Georgia · Atlanta–Sandy Springs–Alpharetta

Start a allied health staffing agency in Atlanta 

Therapy, imaging and rehabilitation staffing — travel and per diem work with credentialing requirements and consistent, non-cyclical demand.

Written and reviewed by James Doyle, Investor and exited founder· Updated 31 August 2026

In short

To start a allied health staffing agency in Atlanta, form a Georgia entity, register for unemployment insurance and withholding, carry workers' compensation, and fund the payroll gap. At the Georgia median pay of $35.84 for radiologic technologists and technicians, ten contractors tie up roughly $119,808 before your first invoice is paid.

What is specific to Atlanta

  • Georgia requires no staffing-specific licence, and workers' compensation obligations begin at three employees.
  • Atlanta's payments and fintech corridor concentrates finance, product and engineering demand in a way few southern metros match.
  • The metro is a major film and logistics employer, producing project-shaped contract demand outside the usual professional niches.

Pay and bill rates for Allied health in Georgia

RoleMedian payBurdened costBill at 25% GMMarkup
Physical Therapists$49.38$55.55$74.0750%
Occupational Therapists$50.01$56.26$75.0250%
Speech-Language Pathologists$46.52$52.34$69.7850%
Radiologic Technologists and Technicians$35.84$40.32$53.7650%

Pay rates are published state medians from the U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 bls.gov/oes. Employer burden is applied at 12.5% of pay. Where a state has no published median for a role, the row is omitted rather than estimated.

Cash required to open in Atlanta

Setup
$9,000
Six months of overheads
$27,000
Payroll gap (10 contractors)
$119,808
Total, unfunded
$155,808
Total with a 90% invoice advance
$47,981

Modelled on radiologic technologists and technicians at the Georgia median of $35.84, 40 hours a week, a 7-day pay cycle and 45-day client terms.

Funding a allied health book

Travel and per diem assignments carry housing and travel costs alongside pay, widening the cash gap beyond the payroll number itself.

Atlanta is a competitive, relationship-led market where clients push payment terms. Agencies that grow here usually secure a factoring facility early, because a single large logistics client can double your payroll requirement in a fortnight.

Registrations and compliance in Georgia

  1. 01

    Form an LLC or corporation with the Georgia Secretary of State and obtain an EIN

  2. 02

    Register with the Georgia Department of Labor for unemployment insurance

  3. 03

    Register with the Georgia Department of Revenue for income tax withholding

  4. 04

    Secure workers' compensation cover; the requirement applies once you reach the state's employee threshold, which staffing agencies typically hit immediately

General guidance, not legal advice. Confirm current obligations with the relevant state agency and a staffing-literate attorney before you trade. Full Georgia guide.

Questions founders ask

Do I need a licence to run a allied health staffing agency in Atlanta?

Georgia does not require a general staffing licence for most commercial placement. Healthcare and home care staffing carry separate state requirements. Standard obligations are entity formation, Department of Labor and Department of Revenue registration, and workers' compensation.

How much does it cost to start a allied health staffing agency in Atlanta?

Setup runs about $9,000 and six months of overheads about $27,000. The real number is the payroll gap: ten contractors at the Georgia median of $35.84 tie up roughly $119,808, or $47,981 in total once a 90% invoice advance is in place.

What should I bill for allied health contractors in Georgia?

At the Georgia median pay of $49.38 for physical therapists, a 25% gross margin needs a bill rate of $74.07 once 12.5% employer burden is applied.

Stay close to the money

The recruitment funding briefing

One email a month: funding terms we are seeing, margin benchmarks, and what buyers are paying for agencies. Written for founders, not for a mailing list.

Launching allied health in Atlanta?

We back recruitment and staffing founders with operators who have built in your market, and then with the capital to fund the payroll gap.