The Pharmacy Workforce Platform
Built by pharmacy professionals, for pharmacy professionals.
Prepared for Health Mart / McKesson
April 2026 | Confidential
Independents, community pharmacies, and frontline and rural populations are disproportionately impacted by the current system's deficiencies.
Pharmacists are working 12-hour shifts with no relief. Errors go up. Patient care suffers. And the best pharmacists? They leave the profession entirely.
A single unfilled shift costs $3,000–$5,000 in lost revenue.†† Multiply across 4,000 Health Mart locations. Independent pharmacies close permanently when coverage gaps persist.
Health Mart Network
3,743
eligible locations facing this reality
† Source: Health Mart public store locator API (webapi.healthmart.com). 3,743 locations returned via automated query, April 2026.
†† The math: Dispensing margin: 180 Rx/day × $11.80 avg. margin = $2,124 (NCPA Digest, 2023). Front-end/OTC margin: ~20% of daily revenue at ~30% margin = $500–$700 (NCPA). Clinical services (immunizations, MTM, point-of-care testing): $150–$300/day. Patient attrition: 5 patients who switch permanently = $15,000+ in lifetime value lost (12 Rx/yr × $11.80 × 5 yrs per patient). Conservative daily total without attrition: $2,774–$3,124. With attrition risk, $3,000–$5,000 is the floor, not the ceiling.
Organic demand pulled us into new markets faster than we could have planned.
Company:
Founded by pharmacy professionals
Market:
Launched in 5 states
Product:
PRN marketplace v1 live
Company:
Secured multi-chain customers
Market:
Expanded to 15+ states
Product:
Compliance engine launched
Company:
Nationwide coverage achieved
Market:
50 states. Record month-over-month growth
Product:
Intelligent matching + temp-to-hire
Company:
Largest tech-based GLP-1 provider in US
Market:
49 states active
Product:
V2 platform launch. Jobs board
Company:
Health Mart partnership proposal
Market:
49 states active. Growing month-over-month
Product:
Full-stack workforce platform
Pharmacy professionals who built the technology the industry needs.
Autumn-Kyoko Cushman, RN
CEO & Co-Founder
Navy veteran. NIH and IBM Watson Health. Saw healthcare staffing broken firsthand — built ShiftRx to fix it.
Leann Haddad, CPhT
Co-Founder
Pharmacy technician. 6 years at CVS Health. Blue Cross Blue Shield. Senior Clinical Pharmacy Manager at Evolent Health.
Kourtney Welch, CPhT
Head of Marketplace & Engineering
Pharmacy technician. Built her first health tech company at 19. MIT. Leads marketplace, AI, engineering, and GTM at ShiftRx.
Investors
Customers & Partners
Where we are 15 months in.
All metrics sourced from Stripe & production database, April 2026
Staffing is an accelerating crisis that disproportionately affects rural and independent pharmacies.
1 APhA Workforce Survey, 2025
2 NCPA/Drug Channels, 2024. Disproportionately independent.
3 Staffing Industry Analysts, 2024. Pharmacy staffing is chronically underinvested compared to demand.
Big chains have float pools. Health Mart's members have expensive, slow agencies.
Amad G. is the owner-operator of ABC Pharmacy in rural Alabama. When his only pharmacist calls in sick on a Monday morning, Amad has two choices:
Option A: Close the pharmacy
Lose $3,000+ in revenue for the day
Option B: Call the agency
Pay $75/hr for a fill. That's a 40%+ markup on a $53 base rate.
With ShiftRx
Amad posts the shift from his phone. Gets a credentialed pharmacist matched within hours. Pays 15% instead of 40%. The pharmacy stays open. The math works.
$75 agency rate - $53 market rate = $22 wasted every hour
$22/hr x 10 hrs = $220 in pure overspend per shift
$220/shift x ~4 shifts/month x 12 months = $10,560/yr in agency waste
ShiftRx rate: 15% marketplace fee. Amad saves $7,000+/yr and keeps his pharmacy open.
The biggest competitor isn’t an agency. It’s doing nothing.
| Criteria | Do Nothing | Traditional Agencies | Job Boards | ShiftRx |
|---|---|---|---|---|
| Time to Fill | Never | 24 - 72 hours | Days to weeks | Hours (same day) |
| Compliance | N/A | Manual verification | None | Automated, real-time |
| Technology | N/A | Phone + email | Basic search | AI-powered matching |
| Markup Rate | $0 (but lost revenue) | Up to 60% | N/A (listing fees) | 20% (15% for subscribers) |
| Rural Coverage | N/A | Limited | Very limited | 49 states, targeted geo-acquisition |
| Fit | N/A | Varies | None | Ratings, history, credential tracking |
| Commitment | None (that’s the problem) | Contracts, minimums | Listing fees | Post when you need, no obligation |
| Temp-to-Hire | No | High conversion fees | No | Built-in placement pathway |
Named Competitors — Why They Fall Short
IntelyCare — Nursing-focused. No pharmacy credentials, no CPhT/RPh matching. 25–40% markup. Zero independent pharmacy presence.
connectRN — Nurse-only marketplace. No pharmacy vertical. Raised $76M but has no path into pharmacy staffing.
PharmaStaff / Soliant — Legacy agencies. 40–60% markups, phone-and-email workflows, contract minimums. No technology platform. Cannot serve rural.
Indeed / ZipRecruiter — Generic job boards. No compliance, no credential verification, no payments, no matching. Pharmacies post and pray.
Clipboard Health — Broad healthcare marketplace. No pharmacy-specific credentialing, no state board license verification, no compounding experience tracking.
ShiftMed — Hospital/nursing focus. $200M+ raised, zero pharmacy coverage. Built for health systems, not independents.
Three structural advantages no traditional agency can replicate.
Not an agency with a website. A real-time, two-sided marketplace with automated compliance, intelligent matching, and integrated payments. The infrastructure scales - headcount doesn't need to.
Founding team is 100% healthcare professionals who have worked on the front line. We understand credential types, workflow friction, and what it actually feels like to be short-staffed at 2 PM on a Friday. The product reflects that.
TikTok, Instagram, campus ambassadors. We acquire providers where they live - not through job boards and cold calls. 10,672+ credentialed providers and growing. No agency has this engine.
From chaos to structure. One platform replaces five broken channels.
PRN shifts today. Permanent placements tomorrow. One ecosystem for the full pharmacy workforce lifecycle.
Enterprise-grade tooling for multi-location pharmacy operations.
Active, pending, and completed shifts. Filter by location, role, date. One-click repost for recurring needs.
Build a trusted roster of go-to providers. Post private shifts. Track credential status at a glance.
Spending by shift, week, or month. Downloadable invoices. Cost comparison vs. agency staffing.
Credential packets ready for board audits. Shift completion records. Incident tracking and documentation.
Centralized billing across all stores. Location-level permissions. Cross-location provider sharing.
Fill rate by location and role. Time-to-fill trends. Provider quality scores. Rebooking rates.
Every provider is vetted before they ever see a shift. This is the moat.
Provider Submits Credentials
System Auto-Verifies
No human intervention
Approved or Flagged
Within hours, not days
The Cost of Non-Compliance
Board sanctions, license suspension, lawsuits, and fines up to $50,000+ per incident. One unverified provider can shut down a pharmacy. ShiftRx eliminates that risk entirely.
SOC 2 Type II
HIPAA-Aligned
Background checks & license verification via Yardstik
Not just "who's nearby" - intelligent fit scoring that improves with every shift.
License type, state, certifications match shift requirements
Distance-based ranking within commutable radius
Real-time calendar sync, no double-booking
Shift history, ratings, reliability score
Pharmacy type, workflow familiarity, past matches
Budget alignment between pharmacy and provider
Happy providers = reliable coverage for Health Mart stores.
Download app, enter credentials, upload license. Compliance engine verifies automatically.
Background check via Yardstik. License validation across all 50 states. Only bottleneck is state turnaround.
Filter shifts by location, rate, type. Show up, clock in/out via app. GPS verified.
Stripe-powered payouts. Fast, reliable, transparent. No chasing invoices.
Post a shift. Get matched. Shift filled. It's that simple.
86% fill rate. Trending up every quarter.
December saw 120% increase in demand during holiday season — here's how we met it.
*Mar '26 reflects V2 launch transition + NY storm impact
Fill Rate: ShiftRx vs Industry
"Become the best job either side has ever had."
4 successful placements made in March 2026 alone
Contract hires through ShiftRx: 13.5% placement fee vs. traditional recruiter fees of 20–30%.
ShiftRx is not a staffing company. It is a career platform that grows with every pharmacist — from student to staff to Pharmacist-in-Charge. One relationship, compounding over a lifetime.
When we invest in a pharmacist at 22, we are building a provider AND a customer.
The Living, Breathing Resume
Shift history as a verified experience ledger that can’t be fabricated. 172 hours of compounding experience — not on a piece of paper, but in a legally binding record between provider and facility. No one can take your experience away from you.
One platform powers every stage of a pharmacist’s career — and closes the flywheel.
Katherine gets her tech license during P1. Picks up intern and tech shifts at independent pharmacies while still in school.
Facility gets a second pair of educated eyes at tech rates
Katherine graduates and gets licensed. A facility she worked at makes a permanent placement — commits to hire her full-time. ShiftRx credits shifts worked toward the fee.
Facility already knows the fit — no blind hiring, just 13.5%
Katherine moves to a different setting via ShiftRx — retail to compounding. Works PRN shifts, then converts to permanent staff through temp-to-hire.
Two independent pharmacies served by one provider journey
Katherine is now Pharmacist-in-Charge. She’s making hiring decisions. ShiftRx is her first line — post jobs, fill PRN shifts, all in one place.
The provider becomes the buyer. Zero sales cycle.
ShiftRx replicates strong personal networks everywhere — not just home base. The student who started on ShiftRx is now the facility owner using ShiftRx.
Every pharmacist who grows up on ShiftRx becomes two things: a proven provider AND a future buyer.
Traditional companies build strong local networks but cannot scale them. ShiftRx is built to land and expand in new geographies in months, where a traditional company might take a career.
Traditional companies rely on one or two channels. ShiftRx uses all of them — and that is the advantage.
We go where the next generation lives. No staffing company is here.
10,672+ providers acquired through online-first channels in 15 months
No cold calls. No job board listings. No recruiting firm retainers.
When a big contract drops, we know how to flood a geography with providers fast.
Enterprise pharmacy staffing contract
Large regional chain
Workforce Solutions for Independent Pharmacy
McKesson Community Pharmacy Ecosystem
Health Mart | 4,500+ Independent Pharmacies
ShiftRx Workforce Platform
AI Data Core
ShiftRx
Always-On Pipeline
Content, referrals, strategic partners, and P1–P4 university pipeline passively drive providers to the platform every day.
Geo-Targeted Recruitment
Custom go-to-market plans activated on demand for Health Mart store regions with acute staffing need.
Work-Ready in One Day
Background checked, license verified, paid within 3–4 days. Compliance fully automated. 10,672+ providers ready now.
66 Health Mart pharmacies are already on ShiftRx today. 1,128 more are in markets we already serve.
337 cities overlap between ShiftRx and Health Mart networks
We already serve 66 of your pharmacies. We’re active in markets covering 1,128 more. That’s a built-in distribution story for day one.
Starting with Health Mart pharmacies who found us on their own — and the enterprise partners who proved we can scale.
| Who | Key Facts | What It Proves |
|---|---|---|
| Health Mart Pharmacies | 64 signed up organically. 81% repeat rate. $100K+ GMV. | Product-market fit with the exact audience |
| Brookshire Brothers | Large regional chain (TX/OK). Rural + suburban. | Chain onboarding, rural coverage, temp-to-hire |
| Ro Health | Venture-backed GLP-1 company. 28+ providers. | Enterprise-scale recruiting pipeline |
Let the numbers speak for themselves. All data pre-V2 revamp.
Your pharmacies are already finding us organically. 64 signed up, they're paying, and the ones who activate have an 81% repeat rate and a 70% fill rate. Imagine what happens when you put ShiftRx in front of all 3,743. This isn't a cold start. It's a warm handoff.
The 28 dormant accounts signed up because they saw value — they just need a nudge. A Health Mart partnership with co-branded onboarding could convert those immediately.
After years of failed relationships with agencies, Brookshire chose to work with ShiftRx because of our ability to provide rural coverage in Texas and Oklahoma.
Key Insight: Brookshire Brothers proves ShiftRx can onboard a multi-location chain with rural stores — the exact use case for Health Mart.
They trust ShiftRx as their recruiting pipeline. Validating enterprise scale.
Two proof points. One clear conclusion.
BROOKSHIRE BROTHERS
Multi-Location Chain
72 pharmacies • Rural + suburban • Regional grocer
RO HEALTH
Enterprise Contract
28+ providers • Venture-backed • Geo ramp-up
The platform is proven. The playbooks are proven.
These partnerships demonstrate that ShiftRx works at different scales and in different geographies. Rural chain coverage, enterprise contracts, fast supply ramp-ups. Health Mart members benefit from a platform that has already been battle-tested across use cases that mirror their own needs.
No cost to Health Mart. Zero financial risk. Fastest path to value for both sides.
Source: Health Mart pharmacy locator data
Three models exist. Here's why we start here.
| Model | Cost to Health Mart | Timeline | Risk | Best For |
|---|---|---|---|---|
| Preferred Vendor | $0 | 0–3 months | None | Proving value fast |
| Licensed / Enterprise | Onboarding fee | 3–6 months | Moderate | Deep integration |
| White Label | Significant | 6–12 months | Higher | Full brand ownership |
Eliminate decision friction. Make it easy to say yes.
($50/mo value waived)
($50 x 4,000 stores)
An independent pharmacy owner who only takes 2 weeks off per year won't weigh a $50/month subscription decision. But they will use a no-cost platform that's already activated on their account when they need emergency coverage at 6 AM on a Monday.
No-cost enrollment eliminates the biggest barrier: the decision to sign up.
ShiftRx at 15% vs. companies at 40%+. The math is simple.
| Company (40%) | ShiftRx (15%) | |
|---|---|---|
| Base Rate | $65/hr | $65/hr |
| Markup | $26/hr (40%) | $9.75/hr (15%) |
| Total Cost | $910/shift | $747.50/shift |
| Savings | $162.50 per shift | |
Per store (24 PRN shifts/year)
$3,900/year
100 Health Mart stores
$390,000/year
Full network (4,000 stores)
$15.6M/year
An additional touchpoint that runs alongside preferred vendor status.
Health Mart's member benefits program. ShiftRx can participate as a PERK$ partner, giving Health Mart members another way to discover and access the platform.
If approved for PERK$, ShiftRx would be featured at Health Mart's annual IdeaShare conference — direct exposure to thousands of pharmacy owners and decision-makers.
ShiftRx solves multiple staffing problems — not just emergency fills.
Pharmacist calls out at 6 AM. Post a shift, get matched same day. No more scrambling through your phone contacts.
Schedule coverage weeks in advance. Your PIC takes a real vacation without the pharmacy closing.
Flu season, immunization drives, back-to-school. Scale up temporarily without permanent hires.
Staff a new location with PRN providers while you recruit permanent team. Revenue from day one.
Use PRN shifts as a working interview. Convert the best providers to permanent staff through ShiftRx's placement pathway.
Add evening or weekend hours without overworking your core team. Grow revenue with flexible staffing.
We know rural is harder. We're not dodging it. We have a plan.
Two proven approaches to building rural provider density.
Map Health Mart store regions. Identify providers within 30-mile radius. Activate email + targeted campaigns to those zip codes. Build supply before onboarding stores.
Pharmacy students often complete rural rotations. Many come from rural communities. Campus ambassadors at schools near Health Mart-dense rural regions create a natural pipeline of providers who want to work in these settings.
3,743 Health Mart pharmacies mapped across 49 states. Here's the opportunity.
Full dataset: 3,743 pharmacies with zip code, services, and contact data available for heat map overlay with ShiftRx provider density.
Gantt-style phased rollout. Clear milestones at every stage.
What it takes for a Health Mart pharmacy to get started.
Health Mart’s annual conference. Thousands of pharmacy owners and decision-makers in one room.
If approved as a PERK$ preferred vendor, ShiftRx would be featured at IdeaShare — direct exposure to the entire Health Mart network. One stage, thousands of independents who need staffing yesterday.
IdeaShare is the single highest-leverage moment to go from preferred vendor to network-wide adoption. One event, mass awareness, immediate sign-ups.
Full transparency. Health Mart sees exactly how the partnership performs.
Shift activity, fill rates, provider feedback, store onboarding progress. Direct line to ShiftRx account team.
Executive dashboard: KPIs, cost savings, regional performance, provider supply growth, temp-to-hire conversions.
Business review with Health Mart leadership. ROI analysis, network-wide trends, partnership evolution roadmap.
What the partnership looks like when preferred vendor is just the beginning.
Stage 1 of the Pharmacist Journey in action — building supply before graduation.
Companies recruit pharmacists who are already working. They fight over the same pool. ShiftRx is building the next generation of the pool itself.
Pharmacy students rotate through community and rural pharmacies during school. Many Health Mart locations are in exactly these settings.
A P1–P4 student who does a rotation near a Health Mart pharmacy, joins ShiftRx, and starts PRN shifts at that location after graduation has a natural path to becoming a permanent hire.
This pipeline feeds Health Mart stores with providers who already know the community pharmacy environment.
Pharmacy is the wedge. The platform extends across healthcare.
Live Today
Pharmacists, pharmacy technicians, pharmacy interns
10,672+
providers on platform
Future
RNs, LVNs, CNAs, nurse practitioners
Same compliance engine
Future
X-ray techs, MRI techs, ultrasound, nuclear medicine
Same matching technology
Future
Locum tenens, urgent care, primary care, specialists
Same marketplace infra
Future
Respiratory, physical therapy, lab techs, surgical techs
Same payment rails
The compliance engine, matching technology, and marketplace infrastructure are vertical-agnostic. The credentialing rules change. The platform doesn't.
ShiftRx powers the backend. Health Mart owns the relationship.
ShiftRx
Pharmacy Workforce Platform
ShiftRx branded. Members know they're using a third-party platform.
Health Mart Staffing
Powered by ShiftRx
Health Mart branded. Members see a native solution. ShiftRx runs everything behind the scenes.
Same fragmentation. Same pain. Same solution.
Each phase unlocks the next based on demonstrated results.
MONTH 0–3
MONTH 3–6
MONTH 3–6
MONTH 6–18
ONGOING
Gate between each phase: demonstrated results, not calendar dates.
Built by pharmacy professionals.
Proven at scale.
Ready for Health Mart.
Let's schedule the director demo.
Prepared for Health Mart / McKesson - April 2026
Provider
Facility
Health Mart / McKesson
ShiftRx
Prepared by Kourtney Welch & Acacia Erhardt • April 2026 • Confidential
Deck Slides 1–4
| Topic | Stakeholder | Benefits | Problems Solved |
|---|---|---|---|
| Staffing Crisis Cycle | Provider | 80% pharmacist burnout (APhA 2025). Flexible PRN work prevents burnout. Providers control their schedule. | 12-hr shifts with no relief. Prescription errors from fatigue. Best pharmacists leave entirely. |
| Facility | One platform replaces 5 broken channels. Handles background checks, credentials, compliance. | Owner handles everything alone. 1% signal, 99% noise. Single unfilled shift = $3K–$5K lost revenue. | |
| HM / McKesson | 3,743 eligible HM locations. Network-wide solution protects 12.1M+ Rx/year and member retention. | Members closing counters due to staffing. McKesson distribution revenue directly impacted. | |
| ShiftRx | $7.2B TAM. Massive unmet need validates business. Tech-first approach creates structural advantages. | Fragmented market with no dominant tech player in independent pharmacy. | |
| Growth: 5 States to Nationwide | Provider | 49-state coverage. Founded by pharmacy pros. Providers trust company built by their own. | Limited geographic options previously. Had to register with multiple agencies. |
| Facility | 5 states → 15+ states → nationwide → Ro Health enterprise, V2, jobs board. | Can't rely on startup that might not scale. Growth trajectory proves staying power. | |
| HM / McKesson | Partners: Work-Bench, Inflect, Tau, Opal. Customers: Ro, Mochi, Cost Plus Drugs. Institutional credibility. | McKesson governance requires demonstrated stability. | |
| ShiftRx | Organic demand pulled into new markets. HM accelerates from 49 states to 3,743+ locations. | Organic growth is slow. HM = largest single distribution deal in ShiftRx history. | |
| By the Numbers | Provider | 10,672+ credentialed providers. 24,000+ hrs worked. RPh: $65–75/hr. Tech: $26–30/hr. | Low-liquidity platforms waste provider time. 10,672+ = shifts actually available. |
| Facility | 1,223+ pharmacies served. 86% fill rate (TTM). 49 states. Same-day fill. 7.4 hr avg shift. | Other platforms have low fill rates. 86% vs. 50% industry avg = reliability. | |
| HM / McKesson | All metrics from Stripe & production DB (Apr 2026). Real, verifiable—not projections. | Vendor proposals with aspirational numbers. ShiftRx has production data. | |
| ShiftRx | Numbers prove product-market fit, justify HM partnership investment. | Enterprise buyers need proof before committing. These metrics close the deal. |
Deck Slides 5–8
| Topic | Stakeholder | Benefits | Problems Solved |
|---|---|---|---|
| Crisis by the Numbers | Provider | High demand = high earning. Flexibility, varied experience, supplemental income are top burnout-reduction factors. | 80% burnout (APhA 2025). 3,000+ closures/yr. Shortage projected through 2030+. |
| Facility | Supply: rural impacted, new grads slower. Demand: expanded scope, aging population, PBM margins squeezing staff. | Crisis accelerating. Without tech solution, pharmacies keep losing $3K–$5K per unfilled shift. | |
| HM / McKesson | Pharmacy staffing grew only 8% (SIA 2024)—chronically underinvested. 3,743 HM locations disproportionately impacted. | If HM doesn't address staffing, members close counters, leave network. Existential threat. | |
| ShiftRx | $7.2B TAM, $1.8B SAM (indie/community), $340M SOM (HM addressable). Blue ocean. | No major tech player in independent pharmacy staffing. | |
| Why Independents Hurt Most | Provider | Independents: direct owner relationship, clinical autonomy, community impact, varied patients. | Agency placements in chains are impersonal. Independents value the individual. |
| Facility | Chains have 500–2K float pools, 25–30% bulk rates. HM members: no float pool, 40%+ markup, 24–72 hr lead. Amad G.: agency $75/hr, $10K+/yr waste. ShiftRx: 15%. | One pharmacist out = pharmacy closed. Rural: can't get coverage at any price. | |
| HM / McKesson | ShiftRx gives HM members CVS-level staffing without CVS budgets. | Can't recommend enterprise tools for 500+ location chains to independents. | |
| ShiftRx | Most underserved segment. Highest willingness to pay, lowest competition. | Competing in hospital settings is hard. Independents = blue ocean. | |
| Competitive Landscape | Provider | Set own rate, choose shifts, direct relationships. No middleman. Online-first pipeline (TikTok, Instagram, campus ambassadors). | Agencies: assign shifts, cap rates, own relationship. Job boards: no compliance/matching/payments. |
| Facility | Same-day fill vs. agencies 24–72 hrs. 15% vs. up to 60%. Automated compliance. Built-in temp-to-hire. | Options: Do nothing (lost revenue), Agencies (expensive), Job boards (no compliance). ShiftRx replaces all three. | |
| HM / McKesson | Tech-first aligns with McKesson digital transformation. 10,672+ providers via social—no agency has this. | Recommending traditional agencies doesn't differentiate HM. | |
| ShiftRx | Only pharmacy-exclusive marketplace in the U.S. Vertical focus = deeper data, better matching, stronger network effects. | Generalist platforms don't build pharmacy-specific features. |
Deck Slides 9–10
| Topic | Stakeholder | Benefits | Problems Solved |
|---|---|---|---|
| How It Works: One Platform Replaces Five | Provider | Provider inputs: credentials, availability, location, experience, OIG, NPI. AI match: avg 3.2 applicants/shift, same-day fill. | Juggle multiple agencies, paper timesheets, delayed payments, manual credentials. |
| Facility | Post shift → auto-match → confirm → shift filled → payment automated. 7.4 hrs avg, $65–85/hr RPh, $30–40/hr tech. | 5 broken channels. Owner handles background checks, credentials, compliance, legal, tax alone. | |
| HM / McKesson | Standardized workflow across all HM pharmacies. Consistent quality, pricing, reporting. | No standardized process across HM members. Impossible to measure/improve network-wide. | |
| ShiftRx | End-to-end control = higher take rate, better data, more defensible marketplace. | Platforms only handling matching have lower retention and weaker network effects. | |
| Two Marketplaces: PRN + Permanent | Provider | PRN: on-demand shifts, same-day fill, Stripe payments. Permanent: FT/PT listings, working interview, shift history profiles. | Had to choose between temp (unstable) or permanent (inflexible). ShiftRx offers both. |
| Facility | PRN: all features live. Permanent: 13.5% marketplace fee on partner hires, reduces mis-hires. | Separate systems for temp staffing and permanent recruiting. | |
| HM / McKesson | PRN providers become permanent candidates. Complete workforce solution for both immediate and long-term needs. | Only offering temp staffing doesn't solve structural needs. | |
| ShiftRx | Two revenue streams: PRN (15%) + permanent (13.5%). Higher LTV per pharmacy. Dual marketplace = stickiness. | Single-revenue marketplaces are vulnerable. |
Deck Slides 11–13
| Topic | Stakeholder | Benefits | Problems Solved |
|---|---|---|---|
| Admin Dashboard (6 Modules) | Provider | Shift history, earnings tracking, credential status, rating scores. Single source of truth. | No centralized view across employers. |
| Facility | Shift Mgmt, Provider Roster, Financial, Compliance, Multi-Location, Analytics. | Spreadsheets, phone logs, multiple agency portals. No unified view. | |
| HM / McKesson | Enterprise-grade tooling. Network-wide analytics: fill rates, adoption, savings, demand patterns. | Zero visibility into staffing patterns or costs across the network. | |
| ShiftRx | Dashboard creates switching costs. Analytics layer = retention. | Without dashboards, just a transactional marketplace. | |
| Compliance Engine | Provider | Upload once. Auto-verified: license (50 states), DEA, background, credential tracking, immunization certs. | Managing credentials across employers. Tracking CE, renewals, state requirements manually. |
| Facility | Every provider compliance-guaranteed before walking in. Real-time verification. SOC 2 Type II. HIPAA-aligned. | Board sanctions, fines up to $50K+/incident. One unverified provider can shut down a pharmacy. | |
| HM / McKesson | Network-wide compliance protection. Reduces HM member liability to near zero. | One compliance incident could damage entire network reputation. | |
| ShiftRx | Compliance engine = THE moat. 12–18 months to build. 10,672+ verified providers can't be easily replicated. | Without this, ShiftRx is a commodity job board. | |
| Intelligent Matching | Provider | Matched on 6 factors: Credentials, Proximity, Availability, Performance, Preferences, Rate Fit. 86% fill rate. | Manually searching boards. Missing shifts. Incompatible matches. |
| Facility | Not just 'who's nearby'—intelligent fit scoring improving with every shift. | Reviewing unqualified applicants. Hours on phone with agencies. | |
| HM / McKesson | AI enables network analytics: demand forecasting, supply gaps, seasonal patterns across all HM locations. | No visibility into demand patterns. Can't proactively address shortages. | |
| ShiftRx | Algorithm improves with every transaction. More data = better matches = higher fill. Flywheel. | Cold-start in new markets. HM density provides data for effective matching. |
Deck Slides 14–17
| Topic | Stakeholder | Benefits | Problems Solved |
|---|---|---|---|
| Provider & Pharmacy Experience | Provider | 4 steps: Sign Up (5 min) → Get Verified (48 hrs) → Browse & Work (same day) → Get Paid (Stripe). RPh: $65–75/hr. | Complex agency onboarding. Weeks to verify. Manual timesheets. Chasing payments 2–4 weeks. |
| Facility | Post Shift → Auto-Match → Confirm → Shift Filled. 2,100+ hrs/month avg. Same-day typical fill. | Multi-channel chaos. 5 broken channels. Manual vetting. | |
| HM / McKesson | Consistent experience. Simple enough for any owner without training. | Complex tools requiring training/IT won't be adopted by busy pharmacy owners. | |
| ShiftRx | Both-side satisfaction creates marketplace health. | Two-sided marketplaces fail when either side has poor UX. | |
| Performance & Fill Rates | Provider | 86% fill rate (vs. 50% industry). <24 hr fill time. 24,000+ hours worked. | Low fill rates elsewhere = wasted time applying. |
| Facility | Dec saw 120% demand increase—ShiftRx met it. 86% vs. 50% industry avg. | Can't rely on platform that doesn't fill shifts. | |
| HM / McKesson | Verifiable performance data for governance review. | Vendor proposals without data are aspirational. | |
| ShiftRx | 86% fill rate = single most important metric. Proves marketplace liquidity. | Without high fill rates, marketplace dies. | |
| Temp-to-Hire | Provider | Shifts worked credit toward placement fee. Path from PRN to permanent. | No career progression through temp work. |
| Facility | 4 successful placements Mar 2026. 13.5% vs. traditional 20–30%. Already knows the candidate. | Blind resume screening. $88K cost per pharmacist turnover. | |
| HM / McKesson | Gives HM members CVS-level recruiting power—P1–P4 pipeline they could never build alone. | No talent pipeline for independents. Chains poach best grads. | |
| ShiftRx | Placement revenue ($3,750–$10K) is high-margin second stream. | Marketplaces with only transactions have limited LTV. |
Deck Slides 31–35
| Topic | Stakeholder | Benefits | Problems Solved |
|---|---|---|---|
| Preferred Vendor Model | Provider | More shifts in 3,743 stores. Faster matching. Direct relationships. | Limited shift availability in HM areas currently. |
| Facility | $0 cost. 0–3 months. Zero risk. Self-serve onboard. Preferred pricing. | Complex vendor onboarding fails at independents. | |
| HM / McKesson | 3 models: Preferred ($0) | Licensed (onboarding fee) | White Label (significant). Start preferred, let results speak. | Enterprise deals needing Board approval take 18 mo. PERK$ vendor = category mgmt approval only. | |
| ShiftRx | Fastest path to market. Results earn upgrade to deeper integration. | Full enterprise deal without proof is tough sell. | |
| Pricing: No-Cost Insider | Provider | Set own rates. No caps. Full rate goes to provider. 15% fee paid by facility. | Agencies take 25–40% of what pharmacy pays. |
| Facility | $0/mo Insider (waived $50). 15% marketplace fee. Savings: $162.50/shift. Annual: $3,900/store. | Subscription fatigue. Hidden fees. Agency markup up to 60%. | |
| HM / McKesson | Zero cost to HM. $200K/mo network value. 100 stores = $390K/yr, full network = $15.6M/yr. | Proposals requiring capital face longer approval. | |
| ShiftRx | 15% at scale = massive ARR. No-cost enrollment drives adoption. 70–80% gross margins. | Subscription upfront kills adoption. Pay-per-use lets product sell itself. |
Questions 1–12
| Question | Answer |
|---|---|
| 1. Why ShiftRx specifically? | Only pharmacy-exclusive marketplace in U.S. 10,672+ providers, 1,223+ pharmacies, 86% fill rate, 49 states. Tech-first. Built by pharmacy pros. |
| 2. Competitive landscape? | Agencies: 25–60% markup, manual. Job boards: no compliance. ShiftRx: 15%, same-day, automated compliance, AI matching, Stripe payments. |
| 3. McKesson strategy alignment? | McKesson mission: empower pharmacists at top of license. HM's #1 FY2027 priority: staffing. Tech-first = digital transformation alignment. |
| 4. Evidence of HM member demand? | Staffing = #1 pain point per FY2027 planning. 80% burnout. 3,000+ closures/yr. 65% rural can't find relief. 3,743 locations facing this. |
| 5. Addressable market? | $7.2B TAM. $1.8B SAM. $340M SOM (HM). 3,743 pharmacies × $3,900 savings = $14.6M aggregate member value. |
| 6. How different from agencies? | Tech marketplace vs. agency. Own rates, choose shifts. 15% vs. 25–60%. Automated compliance. Same-day vs. 24–72 hrs. No contracts. |
| 7. PERK$ vendor overlap? | No existing PERK$ vendor addresses workforce/staffing. ShiftRx creates new category. Additive—runs parallel. |
| 8. How is success measured? | Pilot: 70%+ fill rate, 50%+ reorder rate, NPS > 40, measurable agency spend reduction. |
| 9. Regulatory? | State-by-state regs built in. SOC 2 Type II. HIPAA-aligned. Yardstik backgrounds. Legal quarterly review. |
| 10. Rural coverage? | Proven: Brookshire Brothers (72 rural/suburban). Geo-targeted recruitment + P1–P4 pipeline. Build supply before onboarding. |
| 11. Is 10,672 providers enough? | Yes at current usage. Pipeline adds 200+/yr. Geo playbook ramps supply on demand. Pre-seed before launch. |
| 12. What if members don't adopt? | Pilot limits downside. Zero cost to HM. If low: analyze causes, address, extend. HM has zero financial exposure. |
Questions 13–24
| Question | Answer |
|---|---|
| 13. End-to-end flow? | Post shift → AI matches (6 factors) → apply → confirm → GPS check-in/out → approve hours → Stripe payment. Same-day avg. |
| 14. Quality and vetting? | License verification (50 states), DEA, background checks, OIG, credential tracking, two-way ratings, incident reporting. |
| 15. PMS integration? | Standalone works now. API-ready for PMS. Calendar sync most-requested. Roadmap aligned with HM timeline. |
| 16. No-shows? | Auto replacement matching. Quality guarantee: re-fill no additional fee. Two-way ratings = accountability. GPS visibility. |
| 17. Rate determination? | Pharmacies set rates. Market guidance by role/location/time. Providers see full rate before applying. |
| 18. HM data access? | Aggregate dashboard: fill rates, adoption, savings/store, demand patterns. Individual data private. Quarterly reviews. |
| 19. Full pricing? | HM: $0/mo Insider (waived $50), 15% marketplace fee. Add-ons: job posts ($198), drug tests ($150). Partner hires: 13.5%. |
| 20. Payment flow? | Facility pays ShiftRx (rate + 15%) when shift done. ShiftRx pays provider full rate via Stripe. 3–5 business days. |
| 21. Agency comparison? | 10-hr RPh @ $65/hr: ShiftRx $747.50 vs. agency $910. Savings: $162.50/shift. 100 stores: $390K/yr. Full network: $15.6M. |
| 22. HM costs? | Zero. All fees waived. Only ‘cost’ = promotional effort via existing channels. No financial commitment. |
| 23. Onboarding at scale? | Self-serve <5 min (pre-populated for HM). 50–100/mo current capacity. 500+/mo post-pilot. |
| 24. Time to value? | Same-day possible. Average: first shift posted within 5 min of account creation. Same-day fill typical. |
Questions 25–36
| Question | Answer |
|---|---|
| 25. Pilot success metrics? | Fill rate (70%+), reorder rate (50%+), NPS (>40), agency spend reduction, time-to-fill, quality scores, adoption rate. |
| 26. Churn measurement? | Pharmacy: no shift in 90 days. Provider: no shift in 60 days. Proactive outreach, surveys, feature education. |
| 27. Low adoption plan? | Analyze root causes (supply? UX? awareness? pricing?). Address and extend. HM zero financial exposure. Worst case: ShiftRx learns, HM loses nothing. |
| 28. Temp-to-hire pricing? | 13.5% on annual salary. Shifts credit toward fee. 4 successful placements Mar 2026. Vs. traditional: 20–30%. |
| 29. Rate caps/budgets? | Yes. Pharmacies set rates. Market guidance provided. Budget alerts. Full transparency. No hidden fees. |
| 30. Multi-location billing? | Centralized billing. Location-level permissions. Cross-location sharing. Downloadable invoices. |
| 31. Supply vs. demand risk? | 10,672+ providers, 86% fill, student pipeline (200+/yr), geo playbook. Pre-seed before launch. |
| 32. Compliance at scale? | Automated: real-time license checks, Yardstik backgrounds, DEA, credential tracking, state regs. |
| 33. Performance issues? | Rating system, incident docs, counseling/suspension, re-fill guarantee, provider removal for repeated issues. |
| 34. Dispute resolution? | ShiftRx mediates. GPS data provides objective records. 24–48 hr resolution. Escalation path. |
| 35. Regulatory risks? | State regs built in. SOC 2 Type II. HIPAA-aligned. Legal quarterly review. Liability insurance. Auto-block expired credentials. |
| 36. Data security? | HIPAA-aligned. SOC 2 Type II. Encryption rest+transit. RBAC. No data shared between competing pharmacies. |
Questions 37–44
| Question | Answer |
|---|---|
| 37. Preventing commoditization? | 6 moat layers: pharmacy-exclusive focus, compliance engine (12–18 mo build), student pipeline (uncontested), trusted rosters (switching costs), two-way ratings (network effects), HM distribution (lock-in). |
| 38. National scaling? | 49 states active. Geo playbook proven. HM footprint = demand signal for targeted expansion. Marketplace scales without proportional headcount. |
| 39. Exit risk? | Venture-backed (Work-Bench, Inflect, Tau, Opal). Growing revenue. Preferred vendor = no lock-in, HM can walk away anytime. |
| 40. HM exclusivity? | Not exclusive—ShiftRx serves all indie pharmacies. HM gets preferred pricing + priority onboarding. Exclusivity negotiable in deeper integration. |
| 41. White label option? | Available as evolution. HM-branded portal. 18–24 mo. Path: prove value with preferred vendor first. |
| 42. Impact on existing staffing vendors? | Additive, not replacement. Pharmacies with agencies can continue. ShiftRx = better option; pharmacies switch organically. |
| 43. Reporting for HM? | Aggregate dashboard: adoption, fill rates, savings/store, demand patterns, regional heat maps. Quarterly business reviews. |
| 44. What's the ask? | Preferred vendor endorsement. Feature ShiftRx to HM members via existing channels. No financial commitment. No revenue share. ShiftRx handles everything. |
ShiftRx • shiftrx.io • Confidential • April 2026