By Staffmax Healthcare Staffing & Recruiting

August 11, 2023

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Travel Rates Explained

Staffmax Healthcare Staffing and Recruiting provided this article.

Article was written by: Julie Hesseltine, RN, CNO, and Sr. Recruiter for Staffmax.

How many ways have you seen rates posted online by different companies?  The answer to this question is most likely; “A lot!”. Today, it is time to take an in-depth look at the rates and what they mean.  As a beginning traveler years ago, I had a difficult time understanding rates until someone took the time to explain.

The first-rate seen may be on an online advertisement with a weekly rate of X to Y.  These rates are usually based on a percentage of the Bill Rates given by facilities and auto-calculated.  They are the eye-catchers that make you look.  What these rates don’t capture are the smaller details like the location of the position, the exact workman’s comp code that needs to be calculated, and the allowable stipends for the season or the area in which the job is located.  Travel rates will be explained below, so let’s have a look.

travel rates

Travel Rates Explained:

Now, open the ad and see what is inside. What details are listed?  Pretend that all of the following information is listed.

  • Hourly Rate – The hourly rate that is fully taxable; This must be at or above the state’s minimum wage.
  • Taxable Gross – the weekly amount that is fully taxable
  • Blended rate – the combination of the taxable hourly rate and the Tax-Free Stipends (hourly) rate
  • Overtime rate – anything over 40 hours/per week and, in some circumstances, over 8 hours/per day.
  • Gross pay – total weekly pay BEFORE taxes. 
  • Stipends are listed individually as Meals & Incidentals and Housing. Each having a maximum/day or week.

Bill Rates will not be listed by the staffing agency but will be discussed below. Bill rate is the rate that the facility pays the staffing agency.

Let’s start with the Hourly Rate.  These rates are fully taxable.

The higher this rate, the more taxes you will pay and the higher your Taxable Gross will be. Some will want a higher rate at times because they wish to purchase a new home or a new car, and the bank needs to see paperwork with a higher gross income.  Let your recruiter know this.  Most agencies are operating on an extremely low margin, so the more you are taxed, you may see that the actual weekly gross must be decreased due the taxes that must be taken out.  It is a balancing act.  (For those that do not have the ability to DUPLICATE EXPENSES, the entirety of the check should be based on hourly rates without stipends to remain free of issues and fines with the IRS in the event of an audit.  Travel Nurses do get audited!)

The Blended Rate:

By definition, an easy explanation is the combination of the hourly rate plus the hourly rate of the stipends.  There are those who do not wish to see or care about the Blended rate, and often that is because this is the tricky one to understand.  The higher the blended rate, the better, right?

This leads us to the Stipends. 

What are they, and how are they calculated?  The stipends are based on the state, and often the city of the position one is applying for.  This is the daily or weekly amount that a traveler will receive TAX-FREE for meals, incidentals, and housing. The government has a maximum amount that can be given, and one would be wise to go to https://www.gsa.gov/travel/plan-book/per-diem-rates to learn more about these rates.   The “standard rates” for Meals and incidentals is $59/day, and Housing is $98/day.  Thus, one often sees $157/day or $1099/week if given 100% stipends.  These are then broken down into an hourly rates for the purpose of identifying the Blended rate.  However, there are many towns, vacation spots, and cities that may have higher rates.  The more one can receive as a tax-free stipend, the more “take home” in the end because you don’t have to “give it away” to the IRS.  However, in order to receive stipends, there are IRS rules and regulations that must be followed, such as duplicating expenses that must be followed.    It is very important to follow up with an accountant to discuss what you can and cannot do so that you do not get into a tax predicament.  No recruiter should ever try to give the answers pertaining to accounting and tax law!  These recruiters can guide you, but it is your obligation to contact an accountant. 

Gross Weekly Rate is always before taxes.

Why can’t we, as recruiters, give you the actual amount in a quote?  We don’t know anything about your home state’s taxation codes.   We don’t know the tax codes in the state in which you are working.   We don’t know how many dependents and deductions you can have.  ETC.  Yes, we, as recruiters, are asked! Yes, we, as recruiters, will occasionally find a candidate who gets upset because they thought the quote weekly rate was the net take-home. 

travel rates

Now we arrive at the Overtime Rate.

Overtime rates vary widely.  Facilities do things quite differently, all in part due to the contracts that have been signed with the facility pertaining to the overtime rate.  Some facilities allow an added $10 for overtime calculation, others 1.25x the Bill rate, others 1.3X the Bill rate, and still others 1.5x the Bill rate. It is becoming more popular for facilities to only allow overtime rates after 48 hours if it is a 48-hour contract.  Everything that is quoted and offered comes out of the Bill rate that each staffing company is allowed to bill for.  It is very obvious that some positions have great OVERTIME RATES, and others have not-so-great OT rates, but this may help explain why.  Finally, it is also important to realize that some staffing companies’ overtime rates are based on the Hourly Rates, and others base it in part on Blended rates. 

Finally, let’s take a moment to discuss the Bill Rate.

Some feel that if a staffing company doesn’t tell the Bill Rate, they are a bad agency or a bad recruiter.  Some will let candidates know the Bill Rate, but most are not allowed to discuss this.   The Bill rate is what the agency is given, or allowed to bill the facility, for each hour a healthcare worker is paid for working.  It is higher than what the Healthcare worker is paid.   Out of the Bill rate comes the licensing fees, workman’s comp insurances, taxes, wages for the recruiter, and others at the staffing agency, among other expenses.    A company may keep any amount they choose prior to creating a pay package for a healthcare worker. It is up to the healthcare workers to find a position and pay package so they can say yes to working.  Think of the pay package in the same way a retailer thinks of products on his shelves.  The retailer paid wholesale for those products. That amount is “X.” He wants to make a profit, but not so much that the consumer will not purchase.   But taking calculating utilities, repairs, updates, salaries of others, shipping costs, and adding the prices of the goods, etc., the retailer now knows what he needs to break even.  The cost of the product he is selling is now “X + Y = Price of the product.”  The pay package is the product you are willing to sign a contract for.  If you don’t like what you see, move on. Find something else that suits your needs. 

I hope that for those who have had trouble understanding the different pieces that make up a Pay Package, this will make it easier to understand. If not, send me a PM and I will try to answer your questions.  Never sign a contract until you fully understand what you are signing.

We hope this article on travel rates explained helpful. Do you have any other questions about travel rates? Comment them below.

Our job board is a great place to search for your next travel nurse assignment. We have you covered with our housing page if housing is an issue. You can search for what you are looking for.

If you are a new travel nurse or looking into becoming a travel nurse:

Travel Nurse Guide: Step-by-Step (now offered in a PDF Downloadable version!)

By Go Healthcare Staffing

February 5, 2021

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UNKNOWN

This article was provided by GO Healthcare.

“Unknown” – that is my response when asked how long will these crises pay stay at this level. There are so many factors affecting our country’s pandemic response, and in turn, there are so many questions about what comes next for travel nurses?  

The unknown factors are:  

  • Are some states going to be safer (for travel contracts) than others?
  • Is this going to be a constant virus where we will always have max capacity at hospitals? 
  • Are elective surgeries going to come back? 
  • Will the vaccines work with the new variants we are seeing?    
  • Are there further complications for those that have had the virus?

Everyone will give their opinion, but again, it will be an educated guess.  As we are now following science, we can do what we can do and learn every day.  With that said, travel nursing will continue to have a strong future.  As the crisis recedes, so will the “crisis pay rates.”   But here a few factors why the outlook of traveling nursing remain steady, if not stronger:

  1. More elective surgeries.  With better control of COVID-19 infections, elective surgeries will resume.  This will be a catalyst for higher census throughout facilities.
  2. Nurse Burnout.  Working crisis contracts of 48 to 60 work weeks will predictably cause more nurses to burn out.  Many may take a break; many more may not return to the bedside, which will exacerbate the current nursing shortage. 
  3. U.S. Population.  Before the pandemic, our largest population, the “baby boomers,” required more healthcare services, and post-pandemic, it will remain the same. 
  4. Ongoing COVID care. Even with improved vaccine rollouts, the virus’s new strains will mean ongoing hospital care, albeit fewer mortalities.
  5. Full-time nurses going back to their full-time positions.  Crisis travel contracts allowed many nurses to toggle between a short 2-8 week crisis contract and a full-time position. 

These are a few of the reasons why travel nursing will still be in high demand.   And in regards to how long will these “crisis pay” last?   I suspect these elevated pay rates will eventually level off, so proper financial planning during these times are key to help alleviate stress in the future.  The work and risk being done daily absolutely deserve the pay. 

But it will subside.  When?  Unknown…

If you are a new travel nurse or looking into becoming a travel nurse:

Travel Nurse Guide: Step-by-Step (now offered in a PDF Downloadable version!)

By TaleMed

May 19, 2020

8604 Views

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COVID-19 Crisis Pay Rates for In-Demand Positions

This article provided by TaleMed.

You only need to turn on the news to know that the COVID-19 pandemic is stressing hospital resources. Nurses are needed across the country ― in urban and rural settings in all states. This is an important time to understand crisis rates when you consider the opportunities available to travel nurses.

As you step up to work a crisis rate job, know that not all travel healthcare companies are equal. Be selective about the travel company you choose to work with. Be sure you understand the policies, including COVID-19 quarantine and cancellation policies.

“We’re talking to a lot of nurses right now about what really matters on an assignment,” said TaleMed Clinical Director Susan Abbott, RN. “These jobs are high paying, but you should fully understand the job you’re going to ― and you should find a travel company you trust to take care of you.”

The Average Pay for HCPs has Doubled

Crisis rates describe a higher-than-normal rate of pay for nurses and are implemented at the hospital’s discretion for specific assignments because a position is in high demand or critical to the hospital’s mission.

Crisis rate positions have skyrocketed since March 1, and the rates are nearly double that of a traditional travel nurse pay rate across the United States. Travel job postings show rates over $3,000 weekly for ER and/or ICU RNs. These specialties, along with Respiratory Therapy, are in high demand.

“A lot of travel companies have the same or very similar jobs and pay rates. So there are opportunities for nurses to join the fight in whatever way they want to serve,” said Steve Williams, Vice President of Recruiting and Sales for TaleMed. “Now is the time to choose your assignment and travel company based on who you trust to have your back throughout the assignment.”

What to Look for in a Travel Company

Choosing the right travel healthcare company in this time can mean the difference between being on your own if something goes wrong or having the full support of your travel company. Be sure to ask these questions when considering a company to travel with:

  • What is the company’s COVID-19 quarantine policy?
  • How much detail do they include in their pay package? Do you have a good understanding of the portion of your pay that is per diems and allowances vs. hourly wages?
  • Does the company have a reputation for honesty and integrity?
  • Do you have a relationship with your recruiter, and do you have a team backing you up?
  • Does the company have a Clinical Director to provide you with expert guidance in addressing clinical concerns while on assignment?
  • What do the company’s reviews say? What do other travelers say about them?
  • How are they rated by independent travel nurse resources?
  • Do you have to wait to receive benefits? Do they guarantee your shifts or hours?

You especially want a dedicated partner by your side during these uncertain times. Be sure you have access to transparent and clear policies surrounding your travel company’s responsibilities during this crisis.

We hope that you found these tips for COVID 19 crisis pay rates for high demand positions helpful. Do you have any tips to share with fellow travel nurses? Please comment them below.

And if you have any questions, the team at TaleMed is always willing to help ― even if you’re not traveling with us now or have never traveled with us before. At TaleMed, our HCPs are part of the family. We believe in you, and we’re going to take care of you. We have the policies and procedures in place to support you.

TaleMed invites you to review our COVID-19 & Crisis Pay Jobs page to see our Action Plan and other COVID-19 resources.

Finished the travel nursing guide and are ready to look for an assignment?

Check out our travel nurse jobs!