Hours Are the Honest Metric
Job applications tell you about interest. Confirmed users tell you about supply. But hours worked tell you what actually happened. They tell you whether clinicians showed up, filled shifts, and delivered care.
In 2025, DirectShifts clinicians logged 211,300 verified hours on the platform. That is up from 205,300 in 2024, and part of a cumulative trend that has seen the platform track nearly 904,000 hours of verified clinical work since 2021.
Year-by-Year Hours on Platform
2023 was the peak, driven by high locum and per diem demand. What is significant about 2024 and 2025 is that hours stabilized above 200,000, despite a broader market correction. The platform retained a core of highly active clinicians who kept working through the normalization period.
Why Utilization Stability Matters to Employers
A staffing platform that booms and busts is not a reliable partner. A platform where clinicians consistently log over 200,000 hours per year, even through a down market, signals something different. It means there is a real working community on the platform, not just a list of registered profiles.
For employers, this translates to better response rates, more experienced clinicians who know how the platform works, and a higher likelihood that the clinician who applies actually shows up.
Active Timesheet Filers: 424 Clinicians in 2025
Beyond total hours, DirectShifts tracks the number of unique clinicians who actively filed timesheets in a given year. In 2025 that number was 424, up from 394 in 2024.
These are clinicians who completed assignments and got paid through the platform. They are not applicants. They are not registered profiles. They are clinicians with verified work history on DirectShifts who healthcare employers can look at and say: this person delivers.
The Occupation Breakdown
Hours in 2025 were distributed across MDs, NPs, PAs, RNs, and behavioral health clinicians. The platform tracks hours by occupation, allowing employers to benchmark expected availability and output by role type before posting a job.
Payroll Behind the Hours
211,300 hours in 2025 backed $21,738,267 in approved payroll, processed directly through the platform. Since go-live in February 2022, DirectShifts has processed over $83.4 million in clinician payroll. That is not a projection. That is money paid to real clinicians for hours they actually worked.
Frequently Asked Questions
How does DirectShifts track clinician hours?
Clinicians log timesheets directly in the platform after completing shifts. Employers review and approve hours before payroll is processed. The system creates a verified record of hours worked for every active engagement.
How many clinicians actively work through DirectShifts?
In 2025, 424 clinicians filed active timesheets and completed paid work through the platform. This is the best indicator of the actively working (not just registered) clinician pool.
What types of jobs generate the most hours on DirectShifts?
Locum and per diem positions drive the majority of hourly volume. These are shift-based roles where clinicians work flexible schedules across one or multiple employer accounts.
Is DirectShifts a timesheet and payroll platform as well as a job board?
Yes. DirectShifts manages the full workflow from job posting and application through credentialing, scheduling, timesheet submission, and payroll processing. Employers do not need a separate system to manage contingent workforce payments.
How does DirectShifts handle payroll for locum and per diem clinicians?
Employers approve clinician timesheets in the platform. DirectShifts processes payroll based on the approved hours and agreed bill rate. In 2025, $21,738,267 in payroll was processed through this system.
What is the average bill rate for clinicians on DirectShifts?
Bill rates vary by occupation, specialty, and location. DirectShifts tracks average bill rates by occupation, which employers can use as a benchmark when setting compensation for their own job posts.
Can employers see a clinician's prior work history on DirectShifts before hiring them?
Yes. The platform maintains records of completed engagements. Employers can view a clinician's activity on the platform as part of their hiring decision.
Is DirectShifts's payroll system compliant with IRS and state tax requirements?
Payroll compliance varies by state and employment classification. DirectShifts manages payment processing for the engagements that run through its platform. Employers should consult with their legal and compliance teams on specific classification questions.
Source: DirectShifts 2025 Year in Review. Hours data reflects verified timesheet submissions for calendar year 2025.
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