Texas · Dallas–Fort Worth–Arlington
Start a allied health staffing agency in Dallas–Fort Worth
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 Dallas–Fort Worth, form a Texas entity, register for unemployment insurance and withholding, carry workers' compensation, and fund the payroll gap. At the Texas median pay of $50.87 for physical therapists, ten contractors tie up roughly $170,051 before your first invoice is paid.
What is specific to Dallas–Fort Worth
- —DFW carries one of the largest corporate relocation footprints in the US, which keeps finance, GTM and IT perm search unusually deep.
- —North Texas data centre build-out has made critical environment and electrical trades a genuine volume contract niche.
Pay and bill rates for Allied health in Texas
| Role | Median pay | Burdened cost | Bill at 25% GM | Markup |
|---|---|---|---|---|
| Physical Therapists | $50.87 | $57.23 | $76.30 | 50% |
| Occupational Therapists | $51.03 | $57.41 | $76.55 | 50% |
| Speech-Language Pathologists | $48.03 | $54.03 | $72.05 | 50% |
| Radiologic Technologists and Technicians | $37.80 | $42.52 | $56.70 | 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 Dallas–Fort Worth
- Setup
- $9,000
- Six months of overheads
- $27,000
- Payroll gap (10 contractors)
- $170,051
- Total, unfunded
- $206,051
- Total with a 90% invoice advance
- $53,005
Modelled on physical therapists at the Texas median of $50.87, 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.
Texas is a volume market: light industrial and logistics run high contractor headcount at moderate margins, which makes the working capital requirement large relative to profit. Factoring lines scale with invoices here and are the usual answer.
Registrations and compliance in Texas
- 01
Form an LLC or corporation with the Texas Secretary of State and obtain an EIN
- 02
Register with the Texas Workforce Commission for state unemployment tax
- 03
Texas has no state personal income tax, so there is no state withholding to administer — but franchise tax still applies above the revenue threshold
- 04
Decide on workers' compensation deliberately: opting out (non-subscriber status) carries reporting duties and removes the usual liability protections, and most staffing clients will not accept it
General guidance, not legal advice. Confirm current obligations with the relevant state agency and a staffing-literate attorney before you trade. Full Texas guide.
Questions founders ask
Do I need a licence to run a allied health staffing agency in Dallas–Fort Worth?
Texas does not require a general staffing or employment agency licence for most placement work. Healthcare staffing is the main exception — nurse staffing and home care carry separate state requirements — so verify your vertical rather than assuming the general position applies.
How much does it cost to start a allied health staffing agency in Dallas–Fort Worth?
Setup runs about $9,000 and six months of overheads about $27,000. The real number is the payroll gap: ten contractors at the Texas median of $50.87 tie up roughly $170,051, or $53,005 in total once a 90% invoice advance is in place.
What should I bill for allied health contractors in Texas?
At the Texas median pay of $50.87 for physical therapists, a 25% gross margin needs a bill rate of $76.30 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 Dallas–Fort Worth?
We back recruitment and staffing founders with operators who have built in your market, and then with the capital to fund the payroll gap.