I have been a critical care nurse for 25 years and in the past have had a travel company. You are correct In your analysis but not easy at all. Very very difficult. You forgot to mention getting paid from hospitals. many hospitals take 45 to 90days to get paid. It is very difficult to get hospital to answer you and sign off on your contract and many times has to go through legal review.
I was starting up my LLC based upon this Nomad Nurse video and I saw this info on the nursing site Bluepipes. It states RNs working in hospitals typically will not meet the IRS definition of an independent contractor, so we cannot exclude the travel nurse agency after all: __________________________________________________________ Do travel nurses qualify as independent contractors? According to the IRS: The general rule is that an individual is an independent contractor if the payer has the right to control or direct only the result of the work and not what will be done and how it will be done. The main focus here should be on the part of this statement that says, “payer has the right to control only the result of the work…” Note the emphasis added on “only.” Free: Universal Job Application and Credential Management for travelers. The IRS also states the following: 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. In the case of nurses and the vast majority of allied health workers much more than just the outcomes of work are controlled by the contracted facility. For example, in the case of travel nurses, the hospital will determine the hours worked as well as break times. The nurse will be using supplies and equipment belonging to the hospital. In addition, there are managers and doctors at the hospital who are supervising the nurse’s work. Moreover, nurses must seek the permission of a physician for decisions outside the nurse’s scope of practice which is a frequent occurrence. Unfortunately, these factors, taken a a whole, will disqualify someone as an independent contractor. __________________________________________________________ Let me know what your experience was. Thanks
This video is misleading. It fails to disclose that the 25%-35% agency piece of the pie is gross profit, not net profit. Out of that piece, an agency has fixed and variable costs that whittle that piece down substantially: office space, liability insurance, workman's comp, payroll taxes, labor costs, supplies, education and training, background checks and drug screens, physicals, vaccinations, etc. etc. etc. The biggest lie told, ad nauseum, about staffing and travel nurse agencies is that they don't do any work and that they make "all" they money. Nothing could be further from the truth. Also, more and more hospitals are moving to MSP's to manage their labor needs - yes, even rural ones. You will be hard pressed to find a hospital you can just walk in to and get a contract as an independent nurse contractor. Their exclusive MSP contracts prevent such a thing from happening. I'm not saying it can't be done. I'm saying it's not as easy as this video makes it sound.
A lot of nurses and CNAs are leaving hospitals n LTC over the forced vax. So, either nursing shortage will continue to get worse, healthcare facilities will have to raise the pay to super high hourly rate or more nurses will start their own business to escape the madness. Great video.
I've been trying to do this but most hospitals have exclusive contracts with the MSP's and vendors and you will get road blocked when trying to do this. From what I'm gathering is that this mostly works in smaller rural hospitals that are not part of large corporate hospital systems.
Yes, large hospitals(+400 beds) hire agency nurses for emergent staffing shortages and they expect the agency recruit, check employment requirements(e.g. license, background check). Also, there is a "liability " issue that an agency is "qualified" to operate in the state as a registered nurse agency.
so thankful I found this-your experience calling the NM and interviewing, etc, was my experience as well. I have been my own best advocate, reaching out and establishing relationships that my agency/recruiter avoided. Looking forward to learning the details of taking this next step toward Independent Contracting!
It was a very informative video about the bill rates from a travel nurse perspective. I never thought in a million years, you could work independently as a LLC. Most travel nurse companies that I worked in the past were pretty good with the compensation packages. I talked about other travel nurses about trying to get a greater percentage getting a greater percentage of my hourly wage.
Hey, I’m a brand new nurse and travel nursing is definitely something I’ll consider later on. Thank you for the advice and keep bringing these awesome videos. New Subscriber!
Just started my travel career in the ER over the last few months. Will definitely be looking into this more. Thanks for the great info! Subscribed and looking forward to more videos.
Solid video! Travel nursing was the best career decision we have one. The flexeilibty in your schedule is the #1 reason to be a travel nurse, not to mention unlimited vacation time.
This video is how I've been thinking every time I get a contract. I'm doing a nightshift while the agency people are in bed and they're parasites to my skills and mugging me legally. That said, it's not as easy as this video makes out to start a staffing company. There's a lot of massive companies that have got firm grips on a lot of facilities so it's hard to breakthrough unless you have friends who are in HR or directors of departments etc. Just my two pennies worth.
Glad I came across this tonight after spending virtually all day with 4 different recruiters by phone and email. I've been quite disheartened after the long winded pay breakdowns and travel packages, and the worst is always saved for last: the stipend. After a while it all started sounding like a car dealership or worse.. pimping. That's how it is feeling to me. I keep turning down these assignments because one glaring aspect of it is just wrong that cancels out all the good.
Ha! Lol yes I LOVE when I text a recruiter to see if there are any new contracts and they tell me to go to the website 🙃 BaeBAE! I'm not about to do your job for you.
I asked you a question about a month ago re. cutting out the middle man (agency) so your last 2 videos were very informative! My wife will probably still go through an agency for her first couple assignments just to get a feel for traveling, but this looks to be a viable option. 401k is easy enough to substitute with an IRA, but health insurance might be a bit headache...should be worth it though. Appreciate the info!
Just fyi: it's not as easy as this video makes it sound. Many hospitals are moving to MSP's to handle their labor needs. You will be hard pressed to find a hospital you can just walk in to as an independent nurse contractor and get an assignment.
Great information! I definitely want to make my own LLC. My recruiter doesn’t do anything for me. I find my own job and he just submits my profile. He’s really useless.🤦♀️
Is there a way to set this up so that you can negotiate your pay for a non-travel nursing position? I would ultimately like to relocate out of state, likely to a more rural area, but would be looking to spend at least a year or two in that position, so something more permanent. (Just speaking generally, no specific plans at the moment)
New Subscriber! Thank youuuuuu for this!!!! I would definitely pay for services as a consultant for how you help us out...you should get a Patreon too...and just be able to tell the even raw details of what hospitals you been too, etc...
I shared your last video in my facebook group. Keep up the great work. YOU ARE AMAZING!! Thank you for sharing this information. This should be taught in nursing school. I am so glad that you are challenging us to be entrepreneurs.. I'm not a RN yet. Im a LVN. Can i email you still to be added? I really want to learn. thank you
How do you get short-term (13- or 26-week) apartment housing in areas where they want 6-9 month minimum leases, not to mention pay for so many down-payments for that housing and down-payments for utilities companies when moving from city to city while doing those travel nurse assignments under your own individual LLC?
I've heard we must use our word of mouth skills. Try to find places that work with travel nurses b4, rent a room via Facebook market place, convert a van to live out of until you meet your financial goals, find a roommate etc. You just have to be creative and know it is not impossible. Good Luck :)
Its the same as renting an apartment or a room in a house No different. There are mid term 3 months rental?😉 Lots of nurses do extend to 6-9mths if they like the hospital.
Are there dialysis traveling nurses ..I really want to do traveling nursing after 2 yes but I was wondering if there is a such thing (as travel dialysis nurses)
Who do you contact to find out a hospital’s bill rate (I heard you say HR…is that the only source?) and does is the rate usually the same throughout roles or vary based on areas of specialty?
Thanks so much for this video. I am in a middle of getting a contract with a company and the whole pay rate ... I am just thinking why can I not do this myself..
@@kerrydavis6466 wouldn’t you actually make less if you get taxed on your pay from the entire bill rate as opposed to the tax free advantage of your LLC giving you tax free compensation for lodging and food?
Hey there. this is old post. I'm actually talking to business attorneys, in the process of forming my own travel agency. I can't come up with a good neme though
I have a question, is there any non-compete or where you can't work there for twelve months, that recruiters are put into the contract? Have you ever heard about this? Thank you for your great videos!
The only con is that you will be doing a lot more work. You should come out on top during tax times because you are business now and will be having a lot more tax write off
Extremely important information for any RN to see, !!!!! please discuss the topic of workman's comp, billing the fac and facilities payment delays and uncertainty
Hey Nomad Nurse, how about us poor peeps that are just finished our BSN degree (new grad)? Is there a route to grow into this or will I have to still get a few years experience in a hospital?
Say if you have your ein..website and inc..do I just call the places that I'm interested in with out recruiter it definitely doesn't make sense for a recruiter to be paid so much for doing ntg. Well things I can do..
The vendor has multiple hospitals that they are aligned with and travel nurse companies typically pay a vendor for access. Allows hospitals to use one system for billing different travel companies etc. BUT many hospitals don’t use a vendor at all
this is managed into your offer to the hospital. set a base rate of what you need, and then factor in $/hr what it costs in the local community to get housing. Furnished finders only works with travel agencies to get a reduced cost so be prepared to pay much extra in order to find suitable housing in the area. some regions this may be impossible to find.
You are leaving out a lot of expenses with you own company. There is malpractice insurance, business liability insurance, health insurance, no paid time off, no sick pay, no benefits at all, as a single owner LLC, you do all the work yourself. You haves to still pay rent, food, travel. And as the nursing shortage isn't as bad as it was in the 80's and 90's, there are fewer and fewer travel jobs. Many hospitals with not use travel nurses at all. When I traveled, I was paid higher than the area market, my rent was included in my contract, I received paid vacation time, paid sick days, health insurance was included, utilities were included regarding my apartment, they paid for the rental furniture. I traveled with my dog and they paid the pet deposit as well. So there is so much you are leaving out.
That’s why some people never become their boss scare !! Think if you do all of that with 60% of the bill rate that is what you get ! Imagine getting 90% of the bill rate malpractice insurance I very cheap !! And the benefits that you have in deduct tax with your own LLC in not brain 🧠!! Also if you want to win in life taking risk is part of the deal !!
I have been a critical care nurse for 25 years and in the past have had a travel company. You are correct In your analysis but not easy at all. Very very difficult. You forgot to mention getting paid from hospitals. many hospitals take 45 to 90days to get paid. It is very difficult to get hospital to answer you and sign off on your contract and many times has to go through legal review.
I was starting up my LLC based upon this Nomad Nurse video and I saw this info on the nursing site Bluepipes. It states RNs working in hospitals typically will not meet the IRS definition of an independent contractor, so we cannot exclude the travel nurse agency after all:
__________________________________________________________
Do travel nurses qualify as independent contractors?
According to the IRS:
The general rule is that an individual is an independent contractor if the payer has the right to control or direct only the result of the work and not what will be done and how it will be done.
The main focus here should be on the part of this statement that says, “payer has the right to control only the result of the work…” Note the emphasis added on “only.”
Free: Universal Job Application and Credential Management for travelers.
The IRS also states the following:
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.
In the case of nurses and the vast majority of allied health workers much more than just the outcomes of work are controlled by the contracted facility. For example, in the case of travel nurses, the hospital will determine the hours worked as well as break times. The nurse will be using supplies and equipment belonging to the hospital. In addition, there are managers and doctors at the hospital who are supervising the nurse’s work. Moreover, nurses must seek the permission of a physician for decisions outside the nurse’s scope of practice which is a frequent occurrence. Unfortunately, these factors, taken a a whole, will disqualify someone as an independent contractor.
__________________________________________________________
Let me know what your experience was. Thanks
This video is misleading. It fails to disclose that the 25%-35% agency piece of the pie is gross profit, not net profit. Out of that piece, an agency has fixed and variable costs that whittle that piece down substantially: office space, liability insurance, workman's comp, payroll taxes, labor costs, supplies, education and training, background checks and drug screens, physicals, vaccinations, etc. etc. etc. The biggest lie told, ad nauseum, about staffing and travel nurse agencies is that they don't do any work and that they make "all" they money. Nothing could be further from the truth. Also, more and more hospitals are moving to MSP's to manage their labor needs - yes, even rural ones. You will be hard pressed to find a hospital you can just walk in to and get a contract as an independent nurse contractor. Their exclusive MSP contracts prevent such a thing from happening. I'm not saying it can't be done. I'm saying it's not as easy as this video makes it sound.
A lot of nurses and CNAs are leaving hospitals n LTC over the forced vax. So, either nursing shortage will continue to get worse, healthcare facilities will have to raise the pay to super high hourly rate or more nurses will start their own business to escape the madness. Great video.
it will happen to all of these. Everything you said will happen, not one or the other.
fortunately they are backing down from that nonsense
I've been trying to do this but most hospitals have exclusive contracts with the MSP's and vendors and you will get road blocked when trying to do this.
From what I'm gathering is that this mostly works in smaller rural hospitals that are not part of large corporate hospital systems.
I live in the South. It’s the same with smaller hospitals and rural areas. That’s the part that isn’t being told.
Yes, large hospitals(+400 beds) hire agency nurses for emergent staffing shortages and they expect the agency recruit, check employment requirements(e.g. license, background check). Also, there is a "liability " issue that an agency is "qualified" to operate in the state as a registered nurse agency.
@@just_shaeee so there is no way, damn if we could we would all be rich lol
so thankful I found this-your experience calling the NM and interviewing, etc, was my experience as well. I have been my own best advocate, reaching out and establishing relationships that my agency/recruiter avoided. Looking forward to learning the details of taking this next step toward Independent Contracting!
Yoooo this is crazy! I'm gonna give this a try for sure thanks for the info!
It was a very informative video about the bill rates from a travel nurse perspective. I never thought in a million years, you could work independently as a LLC. Most travel nurse companies that I worked in the past were pretty good with the compensation packages. I talked about other travel nurses about trying to get a greater percentage getting a greater percentage of my hourly wage.
Hey, I’m a brand new nurse and travel nursing is definitely something I’ll consider later on. Thank you for the advice and keep bringing these awesome videos. New Subscriber!
Incredibly informative. Thanks Crosby! Will be watching these videos as long as you want to keep making them.
Just started my travel career in the ER over the last few months. Will definitely be looking into this more. Thanks for the great info! Subscribed and looking forward to more videos.
you getting paid more than 150k?
Solid video! Travel nursing was the best career decision we have one. The flexeilibty in your schedule is the #1 reason to be a travel nurse, not to mention unlimited vacation time.
If you start your LLC in New Mexico The name of the owner of the LLC is not published so no-one need know that you are working for your own company
Do you have to live there in New Mexico to start a business there
This video is how I've been thinking every time I get a contract. I'm doing a nightshift while the agency people are in bed and they're parasites to my skills and mugging me legally. That said, it's not as easy as this video makes out to start a staffing company. There's a lot of massive companies that have got firm grips on a lot of facilities so it's hard to breakthrough unless you have friends who are in HR or directors of departments etc. Just my two pennies worth.
dont traveling nurses make like 170k overtime pay?
@@kokidchaz4790 Regular doctors pre-pandemic made that a year so no 99% of the nurses don't make that as overtime pay.
Protect this man at all cost! Showing live all the way from South Africa ❤️
Awesome video man, I'm a new grad about to get my first nursing job. Definitely keeping this in mind for the future
Glad I came across this tonight after spending virtually all day with 4 different recruiters by phone and email. I've been quite disheartened after the long winded pay breakdowns and travel packages, and the worst is always saved for last: the stipend. After a while it all started sounding like a car dealership or worse.. pimping. That's how it is feeling to me. I keep turning down these assignments because one glaring aspect of it is just wrong that cancels out all the good.
I've been travel nursing for 5 months and I don't think I'll ever go back! Great video!
dont they pay alot?
hi i would like to learn more about how to establish an LLC.... AND what is the accountability isn't that scary??? when there is a law suit
Then you definitely want to talk to a business attorney
@@GinEric84 you don't want to waste your money you can start it from your state treasury website
Love your videos man, informative and great for current nursing students like me! Keep it up :)
Ha! Lol yes I LOVE when I text a recruiter to see if there are any new contracts and they tell me to go to the website 🙃
BaeBAE! I'm not about to do your job for you.
I asked you a question about a month ago re. cutting out the middle man (agency) so your last 2 videos were very informative! My wife will probably still go through an agency for her first couple assignments just to get a feel for traveling, but this looks to be a viable option. 401k is easy enough to substitute with an IRA, but health insurance might be a bit headache...should be worth it though. Appreciate the info!
Insurance shouldn't be a headache at all. Obamacare is easy to navigate. I've used before.
Just fyi: it's not as easy as this video makes it sound. Many hospitals are moving to MSP's to handle their labor needs. You will be hard pressed to find a hospital you can just walk in to as an independent nurse contractor and get an assignment.
What if the company initially found the hospital but you make the call to the hospital to go back at a later date?
Crosby!!!! Great info buddy! Im seriously lookkng into this. Please show us a walk thru of this process❤❤❤
Great information! I definitely want to make my own LLC. My recruiter doesn’t do anything for me. I find my own job and he just submits my profile. He’s really useless.🤦♀️
Is there a way to set this up so that you can negotiate your pay for a non-travel nursing position? I would ultimately like to relocate out of state, likely to a more rural area, but would be looking to spend at least a year or two in that position, so something more permanent. (Just speaking generally, no specific plans at the moment)
Why did you leave American Mobile?
New Subscriber! Thank youuuuuu for this!!!! I would definitely pay for services as a consultant for how you help us out...you should get a Patreon too...and just be able to tell the even raw details of what hospitals you been too, etc...
I shared your last video in my facebook group. Keep up the great work. YOU ARE AMAZING!! Thank you for sharing this information. This should be taught in nursing school. I am so glad that you are challenging us to be entrepreneurs.. I'm not a RN yet. Im a LVN. Can i email you still to be added? I really want to learn. thank you
Absolutely! LVN, respiratory therapists, physical therapists etc
@@CrosbyTheNomadNurse Could this also apply to nurse practitioners then?
Enjoying our travel nurse journey. Thanks for making this.
Your right. I am so pisssed!!
Interesting information! What about travel professional Live-In Cnas?
How do you get short-term (13- or 26-week) apartment housing in areas where they want 6-9 month minimum leases, not to mention pay for so many down-payments for that housing and down-payments for utilities companies when moving from city to city while doing those travel nurse assignments under your own individual LLC?
I've heard we must use our word of mouth skills. Try to find places that work with travel nurses b4, rent a room via Facebook market place, convert a van to live out of until you meet your financial goals, find a roommate etc. You just have to be creative and know it is not impossible. Good Luck :)
Air Bnb
Its the same as renting an apartment or a room in a house No different. There are mid term 3 months rental?😉 Lots of nurses do extend to 6-9mths if they like the hospital.
This may not be entirely true.....The vendor/company payments apply if there is a managed service provider agreement (vendor).
All you have to do is call the hospital, get the right connection and get access to their contracts🤦🏻♀️
You’re a real Gem ! Thanks for all you do !
Are there dialysis traveling nurses ..I really want to do traveling nursing after 2 yes but I was wondering if there is a such thing (as travel dialysis nurses)
Yes there is!
You intrigue me with your information. I will be watching more videos. Sincerely Thank you
I am barely starting nursing and would would to be apart of this process!!! How do I start?
I wanna know what questions to ask the recruiter and if you can get more of the bill rate from a travel company
It may be worth trying. I’ve never had success that way.
@@CrosbyTheNomadNurse did you ever make video about interview questions to ask a travel company
Who do you contact to find out a hospital’s bill rate (I heard you say HR…is that the only source?) and does is the rate usually the same throughout roles or vary based on areas of specialty?
Awesome! Just sent you an email. Looking forward to hear from you. Thank you for the info!
Thanks so much for this video. I am in a middle of getting a contract with a company and the whole pay rate ... I am just thinking why can I not do this myself..
Very informative!
So how do you address the nursing manager and the HR as an independent contractor and not as an employee?
@@kerrydavis6466 wouldn’t you actually make less if you get taxed on your pay from the entire bill rate as opposed to the tax free advantage of your LLC giving you tax free compensation for lodging and food?
Hey there. this is old post. I'm actually talking to business attorneys, in the process of forming my own travel agency. I can't come up with a good neme though
Thanks for the info. Actually was trying to get answers
I have a question, is there any non-compete or where you can't work there for twelve months, that recruiters are put into the contract?
Have you ever heard about this?
Thank you for your great videos!
what are the cons to starting your own travel company and how does it work at tax time?
The only con is that you will be doing a lot more work. You should come out on top during tax times because you are business now and will be having a lot more tax write off
so if i live in Oklahoma and go to California for traveling nurse, do they take taxes based on Oklahoma or California for my 1099?
Extremely important information for any RN to see, !!!!! please discuss the topic of workman's comp, billing the fac and facilities payment delays and uncertainty
Also the topic of circumventing vendor management fks,
Sounds good but how much do we have to owe the IRS??
This was very helpful. Thanks so much.
Hey Nomad Nurse, how about us poor peeps that are just finished our BSN degree (new grad)? Is there a route to grow into this or will I have to still get a few years experience in a hospital?
You could absolutely do it.
I'm glad I found your video.
Great video, thanks.
Thank you so much for sharing !!!!
Say if you have your ein..website and inc..do I just call the places that I'm interested in with out recruiter it definitely doesn't make sense for a recruiter to be paid so much for doing ntg. Well things I can do..
How much does insurance take out of your gross pay? Is liability a big concern?
It’s up to you get your own health insurance. Your NSO Insurance covers your nurisng liabilitiy it’s like $30 a year
Hey TNN or anyone, what's basically the difference between the company and vendor in terms of their job/purpose with the travel nurse?
The vendor has multiple hospitals that they are aligned with and travel nurse companies typically pay a vendor for access. Allows hospitals to use one system for billing different travel companies etc. BUT many hospitals don’t use a vendor at all
The Nomad Nurse example the vendor for Kaiser hospitals in California is AMN ! Is that correct?
Great advice
Great video, really interesting
Yes I need you to help me with this
I’m a nurse but I think I’ll find out how to be a middlemen.I don’t want to be a Nurse anymore.
So grateful for you
Can one private duty pay for travel duty?
Tbh travel nurse rate wayyy better compare to hospital pay. Of course many nurse are leaving the hospital
When you start your own company, do you pay for flights and housing for yourself ?
Yes. Of course. There is no one else at that point getting paid for you but you.
I set it up like this in 2013
this is managed into your offer to the hospital. set a base rate of what you need, and then factor in $/hr what it costs in the local community to get housing. Furnished finders only works with travel agencies to get a reduced cost so be prepared to pay much extra in order to find suitable housing in the area. some regions this may be impossible to find.
Is this worth it vs working for a travel company and having insurance and retirement?
Do you charge a contingency fee upfront? If so what percentage?
Could you find me a Travel Inpatient Rehab job? I'm FIM certified and want to get my CRRN certification. I live in Valdosta, GA.
Thank you
How do I get an LLC?
This is great info. Just starting out traveling
Who are those middlemen?
You rock!!
traveling nurse is 1099 correct?
Thank you for always providing valuable content! Can any nursing professional do this? Do you have to have a graduate degree???
Any nurse LPN, RN , respiratory therapists, physical therapists, can all do it
Wicked.
Tyyyyyyyyyyyyyyyy...oh wow...
You are leaving out a lot of expenses with you own company. There is malpractice insurance, business liability insurance, health insurance, no paid time off, no sick pay, no benefits at all, as a single owner LLC, you do all the work yourself. You haves to still pay rent, food, travel. And as the nursing shortage isn't as bad as it was in the 80's and 90's, there are fewer and fewer travel jobs. Many hospitals with not use travel nurses at all. When I traveled, I was paid higher than the area market, my rent was included in my contract, I received paid vacation time, paid sick days, health insurance was included, utilities were included regarding my apartment, they paid for the rental furniture. I traveled with my dog and they paid the pet deposit as well. So there is so much you are leaving out.
That’s why some people never become their boss scare !! Think if you do all of that with 60% of the bill rate that is what you get ! Imagine getting 90% of the bill rate malpractice insurance I very cheap !! And the benefits that you have in deduct tax with your own LLC in not brain 🧠!! Also if you want to win in life taking risk is part of the deal !!
Hey, which travel agency did you go through