Company Highlights
Orchard is a physician-founded locum tenens and permanent placement staffing company, connecting hospitals and health systems nationwide with board-certified providers.
What is in market today
- Open roles
- 311
- States with live roles
- 37
- Specialties in market
- 54
Counts and shares are read directly from our staffing system when this page loads, and move as roles open and close.
Fifteen years, in three eras
From a single Illinois health system to a national platform.
- 2010Founded in IllinoisOrchard is founded by Dr. N. Ram Saladi, a practicing hospitalist, and incorporated by Indira Saladi as President. Headquartered in Glencoe, Illinois, the company is built on a clinically governed approach to locum tenens staffing.
- 2012First major health system partnershipOrchard secures its first multi-site locum tenens contract with a major Midwest health system, initiating a long-standing partnership that continues today across Illinois and Wisconsin.
- 2013Second major health system partnershipOrchard adds a second major regional health system to its client portfolio, expanding hospital medicine coverage across Illinois.
- 2015Doubled hospital medicine coverage footprintOrchard doubles the number of sites receiving hospital medicine coverage, cementing its position as a trusted hospitalist staffing partner across the Midwest.
- 2017Expansion beyond hospital medicineOrchard broadens its clinical scope beyond hospital medicine, extending locum tenens coverage into additional physician specialties.
- 2018Third major health system partnershipOrchard secures a multi-year locum tenens contract with a significant regional health system spanning multiple Midwestern states, extending the firm's reach into new geographies and clinical service lines.
- 2020International operations establishedOrchard opens its first international operational hubs in Asia, expanding the firm's global talent, credentialing, and support capacity.
- 2021Neuro tele-health coverage launchedOrchard expands its service offering to include neuro tele-health coverage, allowing hospitals to fill critical neurology gaps remotely and giving providers new flexible practice models.
- 2022Additional health system partnershipOrchard establishes a new partnership with a Midwest regional medical center, further strengthening its hospital network.
- 2023Catholic health system partnershipOrchard begins providing locum tenens staffing services to a large Catholic health system, expanding its reach across the Midwest.
- 2023VMS/MSP platform integrationOrchard begins participating in vendor management system partnerships, enabling nationwide assignment coverage and expanded reach across new states and specialties.
- 2024Continued international expansionOrchard adds a third international operational hub, extending its global footprint to a fourth country and further scaling its talent and support infrastructure.
- 2024Channel diversification and national scaleOrchard signs additional national vendor and health system agreements, bringing its provider network to over 1,000 credentialed clinicians across 18+ specialties.
- 2025Fifteen-year anniversaryOrchard marks fifteen years of continuous operations, sixteen years without a single malpractice lawsuit, and a sustained provider fallout rate under 1%.
- 2025First Chief Executive Officer appointedJames Cantrell joins Orchard as its first Chief Executive Officer to lead the company's next phase of national growth, working alongside Indira Saladi (President and Board Director) and Dr. N. Ram Saladi (Chief Medical Officer and Co-Founder).
- 2026VA Federal Supply Schedule contract awardedOrchard is awarded a VA Federal Supply Schedule contract (Schedule 621I), joining a select group of firms authorized to provide locum tenens services to Veterans Affairs facilities nationwide.
- 2026Enterprise safety-net health system engagementOrchard submits a comprehensive proposal to serve as a locum tenens staffing partner for a major public safety-net health system, marking its largest enterprise engagement to date.
The business, in short
Locum tenens and permanent placement for hospitals and health systems, sold on consistency rather than transaction volume.
A clinical governance framework set by the founding physician covers provider vetting and service-line integration on every placement.
All 50 states and more than 100 specialties, with the licensing and credentialing infrastructure to place into them.
Sixteen years operating without a malpractice lawsuit, and a sub-1% provider fallout rate.
A NALTO member and NAPR compliant — the ethical and practice standards our placement process is held to.


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Open role counts and specialty shares are read from Orchard's staffing system at page load and change as roles open and close. Operating history, coverage and milestone details are stated as of the dates shown. Nothing on this page is an offer to sell or a solicitation of an offer to buy any security, and no financial performance, projection or valuation is presented here. Prospective investors should contact us directly.

