Document:

EXHIBIT 10.41

                  SUPPLEMENT TO SUBSIDIARY GUARANTEE AGREEMENT
                  --------------------------------------------
                                    SUPPLEMENT NO. 13 dated as of February 7,
                           2005, 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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                                                                               4

                  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.

                                       HEALTHSTAFFERS, INC.,
                                       a Delaware corporation,

                                       By       /s/ Susan Ball
                                                --------------------------------
                                                Name:    Susan Ball
                                                Title: Assistant Secretary

                                       Address: 6551 Park of Commerce Blvd, N.W.
                                                Boca Raton, Florida 33487

                                       CITICORP USA, INC., as Collateral Agent,
                                            By  /s/ Allen Fisher
                                                --------------------------------
                                                 Name:  Allen Fisher
                                                 Title: Vice PresidentEXHIBIT 10.42

                        SUPPLEMENT TO SECURITY AGREEMENT
                        --------------------------------

                                    SUPPLEMENT NO. 13 (this "SUPPLEMENT") dated
                           as of February 7, 2005, to the SECURITY AGREEMENT
                           dated as of July 29, 1999, as subsequently amended
                           and restated, among CROSS COUNTRY HEALTHCARE, INC.
                           (f/k/a Cross Country, Inc.), a Delaware corporation
                           (the "BORROWER"), and CITICORP USA, INC.
                           ("CITICORP"), as collateral agent (in such capacity,
                           the "COLLATERAL AGENT") for the Obligees (as defined
                           herein).

         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 Security Agreement annexed to the Credit Agreement as Exhibit H
as amended, supplemented or otherwise modified from time to time (the "SECURITY
AGREEMENT").

         B. Capitalized terms used herein and not otherwise defined herein shall
have the meanings assigned to such terms in the Security Agreement and the
Credit Agreement.

         C. The Grantors have entered into the Security Agreement in order to
induce the Lenders to make Loans and the Issuing Bank to issue Letters of
Credit. Section 7.15 of the Security Agreement provides that additional
Subsidiaries may become Grantors under the Security Agreement by execution and
delivery of an instrument in the form of this Supplement. The undersigned
Subsidiary (the "NEW GRANTOR") is executing this Supplement in accordance with
the requirements of the Credit Agreement to become a Grantor under the Security
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 Grantor agree as
follows:

                  SECTION 1. In accordance with Section 7.15 of the Security
Agreement, the New Grantor by its signature below becomes a Grantor under the
Security Agreement with the same force and effect as if originally named therein
as a Grantor and the New Grantor hereby (a) agrees to all the terms and
provisions of the Security Agreement applicable to it as a Grantor thereunder
and (b) represents and warrants that the

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                                                                               2

representations and warranties made by it as a Grantor thereunder are true and
correct on and as of the date hereof. In furtherance of the foregoing, the New
Grantor, as security for the payment and performance in full of the Obligations
(as defined in the Credit Agreement), does hereby create and grant to the
Collateral Agent, its successors and assigns, for the benefit of the Obligees,
their successors and assigns, a security interest in and lien on all of the New
Grantor's right, title and interest in and to the Collateral (as defined in the
Security Agreement) of the New Grantor. Each reference to a "GRANTOR" in the
Security Agreement shall be deemed to include the New Grantor. The Security
Agreement is hereby incorporated herein by reference.

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

                  SECTION 3. This Supplement may be executed in counterparts
(and by different parties hereto on different 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 Grantor 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 signed counterpart
of this Supplement.

                  SECTION 4. The New Grantor hereby represents and warrants that
(a) set forth on Schedule I attached hereto is a true and correct schedule of
the location of any and all Collateral of it and a listing of any and all
Intellectual Property now owned by the New Grantor and (b) the true and correct
location of the chief executive office of the New Grantor is set forth under its
signature hereto.

                  SECTION 5. Except as expressly supplemented hereby, the
Security Agreement shall remain in full force and effect. 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 Security Agreement shall not in any way be affected
or impaired thereby (it being understood that the invalidity of a particular
provision in a particular 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.

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                                                                               3

                  SECTION 7. All communications and notices hereunder shall be
in writing and given as provided in Section 7.01 of the Security Agreement. All
communications and notices hereunder to the New Grantor shall be given to it in
care of the Borrower.

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

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                                                                               4

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

                                     HEALTHSTAFFERS, INC.,
                                     a Delaware corporation,

                                          By   /s/ Susan Ball
                                               ---------------------------------
                                               Name:  Susan Ball
                                               Title: Assistant Secretary

                                     Address:  6551 Park of Commerce Blvd, N.W.
                                               Boca Raton, Florida 33487

                                     CITICORP USA, INC., as Collateral Agent,

                                          By   /s/ Allen Fisher
                                               ---------------------------------
                                               Name:    Allen Fisher
                                               Title: Vice President

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                                                                      SCHEDULE I
                                                            to Supplement No. 13
                                                       to the Security Agreement

                             LOCATION OF COLLATERAL
                             ----------------------

1.       Location of Collateral
         ----------------------

         6551 Park of Commerce Blvd, N.W.
         Boca Raton, Florida 33487

2.       Chief Executive Office
         ----------------------

         6551 Park of Commerce Blvd, N.W.
         Boca Raton, Florida 33487

                              INTELLECTUAL PROPERTY
                              ---------------------

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