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VISToday Newsletter
Volume 1, Issue 6
From The Desk Of Roy!

Recent response to a question from one of my clients!

Q: I am thinking about buying a medical staffing franchise, what do you think?

Wow! Good question!

Why You Should Not Franchise”

If you are thinking about franchising your start-up medical staffing agency you first
need to look at what exactly is expected of you and what you are actually loosing in
purchasing a medical staffing franchise.

Will you own the Medical Staffing Franchise?

No! When you buy into a temporary staffing franchise you are basically buying the
rights to use that company’s name, O’h and it will cost you plenty to do so.  

How much does it cost to franchise a medical staffing agency?

Between $125,000 to $175,000 and that’s not part of the Franchise fee, the cost to use
the companies name will be some where around $25,000.  The $25,000 is the
Franchise fee, this usually has nothing to do with getting your office, hiring employees,
paying employees, your marketing/advertising costs, it is simply the cost the company
charges to allow you to use there name.  

Does name recognition guarantee success?

No, Franchises tell you that you will have the benefits of established name recognition
loyal to the corporation, this is fine and dandy for existing contracts with the franchise,
but you will have to develop your own relationships with the clients.  A name in the
medical staffing industry has little to nothing to do with being able to provide service
continuously and effectively.  Your reputation and your ability to generate business is
what your success is based on.

Does a franchise have tools and methods to grow significantly?

Not really, usually when franchises speak of tools and methods they are referring to
manuals they will provide to you on how to market your company.   Many Franchises
claim to have proprietary technology to bill and track employees.  With today’s
marketplace you can find these services readily available and willing to work with you

Do Franchises have special forms I need to get started?

Although you will need certain forms to get started, you do not need a franchise to
provide those forms for you.  You are able to access those forms online at modest
fees.  There are only so many forms you need and as you grow you purchase more
forms or contracts, you can then use the proceeds from the company to purchase more

Are Franchises the only ones capable of providing 100% funding for temporary

Absolutely not, all a franchise did was contract with a vendor that offers factoring.  
Usually the Franchise is not the one who actually is providing the money.  You will find
that today there are many companies willing to work with you to cover your payroll
100% and do the billing as well as manage your books.  Usually there is no fee to cover
your invoices; usually a factoring company can deliver the money to you within days.  
The fees are usually structured within the invoice, in other words you don’t pay
anything directly.  

Do Franchises have proprietary technology to track employees?

Perhaps they do or perhaps they don’t.  Again, online companies offer Internet based
employee tracking software.  The fees for this service can range between $50 - $300
depending on the size of your company.  If you are small, then perhaps $50 a month
will cover your initial need for technology to track and manage your work force.

Do franchises allow for growth?

No! you purchase an area to market based on your region.  They call this exclusive
territory, you may be able to expand to multiple units but it will cost you.  Having your
own staffing agency you are not limited to territories, regions or expansion costs based
on franchise fees. If you ever wanted to grow to another State or City, you may not be
able to because some else in the franchise beat you to it.

What are the benefits of the franchise support?

You will find that once you purchase the franchise, the support structure they claim to
provide within Human resources, Legal, Marketing etc will be passed down to an
answering service that will require you to leave a message.  You may be allowed to visit
there website and at times they will return the phone call, but you will find that the
person on the other end was only trained in the material given to you and has no field
experience within the medical staffing industry.  

Is it costly to open a franchise beyond the Franchise fee?

Yes it is? Why? Think about it, do you think a franchise wants you to open up shop
cheaply? No, your franchise is a marketing tool for them.  If you look bad, they will look
bad.  It is to the best interest of the franchise that you have the best site selection, the
best construction and plan assistance, the best furniture and the best grand opening,.  
You are at the mercy of the contract you signed with the franchise.  That is why they
want to make sure you have enough capital to pay for your start-up.  They have pre-
selected vendors that you must work with.   Generally you are required to work with
there vendors.  

Will a franchise help me secure my first contract?

No, they will not physically help you secure your first or second or third contract.  They
provide you will marketing manuals, and online assistance but the meat and potatoes of
marketing/advertising will be 100% you, as it should be.  The problem is that you have
dished out over $100,000 opening you business without ever securing one account.  

Does a franchise offer business insurance, health insurance or any kind or
retirement plans?

No! Franchises are not in the business of providing these services, they are in the
business of selling and reselling franchises, they are not in the business of providing
benefits.  They will refer you two a third party vendor.  Something you can do on your
own using the Internet.

Franchises claim to have many franchises, is this good?

Absolutely not, the more franchises they have the less potential for growth you have.  

What do they mean by ongoing support with a Franchise?

It usually means that you can call the toll free number and leave a message or visit
there website and type in your question.  They will try to get back to you as soon as
they can.  If the franchise is huge you may have to wait several days before they get
back to you.  At this point is when an entrepreneur that made the financial commitment
to a medical staffing franchise begins to feel abandoned and left out to dry.  In many
cases this is the truth.  “After all, it is you business!”

What do franchises mean by term?

O’h, good question.  It means that the franchise is not yours, you agree to run the
business for five years and at the end of the five years the franchise may or may not
renew your agreement.  Generally upon renewing your agreement you will have to pay
another franchise fee.  The decision to renew the term is solely based on the discretion
of the Franchise company...  If they decide not to renew the franchise you will loose the

What are royalty fees?

Besides paying the Franchise fee and the start-up expense, you are mandated to pay a
royalty fee that is generally between 5% to 10% of the Gross revenue of the business.   
Most people don’t realize how much money this is.  Lets me explain, a Medical staffing
agency works on a marginal profit margin of between 20% to 25% of the Gross
Revenue.  If you are required to pay a royalty fee of 10%, and your medical staffing
agency is only producing a 20% Gross Profit you will be left with only 10% Gross Profit
after paying the franchise royalty fee.  But is does not stop there.  The 10% is what you
will need to use to pay your in-house employees and any future marketing/advertising
expense.  The profit margin begins to dwindle down to almost nothing.  Very, very
important that you understand what we are talking about.  

Billing                                 $100,000 per month

Paying Nurses/tech’s         $80,000 per month
Franchise Fee                   $10,000 per month
Gross Margin                     $10,000 per month

In house employees           $4,000 per month
Rent/ Utilities Etc                $3,000 per month
Adv/Mark.                           $1,000 per month
Total                                  $8,000 per month

Net Margin                       
  $2,000 per month

Basically for every $100,000 you bill a month, you will only make $2,000 a month.  This
equals to billing over 1.2 Million dollars a year and you only make $24,000 a years,
ouch!  Not having a franchise allows you to make over $150,000 a year.  

Roy: Contact me to get your free package to use factoring to handle all your billing
needs and free up your cash flow:

Frequently Asked Questions?

How Often Are Temporary Employees Paid?
Your temporary staffing employees are generally paid every two weeks.  

How do I collect the invoices from the employees?
Make sure the employee mails in the invoices every week.  Get in the habit of doing this
because some employees for some reason let weeks pass by until they mail in the
invoices.  The employee invoices is how you will bill the company?

Should I do electronic checks or mail in checks?
Starting out means you are trying to cut costs.  At the beginning simply writes the
checks yourself and either mail the temporary employee his/her check or have them
pick the check up.  

Do you pay for parking when your employees arrive at sites?
It depends, you may ask the facility if they provide vouchers for outside employees, if
not ask if they reimburse the parking fees your temporary employees may incur.  Your
last resort is to simply pay the parking fee yourself.

What do you do if a temporary employee simply does not show up for work?
Find out why the temporary employee did not show up! quickly try to find a solution the
shift! You may want to discipline the employee, charge a fee to the employee or dismiss
the employee if it continues.  This type of habit can damage your business.

For more information about starting or expanding your medical staffing agency you can
contract Roy Vera, R.T., MBA at or visit him at his
website at

Medical Staffing Resources

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Incorporate Your Business


I was skeptical purchasing your Recruiting Ebook, not sure if it was the real thing
or not, I am sure glad I did purchase it, I used two of your techniques and was
able to recruit two employees the first week.

Thanks Roy

Mike Inslov

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Roy Vera, R.T., MBA an author, publisher and consultant for the medical staffing industry.  He can be
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