Do travel nurses have to sign with a travel nursing agency in order to travel nurse? No. The reality is that nurses who want to travel can sign with a travel nursing agency, or in some cases (but very few) become an independent contractor.
But why would travel nurses choose to be independent contractors, and which option is more advantageous?
Let’s not beat around the bush – recruiters are paid a rate by the hospital for your services. Some travel nurses may wonder why their agency is taking a cut of their bill rate. After all, it’s the nurses who are performing expert services and saving lives.
Take this comment in particular from a frustrated nurse exploring the subject at AllNurses.com:
“They (recruiters) sit behind the comfort of their desks and phones and get a percentage of the bill rate for what they charge for my expert services.”
Of course we don’t know which agency this nurse worked with, so we can’t speak to any specifics. But the gist of this complaint is that recruiters are simply raking in money from the efforts of travel nurses. And that’s not very accurate, because recruiters and their agencies are responsible for a lot of things.
Could nurses make more money on their own, sans agency? It’s possible. But there is a lot more involved in recruitment than sitting behind a desk and answering phones, and once you see everything independent contractors are responsible for – besides nursing – you may find more value in travel nursing agencies.
Is going rogue really a better option? That depends on how much extracurricular activity you’re interested in beyond nursing. The following is what independent contractors are responsible for in lieu of working with a travel nursing agency:
As an independent contractor, you will need to handle your own federal, state and local taxes. This gets even trickier when you’re constantly on the move every 13 weeks. And your tax situation would change based on whether you’re taking per diem or company housing.
Independent contractors also pay the self-employment tax, which accounts for the Social Security and Medicare payments their agency would usually pay. They are required to file quarterly estimated tax payments on IRS form 1040-ES and annual tax returns.
If you’re too busy to account for all of these tasks, you may feel more comfortable letting your agency deal with this.
Speaking of housing, independent contractors are obviously on their own. Finding housing – especially housing that fits your budget – can be time-consuming and cumbersome. A good travel nursing agency is going to help you locate housing, whether you choose their housing services or per diem. But this is not universal. THS is proudly one of the few agencies who will still help you find housing if you choose per diem instead.
Then there are bills and utilities. Most good agencies can shave some of these expenses off and automate them for you, provided you take their company housing. There are different benefits to both company housing and per diem, and for more information on the two, click here. But the point is that without a travel nursing agency, you’re on your own to figure out which makes the most sense for your situation.
Independent contractors must also secure their own insurance, both health and liability. If you’ve ever browsed the healthcare marketplace, you’ll notice insurance rates are a lot higher without a group. Add that expense alongside your liability insurance, and you can expect a sizable chunk of your check devoted to insurance alone every month. Any good travel nursing agency will provide affordable first-day health insurance and liability insurance.
Independent contractors are responsible for finding their next assignment as well. That means making extra time to both track down and contact the appropriate people at any hospital that interests you, and doing so every 10-11 weeks.
Recruiters have already established the relationships necessary for finding your next assignment. With a recruiter, your next assignment is just a phone call away.
Getting paid is also a lot easier when you contract with an agency. Independent contractors are responsible for both billing and collections. That means you’ll spend time billing the hospital for hours worked, and waiting for your invoice to be paid. Are you confident hospitals are paying their invoices immediately? It’s not uncommon for hospitals to take 60-90 days to pay.
After considering everything an agency is responsible for, an agency’s value-add is significant. For travel nurses, it’s hectic enough just getting to know a different hospital every 13 weeks. Having to juggle literally everything else involved with your employment, outside of nursing, is inconvenient and most nurses won’t mind deferring these tasks to an agency.
From the perspective of a travel agency, it’s very simple: we win when you win. The better an agency performs, the happier travel nurses are. And the happier travel nurses are, the better they perform. The relationship is reciprocal.
Furthermore, the vast majority of nurses and healthcare professionals simply don’t qualify under the IRS definition of an independent contractor. See the IRS’ definition for what it means to be an independent contractor:
You are not an independent contractor if you perform services that can be controlled by an employer (what will be done and how it will be done). This applies even if you are given freedom of action. What matters is that the employer has the legal right to control the details of how the services are performed.
But we don’t want to discourage anyone from being their own business owner. If you’re up to it, you should visit the National Nurses in Business (NNBA) website for some great resources on getting started as an independent contractor.
If you’re ready to let an agency handle all of the above, then you have options. Virtually every travel nursing agency offers different benefits. The truth is that of the some 340 travel nursing agencies in the US alone, it’s vital that travel nurses seek agencies that offer a complete package that best fits their unique needs.