Locum Workforce
🛡️ Public data only — no PHI permitted on this instance.
Locum & Contract Workforce Tracker
Contract clinician spend · coverage gaps · permanent conversion pipeline · 1099 compliance — 1,395 corpus deals
Revenue
$250M
Total Labor
$110.0M
Locum Spend
$38.48M
Locum / Labor
35.0%
Contract FTE
130.0
Permanent FTE
753
Coverage Gaps
5
Corpus Deals
1,395
Locum Spend by Role
Contract Role Detail — Rate, FTE, Spend, Agency Fee
| Role | FTE | Hrs/mo | Locum $/hr | Perm $/hr | Premium % | Agency Fee | Monthly ($k) | Annual ($M) | Convert |
|---|---|---|---|---|---|---|---|---|---|
| Hospitalist | 11.2 | 180 | $235.00 | $140.00 | 67.9% | 18.0% | $473.8 | $5.68 | YES |
| Emergency Medicine | 8.8 | 160 | $293.55 | $165.00 | 77.9% | 20.0% | $413.3 | $4.96 | YES |
| Anesthesiologist | 5.0 | 170 | $341.25 | $195.00 | 75.0% | 19.0% | $290.1 | $3.48 | YES |
| Travel RN (ICU) | 30.0 | 160 | $118.75 | $62.00 | 91.5% | 22.0% | $570.0 | $6.84 | YES |
| Travel RN (Med-Surg) | 45.0 | 156 | $98.98 | $48.00 | 106.2% | 22.0% | $694.8 | $8.34 | YES |
| Travel RN (ED) | 20.0 | 160 | $120.75 | $55.00 | 119.5% | 22.0% | $386.4 | $4.64 | YES |
| Radiologist | 4.5 | 150 | $297.95 | $175.00 | 70.3% | 17.0% | $201.1 | $2.41 | YES |
| CRNA | 5.5 | 170 | $189.15 | $120.00 | 57.6% | 18.0% | $176.9 | $2.12 | YES |
Coverage Gap Inventory — Revenue At Risk
| Department | Open Positions | Avg Gap (days) | Locum Coverage | Uncovered | Revenue Risk ($M) | Priority |
|---|---|---|---|---|---|---|
| ICU | 5 | 148 | 82.0% | 18.0% | $0.51 | critical |
| Emergency Department | 6 | 98 | 88.0% | 12.0% | $0.28 | high |
| Med-Surg Floor | 11 | 68 | 74.0% | 26.0% | $0.78 | high |
| Operating Room | 3 | 86 | 70.0% | 30.0% | $0.31 | high |
| Behavioral Health Unit | 2 | 202 | 55.0% | 45.0% | $0.67 | critical |
Permanent Conversion Pipeline
| Role | In Pipeline | Offer Made | Accepted | Monthly Savings ($k) | Annual Savings ($M) | Conversion Rate |
|---|---|---|---|---|---|---|
| Hospitalist | 6 | 3 | 1 | $17.1 | $0.20 | 16.7% |
| Emergency Medicine | 5 | 2 | 0 | $0.0 | $0.00 | 0.0% |
| Anesthesiologist | 3 | 1 | 0 | $0.0 | $0.00 | 0.0% |
| Travel RN (ICU) | 18 | 9 | 5 | $45.4 | $0.55 | 27.8% |
| Travel RN (Med-Surg) | 27 | 13 | 8 | $63.6 | $0.76 | 29.6% |
| Travel RN (ED) | 12 | 6 | 4 | $42.1 | $0.51 | 33.3% |
| Radiologist | 2 | 1 | 0 | $0.0 | $0.00 | 0.0% |
| CRNA | 3 | 1 | 0 | $0.0 | $0.00 | 0.0% |
Compliance Exposure — 1099 / Credentialing / Contract Drift
| Category | Finding | Exposure ($k) | Remediation (days) | Severity |
|---|---|---|---|---|
| 1099 Misclassification | 6 workers classified 1099 meet W-2 test | $385.0 | 90 | high |
| Credentialing Lag | Avg credentialing 62 days vs 21 target | $142.0 | 120 | medium |
| Malpractice Coverage Gap | 3 locum MDs lack current cert-of-insurance | $520.0 | 30 | high |
| Contract Overruns | 4 locum contracts past expiry on auto-extend | $215.0 | 45 | medium |
| Background Recheck Overdue | 11 contract RNs past 12-mo recheck | $68.0 | 60 | low |
| Agency Fee Markup | Agency fee avg 19% vs 15% industry median | $488.0 | 180 | medium |
| Wage-and-Hour Exposure | Travel RNs stipend structure under review | $720.0 | 150 | high |
Workforce Scenario Plans
| Scenario | Locum Spend ($M) | Permanent ($M) | Total Labor ($M) | Labor/Rev % | Retention | Impl (mo) | Y1 Savings ($M) |
|---|---|---|---|---|---|---|---|
| Current Baseline | $38.48 | $71.52 | $110.00 | 44.0% | elevated | 0 | $0.00 |
| Aggressive Conversion Campaign | $25.01 | $78.93 | $103.94 | 41.6% | improved | 9 | $6.93 |
| Internal Float Pool | $28.86 | $77.30 | $106.15 | 42.5% | stable | 6 | $4.62 |
| Hospitalist Direct-Hire Model | $30.01 | $76.77 | $106.78 | 42.7% | stable | 12 | $3.85 |
| Agency Rate Renegotiation | $35.40 | $71.52 | $106.92 | 42.8% | neutral | 3 | $3.08 |
Workforce Thesis: $38.48M locum spend = 35.0% of $110.0M labor budget.
Rate premium averages 83% vs permanent; agency fees bleed additional 18-22%.
Recommended: Aggressive Conversion Campaign —
captures ~$6.93M in year-1 savings. Coverage gaps carry $2.54M revenue-at-risk;
pipeline supports $2.02M ongoing annual savings from permanent conversion.