The Open-Book Standard™

Transparency is not something we say. It is something we show.

The Open-Book Standard™ is the commitment behind every relationship we build.

If we wouldn’t be comfortable explaining it to both sides of the table, we don’t do it.

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The standard

Know the rates. Know the costs. Know the value.

Know the rates

Both sides see the rates.

Physicians see the client bill rate. Facilities see physician compensation. The basic economics of an assignment are not treated as a secret.

Know the costs

Real costs are explained.

Malpractice, credentialing, licensing, travel, payroll-related expenses and other applicable assignment costs are identified rather than disappearing inside an unexplained spread.

Know the value

Our margin is part of the conversation.

An agency should be able to explain the value it provides and the margin required to provide it sustainably. We are comfortable having that conversation.

Open-Book pricing

You see what we see.

Every assignment has real costs. We show them. The client bill rate, physician compensation, assignment-specific costs, operating costs and our margin are presented clearly so both sides understand the economics behind the partnership.

Know the rates. Know the costs. Know the value.

One assignment, per hourSample figures

Where each dollar of the client bill rate goes
Where it goes	Amount	Share
Physician compensationThe rate paid to the physician.	$180	72%
Assignment costsMalpractice, credentialing, licensing and travel when applicable.	$25	10%
Operating costsRecruiting, credentialing support, payroll and management.	$25	10%
Open-Book marginShown, not hidden inside a spread.	$20	8%
Client bill rate	$250	100%

Illustrative only. Every assignment has its own costs and margin; what does not change is that you see them.

The principle

Open books. Fair economics. Stronger partnerships.

Transparency does not mean every assignment has the same margin or cost structure. It means the economics are explainable, visible and discussed honestly.

That is the standard we hold ourselves to.

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