List of largest healthcare staffing firms includes 43 firms

A total of 43 staffing firms generated at least $50 million in US healthcare staffing revenue in 2017, according to the report “Largest Healthcare Staffing Firms in the US: 2018 Update” by Staffing Industry Analysts. Combined, they generated $11.3 billion in such revenue and comprised 70% of the market.

AMN Healthcare Services Inc. (NYSE: AHS) retained its place as the largest healthcare staffing firm in the US. CHG Healthcare ranked second, followed by Cross Country Healthcare Inc. (NASD: CCRN) — both retaining the same spots as last year.

Aya Healthcare moved into the top five on the 2018 list.

The five largest healthcare staffing firms in the US and their estimated 2017 staffing revenue are:

  1. AMN Healthcare: $1.68 billion, 10% market share
  2. CHG Healthcare Services: $1.55 billion, 10% market share
  3. Cross Country Healthcare: $903 million, 6% market share
  4. Jackson Healthcare: $850 million, 5% market share
  5. Aya Healthcare: $444 million, 3% market share

Seven companies qualified for this year’s ranking that did not appear in last year’s list: All Medical Personnel, All Star Recruiting, American Health Staffing Group, Atlas MedStaff, Gifted Healthcare, The Execu|Search Group and Triage Staffing.

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 34% market share in locum tenens by SIA estimates.

Cross Country Healthcare ranked as the largest per diem nursing firm with 7% market share.

AMN’s revenue does not include revenue from its acquisition of MedPartners in the second quarter of this year. However, Cross Country’s revenue does include revenue from Advantage RN, which it acquired in July 2017, and Aya’s includes revenue from its acquisition of RN & Allied Specialties in the third quarter of 2017.

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.

Synergie revenue up 12.7% in first half

Synergie, a Paris-based staffing firm with international operations, reported revenue for the six months ended June 30 rose 12.7% from the prior-year period to €1.24 billion (US$ 1.44 billion). The firm ranks as one of the world’s largest staffing companies; it has operations in 16 countries including Canada, Australia and many in Europe.

Growth in the international operations — outside of France — rose 19.9% in the first half to €649.8 million (US$756.9 million).

Net profit rose 2.2% in the first half to €36.6 million (US$42.6 million).

The company reported the positive impact of growth in activity was offset by the impact of various legislative or regulatory measures, particularly in France.

Shares in Synergie closed up 3.1% to €34.95 in Paris. The company had a market cap of €851.5 million.

Weekly staffing employment hits highest second-quarter level since 2000: ASA

US staffing companies employed an average of 3.2 million temporary and contract workers per week in the second quarter, according to data released today by the American Staffing Association. This is the highest number for any second quarter since 2000.

Staffing employment rose 2.3% in the second quarter compared to the same period last year, marking the largest year-over-year growth for any quarter in three years.

“Businesses are turning to staffing companies for flexible workforce solutions, which is driving up demand for temporary and contract employees,” ASA President and CEO Richard Wahlquist said. “This means more opportunities for job seekers in an ever-tightening labor market as employers focus on talent as a way to differentiate their businesses.”

Quarter over quarter, staffing employment increased 3.1% from the first quarter to the second quarter of 2018. 

Hiring plans ‘steady’ in Mexico following elections: ManpowerGroup

Mexican employers report steady hiring plans for the fourth quarter, according to a survey by ManpowerGroup Inc. (NYSE: MAN). Payrolls are expected to increase by varying margins in all seven regions and all seven industry sectors.

The survey found 16% of employers in Mexico forecast an increase in staffing levels in the upcoming quarter; 3% anticipate a decrease, 80% expect no change and 1% are unsure. This yields a net employment outlook of 13% on a seasonally adjusted basis — an increase of two percentage points compared to the similar survey conducted last quarter.

“After the elections, investors are beginning to show more confidence,” said Monica Flores, president for ManpowerGroup Latin America. “However, they are still waiting for the implementation of the new proposals to determine the impact on their organizations, before making additional hirings.”

Flores stated that ManpowerGroup Latin America continues to hear optimistic hiring intentions from many industries.

Employers in the mining and extraction sector report the most optimistic hiring intentions for the fourth quarter. The net employment outlook, seasonally adjusted, by sector:

  • Mining and extraction: up 17%
  • Transport and communication: up 15%
  • Manufacturing: up 15%
  • Services: up 12%
  • Agriculture and fishing: up 12%
  • Commerce: up 11%
  • Construction: up 9%

Employers in the Northwest, North and Center regions report the strongest hiring intentions, with steady net employment outlooks of 14% each.

ManpowerGroup’s employment outlook survey data include responses from 4,804 employers in Mexico.

Canadian GDP to grow 2.1% this year despite trade uncertainty: RBC

Canada’s economy is chugging along despite trade uncertainty, according to the RBC Economic Outlook quarterly report released today. Consumer spending and business sentiment remain high, and there are signs of a modest firming in wage gains.

RBC projects real GDP growth of 2.1% in 2018, slowing slightly to 2.0% in 2019. 

Canada’s economic performance was uneven over the first half of 2018, with a mild gain of 1.4% in the first quarter followed by an outsized 2.9% rise in the second quarter. RBC expects the second half will be much the same.

“We expect the shutdown of a major oil sands producer in July to weigh on the quarter’s performance, while we should see a rebound in Q4 as production recovers,” said Craig Wright, senior VP and chief economist at RBC.

The report cites tight labor markets limiting growth in British Columbia, Ontario and Quebec. Eighty-six percent of local economic regions in Ontario boast a jobless rate of 6% or less. In British Columbia, the unemployment rate is forecast to be just 4.9%.

RBC Economics believes the tight labor conditions are contributing to a slow-down of economic growth in several provinces, most especially in BC, where one in every 24 jobs, or 4.2%, remains unfilled.

Chicago, South Florida firms report record number of open positions in finance/accounting and IT

Firms in the Chicago and South Florida markets report a record number of open finance/accounting and IT positions heading into the fourth quarter and plan to increase their overall hiring plans in the next 12 months, according to a survey released by staffing provider Brilliant.

“Open positions in accounting and finance were reported by 48 percent in the Q4 2018 hiring survey, up from 37 percent in the prior two quarters and 38 percent recorded in the Q4 2017 hiring forecast,” said Richard Curtain, director of consumer surveys at the University of Michigan in Ann Arbor, Mich., who produced the survey for Brilliant.

“Moreover, the figure for unfilled accounting and finance positions was the highest percentage recorded in the past five years,” Curtain continued. “Open IT positions were reported by 43%, up from 35% last quarter and 19% in the year prior — also marking a five-year high.”

Additionally, the businesses’ hiring plans remain strong for the next 12 months, with the emphasis shifting toward an expansion in accounting/finance professionals. Twenty-six percent of companies said they plan to increase accounting/finance hiring in the next 12 months, up from 17% in the third quarter’s survey. And 23% plan to increase their IT hiring, up from 21% last quarter.

Plans for hiring additional temporary professionals were mixed.

For accounting/finance, 13% of businesses intend to hire additional temporary professionals, higher than the 12% reported in the previous quarter but edging up from the 9% reported at this time last year. Most of these temporary positions were intended to cover projects that only needed temporary support or in-demand roles that need to be filled; the need to evaluate potential employees for permanent, full-time positions was cited by 2%.

Temporary IT hires were planned by 19% of businesses surveyed, up from the 12% in the third-quarter 2018 hiring forecast and equal to last year’s fourth-quarter hiring forecast.

No survey respondent mentioned that hiring temporary professionals was so they could evaluate candidates for permanent, full-time IT roles; the entire need for temporary IT profes­sionals was dominated by current projects that need temporary support, 13%, and support for various in-demand roles, 6%.

The survey included close to 200 human resources professionals and hiring managers within the greater Chicago and South Florida markets. It was conducted between July 10 and Aug. 1, 2018.

US employers report strongest hiring outlook in decade: ManpowerGroup

US employers reported their strongest average annual hiring outlook in the last decade, according to the fourth-quarter Manpower Employment Outlook Survey, released today by ManpowerGroup Inc. (NYSE: MAN).

The US ranked among the strongest outlooks for hiring among the 44 countries surveyed in the report. Other countries with solid hiring outlooks included Japan, Taiwan, Romania and Slovenia.

“We continue to see optimism from employers around the world in spite of tariff disputes, proposed new populist legislation and the uncertainty of a hard or soft Brexit,” ManpowerGroup Chairman and CEO Jonas Prising said.

In the US, ManpowerGroup’s survey found 22% of US employer respondents plan to increase staff in the fourth quarter — up from 21% in the year-ago quarter — while those planning to decrease fell to 5% from 6% in the year-ago quarter. This yields a seasonally adjusted net employment outlook of 19% for the fourth quarter compared 17% for the year-ago quarter.

The survey included more than 59,000 employers around the world, of which 11,500 were in the US.

US organizations plan to add staff across all 13 industry sectors in the fourth quarter. Employers report the strongest hiring intentions in leisure and hospitality, where 32% plan to increase hiring, with a seasonally adjusted outlook of 28%. The outlook for professional and business services is also strong at 25%.

All regions in the US reported positive fourth-quarter hiring plans. Hiring prospects in the South and West are the strongest in more than 10 years. Employers in the Midwest report relatively stable hiring intentions, up two percentage points year-over-year.

Employers in New Mexico, North Carolina, Kansas, South Carolina and Arizona report the strongest employment 0utlooks. Of the 100 largest metropolitan statistical areas, the strongest job prospects are expected in Charlotte, NC; Raleigh, NC; San Jose, Calif.; Albuquerque, NM; Greenville, SC; and Winston-Salem, NC.

“August marked the 95th month in a row for job growth in the US and we anticipate we will hit 99 months by the end of the year as the Q4 Outlook has more good news for American job seekers and businesses,” said Becky Frankiewicz, president of ManpowerGroup North America.

The labor market is returning to pre-recession levels where the most optimistic outlooks were reported in manufacturing, retail and professional services.

“It’s a similar scenario today with a big difference — manufacturing is more advanced, retail has gone online, and employers in professional roles need a new combination of digital and soft skills,” Frankiewicz said. “These are not the low-skilled jobs of the past, they are highly skilled technical roles of the future.”