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.

People · Transparency · Partnership · Better care

Locums, out in the 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
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
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.
| 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.
Two paths

The Open-Book Standardâ„¢
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.

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