# How to start a allied health staffing agency in Charlotte

Location: Charlotte–Concord–Gastonia, North Carolina, United States. Source: https://launch-rec.com/staffing-agency/charlotte/allied-health

## Direct answer

To start a allied health staffing agency in Charlotte, form a North Carolina entity, register for unemployment insurance and withholding, carry workers' compensation, and fund the payroll gap. At the North Carolina median pay of $35.79 for radiologic technologists and technicians, ten contractors tie up roughly $119,641 before your first invoice is paid.

## Local facts about Charlotte

- Charlotte is the second largest US banking centre by assets, which makes contract finance, risk and compliance the natural first niche.
- North Carolina requires workers' compensation from three employees and has no staffing-specific state licence.

## Registrations and licensing in North Carolina

1. Form an LLC or corporation with the North Carolina Secretary of State and obtain an EIN
2. Register with the Division of Employment Security for unemployment tax
3. Register with the North Carolina Department of Revenue for withholding
4. Secure workers' compensation once you meet the state employee threshold; agencies placing W-2 temps generally need it immediately

## Payroll and compliance

- Research Triangle clients run longer contract assignments, which is good for margin stability and heavy on working capital
- Charlotte financial clients often require background screening and vendor onboarding that delays first invoice
- Cross-border placement into South Carolina and Virginia is common — register in each state

## Pay and bill rates — Allied health in North Carolina

| Role | Median pay | Burdened cost | Bill at 25% GM | Markup |
| --- | --- | --- | --- | --- |
| Physical Therapists | $48.03 | $54.03 | $72.05 | 50% |
| Occupational Therapists | $44.68 | $50.27 | $67.02 | 50% |
| Speech-Language Pathologists | $41.57 | $46.77 | $62.35 | 50% |
| Radiologic Technologists and Technicians | $35.79 | $40.26 | $53.69 | 50% |

Wage source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (May 2025), https://www.bls.gov/oes/. Employer burden applied at 12.5% of pay.

## Cash required to open

- Setup: $9,000
- Six months of overheads: $27,000
- Payroll gap on 10 contractors at $35.79 (Radiologic Technologists and Technicians): $119,641
- Total unfunded: $155,641
- Total with a 90% invoice advance: $47,964

## Funding note

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

## About LAUNCH.

LAUNCH. backs recruitment and staffing founders only, in the US and UK. Founders pay nothing.
Cite as: LAUNCH. Allied health staffing in Charlotte. https://launch-rec.com/staffing-agency/charlotte/allied-health