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According to the U.S. Bureau of Labor Statistics, respiratory therapists work in a range of settings including hospitals, physicians offices, nursing care facilities, and home health agencies. Specialization significantly impacts both salary and career trajectory in this growing field.
Provide day to day respiratory care including ventilator management, oxygen therapy, and bronchodilator treatments in hospital settings
Manage critically ill patients on mechanical ventilation in intensive care units, collaborating closely with intensivists and critical care nurses
Deliver specialized respiratory care to premature infants, newborns, and pediatric patients in NICUs and pediatric ICUs
Design and implement exercise and education programs for patients with chronic obstructive pulmonary disease, asthma, and other lung conditions
Conduct polysomnography studies and manage CPAP and BiPAP therapy for patients diagnosed with sleep apnea and related disorders
Work temporary assignments at hospitals nationwide through staffing agencies, often earning significantly higher compensation than permanent staff
According to O*NET OnLine, managed by the U.S. Department of Labor, respiratory therapists perform a defined set of clinical functions that span assessment, treatment, emergency response, and patient education. Understanding these responsibilities helps applicants present their experience in terms employers immediately recognize.
According to the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) program, respiratory therapist compensation varies by credential level, specialization, and geographic location. The following figures reflect approximate national annual salary ranges for common RT positions.
| Role | Low End | Median | High End |
|---|---|---|---|
| Entry Level CRT | $48,000 | $57,000 | $68,000 |
| Staff RRT (Hospital) | $58,000 | $72,000 | $88,000 |
| ICU Respiratory Therapist | $65,000 | $80,000 | $100,000 |
| Neonatal RT (NICU) | $68,000 | $84,000 | $105,000 |
| Travel Respiratory Therapist | $80,000 | $105,000 | $130,000 |
| Lead RT / Supervisor | $72,000 | $88,000 | $110,000 |
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics. Figures are approximate annual salary ranges and may vary by state, employer, and credential level.
Respiratory therapists are in demand across major hospital systems, specialty care centers, and travel staffing agencies. The following organizations are among the most active and consistent employers of RT talent in the United States.
HCA Healthcare
Hospital SystemStaff RT, ICU RT, Respiratory Care Supervisor
Ascension Health
Hospital SystemRespiratory Therapist, Pulmonary Rehab Specialist
CommonSpirit Health
Hospital SystemCRT, RRT, Neonatal Respiratory Therapist
Kaiser Permanente
Integrated Health SystemRespiratory Care Practitioner, Sleep Lab RT
AMR / Global Medical Response
Emergency ServicesCritical Care Transport RT, Air Medical RT
Aya Healthcare / AMN Healthcare
Travel StaffingTravel RT, Contract Respiratory Therapist
According to the National Board for Respiratory Care (NBRC), credentialing is a critical component of professional practice for respiratory therapists in the United States. The following credentials are the national standard recognized by state licensing boards and hospital employers across the country.
Certified Respiratory Therapist (CRT)
Issued by: National Board for Respiratory Care (NBRC)
The entry level national credential for respiratory therapists in the United States, required for licensure in most states. According to the NBRC, the CRT exam validates foundational clinical competency in respiratory care practice.
Registered Respiratory Therapist (RRT)
Issued by: National Board for Respiratory Care (NBRC)
The advanced national credential that most hospitals require for ICU, neonatal, and supervisory roles. RRT certified therapists consistently earn higher salaries and have access to a broader range of specialized positions.
Neonatal and Pediatric Specialty (NPS)
Issued by: National Board for Respiratory Care (NBRC)
A specialty credential for respiratory therapists working in NICUs and pediatric critical care units. The NPS designation is highly valued by children's hospitals and level III and IV neonatal centers nationwide.
Adult Critical Care Specialty (ACCS)
Issued by: National Board for Respiratory Care (NBRC)
Demonstrates advanced competency in the management of adult critically ill patients requiring mechanical ventilation and complex cardiopulmonary support. Widely sought by ICUs and trauma centers.
According to the American Association for Respiratory Care (AARC), respiratory therapy is a licensed profession in all 50 states and the District of Columbia. Understanding and satisfying these requirements before applying is essential to avoiding delays in the hiring process.
State Licensure
According to the American Association for Respiratory Care (AARC), all 50 states and the District of Columbia require respiratory therapists to be licensed or registered to practice. Licensing requirements vary by state but typically require passing the NBRC CRT or RRT examination.
Education Requirement
According to the U.S. Bureau of Labor Statistics, respiratory therapists must complete an accredited associate or bachelor's degree program in respiratory therapy. Programs are accredited by the Commission on Accreditation for Respiratory Care (CoARC).
Continuing Education
Most state licensing boards require respiratory therapists to complete continuing education units (CEUs) as a condition of license renewal, typically every two years. Requirements vary by state.
BLS and ACLS Certification
Basic Life Support (BLS) certification is required before clinical practice in virtually all settings. Advanced Cardiovascular Life Support (ACLS) is required for ICU and critical care roles by the majority of hospital employers.
According to the U.S. Bureau of Labor Statistics Occupational Outlook Handbook, employment of respiratory therapists is projected to grow 13% from 2022 to 2032, which is much faster than the average for all occupations. An aging population, increasing prevalence of respiratory conditions, and the lasting impact of the COVID-19 pandemic on pulmonary care demand are all accelerating this growth.
Entry level practice and general respiratory care
Advanced credential for ICU and specialty roles
Specialty certification in neonatal or critical care
Department leadership and program management
While the CRT allows you to begin working, the RRT credential from the National Board for Respiratory Care unlocks significantly higher paying positions and is required by most ICU and specialty employers. Prioritizing the RRT exam shortly after graduation dramatically expands your career options.
Neonatal and pediatric respiratory therapy (NPS) and adult critical care (ACCS) are among the most in demand and highest compensated specialties. Pursuing these credentials after earning your RRT signals to employers that you are ready for complex patient care environments.
With at least one to two years of staff experience, transitioning to travel respiratory therapy through agencies such as Aya Healthcare or AMN Healthcare can significantly increase your income through higher base rates, housing stipends, and completion bonuses.
Because licensure requirements differ by state, confirm you meet the specific requirements for the state where you are applying before submitting your application. The American Association for Respiratory Care maintains a state by state licensure resource that can help you navigate each state's process.
Disclaimer: The salary figures, employment projections, and licensure information cited on this page are sourced from publicly available reports by the U.S. Bureau of Labor Statistics, the U.S. Department of Labor, O*NET OnLine, the National Board for Respiratory Care (NBRC), and the American Association for Respiratory Care (AARC). Actual wages, licensure requirements, and job availability may vary by state, employer, and credential level. Oh My Job is an independent job search platform and aggregates listings from third party sources. Always verify job details, qualifications, and compensation directly with the hiring organization before applying.