Bypass vs TotalMed (formerly TNAA)
TotalMed (formerly TNAA) is a national healthcare workforce company offering travel, local, per diem, permanent and strike staffing, locum tenens and managed services. TNAA (Travel Nurse Across America) and TotalMed merged in 2025, and on October 12, 2026 the company retired the TNAA name and now operates as TotalMed. Bypass is a self-serve travel staffing platform run by Magnet Medical. Both employ travelers on hospital contracts with payroll, insurance and compliance handled. The difference is the model: on Bypass you search and apply yourself and see the exact weekly take-home before you apply, and most Bypass contracts pay 10–20% more than the standard agency package on the same contract, about 14% on a typical one.
Facts about TotalMed checked October 22, 2026 from the public sources listed below.
Side by side
| Compared | Bypass | TotalMed |
|---|---|---|
| Company | Run by Magnet Medical, a licensed W-2 healthcare staffing company in 47 states | Privately held |
| How you find jobs | Self-serve: browse every open contract, apply in a few clicks, upload documents once | Recruiter-led: one primary recruiter, plus a public job board and the TotalMed Go app |
| Pay before you apply | Exact weekly take-home on every listing, next to the standard agency package | Yes: public listings show gross weekly pay |
| Benefits and insurance | Weekly W-2 payroll, workers' comp, $1M occurrence professional liability, health insurance plans | Medical, dental and vision from the first day of assignment for eligible employees; 401(k) with up to a 4% match after eligibility; licensing, certification and travel costs covered through its Your Way Is Paid program |
| Best for | Experienced travelers who know their specialty and want the most take-home | Travelers who want one primary recruiter and work beyond travel contracts, like local, per diem or strike assignments |
About TotalMed
- Headquarters
- Little Rock, Arkansas (company address)
- History
- TNAA founded 1999; TotalMed founded 2004; merged May 2025; one brand, TotalMed, since October 12, 2026
- Ownership
- Privately held
- Services
- Travel, local, per diem, permanent, strike and locum tenens staffing, plus managed services and workforce technology for hospitals
- Accreditation
- Displays the Joint Commission Gold Seal of Approval; NATHO member
What TotalMed does well
- Runs hospital managed service and vendor management programs alongside travel staffing.
- Shows gross weekly pay on public job listings.
- A broad mix of assignment types: travel, local, per diem, strike and locum tenens.
Where Bypass is different
Bypass runs with software and a small operations team instead of a recruiter for every traveler. You browse every open contract yourself, see the exact weekly take-home before you apply, and upload your documents once. The team submits you, handles credentialing and compliance, works with the facility on your behalf, and runs weekly W-2 payroll.
The lower cost of placing you is passed through as pay: most Bypass contracts pay 10–20% more than the standard agency package on the same contract. If this is your first travel contract and you want a recruiter guiding each step, an agency like TotalMed is a sound place to start.
On today's open contracts
Median weekly take-home on open Bypass contracts, and how much more that is than the standard agency package on the same contracts. Across all of them: a median of 14% more. Updated hourly; as of October 2026.
| Specialty | Open contracts | Bypass median / week | More than agency / week |
|---|---|---|---|
| ER RN | 820 | $2,288 | +$268 |
| MedSurg RN | 682 | $2,209 | +$254 |
| MedSurg/Tele RN | 467 | $2,389 | +$290 |
| ICU RN | 465 | $2,394 | +$285 |
| L&D RN | 417 | $2,633 | +$310 |
| PCU RN | 375 | $2,389 | +$287 |
| Physical Therapy | 337 | $2,582 | +$303 |
| CT Tech | 329 | $2,696 | +$318 |
| Telemetry RN | 307 | $2,306 | +$270 |
| Operating Room RN | 294 | $2,607 | +$321 |
| Respiratory Therapist | 247 | $2,262 | +$258 |
| Cath Lab Tech | 201 | $3,072 | +$341 |
How to compare a TotalMed offer with Bypass
- Ask for the weekly take-home, not the hourly rate, and how it splits between taxable wage and stipends.
- Match the contract: same specialty, location, shift, hours per week and length.
- Check guaranteed hours and the cancellation policy on both offers.
- Find the same specialty and state on Bypass: every listing shows the weekly take-home up front.
Quick answers
Does Bypass pay more than TotalMed?
Bypass doesn't publish TotalMed's pay. What it measures is its own pay against the standard agency package on the same contracts: most Bypass contracts pay 10–20% more, about 14% on a typical one. To compare with a TotalMed offer, put the weekly take-home for the same specialty, location, shift and hours side by side.
Is TotalMed a good agency for travel nurses?
TotalMed is known for its wide mix of assignment types and its managed service work with hospitals. It suits travelers who want one primary recruiter and work beyond travel contracts, like local, per diem or strike assignments.
Can I work with TotalMed and Bypass at the same time?
Yes. Many travelers keep profiles with several agencies. Agree with each one which jobs it submits you to: most vendor management systems reject a second submission of the same traveler to the same job.
Sources
- TotalMed unifies workforce solutions under one brand following 2025 merger with TNAA (Oct 12, 2026)
- TotalMed: TNAA + TotalMed are now one brand
- TotalMed: insurance benefits
- TotalMed: 401(k)
- TotalMed: job board
- PE Professional: TNAA and TotalMed merge (June 2025)
TotalMed is a trademark of its owner. Bypass and Magnet Medical are not affiliated with TotalMed, and this page is not endorsed by it. Facts about TotalMed come from its public materials as of October 22, 2026; check its site for current details.