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Largest US healthcare staffing firms list includes 49 firms, $12.7 billion in revenue: SIA

September 16, 2019

A total of 49 staffing firms generated at least $50 million each in US healthcare staffing revenue in 2018, according to Staffing Industry Analysts' estimates in its report, “Largest Healthcare Staffing Firms in the US: 2019 Update.” Combined, these firms generated $12.7 billion in such revenue and comprised 75% of the market.

AMN Healthcare Services Inc. (NYSE: AHS) retained its place as the largest healthcare staffing firm in the US, followed by CHG Healthcare. Jackson Healthcare moved into the third spot following its acquisition of Avant Healthcare in the fourth quarter of 2017.

Medical Solutions also moved into the top-five with revenue from its 2018 acquisition of PPR. The firm has also announced plans to acquire C&A Industries.

AMN’s revenue does not include revenue from its acquisition of Advanced Medical Personnel Services in the second quarter of this year.

The five largest healthcare staffing firms in the US and their estimated 2018 staffing revenue are:

  1. AMN Healthcare: $2.00 billion, 12% market share
  2. CHG Healthcare Services: $1.66 billion, 10% market share
  3. Jackson Healthcare: $1.00 billion, 6% market share
  4. Cross Country Healthcare: $807 million, 5% market share
  5. Medical Solutions: $506 million, 3% market share

Five companies qualified for this year’s ranking that did not appear in last year’s list: AB Staffing Solutions, GrapeTree Medical Staffing, MAS Medical Staffing, MedPro Healthcare Staffing and OneStaff Medical.

The report also provides four rankings of the largest firms in each healthcare subsegment: travel nurse, per diem nurse, locum tenens and allied healthcare.

By sub-segment, AMN Healthcare also ranked as the largest travel nurse firm and the largest allied healthcare staffing firm.

CHG Healthcare Services ranked as the largest locum tenens firm in the US, holding 37% market share in locum tenens by SIA estimates.

HealthTrust Workforce Solutions ranked as the largest per diem nursing firm with $250 million in estimated 2018 US per diem nurse temporary staffing revenue, a 7% market share; Cross Country Healthcare also held 7% market share with $242 million in such revenue.

Staffing Industry Analysts ranked companies by revenue, according to industry custom, but this ranking should not be taken to imply that a firm with a higher rank provides better service or more value to its shareholders.

SIA corporate members can download the full report online.


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