The average locum tenens agency takes 40-50% of what your hospital pays — and hides it. We take 15-22%. Same board-certified physicians. Same clinical outcomes.
You just stop subsidizing someone else's sales floor.
Physician-owned. Trusted by Northwestern Medicine & 50+ health systems.
Where Your Locums Dollar Goes
$1.00
per dollar billed by a typical agency
What the doctor actually earns
Insurance, housing, travel costs
Sales commissions, recruiter bonuses, marketing, office space, executive salaries...
50 cents of every dollar goes to agency overhead — not patient care. That's the industry standard nobody talks about.
These aren't vanity metrics. Every number links to a story.
15-22%
Bill Rate
below market — because we don't run a 200-person sales floor or answer to shareholders
72 hours
Time to Fill
From your call to a credentialing packet on your MSO's desk — not "we'll start looking"
96%
Assignment Completion
The industry average is 80-85%. Our providers commit and show up.
2,240+
Provider Network
Every one internally credentialed BEFORE we present them — not after you've already cleared your schedule
Sources: Internal rate data vs. NALTO industry benchmarks, internal completion tracking
Here's a number most agencies hope you never ask about: the spread.
When you pay $600/hr for a locum anesthesiologist through a traditional agency, here's roughly where that money goes:
Where your $600/hr goes
Same physician, better math
That last number covers recruiter commissions, account managers, regional sales teams, VMS platform fees, corporate overhead, and — if the agency is publicly traded — shareholder returns. None of it makes the doctor better. None of it makes your patients safer. It just makes locums expensive.
This is the standard model. CompHealth, AMN Healthcare, Staff Care, Jackson & Coker — they all run on margins of 40–45% because their cost structure demands it. They're not evil. They're just big. And big is expensive.
We pay doctors more. You pay less. And we're still profitable — because we don't carry the overhead that forces traditional agencies to extract 40–45% margins.
Source: Industry markup data per Physician Side Gigs analysis, White Coat Investor Forum physician-reported rates, and SIA industry benchmarks.
We've talked to hundreds of hospital administrators, CMOs, and medical directors. These are the four complaints that come up in every single conversation.
Traditional agencies charge 40-60% markup. That anesthesiologist costing you $600/hr? They're getting $375. The extra $225 covers recruiter commissions, VMS fees, account manager salaries, regional offices, and a corporate hierarchy that adds zero clinical value.
You know it's too much. They know you know.
But they also know you need coverage, so the dynamic holds — until someone breaks it.
Industry data: Agencies typically net 15-25% profit after covering malpractice, travel, and credentialing costs. The rest is structural overhead.
The industry average time to fill a permanent physician position is 195 days. Locums is supposed to be the fast option — but most agencies still take 2-4 weeks to produce candidates. Here's why:
Your request enters a queue. A recruiter posts to an internal database. Responses trickle in.
CVs are screened. Candidates are contacted. Availability is confirmed.
Two weeks later, you get a CV — and by then, you've lost $100,000+ in procedural revenue and your surgeons are questioning whether they should've taken that offer from the health system down the road.
According to AMN Healthcare, physician vacancies cost hospitals between $7,000 and $9,000 in lost revenue per day. After 3 months, that escalates to $14,000/day as referring patterns shift and patient volumes permanently migrate.
You receive a polished CV for a fellowship-trained specialist. You start credentialing. You adjust your schedule. You tell your surgeons help is coming. Then the agency calls: "Unfortunately, that provider accepted another assignment."
This happens because large agencies submit the same providers to multiple facilities simultaneously.
The CV you received wasn't a commitment — it was a sales pitch.
You were competing for a doctor you didn't know you were competing for.
According to CHG Healthcare, 35% of hospital decision-makers report receiving unqualified or mismatched candidates — a problem that wastes weeks of credentialing time and MSO resources.
Ask your current agency what the doctor is actually getting paid. Ask what their margin is. Ask where your money goes.
Most won't tell you. The ones that do will give you a range so wide it's meaningless.
Pricing opacity isn't a bug in the traditional model — it's the feature that protects their margins.
If you could see the spread, you'd never agree to it.
According to a SendIT Healthcare analysis, agency fees are "often a black box and not transparent, including administrative fees, recruitment charges, or other costs tacked on after the fact."
48% of hospital teams report communication problems with agency credentialing processes.
Transparent pricing. 72-hour fill times. Committed providers who show up. And a line-item breakdown of every dollar you spend. This isn't incremental improvement — it's a different model entirely.
Four structural differences that change the economics of locums staffing — and make transparency possible.
One rate. No hidden fees.
You see exactly what the physician earns and exactly what we earn — in writing, before you sign anything.
No VMS platform fees (we don't use them). No "administrative surcharges" that appear on the first invoice. No credential verification fees. No travel coordination markups.
Why can we do this? Because we don't have the cost structure that forces traditional agencies to hide their numbers. No 200-person sales floor. No regional offices in 30 cities. No NYSE ticker demanding quarterly growth.
We're physician-owned, operationally lean, and sustainably profitable at 15-22% margins.
Pre-credentialed. Ready now.
Our entire network of 2,240+ providers is pre-credentialed internally — board certification verified, malpractice history cleared, references completed, documentation current.
When you call, we're not starting a recruiting process. We're matching from a ready bench.
Average timeline: 72 hours from your call to a complete credentialing packet on your MSO's desk. Hospital privileges typically active within 21 days with a cooperative medical staff office. For emergencies, we've done it in 48 hours.
Industry context: The standard agency credentialing timeline is 60-90 days (Source: AltLine, Weatherby Healthcare, Locumpedia). Some agencies quote "2-4 weeks" for internal credentialing alone, before facility privileging even begins.
No speculative submissions.
We don't treat physicians as inventory to be allocated. We know our providers personally — many of our team have worked alongside them in clinical settings.
When we present a candidate, that doctor has confirmed availability and interest in your specific assignment. No speculative CV submissions. No "let me check if they're still available."
Over 70% of our physicians have completed 3+ assignments through LocumsOne. They stay because we pay them fairly, describe assignments honestly, and don't play games with non-competes and name-clearing.
The industry's dirty secret: Some agencies "name clear" physicians — registering a doctor's NPI with your facility just for inquiring about an opening, creating a 1-2 year exclusive window that blocks other agencies from presenting that provider. We don't do it. Ever.
Try us. Compare us.
No contracts. No minimums. No exclusivity agreements. No vendor onboarding fees.
Use us alongside your current agencies — CompHealth, AMN, Aya, whoever — and compare the experience directly.
Over 60% of our health system partnerships started with a single trial placement.
We don't need to lock you in. We just need one shot to show you the math.
Over 60% of our health system partnerships started with a single trial placement. Compare the experience directly — no contracts, no minimums, no exclusivity required.
A side-by-side look at what matters most — markup, transparency, speed, and physician quality. No marketing spin. Just the numbers.
Footnote: Markup ranges based on Physician Side Gigs analysis, White Coat Investor Forum physician-reported data, and NALTO/SIA industry benchmarks. Fill times based on CHG Healthcare 2025 State of Locum Tenens Report, industry averages, and client-reported data. Assignment completion rates for competitors reflect industry averages as individual agencies do not publish this data. We encourage you to request a direct rate comparison for your specific needs.
Average Annual Savings Per Physician
$147,000+
Based on a typical anesthesiology locums assignment at 40 hrs/week. Your actual savings depend on specialty and volume.
These aren't vanity metrics. They're the foundation of how we operate — and why hospitals trust us with their most critical staffing needs.
Every provider board‑certified, reference‑checked, and internally credentialed before presentation
From 25‑bed critical access hospitals to multi‑state academic systems
Across anesthesiology, CRNA, gastroenterology, radiology, IR, and cardiology
Tracked, measured, and published because we believe you should know
We've had this conversation hundreds of times. Here are the answers.
Because the rate difference has nothing to do with doctor quality. The same board-certified anesthesiologist who works through CompHealth at $600/hr can work through LocumsOne at $510/hr — and actually take home MORE money. The difference is our margin (15-22%) vs. theirs (40-60%). We don't have a 200-person sales floor, 30 regional offices, or a parent company demanding quarterly returns. Our lean operation means lower costs for you AND higher pay for providers. That's not a compromise — it's just better math.
Two reasons. First, inertia — switching vendors takes effort, and "good enough" is a powerful force in healthcare procurement. Second, awareness — most hospital leaders don't know what their agency's actual margin is because the industry has normalized opacity. Once administrators see a side-by-side rate comparison (which we provide in under 5 minutes), the conversation shifts fast. That's why 60% of our partnerships started with a single trial placement.
We focus on six specialties where we've built the deepest networks: Anesthesiology (350+ physicians), CRNA (250+ providers), Gastroenterology (180+ specialists including 45+ advanced endoscopists), Diagnostic Radiology (120+ radiologists including teleradiology), Interventional Radiology (45+ fellowship-trained IRs), and Cardiology (select availability). Depth over breadth. We'd rather be the best GI locums partner in the country than a mediocre everything agency.
Call us. For true emergencies — unexpected departures, provider illness, sudden volume surge — we've deployed credentialed providers within 48 hours. This works because our entire network is pre-credentialed with up-to-date files on record. When you call at 7am with an emergency, we're not posting to a job board. We're calling providers we already know are available, qualified, and willing.
That's exactly how we prefer to start. No contracts. No minimums. No vendor onboarding process. Request a single provider for a single assignment, evaluate the experience from first call to last day, and decide from there. If we don't earn your next placement, we don't deserve it.
It's rare — our 96% completion rate reflects rigorous vetting — but if a provider isn't the right fit for any reason, we replace them at no additional cost with no gap in coverage. We maintain backup availability for every active assignment specifically for this scenario.
Still have questions? We're here to answer them.
Talk to Our TeamGet a side-by-side rate comparison for your specific specialty needs in under 5 minutes. No sales pitch. No NDAs. Just two columns of numbers — what you're paying now, and what you'd pay with us.
No contracts. No obligations. No spam. Just transparent pricing from a company that believes you deserve to see where your money goes.