Navigating Travel Therapy as a Pair

Pros and Cons of Traveling Together

Whitney and I have been traveling as a physical therapist (PT) pair for almost 5 years now since we were new grad PTs in 2015. During this time, we have learned a lot about both the benefits and the disadvantages of traveling as a healthcare pair. Traveling with a healthcare partner can be a wonderful experience and can make pursuing a travel healthcare career much easier in some ways, but there are certainly some struggles to be had at times. If you’re considering pursuing travel therapy with a partner or friend, here are some of the biggest pros and cons you should consider, based on our experiences.

Pros:

  1. Having a guaranteed adventure buddy!It’s not uncommon for Whitney and I to have some sort of adventure planned nearly every single weekend when we’re away on travel assignments. This is especially true if we’re in an area where we’ve never been before and there are lots of things we want to do and see within a few hours drive. For example, while working in Massachusetts, we took weekend trips to Boston, New York City, Rhode Island x 2, Maine x 2, New Hampshire x 2, Vermont, Connecticut, Quebec City, and Montreal! That was a busy and exciting few months! In our opinion, going on hikes, visiting waterfalls, and exploring cities is a lot more fun with a partner. It’s certainly possible to find someone to explore with in a new area as a single traveler, but it can be much harder than taking your adventure buddy with you!
  2. Saving money on housing expenses!Our thoughts on this have actually shifted a little over time. Initially we looked at it as basically half the costs when traveling as a pair due to being able to split housing and utility costs when at each location. While this is true theoretically, in reality housing options are more limited and more expensive for a pair than for a single traveler in many cases. This is especially the case when comparing a single traveler that’s willing to rent a room in a house to a travel therapy pair. We’ve found that most people who are renting a room in their house don’t want two people there and if they will allow it, they always want higher rent each month. That almost always leaves the travel pair looking for an apartment of some sort, which can often be 2-3x as much as a room in a house. But, when comparing traveling as a pair and renting an apartment to traveling as a single traveler who wants their own space and isn’t willing to rent a room in a house, the pair will come out ahead by splitting housing and utility costs!
  3. Less potential loneliness!We’ve met tons of single travelers that seem to really thrive on getting a brand new start in each location. But we’ve also met many other single travelers that feel lonely when starting a new assignment, or never start traveling at all because they fear being away from everyone they know. This seems to be the case even more so for travel assignments in rural locations where there is less to do and it’s harder to meet people outside of the clinic. We find that many single travelers avoid rural locations because they’re afraid they won’t be able to meet new friends or find people to hang out with when population density is lower and options are more limited. Meanwhile, Whitney and I love traveling to rural places as a pair due to the more laid back environment, lower cost of living, and usually more friendly people. We know that even if we don’t meet new friends in the area that we will always have each other to hang out and do things with! And it decreases our loneliness from being far away from our home community, family and friends.

Cons:

  1. Less available jobs.This is definitely the biggest downside to traveling as a pair in our opinion. While there might be hundreds of open travel PT jobs throughout the country, there are usually less than a dozen jobs that are outpatient (the setting we prefer) and close enough to each other for us to consider at a given time. We’ve been lucky to mostly avoid lengthy commutes and find consistent outpatient jobs near each other, but we’ve had to be much more flexible on the location we’re willing to go to in order to make that happen. When we’re looking for new states to get licensed in, we aren’t necessarily looking for where we really want to go, but instead where we have the best chances of finding two outpatient jobs close to each other since that’s our main priority. For a travel therapy pair, it is vital to be lenient on either setting, location, or both, whereas a single traveler will undoubtedly be able to be more picky when job searching.
  2. Less negotiating power on new contracts.Anyone familiar with negotiation knows that the more good options you have, the more negotiating power you have. For a single traveler with many jobs that fit their criteria, it’s not a big deal if they miss out on a job by playing hardball to make a little extra money on a contract or passing on a job until the perfect one comes along. They’ll almost always be able to find something else that is decent with a start date in their desired time frame (provided they aren’t being too picky). For a travel pair, trying to negotiate for higher pay on good fitting contracts can lead to missing out on one or both of the jobs, which means going back to the drawing board and potentially one or more weeks of missed work. Because of this, Whitney and I only work with recruiters that we trust to give us their best offer right off the bat so we don’t risk missing out on two good jobs near each other, which can sometimes be tough to find.
  3. More difficulty finding housing.As mentioned above, a travel therapy pair will have less housing options in any given location than a single traveler will. This is simply due to the fact that landlords offering some rooms or small efficiency apartments will only accept an individual, not a pair. This difficulty with finding viable and affordable housing was the primary driver of us deciding to buy our fifth wheel camper. For our very first assignments in a rural area of Virginia, we spent dozens of hours trying to find housing, only to settle on a less than ideal place. Had we been single travelers, there were rooms in houses in the surrounding area where we could have stayed, but none of them would accept a pair!

Is Traveling as a Healthcare Pair for You?

When comparing travel therapy as a pair versus traveling as an individual, I really think the pros and cons even out. This depends highly on your personality though. If you’re an extroverted person who’s great at making new friends, is willing to rent a cheap room in a house, and isn’t worried about being lonely, then traveling by yourself will be an awesome adventure and you’ll almost certainly come out ahead when compared to a travel therapy pair. If you’re more introverted (like me O_O), wouldn’t want to rent a room and live with a stranger, and want someone to experience new things with, then traveling as a pair would probably be better.

Unfortunately not everyone has the ability to choose between the two, as we usually encounter single therapists that are going to travel by themselves or not at all, and couples or friends that are going to travel together or not at all. In that case, it’s important to understand the pros and cons and be willing to accept them whatever your situation happens to be, and employ certain strategies to make traveling successful!

Strategies for Traveling as a Pair

Taking into account these pros and cons for traveling as a pair, there are lots of strategies we’ve learned over time that go into being a successful travel pair. Here are our top suggestions for traveling as a pair:

  1. Be Flexible!As I alluded to above, it’s important for travel pairs to be flexible on setting, location, and/or pay in order to successfully line up two jobs together. These variables are always at play regardless of whether you’re traveling as a pair or traveling solo, but when traveling as a pair, your top priority has to be finding two good jobs close together, so the other factors have to go lower on your priority list. In an ideal situation, you’d always find two jobs together, in your favorite setting, in the perfect location, and with the highest pay. Sometimes all the stars align and this is the case, but realistically you need to be as flexible as possible on these factors to maintain consistent employment as a healthcare pair.
  2. Work with multiple recruiters!We always recommend that travelers, whether traveling solo or as a pair, work with more than one recruiter to give themselves the most job options and be able to compare how different recruiters/companies operate, and compare pay and benefits on different offers. However this is most crucial for travel pairs. It is much more challenging to find two jobs together, so pairs need to have as many job options available as possible. We generally recommend working with 3-4 different recruiters as a pair. While each recruiter will have access to some of the same jobs, they will each have some exclusive/direct jobs that the others may not have.
    • *For more information on the process of working with multiple recruiters and companies, check out this article.
    • *If you’d like specific recommendations from us for recruiters and companies that would work well for you as a pair, you can fill out this form.
  3. Strategically choose states licenses!In order to be more flexible on finding jobs, it’s important to have at least 2-3 different state licenses. You need to be strategic in choosing these state licenses, based on which states tend to have the most jobs for your disciplines. Over time, we’ve tracked different job lists and talked to several recruiters to learn the trends for which states tend to have more PT jobs for us. We also pay attention to which states tend to have two jobs closer together that will work well for us as a PT pair. In our experience, some states that have been good for PT pairs are: California, Oregon, Washington, Arizona, Massachusetts, Virginia, North Carolina, South Carolina, Georgia. We have made sure to get licensed in a couple of these states, and we always have the license in advance before applying to jobs in each state.
  4. Scope out housing in advance!A final piece of advice we have for lining up travel jobs as a pair is being aware of the housing situation before accepting your contracts. Quite often, recruiters will try to pitch two jobs close together to you, stating that if you “live in the middle,” then you will each only have a commute of “X” time or distance. However, sometimes when you start looking more closely, you’ll see that there’s no way to actually live in the middle to make this a realistic commute for the both of you. Often, the only real housing options are closer to one job or the other, making the commute unrealistic for one of you, or the area has really bad traffic, so even though on the map it looks close, the commute time would be insane. We always try to at least scope out the housing options to see if there are viable options that will make the two jobs worth our while before we accept a position. Ideally, you’d try to secure the housing before accepting, but this is not always possible with how quickly contracts move in the travel healthcare world. So at least do a little housing research before you agree to any contracts!

The Bottom Line for This Travel Pair

For both Whitney and I, I don’t think we would have been adventurous enough to travel by ourselves, and we almost certainly wouldn’t have continued to travel for almost 5 years now if we weren’t traveling as a pair. Travel therapy as a pair has not only provided us with countless adventures and lifestyle flexibility but has also brought us closer together as a couple when we encounter the inevitable hardships. Despite the challenges that sometimes come with traveling as a pair, we wouldn’t change anything we’ve done to this point for the world!

If you’re a current traveler (individual or pair) let us know about your experience in the comments below!

 

Written by Jared Casazza, PT, DPT

Jared and his girlfriend Whitney have been traveling as a physical therapist pair since 2015. Together they form Travel Therapy Mentor and offer free advice and mentorship to current and future travel therapists!

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To Extend, or Not To Extend a Travel Therapy Contract?

Written by Travis Kemper, PT, DPT

Should I stay or should I go now?

How do you know when to extend a contract or when to move on? There is no definitive answer to this.

My fiancée Julia and I have extended contracts anywhere from 2 weeks in order to better accommodate our travel plans, to a full thirteen weeks at one contract. In general, we have found that we are usually ready to move on at the thirteen week point whether we extended or not. In all cases of extensions, we have been persuaded to stay partially by the facility having a desperate need for PT coverage.

In the future, we will only extend if it is in our best interest, and we will always ask for an increase in pay with an extension. Thus far we have gotten up to $200 net per week bonus pay with an extension.

Know Your Preferences

An extension is always a personal decision, and you need to know yourself. Many times a facility will approach you very early in the contract for an extension, so you need to understand your own preferences.

If you are like us, you may get an itch to leave starting about 10-12 weeks in. Extending causes that itch continue for the entire extension period.

However, many travelers, such as Jared and Whitney,  find they would rather do 4-6 month contracts, or even up to 1 year so they can get comfortable with the position and location before they move on, as well as earn guaranteed money and not have to deal with the hassle of moving. If that is you, extending can be a great way to earn some more money and have a little more stability in your life.

Signs That The Facility May Want an Extension

Sometimes you can get a feel during the interview if the facility is the type to want a traveler to extend or not. You can also sometimes get a feel for whether they are likely to keep you for the duration of your contract or if there’s a possibility your contract could get cut short.

If you can find out the reason why they need a traveler in the first place, that will give you a good idea. For example, maybe it’s a rural area and they have been using travelers back to back for a year or more. In that case, there’s a good chance you could stay there longer if you wanted to. Or maybe it’s not a rural area, and they’re still using travelers back to back and can’t find a permanent employee. Maybe then you should be hunting for reasons why they can’t keep permanent staff.

On the other hand, if someone just quit and they are rapidly trying to find a permanent employee and conducting permanent interviews, there’s a chance they might cut your contract the first chance they get when someone permanent is hired. This also might not be an ideal situation for you, especially if you are traveling a long way to take the job.

It’s a good idea to feel out these things early on, as it can definitely give you a good indication of what type of situation you’re getting into as a traveler. But, don’t always fear the rotating-traveler, begging for you to extend facilities. They’re not all bad, and you could have a great experience there and want to extend.

Do you have questions about contract extensions? Send us a message and we can chat! Want to tell us about an experience you had with a contract extension? Leave a comment below!

Opportunity Cost: Passing on a Travel Job and Having Unplanned Time Off

Written by Travis Kemper, PT, DPT

What is Opportunity Cost?

Opportunity cost is an important economic term that most of us rarely think about. An opportunity cost is quite simply a lost benefit from choosing one option instead of another.

Opportunity Cost and Travel Therapy

Why is this important and what does it have to do with travel therapy? We’ve seen a number of travelers post about a potential job opportunity that they were passing on due to the pay being too low for them by $100 or $200 per week. They say if the pay was higher they would take the position because everything else sounded great!

So let’s analyze the opportunity cost of passing on a position without a replacement position readily available:

  • John is a new grad traveler and receives an offer of $1500 per week that starts 10/1.  John turns down the position, stating that his minimum acceptable pay is $1650 per week because he wants to pay down his loans as fast as possible.  Good news, John finds a position paying $1650 per week that starts just 2 weeks later on 10/15, and he takes this position.
  • Sally also is traveling with the goal of paying down her loans quickly.  Sally takes the position for $1500 per week and starts 10/1.

Who makes out better financially?

  • Sally makes $1500 x 13 weeks= $19,500 net pay, 13 weeks after 10/1
  • John took 2 weeks off waiting for that bigger paycheck. 13 weeks after 13/1, John earns $1650 X 11= $18,150.

The opportunity cost for John is $19,500 – $18,150 = $1,350 in lost income, due to waiting for the higher paying position.

Conclusion

The moral of the story is that higher pay isn’t always higher pay if you have to wait to start. This is a very simplistic example, but as you can see, continually passing on “low pay” will hurt you financially in the long term if you take extra, unplanned time off.

We recommend you take the right job instead. Pay is important, but sometimes the highest paying positions can also be the least desirable positions.

If you have questions about a travel therapy position, pay packages, or need help in your travel therapy journey, please shoot us a message and we would be happy to help!

How to Find a Travel Therapy Company and Recruiter

Written by Travis Kemper, PT, DPT

The Importance of a Good Recruiter and Company

Your position is only as good as your company, and your company is only as good as your recruiter. We never want to fight over money, we want at least acceptable benefits, and we want a company that stands behind their travelers. At the end of the day, we are the talent, and they should want to keep us on their team by treating us right.

Don’t Make the Same Mistake

The biggest mistake my fiancée and I made early in the process was requesting more information from Allied Travel Career’s website. The calls, texts, and emails still haven’t stopped years later. When we did find recruiters that we liked and trusted, they disappeared (sometimes mysteriously), got promoted, or changed companies. Recruiters are in the sales business, and sales is a field with very high turnover. You are going to want recruiters that are in it for the long haul, are honest, and actually listen to your wishes.

The company is important as well.  Preferably they take care of your recruiter and you throughout your career as a traveler. Glassdoor.com and indeed.com are good places to start that can provide you employee reviews on just about any company you can think of.

A Few Considerations in Choosing A Recruiter

  • How long have they been with the company?
  • How many travelers are on their caseload?
  • Do they respond quickly to your calls, texts, emails?
  • Does the recruiter seem honest and transparent with you, or are they being shady and withholding information?

A Few Considerations in Choosing a Company

  • Look at their benefits package and make sure it meets your needs
    • Are you eligible for 401k, and if so when? Do they offer a company match?  What is the vesting schedule?
    • When does insurance coverage start, day 1 or day 30?
  • See if they offer any bonuses such as travel reimbursements, referral bonuses, overtime bonuses, contract extension bonuses, etc.
  • Do they offer 40 hour guarantees for contracts?
  • Do they cover costs of licensing, credentialing, and continuing education?

Picking the Right Company and Recruiter for You

There is a lot to take into account when choosing the best travel therapy company and recruiter. We definitely recommend working with 2-3 companies at a time to give yourself the most options when searching for a travel contract.

If you don’t want to go through the process of combing through the hundreds of companies and thousands of recruiters yourself, send us a message and we will send you to our most trusted recruiters!

Why Choose Travel Therapy?

Written by Travis Kemper, PT, DPT

My “Why” For Travel Therapy

Everyone’s “why” will be very personal and may be very different. My fiancée Julia and I are traveling for the freedom it provides. We enjoy not being tied down to one geographic location and not being obligated to work 50 weeks per year. There are too many things we want to do with our lives to settle down in a permanent position.

We want to travel, not for 2 weeks each year, but long enough to immerse ourselves in the culture of a new place. We would someday like to do international mission trips as well where we can use our skills and training to help others that have tougher challenges and decreased access to appropriate healthcare.

What’s Your “Why”?

You don’t have to want the same things I want, but you should know your why. Maybe it’s to travel, maybe it’s to pay student loans off, maybe it’s for financial independence. It could be that you completed 3-4 internships and have no idea what setting you want to practice in because your profession has too many awesome options (I can relate to this)! Maybe you’re burnt out in your current position and need a change of scenery.

Whatever your why is, you hopefully take it into consideration before embarking on a traveling or permanent career decision.  Your why can, and hopefully will, change as you grow as a person, but your why can always provide you with direction in your career and life.

So, what is your “why” for considering travel therapy? Shoot us a message or leave a comment below. We’d be happy to help you get started on your journey to pursuing travel therapy today.

Travel Therapy: What is a “Tax Home”?

Authors: Travis Kemper, PT, DPT; Jared Casazza, PT, DPT; Whitney Eakin, PT, DPT, ATC

What is a Tax Home?

If you are just starting out in travel therapy you may not be familiar with the concept of a “tax home.”  Basically, a tax home is your primary residence, where you live and/or work. When you’re working as a travel therapist, having a tax home allows you to take housing and per diem stipends provided by travel therapy companies without having to pay taxes on them due to the stipends being a reimbursement for costs incurred at the travel assignment location.

This is a major benefit for you and greatly increases your potential total compensation, if housing costs are kept at a reasonable amount, when compared to a permanent job, where all your income is taxed. This is the main reason why “take-home” pay (otherwise known as your after-tax pay, the money that actually goes into your bank account) as a traveler is higher than pay in permanent jobs.

But, maintaining a proper tax home is a little more complicated than just saying you “have” a permanent residence.

The Basics of Maintaining a Tax Home

To be allowed to take the untaxed stipends, per IRS guidelines, you need to be able to demonstrate at least two of the following three criteria:

  1. You must maintain a place of permanent residence and pay expenses there (i.e. rent, own/mortgage, pay bills, pay taxes, etc.) while ALSO paying expenses at your travel location. This is called “duplicating expenses.”
  2. You must not abandon your tax home. Generally speaking, you should return there at least 30 days per year but these days don’t have to be consecutive.
  3. You must still conduct business in the area of your tax home. For example, you have a PRN job there or maintain some type of other business there.

The third criteria is a little vague, as some interpret “conducting business” as having bank accounts and credit cards, car registration and insurance, and voter registration associated with the tax home, not specifically working in the area.

Without meeting at least 2/3 of these requirements, you would be considered an “itinerant worker,” and all of your income will be taxed.

There is nothing wrong with having all of your income taxed, and you may still come out ahead this way as compared with a regular, permanent job. But, we like to keep as much of our money as possible, so qualifying for the tax free stipends is ideal provided that maintaining your tax home isn’t so expensive that it negates the benefit.

To find out more about tax homes and all things about travel taxes, we recommend you check out the website TravelTax.com/traveler.html. (Specifically, scroll down to the section “how to keep a tax home”). This is a wonderful website where we have all learned a significant amount over the years.

What Are Some Strategies to Keeping a Tax Home?

Of course if you already own a home/have a mortgage, or rent an apartment, these can be maintained as your tax home. But this method can be more costly and also more complicated since you may not have someone to look after your place while you’re away. You may be thinking you could rent out your house while you are gone, but this is not advisable unless you specifically state in the lease agreement that you would maintain at least one room in the house as your own and you stay in that room while in the area (at least 30 days per year as mentioned above).

Perhaps a better option is renting a room out from your parents or a friend, which in our opinion is great way to maintain your tax home. Go on Craigslist, see what a comparable room rents for, and pay your family/friend to rent the room in their house. It’s also recommended that you have a contract written and signed. They will have to claim it as income on their tax returns, but they can keep the extra income to help around the home. That is the simplest way, and that is what we have been doing since starting to travel. As mentioned by Joseph Smith at Travel Tax, you ideally would also want to work in this new area for a while before traveling in order to solidify this new area as your tax home.

A more unique strategy that Julia and I are considering doing next year is house hacking for our tax home. House hacking is simply performed by purchasing a multi-unit home (duplex, triplex, quadplex), and renting out the other units, while you live in one unit.  Your tenants can effectively pay your rent and pay down your mortgage at the same time, enabling you to live for free or dramatically reducing your housing costs. You can find more information on house hacking here.

Do you have a different creative way of keeping a tax home? Do you have questions about tax homes? Send us a message and we can chat!

Interview Tips for Travel Therapy Jobs

Interview with the Facility

After you’ve been submitted for a job by your travel company, the next step is normally a phone interview with the facility (usually the Director of Rehab).

Interviews for travel jobs are a little different than permanent job interviews in our experience.  The interviewer typically does not ask you traditional interview questions, they just want to get a feel for who you are and make sure you would make a welcome addition to the team.  They also generally want to know a little about your past experience and qualifications.

Rarely are we asked normal interview questions, apart from “tell me about yourself.” Always be ready for that one in any interview.

What to Ask the Interviewer

Just as in a permanent job, you need to do a thorough interview of the company to make sure they are a good fit for you. Thirteen weeks is a relatively short time period, although it can feel very long if the position is wrong for you. Below is a list of questions we use in interviews that you can use too. Obviously we tailor these to the specific facility, and we always try to research the facility a little bit if possible so we can glean any information that may be readily available online.

  • What are the productivity standards?
    • How are non-billable tasks accounted for?
  • How much time do I have for an eval? Treatment?
  • What type of training/orientation is provided?
  • What is the average caseload? # evals, # treatments
    • Ramp up period? What does this look like?
  • How many hours per week? Overtime?
  • What is the schedule?
    • Weekends?  Holidays?
  • What does the team look like? # therapists, assistants, aides?
    • How many of each will I be supervising?
  • What is the general patient population? (Ortho, neuro, post op, etc.)
  • What is the average length of stay (for inpatient)?
  • What is the facility size/number of beds?
  • What EMR do you use?
    • Will I have my own computer or tablet?
    • Is documentation performed at point of service or is time allotted for documentation?
    • Will someone be able to train me on the documentation system?
  • What is the dress code?
  • What is the director/supervisor’s profession?
  • Is there any mentorship available?
  • What equipment is available at the facility for therapy?

This is hardly an exhaustive list and needs to be tailored to every interview and facility, but we keep this list with us for every interview and it serves us well for keeping our thoughts organized.

We hope this list is helpful as you prepare for your travel therapy job interview! If you have any questions for us, please feel free to send us a message!

 

Article written by Travis Kemper, PT, DPT

Edited by Whitney Eakin, PT, DPT, ATC