Preferred Vendor Proposal

ShiftRx

The Pharmacy Workforce Platform

Built by pharmacy professionals, for pharmacy professionals.

PRN Marketplace Compliance Engine Intelligent Matching

Prepared for Health Mart / McKesson

April 2026 | Confidential

THE SHIFTRX STORY

The Pharmacy Staffing Crisis Is a Vicious Cycle

Independents, community pharmacies, and frontline and rural populations are disproportionately impacted by the current system's deficiencies.

HOW IT WORKS TODAY
Pharmacy Owner
catch-all approach ↓
Group Chat
Job Board
Overtime
Agency
Poach & Pray
Owner handles alone:
Background + Credential + Reference Checks
Screening for Store Software
Compliance / Legal / Tax
1% Signal • 99% Noise
All pain, no gain — with no vetting.

The Human Cost

Pharmacists are working 12-hour shifts with no relief. Errors go up. Patient care suffers. And the best pharmacists? They leave the profession entirely.

The Business Cost

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.

THE SHIFTRX STORY

From 5 States to Nationwide in 15 Months

Organic demand pulled us into new markets faster than we could have planned.

Q4 2024

Company:

Founded by pharmacy professionals

Market:

Launched in 5 states

Product:

PRN marketplace v1 live

Q2 2025

Company:

Secured multi-chain customers

Market:

Expanded to 15+ states

Product:

Compliance engine launched

Q4 2025

Company:

Nationwide coverage achieved

Market:

50 states. Record month-over-month growth

Product:

Intelligent matching + temp-to-hire

Q1 2026

Company:

Largest tech-based GLP-1 provider in US

Market:

49 states active

Product:

V2 platform launch. Jobs board

Now

Company:

Health Mart partnership proposal

Market:

49 states active. Growing month-over-month

Product:

Full-stack workforce platform

Founded by Healthcare Professionals

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

Work-Bench Inflect Health Tau Ventures Opal Ventures

Customers & Partners

RoRo MochiMochi Cost Plus DrugsCost Plus Drugs RxCE Care Pharmacies AAP ASHP PTCB LTC@H RxPost
THE SHIFTRX STORY

ShiftRx by the Numbers

Where we are 15 months in.

10,672+
Credentialed Providers
1,223+
Pharmacies Served
49
States Covered
86%
Fill Rate (TTM)
$280
Tech
$620
Pharmacist
Avg. Shift Value by Role
24,000+
Hours Worked on Platform

All metrics sourced from Stripe & production database, April 2026

THE MARKET OPPORTUNITY

The Pharmacy Staffing Crisis - by the Numbers

Staffing is an accelerating crisis that disproportionately affects rural and independent pharmacies.

80%
of pharmacists report burnout

1 APhA Workforce Survey, 2025

3,000+
pharmacy closures per year

2 NCPA/Drug Channels, 2024. Disproportionately independent.

8%
Pharmacy Staffing Growth

3 Staffing Industry Analysts, 2024. Pharmacy staffing is chronically underinvested compared to demand.

Supply Side Impact

  • Rural areas disproportionately impacted
  • Pharmacist shortage projected through 2030+
  • New graduates entering at slower rates
  • Experienced pharmacists leaving for non-retail roles

Demand Side Impact

  • Expanded scope of practice (immunizations, testing)
  • Aging population driving Rx volume
  • Increased regulatory requirements per pharmacist
  • PBM pressures squeezing margins → fewer staff
How ShiftRx addresses burnout: Pharmacists report that flexibility, the ability to gain experience across different settings, and supplemental income through PRN work are the top factors that reduce burnout and improve retention. ShiftRx delivers all three. 1
THE MARKET OPPORTUNITY

Why Independent & Community Pharmacies Hurt Most

Big chains have float pools. Health Mart's members have expensive, slow agencies.

The Chain Advantage

  • CVS, Walgreens, Rite Aid maintain internal float pools of 500–2,000 pharmacists
  • Centralized scheduling systems redistribute staff automatically
  • Negotiate bulk agency rates at 25–30% markup
  • Can absorb short-term gaps across large networks

Health Mart's Members

  • No float pool - one pharmacist out = pharmacy closed
  • Rely on agencies charging 40%+ markup
  • 24–72 hour lead times for a fill
  • No fit screening — “warm body” matching
  • Rural locations often can't get coverage at any price

Meet Amad G.

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.

The Math

$22/hr
Agency overspend per hour

$75 agency rate - $53 market rate = $22 wasted every hour

$220
Wasted on a single 10-hour shift

$22/hr x 10 hrs = $220 in pure overspend per shift

$10,000+
Annual overspend on regular PRN usage

$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 MARKET OPPORTUNITY

Competitive Landscape

The biggest competitor isn’t an agency. It’s doing nothing.

Criteria Do Nothing Traditional Agencies Job Boards ShiftRx
Time to FillNever24 - 72 hoursDays to weeksHours (same day)
ComplianceN/AManual verificationNoneAutomated, real-time
TechnologyN/APhone + emailBasic searchAI-powered matching
Markup Rate$0 (but lost revenue)Up to 60%N/A (listing fees)20% (15% for subscribers)
Rural CoverageN/ALimitedVery limited49 states, targeted geo-acquisition
FitN/AVariesNoneRatings, history, credential tracking
CommitmentNone (that’s the problem)Contracts, minimumsListing feesPost when you need, no obligation
Temp-to-HireNoHigh conversion feesNoBuilt-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.

THE MARKET OPPORTUNITY

Where ShiftRx Is Different

Three structural advantages no traditional agency can replicate.

1

Technology-First Marketplace

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.

2

Built by Pharmacy People

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.

3

Online-First Provider Pipeline

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.

THE PLATFORM - PRN MARKETPLACE

How It Works

From chaos to structure. One platform replaces five broken channels.

TODAY

Pharmacy Owner’s Reality

Pharmacy Owner
Catch-all approach across all channels
Call / Text Staffing Agency Job Board Poach & Pray Overtime
Owner handles alone:
Background checks & credential verification
Screening for store software
Compliance, legal, tax
1 part signal • 9 parts noise
No vetting. All pain, no gain.
THE SHIFTRX PLATFORM

One Platform. Both Sides.

Provider Inputs
Credentials Availability Location Experience OIG Screening NPI Validation
ShiftRx
Match Engine
3.2 avg applicants
Same-day fill
Owner — Post Shift
Date / Time Role (RPH / Tech) Rate Requirements Store Software Visibility
After Shift
Ratings Compliance Records Payment Tax (1099)
7.4 hrs
Avg. Duration
$30–$40
Avg. PPH — Tech
$65–$85
Avg. PPH — Pharmacist
Same Day
Avg. Time to Fill
THE PLATFORM

An Entire Pharmacy Ecosystem on One Platform

PRN shifts today. Permanent placements tomorrow. One ecosystem for the full pharmacy workforce lifecycle.

PRN Shift Marketplace

Live & scaling
  • On-demand shift posting & matching
  • Same-day fill capability
  • Automated credential verification
  • Stripe-powered instant payments
  • Post-shift ratings & compliance records
  • Trusted roster & private shifts

Permanent Job Board

Temp-to-hire pathway
  • Full-time & part-time job listings
  • “Working interview” via PRN shifts first
  • Candidate profile with shift history
  • 13.5% marketplace fee on partner hires
  • Reduces mis-hires & turnover risk
  • One platform for temporary & permanent needs
Health Mart connection: PRN providers become permanent candidates. Every shift is a working interview. Facilities fill immediate gaps and build long-term teams from the same pool.
THE PLATFORM

Admin Dashboard & Reporting

Enterprise-grade tooling for multi-location pharmacy operations.

Shift Management

Active, pending, and completed shifts. Filter by location, role, date. One-click repost for recurring needs.

Provider Roster

Build a trusted roster of go-to providers. Post private shifts. Track credential status at a glance.

Financial Reporting

Spending by shift, week, or month. Downloadable invoices. Cost comparison vs. agency staffing.

Compliance Center

Credential packets ready for board audits. Shift completion records. Incident tracking and documentation.

Multi-Location

Centralized billing across all stores. Location-level permissions. Cross-location provider sharing.

Analytics

Fill rate by location and role. Time-to-fill trends. Provider quality scores. Rebooking rates.

THE PLATFORM - PRN MARKETPLACE

Compliance Engine

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

Automated Verification

  • State pharmacy license validation via Yardstik (all 50 states)
  • DEA registration verification
  • Background checks via Yardstik (criminal + sex offender registry)
  • Credential expiration tracking & alerts
  • State-by-state regulatory compliance
  • Immunization certification verification

Why This Matters

  • Traditional agencies do this manually — it takes days and misses things
  • ShiftRx verifies in real time — expired license? Blocked automatically
  • Every shift is compliance-guaranteed before the provider walks in the door
  • Reduces liability exposure for Health Mart members to near zero

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

THE PLATFORM - PRN MARKETPLACE

Intelligent Matching

Not just "who's nearby" - intelligent fit scoring that improves with every shift.

Credentials

License type, state, certifications match shift requirements

Proximity

Distance-based ranking within commutable radius

Availability

Real-time calendar sync, no double-booking

Performance

Shift history, ratings, reliability score

Preferences

Pharmacy type, workflow familiarity, past matches

Rate Fit

Budget alignment between pharmacy and provider

Result: 86% fill rate. When a provider is matched, they show up.
THE PLATFORM - PRN MARKETPLACE

The Provider Experience

Happy providers = reliable coverage for Health Mart stores.

1

Sign Up

~5 minutes

Download app, enter credentials, upload license. Compliance engine verifies automatically.

2

Get Verified

~48 hours

Background check via Yardstik. License validation across all 50 states. Only bottleneck is state turnaround.

3

Browse & Work

Same day

Filter shifts by location, rate, type. Show up, clock in/out via app. GPS verified.

4

Get Paid

Automatic

Stripe-powered payouts. Fast, reliable, transparent. No chasing invoices.

$65–75/hr
Avg. Pharmacist Rate
$26–30/hr
Avg. Technician Rate
THE PLATFORM - PRN MARKETPLACE

The Pharmacy Experience

Post a shift. Get matched. Shift filled. It's that simple.

Post Shift
Date, time, role type, rate, requirements
Auto-Match
Engine finds qualified providers instantly
Confirm
Review applicant profile, approve with one tap
Shift Filled
Provider confirmed, payment automated
24,000+
Total Hours Worked on Platform
7.4 hrs
Avg. Shift Duration
Same Day
Typical Time to Fill
HOW WE MEASURE SUCCESS INTERNALLY

Performance & Fill Rates

86% fill rate. Trending up every quarter.

Month-over-Month Growth Trend

Mar '25
Jun '25
Aug '25
Oct '25
Dec '25
Mar '26

December saw 120% increase in demand during holiday season — here's how we met it.

*Mar '26 reflects V2 launch transition + NY storm impact

Key Performance Metrics

Overall Fill Rate 86%
Avg. Time to Fill <24 hrs
Total Hours Worked 24,000+

Fill Rate: ShiftRx vs Industry

ShiftRx
86%
Industry Avg
50%
THE PLATFORM - PRN MARKETPLACE

Temp-to-Hire: The Working Interview

"Become the best job either side has ever had."

How It Works

  • Pharmacy posts PRN shifts and fills them through ShiftRx
  • After working together, both sides know if it's a fit
  • Pharmacy initiates a permanent placement — converts the provider to full-time staff
  • ShiftRx facilitates the transition with a one-time placement fee
  • Shifts worked credit toward the placement fee

4 successful placements made in March 2026 alone

Anonymized Shift Receipt

ProviderRPh - J.M.
FacilityCommunity Pharmacy - Southeast
Shifts Completed6
Shifts Pending4 more scheduled
Placement InitiatedYes
Placement Fee13.5%

Contract hires through ShiftRx: 13.5% placement fee vs. traditional recruiter fees of 20–30%.

THE PHARMACIST JOURNEY

One Platform.
Every Stage of a Pharmacist's Career.

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.

THE PHARMACIST JOURNEY

Katherine’s Journey: Student to Pharmacist-in-Charge

One platform powers every stage of a pharmacist’s career — and closes the flywheel.

1

Student

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

2

First Job

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%

3

Second Job

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

4

PIC / Full Circle

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.

THE PHARMACIST JOURNEY

The Flywheel Effect

Every pharmacist who grows up on ShiftRx becomes two things: a proven provider AND a future buyer.

ShiftRx
Flywheel
01
Students Join
P1-P4 pipeline activates
02
More Providers
Supply grows organically
03
More Shifts Filled
Coverage delivers results
04
PICs Trust Platform
Buyers were once providers
05
More Demand
Facilities post more shifts
06
Attracts Students
Cycle repeats, compounds

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.

PROVIDER ACQUISITION STRATEGY

The Acquisition Advantage

Traditional companies rely on one or two channels. ShiftRx uses all of them — and that is the advantage.

Traditional Company Funnel

Job Board Listings ($$$)
Cold Calls & Emails
Manual Screening (Days)
High CAC • Slow • 1–2 Channels

ShiftRx Funnel (All Channels)

Campus Ambassador / Scholarship Program
ShiftRx Provider Referrals + Job Boards
P1–P4 Pipeline + Social Content
Auto Compliance Verification (Hours)
Low CAC • Fast • 10,672+ Providers
The advantage is not any single channel. It is that ShiftRx invests across campus, referrals, social, job boards, and content simultaneously. No company does this.
PROVIDER ACQUISITION STRATEGY

Forward-Thinking Provider Pipeline

We go where the next generation lives. No staffing company is here.

Why TikTok Works

  • Pharmacy professionals are already on the platform
  • #PharmacyTikTok has billions of views
  • Content builds trust before they even sign up
  • Cost per acquired provider is a fraction of job boards

Content Strategy

  • Day-in-the-life pharmacy content
  • "How I earn $X/month as a PRN pharmacist"
  • Provider testimonials and shift stories
  • Behind-the-scenes platform walkthroughs

The Competitive Moat

  • Traditional companies aren't built for social media
  • Their recruiters don't speak the language of Gen Z pharmacists
  • ShiftRx's founder IS the demographic
  • First-mover advantage in an uncontested channel

10,672+ providers acquired through online-first channels in 15 months

No cold calls. No job board listings. No recruiting firm retainers.

PROVIDER ACQUISITION STRATEGY

Targeted Geo Acquisition: Proven Playbooks

When a big contract drops, we know how to flood a geography with providers fast.

Partner A — Midwest Region

Enterprise pharmacy staffing contract

  • 1,000+ providers contacted within 25–30 mile radius
  • Custom go-to-market plan — state-targeted campaigns
  • Ramped from zero to full staffing in weeks

Partner B — Southeast Region

Large regional chain

  • Rural + suburban mix across two states
  • Community pharmacy profile — directly analogous to Health Mart
  • Successful temp-to-hire conversions
  • Ongoing relationship with consistent shift coverage
  • Transitioned to new pricing model seamlessly
This is the exact playbook we deploy for Health Mart stores. Identify high-density regions, map provider supply within 30 miles, activate targeted campaigns, and build density before onboarding stores.
THE ECOSYSTEM

ShiftRx × Health Mart

Workforce Solutions for Independent Pharmacy

McKesson Community Pharmacy Ecosystem

Health Mart  |  4,500+ Independent Pharmacies

ShiftRx Workforce Platform

PRN Staffing Scheduling Credentialing Job Board Onboarding Float Pool PERK$

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.

THE HEALTHMART PARTNERSHIP

We’re Already Inside the Health Mart Network

66 Health Mart pharmacies are already on ShiftRx today. 1,128 more are in markets we already serve.

66
Health Mart pharmacies already on ShiftRx
Exact name matches — same city, same state
1,128
Health Mart locations in ShiftRx markets
Providers already nearby — immediate value on day one
~2,600
remaining locations — clear expansion path

Network Coverage: 3,743 Health Mart Locations

66 active (1.8%) 1,128 warm market (30%) ~2,600 expansion

Heaviest Overlap States

CA
231
FL
179
NY
163
TX
143
NJ
59
MI
58

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.

PROOF POINTS

We've Done This Before.

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
CUSTOMERS & PARTNERS: Ro Mochi Cost Plus Drugs RxCE Care Pharmacies AAP ASHP Yardstik
THE HEALTHMART PARTNERSHIP

Health Mart Pharmacies Are Already Choosing ShiftRx

Let the numbers speak for themselves. All data pre-V2 revamp.

Adoption
64
Health Mart pharmacies signed up
All 64 are paying subscribers (Stripe on file)
36
posted shifts
56%
activation rate
20
completed shifts
328 days avg tenure on platform
Longest: nearly 2 years
Usage & Spend
243
completed shifts
$100K+
GMV through platform
70.4%
fill rate — when they post, they get staff
5 heavy users with 10+ completed shifts
1 power user — 110 shifts, ~$24K spent
Stickiness
81%
repeat rate — 29 of 36 active came back
9
pharmacies active in the last 60 days
Top performers: 1–2 years with consistent repeat usage
Syd's Pharmacy — LA
110 shifts • $24K • Active since Jul 2024 • Still posting
Leo's Catalina Drug Store — Avalon, CA
48 shifts • $24K • Island pharmacy dependent on PRN
Oak Lawn Pharmacy — Dallas
21 shifts • $11K
Medcal Pharmacy — Brooklyn
13 completed + 3 upcoming • $10K • Booked through May

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.

PROOF POINTS: BEYOND HEALTHMART

Brookshire Brothers: 72-Location Regional Chain

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.

The Profile

  • 72 pharmacy locations across TX and OK
  • Part of a 150-store grocery chain
  • Mix of suburban and rural locations
  • Community-focused — exactly the Health Mart member profile
  • Needed reliable PRN coverage across a wide geography

What We Delivered

  • Full onboarding across all pharmacy locations
  • Transitioned to new pricing model with zero resistance
  • Successful temp-to-hire conversion to permanent staff
  • Ongoing relationship with consistent shift coverage

Key Insight: Brookshire Brothers proves ShiftRx can onboard a multi-location chain with rural stores — the exact use case for Health Mart.

PROOF POINTS: BEYOND HEALTHMART

Ro Health: Venture-Backed Online-First GLP-1 Company

They trust ShiftRx as their recruiting pipeline. Validating enterprise scale.

28+
Providers (8 RPh + 20 Tech)
Growing Relationship
16
Additional Techs (Pipeline Active)

The Ramp-Up Playbook

  • 1,000+ providers contacted within 25–30 mile radius
  • Custom go-to-market plan — state-targeted campaigns
  • Ramped from zero to full staffing in weeks

What This Proves

  • ShiftRx can activate provider supply in a specific geography on demand
  • We can manage complex, multi-provider contracts with enterprise clients
  • The same playbook scales to Health Mart's store regions
  • Finalized recruiting pipeline with internal recruiters — 16 additional techs sourced collaboratively, strengthening their team, not replacing it
PROOF POINTS

What This Means for Health Mart

Two proof points. One clear conclusion.

BROOKSHIRE BROTHERS

Multi-Location Chain

72 pharmacies • Rural + suburban • Regional grocer

Rural Coverage Chain Onboarding Temp-to-Hire

RO HEALTH

Enterprise Contract

28+ providers • Venture-backed • Geo ramp-up

Enterprise Scale Fast Supply Ramp Growing Scope

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.

THE HEALTHMART PARTNERSHIP

Partnership Model: Preferred Vendor

No cost to Health Mart. Zero financial risk. Fastest path to value for both sides.

No Risk
Zero financial risk to Health Mart
No Cost
to Health Mart or McKesson
3,743
Health Mart stores eligible

Source: Health Mart pharmacy locator data

Option 1: Preferred Vendor

  • ShiftRx becomes a recommended staffing solution for all Health Mart members
  • Stores onboard individually at their own pace
  • ShiftRx handles all technology, compliance, and provider supply
  • Health Mart members get preferred pricing
  • Existing Health Mart members already on the platform

Option 2: Deeper Integration

  • Pharmacy fellowship expansion — ShiftRx as rotation/pipeline partner
  • Government program potential — 340B, HRSA, rural health clinic integration
  • Co-branded recruitment initiatives at pharmacy schools
  • Natural evolution from preferred vendor once value is proven
THE HEALTHMART PARTNERSHIP

Why Preferred Vendor (Not Licensing or White Label)

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
Our recommendation: Start with preferred vendor. Let Health Mart members experience the platform. Let the fill rates and cost savings speak for themselves. Then evolve the partnership based on demonstrated results — not promises.
THE HEALTHMART PARTNERSHIP

Pricing: No-Cost Insider Tier for All Health Mart Stores

Eliminate decision friction. Make it easy to say yes.

$0/mo
Insider tier — no cost

($50/mo value waived)

15%
Marketplace rate for Health Mart members
$200K/mo
Value to Health Mart network

($50 x 4,000 stores)

Why No-Cost Enrollment Wins

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.

THE HEALTHMART PARTNERSHIP

Cost Savings vs. Traditional Companies

ShiftRx at 15% vs. companies at 40%+. The math is simple.

Per-Shift Comparison (10-hr Pharmacist Shift)

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

Annual Savings Projection

Per store (24 PRN shifts/year)

$3,900/year

100 Health Mart stores

$390,000/year

Full network (4,000 stores)

$15.6M/year

THE HEALTHMART PARTNERSHIP

PERK$ Integration (Parallel Track)

An additional touchpoint that runs alongside preferred vendor status.

What Is PERK$?

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.

  • Featured in PERK$ communications and member portal
  • Additional visibility beyond preferred vendor announcement
  • Drives discovery from members browsing benefits

IdeaShare Conference — June 2026

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.

Conference Exposure Member Portal Listing No Additional Cost
PERK$ is additive, not either/or. It runs in parallel with preferred vendor status.
THE HEALTHMART PARTNERSHIP

Use Cases for Health Mart Members

ShiftRx solves multiple staffing problems — not just emergency fills.

Sick Call Coverage

Pharmacist calls out at 6 AM. Post a shift, get matched same day. No more scrambling through your phone contacts.

Vacation Coverage

Schedule coverage weeks in advance. Your PIC takes a real vacation without the pharmacy closing.

Seasonal Demand

Flu season, immunization drives, back-to-school. Scale up temporarily without permanent hires.

New Store Openings

Staff a new location with PRN providers while you recruit permanent team. Revenue from day one.

Try-Before-You-Hire

Use PRN shifts as a working interview. Convert the best providers to permanent staff through ShiftRx's placement pathway.

Extended Hours

Add evening or weekend hours without overworking your core team. Grow revenue with flexible staffing.

RURAL COVERAGE STRATEGY

The Rural Challenge — Acknowledged

We know rural is harder. We're not dodging it. We have a plan.

The Reality

  • Fewer providers within commutable distance
  • Longer drive times reduce provider willingness
  • Less flexible scheduling options
  • Traditional companies largely ignore rural entirely
  • This is exactly why Health Mart needs a technology solution

Why We're Credible on Rural

  • Brookshire Brothers: 72 pharmacies across TX/OK including rural locations — successfully staffed
  • 49-state coverage: Our provider network isn't concentrated in metros only
  • P1–P4 pipeline: Pharmacy students rotate through rural sites — they know the environment
  • Geo-acquisition playbook: Proven ability to build supply in specific geographies on demand
RURAL COVERAGE STRATEGY

The Rural Playbook

Two proven approaches to building rural provider density.

Geo-Targeted Recruitment

Map Health Mart store regions. Identify providers within 30-mile radius. Activate email + targeted campaigns to those zip codes. Build supply before onboarding stores.

P1–P4 Student Pipeline

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.

Rural coverage isn't a checkbox — it's a competitive moat. If ShiftRx can reliably staff rural Health Mart locations, no traditional company can compete. They've already given up on rural.
RURAL COVERAGE STRATEGY

What ShiftRx Can Do for Health Mart

3,743 Health Mart pharmacies mapped across 49 states. Here's the opportunity.

Top 5 States — Immediate Activation

California
459 stores
Florida
317 stores
Alabama
281 stores
Michigan
258 stores
Texas
245 stores

What ShiftRx Delivers for Health Mart

PRN Coverage Live Now
Temp-to-Hire Live Now
Job Board Live Now
Compliance Engine Live Now

Full dataset: 3,743 pharmacies with zip code, services, and contact data available for heat map overlay with ShiftRx provider density.

IMPLEMENTATION & NEXT STEPS

Implementation Roadmap

Gantt-style phased rollout. Clear milestones at every stage.

Day 0–30
Day 30–60
Day 60–90
Select Pilot Region
Activate Provider Supply
Onboard Pilot Stores
First Shifts Filled
Expand to 3–5 Regions
Performance Reporting
Alabama example: 281 Health Mart stores. Day 30–60 target for first pilot results. High store density + existing ShiftRx provider supply = fastest path to demonstrated value.
IMPLEMENTATION & NEXT STEPS

Onboarding: Simple, Fast, Self-Service

What it takes for a Health Mart pharmacy to get started.

1
Create Account
Email + pharmacy info. Pre-populated for Health Mart members. 2 minutes.
2
Set Preferences
Shift types, rate ranges, credential requirements, scheduling preferences.
3
Post First Shift
Date, time, role, rate. Takes under a minute. Matched immediately.
Shift Filled
Credentialed provider confirmed. Payment automated. Done.
<5 min
Account setup to first shift posted
$0
Cost for Health Mart members to get started
IMPLEMENTATION & NEXT STEPS

IdeaShare Conference — June 2026

Health Mart’s annual conference. Thousands of pharmacy owners and decision-makers in one room.

The Opportunity

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.

What We Bring

  • Live demo of the platform for pharmacy owners
  • On-the-spot onboarding — account live in under 5 minutes
  • Real case studies from Health Mart pharmacies already on ShiftRx
  • Co-branded launch announcement with Health Mart

The Impact

IdeaShare is the single highest-leverage moment to go from preferred vendor to network-wide adoption. One event, mass awareness, immediate sign-ups.

Conference Exposure Member Portal Listing No Additional Cost
IMPLEMENTATION & NEXT STEPS

Success Metrics & Reporting

Full transparency. Health Mart sees exactly how the partnership performs.

What We Measure

Fill Rate Target: 85%+
Time to Fill Target: <24 hrs
Completion Rate Target: 100%
Cost Savings vs. company baseline
Satisfaction Both sides

Reporting Cadence

Weekly (Pilot Phase)

Shift activity, fill rates, provider feedback, store onboarding progress. Direct line to ShiftRx account team.

Monthly (Expansion)

Executive dashboard: KPIs, cost savings, regional performance, provider supply growth, temp-to-hire conversions.

Quarterly (Full Rollout)

Business review with Health Mart leadership. ROI analysis, network-wide trends, partnership evolution roadmap.

APPENDIX

The Bigger Vision

What the partnership looks like when preferred vendor is just the beginning.

APPENDIX: PROVIDER ACQUISITION

P1–P4 Pipeline & Campus Ambassador Program

Stage 1 of the Pharmacist Journey in action — building supply before graduation.

The Program

  • Campus ambassadors at pharmacy schools across the U.S.
  • In-person events + social media outreach
  • P1–P4 students onboard throughout their program
  • Credential tracking starts before licensure — ready to work day one

Why No Company Has This

Companies recruit pharmacists who are already working. They fight over the same pool. ShiftRx is building the next generation of the pool itself.

Health Mart Relevance

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.

APPENDIX: THE BIGGER VISION

Unified Healthcare Staffing

Pharmacy is the wedge. The platform extends across healthcare.

Pharmacy

Live Today

Pharmacists, pharmacy technicians, pharmacy interns

10,672+

providers on platform

Nursing

Future

RNs, LVNs, CNAs, nurse practitioners

Same compliance engine

Radiology

Future

X-ray techs, MRI techs, ultrasound, nuclear medicine

Same matching technology

Physicians

Future

Locum tenens, urgent care, primary care, specialists

Same marketplace infra

Allied Health

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.

APPENDIX: THE BIGGER VISION

White Label: Health Mart-Branded Staffing

ShiftRx powers the backend. Health Mart owns the relationship.

CURRENT

ShiftRx

Pharmacy Workforce Platform

ShiftRx branded. Members know they're using a third-party platform.

WHITE LABEL

Health Mart Staffing

Powered by ShiftRx

Health Mart branded. Members see a native solution. ShiftRx runs everything behind the scenes.

McKesson's play: Instead of 4,000 member pharmacies using 10 different companies, every Health Mart store uses one platform — branded as Health Mart. McKesson controls the experience. ShiftRx provides the engine.
APPENDIX: THE BIGGER VISION

Radiology: The Next Vertical

Same fragmentation. Same pain. Same solution.

Why Radiology

  • Credentialing complexity matches pharmacy
  • Geographic coverage gaps (especially rural)
  • Reliance on expensive, slow companies
  • No dominant tech-first marketplace exists
  • ShiftRx's compliance engine translates directly

Shared Infrastructure

Reusable Compliance engine & credential verification
Reusable Matching algorithm & marketplace
Reusable Stripe payment infrastructure
Reusable Provider acquisition playbook
New Radiology-specific credentialing rules
APPENDIX: THE BIGGER VISION

The Roadmap: Preferred Vendor → White Label

Each phase unlocks the next based on demonstrated results.

MONTH 0–3

Preferred Vendor Launch

  • No-cost enrollment
  • IdeaShare announcement
  • Initial pilot stores
  • Provider supply ramp

MONTH 3–6

Expansion & Proof

  • Expand to additional stores
  • Prove fill rates & cost savings
  • ROI report for leadership
  • Headcount assessment

MONTH 3–6

Licensing / Group

  • Bulk store activation
  • Dedicated support team
  • Custom reporting
  • Network-wide analytics

MONTH 6–18

White Label Pilot

  • Health Mart branding
  • Native member experience
  • McKesson controls UX
  • ShiftRx powers backend

ONGOING

Multi-Vertical

  • Radiology staffing
  • Nursing coverage
  • Allied health
  • Full healthcare platform

Gate between each phase: demonstrated results, not calendar dates.

The Pharmacy Workforce Platform

Built by pharmacy professionals.
Proven at scale.
Ready for Health Mart.

Let's schedule the director demo.

Prepared for Health Mart / McKesson - April 2026

Comprehensive Appendix

Four-Stakeholder Coverage

Provider

Facility

Health Mart / McKesson

ShiftRx

Prepared by Kourtney Welch & Acacia Erhardt • April 2026 • Confidential

APPENDIX A

The ShiftRx Story

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.
APPENDIX B

Market Opportunity

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.
APPENDIX C

The Platform — Core

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.
APPENDIX D

The Platform — Infrastructure

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.
APPENDIX E

Experience, Results & Temp-to-Hire

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.
APPENDIX F

Health Mart Partnership — Structure & Pricing

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.
POTENTIAL QUESTIONS FROM HEALTH MART / McKESSON

Strategic Fit & Market Need

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.
POTENTIAL QUESTIONS FROM HEALTH MART / McKESSON

Product & Operations

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.
POTENTIAL QUESTIONS FROM HEALTH MART / McKESSON

Financial & Risk

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.
POTENTIAL QUESTIONS FROM HEALTH MART / McKESSON

Scalability & Vision

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.
End of Appendix

End of Appendix

ShiftRx • shiftrx.io • Confidential • April 2026