Florida · Orlando–Kissimmee–Sanford

Start a allied health staffing agency in Orlando 

Therapy, imaging and rehabilitation staffing — travel and per diem work with credentialing requirements and consistent, non-cyclical demand.

Written and reviewed by James Doyle, Investor and exited founder· Updated 31 August 2026

In short

To start a allied health staffing agency in Orlando, form a Florida entity, register for unemployment insurance and withholding, carry workers' compensation, and fund the payroll gap. At the Florida median pay of $36.90 for radiologic technologists and technicians, ten contractors tie up roughly $123,351 before your first invoice is paid.

What is specific to Orlando

  • Hospitality and theme-park volume hiring sets the local wage floor, which drags on light industrial and care rates.
  • Simulation, defence and healthcare systems provide the higher-rate professional demand in the metro.

Pay and bill rates for Allied health in Florida

RoleMedian payBurdened costBill at 25% GMMarkup
Physical Therapists$48.58$54.65$72.8750%
Occupational Therapists$47.77$53.74$71.6650%
Speech-Language Pathologists$48.07$54.08$72.1150%
Radiologic Technologists and Technicians$36.90$41.51$55.3550%

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 Orlando

Setup
$9,000
Six months of overheads
$27,000
Payroll gap (10 contractors)
$123,351
Total, unfunded
$159,351
Total with a 90% invoice advance
$48,335

Modelled on radiologic technologists and technicians at the Florida median of $36.90, 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.

Florida hospitality and healthcare clients frequently pay on 45 to 60 day terms while the workers are paid weekly. Seasonal peaks mean your largest payroll weeks and your slowest collection weeks can arrive together — size the facility for the peak, not the average.

Registrations and compliance in Florida

  1. 01

    Form an LLC or corporation with the Florida Division of Corporations and obtain an EIN

  2. 02

    Register with the Florida Department of Revenue for reemployment tax

  3. 03

    Workers' compensation thresholds are low and stricter for construction — confirm which threshold applies to your vertical

  4. 04

    Nurse registries, home health and healthcare staffing are licensed through the Agency for Health Care Administration, which is a separate and slower process

General guidance, not legal advice. Confirm current obligations with the relevant state agency and a staffing-literate attorney before you trade. Full Florida guide.

Questions founders ask

Do I need a licence to run a allied health staffing agency in Orlando?

General commercial and industrial staffing does not require a specific state staffing licence, but healthcare staffing does: nurse registries, home health agencies and related models are licensed by the Agency for Health Care Administration. Start that application early, because it gates your ability to trade.

How much does it cost to start a allied health staffing agency in Orlando?

Setup runs about $9,000 and six months of overheads about $27,000. The real number is the payroll gap: ten contractors at the Florida median of $36.90 tie up roughly $123,351, or $48,335 in total once a 90% invoice advance is in place.

What should I bill for allied health contractors in Florida?

At the Florida median pay of $48.58 for physical therapists, a 25% gross margin needs a bill rate of $72.87 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 Orlando?

We back recruitment and staffing founders with operators who have built in your market, and then with the capital to fund the payroll gap.