Staying Ahead of the Curve in Allied Health

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1 Tuesday, Oct. 16 2:00 pm Ironwood 7 Concurrent Session: Skills Track Staying Ahead of the Curve in Allied Health Moderator: Robert Balicki, Research Analyst, Staffing Industry Analysts Panelists: Michael Berthelette, VP, Community Outreach and Education, Allied Health Media Kim Ozias Jones, President, RehabAbilities Ron Murphy, VP, Travel Allied, Supplemental Health Care Landry Seedig, SVP & GM, Allied, AMN Healthcare

2 Agenda 45 minutes: Panel discussion - Overview of allied market, big picture - Discussion of survey results 15 minutes: Audience Q&A The audio from this panel is being recorded, so please wait until Andrew Karpie hands you the microphone to ask your question

3 Where does this data come from? A benchmarking survey of allied staffing firms A survey of healthcare staffing buyers Public documents, transcripts, etc. Conversations with allied staffing professionals

4 Surveys: extra detail Survey of allied staffing firms: - 11 companies participated - $452 million in annualized revenue - Periods covered: 1H12 vs. 1H11 Survey of healthcare buyers - Data from 70 firms - At least $5.7bn in total contingent spend

5 What occupations are in allied health? PT physical therapist OT occupation therapist MT medical technician ST speech therapist RT respiratory therapist Ph - pharmacist 1H12 revenue mix PT OT MT PTA ST OTA/COTA RT Ph 18% 12% 9% 6% 5% 3% 2% 29% Other 15% Source: 2012 Allied Benchmarking Survey

6 Where are allied health professionals placed? Acute care centers: hospitals SNF: skilled nursing facilities Outpatient Other

7 How large is the market? Allied market size, billions of dollars $2.4 $2.6 $2.9 $3.2 $3.4 $2.6 $2.4 $2.7 $2.9 $ (E) 2005 (E) 2006 (E) 2007 (E) 2008 (E) 2009 (E) 2010 (E) 2011 (E)2012 (P) 2013 (P) Source: September 2012 Forecast Update

8 Allied vs. other healthcare segments Y/Y growth in healthcare staffing, by segment 30% 20% 10% 0% -10% % -30% -40% -50% Travel nursing Per diem nursing Locum tenens Allied Source: September 2012 Forecast Update

9 Reasons for shortage of allied professionals

10 Use of VMS is spreading VMS penetration in total allied 75% Median 31% 32% 38% 32% 38% 25% 13% Aggregate 13% 31% Aggregate 25% Median 75% Source: 2012 Allied Benchmarking Survey

11 Revenue and volume growth: 1H12 vs. 1H11 Aggregate volume and revenue growth Total Physical therapists (PT) Occupational therapists (OT) PT assistants Speech therapists/speech pathologists OT assistants/cota Respiratory therapists Pharmacists -16% -10% -1% -1% -3% -2% -1% -1% 10% 8% 10% 10% 10% 10% 15% 15% Revenue Volume Source: 2012 Allied Benchmarking Survey

12 Bill and pay rates Aggregate bill and pay rates Total Physical therapists (PT) Occupational therapists (OT) PT assistants Speech therapists/speech pathologists OT assistants/cota Respiratory therapists Pharmacists Bill rate Pay rate $32 $35 $35 $28 $36 $22 $27 $62 $66 $66 $54 $67 $53 $50 $68 $46 Source: 2012 Allied Benchmarking Survey

13 How hard is each occupation to recruit? Average recruiting difficulty Speech therapists/speech pathologists Physical therapists (PT) Occupational therapists (OT) PT assistants OT assistants/cota Pharmacists Respiratory therapists 2.4 Source: 2012 Allied Benchmarking Survey

14 Physical therapists 1H2012 bill rate $66 1H2012 pay rate $35 Aggregate revenue growth 15% Aggregate volume growth 15% Bill rate growth 0% Pay rate growth -3% BLS: 2010 median pay $37 BLS: Number of jobs, ,000 BLS: employment growth, 2020 vs % Median % contingent: PTOT 20% Source: 2012 Allied Benchmarking Survey, Bureau of Labor Statistics, 2012 Contingent Buyer Survey

15 Occupational therapists 1H2012 bill rate $66 1H2012 pay rate $35 Aggregate revenue growth 10% Aggregate volume growth 10% Bill rate growth 0% Pay rate growth -2% BLS: 2010 median pay $35 BLS: Number of jobs, ,000 BLS: employment growth, 2020 vs % Median % contingent: PTOT 20% Source: 2012 Allied Benchmarking Survey, Bureau of Labor Statistics, 2012 Contingent Buyer Survey

16 PT assistants 1H2012 bill rate $54 1H2012 pay rate $28 Aggregate revenue growth -1% Aggregate volume growth -1% Bill rate growth 0% Pay rate growth -3% BLS: 2010 median pay $18 BLS: Number of jobs, ,000 BLS: employment growth, 2020 vs % Source: 2012 Allied Benchmarking Survey, Bureau of Labor Statistics

17 Speech therapists 1H2012 bill rate $67 1H2012 pay rate $36 Aggregate revenue growth -1% Aggregate volume growth -1% Bill rate growth -1% Pay rate growth 2% BLS: 2010 median pay $32 BLS: Number of jobs, ,000 BLS: employment growth, 2020 vs % Source: 2012 Allied Benchmarking Survey, Bureau of Labor Statistics

18 Occupational therapy assistants 1H2012 bill rate $53 1H2012 pay rate $22 Aggregate revenue growth -1% Aggregate volume growth -1% Bill rate growth -1% Pay rate growth BLS: 2010 median pay $23 BLS: Number of jobs, ,000 BLS: employment growth, 2020 vs % Source: 2012 Allied Benchmarking Survey, Bureau of Labor Statistics

19 Respiratory therapists 1H2012 bill rate $50 1H2012 pay rate $27 Aggregate revenue growth -16% Aggregate volume growth -10% Bill rate growth -6% Pay rate growth -5% BLS: 2010 median pay $26 BLS: Number of jobs, ,000 BLS: employment growth, 2020 vs % Source: 2012 Allied Benchmarking Survey, Bureau of Labor Statistics

20 Pharmacists 1H2012 bill rate $68 1H2012 pay rate $46 Aggregate revenue growth 10% Aggregate volume growth 10% Bill rate growth 0% Pay rate growth 2% BLS: 2010 median pay $54 BLS: Number of jobs, ,000 BLS: employment growth, 2020 vs % Source: 2012 Allied Benchmarking Survey, Bureau of Labor Statistics

21 Give Us Immediate Feedback Concurrent Session: Skills Track Staying Ahead of the Curve in Allied Health Please grade your satisfaction with this session on a scale from A (highest) to F (lowest) by texting your grade to # A B C D F

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