Hi everyone, I know that there are a lot of agencies out there. I don't know the interplay between the agency and the health care entities, but I assume that the entity pays the agency either a flat rate to provide them with labor or they bill them per nurse and then give that nurse a portion of the money. Either way, they're paying an agency some overhead. Would it be feasible to talk to local hospitals and offer personal service when called, if available? You wouldn't have to be an actual "employee" as if you were per diem, and I assume that the hospital would be able to pay less to hire you directly then to hire agency or even some per diem rates. You would, of course, show the hospital all your certifications. Then the hospital could pay you directly with a check and a 1099. Has anyone done this? Is this practical or am I missing something?