Forecast and Outlook for Healthcare Staffing

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1 Wednesday, Oct. 17 3:30 pm Ironwood 8 Keynote Panel: Forecast and Outlook for Healthcare Staffing Moderator: Barry Asin, President, Staffing Industry Analysts Panelists: Tony Gregoire, Sr. Research Analyst, Staffing Industry Analysts Jon Osborne, VP, Research & Editorial, Staffing Industry Analysts

2 Agenda Where We Are Today Heard at the Healthcare Summit Trends and Long Term Outlook Healthcare Staffing Forecast Questions and Answers

3 Healthcare Industry Job Growth 50 Healthcare Industry Monthly Job Growth (000) Recession Monthly Job Growth 6-month average Source: Bureau of Labor Statistics and Staffing Industry Analysts

4 Healthcare Quits Rising Again Y/Y % Change in Healthcare Quits 30% 20% 10% 0% % -20% -30% -40% Recession Y/Y change in healthcare quits 3-month moving average Source: Bureau of Labor Statistics, JOLTS data

5 Pulse Survey Aggregate Revenue Growth Healthcare Staffing 30% 20% 10% 0% -10% J A S O N D J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A % -30% -40% Source: Staffing Industry Analysts Monthly Pulse Survey

6 Largest Healthcare Staffing Firms Top 5 Market Share 2005 = 25% 2011 = 30% Largest healthcare staffing firms in the U.S. Ranked by estimated 2011 U.S. temporary staffing revenue 2011 U.S. Staffing Revenue ($million) Market Share Rank Company 1 AMN Healthcare Services $848 10% 2 CHG Healthcare Services $597 7% 3 Jackson Healthcare $399 5% 4 Cross Country Healthcare $398 5% 5 Medical Staffing Network $302 4% 6 Maxim Healthcare Services $298 3% 7 Team Health $210 2% 8 Supplemental Healthcare $189 2% 9 On Assignment $171 2% 10 Aureus Medical Group (C&A Industries) $151 2% 11 Soliant Health (Adecco) $135 2% 12 CareerStaff (Sun Healthcare Group) $89 1% 13 Favorite Healthcare Staffing $84 1% 14 Kforce $68 1% 15 ATC Healthcare $65 1% 16 The Delta Companies $52 1% 17 Reliant Healthcare $50 1% Total $4,106 48% Source: Staffing Industry Analysts 2012 Book of Lists

7 Public Company Revenue Growth Source: Company Reports and Staffing Industry Analysts

8 Public Company Gross Margins Source: Company Reports and Staffing Industry Analysts

9 Pulse Survey Shows Travel Nursing Growth Steady Source: Staffing Industry Analysts Monthly Pulse Survey

10 Pulse Shows Per Diem Nursing Growing Slowly Source: Staffing Industry Analysts Monthly Pulse Survey

11 Allied Benchmark Survey Revenue Mix Over $450M in Annualized Revenue (15% of the market) Source: SIA 2012 Allied Health Benchmarking Analysis

12 Allied Benchmark Survey Revenue Growth Allied Benchmark Survey 2012 Revenue Growth by Specialty Source: SIA 2012 Allied Health Benchmarking Analysis

13 Allied Health Growing in High Single Digits in the Pulse Survey Source: Staffing Industry Analysts Monthly Pulse Survey

14 SIA NALTO Locum Tenens Benchmark Survey Sample Data collected from 16 companies representing nearly $1 billion in annualized revenue (47% of market) Source: Staffing Industry Analysts NALTO 1H12 Locum Tenens Benchmarking Survey

15 Benchmark Suggests a Broad Distribution of Growth Rates in Locums for 2012 Source: Staffing Industry Analysts NALTO 1H12 Locum Tenens Benchmarking Survey

16 Locums Results Vary by Segment Source: Staffing Industry Analysts/NALTO 1H 2012 Locum Tenens Benchmark Survey

17 Agenda Where We Are Today Heard at the Healthcare Summit Trends and Long Term Outlook Healthcare Staffing Forecast Questions and Answers

18 Heard at the Healthcare Staffing Summit

19 Agenda Where We Are Today Heard at the Healthcare Summit Trends and Long Term Outlook Healthcare Staffing Forecast Questions and Answers

20 Healthcare Staffing Trends and Long Term Outlook Ongoing growth in healthcare workforce Changing mix of healthcare skills Health IT Tax challenges and opportunities Evolving management strategies

21 Healthcare Occupation Categories Among Top 3 Fastest Projected Growing Over the Next Decade Employment Change, New jobs Percent Healthcare Support Occupations 4,190 5,634 1,444 35% Personal Care and Service Occupations 4,995 6,331 1,337 27% Healthcare Practitioners and Technical Occupations 7,799 9,819 2,020 26% Community and Social Service Occupations 2,403 2, % Construction and Extraction Occupations 6,328 7,735 1,407 22% Computer and Mathematical Occupations 3,543 4, % Business and Financial Operations Occupations 6,789 7,962 1,173 17% Life, Physical, and Social Science Occupations 1,229 1, % Education, Training, and Library Occupations 9,194 10,597 1,404 15% Transportation and Material Moving Occupations 9,005 10,333 1,329 15% Installation, Maintenance, and Repair Occupations 5,429 6, % Arts, Design, Entertainment, Sports, and Media Occupations 2,709 3, % Sales and Related Occupations 14,916 16,785 1,869 13% Building and Grounds Cleaning and Maintenance Occupations 5,499 6, % Protective Service Occupations 3,303 3, % Legal Occupations 1,212 1, % Architecture and Engineering Occupations 2,433 2, % Office and Administrative Support Occupations 22,603 24,938 2,336 10% Food Preparation and Serving Related Occupations 11,150 12,243 1,093 10% Management Occupations 8,776 9, % Production Occupations 8,594 8, % Farming, Fishing, and Forestry Occupations % Total, All Occupations 143, ,537 20,469 14% Source: Employment Projections Program, U.S. Department of Labor, U.S. Bureau of Labor Statistics

22 8 of Top 30 Occupations With Most Job Growth are Projected in Healthcare Employment Change, Rank Occupation New jobs Percent 1 Registered Nurses 2, , Home Health Aides 1, , Personal Care Aides , Nursing Aides, Orderlies 1, , Medical Secretaries LPN and Licensed Vocational Nurses Physicians and Surgeons Medical Assistants Source: Employment Projections Program, U.S. Department of Labor, U.S. Bureau of Labor Statistics

23 Most Healthcare Workers Outside of Hospital Setting Healthcare Employment % by Setting Source: Bureau of Labor Statistics September 2012

24 Ambulatory Continues to Dominate Healthcare Job Growth Source: Bureau of Labor Statistics September 2012

25 Locums and Allied Now a Majority of Healthcare Staffing Industry Revenue Source: Staffing Industry Analysts Forecast September 2012

26 Health IT

27 Tax Challenges and Opportunities Travel Reimbursements/Tax-Advantage Plans Independent Contractor Status Independent Contractor Compliance

28 Management Strategies Used by Healthcare Staffing Buyers Source: Staffing Industry Analysts 2012 Healthcare Buyer Survey

29 Healthcare Suppliers Most Averse to VMS and MSP Source: Staffing Industry Analysts 2012 VMS/MSP Customer Experience Report

30 Agenda Where We Are Today Heard at the Healthcare Summit Trends and Long Term Outlook Healthcare Staffing Forecast Questions and Answers

31 Healthcare Staffing Revenue Growth Forecast 13% 9% 8% 2010 (E) 2011 (E) 2012 (P) 2013 (P) -7% Source: Staffing Industry Analysts September 2012 Forecast

32 Segment Growth Forecast Source: Staffing Industry Analysts September 2012 Forecast

33 Questions?

34 Save the Date! Healthcare Staffing Summit 2013 October 23 25, 2013 Fairmont Millennium Park Chicago, IL

35 Wednesday, Oct. 17 3:30 pm Ironwood 8 Keynote Panel: Forecast and Outlook for Healthcare Staffing Moderator: Barry Asin, President, Staffing Industry Analysts Panelists: Tony Gregoire, Sr. Research Analyst, Staffing Industry Analysts Jon Osborne, VP, Research & Editorial, Staffing Industry Analysts

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