EXHIBIT 10.33

                  SUPPLEMENT TO SUBSIDIARY GUARANTEE AGREEMENT
                  --------------------------------------------

                                    SUPPLEMENT NO. 11 dated as of December 30,
                           2004, to the SUBSIDIARY GUARANTEE AGREEMENT dated as
                           of December 16, 1999, among each of the subsidiaries
                           listed on Schedule I thereto (each such subsidiary
                           individually, a "SUBSIDIARY GUARANTOR" and
                           collectively, the "SUBSIDIARY GUARANTORS") of CROSS
                           COUNTRY HEALTHCARE, INC. (f/k/a Cross Country, Inc.),
                           a Delaware corporation (the "BORROWER"), and CITICORP
                           USA, INC. ("CITICORP"), as collateral agent (the
                           "COLLATERAL AGENT") for the Obligees (as defined in
                           the Credit Agreement referred to below).

         A. Reference is made to (a) the Credit Agreement dated as of July 29,
1999, as amended and restated as of December 16, 1999, March 16, 2001 and June
5, 2003 (as amended, supplemented or otherwise modified from time to time, the
"CREDIT AGREEMENT"), among the Borrower, the Lenders (as defined in Article I
thereof), Citigroup Global Markets Inc., as sole bookrunner and joint lead
arranger, Wachovia Securities LLC, as joint lead arranger (together with
Citigroup Global Markets Inc., in such capacity, the "ARRANGERS"), Citicorp USA,
Inc., as issuing bank (in such capacity, the "ISSUING BANK"), as swingline
lender (in such capacity, the "SWINGLINE LENDER"), as administrative agent for
the Lenders (in such capacity, the "ADMINISTRATIVE AGENT") and as collateral
agent for the Lenders (in such capacity the "COLLATERAL AGENT"), Wachovia Bank,
National Association, as syndication agent (the "SYNDICATION AGENT"), and
General Electric Capital Corporation, Key Corporate Capital Inc., LaSalle Bank
N.A. and SunTrust Bank, as documentation agents (the "DOCUMENTATION AGENTS") and
(b) the form of Subsidiary Guarantee Agreement annexed to the Credit Agreement
as Exhibit G (as amended, supplemented or otherwise modified from time to time,
the "SUBSIDIARY GUARANTEE AGREEMENT").

         B. Capitalized terms used and not otherwise defined herein are used
with the meanings assigned to such terms in the Subsidiary Guarantee Agreement
and the Credit Agreement.

         C. The Guarantors have entered into the Subsidiary Guarantee Agreement
in order to induce the Lenders to make Loans and the Issuing Bank to issue
Letters of Credit. Pursuant to Section 5.10 of the Credit Agreement, each
Subsidiary (other than any Foreign Subsidiary) that was not in existence or not
a Subsidiary on the Original Closing Date is required to enter into the
Subsidiary Guarantee Agreement as a Subsidiary Guarantor upon becoming a
Subsidiary. Section 20 of the Subsidiary Guarantee Agreement provides that
additional Subsidiaries may become Subsidiary Guarantors under the Subsidiary
Guarantee Agreement by execution and delivery of an instrument in the form of
this Supplement. The undersigned Subsidiary of the Company

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(the "NEW SUBSIDIARY GUARANTORS") is executing this Supplement in accordance
with the requirements of the Credit Agreement to become a Subsidiary Guarantor
under the Subsidiary Guarantee Agreement in order to induce the Lenders to make
additional Loans and the Issuing Bank to issue additional Letters of Credit and
as consideration for Loans previously made and Letters of Credit previously
issued.

         Accordingly, the Collateral Agent and the New Subsidiary Guarantor
agree as follows:

         SECTION 1. In accordance with Section 20 of the Subsidiary Guarantee
Agreement, the New Subsidiary Guarantor by its signature below becomes a
Subsidiary Guarantor under the Subsidiary Guarantee Agreement with the same
force and effect as if originally named therein as a Subsidiary Guarantor and
the New Subsidiary Guarantor hereby (a) agrees to all the terms and provisions
of the Subsidiary Guarantee Agreement applicable to it as a Subsidiary Guarantor
thereunder and (b) represents and warrants that the representations and
warranties made by it as a Subsidiary Guarantor thereunder are true and correct
on and as of the date hereof. Each reference to a "SUBSIDIARY GUARANTOR" or
"GUARANTOR" in the Subsidiary Guarantee Agreement shall be deemed to include the
New Subsidiary Guarantor. The Subsidiary Guarantee Agreement is hereby
incorporated herein by reference.

         SECTION 2. The New Subsidiary Guarantor represents and warrants to the
Collateral Agent and the other Obligees that this Supplement has been duly
authorized, executed and delivered by each of them and constitutes its legal,
valid and binding obligation, enforceable against each of them in accordance
with its terms.

         SECTION 3. This Supplement may be executed in counterparts, each of
which shall constitute an original, but all of which when taken together shall
constitute a single contract. This Supplement shall become effective when the
Collateral Agent shall have received counterparts of this Supplement that, when
taken together, bear the signatures of the New Subsidiary Guarantor and the
Collateral Agent. Delivery of an executed signature page to this Supplement by
facsimile transmission shall be as effective as delivery of a manually executed
counterpart of this Supplement.

         SECTION 4. Except as expressly supplemented hereby, the Subsidiary
Guarantee Agreement shall remain in full force and effect.

         SECTION 5. THIS SUPPLEMENT SHALL BE GOVERNED BY, AND CONSTRUED IN
ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.

         SECTION 6. In case any one or more of the provisions contained in this
Supplement should be held invalid, illegal or unenforceable in any respect, the
validity, legality and enforceability of the remaining provisions contained
herein and in the Subsidiary Guarantee Agreement shall not in any way be
affected or impaired thereby (it being understood that the invalidity of a
particular provision hereof in a particular


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jurisdiction shall not in and of itself affect the validity of such provision in
any other jurisdiction). The parties hereto shall endeavor in good-faith
negotiations to replace the invalid, illegal or unenforceable provisions with
valid provisions the economic effect of which comes as close as possible to that
of the invalid, illegal or unenforceable provisions.

         SECTION 7. All communications and notices hereunder shall be in writing
and given as provided in Section 14 of the Subsidiary Guarantee Agreement. All
communications and notices hereunder to the New Subsidiary Guarantor shall be
given to it at the address set forth under its signature below, with a copy to
the Company.

         SECTION 8. The New Subsidiary Guarantor agrees to reimburse the
Collateral Agent for its out-of-pocket expenses in connection with this
Supplement, including the fees, disbursements and other charges of counsel for
the Collateral Agent.

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                  IN WITNESS WHEREOF, the New Subsidiary Guarantor and the
Collateral Agent have duly executed this Supplement to the Subsidiary Guarantee
Agreement as of the day and year first above written.

                                  CROSS COUNTRY CAPITAL, INC.,
                                  a Delaware corporation,

                                       By   /s/ Emil Hensel
                                            ------------------------------------
                                            Name:    Emil Hensel
                                            Title:   Chairman

                                  Address:        Delaware Trust Capital
                                                  Management, Inc.
                                                  300 Delaware Ave., Suite 2016
                                                  Wilmington, DE 19801
                                                  Attn: Darryl Smith


                                  CITICORP USA, INC., as Collateral Agent,

                                       By   /s/ Illegible
                                            ------------------------------------
                                            Name:    Citicorp USA
                                            Title:   Collateral Agent