition Fair value of shares vested Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Fair Value Stock vesting percentage per year Share Based Compensation Arrangement By Share Based Payment Award Percentage Of Shares Vested Share based compensation arrangement by share based payment award stock award and option vesting rate per year. Share options outstanding at end of year (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number Shares options outstanding vested or expected to vest (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Number Shares options outstanding vested or expected to vest -weighted average exercise price (usd per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Exercisable, Weighted Average Exercise Price Shares options outstanding vested or expected to vest ,intrinsic value Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Aggregate Intrinsic Value Shares options outstanding vested or expected to vest -weighted average contractual life Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Weighted Average Remaining Contractual Term Pretax total unrecognized compensation cost related to share options, less than Employee Service Share-based Compensation, Nonvested Awards, Compensation Not yet Recognized, Stock Options Derivative Instruments and Hedging Activities Disclosure [Abstract] Convertible Notes Derivative Liability Derivatives and Fair Value [Text Block] Document Documentand Entity Information [Abstract] Document Documentand Entity Information [Abstract] Document Type Document Type Amendment Flag Amendment Flag Document Period End Date Document Period End Date Document Fiscal Year Focus Document Fiscal Year Focus Document Fiscal Period Focus Document Fiscal Period Focus Trading Symbol Trading Symbol 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 Well-known Seasoned Issuer Entity Well-known Seasoned Issuer Entity Current Reporting Status Entity Current Reporting Status Entity Voluntary Filers Entity Voluntary Filers Entity Filer Category Entity Filer Category Entity Common Stock, Shares Outstanding Entity Common Stock, Shares Outstanding Entity Public Float Entity Public Float Summary of Restricted Stock Award Activity Schedule of Share-based Compensation, Restricted Stock and Restricted Stock Units Activity [Table Text Block] Stock Options and Stock Appreciation Rights Granted and Exercised Intrinsic Value Of Options Exercised And Weighted Average Grant Date Fair Value Of Stock Options Granted Table [Text Block] Tabular disclosure of the total intrinsic value of options exercised and the weighted average grant date fair value of options granted during the period. Summary of Share Option Plans Activities Schedule of Share-based Compensation, Stock Options, Activity [Table Text Block] Commitments and Contingencies Disclosure [Abstract] Commitments and Contingencies Commitments and Contingencies Disclosure [Text Block] Income Tax Disclosure [Abstract] Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward] Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward] Balance at January 1 Unrecognized Tax Benefits Additions based on tax positions related to the current year Unrecognized Tax Benefits, Increase Resulting from Current Period Tax Positions Additions based on tax positions related to prior years Unrecognized Tax Benefits, Increase Resulting from Prior Period Tax Positions Reductions based on settlements of tax positions related to prior years Unrecognized Tax Benefits, Decrease Resulting from Prior Period Tax Positions Other Unrecognized Tax Benefits, Increases (Decreases) Resulting From Other Deductions The gross amount of increases ( decreases) in unrecognized tax benefits resulting from other items. Balance at December 31 Balance Sheet Related Disclosures [Abstract] Insurance recovery for health Insurance Receivable for Health, Current Insurance Receivable for Health, Current Insurance recovery for workers’ compensation Insurance Recovery For Workers Compensation Current The current portion of the amount receivable from insurance for recovery for workers compensation. Insurance recovery for professional liability Insurance Receivable for Malpractice, Current Insurance recovery receivable Insurance Settlements Receivable, Current Insurance recovery for workers’ compensation – long-term Insurance Recovery For Workers Compensation Noncurrent The long term portion of the amount receivable from insurance for recovery for workers compensation. Insurance recovery for professional liability – long-term Insurance Receivable for Malpractice, Noncurrent Non-current security deposits Deposits Assets, Noncurrent Other non-current assets Other Assets, Noncurrent Salaries and payroll taxes Accrued Salaries, Current Bonuses Accrued Bonuses, Current Accrual for workers’ compensation claims Workers' Compensation Liability, Current Accrual for professional liability insurance Malpractice Loss Contingency, Accrual, Undiscounted, Current Accrual for health care benefits Other Employee-related Liabilities, Current Accrual for vacation Accrued Vacation, Current Accrued compensation and benefits Employee-related Liabilities, Current Accrual for workers’ compensation claims Workers' Compensation Liability, Noncurrent Accrual for professional liability insurance Malpractice Loss Contingency, Accrual, Undiscounted, Noncurrent Long-term accrued claims Accrued Liabilities, Noncurrent Accrued Liabilities, Noncurrent Deferred compensation Deferred Compensation Liability, Classified, Noncurrent Deferred rent Deferred Rent Credit, Noncurrent Long-term unrecognized tax benefits Liability for Uncertainty in Income Taxes, Noncurrent Other Other Liabilities, Miscellaneous, Noncurrent Other Liabilities, Miscellaneous, Noncurrent Other long-term liabilities Other Liabilities, Noncurrent Statement of Cash Flows [Abstract] Cash flows from operating activities Net Cash Provided by (Used in) Operating Activities [Abstract] Consolidated net income (loss) Net Income (Loss), Including Portion Attributable to Noncontrolling Interest Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract] Depreciation and amortization Depreciation, Depletion and Amortization Amortization of debt discount and debt issuance costs Amortization of Debt Issuance Costs Provision for allowances Provision for Doubtful Accounts and Other Allowances Provision for Doubtful Accounts and Other Allowances Deferred income tax benefit Deferred Income Tax Expense (Benefit) (Gain) loss on derivative liability Derivative, Gain (Loss) on Derivative, Net Acquisition-related contingent consideration Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability Impairment charges Asset Impairment Charges Loss on early extinguishment of debt Gain (Loss) on Extinguishment of Debt Equity compensation Share-based Compensation Other noncash costs, including loss on sale of business Other Noncash Income (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 Income taxes Increase (Decrease) in Income Taxes Payable, Net of Income Taxes Receivable Accounts payable and accrued expenses Increase (Decrease) in Accounts Payable and Accrued Liabilities Other liabilities Increase (Decrease) in Other Operating Liabilities Net cash provided by (used in) operating activities Net Cash Provided by (Used in) Operating Activities Cash flows from investing activities Net Cash Provided by (Used in) Investing Activities [Abstract] Proceeds from sale of business Proceeds from Divestiture of Businesses, Net of Cash Divested Acquisitions, net of cash acquired Payments to Acquire Businesses, Net of Cash Acquired Acquisition-related settlements - Medical Staffing Network Payments to Acquire Businesses, Gross Acquisition-related settlements - Mediscan Working Capital Adjustment, Investing Activities Working Capital Adjustment, Investing Activities Transaction costs related to sale of business Payments for Transaction Costs Related to Divestiture of Businesses Payments for Transaction Costs Related to Divestiture of Businesses 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] Proceeds from borrowing on Senior Credit Facility Proceeds from Issuance of Senior Long-term Debt Debt issuance costs Payments of Debt Issuance Costs Principal payment on Senior Credit Facility Repayments of Long-term Debt Principal payments on Second Lien Term Loan Early Repayment of Subordinated Debt Extinguishment fees Payments of Debt Extinguishment Costs Borrowings under Senior Secured Asset-Based revolving credit facility Proceeds from Long-term Lines of Credit Repayments on Senior Secured Asset-Based revolving credit facility Repayments of Long-term Lines of Credit Proceeds from borrowing on Second Lien Term Loan Proceeds from Issuance of Subordinated Long-term Debt Proceeds from borrowing on Convertible Note Proceeds from Convertible Debt Repayments of capital lease obligations Repayments of Long-term Capital Lease Obligations Cash paid for shares withheld for taxes Payments Related to Tax Withholding for Share-based Compensation Payment of contingent consideration Proceeds from (Payments for) Other Financing Activities Cash payments to noncontrolling shareholder Payments of Ordinary Dividends, Noncontrolling Interest Net cash (used in) provided by financing activities Net Cash Provided by (Used in) Financing Activities Effect of exchange rate changes on cash Effect of Exchange Rate on Cash and Cash Equivalents Change in cash and cash equivalents Cash and Cash Equivalents, Period Increase (Decrease) Cash and cash equivalents at beginning of year Cash and Cash Equivalents, at Carrying Value Cash and cash equivalents at end of year Supplemental disclosure of cash flow information: Supplemental Cash Flow Information [Abstract] Interest paid Interest Paid Income taxes paid Income Taxes Paid Earnings Per Share [Abstract] 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] Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table Text Block] Goodwill and Intangible Assets Disclosure [Abstract] Goodwill, Trade Names, and Other Intangible Assets Goodwill and Intangible Assets Disclosure [Text Block] Current: Current Income Tax Expense (Benefit), Continuing Operations [Abstract] Federal Current Federal Tax Expense (Benefit) State Current State and Local Tax Expense (Benefit) Foreign Current Foreign Tax Expense (Benefit) Total Current Income Tax Expense (Benefit) Deferred: Deferred Income Tax Expense (Benefit), Continuing Operations [Abstract] Federal Deferred Federal Income Tax Expense (Benefit) State Deferred State and Local Income Tax Expense (Benefit) Foreign Deferred Foreign Income Tax Expense (Benefit) Total Total income tax (benefit) expense Income Tax Expense (Benefit) Business Combinations [Abstract] 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] Mediscan Mediscan [Member] Mediscan [Member] Medical Staffing Network Medical Staffing Network [Member] Medical Staffing Network [Member] Business Acquisition [Line Items] Business Acquisition [Line Items] Schedule of estimated fair value of purchase price Schedule of Business Acquisitions, by Acquisition [Table Text Block] Summary of fair value of assets acquired and liabilities assumed Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block] Reconciliation of acquisition and integration liability Schedule of Restructuring Reserve by Type of Cost [Table Text Block] Schedule of unaudited pro forma information Business Acquisition, Pro Forma Information [Table Text Block] Total intrinsic value of options exercised Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Intrinsic Value 2017 Operating Leases, Future Minimum Payments Due, Next Twelve Months 2018 Operating Leases, Future Minimum Payments, Due in Two Years 2019 Operating Leases, Future Minimum Payments, Due in Three Years 2020 Operating Leases, Future Minimum Payments, Due in Four Years 2021 Operating Leases, Future Minimum Payments, Due in Five Years Thereafter Operating Leases, Future Minimum Payments, Due Thereafter Operating Leases, Future Minimum Payments Due, Total Operating Leases, Future Minimum Payments Due Line of Credit Facility [Table] Line of Credit Facility [Table] 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 1 Covenant Term 1 [Member] Covenant Term 1 [Member] Covenant Term 2 Covenant Term 2 [Member] Covenant Term 2 [Member] Covenant Term 3 Covenant Term 3 [Member] Covenant Term 3 [Member] Covenant Term 4 Covenant Term 4 [Member] Covenant Term 4 [Member] Covenant Term 5 Covenant Term 5 [Member] Covenant Term 5 [Member] Debt Instrument [Axis] Debt Instrument [Axis] Debt Instrument, Name [Domain] Debt Instrument, Name [Domain] Credit Agreement Credit Agreement [Member] Credit Agreement [Member] Variable Rate [Axis] Variable Rate [Axis] Variable Rate [Domain] Variable Rate [Domain] Eurodollar Loans Eurodollar [Member] LIBOR London Interbank Offered Rate (LIBOR) [Member] Letter of Credit Fee Letter of Credit Fee [Member] Letter of Credit Fee [Member] Base Rate Base Rate [Member] Line of Credit Facility [Line Items] Line of Credit Facility [Line Items] Consolidated Net Leverage Ratio Consolidated Net Leverage Ratio Consolidated Net Leverage Ratio Interest margin Debt Instrument, Basis Spread on Variable Rate Commitment fee percentage Line of Credit Facility, Commitment Fee Percentage Earnings Per Share Earnings Per Share [Text Block] Tax at U.S. statutory rate Effective Income Tax Rate Reconciliation at Federal Statutory Income Tax Rate, Amount State taxes, net of federal benefit Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Amount Noncontrolling interest Effective Income Tax Rate Reconciliation, Noncontrolling Interest Income (Loss), Amount Non-deductible meals and entertainment Effective Income Tax Rate Reconciliation, Nondeductible Expense, Meals and Entertainment, Amount Foreign tax expense Effective Income Tax Rate Reconciliation, Foreign Income Tax Rate Differential, Amount Valuation allowances Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Amount Uncertain tax positions Effective Income Tax Rate Reconciliation, Tax Contingency, Amount Audit settlements Effective Income Tax Rate Reconciliation, Tax Settlement, Amount Other Effective Income Tax Rate Reconciliation, Other Adjustments, Amount Income Tax Contingency [Table] Income Tax Contingency [Table] Adjustments for Error Corrections [Axis] Adjustments for Error Corrections [Axis] Adjustments for Error Correction [Domain] Adjustments for Error Correction [Domain] Adjustment for Error Correction of Overstatement of Valuation Allowance Adjustment for Error Correction of Overstatement of Valuation Allowance [Member] Adjustment for Error Correction of Overstatement of Valuation Allowance [Member] Asset Class [Axis] Asset Class [Axis] Asset Class [Domain] Asset Class [Domain] Indefinite-lived Intangible Assets Indefinite-lived Intangible Assets [Member] Balance Sheet Location [Axis] Balance Sheet Location [Axis] Balance Sheet Location [Domain] Balance Sheet Location [Domain] Other Current Liabilities Other Current Liabilities [Member] Other Noncurrent Liabilities Other Noncurrent Liabilities [Member] Income Tax Authority [Axis] Income Tax Authority [Axis] Income Tax Authority [Domain] Income Tax Authority [Domain] India Foreign Tax Authority [Member] Income Tax Contingency [Line Items] Income Tax Contingency [Line Items] Deferred tax liabilities relating to indefinite lived intangible assets Deferred Tax Liabilities, Intangible Assets Valuation allowance Deferred Tax Assets, Valuation Allowance Federal, state and foreign net operating loss carryforwards Operating Loss Carryforwards Reduction in valuation allowance Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount Out-or-period adjustment, decrease in net loss per diluted share (usd per share) Prior Period Adjustment, Decrease in Loss Per Share, Diluted Prior Period Adjustment, Decrease in Loss Per Share, Diluted Deferred liabilities on undistributed foreign earnings Deferred Tax Liabilities, Undistributed Foreign Earnings Repatriated amount of foreign earnings Repatriation Of Foreign Earnings Amount Repatriated amount of foreign earnings. Unrecognized tax benefits Unrecognized tax benefits, which would affect the effective tax rate Unrecognized Tax Benefits that Would Impact Effective Tax Rate Gross increases in current year unrecognized tax Unrecognized Tax Benefits Period Gross Increases The gross amount of increases in unrecognized tax benefits related to federal and state tax issues. Increase (decrease) in recognized interest and penalties Income Tax Examination, Penalties and Interest Expense Unrecognized tax benefit accrued interest and penalties Unrecognized Tax Benefits, Income Tax Penalties and Interest Accrued Cash purchase price paid at closing Business Combination, Consideration Transferred, Cash Consideration Negotiated Business Combination, Consideration Transferred, Cash Consideration Negotiated Fair value of shares Business Combination, Consideration Transferred, Equity Interests Issued and Issuable Fair value of contingent consideration Business Combination, Consideration Transferred, Liabilities Incurred Net working capital adjustment, including receivable Business Combination, Consideration Transferred, Net Working Capital Adjustment Business Combination, Consideration Transferred, Net Working Capital Adjustment Total consideration Business Combination, Consideration Transferred Acquisitions Business Combination Disclosure [Text Block] Valuation and Qualifying Accounts [Abstract] Valuation and Qualifying Accounts Disclosure [Table] Valuation and Qualifying Accounts Disclosure [Table] Valuation Allowances and Reserves Type [Axis] Valuation Allowances and Reserves Type [Axis] Valuation Allowances and Reserves [Domain] Valuation Allowances and Reserves [Domain] Allowances for Accounts Receivable Allowance for Doubtful Accounts [Member] Valuation Allowance for Deferred Tax Assets Valuation Allowance of Deferred Tax Assets [Member] Valuation and Qualifying Accounts Disclosure [Line Items] Valuation and Qualifying Accounts Disclosure [Line Items] Balance at Beginning of Period Valuation Allowances and Reserves, Balance Charged to Operations Valuation Allowances and Reserves, Additions for Charges to Cost and Expense Write-Offs Valuation Allowances and Reserves, Deductions Recoveries Valuation Allowances and Reserves, Additions for Recoveries Other Changes Valuation Allowances and Reserves, Additions for Adjustments Balance at End of Period Schedule of Goodwill [Table] Schedule of Goodwill [Table] Consolidation Items [Axis] Consolidation Items [Axis] Consolidation Items [Domain] Consolidation Items [Domain] Operating Segments Operating Segments [Member] Business Segments [Axis] Segments [Axis] Segment [Domain] Segments [Domain] Nurse and Allied Staffing Segment Nurse And Allied Staffing [Member] Nurse and allied staffing [Member] Physician Staffing Segment Physician Staffing [Member] Physician staffing [Member] Other Human Capital Management Services Segment Other Human Capital Management Services [Member] Other human capital management services [Member] Goodwill [Line Items] Goodwill [Line Items] Goodwill balances Goodwill [Roll Forward] Goodwill, net of impairment loss, beginning of period Goodwill Accumulated impairment loss, beginning of period Goodwill, Impaired, Accumulated Impairment Loss Sale of CCE Goodwill, Written off Related to Sale of Business Unit Aggregate goodwill acquired, beginning of period Goodwill, Gross Goodwill, Translation and Purchase Accounting Adjustments [Abstract] Goodwill, Translation and Purchase Accounting Adjustments [Abstract] Goodwill acquired Goodwill, Acquired During Period Impairment charges Goodwill, Impairment Loss Aggregate goodwill acquired, end of period Accumulated impairment loss, end of period Goodwill, net of impairment loss, end of period Disposal and Discontinued Operations Disposal Groups, Including Discontinued Operations, Disclosure [Text Block] Revenue from services Business Acquisition, Pro Forma Revenue Net income (loss) attributable to common shareholders Business Acquisition, Pro Forma Net Income (Loss) Net income (loss) per common share attributable to common shareholders - basic (usd per share) Business Acquisition, Pro Forma Earnings Per Share, Basic Net income (loss) per common share attributable to common shareholders - diluted (usd per share) Business Acquisition, Pro Forma Earnings Per Share, Diluted Quarterly Financial Information Disclosure [Abstract] Revenue from services Sales Revenue, Services, Net Gross profit Gross Profit Net income (loss) attributable to common shareholders Net Income (Loss) Attributable to Parent Net income (loss) per share attributable to common shareholders - Basic (usd per share) Earnings Per Share, Basic Net income (loss) per share attributable to common shareholders - Diluted (usd per share) Earnings Per Share, Diluted Restructuring Plan [Axis] Restructuring Plan [Axis] Restructuring Plan [Domain] Restructuring Plan [Domain] Cost Optimization Project Cost Optimization Project [Member] Cost Optimization Project [Member] Restructuring Type [Axis] Restructuring Type [Axis] Type of Restructuring [Domain] Type of Restructuring [Domain] Centralization of Corporate Functions Centralization of Corporate Functions [Member] Centralization of Corporate Functions [Member] Second Lien Term Loan, net Second Lien Term Loan [Member] Second Lien Term Loan [Member] Long-term Debt, Type [Axis] Long-term Debt, Type [Axis] Long-term Debt, Type [Domain] Long-term Debt, Type [Domain] Subordinated Debt Subordinated Debt [Member] Changes in the fair value of convertible notes derivative liability Embedded Derivative, Gain (Loss) on Embedded Derivative, Net Loss on extinguishment of debt Pre-tax loss on sale of the business Acquisition-related contingent consideration Business Combination, Contingent Consideration Arrangements, Expense Business Combination, Contingent Consideration Arrangements, Expense Restructuring costs Restructuring Charges Deferred Tax Assets: Components of Deferred Tax Assets [Abstract] Accrued other and prepaid expenses Deferred Tax Assets, Accrued Other Liabilities and Prepaid Expenses Deferred Tax Assets, Accrued Other Liabilities and Prepaid Expenses Allowance for doubtful accounts Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Allowance for Doubtful Accounts Intangible Assets Deferred Tax Assets, Goodwill and Intangible Assets Net operating loss carryforwards Deferred Tax Assets, Operating Loss Carryforwards Derivative interest Deferred Tax Assets, Derivative Instruments Accrued professional liability Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Other Accrued workers’ compensation Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Employee Benefits Share-based compensation Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Share-based Compensation Cost Credit carryforwards Deferred Tax Assets, Tax Credit Carryforwards Other Deferred Tax Assets, Other Gross deferred tax assets Deferred Tax Assets, Gross Valuation allowance Deferred tax assets, net Deferred Tax Assets, Net of Valuation Allowance Deferred Tax Liabilities: Components of Deferred Tax Liabilities [Abstract] Depreciation Deferred Tax Liabilities, Property, Plant and Equipment Indefinite intangibles Tax on unrepatriated earnings Share-based compensation Deferred Tax Liabilities, Share-Based Compensation Deferred Tax Liabilities, Share-Based Compensation Deferred tax liabilities, gross Deferred Tax Liabilities, Gross Net deferred taxes Deferred Tax Liabilities, Net Income Statement [Abstract] Operating expenses: Operating Expenses [Abstract] Direct operating expenses Cost of Services Selling, general, and administrative expenses Selling, General and Administrative Expense Bad debt expense Provision for Doubtful Accounts Depreciation Depreciation Amortization Amortization of Intangible Assets Acquisition and integration costs Business Combination, Acquisition Related Costs Total operating expenses Costs and Expenses Income (loss) from operations Operating Income (Loss) Other expenses (income): Nonoperating Income (Expense) [Abstract] Interest expense Interest Expense (Gain) loss on derivative liability Other (income) expense, net Other Nonoperating Income (Expense) Income (loss) before income taxes Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest Income tax (benefit) expense Consolidated net income (loss) Less: Net income attributable to noncontrolling interest in subsidiary Income (Loss) from Continuing Operations, Net of Tax, Attributable to Noncontrolling Interest Net income (loss) attributable to common shareholders Weighted average common shares outstanding—basic (shares) Weighted Average Number of Shares Outstanding, Basic Weighted average common shares outstanding—diluted (shares) Weighted Average Number of Shares Outstanding, Diluted Segment Reporting [Abstract] Schedule of Segment Reporting Information, by Segment [Table] Schedule of Segment Reporting Information, by Segment [Table] Scenario [Axis] Scenario [Axis] Scenario, Unspecified [Domain] Scenario, Unspecified [Domain] Adjustment Scenario, Adjustment [Member] Income Statement Location [Axis] Income Statement Location [Axis] Income Statement Location [Domain] Income Statement Location [Domain] Contribution Income, Nurse and Allied Staffing Contribution Income, Nurse and Allied Staffing [Member] Contribution Income, Nurse and Allied Staffing [Member] Unallocated Corporate Overhead Unallocated Corporate Overhead [Member] Unallocated Corporate Overhead [Member] Segment Reporting Information [Line Items] Segment Reporting Information [Line Items] Number of operating segments Number of Operating Segments Increase (decrease) in contribution income Operating Income Loss Before Depreciation Amortization Loss on Sale of Business Acquisition and Integration Cost Contingent Consideration Restructuring Charge Impairment Charge And Corporate Expenses Operating Income Loss Before Depreciation Amortization Loss on Sale of Business Acquisition and Integration Cost Contingent Consideration Restructuring Charge Impairment Charge And Corporate Expenses Quarterly Financial Data Quarterly Financial Information [Table Text Block] Statement of Comprehensive Income [Abstract] Net income Other comprehensive (loss) income, before income taxes: 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, Portion Attributable to Parent Other comprehensive (loss) income, before income taxes Other Comprehensive Income (Loss), before Tax, Portion Attributable to Parent Income tax expense related to items of other comprehensive (loss) income Other Comprehensive Income (Loss), Tax, Portion Attributable to Parent Other comprehensive loss, net of taxes Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent Comprehensive income (loss) 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 income (loss) Comprehensive Income (Loss), Net of Tax, Attributable to Parent Fair Value Measurements, Recurring and Nonrecurring, Valuation Techniques Fair Value Measurements, Recurring and Nonrecurring, Valuation Techniques [Table Text Block] Information on Operating Segments and Reconciliation to Income From Operations Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table Text Block] Income Taxes Income Tax Disclosure [Text Block] Accounting Policies [Abstract] Schedule of restructuring costs Restructuring and Related Costs [Table Text Block] Schedule of Long-term Debt Instruments [Table] Schedule of Long-term Debt Instruments [Table] Senior Debt Senior Debt Obligations [Member] Convertible Notes Convertible Debt [Member] Credit Facility [Axis] Credit Facility [Axis] Credit Facility [Domain] Credit Facility [Domain] Revolving Credit Facility Revolving Credit Facility [Member] Term Loan Term Loan [Member] Term Loan [Member] Senior Secured Asset-Backed Senior Secured Asset-Backed [Member] Senior Secured Asset-Backed [Member] Second Lien Term Loan 8% Convertible Notes 8% Convertible Notes [Member] 8% Convertible Notes [Member] Convertible Note Derivative Liability Convertible Note Derivative Liability [Member] Convertible Note Derivative Liability [Member] Debt Instrument [Line Items] Debt Instrument [Line Items] Debt Long-term Debt, Gross Capital lease obligations Capital Lease Obligations Total debt Long-term Debt and Capital Lease Obligations, Including Current Maturities Less current portion Long-term Debt and Capital Lease Obligations, Current Long-term Debt and Capital Lease Obligations Long-term Debt and Capital Lease Obligations, Gross Long-term Debt and Capital Lease Obligations, Gross Unamortized Discount and Debt Issuance Costs Debt Instrument, Unamortized Discount (Premium) and Debt Issuance Costs, Net Interest Rate Debt Instrument, Interest Rate, Stated Percentage Weighted average interest rate Debt, Weighted Average Interest Rate Related Party Transactions [Abstract] 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] InteliStaf Corporate Joint Venture [Member] Affiliated Entity Affiliated Entity [Member] Related Party Transaction [Line Items] Related Party Transaction [Line Items] Revenue from related parties Revenue from Related Parties Account receivable due from related parties Accounts Receivable, Related Parties Percent ownership in joint venture 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 Related Party Transactions Related Party Transactions Disclosure [Text Block] Fair Value Disclosures [Abstract] Fair Value Measurements Fair Value Disclosures [Text Block] Number of 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Stock Common Stock [Member] Additional Paid-In Capital Additional Paid-in Capital [Member] Accumulated Other Total Comprehensive Loss, net AOCI Attributable to Parent [Member] (Accumulated Deficit) Retained Earnings Retained Earnings [Member] Noncontrolling Interest in Subsidiary 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 Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest Exercise of stock 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) Stock Issued During Period, Shares, Share-based Compensation, Net of Forfeitures Vesting of restricted stock and performance stock awards Stock Issued During Period, 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Option, Quantitative Disclosures [Table] Fair Value, Option, Quantitative Disclosures [Table] Term Loan, net Convertible Notes, net Convertible Notes, Net [Member] Convertible Notes, Net [Member] Senior Secured Asset-Based Loan Senior Secured Asset-Based Loan [Member] Senior Secured Asset-Based Loan [Member] Fair Value Hierarchy [Domain] Level 2 Fair Value, Inputs, Level 2 [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 Reported Value Measurement [Member] Fair Value Estimate of Fair Value Measurement [Member] Fair Value, Option, Quantitative Disclosures [Line Items] Fair Value, Option, Quantitative Disclosures [Line Items] Carrying Amount Long-term Debt Fair Value Goodwill and Intangible Assets Disclosure [Table] Goodwill And Intangible Assets Disclosure [Table] Goodwill and Intangible Assets Disclosure [Table] 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Impairment of Intangible Assets, Finite-lived Discount rate percentage Fair Value Inputs, Discount Rate Terminal value growth rate percentage Fair Value Inputs, Terminal Value Growth Rate Fair Value Inputs, Terminal Value Growth Rate Forecast period Fair Value Inputs, Forecast Period Fair Value Inputs, Forecast Period Ratio of total enterprise value by EBITDA Fair Value Inputs, Ratio of Total Enterprise Value by EBITDA Fair Value Inputs, Ratio of Total Enterprise Value by EBITDA Weighted applied percentage Fair Value Inputs, Weighting Applied Fair Value Inputs, Weighting Applied Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table] Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table] 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 Contribution income Unallocated corporate overhead Segment Reporting Unallocated Corporate Expenses Segment Reporting Unallocated Corporate Expenses Statement of Financial Position [Abstract] Assets Assets [Abstract] Current assets: Assets, Current [Abstract] Cash and cash equivalents Accounts receivable, net of allowances of $3,245 in 2016 and $4,045 in 2015 Accounts Receivable, Net, Current Prepaid expenses Prepaid Expense, Current Insurance recovery receivable Other current assets Other Assets, Current Total current assets Assets, Current Property and equipment Property, Plant and Equipment, Net Trade names, indefinite-lived Goodwill Other intangible assets subject to amortization, net of accumulated amortization of $43,333 in 2016 and $38,419 in 2015 Debt issuance costs, net Debt Issuance Costs, Noncurrent, Net Other non-current assets 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 Current portion of long-term debt and capital lease obligations Deferred purchase price Deferred Purchase Price, Current Deferred Purchase Price, Current Other current liabilities Other Liabilities, Current Total current liabilities Liabilities, Current Long-term debt and capital lease obligations, less current portion Long-term Debt and Capital Lease Obligations Non-current deferred tax liabilities Deferred Tax Liabilities, Net, Noncurrent Long-term accrued claims Liability for Claims and Claims Adjustment Expense Contingent consideration Business Combination, Contingent Consideration, Liability, Noncurrent Other long-term liabilities Total liabilities Liabilities Commitments and contingencies Commitments and Contingencies Stockholders' equity: Stockholders' Equity Attributable to Parent [Abstract] Common stock—$0.0001 par value; 100,000,000 shares authorized; 32,339,285 and 31,951,960 shares issued and outstanding at December 31, 2016 and 2015, respectively 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 Stockholders' Equity Attributable to Noncontrolling Interest Total stockholders' equity Total liabilities and stockholders' equity Liabilities and Equity Other Intangible Assets Other Intangible Assets [Member] Accounts receivable, allowance for doubtful accounts Allowance for Doubtful Accounts Receivable, Current Common stock, par value (usd per share) Common Stock, Par or Stated Value Per Share Common stock, shares authorized Common Stock, Shares Authorized Common stock, shares issued Common Stock, Shares, Issued Common stock, shares outstanding Common Stock, Shares, Outstanding Property and Equipment Property, Plant and Equipment Disclosure [Text Block] Cash acquired Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents Accounts receivable, net Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables Other current assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Other Property and equipment Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment Other intangible assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill Other assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets Total assets acquired Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets Accounts payable Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable Accrued employee compensation and benefits Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities, Accrued Employee Compensation and Benefits Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities, Accrued Employee Compensation and Benefits Other liabilities Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Other Total liabilities assumed Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities Noncontrolling interest Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Fair Value Net assets acquired Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest Convertible Senior Notes Convertible Senior Notes [Member] Convertible Senior Notes [Member] Treasury Rate [Member] Treasury Rate [Member] Treasury Rate [Member] Face amount Debt Instrument, Face Amount Unamortized discount, interest rate portion Debt Instrument, Unamortized Discount, Interest Rate Portion Debt Instrument, Unamortized Discount, Interest Rate Portion Proceeds from debt, net Proceeds from Debt, Net of Issuance Costs Debt issuance costs, net Debt Issuance Costs, Net Unamortized discount, conversion and redemption features Debt Instrument, Unamortized Discount, Conversion and Redemption Features Debt Instrument, Unamortized Discount, Conversion and Redemption Features Debt conversion price (usd per share) Debt Instrument, Convertible, Conversion Price Debt instrument, convertible, number of equity instruments Debt Instrument, Convertible, Number of Equity Instruments Debt Instrument, convertible, threshold period following issuance date (in years) Debt Instrument, Convertible,Threshold Period Following Issuance Date Debt Instrument, Convertible,Threshold Period Following Issuance Date Debt instrument, convertible, threshold percentage of stock price trigger Debt Instrument, Convertible, Threshold Percentage of Stock Price Trigger Debt instrument, convertible, threshold trading days Debt Instrument, Convertible, Threshold Trading Days Debt instrument, convertible, threshold consecutive trading days Debt Instrument, Convertible, Threshold Consecutive Trading Days Debt Instrument, Convertible, Number of Shares Not to Be Exceeded, Aggregate Number of Shares Previously Converted Debt Instrument, Convertible, Number of Shares Not to Be Exceeded, Aggregate Number of Shares Previously Converted Debt Instrument, Convertible, Number of Shares Not to Be Exceeded, Aggregate Number of Shares Previously Converted Interest rate (percent) Debt instrument, interest, percent paid in kind, maximum Debt Instrument, Interest, Percent Paid in Kind, Maximum Debt Instrument, Interest, Percent Paid in Kind, Maximum Convertible debt redeemed after permissible date, redemption premium, percent of principal Convertible Debt Redeemed After Permissible Date, Redemption Premium, Percent of Principal Convertible Debt Redeemed after Permissible Date, Redemption Premium, Percent of Principal Convertible debt redeemed before permissible date, redemption premium, percent of principal Convertible Debt Redeemed Before Permissible Date, Redemption Premium, Percent of Principal Convertible Debt Redeemed Before Permissible Date, Redemption Premium, Percent of Principal Convertible debt, basis spread on discount rate on redemption, percentage Convertible Debt, Basis Spread on Discount Rate on Redemption, Percentage Convertible Debt, Basis Spread on Discount Rate on Redemption, Percentage Compensation and Retirement Disclosure [Abstract] Employee Benefit Plans Pension and Other Postretirement Benefits Disclosure [Text Block] Exercise Price Range [Axis] Exercise Price Range [Axis] Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Domain] Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Domain] Exercise Price Range One Exercise Price Range One [Member] Exercise Price Range One [Member] Exercise Price Range Two Exercise Price Range Two [Member] Exercise Price Range Two [Member] Exercise Price Range Three Exercise Price Range Three [Member] Exercise Price Range Three [Member] Exercise Price Range Four Exercise Price Range Four [Member] Exercise Price Range Four [Member] Exercise Price Range Five Exercise Price Range Five [Member] Exercise Price Range Five [Member] Exercise Price Range Six Exercise Price Range Six [Member] Exercise Price Range Six [Member] Number of Shares Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward] Share options outstanding at beginning of year (in shares) Granted (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures Exercised (in shares) Forfeited/expired (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Forfeitures in Period Share options exercisable at end of year (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Number Share options unvested at end of year (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Nonvested, Number of Shares Exercise Price, Lower Limit (usd per share) Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Lower Range Limit Exercise Price, Upper Limit (usd pre share) Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Upper Range Limit Weighted Average Exercise Price Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract] Share options outstanding at beginning of year, weighted average exercise price (usd per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price Granted, weighted average exercise price (usd per share) Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price Exercised, weighted average exercise price (usd per share) Share-based Compensation Arrangements by Share-based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price Forfeited/expired, weighted average exercise price (usd per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Forfeitures and Expirations in Period, Weighted Average Exercise Price Share options outstanding at end of year, weighted average exercise price (usd per share) Share options exercisable at end of year, weighted average exercise price (usd per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Exercise Price Share options unvested at end of year, weighted average exercise price (usd per share) Share Based Compensation Arrangement By Share Based Payment Award Nonvested Options Outstanding Weighted Average Exercise Price The weighted-average exercise price as of the balance sheet date for unvested share options. Share options outstanding at end of year, weighted-average remaining contractual life Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term Share options exercisable at end of year, weighted-average remaining contractual life Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term Share options unvested at end of year, weighted-average remaining contractual life Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Weighted Average Remaining Contractual Term Weighted average remaining contractual term for shares options unvested , in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. Share options outstanding at end of year Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Intrinsic Value Share options exercisable at end of year Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Intrinsic Value Share options unvested at end of year Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Aggregate Intrinsic Value Amount of difference between fair value of the underlying shares reserved for issuance and exercise price of unvested portions of options. Company contribution net of forfeitures Defined Contribution Plan, Employer Discretionary Contribution Amount Deferred compensation liabilities 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 Components of Income (Loss) Before Income Taxes Schedule of Income before Income Tax, Domestic and Foreign [Table Text Block] Components of Income Tax Expense (Benefit) Schedule of Components of Income Tax Expense (Benefit) [Table Text Block] Significant Components of Deferred Tax Assets and Liabilities Schedule of Deferred Tax Assets and Liabilities [Table Text Block] Reconciliation of Income Tax Computed At U. S. Federal Statutory Rate to Income Tax (Benefit) Expense Schedule of Effective Income Tax Rate Reconciliation [Table Text Block] Reconciliation of Beginning and Ending Amounts of Unrecognized Tax Benefits Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block] Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table] Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table] Contingent Consideration by Type [Axis] Contingent Consideration by Type [Axis] Contingent Consideration Type [Domain] Contingent Consideration Type [Domain] Potential Earnout, Attainment of Specific Performance Criteria in 2016 Potential Earnout, Attainment of Specific Performance Criteria in 2016 [Member] Potential Earnout, Attainment of Specific Performance Criteria in 2016 [Member] Potential Earnout, Attainment of Specific Performance Criteria in 2017 Potential Earnout, Attainment of Specific Performance Criteria in 2017 [Member] Potential Earnout, Attainment of Specific Performance Criteria in 2017 [Member] Potential Earnout Potential Earnout [Member] Potential Earnout [Member] Term Loan Facility Term Loan Facility [Member] Term Loan Facility [Member] Convertible Notes Payable Convertible Notes Payable [Member] Nonrecurring Adjustment [Axis] Nonrecurring Adjustment [Axis] Nonrecurring Adjustment [Domain] Nonrecurring Adjustment [Domain] Acquisition-related Costs Acquisition-related Costs [Member] Business Acquisition, Contingent Consideration [Line Items] Business Acquisition, Contingent Consideration [Line Items] Cash purchase price paid at closing Cash consideration plus working capital estimate Fair value of shares (in shares) Business Acquisition, Equity Interest Issued or Issuable, Number of Shares Contingent consideration, range of outcomes, high Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High Maximum payment liability each year for contingent liabilities acquired Business Combination, Contingent Consideration, Maximum Payment Liability, Each Year Business Combination, Contingent Consideration, Maximum Payment Liability, Each Year Remaining liability at undiscounted basis Business Combination, Contingent Consideration, Liability, Undiscounted Basis Business Combination, Contingent Consideration, Liability, Undiscounted Basis Contingent liability Number of states Number of States in which Entity Operates Number of clients (more than) Business Combination, Number of Clients Business Combination, Number of Clients Number of specialties (more than) Business Combination, Number of Specialties Business Combination, Number of Specialties Revenues Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual Net income Business Combination, Pro Forma Information, Earnings or Loss of Acquiree since Acquisition Date, Actual Finite-lived intangible assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles Intangible assets- useful life Finite-Lived Intangible Asset, Useful Life Weighted average useful life Acquired Finite-lived Intangible Assets, Weighted Average Useful Life Acquisition costs Consideration transferred Cash acquired from acquisition Cash Acquired from Acquisition Acquisition of assets of Medical Staffing Network, net of cash acquired Business combination, amount deposited in escrow, working capital adjustment Business Combination, Amount Deposited in Escrow, Working Capital Adjustment Business Combination, Amount Deposited in Escrow, Working Capital Adjustment Business combination, amount received from escrow, working capital adjustment Proceeds from Previous Acquisition Period of deferred consideration Business Combination, Consideration Deferred, Period Business Combination, Consideration Deferred, Period Acquisition-related contingent consideration Long-term Debt Term Debt Instrument, Term Number of locations of operations Number of Locations of Operations Number of Locations of Operations Gross accounts receivable Business Combination. Recognized Identifiable Assets Acquired Liabilities Assumed, Accounts Receivable, Gross Business Combination. Recognized Identifiable Assets Acquired Liabilities Assumed, Accounts Receivable, Gross Receivables not expected to be collected Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Bad Debts Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Bad Debts Claim attached Professional Liability Insurance, Claim Attached Professional Liability Insurance, Claim Attached Policy limit Professional Liability Policy, Limit Professional Liability Policy, Limit Estimated fair value of professional liabilities related to stop loss policy Health Care Organization, Stop Loss Policy, Estimated Fair Value Of Professional Liabilities Health Care Organization, Stop Loss Policy, Fair Value Of Professional Liabilities Estimated recovery receivable related to stop loss policy Health Care Organization, Stop Loss Policy, Estimated Recovery Receivable Health Care Organization, Stop Loss Policy, Estimated Recovery Receivable Policy, coverage per occurrence Primary Professional Liability Policy, Coverage per Occurrence Primary Professional Liability Policy, Coverage per Occurrence Policy coverage Primary Professional Liability Policy, Coverage Primary Professional Liability Policy, Coverage Excess layer limit per occurrence Professional Liability Policy, Excess Layer Limit per Occurrence Professional Liability Policy, Excess Layer Limit per Occurrence Excess layer limit Professional Liability Policy, Excess Layer Limit Professional Liability Policy, Excess Layer Limit Noncontrolling interest fair value assessment, discounted cash flow method, utilization percentage Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Valuation Technique, Discounted Cash Flow Method, Utilization Percentage Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Valuation Technique, Discounted Cash Flow Method, Utilization Percentage Noncontrolling interest fair value assessment, guideline public company method, utilization percentage Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Valuation Technique, Guideline Public Company Method, Utilization Percentage Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Valuation Technique, Guideline Public Company Method, Utilization Percentage Noncontrolling interest fair value assessment, mergers and acquisition method, utilization percentage Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Valuation Technique, Mergers and Acquisition Method, Utilization Percentage Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Valuation Technique, Mergers and Acquisition Method, Utilization Percentage Acquisition and integration costs Business Combination, Acquisition and Integration Related Costs Business Combination, Acquisition and Integration Related Costs Fiscal Quarters Ending September 30, 2016 through June 30, 2017 Fiscal Quarters Ending September 30, 2016 through June 30, 2017 [Member] Fiscal Quarters Ending September 30, 2016 through June 30, 2017 [Member] Fiscal Quarters Ending September 30, 2017 through June 30, 2018 Fiscal Quarters Ending September 30, 2017 through June 30, 2018 [Member] Fiscal Quarters Ending September 30, 2017 through June 30, 2018 [Member] Each Fiscal Quarter Ending Thereafter Each Fiscal Quarter Ending Thereafter [Member] Each Fiscal Quarter Ending Thereafter [Member] First Lien Loan Agreement First Lien Loan Agreement [Member] First Lien Loan Agreement [Member] Debt Instrument, Redemption, Period [Axis] Debt Instrument, Redemption, Period [Axis] Debt Instrument, Redemption, Period [Domain] Debt Instrument, Redemption, Period [Domain] Period July 1, 2015 through June 30, 2016 Debt Instrument, Redemption, Period One [Member] Period July 1, 2016 through June 30, 2017 Debt Instrument, Redemption, Period Two [Member] After June 30, 2017 Debt Instrument, Redemption, Period Three [Member] Junior subordinated debt Junior Subordinated Debt [Member] Credit facility maximum borrowing capacity Line of Credit Facility, Maximum Borrowing Capacity Subfacility loans percentage up to aggregate revolver commitments (percent) Borrowing Availability As Percentage Of Commitments Subfacility for swingline loans maximum borrowing percentage of aggregate revolver commitments. Line of credit, subfacility for standby letters of credit Line Of Credit Facility Sub Limit For Letters Of Credit Line of credit, subfacility for standby letters of credit. Line of credit facility, term Percentage of principal amount redeemed Debt Instrument, Redemption Price, Percentage of Principal Amount Redeemed Sub facility for swingline loans Line Of Credit Facility, Sub Facility For Swingline Loans Line Of Credit Facility, Sub Facility For Swingline Loans Additional capacity Line of Credit Facility, Additional Capacity Line of Credit Facility, Additional Capacity Percentage of principal payment for first four installments Line of Credit Facility, Periodic Payment, Percentage of Principal, First Four Installments Line of Credit Facility, Periodic Payment, Percentage of Principal, First Four Installments Percentage of principal payment for next eight installments Line of Credit Facility, Periodic Payment, Percentage of Principal, Next Eight Installments Line of Credit Facility, Periodic Payment, Percentage of Principal, Next Eight Installments Percentage of principal payment for remaining installments Line of Credit Facility, Periodic Payment, Percentage of Principal, Remaining Installments Line of Credit Facility, Periodic Payment, Percentage of Principal, Remaining Installments Prepayment penalty Debt Instrument, Prepayment Penalty Debt Instrument, Prepayment Penalty Letters of credit rolled and issued under new facility Letters of Credit Rolled and Issued Under New Debt Instrument Letters of Credit Rolled and Issued Under New Debt Instrument Loss on early extinguishment of debt 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 Available borrowing capacity, gross Line of Credit Facility, Remaining Borrowing Capacity Number of financial covenants Number of Financial Covenants Number of Financial Covenants Consolidated Net Leverage Ratio Ratio of Indebtedness to Net Capital Consolidated Fixed Charge Coverage Ratio Debt Covenant, Consolidated Fixed Charge Coverage Ratio Debt Covenant, Consolidated Fixed Charge Coverage Ratio Line of credit outstanding Long-term Line of Credit Letters of credit outstanding Letters of Credit Outstanding, Amount Draw under revolving credit facility Proceeds from Lines of Credit Unamortized discount Debt Instrument, Unamortized Discount Basis spread, floor (percent) Debt Instrument, Basis Spread on Variable Rate, Floor Debt Instrument, Basis Spread on Variable Rate, Floor Variable rate, floor (percent) Debt Instrument, Variable Rate Basis, Floor Rate Debt Instrument, Variable Rate, Floor Significant Accounting Policies [Table] Significant Accounting Policies [Table] Significant Accounting Policies [Table] Adjustments for New Accounting Pronouncements [Axis] Adjustments for New Accounting Pronouncements [Axis] Type of Adoption [Domain] Type of Adoption [Domain] ASU 2015-03 Accounting Standards Update 2015-03 [Member] Property, Plant and Equipment, Type [Axis] Property, Plant and Equipment, Type [Axis] Property, Plant and Equipment, Type [Domain] Property, Plant and Equipment, Type [Domain] Computer software Software Development [Member] Long-term Debt and Capital Lease Obligations Long-term Debt and Capital Lease Obligations [Member] Long-term Debt and Capital Lease Obligations [Member] Insurance Type and Tier Identifier [Axis] Insurance Type and Tier Identifier [Axis] Type and Tier Identifier [Domain] Type and Tier Identifier [Domain] Claims-Based Liability Insurance Claims-Based Liability Insurance [Member] Claims-Based Liability Insurance [Member] Occurrence-Based Professional Liability Insurance Occurrence Based Professional Liability Insurance [Member] Occurrence-Based Professional Liability Insurance [Member] Legal Entity [Axis] Legal Entity [Axis] Entity [Domain] Entity [Domain] MDA Holdings Inc M D A Holdings Inc [Member] MDA Holdings Inc [Member] Significant Accounting Policies [Line Items] Significant Accounting Policies [Line Items] Significant Accounting Policies [Line Items] Contract terms Contractual Term The amount of time the payments are typically required to be made from the date services are provided. Short term leases period Lease Expiration Period Apartments lease period for field employees under short-term agreements. Estimated useful life of assets Property, Plant and Equipment, Useful Life Number of reporting units Number of Reporting Units Outstanding standby letters of credit as collateral Outstanding Letters Of Credit, Collateral to Guarantee Payments Under Self Insured Plan Amount of standby letters of credit issued as collateral to guarantee payments of workers compensation claims. Coverage for professional liability claims Malpractice Insurance, Maximum Coverage Per Incident Letter of credit for malpractice claims Malpractice Loss Contingency, Letters of Credit and Surety Bonds Accrued revenue Accrued Fees and Other Revenue Receivable Deferred revenue Deferred Revenue, Current Equity compensation Allocated Share-based Compensation Expense Advertising costs Advertising Expense Prepaid expenses, advertising Prepaid Advertising Cumulative impact of currency fluctuations Accumulated Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Net of Tax Income tax expense (benefit) related to items of other comprehensive (loss) income Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table] Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table] Antidilutive Securities [Axis] Antidilutive Securities [Axis] Antidilutive Securities, Name [Domain] Antidilutive Securities, Name [Domain] Convertible notes and share-based awards Convertible Notes and Share-based Payment Awards [Member] Convertible Notes and Share-based Payment Awards [Member] Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] Antidilutive securities Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount Net income (loss) attributable to common shareholders - Basic Net Income (Loss) Available to Common Stockholders, Basic Interest on Convertible Notes Interest on Convertible Debt, Net of Tax (Gain) loss on derivative liability Net income (loss) attributable to common shareholders - Diluted Net Income (Loss) Available to Common Stockholders, Diluted Weighted average common shares - Basic (shares) Share-based awards (shares) Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements Convertible Notes (shares) Incremental Common Shares Attributable to Dilutive Effect of Conversion of Debt Securities Weighted average common shares - Diluted (shares) 2017 Finite-Lived Intangible Assets, Amortization Expense, Next Twelve Months 2018 Finite-Lived Intangible Assets, Amortization Expense, Year Two 2019 Finite-Lived Intangible Assets, Amortization Expense, Year Three 2020 Finite-Lived Intangible Assets, Amortization Expense, Year Four 2021 Finite-Lived Intangible Assets, Amortization Expense, Year Five Thereafter Finite-Lived Intangible Assets, Amortization Expense, after Year Five 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] Changes in Carrying Amount of Goodwill by Segment Schedule of Goodwill [Table Text Block] Schedule of Property, Plant and Equipment [Table] Property, Plant and Equipment [Table] Computer equipment Computer Equipment [Member] Computer software Software and Software Development Costs [Member] Office equipment Office Equipment [Member] Furniture and fixtures Furniture and Fixtures [Member] Leasehold improvements Leasehold Improvements [Member] Property, Plant and Equipment [Line Items] Property, Plant and Equipment [Line Items] Property and equipment Property, Plant and Equipment, Gross Less accumulated depreciation and amortization Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment Property and equipment, net of accumulated depreciation and amortization Estimated useful life Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table] Contingent Purchase Price Liabilities Contingent Consideration Liability [Member] Contingent Consideration Liability [Member] Convertible Notes Derivative Liability Derivative Financial Instruments, Liabilities [Member] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward] Beginning balance Fair Value, Measurement with Unobservable Inputs Reconciliations, Recurring Basis, Liability Value Additions Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Issuances Payments Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements Accretion expense Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Accretion Expense Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Accretion Expense Valuation (gain) loss for the period Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings Ending balance United States Income (Loss) from Continuing Operations before Income Taxes, Domestic Foreign Income (Loss) from Continuing Operations before Income Taxes, Foreign Convertible Notes Long-term Debt, Fiscal Year Maturity Long-term Debt, Fiscal Year Maturity [Abstract] 2017 Long-term Debt, Maturities, Repayments of Principal in Next Twelve Months 2018 Long-term Debt, Maturities, Repayments of Principal in Year Two 2019 Long-term Debt, Maturities, Repayments of Principal in Year Three 2020 Long-term Debt, Maturities, Repayments of Principal in Year Four 2021 Long-term Debt, Maturities, Repayments of Principal in Year Five Thereafter Long-term Debt, Maturities, Repayments of Principal after Year Five Total Capital Leases Capital Lease Obligations [Abstract] 2017 Capital Leases, Future Minimum Payments, Remainder of Fiscal Year 2018 Capital Leases, Future Minimum Payments Due in Two Years 2019 Capital Leases, Future Minimum Payments Due in Three Years 2020 Capital Leases, Future Minimum Payments Due in Four Years 2021 Capital Leases, Future Minimum Payments Due in Five Years Thereafter Capital Leases, Future Minimum Payments Due Thereafter Total Capital Leases, Future Minimum Payments Due