People · Transparency · Partnership · Better care

Open-Book Locums. Transparency at Every Step. Transparent Locums for a Healthier Tomorrow.

Locums, out in the open.

Healthcare moves forward when the books are open.

Open-Book Locums was built around a simple idea: the people paying for healthcare staffing and the physicians providing the care should understand the same economics.

Transparency at every step—from the rate to the costs to the value.

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

The difference

We believe you should know where every dollar goes.


Physicians see the client bill rate. Facilities see the physician pay rate. Both understand the assignment costs, operating costs and our margin.

No hidden spread. No guessing. Just open books, fair economics and stronger partnerships for better care.

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 goesAmountShare
Physician compensationThe rate paid to the physician.$18072%
Assignment costsMalpractice, credentialing, licensing and travel when applicable.$2510%
Operating costsRecruiting, credentialing support, payroll and management.$2510%
Open-Book marginShown, not hidden inside a spread.$208%
Client bill rate$250100%

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

Two paths

One standard. Both sides of the table.


For physicians

  • See the client bill rate.
  • Understand the costs and margin.
  • Know where the money goes.
  • Make informed decisions and focus on what you do best: caring for patients.
I'm a physician

For facilities

  • See physician compensation.
  • Understand assignment and operating costs.
  • Know exactly what you are paying for and plan with confidence.
I represent a facility

The Open-Book Standardâ„¢

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


Transparency is not a slogan here. It is the operating standard behind how we price, communicate and build relationships.

We believe fair, sustainable economics create stronger partnerships—and stronger partnerships support better access to care.

Real Numbers. Real Relationships. A Healthier Tomorrow.

Locums can be different. Let’s put everything on the table.