Why and How to Work with Multiple Travel Therapy Companies and Recruiters

Written by Whitney Eakin, PT, DPT, ATC

Understanding The Process

When therapists are looking at getting into traveling therapy, it can be challenging to learn the ins and outs and understand how it all works. If you’re new to travel therapy, you’ve hopefully already learned that you need to find a great recruiter and company to help you navigate the process of finding contracts and landing your dream jobs. However, did you know that you should be working with multiple companies and recruiters? We, as well as most other travel therapists you’ll talk to, recommend this. But why? And how does that even work? How can you work with more than one company? If you want to learn more, keep reading!

Why Do I Need Multiple Companies/Recruiters?

The answer: options! Not every travel company has access to the same jobs, so if you are working with only one company, you’re limiting your job options. This is especially true if you have a specific location or setting in mind, or if the market is particularly slow for your discipline, such as for PTAs and COTAs (and somewhat for OT’s) currently.

Why do different travel companies have different jobs? Facilities can choose who they advertise job openings to. Some staffing agencies (travel companies) have exclusive or direct contracts with certain facilities, that other agencies don’t have. Whereas, the majority of jobs are listed on a type of database called a Vendor Management System (VMS). All companies will have access to jobs listed on VMS’s. This is where you will see a lot of overlap in the job availability among different companies, but the outliers will be the exclusive or direct contracts each one has.

Besides job availability, another reason to work with multiple companies is that each company may be able to offer you different pay and benefits. Every company operates differently; depending on the size of the company and how they manage their budgets, some may be able to offer higher pay for the same job. Also their benefits can differ, including health insurance options (and start dates), retirement accounts (and when you can contribute), and additional benefits such as reimbursements for CEUs, licensing, and relocation. If you don’t work with multiple companies, you won’t ever know the differences and what benefits could be available to you with different companies. This is important to learn in the beginning when you’re first researching and talking to companies, but it’s also important during each and every new job search. Even if you tend to like the pay and benefits better with Company A, sometimes Company B might have a job that Company A doesn’t have. So it’s important to maintain communication with them both.

In addition to the differences in companies, there are differences in recruiters. It’s important, especially in the beginning, to work with multiple recruiters so you can find out which ones you like the best, as well as learn from them. Different recruiters may divulge more or less information about the process of finding travel jobs, the contracts, the pay, the benefits, etc. This is helpful for you from a business perspective. The more you can learn about the industry, the better off you’re going to be in your own career as a travel therapist. By working with only one recruiter, you’ll only ever know what that person tells you. You have no basis for comparison for whether this information is accurate or whether this is the best recruiter. You can also learn from the way that one recruiter/company does things and presents things to you, and compare that with the way another one works so you can ask better questions and grow professionally. All of these things can help you to find the best jobs, get the highest pay, and have overall the best experience as a travel therapist.

But, How Does it Work?

Okay so now you understand WHY you need to work with multiple recruiters/companies. But how?

So when we say “work with,” this just means maintain communication with them. You’re not technically working for them or an employee of theirs until you take a contract. So, the whole period where you’re searching for jobs, you are a “free agent.” You can be in communication with several different recruiters and have all of them searching for jobs for you.

We recommend initially you talk to 3-5 different recruiters and “interview them” to find out who you like. Here are some questions you may consider asking them to figure out who’s the best. Then narrow it down to about 2-3 that you like and would be happy working with/taking jobs with if the right opportunity arises. Then, you’ll need to fill out the necessary paperwork for each company, so that they are able to submit you for potential job offers. They’ll need some basic demographic information, your resume, usually a couple references, and sometimes even your CPR card and SSN in order to set up a profile for you that they can submit to potential employers. It’s important to understand that giving this information to 2-3 companies does NOT mean you are employed by them! They just need to have this information on file so that they can submit you to POTENTIAL job offers for interviews. So once you decide on your top 2-3 recruiters, don’t be hesitant to give them this information and fill out the necessary paperwork. Otherwise, they can’t submit you for potential interviews, which is the next step to getting you to your dream travel jobs!

Now, once you’ve got your 2-3 recruiters on the prowl for jobs for you, they’ll start letting you know when they see a good job that fits your search criteria. It’s important that you let them know you’re working with a few different companies, so they should not “blind submit” you to jobs. This means they should be asking you first (“There is a job in Tampa, Florida, start date 7/1, Skilled Nursing. Can I submit you to this job?”). When you’re working with multiple companies, it’s important that you don’t let them submit you to the same job, resulting in a “double submission.” (Although this is not the end of the world if it happens, it’s not ideal). If more than one of the recruiters has the same job offer, you need to pick which one you want to go with. Sometimes this comes down to which company can offer better pay or better benefits for the same job.

As far as communicating to the recruiters that you’re working with multiple, we always recommend being up front about this in the beginning. If you’re working with a good recruiter, they will understand this. If a recruiter gives you a hard time about working with others, this is not a recruiter you want to work with.

So, once you’ve been submitted to a couple jobs, maybe by a couple different recruiters, and you’ve had the interviews, then you may get an offer or more than one offer. You will decide then which job you want to take, based on how the job sounds, the pay package, the benefits etc. Once you’ve decided on a job, and you sign a contract, then you are now employed by that travel company that got you the job, just for the duration of that contract. This is when you let your other recruiters know that you’ve secured a position and are no longer searching, and no longer interested in the other potential job options they had for you. You let them know your end date for that contract, and when/where you’ll be looking for your next job.

While you’re on this contract and employed by this company, this recruiter will be your main point of contact. The company will manage your pay and benefits for the duration of that contract. But, you can still keep in touch with your other recruiters to let them know what you’re thinking for your next contract (“When I finish this job on October 1st, I’d like to take my next job in California.”) So as your contract nears its end date, you’re back on the market for a new job, and have no obligation to take the next job with the same travel company. You can switch between companies whenever you want.

How Do Benefits Work When Switching Between Companies?

Okay so this is always the next question. If you switch companies, what happens with your benefits? This can be the downside of switching between companies. This situation will vary company to company. It’s important to ask each recruiter how their insurance coverage works. Many will start on the first day of your contract. So if you finish up a contract with Company A and your insurance terminates on the last day of your contract, let’s say Friday- but then you start a new job with Company B on Monday, hopefully you’ll only go 2 days without insurance between jobs. However, if Company B’s insurance doesn’t start until day 30 or the first of the month, you’ll have a lapse in your insurance. Or, if you decide to take a longer period off between jobs, you’ll also have a longer lapse.

However, if you take your next contract with Company A (take two back to back contracts with the same company) and take a few days to a few weeks off between jobs, usually your insurance will carry over during the gap. This is a big benefit to sticking with the same company. It does vary by company the length of time they’ll cover you between contracts, but usually it’s about 3 weeks or up to 30 days.

There are some exceptions to this. There are a few smaller companies who have more flexibility in their agreements with insurance companies that will allow coverage to start before your job begins, or can extend coverage beyond your contract end date, even if you aren’t working for them during the next contract. But this is more rare, so you’ll need to ask around to find out if your travel company can do this.

To learn more about your options on insurance coverage, including using COBRA to manage lapses in coverage, check out this article on insurance as a traveler.

Besides insurance, another company benefit to consider is your retirement savings account, or 401k plan. This can be another downside of switching between companies, as many require you to work for them for a certain period before you are able to contribute to their 401k. This is the fine print you’ll need to look into if a company sponsored retirement account is important to you. Being eligible to contribute continuously to a 401k with your travel company may be a consideration that sways you to stay with the same company continuously.

There are some companies that allow contributions to 401k immediately, so it’s possible you could contribute to one during one contract, then another during another contract. In this case, you could be maintaining more than one 401k account. Then later, it’s pretty easy to roll them all over to an individual retirement account (IRA) that you manage rather than keeping different accounts with different companies.

Summary

So in summary, there are lots of benefits to working with multiple travel therapy companies/recruiters, but there are downsides as well. Most travel therapists, us included, will recommend you maintain communication with multiple to give yourself the most job options, help ensure the best pay, and learn the most about the industry to help set yourself up for success. However, this process can be challenging at times and does come with certain limitations when switching between companies during different contracts.

If you want to learn more or have questions, please feel free to contact us. If you’d like recommendations on travel therapy companies and recruiters we know and trust, we can help you with that here!

Reaching Semi-Retirement in Three Years as a Travel Therapist: Jared’s Story

Written by: Jared Casazza, PT, DPT

The Past

Education

I spent a total of 8 years in college (3 of which were in community college trying to decide my direction in life) which culminated in a Doctor of Physical Therapy degree, earned in May of 2015. Even though I was very proud of this accomplishment and the incredible amount of work it took to achieve it, I knew that physical therapy was not something that I would spend the next 20-30 years of my life doing full time. I’ve had various interests throughout my life and knew myself well enough to know that eventually I would likely become bored with physical therapy like so many of my passions in the past.

My Personality

You see, I get consumed with an area of interest for a period of time, before eventually becoming mostly disinterested once I feel that I’ve achieved a certain level of proficiency in the area. I seem to find something I like and throw myself into being the best that I can be in that area, which ultimately leads to me burning out with the pursuit. In my 30 years, this has happened with basketball, chess, video games, diet/nutrition, powerlifting/bodybuilding, and now to some degree physical therapy and finance. I still enjoy all of these things, but I no longer feel an intense urge to learn everything or be “the best” at them anymore like I did with all of them at one point or another in my life. At some juncture, the return on invested time and energy in any area of interest leads to a point of diminishing returns, and this is always where I seem to gradually disengage. At 30 years of age, I still don’t know if this is a good or bad thing, but I have accepted it as a part of my personality.

Knowing about this personality trait (flaw?), I was skeptical whether the time and money investment that is synonymous with 3 years of graduate school (after already completing 5 years of undergraduate work) would be worth it when I had no idea how long I would be passionate about the field. I ultimately decided that it was, and I am very happy with where I am now because of the choice. Although, I would be lying if I said I never questioned whether a DPT degree is worth it.

Student Loan Debt

Upon graduation in 2015, I had about $95,000 in student debt from grad school alone, and that included trying my best to be frugal by living at home and commuting to classes. Even though this is a massive sum, it is generally on the low end of the debt range of what many physical therapists graduate with. Terrified by this student debt, I became engrossed by the idea of increasing my income and decreasing my expenses to pay down the loans as quickly as possible.

After hundreds of hours of research and performing my own calculations and projections for the future, I ultimately decided that it would be in my best interest to pay the minimum on my loans while investing heavily in retirement and brokerage accounts. This has turned out to be a very good choice so far, with my student debt growing at an effective rate of about 3.2% per year while on the REPAYE plan, and my investment portfolio growing at a rate of around 9% since I started heavily investing (this was closer to 11% before the big drop in December 2018)… and this isn’t even accounting for the tax savings from utilizing the retirement accounts. This plan isn’t for everyone, of course, but I do think it should be a consideration for those trying to reach financial Independence as soon as possible with a lot of student debt.

Financial Independence

As for financial independence, while researching what to do with my student loans in late 2014, I stumbled upon a couple of blogs talking about saving heavily and retiring early, and I was immediately sold. Once I knew the math behind achieving financial independence and calculated “my FI number,” I knew that was the goal I needed to reach as soon as possible. My main motivation for pursuing financial independence so aggressively was to have as many options as possible for the future in case my interests shifted again and I became passionate about something different and wanted to pursue that.

Traveling Physical Therapy

In my first year of physical therapy school, I researched the options and found that the easiest way to make the most money as a physical therapist, in order to reach my financial independence goal, is by taking travel contracts. In some cases a travel physical therapist can make twice as much or more when compared to a therapist taking a permanent full time job in one location, especially as a new grad.

Whitney, my significant other of over 5 years and also a physical therapist who graduated at the same time as me, also liked the idea of making extra money while going on adventures, moving to and working in new places around the country together. Without a doubt, this was one of the best decisions that either of us have ever made.

Living in a Camper

Finding affordable short term housing at each assignment location can be the biggest difficulty of being a travel therapist, and to combat that we saved our money and paid cash for a fifth wheel camper and truck to haul it after our first 6 months of working and saving aggressively. For the majority of our travel careers, we have lived and traveled in the camper. Whether or not we have come out ahead financially with this decision is still up for debate, but we did enjoy the simplicity of finding somewhere to live while traveling in the fifth wheel and also the consistency of our living arrangement. There have been many pros and cons to traveling in a fifth wheel, but overall we wouldn’t change our decision.

Maximizing My Income and Savings Rate

After having a goal of financial independence in my cross-hairs, I wasn’t content with just making more money as a traveling therapist, so I did everything feasible to minimize my expenses while simultaneously finding ways to make more money along the way. This led to working as many hours as my travel assignments would allow with hundreds of hours of overtime in total over three years, taking part time jobs when available, creating this blog (just as a hobby initially with hopes to eventually generate some income), and going a little overboard with credit card rewards.

In reality, I hustled so much and minimized my expenses to a point that I have been able to save 100% of my income earned from my regular 9-5 travel physical therapy jobs, and even extra on top of that some months. The first two years, I was able to live on just the money earned from credit card/bank account sign up bonus combined with overtime hours and part time work. The last year, to my surprise, the FifthWheelPT blog actually started consistently bringing in enough money to cover all of my living expenses most months.

The Present

After 3 years of living frugally and saving my entire full time paycheck as a travel therapist (each year with a savings rate of between 85-90% of my total income), combined with the investment returns I mentioned above, I officially “semi-retired” in July 2018 at 29 years old. I tracked my progress to financial independence with my monthly “Path to 4%” posts each month for the past 2.5 years along the way, and will continue to do so until I fully reach my “FI number.” Even though I haven’t fully reached that number yet, there were various reasons that I went ahead and transitioned into semi-retirement when I did, with a primary one being our desire to travel internationally.

I refer to what I’m currently doing as “semi-retirement” because I still plan to write on this website, write on the FifthWheelPT blog, andhelp those interested in travel therapy get started, which takes up about 5-10 hours per week, and I will also likely continue to work one travel assignment (3 months) per year to keep my physical therapy skills from getting rusty. I still enjoy the job and helping patients, but I no longer wish to do it full time for the entire year.

We celebrated this semi-retirement with a 5 month trip around the world at the end of 2018, which was a wonderful and eye opening experience. By utilizing credit card points to keep expenses lower while traveling, I was able to spend less than an average of $37/day on the trip, all of which was able to be covered by money brought in from this blog. This meant that I didn’t even have to start withdrawing money from my investment accounts, which was a blessing with the market taking such a hit at the end of 2018! This trip really made us realize that life is short and there is so much that we want to see and do before settling down and having kids. We plan to take several more 3-6 month long trips all over the world for the next few years before deciding what’s next for us. We’re currently planning a 15 week trip to Europe in May, which we are extremely excited about.

The Future

Right now, we still own our fifth wheel and truck, but we are considering selling them between now and May when we leave on our next trip, so that we don’t have to pay personal property taxes, insurance, storage fees, and deal with further depreciation while taking these long trips and not using the truck and camper. I have to admit that this has led to a bit of an identity crisis for me, since many people know me as the “Fifth Wheel PT” now… if we sell it do I have to rename the blog?!

We haven’t worked as physical therapists in 7 months since leaving for our Around the World Trip, but after searching for jobs since we returned to the US in December, Whitney finally found a Travel PT contract about 3 hours from home. She started work this week, however I still don’t have a job lined up as of now. I’m working on trying to set up a short term contract or PRN work in the same area as Whitney. But, if I don’t end up working before leaving on our next trip to Europe in May, then I will most likely find a travel contract in September when we get back from the trip. Although that will mean I will have a 15 month gap in my work history, which I’m a little concerned about.

We plan to go to a few physical therapy conferences each year to network with other therapists and students and talk about travel therapy as well as finances and how these things have so positively impacted our lives. I may not be as ravenous with learning new things about personal finance and investing as I once was, but I still enjoy writing and talking about it. I’m also not nearly as involved with travel therapy as I once was, but I have learned a ton and want to spread the knowledge and let others know that an exciting and lucrative adventure is possible.

I’m considering writing a book in the future about personal finance and investing from the perspective of a physical therapist, and possibly even more specifically from the perspective of a travel therapist, but I don’t know that I have the motivation required to do that right now. Nonetheless, I plan to continue to write about whatever interests me on the FifthWheelPT website and to write articles about travel therapy on this website.

Ultimately I’m grappling with the realization that financial independence and retiring early is really just the beginning, not the end of the journey. With time and brain power freed up to a large extent, I’m not sure where I’ll go from here, but I’m okay with that uncertainty.

Conclusion

It has been a wild ride for both Whitney and me since graduation in 2015. I would have never anticipated doing what I am now back then, but I’m very grateful that things have turned out the way that they have.

I undoubtedly sacrificed on some things to reach semi-retirement so quickly, but by no means was I a “miser,” living an unfulfilling life in those 3 years of saving aggressively. We took dozens of weekend trips all over the east coast (Whitney has written all about those trips here); spent a few days in Canada; stayed at an all-inclusive resort in Jamaica for a week; I took my brother to Aruba for his high school graduation; Whitney and I went on a cruise to the Bahamas; and we bought plenty of stuff that we really didn’t need (you know, the American way).

I really didn’t do anything special to get in the position I’m in besides looking for ways to maximize my income and minimize my spending while still having a good time. This combined with a cultivated urge to learn as much as possible in my areas of interest have paid dividends. No two paths are the same, but I feel that just about everyone has room to make headway on these fronts.

Thank you for reading this. If you’re a regular reader, then I hope that you have a little better insight into who I am, and if you’re a new reader, then this should be a good introduction to me and my life. Feel free to reach out to me with questions or comments!

 

This article was originally published on our personal blog. You can learn more about Jared’s story by visiting our blog at FifthWheelPT.com.

Factors to Consider when Comparing Pay Rates to Other Travel Therapists

Written by: Jared Casazza, PT, DPT

Background

One of the biggest fears for travel therapists, especially those new to traveling, is getting taken advantage of by recruiters. There is good reason for this fear since there are plenty of recruiters out there that are willing to low-ball those that don’t know what is reasonable in terms of pay and benefits. This is actually one of the main reasons that we created this website and began mentoring those new to travel therapy. Whitney and I  have had such an awesome experience while traveling, and we want to do our best to ensure that other travelers have a positive experience as well.

Since travelers are often so worried about their pay being inadequate, there is often open discussion regarding weekly take home pay between travel therapists. In general, I think this is a great thing and that everyone (not just travel therapists but therapists in general) should be more open to discussing their pay in order to have more transparency in this area.

Alas, as a travel therapist, there are some pitfalls to these discussions and comparisons that should be considered. If another travel therapist is working in the same state and at a similar facility but making significantly more than you, are you being taken advantage of? Sometimes, but not always. Let’s look at some of the factors that can affect discrepancies in pay. (If you’re completely new to travel pay then check out this comprehensive article on how it works for some background information)

Differences Between Travel Companies

Each travel company does things differently in terms of pay. Sometimes these differences are minor and sometimes they are major. The biggest difference affecting pay is your hourly taxable pay rate. For example, getting a pay offer from two different companies offering different taxable hourly pay rates is going to make the total take home pay each week much different even if the bill rate is the exact same. Some companies have a policy of not allowing taxable pay to go below a certain level (this can be as high as the $25-$30/hour range) whereas other companies will allow a much lower hourly rate (we’ve seen as low as $15/hour for PT, OT, and SLP). If your taxable rate is higher, that means your total weekly take home pay will be lower. The reason for that is not only do you have to pay extra money in taxes on that higher hourly rate, but the travel company has to pay a higher amount toward FICA taxes on your behalf as well. The difference between a $15/hour taxable rate and a $25/hour taxable rate can be $100-$200/week or more on your take home pay! If comparing your weekly take home pay to a fellow traveler, make sure to always consider your taxable pay rate compared to theirs.

Cost of Living

A huge factor to consider is the cost of living and desirability of the location in the area that you’re working in. In general, areas with higher costs of living (big cities) are able to offer higher stipend amounts for housing, meals, and incidentals. These stipends usually aren’t able to be fully maxed out in those areas though because the bill rate won’t support the full amount. Keep in mind that in general, rural areas are willing to pay more due to a lower demand in the area. As you can probably imagine, most travelers (and permanent therapists) want to go to the desirable areas in the country, which means that the demand for therapists there is lower and the facilities can offer lower bill rates and still know that someone will still take the position. If you’ve looked into a  contract in Hawaii then you’ll know what I mean. Hawaii is an extremely desirable location for travelers, and despite the high cost of living there, pay rates are very low due to the high demand. If you’re taking a job in Hawaii, it’s for the experience of the island life, not the pay.

Be careful comparing your weekly take home pay in lower cost of living states to others taking assignments in higher cost of living states (such as the west coast). Even though someone on the west coast might be making significantly more per week, you have to remember that their living expenses might be significantly higher there as well!

Up-Front Reimbursements

Some companies may offer up-front reimbursements as part of their pay packages, while others don’t and instead add that money into the weekly pay. This isn’t necessarily a good or a bad thing either way, but it can affect weekly take home pay significantly and cause a discrepancy in pay between you and a fellow travel therapist, which is something to be cognizant of.

For example, let’s imagine both you and a fellow traveler recently accepted 13 week travel contracts in California after getting licensed there last month. You’ll both be traveling there from your home state of Tennessee. Your company offers you $500 in reimbursement for your CA license, as well as $400 to travel from Tennessee to California, and another $400 to travel back to Tennessee when your contract is completed. The other therapist’s company does not offer any reimbursements. Their take home pay is quoted to be $1,900/week after taxes, whereas your take home pay will only be $1,800/week. If you met this traveler while in California and discussed your pay, you may very well think that your company is taking advantage of you by paying you $100/week less, but in reality when you factor in the reimbursements, your pay is the exact same!

Be careful comparing weekly pay without considering reimbursements. Some companies and recruiters will purposely not offer reimbursements in order to be able to offer a high weekly pay rate since that’s what most travelers are concerned with. This is just moving the same money around, don’t be fooled!

Travel Company Size

As I talked about in the post I wrote on bill rates, travel companies take a different percentage of the bill rate depending on their overhead. Bigger companies are going to have higher overhead due to more people on payroll, bigger marketing budgets, more buildings, etc. Small companies usually have lower overhead and can get by with taking a lower percentage of the bill rate, although this isn’t always the case as we’ve found over the years. If bigger companies have higher overhead, isn’t it always better to work with a smaller company? Not necessarily. Bigger companies often have more jobs as well as exclusive contracts. They also tend to have better benefits and lower costs for the benefits due to having more employees working for them.

Combining Multiple Factors

When these factors are added together, differences in weekly pay can huge. If you compare weekly pay amounts between a big company that pays a high taxable rate and offers a lot of up-front reimbursements with a job on the east coast to a small company that pays a very low taxable rate with no reimbursements with a job on the west coast, you can see differences of $500/week or more in some cases!

Conclusion

Be careful when comparing weekly pay rates to other travel therapists without also considering all the factors influencing weekly pay rate. Don’t automatically feel bad about your pay the next time you see another travel therapist bragging about their high weekly pay rates when working with small companies on the west coast, when you’re working with a big company with more jobs and better benefits on the east coast.

If you’re in need of a company/recruiter that you can trust, send us a message with some info about yourself and your reason for traveling and we can set you up with a few that match well with you and that we trust!

Do Travel Therapists Work Overtime and Is It Worth It?

Written by: Jared Casazza, PT, DPT

“Travel Therapists Don’t Work Overtime”

When Whitney and I started traveling, we were told by most recruiters and other travel therapists that overtime in the travel therapy world is rare. We heard that facilities don’t want to pay extra to have a traveler working overtime, and they won’t allow them to get overtime. In general, that does seem to be the case for the majority of travelers, but it has definitely not been the case for me. In fact, in almost all of my contracts I’ve worked some overtime and in a couple of them I worked A LOT of overtime. I’m not exactly sure why this has been the case for me, but it is probably the combination of two factors:

  1. I was very eager to work all that I possibly could in order to save as much as possible for my first few years as a traveler. I went out of my way to offer to see extra patients or stay late at each of my contracts if needed. I also always asked about the potential for overtime in my phone interview with the facility, and in some cases their answer would sway my decision of which facility to choose if there was more than one that I liked.
  2. We worked primarily in small rural areas where they didn’t have PRN help. If it got busy, they were fine with me working extra hours in order to make sure all of the patients were seen. Whereas most clinics in more populated areas have PRN therapists they can call for help when things get busy, many rural facilities do not, so that means overtime for the regular staff, even if that happens to be a traveler.

It’s true that most facilities do everything possible to avoid having travelers work overtime. The big reason for that, of course, is money. Bill rates for travelers can be huge, and often the facility is obligated to pay 1.5x the bill rate for any hours worked over 40. That could mean that a facility is paying $100/hour or more for each hour of overtime that we work in some cases! Meanwhile, 1.5x the hourly rate for a permanent employee is likely in the $50-$60/hour range, which is much more palatable for them. Even though this is the case, I’ve found that often the permanent staff isn’t willing to work overtime, so with no PRN help and me being eager to work all the hours I can, they just approve it. Or, in some cases, I’ve been the only PT on staff, with no permanent PTs or PRN PTs. So in that case, if patients need to be seen outside of 40 hours of work, then I’m the only option and thus get asked to work overtime.

My Experience

In my first two years as a new grad travel therapist, I worked a total of over 400 hours of overtime! That’s an average of about 4 hours per week, but that wasn’t distributed evenly. Most weeks I worked only 40 hours (even less in some cases), but then other weeks I worked as many as 65 hours when a facility was really desperate to have patients seen. That meant some really long weeks sometimes, but I was very happy with the extra money!

Facilities/managers will often approve a couple of hours of overtime per week for a traveler, but there are rare cases where they will approve as much overtime as is needed. When those times came around, I took advantage!

Is Working Overtime Worth it as a Travel Therapist?

Whether or not it’s worth it to work overtime as a travel therapist depends on a couple of factors:

  1. How much you’re earning for each hour of overtime that you work based on your contract.
  2. How eager you are to make extra money.

A mistake that I made early on as a travel therapist was not negotiating a higher overtime rate, or even realizing that it was negotiable. As I mentioned above, the travel company can often make $100/hour or more when a traveler works overtime, because the facility pays out 1.5x the full bill rate, but that doesn’t mean that the extra money goes to the traveler automatically. In fact, in most cases the traveler will make only 1.5x their taxable pay rate, which often means overtime pay in the $30-$35/hour range. This means the amount they’re making for overtime hours is actually less than the amount they make during normal hours. How does that work exactly? Because during normal hours, we get paid our hourly taxable pay + our stipend pay. Whereas, if we’re only making 1.5x the hourly taxable rate with no additional stipends for the overtime hours, the overtime pay is actually less than the normal pay. In this case, the extra money is made mostly by the travel company, not the traveler, because the facility is still paying the travel company 1.5x the full bill rate.

This happened to me in the beginning, but I quickly wised up and you should too if you’re planning to work overtime. I recommend that you negotiate at least 2x (ideally 3x or more) your normal taxable pay for working overtime hours. Keep in mind that stipends can’t be increased when working overtime, because there is a max amount of stipends you’re legally allowed to earn each week regardless of working over 40 hours, but a multiple of the hourly rate should be possible. Another option that some companies do instead of writing in a certain hourly rate for the overtime hours is they’ll arrange for you to receive an additional bonus at the end of the contract for any overtime hours worked, which equals out to the extra money you should be receiving on an hourly basis for each hour worked. This has been the case with one company we’ve worked with. However, if a company tells me overtime rates are not negotiable period, then that’s a deal breaker for me in terms of working with that travel company.

Many travel therapists have no desire to work overtime. Since we already make a lot more money than at permanent positions in most cases, these travelers don’t see the need to work extra hours. This is especially the case in desirable areas where working longer hours takes away from time that could be spent exploring! This is completely understandable, and if you value your free time more than you value the extra money that you’d make while working overtime, then feel free to decline the hours. A facility can’t require that you work hours that aren’t in your contract, so you’re in the drivers seat in this situation.

Conclusion

If you look for opportunities to work overtime as a travel therapist, you can usually get some extra hours depending on the facility and location. Whether or not the extra hours are worth it depends on you and your priorities.

If there is at all any potential for you to work overtime based on what you hear during the phone interview, make sure to negotiate a higher rate for those hours than the standard 1.5x hourly taxable rate. Don’t get taken advantage of by the travel company earning a lot of extra money for your overtime hours like I did when starting out! If the travel company/recruiter that you’re working with isn’t willing to work with you to find a fair amount for your overtime work, then there are plenty of other fish in the sea!

If you’d like some recommendations for recruiters/companies that we’ve had success working with, then reach out to us here and tell us about your main priorities as a travel therapist, and we’ll match you with a good fit. If you have any other questions about travel therapy or overtime pay, contact us!

 

Intangible Benefits to Consider When Choosing a Travel Company

Written by: Jared Casazza, PT, DPT

The biggest concerns for most therapists when considering starting out as travelers include pay and benefits. Whitney and I were no exception here. I wanted to make as much as I possibly could while also getting decent health, dental, and vision insurance.

However, over the past several years as travel therapists, we’ve learned that there are other important factors to consider when deciding between travel companies which we call the “intangible benefits” of the companies. The reason these things are intangible is because they don’t show up directly on your weekly paycheck or in your health insurance package, but they can make a big difference in some cases.

Day One Insurance

Depending on your situation, not having to wait 14-30 days before your health insurance benefits take effect can be really important. For Whitney and I, this isn’t necessarily a deal breaker when working with a particular company since we rarely use our health insurance anyway, but it is important to consider. We prefer to work with companies that offer health insurance benefits starting on the very first day of the contract and encourage you to ask this question when interviewing potential recruiters as well.

401k Contributions and 401k Matching

I’m a big proponent of contributing to tax deferred retirement accounts. Not only does contributing to these accounts lower your income taxes, but also your income based student loan payment as well, so working with a company that doesn’t offer a 401k is not something that I’d do very often except in some sort of extenuating circumstance. A 401k match is also a perk that isn’t always offered and may have limited usefulness to travelers in some cases, but should be considered when deciding which travel company to work with.

CEU Reimbursements

Not all companies will offer CEU reimbursement, instead putting that extra money directly into your weekly pay. Depending on your weekly pay and your other reimbursements for a contract, this may or may not be a big deal to you. For us, if we are offered jobs by two different companies with similar pay but one offers a certain amount of CEU reimbursement per contract, that can sway us toward that company. Others may offer access to MedBridge or other online CEUs while on contract with them, at no additional cost to you, which can be a nice perk.

Free Gifts and Trips

Some travel companies will reward their therapists with free gifts such as: shirts, cups, mugs, bags, food, or even all-inclusive trips! These things are always exciting and can be a huge benefit in some cases. Usually we’d prefer to just make more money each week instead of that money going toward gifts and trips, but if two companies offer similar pay, but one offers a free trip each year in addition to the pay, then that company would be hard to pass up! Depending on the traveler’s personality, even small surprise gifts can turn a bad week into a good one, which can make a big impact over the long run.

40 Hour Guarantee

40 hour guarantees (sometimes also called guaranteed work weeks “GWW”) have been huge for me and Whitney! In fact, in almost 4 years of traveling, we’ve never accepted a contract that didn’t have a 40 hour guarantee included. If we take contracts, we want to be sure that we will always be getting full pay even if the facility suddenly starts having fewer patients for some reason and tries to decrease our hours. The security of knowing we’ll be getting paid our full amount no matter what is vital for us.

Most companies offer 40 hour guarantees on some or most contracts, but this varies from company to company. Also, as we’ve found out over the years, all 40 hour guarantees are not created equal. Some companies will only pay you for the full 40 hours if the census is low at the facility, but not if there’s a holiday or inclement weather that causes the facility to be closed. In most situations, we go with companies that pay the full 40 hours no matter what, with all other things being equal. Getting paid even on days when the facility is closed has meant I’ve made thousands of extra dollars over the course of my traveling career. This is one of the biggest intangible benefits for me.

Number of Available Jobs

I’ve talked in the past about smaller companies being able to pay higher weekly amounts with a given bill rate due to lower overhead, but this doesn’t always mean that smaller companies are the optimal choice. Bigger companies often have more available jobs, including exclusive contracts, which means more options for the traveler and potentially less down time between contracts. An extra $100/week can easily be offset by a few weeks of unintended time off due to not finding a contract that fits the traveler well, which could sometimes happen with smaller companies with less job options.

Job availability is even more important when traveling as a pair like Whitney and I, or Travis and his wife, Julia. Having one person in the pair accept a job while hoping to find something for the other person before the job starts can lead to a lot of unpaid time off. Whitney and I have had very good luck with finding two jobs that started exactly when we needed them to over the years (except a couple cases), and we attribute most of that to working with several different companies (most of them bigger) that have the most job options.

Conclusion

Having a high weekly pay rate is certainly important as a travel therapist and the most important thing to me, but it’s important not to forget about the intangible benefits that can directly or indirectly lead to more or less money in your pocket over the course of your traveling career. Make sure that you’re informed and consider all of the variables when deciding which travel companies to work with and which travel assignments to take to ensure that your travel career is a success!

If you would like some suggestions for companies/recruiters that we’ve found to have the best offerings in terms of pay and intangible benefits over the years, then reach out to us here! If you have any questions about travel therapy or these intangible benefits then feel free to contact us!

Questions to Ask a Travel Therapy Company and Recruiter

Written by: Whitney Eakin, PT, DPT, ATC


So if you’re looking into travel therapy, by now you may have figured out that you need to contact travel companies and decide who you want to work with. In general, we recommend therapists work with at least two to three companies, in order to give themselves the most job options. It’s a great idea to talk to a few different ones at first to get an idea of which recruiters you like and which companies you like. Once you’ve found a few good ones, you’ll have them as your main contacts when it’s time to look for jobs.

Just to clarify, having two to three you’re working with doesn’t mean you’re an employee or locked in yet! You’re only locked in once you take a job with one company, and then you’re just locked in for that assignment. After that, you’re back to being a free agent and can mix and mingle with all your recruiters for the next job search.

But what should you be looking for in these companies and recruiters? What questions do you need to ask them to find out if they’re any good? Are there red flags to watch out for with recruiters? These are questions we hear from many therapists who are just getting started looking into the travel world. So let’s dive in and cover some of the things you should consider and some questions you should ask!

Recruiters

*Ok some of these aren’t actually “questions to ask” more just things to consider!

  • Do you like them?
    • Yep, this is important, you should like them and get along well, because you’ll be talking to them a lot and depending on them to help you.
  • Are they responsive?
    • Getting back to you quickly via calls, texts, and/or emails is important, especially when it’s crunch time and you’re searching for a job!
  • Can you reach them after hours/on weekends?
    • We have to respect the recruiters’ personal lives and encourage them to have a work-life balance, but sometimes things come up outside of business hours (since, of course, we work during business hours too) and on weekends. It’s nice to know whether you can reach them by cell phone in case of an urgent situation.
  • Are they trustworthy?
    • You have to feel this one out a little over time, gauge whether they’re being open and honest with you, or whether they’re holding back information and being shady.
  • How much experience do they have?
    • Ask how long they’ve been a recruiter and how long they’ve been with that company. This may or may not be a huge deal breaker, because they’ve all got to start somewhere. But gauge how long they’ve been in the business, and if they’re newer, how much training they got and who trained them.
  • How many travelers do they work with at one time?
    • This can vary from 15 to 50 or more. Ask them how many they usually work with, and what happens if they feel like their desk is getting too busy and they have too many travelers.
  • Do they work with a team?
    • Some companies work as a team of recruiters, but most work independently. But figuring out who else is in the office and who covers for your recruiter if he/she is out is a good thing to know. Also building a relationship with the recruiter’s manager might not be a bad idea in case your recruiter is ever out.

Companies

  • What states/areas do they cover?
    • Find out what states and areas they staff, and if there are certain areas where they tend to have more jobs. Most agencies staff nationwide, but sometimes they’ll have more connections in a particular area.
  • Do they work with only therapists or other healthcare professionals too?
    • Some companies do only therapy, while others staff everything from nursing to imaging technicians. Typically, they will have different departments for different professions, such as have a separate nursing division that isn’t involved with the therapy division. Just something good to know and understand who your company and especially your recruiter specializes in working with.
  • Are they considered a “small,” “medium,” or “large” company?
    • This just helps you understand what their overhead is like and how that might affect pay, as well as how their company runs and their job availability. For example, a bigger company may have more jobs but lower pay; a smaller company may have less jobs but higher pay. But it varies greatly!
  • What are their benefits like?
    • You’ll want to compare the benefits packages for each company. Here are some key things to look for:
      • Insurance: When does it start? Does it carry over between contracts? What company is it with? Do they have different tiers of coverage? How much is taken out weekly from your paycheck?
      • 401k: Do they offer it? Do they offer a match? When can you start contributing? When does the match start? When is the match “fully vested”? (meaning, if you leave the company after 1 or 2 contracts, do you keep the match, or do they take it back?)
      • PTO: Is there any opportunity to build PTO?
      • Others: Do they offer any additional perks, such as life insurance, disability, etc.
  • Do they offer reimbursements?
    • Some companies offer reimbursements for things like state licensing, CEUs, and travel to/from facilities. However, some companies have this just come directly out of your pay package for that particular contract, so you really end up with the exact same amount of money, just divided up differently. Whereas some companies have a different department and budget allocated for these reimbursements, so while it probably affects the company’s overall pay to all travelers, it does not directly affect your paycheck on an individual assignment. So if they say yes they will reimburse, ask where it’s coming from.
  • Do they offer CEU access?
    • Some companies instead of reimbursing you for CEU’s will give you online access to CEUs via a website where they have a subscription, so you can earn CEUs online for free while on contract with them.
  • What does an average pay package look like?
    • It’s important to find out what a normal range is that they see for your discipline. For example, they might say anywhere from $1500-1800/week. You might want to see how they break this pay down as well, including what numbers they use for hourly taxable pay (Ex: $20/hr) and how they break down your stipend/per diem money (Ex: hourly, or weekly). This is all a little more advanced, but you’ll learn as you go along and work with a few different recruiters and see how they break things down.
  • Do they offer a 40 hour guarantee?
    • This may depend on the company itself or the client they’re working with (the facility). Find out if they can secure a 40 hour guarantee for your contract, and if so, what does it cover? Does it include only if census is low, or does it also cover holidays and clinic closures due to inclement weather?
  • Where do their jobs come from?
    • Do they have a lot of direct clients, or do they mostly rely on Vendor Management Systems (VMS)? This is also a little advanced, but it’s good to understand where their jobs are coming from. All companies will have access to the jobs on the VMS systems usually, so companies that rely heavily on that will tend to have most of the same jobs.
  • Do they “cold call” if they’re having trouble finding jobs for you?
    • This is an important thing for them to be willing to do for you if they’re unable to find jobs in the particular area you’re looking for. “Cold calling” means they’re willing to call around to facilities in the area or ones they’ve worked with in the past, regardless of whether they have any job openings listed at that time. This puts them, and you, ahead of the game and can dig up some good job options that may not be posted yet.

These are some of the key things we feel it’s important to consider and ask when looking into travel companies and recruiters. Many companies will be similar in terms of jobs they offer and benefits, so sometimes your recruiter will make a big difference for you. You want to find a couple of recruiters you really like and trust, and build a good relationship with them. This will help you to have a great travel experience!

If you’d like to know the companies and recruiters we recommend, please reach out to us and we’d be happy to help you!


Whitney

Author: Whitney Eakin, Doctor of Physical Therapy, Certified Athletic Trainer, and Travel Physical Therapist since 2015

Can You Make a Career Out of Travel Therapy?

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Written by: Jared Casazza, PT, DPT

Different Types of Travel Therapists

The majority of therapists choose to pursue travel therapy for somewhere between 1-2 years. There are a variety of reasons for why this is the case, but for many it is due to either (1) wanting to break up the monotony that is usually a part of permanent positions, or (2) to make extra money to pay down debt more quickly. It’s also sometimes a combination of both of these things that causes a therapist to become interested in traveling.

There are some exceptions to this though. Some therapists choose to be “career travelers,” and never truly “settle down” into a permanent job. It’s possible to make a full time, or part time, career out of only working travel jobs. That could mean traveling continuously around the country to various locations, year round, taking about four 13-week contracts per year with minimal time off between contracts, or taking a more laid back approach with 2-3 contracts per year and more time off.

We here at Travel Therapy Mentor definitely consider ourselves Career Travelers. Let me tell you a little more about my and Whitney’s career path as travelers.

Our Plan

We were originally interested in travel therapy for both of the reasons mentioned above (higher pay to pay down student loans, and avoiding the monotony of a permanent job). We initially planned to travel for 4-5 years to not only pay off debt, but to save enough money to have a decent nest egg of investments. After the 4-5 years, we planned to settle down and work a permanent job in either our favorite travel location or possibly back in our hometown.

Right before graduation and beginning to travel is when I developed a strong interest in personal finance and investing, and I discovered that investing instead of paying down our student debt (opting for income driven repayment of student loans) was actually the better choice for me, and Whitney agreed with my analysis. Since our student loan payments are extremely low while traveling and on the REPAYE income based repayment plan, we had a lot of extra money to put toward investment and retirement accounts.

After a couple years of saving and getting good investment returns, it became clear that if we just traveled full time for a few years, we could then easily live off of 1-2 travel assignments per year combined with investment returns, rather than settling down to a permanent, full time job after we “finished” traveling. So, that became our new plan, at least for the forseeable future! In later years, we may still choose to “settle down” somewhere, and take part time/PRN jobs in one location. But for now, we’re loving the 1-2 travel contracts per year!

Our “Semi-Retirement”

Only working 1-2 travel assignments per year (which we are now currently doing) allows us a ton of flexibility to travel internationally and also enjoy more time with family, which were two things at the top of our list of priorities. We consider this a “semi-retirement” since we have 6-9 months per year free to do whatever we want each year!

As a traveler, it is actually possible in many cases to make about the same amount as a full time permanent therapist when only working two contracts per year due to the higher pay and lower taxable pay. So even with all of the free time, we are still able to make plenty of money to support ourselves, and our adventures!

With this in mind, I think making a career out of being a travel therapist is a great lifestyle choice that would work for many adventurous people that aren’t excited about settling down somewhere ‘permanently.’

Career Travelers

Another advantage of working only a couple of travel contracts per year is that we are able to be more picky with the assignments that we do take. When we were working back to back contracts for the first three years while saving and investing heavily, we did our best to minimize the amount of down time we had between contracts. This was great for us financially, but got exhausting after a few years and led to us settling on a couple of assignments that didn’t really fit us very well during that time.

Now that we’re settling in to a much slower travel pace as “career travelers,” we don’t feel the need to rush and accept sub-par jobs, because we know that we’ll make plenty of money in the couple of contracts that we work each year to cover the downtime, and we also have our investments growing in the background.

Most travel therapists choose a more laid back approach to traveling from the beginning, choosing to take time off between each assignment to relax and unwind. This is a great idea and more balanced overall than how we started out. But, even so, working 45-48 weeks per year is common for many career travelers who do it this way, and when considering that some of that time off between contracts is looking for new jobs and moving, it doesn’t leave much time to relax or take long trips for leisure. After a few years of working at that pace while paying down debt or saving/investing, as long as you’re in a good place financially, is a great time to transition into a slower paced schedule focused on working less and relaxing more.

“Not Everyone Can Travel Forever”

Of course, we know that the travel lifestyle isn’t for everyone, and it may not be feasible for everyone to do this their entire careers.

What about having a family?” –you’re thinking.

Travel therapists have families. Babies and young kids; cats and dogs; aging parents and grandparents; nieces, nephews, and other family and friends they want to be near!

In many cases, you can make travel therapy suit your lifestyle. Some choose to travel and bring their kids and spouse along. Some choose to leave home for one or two assignments, leaving family behind, then have a PRN job at home for the times they’re at home (or just not work during the time at home). Some choose to take travel assignments in different parts of the country where they do have family they can visit.

There are lots of options. And again, we know it’s not for everyone. But it is a great lifestyle for a lot of us!

Is Being a Career Traveler Right for You?

Travel therapy offers the unique benefit of being able to choose how long you want to take off of work after a contract as long as you can afford to do so, and the higher pay while working the contract makes that possible. This is why I think being a career traveler is a great option. Being a travel therapist doesn’t have to just be a 1-2 year thing to adventure and save money, it can be a permanent thing with great pay, more time off, and a life full of adventure!

Are you interested in just traveling for a couple of years or is this something that you would consider doing long term? Let us know in the comments! Contact us if we can help you get started on the journey!

jared doctor of physical therapy 

Written by Jared Casazza, Doctor of Physical Therapy and Traveling Physical Therapist of 3 years. Jared travels with his girlfriend, fellow travel PT and fellow Travel Therapy Mentor, Whitney.