Why do clinics advertise for an NP for months and months without hiring?

[FullGlass, BSN, MSN, NP]

I'm wondering if anyone here has outpatient management experience or has insight into this. I will be starting a new position on Dec 2 and am very happy about this, so it didn't really affect me, but I'm curious.

During my job search, including looking at locums work, I saw positions that were not filled for 6 months or longer. These are typically in less desireable locations which have a hard time attracting and keeping providers, and I am intimately familiar with some of these clinics. They have a laundry list of requirements and seem to want only a person that has 100% of what they are looking for. Problem is, no one wants to live there to begin with. For example, I applied to one and had everything they were looking for except I didn't have suturing experience. Never heard back and job still open after almost 6 months. In that time, I could have easily learned how to suture. These clinics all had multiple providers.

The reason I ask is that these clinics are losing revenue if they are lacking a provider. A provider that meets 80 to 90% of the requirements could go in there and be seeing patients and generating revenue, and then get training on the areas needed.

[Gentleman_nurse, MSN]

I've had similar experiences. Especially applying through HR or automated system. You're dealing with drones and lackluster leadership.

[Rose_Queen, BSN, MSN, RN]

I wouldn't be surprised if it's a lack of resources to train for those who don't have one of their qualifications. Probably staff turnover very quickly. Could also be that the job posting that faces the public is actually "evergreen" meaning even when it's filled it's still posted because they know they will need a replacement at some point or that there is one visible posting for multiple openings.