Keynote Panel: Forecast and Outlook for Healthcare Staffing · Healthcare Practitioners and...

© 2012 Crain Communications Inc

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

Keynote Panel:

Wednesday, Oct. 17 | 3:30 pm | Ironwood 8


Agenda

Where We Are TodayHeard at the Healthcare SummitTrends and Long Term OutlookHealthcare Staffing ForecastQuestions and Answers


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1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Recession Monthly Job Growth 6-month average

Healthcare Industry Monthly Job Growth(000)

Healthcare Industry Job Growth

Source: Bureau of Labor Statistics and Staffing Industry Analysts


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2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Recession Y/Y change in healthcare quits 3-month moving average

Y/Y % Change in Healthcare Quits

Healthcare “Quits” Rising Again

Source: Bureau of Labor Statistics, JOLTS data


Pulse Survey Aggregate Revenue Growth – Healthcare Staffing

Source: Staffing Industry Analysts Monthly Pulse Survey

-40%

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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

2010 2011 2012


Largest Healthcare Staffing Firms

Top 5 Market Share2005 = 25%2011 = 30%

Ranked by estimated 2011 U.S. temporary staffing revenue

Rank Company

2011 U.S. Staffing

Revenue ($million)

Market Share

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%

Largest healthcare staffing firms in the U.S.

Source: Staffing Industry Analysts 2012 Book of Lists


Public Company Revenue Growth

Source: Company Reports and Staffing Industry Analysts


Public Company Gross Margins

Source: Company Reports and Staffing Industry Analysts


Pulse Survey Shows Travel Nursing Growth Steady



Pulse Shows Per Diem Nursing Growing Slowly



Allied Benchmark Survey Revenue Mix

Source: SIA 2012 Allied Health Benchmarking Analysis

Over $450M in Annualized Revenue (15% of the market)


Allied Benchmark Survey Revenue Growth

Allied Benchmark Survey 2012 Revenue Growth by Specialty

Source: SIA 2012 Allied Health Benchmarking Analysis


Allied Health Growing in High Single Digits in the Pulse Survey



SIA NALTO Locum Tenens Benchmark Survey Sample

Source: Staffing Industry Analysts NALTO 1H12 Locum Tenens Benchmarking Survey

Data collected from 16 companies representing nearly $1 billion in annualized revenue (47% of market)


Benchmark Suggests a Broad Distribution of Growth Rates in Locums for 2012

Source: Staffing Industry Analysts NALTO 1H12 Locum Tenens Benchmarking Survey


Locums Results Vary by Segment

Source: Staffing Industry Analysts/NALTO 1H 2012 Locum Tenens Benchmark Survey


Agenda



Heard at the Healthcare

StaffingSummit


Agenda



Healthcare Staffing Trends and Long Term Outlook

Ongoing growth in healthcare workforceChanging mix of healthcare skillsHealth ITTax challenges and opportunitiesEvolving management strategies


Healthcare Occupation Categories Among Top 3 Fastest Projected Growing Over the Next Decade

Source: Employment Projections Program, U.S. Department of Labor, U.S. Bureau of Labor Statistics

2010 2020 New jobs PercentHealthcare 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 2,985 582 24%Construction and Extraction Occupations 6,328 7,735 1,407 22%Computer and Mathematical Occupations 3,543 4,321 778 22%Business and Financial Operations Occupations 6,789 7,962 1,173 17%Life, Physical, and Social Science Occupations 1,229 1,420 191 16%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 6,229 800 15%Arts, Design, Entertainment, Sports, and Media Occupations 2,709 3,051 343 13%Sales and Related Occupations 14,916 16,785 1,869 13%Building and Grounds Cleaning and Maintenance Occupations 5,499 6,163 664 12%Protective Service Occupations 3,303 3,667 365 11%Legal Occupations 1,212 1,343 131 11%Architecture and Engineering Occupations 2,433 2,686 253 10%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 9,392 616 7%Production Occupations 8,594 8,951 357 4%Farming, Fishing, and Forestry Occupations 972 953 -19 -2%

Total, All Occupations 143,068 163,537 20,469 14%

Employment Change, 2010-20


8 of Top 30 Occupations With Most Job Growth are Projected in Healthcare

Source: Employment Projections Program, U.S. Department of Labor, U.S. Bureau of Labor Statistics

Rank Occupation 2010 2020 New jobs Percent1 Registered Nurses 2,737.4 3,449.3 711.9 26.03 Home Health Aides 1,017.7 1,723.9 706.3 69.44 Personal Care Aides 861.0 1,468.0 607.0 70.5

11 Nursing Aides, Orderlies 1,505.3 1,807.2 302.0 20.121 Medical Secretaries 508.7 718.9 210.2 41.328 LPN and Licensed Vocational Nurses 752.3 920.8 168.5 22.429 Physicians and Surgeons 691.0 859.3 168.3 24.430 Medical Assistants 527.6 690.4 162.9 30.9

Employment Change, 2010-20


Most Healthcare Workers Outside of Hospital Setting

Source: Bureau of Labor Statistics – September 2012

Healthcare Employment % by Setting


Ambulatory Continues to Dominate Healthcare Job Growth

Source: Bureau of Labor Statistics – September 2012


Locums and Allied Now a Majority of Healthcare Staffing Industry Revenue

Source: Staffing Industry Analysts Forecast September 2012


Health IT


Tax Challenges and Opportunities

Travel Reimbursements/Tax-Advantage Plans Independent Contractor Status Independent Contractor Compliance


Management Strategies Used by Healthcare Staffing Buyers

Source: Staffing Industry Analysts 2012 Healthcare Buyer Survey


Healthcare Suppliers Most Averse to VMS and MSP

Source: Staffing Industry Analysts 2012 VMS/MSP Customer Experience Report


Agenda



Source: Staffing Industry Analysts September 2012 Forecast

-7%

13%

9% 8%

2010 (E) 2011 (E) 2012 (P) 2013 (P)

Healthcare Staffing Revenue Growth Forecast


Segment Growth Forecast

Source: Staffing Industry Analysts September 2012 Forecast


Questions?


Save the Date!

Healthcare Staffing Summit 2013October 23 – 25, 2013

Fairmont Millennium ParkChicago, IL


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

Keynote Panel:

Wednesday, Oct. 17 | 3:30 pm | Ironwood 8

Keynote Panel: Forecast and Outlook for Healthcare Staffing · Healthcare Practitioners and...

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