The Dollar Number That Proves the Platform Is Real
Anyone can build a healthcare job board. Fewer can build a platform that moves $21.7 million in payroll in a single year. DirectShifts did exactly that in 2025.
This is not projected revenue. It is not pipeline value. It is approved, processed payroll, paid out to real clinicians for real shifts worked through the platform.
The platform went live in February 2022. In under four years, it has processed over $83 million in clinician compensation. The 2025 number represents a 10% increase over 2024, signaling that even as the post-pandemic market normalized, the real-dollar workforce activity on DirectShifts kept growing.
Why This Number Matters to Healthcare Employers
Most staffing platforms tell you about their database size. DirectShifts can tell you how much it has actually paid out to clinicians. That distinction matters for three reasons.
First, it proves the marketplace is live. When a platform has processed $83 million in payroll, the clinicians on it know they will get paid. That trust attracts repeat workers.
Second, it signals compliance infrastructure. Processing payroll at this scale requires systems for timesheet approval, tax handling, and payment processing that smaller or newer platforms do not have.
Third, it tells you the platform is scaling with the market. 2025 payroll exceeded 2024 by $1.9 million. Volume is growing, not contracting.
What Employers Pay vs. What Clinicians Receive
DirectShifts tracks both bill rates (what employers pay) and pay rates (what clinicians receive) by occupation. The spread between these two numbers represents the platform's operating margin, and it is visible to employers. There are no hidden agency markups rolled into a single opaque rate. You see what you are paying and what the clinician is earning.
$21.7 Million Backed by 211,300 Verified Hours
Every dollar in that payroll figure is tied to a verified, employer-approved timesheet. 424 active clinicians logged 211,300 hours in 2025. Each hour was reviewed, approved, and paid through a single workflow. This is what integrated workforce management looks like.
Frequently Asked Questions
How much payroll has DirectShifts processed in total?
Since its go-live in February 2022 through the end of 2025, DirectShifts has processed over $83.4 million in approved clinician payroll.
How does DirectShifts handle payroll for contingent healthcare workers?
Clinicians submit timesheets through the platform. Employers review and approve them. DirectShifts then processes payment based on the approved hours and the agreed-upon pay rate. The full cycle runs inside the platform.
Does DirectShifts replace my existing payroll system?
For clinicians hired and managed through DirectShifts, the platform handles the full pay cycle. If you have existing W-2 staff managed through a separate HRIS or payroll system, DirectShifts handles your contingent workforce separately.
What are the average pay rates for clinicians on DirectShifts?
Pay rates vary by occupation, specialty, location, and engagement type. DirectShifts publishes benchmarks by occupation in its annual review data. Employers can use these to calibrate their own rate structures.
How is the bill rate different from the pay rate on DirectShifts?
The bill rate is what the employer pays per hour. The pay rate is what the clinician earns per hour. DirectShifts keeps both visible to employers, so there is no hidden markup layered into the rate like traditional staffing agencies charge.
Is DirectShifts cheaper than using a staffing agency for locum tenens hiring?
The direct-hire model on DirectShifts typically results in lower all-in costs than agency placements because there is no intermediary markup. Specific savings depend on the specialty, market rate, and engagement terms.
How quickly does DirectShifts pay clinicians after timesheet approval?
Payment processing timelines depend on the payroll cycle in place for your account. Employers should confirm specific pay cadence details directly with DirectShifts during onboarding.
Can I see a breakdown of what I have spent on clinician payroll through DirectShifts?
Yes. Employers have access to reporting on their payroll activity through the platform, including hours approved, clinicians paid, and total spend by role or time period.
Source: DirectShifts 2025 Year in Review. Payroll data reflects approved payments processed through the platform, with go-live date of February 2022.
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