Procurement Market Intelligence Report

Permanent Medical Staffing
Sourcing Guide & Market Intelligence

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Permanent Medical Staffing Global Overview

Definition

Summary

Suppliers of permanent medical staffing recruitment services list employment vacancies and refer applicants for employment in hospitals, clinics, and other medical facilities. Those who are recruited are not employees of the recruitment agency, but of the company that hires them. This report excludes temporary staffing, contract employment, temp-to-perm, and other non-medical staffing services.

This Report Includes:

  • Employment Vacancy Listing
  • Employment Referrals

Not in this Report:

  • Temporary Staffing
  • Contract Employment
  • Temp-to-Perm Staffing
  • Non-Medical Staffing

Global Permanent Medical Staffing Market - Suppliers by Region

Country/Region Number of Suppliers
#1 China 17,520
#2 Europe 16,215
#3 United States 12,450

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  • Canada
  • United States
  • Mexico
  • Latin America
  • South America
  • India
  • China
  • Europe
  • Africa & Middle East
  • Australi & New Zealand
  • Oceania & Southeast Asia

2

Geography Drilldown - US

Average Cost of Permanent Medical Staffing

United States

2026 Market Pricing
$10.00 to $XX.XX
of the first-year salary

Average Price

Prices in the Permanent Medical Staffing market range from $10.00 to $XX.XX, depending on Type of Position Filled, Sourcing Methods, Hours Worked and Number of Hires Placed. For example, lower prices are associated with Registered Nurse (RN) (15.0% to 25.0% of the first-year salary), Licensed Practical Nurse (LPN) (15.0% to 25.0% of the first-year salary) and Certified Nursing Assistant (CNA) (15.0% to 25.0% of the first-year salary), whereas higher prices are associated with Physician (20.0% to 30.0% of the first-year salary), Physician Assistant (PA) (20.0% to 30.0% of the first-year salary) and Nurse Practitioner (NP) (20.0% to 30.0% of the first-year salary).

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Permanent Medical Staffing Category Price Trends

Pricing trends are indicated by the compound annual growth rate (CAGR) during a set period of time. For the Permanent Medical Staffing market, prices in the US have grown 0.8% from 2022 to 2025. Subscribers can access price trend forecasts, price driver projections and forward-looking cost structure data. Learn more

United States (2022-2025)

0.8%
Compound Annual Growth Rate
United States (2025-2028)

Compound Annual Growth Rate

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Price trend forecasts are available to subscribers, along with price driver projections and forward-looking cost structure data.

Cost Analysis - Total Cost of Ownership for Permanent Medical Staffing

Total cost of ownership is Low in the Permanent Medical Staffing market. The average cost of ownership differs depending on the contract but generally includes costs negotiated before the contract begins, costs billed during the contract period and unforeseen costs.

Negotiated Before

Pre-evaluation

Buyers should consider the time needed to interview candidates

Billed During

Travel

Buyers should consider the potential for relocation costs if they should hire a nonlocal candidate.

Testing

Vendors will occasionally charge supplemental fees for incidentals like travel or specific types of background screening and psychometric testing.

Buyer Power in Procurement Negotiations

In 2026, buyer power amounts to 1.5 in the United States. Buyer power is most positively impacted by Forecast Price Trend. It is most negatively impacted by Market Share Concentration. Subscribers can access details on eight other factors that impact buyer power. Learn more

United States

1.5

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Supply Chain Risk

The average level of supply chain risk is assessed as Low, which has a positive impact on buyer power. The level of supply chain risk is affected by industry volatility, barriers to entry, competition, import penetration, regulation and industry financial risk. Buyers in this market can mitigate procurement and supply chain management risks by monitoring risk levels for individual first and second tier suppliers:

1st

Tier Suppliers

  • Computer Stores
  • Office Supply Stores
  • Commercial Leasing Providers
  • Colleges & Universities

2nd

Tier Suppliers

  • Computer Manufacturers
  • Office Stationery Wholesalers
  • Real Estate Sales & Brokerage Providers

Biggest Permanent Medical Staffing Suppliers in the US by Revenue

The largest Permanent Medical Staffing vendors by revenue in the US are Cross Country Healthcare Inc., Amn Healthcare Services, Inc. and Asgn Inc. Subscribers can sort and filter by market share concentration, profit level and other factors. Learn more

Supplier Operational Size Headquarters Number of Employees Market Share (%) Market Share Performance (3yr trend) Total Revenue ($ million) Profit Level (%) Risk Level
Hca Healthcare, Inc. International NASHVILLE >10,000 5-10
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Amn Healthcare Services, Inc. National DALLAS, TX 1,001-10,000 5-10
Cross Country Healthcare Inc. National BOCA RATON, FL 1,001-10,000 5-10
CHG Healthcare Inc. National Midvale, UT 1,001-10,000 5-10
Asgn Inc. Global GLEN ALLEN, VA 1,001-10,000 < 5
Jackson Healthcare LLC. National Alpharetta, GA 1,001-10,000 < 5
Maxim Healthcare Services Inc. National Columbia, MD >10,000 < 5
Medical Solutions L.L.C. National Omaha, NE 1,001-10,000 < 5
SHC Services, Inc. National Park City, UT 501-1,000 < 5

Looking for a list of suppliers by country?

Subscribers can access vendor information on Canadian and European suppliers, too. We also offer custom research services to help with vendor sourcing anywhere in the world.

Profit Analysis

The average profit margin across vendors in the Permanent Medical Staffing market is 3.5% and steady. Profit levels shift depending on suppliers' spend on wages, purchases and overhead. The highest cost component for vendors is Wages. The cost trend for this component is rising, when considering movement between 2025 and 2026. To understand cost forecasts for 2027 and uncover the implications on profit, start your subscription. Learn more

Vendor & Supply Chain Analysis

Market share concentration among medical staffing agencies is low, with the top four players accounting for less than 30.0% of total market revenue. Due to the high competition among suppliers, buyers have a greater range of choices regarding the medical staff recruiter they decide to use.

Average vendor financial risk is low in this market. Generally, larger suppliers are more financially stable due to their economies of scale, diverse service offerings and larger client base.

The supply chain for permanent medical staffing services presents a low level of risk, which benefits buyer power by mitigating the risk of price shocks or service discontinuity due to supply chain disruptions.

The United States is a net importer of computers, meaning it imports more computers than it exports. While lower manufacturing costs abroad drive down prices for imported computers, relying on imports can lead to potential shortages or price increases if there are supply chain disruptions due to geopolitical tensions, trade disputes, or global crises.

Supplier Information

Amn Healthcare Services, Inc.

Amn Healthcare Services, Inc. is a public company operating nationally in the administration, business support and waste management services sector. The company's offerings include temporary medical staffing and permanent medical staffing. Founded in 1985, the company is currently headquartered in DALLAS,... Subscribe to learn more

CHG Healthcare Inc.

CHG Healthcare Services Inc. is a private company operating nationally in the administration, business support and waste management services sector. The company's offerings include temporary medical staffing and permanent medical staffing. Founded in 1979, the company is currently headquartered in Midvale,... Subscribe to learn more

Cross Country Healthcare Inc.

Cross Country Healthcare Inc. is a public company operating nationally in the administration, business support and waste management services sector. The company's offerings include temporary medical staffing and permanent medical staffing. Founded in 1986, the company is currently headquartered in BOCA RATON,... Subscribe to learn more

Hca Healthcare, Inc.

HCA Healthcare, Inc. is a health care services company that operates hospitals and healthcare facilities across the US and England. Its portfolio includes general and acute care hospitals, psychiatric hospitals, rehabilitation hospitals, and freestanding surgery centers in Alaska, California, Colorado, Florida,... Subscribe to learn more

Allegis Group, Inc.

Allegis Group, Inc. is a private company operating globally in the professional, scientific & technical services and administration, business support and waste management services sectors. The company's offerings include temporary clerical & administrative staffing, temporary it staffing, temporary warehouse... Subscribe to learn more

Asgn Inc.

Asgn Inc. is a public company operating globally in the administration, business support and waste management services sector. The company's offerings include temporary it staffing, permanent medical staffing and permanent it staffing. Founded in 1985, the company is currently headquartered in GLEN ALLEN,... Subscribe to learn more

Jackson Healthcare LLC.

Jackson Healthcare LLC. is a private company operating nationally in the administration, business support and waste management services sector. The company's offerings include temporary medical staffing and permanent medical staffing. Founded in 2000, the company is currently headquartered in Alpharetta, Subscribe to learn more

Maxim Healthcare Services Inc.

Amergis Healthcare Staffing Inc. is a private company operating nationally in the administration, business support and waste management services sector. The company's offerings include temporary medical staffing and permanent medical staffing. Founded in 1988, the company is currently headquartered in Columbia,... Subscribe to learn more

Medical Solutions L.L.C.

Medical Solutions L.L.C. is a private company operating nationally in the administration, business support and waste management services sector. The company's offerings include temporary medical staffing and permanent medical staffing. Founded in 1997, the company is currently headquartered in Omaha, Nebraska,... Subscribe to learn more

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Procurement Management KPIs for the Permanent Medical Staffing Market

Managing vendor performance throughout the contract period is easier when tracking specific key performance indicators (KPIs). For example, buyers should monitor Customer Satisfaction (CSAT) and Employee Retention Rate. Buyers may experience better performance throughout their contracts if they establish service level agreements (SLAs) based on Employee Qualifications and other factors.

KPI Level of Importance (1-5) Measurements Key Considerations
Customer Satisfaction (CSAT)

Number of positive customer responses

Number of customer responses

The client satisfaction rate, particularly for buyers of permanent medical staffing services, should include feedback not only concerning the vendor's recruitment process but also the long-term performance and retention of the placed candidates.

Buyers should place higher value on vendors with a high client satisfaction rate in the permanent medical staffing market, as it typically indicates successful candidate sourcing, placement, and positive long-term results.

Employee Retention Rate

Number of employees at start of period

Number of employees at end of period

The placement retention rate measures the percentage of candidates placed by the vendor who remained in their roles for a specified period, such as one year or more, which can reflect the quality of the match between the candidate and the client's requirements.

A high employee retention rate typically indicates that the vendor is hiring qualified talent that deliver positive results.

Buyers should prioritize vendors with higher long-term placement retention rates, as it indicates their ability to source and place candidates who contribute positively to the client's organization for an extended period.

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Questions to Ask During Procurement Negotiations

How can I gain leverage during negotiations?

Workforce

Why should we rely on your recruiting services if we currently have an internal hiring staff?

How do you maintain a steady level of communication with your buyers to keep them informed of the recruitment progress?

Qualifications

Have you instituted prescreening procedures related to the coronavirus?

How large is your current pool of candidates for permanent placement? Do you try to maintain a certain number of candidates at all times?

Competition

How are you adapting to the growth of online providers that offer recruitment services?

How long have you been in business? How do you differentiate your services from the competition?

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Permanent Medical Staffing RFP Guidelines

What should my RFP include?

Organizational Overview

Buyers should describe their operations and the types of medical facilities to be staffed.

Buyers should provide a detailed description of their operational structure and which departments require new staff.

Statement Of Need

Buyers should list the scope of staffing services requested.

Buyers should list the types of positions for which staffing services are needed.

Project Budget

Buyers should describe their desired pricing model (e.g., percentage of salary, flat fee, time and materials).

Buyers should define payment schedules.

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