Business Combinations [Abstract]
ACQUISITIONS
Business Combination Disclosure [Text Block]
Accounting Policies [Abstract]
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Significant Accounting Policies [Text Block]
Pro Forma Information
Business Acquisition, Pro Forma Information [Table Text Block]
Revenue from Contract with Customer [Abstract]
Disaggregation of Revenue
Disaggregation of Revenue [Table Text Block]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
DERIVATIVE
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Restructuring and Related Costs
Restructuring and Related Costs [Table Text Block]
Disaggregation of Revenue [Table]
Disaggregation of Revenue [Table]
Segments [Axis]
Segments [Axis]
Segments [Domain]
Segments [Domain]
Nurse And Allied Staffing Segment [Member]
Nurse And Allied Staffing [Member]
Nurse and allied staffing [Member]
Physician Staffing Segment [Member]
Physician Staffing [Member]
Physician staffing [Member]
Other Human Capital Management Services Segment [Member]
Other Human Capital Management Services [Member]
Other human capital management 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
Organization, Consolidation and Presentation of Financial Statements [Abstract]
ORGANIZATION AND BASIS OF PRESENTATION
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
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]
Schedule of Goodwill [Table]
Schedule of Goodwill [Table]
Nurse And Allied Staffing [Member]
Physician Staffing [Member]
Other Human Capital Management Services [Member]
Goodwill [Line Items]
Goodwill [Line Items]
Goodwill
Goodwill
GOODWILL, TRADE NAMES, AND OTHER INTANGIBLE ASSETS
Goodwill and Intangible Assets Disclosure [Text Block]
REVENUE RECOGNITION
Revenue from Contract with Customer [Text Block]
Related Party Transactions [Abstract]
RELATED PARTY TRANSACTIONS
Related Party Transactions Disclosure [Text Block]
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]
Debt
Long-term Debt, Gross
Less current portion
Long-term Debt, Current Maturities
Long-term debt
Long-term Debt
Debt Issuance Costs
Debt Issuance Costs, Net
Interest Rate
Debt Instrument, Interest Rate, Stated Percentage
8% Convertible Notes [Member]
8% Convertible Notes [Member]
8% Convertible Notes [Member]
Convertible Note Derivative Liability [Member]
Convertible Note Derivative Liability [Member]
Convertible Note Derivative Liability [Member]
Equity Components [Axis]
Equity Components [Axis]
Equity Component [Domain]
Equity Component [Domain]
Common Stock [Member]
Common Stock [Member]
Convertible Notes [Member]
Convertible Debt [Member]
Face amount
Debt Instrument, Face Amount
Shares issued (in shares)
Debt Conversion, Converted Instrument, Shares Issued
Common stock, par value (in usd per share)
Common Stock, Par or Stated Value Per Share
Payment of debt and extinguishment fees
Payments For Debt Extinguishment Costs And Repayment Of Long Term Debt
Payments For Debt Extinguishment Costs And Repayment Of Long Term Debt
Repayments of debt
Repayments of Long-term Debt
Extinguishment fees
Payment for Debt Extinguishment or Debt Prepayment Cost
Original debt amount in debt conversion
Debt Conversion, Original Debt, Amount
Loss on early extinguishment of debt
Gain (Loss) on Extinguishment of Debt
Non-cash write off related to settlement of convertible notes
Debt Conversion, Converted Instrument, Amount
Debt conversion price (in 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
Interest rate (percent)
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]
Fair Value Disclosures [Abstract]
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]
Reported Value Measurement [Member]
Reported Value Measurement [Member]
Estimate of Fair Value Measurement [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
Financial Liabilities, Fair Value
Debt Instrument, Fair Value Disclosure
Concentration Risk [Table]
Concentration Risk [Table]
Range [Axis]
Range [Axis]
Range [Domain]
Range [Domain]
Minimum [Member]
Minimum [Member]
Maximum [Member]
Maximum [Member]
Concentration Risk Type [Axis]
Concentration Risk Type [Axis]
Concentration Risk Type [Domain]
Concentration Risk Type [Domain]
Services [Member]
Product Concentration Risk [Member]
Concentration Risk Benchmark [Axis]
Concentration Risk Benchmark [Axis]
Concentration Risk Benchmark [Domain]
Concentration Risk Benchmark [Domain]
Revenue
Sales Revenue, Net [Member]
Concentration Risk [Line Items]
Concentration Risk [Line Items]
Payment terms
Contract Receivables, Payment Term
Contract Receivables, Payment Term
Unbilled contracts receivable
Unbilled Contracts Receivable
Concentration risk percentage
Concentration Risk, Percentage
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 [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
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
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 $3,263 in 2018 and $3,688 in 2017
Accounts Receivable, Net, 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 $33,808 in 2018 and $30,678 in 2017
Property, Plant and Equipment, Net
Trade names
Indefinite-Lived Trade Names
Other intangible assets, net
Finite-Lived Intangible Assets, Net
Non-current deferred tax assets
Deferred Tax Assets, Net of Valuation Allowance, Noncurrent
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
Other current liabilities
Other Liabilities, Current
Total current liabilities
Liabilities, Current
Long-term debt, less current portion
Long-term Debt, Excluding Current Maturities
Long-term accrued claims
Liability for Claims and Claims Adjustment Expense
Contingent consideration
Business Combination, Contingent Consideration, Liability, Noncurrent
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
Income Statement [Abstract]
Revenue from services
Revenues
Operating expenses:
Operating Expenses [Abstract]
Direct operating expenses
Direct Operating Costs
Selling, general and administrative expenses
Selling, General and Administrative Expense
Bad debt expense
Provision for Doubtful Accounts
Depreciation and amortization
Depreciation, Depletion and Amortization
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
Restructuring Charges
Total operating expenses
Costs and Expenses
Income from operations
Operating Income (Loss)
Other expenses (income):
Nonoperating Income (Expense) [Abstract]
Interest expense
Interest Expense
Gain on derivative liability
Derivative, Gain (Loss) on Derivative, Net
Other income, net
Other Nonoperating Income (Expense)
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 Income (Loss), Including Portion Attributable to Noncontrolling Interest
Less: Net income attributable to noncontrolling interest in subsidiary
Net Income (Loss) Attributable to Noncontrolling Interest
Net (loss) income attributable to common shareholders
Net Income (Loss) Attributable to Parent
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
Weighted average common shares outstanding:
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Basic (shares)
Weighted Average Number of Shares Outstanding, Basic
Diluted (shares)
Weighted Average Number of Shares Outstanding, Diluted
Commitments and Contingencies Disclosure [Abstract]
COMMITMENTS AND CONTINGENCIES
Commitments and Contingencies Disclosure [Text Block]
Segment Reporting [Abstract]
Information on Operating Segments and Reconciliation to Loss From Operations
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [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]
Allowances
Receivables, Trade and Other Accounts Receivable, Allowance for Doubtful Accounts, Policy [Policy Text Block]
Restructuring Costs
Costs Associated with Exit or Disposal Activities or Restructurings, Policy [Policy Text Block]
Derivative Financial Instruments
Derivatives, Policy [Policy Text Block]
Recently Adopted Accounting Pronouncement
New Accounting Pronouncements, Policy [Policy Text Block]
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]
Contribution income
Operating Income (Loss) Before Depreciation Amortization Acquisition and Integration Cost Contingent Consideration Restructuring Costs And Corporate Expenses
Operating Income (Loss) Before Depreciation Amortization Acquisition and Integration Cost Contingent Consideration Restructuring Costs And Corporate Expenses
Unallocated corporate overhead
Segment Reporting Unallocated Corporate Expenses
Segment Reporting Unallocated Corporate Expenses
Income from operations
New Accounting Pronouncements or Change in Accounting Principle [Table]
New Accounting Pronouncements or Change in Accounting Principle [Table]
Scenario [Axis]
Scenario [Axis]
Scenario, Unspecified [Domain]
Scenario, Unspecified [Domain]
Pro Forma
Pro Forma [Member]
Adjustments for New Accounting Pronouncements [Axis]
Adjustments for New Accounting Pronouncements [Axis]
Type of Adoption [Domain]
Type of Adoption [Domain]
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]
Undiscounted future lease liabilities
Operating Leases, Future Minimum Payments Due
Right of use asset
Operating Lease, Right-of-Use Asset
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]
Restructuring Type [Axis]
Restructuring Type [Axis]
Type of Restructuring [Domain]
Type of Restructuring [Domain]
On-Going Benefit Costs [Member]
Employee Severance [Member]
Exit Costs [Member]
Exit Costs [Member]
Exit Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring Cost and Reserve [Line Items]
Restructuring Reserve [Roll Forward]
Restructuring Reserve [Roll Forward]
Balance at January 1, 2018
Restructuring Reserve
Charged to restructuring costs
Payments
Payments for Restructuring
Balance at March 31, 2018
Direct write off related to abandoned locations
Restructuring Charges, Write Off Related To Abandonment
Restructuring Charges, Write Off Related To Abandonment
Business Acquisition, Pro Forma Information, Nonrecurring Adjustments [Table]
Business Acquisition, Pro Forma Information, Nonrecurring Adjustments [Table]
Nonrecurring Adjustment [Axis]
Nonrecurring Adjustment [Axis]
Nonrecurring Adjustment [Domain]
Nonrecurring Adjustment [Domain]
Acquisition-related Costs
Acquisition-related Costs [Member]
Business Acquisition, Pro Forma Information, Nonrecurring Adjustment [Line Items]
Business Acquisition, Pro Forma Information, Nonrecurring Adjustment [Line Items]
Consolidated net income
Revenue from services
Business Acquisition, Pro Forma Revenue
Net income attributable to common shareholders
Business Acquisition, Pro Forma Net Income (Loss)
Net income per common share attributable to common shareholders - basic (in dollars per share)
Business Acquisition, Pro Forma Earnings Per Share, Basic
Net income per common share attributable to common shareholders - diluted (in dollars per share)
Business Acquisition, Pro Forma Earnings Per Share, Diluted
Income Tax Disclosure [Abstract]
Valuation allowance
Deferred Tax Assets, Valuation Allowance
Unrecognized tax benefits
Unrecognized Tax Benefits
Unrecognized tax benefits that would impact effective tax rate
Unrecognized Tax Benefits that Would Impact Effective Tax Rate
Gross increase to current year unrecognized tax benefits related to federal and state tax issues
Unrecognized Tax Benefits, Increase Resulting from Current Period Tax Positions
Fair Value Measurements, Recurring and Nonrecurring [Table]
Fair Value Measurements, Recurring and Nonrecurring [Table]
Derivative Instrument [Axis]
Derivative Instrument [Axis]
Derivative Contract [Domain]
Derivative Contract [Domain]
Interest Rate Swap [Member]
Interest Rate Swap [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]
Liability Class [Axis]
Liability Class [Axis]
Fair Value by Liability Class [Domain]
Fair Value by Liability Class [Domain]
Deferred compensation [Member]
Deferred Compensation [Member]
Deferred Compensation [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]
Interest rate swaps
Derivative Asset
Deferred compensation
Obligations, Fair Value Disclosure
Contingent consideration liabilities
Business Combination, Contingent Consideration, Liability
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]
2018
Finite-Lived Intangible Assets, Amortization Expense, Remainder of Fiscal Year
2019
Finite-Lived Intangible Assets, Amortization Expense, Year Two
2020
Finite-Lived Intangible Assets, Amortization Expense, Year Three
2021
Finite-Lived Intangible Assets, Amortization Expense, Year Four
2022
Finite-Lived Intangible Assets, Amortization Expense, Year Five
Thereafter
Finite-Lived Intangible Assets, Amortization Expense, after Year Five
Intangible assets subject to amortization, net carrying amount
Equity [Abstract]
STOCKHOLDERS' EQUITY
Shareholders' Equity and Share-based Payments [Text Block]
Number of operating segments
Number of Operating Segments
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]
Summary of Restricted Stock Activity
Schedule of Share-based Compensation, Restricted Stock and Restricted Stock Units Activity [Table Text Block]
Shares excluded from diluted weighted average shares (shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Dilutive convertible notes (shares)
Incremental Common Shares Attributable to Dilutive Effect of Conversion of Debt Securities
Accounts receivable, allowance for doubtful accounts
Allowance for Doubtful Accounts Receivable, Current
Property and equipment, accumulated depreciation
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
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
Trade names
Total intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
COMPREHENSIVE INCOME (LOSS)
Comprehensive Income (Loss) Note [Text Block]
FAIR VALUE MEASUREMENTS
Fair Value Disclosures [Text Block]
INCOME TAXES
Income Tax Disclosure [Text Block]
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]
Equity Award [Domain]
Equity Award [Domain]
Restricted Stock [Member]
Restricted Stock [Member]
Plan Name [Axis]
Plan Name [Axis]
Plan Name [Domain]
Plan Name [Domain]
2014 Omnibus Incentive Plan [Member]
2014 Omnibus Incentive Plan [Member]
2014 Omnibus Incentive Plan [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]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
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)
Stock Repurchase Program, Remaining Number of Shares Authorized to be Repurchased
Number of shares of common stock outstanding
Common Stock, Shares, Outstanding
Vesting period
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period
Share-based compensation
Allocated Share-based Compensation 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
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 [Member]
Covenant Term 1 [Member]
Covenant Term 1 [Member]
Covenant Term 2 [Member]
Covenant Term 2 [Member]
Covenant Term 2 [Member]
Covenant Term 3 [Member]
Covenant Term 3 [Member]
Covenant Term 3 [Member]
Covenant Term 4 [Member]
Covenant Term 4 [Member]
Covenant Term 4 [Member]
Covenant Term 5 [Member]
Covenant Term 5 [Member]
Covenant Term 5 [Member]
Credit Agreement [Member]
Credit Agreement [Member]
Credit Agreement [Member]
Variable Rate [Axis]
Variable Rate [Axis]
Variable Rate [Domain]
Variable Rate [Domain]
Eurodollar Loans [Member]
Eurodollar [Member]
LIBOR Index Rate Loans [Member]
London Interbank Offered Rate (LIBOR) [Member]
Letter of Credit Fee [Member]
Letter of Credit Fee [Member]
Letter of Credit Fee [Member]
Base Rate Loans [Member]
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
Document and Entity Information [Abstract]
Document and Entity Information [Abstract]
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 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
Performance Stock [Member]
Performance Shares [Member]
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)
Statement of Cash Flows [Abstract]
Cash flows from operating activities
Net Cash Provided by (Used in) Operating Activities [Abstract]
Adjustments to reconcile net income to net cash provided by operating activities:
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
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)
Gain on derivative liability
Loss on early extinguishment of debt
Write-off of property and equipment
Impairment of Long-Lived Assets Held-for-use
Equity compensation
Share-based Compensation
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
Other liabilities
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]
Acquisitions, net of cash acquired
Payments to Acquire Businesses, Net of Cash Acquired
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]
Proceeds from Term Loans
Proceeds from Issuance of Long-term Debt
Principal payments on Term Loans
Convertible Note cash payment
Repayments of Convertible Debt
Borrowings on revolving credit facility
Proceeds from Lines of Credit
Repayments on revolving credit facility
Repayments of Lines of Credit
Debt issuance costs
Payments of Debt Issuance Costs
Extinguishment fees
Stock repurchase and retirement
Payments for Repurchase of Common Stock
Other
Proceeds from (Payments for) Other Financing Activities
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 period
Cash and cash equivalents at end of period
Fair Value Measurement [Table]
Fair Value Measurement [Table]
Fair Value Measurement [Table]
Fair Value Measurement [Line Items]
Fair Value Measurement [Line Items]
Fair Value Measurement [Line Items]
Impairment charges
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
New Accounting Pronouncements and Changes in Accounting Principles [Abstract]
RECENT ACCOUNTING PRONOUNCEMENTS
New Accounting Pronouncements and Changes in Accounting Principles [Text Block]
EARNINGS PER SHARE
Earnings Per Share [Text Block]
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Contingent Consideration by Type [Axis]
Contingent Consideration by Type [Axis]
Contingent Consideration Type [Domain]
Contingent Consideration Type [Domain]
Assumed Additional Contingent Purchase Price Liabilities [Member]
Assumed Additional Contingent Purchase Price Liabilities [Member]
Assumed Additional Contingent Purchase Price Liabilities [Member]
Business Acquisition [Axis]
Business Acquisition [Axis]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Mediscan [Member]
Mediscan [Member]
Mediscan [Member]
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Contingent consideration, range of outcomes, high
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High
Contingent liability paid
Payments for Previous Acquisition
Operating lease, future minimum payments due
Lessee, Operating Lease, Disclosure [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]
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/Settlements
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 adjustment
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings
Ending balance
Term Loan [Member]
Long-term Debt, Fiscal Year Maturity [Abstract]
Long-term Debt, Fiscal Year Maturity [Abstract]
2018
Long-term Debt, Maturities, Repayments of Principal, Remainder of Fiscal Year
2019
Long-term Debt, Maturities, Repayments of Principal in Year Two
2020
Long-term Debt, Maturities, Repayments of Principal in Year Three
2021
Long-term Debt, Maturities, Repayments of Principal in Year Four
2022
Long-term Debt, Maturities, Repayments of Principal in Year Five
Thereafter
Long-term Debt, Maturities, Repayments of Principal after Year Five
Total
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Subsequent Event [Member]
Subsequent Event [Member]
Credit Facility [Axis]
Credit Facility [Axis]
Credit Facility [Domain]
Credit Facility [Domain]
Revolving Credit Facility [Member]
Revolving Credit Facility [Member]
Line of Credit [Member]
Line of Credit [Member]
Amended And Restated Credit Agreement [Member]
Amended And Restated Credit Agreement [Member]
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]
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 September 30, 2018 through June 30, 2019 [Member]
Fiscal Quarters Ending September 30, 2018 through June 30, 2019 [Member]
Fiscal Quarters Ending September 30, 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]
Each Fiscal Quarter Ending Thereafter [Member]
Each Fiscal Quarter Ending Thereafter [Member]
Each Fiscal Quarter Ending Thereafter [Member]
Maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Sub facility for swingline loans
Line Of Credit Facility, Sub Facility For Swingline Loans
Line Of Credit Facility, Sub Facility For Swingline Loans
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.
Additional capacity
Line Of Credit Facility, Additional Capacity
Line Of Credit Facility, Additional Capacity
Payment for debt prepayment
Payment For Debt Prepayment
Payment For Debt Prepayment
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
Number of financial covenants
Number of Financial Covenants
Number of Financial Covenants
Consolidated fixed charge coverage ratio
Debt Covenant, Consolidated Fixed Charge Coverage Ratio
Debt Covenant, Consolidated Fixed Charge Coverage Ratio
Consolidated total leverage ratio
Debt Covenant, Consolidated Total Leverage Ratio
calculated as total Indebtedness, as defined divided by Adjusted EBITDA as defined
Payment of debt issuance costs
Letters of credit outstanding
Letters of Credit Outstanding, Amount
Line of credit outstanding
Long-term Line of Credit
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 gain on interest rate contracts
Other Comprehensive Income (Loss), Derivatives Qualifying as Hedges, before Tax
Reclassification adjustment to interest expense
Other Comprehensive Income (Loss), Reclassification Adjustment from AOCI on Derivatives, 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 benefit related to foreign currency translation adjustments
Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Tax
Income tax expense related to unrealized gain on interest rate contracts
Other Comprehensive Income (Loss), Derivatives Qualifying as Hedges, Tax
Income tax expense related to reclassification adjustment to interest expense
Other Comprehensive Income (Loss), Reclassification Adjustment from AOCI on Derivatives, Tax
Taxes on other comprehensive income
Other Comprehensive Income (Loss), Tax
Other comprehensive income (loss), net of tax
Other Comprehensive Income (Loss), Net of Tax
Comprehensive income
Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest
Comprehensive (loss) income attributable to common shareholders
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Derivative [Table]
Derivative [Table]
Derivative [Line Items]
Derivative [Line Items]
Interest rate swap fixed rate percentage
Derivative, Fixed Interest Rate
Notional amount
Derivative, Notional Amount
Percentage of debt balance with fixed interest rate
Long-term Debt, Percentage Bearing Fixed Interest, Percentage Rate
Fair value of derivative asset
Numerator:
Net Income (Loss) Available to Common Stockholders, Diluted [Abstract]
Net (loss) income attributable to common shareholders - Basic
Net Income (Loss) Available to Common Stockholders, Basic
Interest on Convertible Notes
Interest on Convertible Debt, Net of Tax
Net (loss) income attributable to common shareholders - Diluted
Net Income (Loss) Available to Common Stockholders, Diluted
Denominator:
Weighted Average Number of Shares Outstanding Reconciliation [Abstract]
Weighted average common shares - Basic (shares)
Effective 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
Convertible Notes (shares)
Weighted average common shares - Diluted (shares)
Loss on currency fluctuations
Accumulated Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Net of Tax
Unrealized gain on derivatives
AOCI, Cash Flow Hedge, Cumulative Gain (Loss), after Tax
Income tax impact related to foreign currency translation adjustments
SEGMENT DATA
Segment Reporting Disclosure [Text Block]
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]
Incremental Term Loan [Member]
Incremental Term Loan [Member]
Incremental Term Loan [Member]
Deferred Consideration Transferred [Member]
Deferred Consideration Transferred [Member]
Deferred Consideration Transferred [Member]
Advantage RN, LLC [Member]
Advantage RN, LLC [Member]
Advantage RN, LLC [Member]
Cash consideration
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
Escrow payment related to tax liabilities
Payments To Acquire Businesses, Escrow, Portion Related To Tax Liabilities
Payments To Acquire Businesses, Escrow, Portion Related To Tax Liabilities
Escrow payment related to post-close liabilities
Payments To Acquire Businesses, Escrow, Portion Related To Post-Close Liabilities
Payments To Acquire Businesses, Escrow, Portion Related To Post-Close Liabilities
Release of escrow to seller
Business Combination, Escrow Deposit Release
Business Combination, Escrow Deposit Release
Escrow deposit related to tax liabilities
Business Combination, Escrow Deposit Related To Tax Liabilities
Business Combination, Escrow Deposit Related To Tax Liabilities
Consideration transferred, available cash
Business Combination, Consideration Transferred, Portion Funded With Cash On Hand
Business Combination, Consideration Transferred, Portion Funded With Cash On Hand
2018
Operating Leases, Future Minimum Payments, Remainder of Fiscal Year
2019
Operating Leases, Future Minimum Payments, Due in Two Years
2020
Operating Leases, Future Minimum Payments, Due in Three Years
2021
Operating Leases, Future Minimum Payments, Due in Four Years
2022
Operating Leases, Future Minimum Payments, Due in Five Years
Thereafter
Operating Leases, Future Minimum Payments, Due Thereafter
Total