How to Read a Travel Therapy Pay Package
Line by line: taxable rate, housing, M&IE, guaranteed hours, missed-shift penalties and the four questions that expose a weak offer in one phone call.
Sixteen guides written for travel therapists and allied health clinicians, with every factual claim sourced to the IRS, GSA, BLS, CMS or a state revenue department. Where a tax rule applies identically to travel nurses, we say so. We take no agency money.
Line by line: taxable rate, housing, M&IE, guaranteed hours, missed-shift penalties and the four questions that expose a weak offer in one phone call.
The single rule that decides whether your stipends are tax-free. What the IRS actually requires, the three-factor test, and the 12-month trap.
Fourteen clauses worth arguing about, from cancellation penalties and guaranteed-hours loopholes to stipend clawbacks and non-competes.
We ran one identical package through all 51 US tax codes for 2026. The state-tax gap is real — and much smaller than the recruiter chat rooms claim.
Where stipend ceilings come from, how to look up your assignment city, and what the 75% first-and-last-day rule means for a 13-week contract.
Why half your package arrives untaxed, what the accountable plan rules require, and the $18,848 a year that rides on whether you have a tax home. Same rules for travel nurses and therapists.
Why there is no useful average, the three things that actually set your number, and the taxable-rate split that moves take-home by $4,527 a year on an identical package.
The meals stipend survives; the housing stipend becomes wages if you pay no rent. Why staying with family usually still beats renting, on real numbers.
Agency policy, not IRS law. The test that actually decides it, what commuting on a travel package costs, and the local rate that beats travelling once rent is paid.
The honest arithmetic, including the cases where company housing wins — short assignments, expensive metros and first contracts.
Why therapy packages are steadier, smaller at the peaks, and structurally different from nursing — and what that means for how you negotiate.
A full-year model with the costs nobody puts in the spreadsheet: gap weeks, duplicate housing, licences, health cover and lost retirement match.
Almost every expensive mistake is made before you sign, and almost all of them are fixable in one afternoon of asking better questions.
Nonresident returns, the resident return, the credit for taxes paid to another state, reciprocity — and why your withholding is probably wrong.
The trap nobody mentions: a state can be a compact member and still not issue you anything. How to check before you accept.
The Medicare payment rules behind the rate differences — and why a per-visit home health package cannot be compared on blended rate at all.
Every guide here points back to the same place: the travel therapy pay calculator. Put your own offer in and see what it is worth after 2026 federal, FICA and state tax.