The United States is projected to experience a shortage of registered nurses in the next three to five years as Baby Boomers age and the cost of healthcare continues to grow. Additionally, nursing schools across the United States are struggling to expand capacity to keep up with the demand for registered nurses. Demand and competition for registered nurses is increasing at an alarming rate for health systems and speciality and community hospitals in every state.This case is designed to help students understand how to use external market data and internal salary structures to ensure that the registered nurse job at Sunnyside Medical Center remains competitive. This will help in the recruitment and retention of skilled workers in the very competitive healthcare environment