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Written by: Carolyn Young
Carolyn Young is a business writer who focuses on entrepreneurial concepts and the business formation. She has over 25 years of experience in business roles, and has authored several entrepreneurship textbooks.
Edited by: David Lepeska
David has been writing and learning about business, finance and globalization for a quarter-century, starting with a small New York consulting firm in the 1990s.
Published on April 11, 2022
Updated on March 13, 2024
Investment range
$3,550 - $10,100
Revenue potential
$80,000 - $400,000 p.a.
Time to build
1 – 3 months
Profit potential
$56,000 - $120,000 p.a.
Industry trend
Growing
Commitment
Flexible
Have you heard about the shortage of nurses in the US? It’s now reached record levels and become a full-blown crisis, as severely under-staffed hospitals continue to struggle with Covid hospitalizations. But you can be part of the solution by starting your own nursing agency and making a good living while providing reliable, much-needed nurses to area hospitals and clinics. The healthcare recruitment industry has nearly doubled in the last decade as a result of staff shortages, which means the opportunity is there. Whether you have a medical background or not, you could operate your agency from home for a small investment and start helping save lives.
But before you start making calls, it’s crucial that you understand how to start a business. Fortunately, you can do all your homework by reading this step-by-step guide, which will put you on the road to running a successful nurse staffing agency.
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Starting a nurse staffing agency has pros and cons to consider before deciding if it’s right for you.
Trends in the nurse staffing agency industry include:
Challenges in the nurse staffing agency industry include:
Startup costs for a nurse staffing agency range from $3,500 to $10,000. Costs include a website, software, and nurse and healthcare facility databases.
| Start-up Costs | Ballpark Range | Average |
|---|---|---|
| Setting up a business name and corporation | $150 - $200 | $175 |
| Business licenses and permits | $100 - $300 | $200 |
| Insurance | $100-$300 | $200 |
| Business cards and brochures | $200 - $300 | $250 |
| Website setup | $1,000 - $3,000 | $2,000 |
| Software and databases | $1,000 - $4,000 | $2,500 |
| Marketing budget | $1,000 - $2,000 | $1,500 |
| Total | $3,550 - $10,100 | $6,825 |
Generally, the nurse staffing agency fee is 25% of the nurse’s first-year salary. Your profit margin when you’re working at home should be about 70%.
In your first year or two, you could work from home and place 8 nurses in a year, each with a $40,000 contract, you’ll be bringing in $80,000 in annual revenue. This would mean $56,000 in profit, assuming that 70% margin. As you increase your networking and contacts, you could do 40 placements a year. At this stage, you’d rent a commercial space and hire staff, reducing your profit margin to 30%. With annual revenue of $400,000, you’d make an impressive profit of $120,000.
There are a few barriers to entry for a nurse staffing agency. Your biggest challenges will be:
Now that you know what’s involved in starting a nurse staffing agency, it’s a good idea to hone your concept in preparation to enter a competitive market.
Market research will give you the upper hand, even if you’re already positive that you have a perfect product or service. Conducting market research is important, because it can help you understand your customers better, who your competitors are, and your business landscape.
Research nurse staffing agencies in your area to examine their services, price points, and customer reviews. You’re looking for a market gap to fill. For instance, maybe the local market is missing a travel nurse staffing agency, an agency that recruits certified nursing assistants, or a temporary nursing agency.
You might consider targeting a niche market by specializing in a certain aspect of your industry, such as travel nursing or home nursing.
This could jumpstart your word-of-mouth marketing and attract clients right away.
Your services will be very straightforward. You’ll connect nursing candidates with health care facilities. You can specialize in certain types of nursing or work with all types.
Generally, the fee is 25% of the nurse’s first-year salary. Your profit margin when working by yourself should be about 70%.
Once you know your costs, you can use this Step By Step profit margin calculator to determine your mark-up and final price points. Remember, the prices you use at launch should be subject to change if warranted by the market.
Your target market will be nurses, hospitals and clinics, and healthcare organizations. You can find all of these on LinkedIn, and you can also find many nursing groups to connect with on Facebook. It’s also a good idea to buy access to the leading nurse and healthcare facility databases and reach out to those in your area. NurseRecuiter is a good place to start.
In the early stages, you may want to run your business from home to keep costs low. But as your business grows, you’ll likely need to hire workers for various roles and may need to rent out an office. You can find commercial space to rent in your area on sites such as Craigslist, Crexi, and Instant Offices.
When choosing a commercial space, you may want to follow these rules of thumb:
Your business name is your business identity, so choose one that encapsulates your objectives, services, and mission in just a few words. You probably want a name that’s short and easy to remember, since much of your business, and your initial business in particular, will come from word-of-mouth referrals.
Here are some ideas for brainstorming your business name:
Once you’ve got a list of potential names, visit the website of the US Patent and Trademark Office to make sure they are available for registration and check the availability of related domain names using our Domain Name Search tool. Using “.com” or “.org” sharply increases credibility, so it’s best to focus on these.
Finally, make your choice among the names that pass this screening and go ahead with domain registration and social media account creation. Your business name is one of the key differentiators that sets your business apart. Once you pick your company name, and start with the branding, it is hard to change the business name. Therefore, it’s important to carefully consider your choice before you start a business entity.
Every business needs a plan. This will function as a guidebook to take your startup through the launch process and maintain focus on your key goals. A business plan also enables potential partners and investors to better understand your company and its vision:
If you’ve never created a business plan, it can be an intimidating task. You might consider hiring a business plan specialist to create a top-notch business plan for you.
Registering your business is an absolutely crucial step — it’s the prerequisite to paying taxes, raising capital, opening a bank account, and other guideposts on the road to getting a business up and running.
Plus, registration is exciting because it makes the entire process official. Once it’s complete, you’ll have your own business!
Your business location is important because it can affect taxes, legal requirements, and revenue. Most people will register their business in the state where they live, but if you’re planning to expand, you might consider looking elsewhere, as some states could offer real advantages when it comes to nurse staffing agencies.
If you’re willing to move, you could really maximize your business! Keep in mind, it’s relatively easy to transfer your business to another state.
Business entities come in several varieties, each with its pros and cons. The legal structure you choose for your nurse staffing agency will shape your taxes, personal liability, and business registration requirements, so choose wisely.
Here are the main options:
We recommend that new business owners choose LLC as it offers liability protection and pass-through taxation while being simpler to form than a corporation. You can form an LLC in as little as five minutes using an online LLC formation service. They will check that your business name is available before filing, submit your articles of organization, and answer any questions you might have.
Choose Your State
The final step before you’re able to pay taxes is getting an Employer Identification Number, or EIN. You can file for your EIN online or by mail or fax: visit the IRS website to learn more. Keep in mind, if you’ve chosen to be a sole proprietorship you can simply use your social security number as your EIN.
Once you have your EIN, you’ll need to choose your tax year. Financially speaking, your business will operate in a calendar year (January–December) or a fiscal year, a 12-month period that can start in any month. This will determine your tax cycle, while your business structure will determine which taxes you’ll pay.
The IRS website also offers a tax-payers checklist, and taxes can be filed online.
It is important to consult an accountant or other professional to help you with your taxes to ensure you’re completing them correctly.
Securing financing is your next step and there are plenty of ways to raise capital:
Bank and SBA loans are probably the best option, other than friends and family, for funding a nurse staffing agency business. You might also try crowdfunding if you have an innovative concept.
Starting a nurse staffing agency business requires obtaining a number of licenses and permits from local, state, and federal governments. Some states require nurse staffing agencies to have a medical agency license. Check with your state for requirements.
Federal regulations, licenses, and permits associated with starting your business include doing business as (DBA), health licenses and permits from the Occupational Safety and Health Administration (OSHA), trademarks, copyrights, patents, and other intellectual properties, as well as industry-specific licenses and permits.
You may also need state-level and local county or city-based licenses and permits. The license requirements and how to obtain them vary, so check the websites of your state, city, and county governments or contact the appropriate person to learn more.
You could also check this SBA guide for your state’s requirements, but we recommend using MyCorporation’s Business License Compliance Package. They will research the exact forms you need for your business and state and provide them to ensure you’re fully compliant.
This is not a step to be taken lightly, as failing to comply with legal requirements can result in hefty penalties.
If you feel overwhelmed by this step or don’t know how to begin, it might be a good idea to hire a professional to help you check all the legal boxes.
Before you start making money, you’ll need a place to keep it, and that requires opening a bank account.
Keeping your business finances separate from your personal account makes it easy to file taxes and track your company’s income, so it’s worth doing even if you’re running your nurse staffing agency business as a sole proprietorship. Opening a business bank account is quite simple, and similar to opening a personal one. Most major banks offer accounts tailored for businesses — just inquire at your preferred bank to learn about their rates and features.
Banks vary in terms of offerings, so it’s a good idea to examine your options and select the best plan for you. Once you choose your bank, bring in your EIN (or Social Security Number if you decide on a sole proprietorship), articles of incorporation, and other legal documents and open your new account.
Business insurance is an area that often gets overlooked yet it can be vital to your success as an entrepreneur. Insurance protects you from unexpected events that can have a devastating impact on your business.
Here are some types of insurance to consider:
As opening day nears, prepare for launch by reviewing and improving some key elements of your business.
Being an entrepreneur often means wearing many hats, from marketing to sales to accounting, which can be overwhelming. Fortunately, many websites and digital tools are available to help simplify many business tasks.
You may want to use industry-specific software, such as ABILITY, Bullhorn, Akken, to manage candidate information, job openings, billings, and payments.
Website development is crucial because your site is your online presence and needs to convince prospective clients of your expertise and professionalism.
You can create your own website using services like WordPress, Wix, or Squarespace. This route is very affordable, but figuring out how to build a website can be time-consuming. If you lack tech-savvy, you can hire a web designer or developer to create a custom website for your business.
They are unlikely to find your website, however, unless you follow Search Engine Optimization (SEO) practices. These are steps that help pages rank higher in the results of top search engines like Google.
Launching a nurse staffing agency requires strategic marketing to stand out in a competitive healthcare staffing landscape. In addition to creating a website and networking, here are practical marketing strategies to boost your agency’s success:
Unique selling propositions, or USPs, are the characteristics of a product or service that set it apart from the competition. Customers today are inundated with buying options, so you’ll have a real advantage if they are able to quickly grasp how your nurse staffing agency meets their needs or wishes. It’s wise to do all you can to ensure your USPs stand out on your website and in your marketing and promotional materials, stimulating buyer desire.
Global pizza chain Domino’s is renowned for its USP: “Hot pizza in 30 minutes or less, guaranteed.” Signature USPs for your nurse staffing agency business could be:
You may not like to network or use personal connections for business gain. But your personal and professional networks likely offer considerable untapped business potential. Maybe that Facebook friend you met in college is now running a nurse staffing agency business, or a LinkedIn contact of yours is connected to dozens of potential clients. Maybe your cousin or neighbor has been working in nursing for years and can offer invaluable insight and industry connections.
The possibilities are endless, so it’s a good idea to review your personal and professional networks and reach out to those with possible links to or interest in nurse staffing. You’ll probably generate new customers or find companies with which you could establish a partnership.
If you’re starting out small from a home office, you may not need any employees. But as your business grows, you will likely need workers to fill various roles. Potential positions for a nurse staffing agency business include:
At some point, you may need to hire all of these positions or simply a few, depending on the size and needs of your business. You might also hire multiple workers for a single role or a single worker for multiple roles, again depending on need.
Free-of-charge methods to recruit employees include posting ads on popular platforms such as LinkedIn, Facebook, or Jobs.com. You might also consider a premium recruitment option, such as advertising on Indeed, Glassdoor, or ZipRecruiter. Further, if you have the resources, you could consider hiring a recruitment agency to help you find talent.
Nurse staffing agencies can help solve a major social problem, and you can be a part of that solution, and make good money, by starting your own nurse staffing agency. You could get started for a small investment and run the business from home while gaining a real sense of fulfillment from your important work. What could be better than that?
Now that you understand the business aspects, it’s time to pound the pavement and get your successful nurse staffing agency off the ground!
A nurse staffing agency can be very profitable. However, your real reward will come from knowing that you’re helping to solve the nurse shortage crisis that the U.S. is experiencing.
Generally, nurse staffing agencies get a fee of about 25% of the job contract that is signed for the nurse. The employer pays the fees.
Effective marketing strategies for a nurse staffing agency include building strong relationships with healthcare facilities, establishing an online presence and utilizing digital marketing, implementing referral programs, targeted advertising, and showcasing thought leadership through content marketing.
To expand a nurse staffing agency and reach more clients and markets, conduct market research to identify new areas of demand, develop strategic partnerships with relevant organizations, offer specialized services, expand recruitment efforts, and actively participate in trade shows and industry events.
To differentiate a nurse staffing agency from competitors, focus on providing exceptional customer service, offer customized staffing solutions, emphasize the quality and qualifications of your nursing staff, highlight unique value propositions such as technology integration or specialized training programs, and gather and showcase positive client testimonials.
A nurse staffing agency’s success is determined by factors such as building strong relationships with healthcare facilities and candidates, maintaining a reliable and qualified pool of nurses, effectively marketing services, providing excellent customer service, adapting to industry changes, having efficient operations and systems, and continuously striving for excellence in fulfilling client staffing needs.
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