Healthcare staffing payroll funding that pays nurses, CNAs, and allied staff every week while facilities take 45 to 90 days to pay.
Trusted by staffing firms nationwide since 1992
Healthcare staffing runs on a cash flow gap. Hospitals, long-term care facilities, and health systems often pay on net 45, 60, or 90 day terms, and some take longer once invoices move through credentialing and approval. Your nurses, CNAs, therapists, and allied staff still expect to be paid every week, and travel and per diem assignments often come with upfront costs long before the first client payment arrives.
Healthcare staffing payroll funding closes that gap. Madison Resources advances cash against your approved facility invoices, so payroll is covered on time no matter when the client pays. With our full service option, we also handle payroll processing, invoicing, and collections, and the profit on each week’s invoices is advanced to you, not just the cash for payroll.
That means you can take on a new facility contract, add travel assignments, or cover a surge in census without draining your own cash or waiting on a bank.
Whether you place travel nurses or local CNAs, we fund the payroll and handle the back office around how your firm actually works.
A simple weekly cycle, built around facility payment terms.
Your nurses, CNAs, and allied staff work their shifts at the hospital, clinic, or care facility.
Submit approved timesheets. We process payroll, taxes, and the facility invoices for you.
Your clinicians are paid accurately and on time every week, no matter when facilities pay.
The profit on each week’s invoices is advanced to you, so you have cash to recruit and grow.
When the facility pays on its 45 to 90 day terms, we collect the payment and the cycle continues.
Prefer to run your own payroll? Our funding-only option advances up to 90% of your approved invoices.
We handle payroll, taxes, invoicing, and collections so you can focus on filling shifts.
Beyond funding and back office support, Madison Resources is a strategic partner for healthcare staffing firms looking to scale. Our team brings over 30 years of staffing industry experience to help you grow smarter.
Whether you’re navigating facility contracts, entering VMS and MSP programs, expanding into new specialties, or tightening cash flow, we help you plan the next move.
Below are answers to some of the most common questions about Healthcare & Medical Staffing.
Healthcare staffing payroll funding gives you cash against your approved facility invoices, so you can pay nurses, CNAs, and allied staff every week without waiting for the hospital or care facility to pay. Instead of covering payroll out of your own reserves for 45 to 90 days, you get funded as soon as the work is billed.
Your clinicians work their shifts, and you submit approved timesheets. With full service, Madison Resources processes payroll and taxes, creates the facility invoices, pays your staff on time, and advances the profit on each week’s invoices to you. When the facility pays, we collect the payment and the cycle continues.
They’re related, but not the same. Factoring usually means selling invoices for cash and nothing more. Madison’s full service payroll funding also covers payroll processing, payroll taxes, invoicing, and collections. If you’d rather keep payroll in-house, our funding-only option works more like traditional factoring and advances up to 90% of approved invoices.
Healthcare staffing firms of every size use it, from new agencies placing their first nurses to established firms supplying hospitals, long-term care facilities, home health agencies, and clinics. It’s especially useful for firms placing travel nurses, per diem clinicians, and allied health professionals, where facility payment terms are long and payroll runs weekly.
Yes. Because funding is tied to your invoices instead of a fixed credit limit, it grows as you add facilities, clinicians, and contracts. That lets you take on a new hospital contract or a surge in demand without draining your cash or waiting on bank approval.
Start by choosing your niche (for example, nursing, allied health, or long-term care), forming your business, and checking your state’s licensing and registration requirements. You’ll also need workers’ compensation and liability insurance, a credentialing process for clinicians, and contracts with facilities. Plan how you’ll cover payroll before your first invoices are paid, since facilities often take 45 to 90 days to pay. Placing travel nurses? See our travel nurse staffing payroll funding page.
Home health staffing follows the same basic steps as other healthcare staffing, with extra attention to state home care rules, caregiver background checks, and scheduling across many patient homes. Because clients may pay through agencies, insurers, or government programs on longer timelines, having payroll funding in place early helps you pay caregivers weekly from day one.
Healthcare staffing agencies earn the difference between the bill rate they charge facilities and the cost of their clinicians, including wages, payroll taxes, workers’ comp, and benefits. Margins vary by specialty. Travel and specialty nursing often carry higher bill rates, while long-term care and home health run on tighter margins and higher volume. For the full breakdown, see how staffing agencies make money.
Guides on cash flow, payment terms, and growing a healthcare staffing firm.
Net 30, Net 60, Net 90 payment terms decide how many weeks of payroll your staffing firm has to finance before a client’s money arrives. Here’s what each term actually costs in cash, why your real DSO runs longer than your contract says, and how to protect growth without stalling it.
Explore the current state of travel nursing in 2026, including changing pay trends, tax complexities, staffing shortages, workforce challenges, and how the industry continues evolving beyond the pandemic era.
Demand isn’t what holds most healthcare staffing firms back. Cash flow is. Here’s how scaling a healthcare staffing agency works when facilities pay slowly and payroll runs weekly.
Since 1992, Madison Resources has helped healthcare staffing firms pay nurses, CNAs, and allied staff every week while facilities pay on 45 to 90 day terms. Tell us about your firm and we’ll put together a funding rate quote.