Illinois · Chicago–Naperville–Elgin
Start a allied health staffing agency in Chicago
Therapy, imaging and rehabilitation staffing — travel and per diem work with credentialing requirements and consistent, non-cyclical demand.
In short
To start a allied health staffing agency in Chicago, form a Illinois entity, register for unemployment insurance and withholding, carry workers' compensation, and fund the payroll gap. At the Illinois median pay of $50.60 for physical therapists, ten contractors tie up roughly $169,149 before your first invoice is paid.
What is specific to Chicago
- —Illinois licenses private employment agencies through IDFPR and the Day and Temporary Labor Services Act imposes equal-pay, notice and safety-training duties on light industrial staffing.
- —The Illinois day and temporary labour rules require pay parity with a client's comparable employees after 90 days, which must be priced into the bill rate from day one.
- —Chicago's derivatives and trading community is the deepest quant market outside New York.
Pay and bill rates for Allied health in Illinois
| Role | Median pay | Burdened cost | Bill at 25% GM | Markup |
|---|---|---|---|---|
| Physical Therapists | $50.60 | $56.93 | $75.90 | 50% |
| Occupational Therapists | $47.93 | $53.92 | $71.89 | 50% |
| Speech-Language Pathologists | $45.71 | $51.42 | $68.56 | 50% |
| Radiologic Technologists and Technicians | $38.43 | $43.23 | $57.65 | 50% |
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 Chicago
- Setup
- $9,000
- Six months of overheads
- $27,000
- Payroll gap (10 contractors)
- $169,149
- Total, unfunded
- $205,149
- Total with a 90% invoice advance
- $52,915
Modelled on physical therapists at the Illinois median of $50.60, 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.
Illinois compliance costs are front-loaded, and light industrial margins are thin, so the funding line has to cover both the payroll gap and the administrative load. Model the long-assignment pay step-up into your bill rate from day one or it will eat the margin later.
Registrations and compliance in Illinois
- 01
Form an LLC or corporation with the Illinois Secretary of State and obtain an EIN
- 02
Register with the Illinois Department of Employment Security for unemployment insurance and with the Department of Revenue for withholding
- 03
Register under the Day and Temporary Labor Services Act with the Illinois Department of Labor if you supply day or temporary labour, and carry the required bond and insurance
- 04
Chicago has its own fair workweek and paid leave ordinances that reach covered employers, including staffing suppliers
General guidance, not legal advice. Confirm current obligations with the relevant state agency and a staffing-literate attorney before you trade. Full Illinois guide.
Questions founders ask
Do I need a licence to run a allied health staffing agency in Chicago?
Yes for day and temporary labour. The Day and Temporary Labor Services Act requires registration with the Illinois Department of Labor, along with bonding, notices to workers and record-keeping. Confirm whether your specific placement model falls inside the Act before you trade.
How much does it cost to start a allied health staffing agency in Chicago?
Setup runs about $9,000 and six months of overheads about $27,000. The real number is the payroll gap: ten contractors at the Illinois median of $50.60 tie up roughly $169,149, or $52,915 in total once a 90% invoice advance is in place.
What should I bill for allied health contractors in Illinois?
At the Illinois median pay of $50.60 for physical therapists, a 25% gross margin needs a bill rate of $75.90 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 Chicago?
We back recruitment and staffing founders with operators who have built in your market, and then with the capital to fund the payroll gap.