What Are the Top Healthcare Staffing Companies in the USA?
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In a healthcare landscape marked by persistent shortages of nurses, allied health professionals, locum physicians, and other critical clinical staff, healthcare facilities increasingly turn to staffing firms to fill gaps. But not all healthcare staffing agencies are created equal.
Some dominate by revenue and scale, others by specialty, quality of service, or niche focus. In this post, we explore who the top healthcare staffing companies in the USA are in 2025, what criteria define “top,” and what trends are shaping this market.
What Makes a Healthcare Staffing Company “Top”
Before naming names, it helps to define what “top” should mean, because different organizations (hospitals, clinics, long-term care, etc.) have different needs. Key metrics often include:
- Revenue size, especially from temporary staffing (e.g., travel nurses, per diem, locum tenens)
- Geographic reach (national vs regional)
- Specialty breadth (nurses, allied health, physician services, admin/clerical)
- Speed, compliance, credentialing, reputation for reliability
- Ability to serve fluctuating demand (e.g., during peaks, emergencies)
Key Data Points in the Market
- According to Staffing Industry Analysts (SIA), in 2023, 100 firms generated at least USD $50 million each in U.S. healthcare temporary staffing revenue; collectively these firms accounted for USD $47.3 billion out of a total estimated USD $53.9 billion U.S. healthcare temp-staffing market.
- The top 5 firms in healthcare staffing in 2023 held ~53% market share among the 100 largest firms.
These data show both how concentrated the leading players are, and how many firms are operating at significant scale.
What Trends Are Shaping Who “Top” Means
Knowing who is on top is useful — but understanding why they are on top helps you decide who to partner with and what to look for. Here are some of the key trends:
Where Crown Staffing Fits In
While there are national giants, there’s strong room (and demand) for agencies that combine regional expertise + niche specialization + highly responsive service. Here’s how Crown Staffing stands out (or could refine):
- Regional Focus: Because Crown Staffing is deeply embedded in its core territories, it often has better local market intelligence, facility relationships, and a more responsive candidate pipeline than national firms in those areas.
- Specialization: Whether it’s skilled nursing, allied health, per diem, or even remote clinical roles, specialization allows Crown to deliver higher-quality matches with less friction.
- Speed + Credentialing Excellence: If Crown can ensure fast credentialing and excellent candidate pre-screening, this becomes a major competitive advantage versus slower or more bureaucratic large firms.
- Client Relationships: Smaller firms are more nimble, personal, and can build trust more directly. That matters in healthcare, where turnover, patient safety, and care quality are at stake.
How to Choose the Right Healthcare Staffing Partner
If you are a healthcare provider or facility evaluating staffing partners, here are questions to ask, based on what the top firms do well:
- What portion of your business is temporary staffing vs permanent vs locum / travel?
- How do you handle credentialing and compliance, especially when working across multiple states?
- What is your average time-to-fill for critical roles (nurses, allied health, physicians)?
- How do you manage turnover among your own placed staff? What kind of retention support is built in?
- What technology/tools do you use for scheduling, communication, documentation, and background checks?
Outlook: The Coming 1-2 Years
- Expect further consolidation. Some midsize and smaller firms may be acquired, especially those with strong regional brands or specialization.
- Growing demand in rural and underserved areas will push staffing firms to improve remote/telehealth offerings, or to expand distribution of allied health or traveling staff.
- Pressure to reduce time-to-fill and improve quality of hire will push more firms to invest in tech, credential verification automation, candidate experience, and employee retention programs.
The top healthcare staffing firms in the U.S. set benchmarks for scale, specialty, reliability, and responsiveness. But in many cases, the best partner for a hospital or clinic isn’t the largest—it’s the one that aligns best with your niche, region, compliance needs, and ability to deliver quickly.
Crown Staffing may not always be at the top of national revenue league tables, but by doubling down on local expertise, niche specialties, and speed/quality of candidate matching, it’s well-positioned to be a top choice for providers who value both relationship and performance.
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