# How to start a care staffing agency in Miami

Location: Miami–Fort Lauderdale–Pompano Beach, Florida, United States. Source: https://launch-rec.com/staffing-agency/miami/care

## Direct answer

To start a care staffing agency in Miami, form a Florida entity, register for unemployment insurance and withholding, carry workers' compensation, and fund the payroll gap. At the Florida median pay of $18.03 for nursing assistants, ten contractors tie up roughly $60,272 before your first invoice is paid.

## Local facts about Miami

- Florida requires no state staffing licence and has no state income tax withholding, making it one of the fastest states to open in.
- Miami's financial and Latin America corporate hub creates bilingual finance and GTM demand that commands a rate premium.
- Seasonal tourism and healthcare demand peak in opposite parts of the year, which smooths a mixed contract book.

## Registrations and licensing in Florida

1. Form an LLC or corporation with the Florida Division of Corporations and obtain an EIN
2. Register with the Florida Department of Revenue for reemployment tax
3. Workers' compensation thresholds are low and stricter for construction — confirm which threshold applies to your vertical
4. Nurse registries, home health and healthcare staffing are licensed through the Agency for Health Care Administration, which is a separate and slower process

## Payroll and compliance

- No state personal income tax, so no state withholding to administer
- Seasonality is real: hospitality and events demand swings hard, and your funding line has to survive the trough as well as the peak
- Bilingual candidate supply is a genuine competitive advantage in South Florida

## Pay and bill rates — Care and support in Florida

| Role | Median pay | Burdened cost | Bill at 25% GM | Markup |
| --- | --- | --- | --- | --- |
| Home Health and Personal Care Aides | $16.25 | $18.28 | $24.38 | 50% |
| Nursing Assistants | $18.03 | $20.28 | $27.05 | 50% |
| Licensed Practical and Licensed Vocational Nurses | $29.70 | $33.41 | $44.55 | 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 $18.03 (Nursing Assistants): $60,272
- Total unfunded: $96,272
- Total with a 90% invoice advance: $42,027

## Funding note

The thinnest margins and the heaviest headcount on the board. Care staffing lives or dies on the cost of its funding line.

## About LAUNCH.

LAUNCH. backs recruitment and staffing founders only, in the US and UK. Founders pay nothing.
Cite as: LAUNCH. Care and support staffing in Miami. https://launch-rec.com/staffing-agency/miami/care