Yes Fresenius is only using American Mobile Nurses to go through all their travel RN contracts throughout the USA. So this means if you use any other travel RN agency besides American Mobile, then your bill rate is being shaved down by not just one agency, but by two agencies. Your current agency can't call the unit manager directly, they have to go through AMN now, so it has really slowed down the process dramatically for turn around time with interviewing and being placed. Three different postings I was submitted to my recruiter sent me incorrect information that AMN provided, false manager names and phone numbers, or people in the wrong department. The experience thusfar since the change over has been less than smooth. Personally, I am avoiding all Fresenius contracts. I hope this helps.