1. Confidential Report – NOT for Distribution | ©2015 by Crain Communications Inc. All rights reserved.
2015 Largest Healthcare
Staffing Firms in the
United States
August 3, 2015
Timothy Landhuis, Research Manager
tlandhuis@staffingindustry.com
North America

2. 2
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electronic, written or verbal – without the express written permission of Staffing Industry Analysts. It is your organization’s responsibility to maintain and protect the confidentiality of this report.
Staffing Industry Analysts | 1975 W. El Camino Real, Ste. 304 | Mountain View, CA 94040 | 800.950.9496 | www.staffingindustry.com
Key Findings:
• We estimate that 34 firms generated at least $50 million in U.S. healthcare temporary staffing
revenue in 2014. Added together, these firms generated $6.5 billion in such revenue in 2014,
accounting for 61% of the market, by our estimates. The complete list of 34 firms can be found
starting on page four of this report.
• This report also contains rankings of the largest staffing firms by revenue in four sub-segments.
We estimate that 21 firms generated at least $25 million in travel nurse revenue, totaling $2.1
billion (86% of the market); 12 firms generated at least $25 million in per diem nurse staffing
revenue, adding to $1.0 billion (37% of the market); ten firms generated at least $25 million in
locum tenens revenue, accounting for $1.9 billion (77% of the market); and 21 firms generated
at least $25 million in allied healthcare staffing, representing $1.5 billion (49% of the market).
• We have ranked companies by revenue, according to 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 owners.
• The market share percentages shown in this report are calculated based on our 2014 U.S.
market size estimates: Travel nurse ($2.4 billion), Per diem nurse ($2.8 billion), Locum tenens
($2.5 billion), Allied healthcare ($3.0 billion), and total Healthcare temporary staffing ($10.7
billion).
• Staffing firms varied in degree of financial transparency, and even when forthcoming with
information, in some cases data provided was adjusted for the sake of consistency. Therefore,
for all firms on this list, the revenue reported is estimated by Staffing Industry Analysts.
• Overall, we believe that this list is accurate and can be used appropriately to get a “big picture”
reading of the U.S. healthcare temporary staffing industry landscape. However, as we are
constantly improving our methodology, this year’s estimate may not be strictly comparable to
those of previous years. For that reason, we did not report prior year revenue in this list.
All of the companies listed were
invited to provide their revenue
numbers via online survey in
February and March 2015. For
firms that did not participate in the
survey, revenue estimates were
based on company reports,
company websites and other
sources. Our lists are of strong
interest to staffing buyers and we
hope those listed will benefit from
the increased buyer awareness.
Firms not on this list that feel they
should have been included are
encouraged to contact Staffing
Industry Analysts, as we will be
releasing a follow‐up briefing for
any late additions. Many thanks to
the staffing firms who offered their
encouragement and assistance in
this year's list process.
2015 Largest Healthcare Staffing Firms in the United States | August 3, 2015
2015 Largest Healthcare Staffing Firms in the United States

3. 3Confidential Report – NOT for Distribution | ©2015 by Crain Communications Inc. All rights reserved.
Notes and observations regarding the largest U.S. healthcare staffing firms
2015 Largest Healthcare Staffing Firms in the United States | August 3, 2015
• AMN Healthcare retained its place as the largest healthcare staffing firm in the United States, with 9% market
share in 2014 by our estimates. AMN Healthcare ranks as the largest travel nurse firm, the largest allied healthcare
staffing firm, the third-largest locum tenens firm, and the fourth-largest per diem nurse staffing firm.
• CHG Healthcare ranks as a very close second-largest healthcare staffing firm by revenue, also with 9% market
share. CHG Healthcare is by far the largest locum tenens firm in the U.S., holding 31% market share in locum
tenens revenue by our estimates. We note that CHG Healthcare has achieved significant organic growth over the
past decade with revenue growth not aided by acquisitions.
• Cross Country Healthcare moved up from fourth-largest on last year’s report to third-largest in major part due to
its acquisition of Medical Staffing Network in 2014. Cross Country Healthcare is now the second-largest travel
nurse firm, the second-largest per diem nurse staffing firm, the fifth largest locum tenens firm, and the fifth largest
allied healthcare firm.
• There were seven companies that qualified for this year’s largest healthcare staffing firms ranking (firms with at
least $50 million in revenue) that did not appear on last year’s list. The companies are (in alphabetical order) Aya
Healthcare, All Medical Personnel, Emerald Health Services, Healthcare Support Staffing, Interim HealthCare, Loyal
Source, and Medix.
• As evidence of the strong growth in demand for travel nurse staffing in 2014, this year’s ranking of the largest
travel nurse firms includes seven firms that generated at least $100 million in travel nurse revenue. In order of
revenue size, the firms are AMN Healthcare, Cross Country Healthcare, Healthcare Staffing Services (Fastaff and
U.S. Nursing Corporation), Medical Solutions, Aya Healthcare, Trustaff, and Aureus Medical Group (C&A Industries).
• We have raised our estimate of the size of the U.S. travel nurse staffing industry in 2014 to $2.4 billion (up from
$2.0 billion in our U.S. Staffing Industry Forecast – April 2015 Update report) based on data collected as part of the
production of this report. Accordingly, our estimate of the U.S. healthcare temporary staffing industry was also
increased to $10.7 billion (up from $10.3 billion in our April forecast report).
• The locum tenens sub-segment remains the segment with the most market share concentration. The ten largest
locum tenens firms hold 77% of the market, and the three largest firms hold more than half of the market (56%).

4. 4Confidential Report – NOT for Distribution | ©2015 by Crain Communications Inc. All rights reserved.
2015 Largest Healthcare Staffing Firms in the United States
2015 Largest Healthcare Staffing Firms in the United States | August 3, 2015
1. Does not include revenue from Locum Leaders and Onward Healthcare, acquired in 1Q15
2. Includes revenue from acquisition of Medical Staffing Network (2Q14)
3. Includes revenue from physician staffing unit (Vista Staffing Solutions) sold to Envision Healthcare in 1Q15
4. Includes revenue from multiple acquisitions completed in 2014
5. Owner of Fastaff Travel Nursing and U.S. Nursing Corporation
Ranked by estimated 2014 U.S. healthcare temporary staffing revenue
Rank Company
2014 U.S. Healthcare
Temporary Staffing
Revenue ($million)
Market
Share
1 AMN Healthcare Services1
991 9%
2 CHG Healthcare Services 912 9%
3 Cross Country Healthcare2
702 7%
4 Jackson Healthcare 530 5%
5 Maxim Healthcare Services 328 3%
6 Parallon Workforce Management Solutions (HCA) 256 2%
7 Supplemental Health Care 218 2%
8 Aureus Medical Group (C&A Industries) 212 2%
9 Soliant Health (Adecco) 180 2%
10 On Assignment3
148 1%
11 Accountable Healthcare Staffing4
137 1%
11 Healthcare Staffing Services5
137 1%
13 Medical Solutions 133 1%
14 Trustaff 128 1%
15 Aya Healthcare 125 1%
16 InGenesis 118 1%
17 Favorite Healthcare Staffing 101 1%
18 TekPartners/MedPartners 96 1%

5. 5Confidential Report – NOT for Distribution | ©2015 by Crain Communications Inc. All rights reserved.
2015 Largest Healthcare Staffing Firms in the United States
2015 Largest Healthcare Staffing Firms in the United States | August 3, 2015
6. Represents revenue from health information management unit sold to RCM Acquisition Inc. in 3Q14
Ranked by estimated 2014 U.S. healthcare temporary staffing revenue
Rank Company
2014 U.S. Healthcare
Temporary Staffing
Revenue ($million)
Market
Share
19 CareerStaff Unlimited (Genesis HealthCare) 94 1%
20 Loyal Source 84 1%
21 D&Y (Team Health) 82 1%
22 Act-1 Group 80 1%
22 Medicus Healthcare Solutions 80 1%
24 Medix 73 1%
25 ATC Healthcare 69 1%
26 The Delta Companies 66 1%
27 Advantage RN 64 1%
28 Kforce6
57 1%
29 Healthcare Support Staffing 55 1%
30 CoreMedical Group 54 1%
31 Kelly Services 52 <1%
32 All Medical Personnel 50 <1%
32 Emerald Health Services 50 <1%
32 Interim HealthCare 50 <1%
6,512 61%Total

6. 6Confidential Report – NOT for Distribution | ©2015 by Crain Communications Inc. All rights reserved.
2015 Largest Travel Nurse Staffing Firms in the United States
2015 Largest Healthcare Staffing Firms in the United States | August 3, 2015
1. Does not include revenue from Onward Healthcare, acquired in 1Q15
2. Includes revenue from acquisition of Medical Staffing Network (2Q14)
3. Owner of Fastaff Travel Nursing and U.S. Nursing Corporation
4. Includes revenue from multiple acquisitions completed in 2014
Ranked by estimated 2014 U.S. travel nurse temporary staffing revenue
Rank Company
2014 U.S. Travel
Nurse Staffing
Revenue ($million)
Market
Share
1 AMN Healthcare Services1
468 20%
2 Cross Country Healthcare2
308 13%
3 Healthcare Staffing Services3
137 6%
4 Medical Solutions 133 6%
5 Aya Healthcare 125 5%
6 Trustaff 104 4%
7 Aureus Medical Group (C&A Industries) 100 4%
8 CHG Healthcare Services 82 3%
9 Parallon Workforce Management Solutions (HCA) 81 3%
10 Supplemental Health Care 65 3%
11 Jackson Healthcare 60 3%
12 Accountable Healthcare Staffing4
53 2%
13 Advantage RN 51 2%
14 Emerald Health Services 50 2%
14 Soliant Health (Adecco) 50 2%
16 Nightingale Nurses 42 2%
17 Trinity Healthcare Staffing Group 38 2%
18 Loyal Source 34 1%
19 CoreMedical Group 31 1%
19 Favorite Healthcare Staffing 31 1%
21 Travel Nurse across America 30 1%
2,073 86%Total

7. 7Confidential Report – NOT for Distribution | ©2015 by Crain Communications Inc. All rights reserved.
2015 Largest Per Diem Nurse Staffing Firms in the United States
2015 Largest Healthcare Staffing Firms in the United States | August 3, 2015
1. Includes revenue from acquisition of Medical Staffing Network (2Q14)
2. Does not include revenue from Onward Healthcare, acquired in 1Q15
3. Includes revenue from multiple acquisitions completed in 2014
Ranked by estimated 2014 U.S. per diem nurse temporary staffing revenue
Rank Company
2014 U.S. Per Diem Nurse
Temporary Staffing
Revenue ($million)
Market
Share
1 Maxim Healthcare Services 266 10%
2 Cross Country Healthcare1
177 6%
3 Parallon Workforce Management Solutions (HCA) 144 5%
4 AMN Healthcare Services2
71 3%
5 Accountable Healthcare Staffing3
64 2%
6 Supplemental Health Care 63 2%
7 ATC Healthcare 50 2%
8 Interim HealthCare 47 2%
9 InGenesis 45 2%
10 Favorite Healthcare Staffing 41 1%
11 ACCESS Healthcare Services 35 1%
12 CareerStaff Unlimited (Genesis HealthCare) 32 1%
1,035 37%Total

8. 8Confidential Report – NOT for Distribution | ©2015 by Crain Communications Inc. All rights reserved.
2015 Largest Locum Tenens Firms in the United States
2015 Largest Healthcare Staffing Firms in the United States | August 3, 2015
1. Does not include revenue from Locum Leaders, acquired in 1Q15
2. Includes revenue from physician staffing unit (Vista Staffing Solutions) sold to Envision Healthcare in 1Q15
Ranked by estimated 2014 U.S. locum tenens revenue
Rank Company
2014 U.S. Locum
Tenens Revenue
($million)
Market
Share
1 CHG Healthcare Services 775 31%
2 Jackson Healthcare 325 13%
3 AMN Healthcare Services1
296 12%
4 On Assignment2
126 5%
5 Cross Country Healthcare 124 5%
6 D&Y (Team Health) 80 3%
6 Medicus Healthcare Solutions 80 3%
8 The Delta Companies 44 2%
9 InGenesis 41 2%
10 Loyal Source 30 1%
1,921 77%Total

9. 9Confidential Report – NOT for Distribution | ©2015 by Crain Communications Inc. All rights reserved.
2015 Largest Allied Healthcare Staffing Firms in the United States
2015 Largest Healthcare Staffing Firms in the United States | August 3, 2015
1. Does not include revenue from Onward Healthcare, acquired in 1Q15
2. Includes revenue from acquisition of Medical Staffing Network (2Q14)
3. Represents revenue from health information management unit sold to RCM Acquisition Inc. in 3Q14
Ranked by estimated 2014 U.S. allied healthcare temporary staffing revenue
Rank Company
2014 U.S. Allied Healthcare
Temporary Staffing
Revenue ($million)
Market
Share
1 AMN Healthcare Services1
156 5%
2 Jackson Healthcare 145 5%
3 Soliant Health (Adecco) 120 4%
4 Aureus Medical Group (C&A Industries) 111 4%
5 Cross Country Healthcare2
93 3%
6 TekPartners/MedPartners 92 3%
7 Act-1 Group 80 3%
7 Supplemental Health Care 80 3%
9 Medix 73 2%
10 Kforce3
57 2%
11 CHG Healthcare Services 55 2%
11 Healthcare Support Staffing 55 2%
13 Kelly Services 52 2%
14 CareerStaff Unlimited (Genesis HealthCare) 50 2%
15 ACS Group (American CyberSystems) 45 2%
16 All Medical Personnel 41 1%
17 Ardor Health Solutions 35 1%
18 Advanced Medical Personnel Services 34 1%
19 InGenesis 31 1%
20 Favorite Healthcare Staffing 29 1%
21 Yoh 27 1%
1,461 49%Total

10. 10Confidential Report – NOT for Distribution | ©2015 by Crain Communications Inc. All rights reserved.
Market share held by largest healthcare staffing firms increasing
2015 Largest Healthcare Staffing Firms in the United States | August 3, 2015
• The chart at right shows the combined market share of the
five largest and ten largest healthcare staffing firms from
2007 to 2014.
• The market share captured by the five largest and ten
largest healthcare staffing firms remained roughly the
same from 2007 to 2012. However, the market share
increased in 2013 and 2014. We note that this trend of
consolidation was aided in 2014 by Cross Country
Healthcare’s acquisition of Medical Staffing Network (the
fourth-largest firm acquiring the sixth-largest firm, by 2013
healthcare staffing revenue).
Combined market share of 5 largest and 10 largest healthcare
staffing firms, 2007 to 2014
27% 27% 27%
28% 28% 28% 29%
32%
39% 40% 40% 40% 39% 39% 40%
42%
2007 2008 2009 2010 2011 2012 2013 2014
5 Largest 10 Largest

11. 11
Confidential Report – NOT for Distribution | ©2015 by Crain Communications Inc. All rights reserved.
About Staffing Industry Analysts
Staffing Industry Analysts is the global advisor on contingent work. Known for its independent and
objective insights, the company’s proprietary research, award-winning content, data, support tools,
publications, and executive conferences provide a competitive edge to decision-makers who supply and
buy temporary staffing. In addition to temporary staffing, Staffing Industry Analysts also covers related
staffing sectors. The company provides accreditation with its Certified Contingent Workforce Professional
(CCWP) program. Founded in 1989 and acquired by Crain Communications Inc. in 2008, the company is
headquartered in Mountain View, California, with offices in London, England.
Independent Advisory
We provide practical, actionable, forward-thinking advice to help our clients develop their business and
consistently treat them with the utmost respect, honesty and care. In our role as advisors we maintain
strict confidentiality. We deliver research and editorial judgments that are completely objective and
independent of financial considerations.
For more information: www.staffingindustry.com