South Carolina · Greenville–Anderson
Start a allied health staffing agency in Greenville
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 Greenville, form a South Carolina entity, register for unemployment insurance and withholding, carry workers' compensation, and fund the payroll gap. At the South Carolina median pay of $48.72 for physical therapists, ten contractors tie up roughly $162,864 before your first invoice is paid.
What is specific to Greenville
- —Upstate South Carolina's advanced manufacturing base creates skilled trades and engineering demand that outpaces the local candidate supply.
- —Rates are below the Carolinas' banking metros, so contract margin depends on disciplined markup rather than high pay rates.
Pay and bill rates for Allied health in South Carolina
| Role | Median pay | Burdened cost | Bill at 25% GM | Markup |
|---|---|---|---|---|
| Physical Therapists | $48.72 | $54.81 | $73.08 | 50% |
| Occupational Therapists | $48.62 | $54.70 | $72.93 | 50% |
| Speech-Language Pathologists | $43.52 | $48.96 | $65.28 | 50% |
| Radiologic Technologists and Technicians | $33.46 | $37.64 | $50.19 | 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 Greenville
- Setup
- $9,000
- Six months of overheads
- $27,000
- Payroll gap (10 contractors)
- $162,864
- Total, unfunded
- $198,864
- Total with a 90% invoice advance
- $52,286
Modelled on physical therapists at the South Carolina median of $48.72, 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.
Manufacturing and port work run high headcount at competitive rates. Volume is achievable quickly, which is precisely why the payroll gap becomes the constraint before the sales pipeline does.
Registrations and compliance in South Carolina
- 01
Form an LLC or corporation with the South Carolina Secretary of State and obtain an EIN
- 02
Register with the Department of Employment and Workforce for unemployment tax
- 03
Register with the South Carolina Department of Revenue for withholding
- 04
Secure workers' compensation once you meet the state employee threshold; manufacturing clients will require a certificate regardless
General guidance, not legal advice. Confirm current obligations with the relevant state agency and a staffing-literate attorney before you trade. Full South Carolina guide.
Questions founders ask
Do I need a licence to run a allied health staffing agency in Greenville?
There is no general state staffing licence for most commercial placement in South Carolina. Healthcare and home care staffing carry separate requirements. Core obligations are unemployment tax and withholding registration plus workers' compensation.
How much does it cost to start a allied health staffing agency in Greenville?
Setup runs about $9,000 and six months of overheads about $27,000. The real number is the payroll gap: ten contractors at the South Carolina median of $48.72 tie up roughly $162,864, or $52,286 in total once a 90% invoice advance is in place.
What should I bill for allied health contractors in South Carolina?
At the South Carolina median pay of $48.72 for physical therapists, a 25% gross margin needs a bill rate of $73.08 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 Greenville?
We back recruitment and staffing founders with operators who have built in your market, and then with the capital to fund the payroll gap.