Pennsylvania · Pittsburgh
Start a allied health staffing agency in Pittsburgh
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 Pittsburgh, form a Pennsylvania entity, register for unemployment insurance and withholding, carry workers' compensation, and fund the payroll gap. At the Pennsylvania median pay of $48.74 for physical therapists, ten contractors tie up roughly $162,931 before your first invoice is paid.
What is specific to Pittsburgh
- —Robotics, autonomy and applied AI research clusters around the local universities, creating a small, high-rate technical niche.
- —One health system is the region's largest employer, so client concentration risk is real for any clinical staffing book here.
Pay and bill rates for Allied health in Pennsylvania
| Role | Median pay | Burdened cost | Bill at 25% GM | Markup |
|---|---|---|---|---|
| Physical Therapists | $48.74 | $54.83 | $73.11 | 50% |
| Occupational Therapists | $47.33 | $53.25 | $70.99 | 50% |
| Speech-Language Pathologists | $44.69 | $50.28 | $67.03 | 50% |
| Radiologic Technologists and Technicians | $36.56 | $41.13 | $54.84 | 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 Pittsburgh
- Setup
- $9,000
- Six months of overheads
- $27,000
- Payroll gap (10 contractors)
- $162,931
- Total, unfunded
- $198,931
- Total with a 90% invoice advance
- $52,293
Modelled on physical therapists at the Pennsylvania median of $48.74, 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.
Health systems are excellent clients and slow payers. If your first anchor client is a hospital network, assume 45 to 60 day terms and a credentialing lag before the first invoice, and secure funding that covers both.
Registrations and compliance in Pennsylvania
- 01
Form an LLC or corporation with the Pennsylvania Department of State and obtain an EIN
- 02
Register with the Department of Labor and Industry for unemployment compensation
- 03
Register with the Department of Revenue for employer withholding, and for local earned income tax where workers live and work
- 04
Carry workers' compensation — Pennsylvania requires it from the first employee, with narrow exceptions
General guidance, not legal advice. Confirm current obligations with the relevant state agency and a staffing-literate attorney before you trade. Full Pennsylvania guide.
Questions founders ask
Do I need a licence to run a allied health staffing agency in Pittsburgh?
There is no general state staffing licence for most commercial placement, but healthcare and home care staffing carry separate requirements, and hospital clients impose their own credentialing standards. The core obligations are unemployment compensation, employer withholding including local tax, and workers' compensation.
How much does it cost to start a allied health staffing agency in Pittsburgh?
Setup runs about $9,000 and six months of overheads about $27,000. The real number is the payroll gap: ten contractors at the Pennsylvania median of $48.74 tie up roughly $162,931, or $52,293 in total once a 90% invoice advance is in place.
What should I bill for allied health contractors in Pennsylvania?
At the Pennsylvania median pay of $48.74 for physical therapists, a 25% gross margin needs a bill rate of $73.11 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 Pittsburgh?
We back recruitment and staffing founders with operators who have built in your market, and then with the capital to fund the payroll gap.