Updated May 2026 · Florida Plan Finder · Licensed Florida Health Insurance Producer

Setting Up Payroll for the First Time at a Physical Therapy Clinic in Jacksonville, FL

The first hire at a Jacksonville physical therapy clinic — usually a part-time PTA or front-desk coordinator — triggers a dozen one-time setup steps that most clinic owners do badly because they only do them once. Done wrong, you're looking at IRS notices, Florida Department of Revenue inquiries, and back tax assessments six months in. Done right, you have a system that handles every future hire automatically. This page is the practical setup checklist for a Duval County PT clinic.

Step 1: Federal Employer Identification Number (EIN)

If the clinic doesn't already have an EIN (S-corps and LLCs typically do; sole proprietors often don't), get one immediately. Apply at irs.gov/ein. Application takes 10 minutes; EIN is issued instantly. Free.

The EIN goes on Form W-2, payroll tax filings, workers' comp applications, and the new-hire packet. Keep it in your password manager.

Step 2: Florida Reemployment Tax Registration

Florida's unemployment insurance tax is called "reemployment tax." Register with the Florida Department of Revenue at floridarevenue.com via Form DR-1 (Registration). For a new employer:

Reemployment tax is filed quarterly on Form RT-6. Most payroll services file it automatically.

Step 3: Florida New Hire Reporting

Florida requires reporting new hires within 20 days at servicesforemployers.floridarevenue.com. Information needed: employee name, SSN, address, hire date, employer EIN. This feeds the state child support enforcement system. Free, takes 5 minutes per hire.

Most payroll services handle this automatically once you provide the new hire information through their onboarding flow.

Step 4: Workers' Compensation Insurance

Florida requires workers' comp for non-construction businesses with 4+ employees. Until the clinic has 4 employees, workers' comp is optional but strongly recommended (a single PT injury during patient transfer can be a $20K+ claim). For PT clinics:

Step 5: Choose a Payroll Service

For a 1–10 employee Jacksonville PT clinic, the practical options:

ServiceMonthly Cost (5 employees)Strengths
Gusto$100–$140Clean UI, integrated benefits, healthcare/401(k) integrations
QuickBooks Online Payroll$80–$120Native QBO integration; cleanest if you already use QBO
OnPay$80–$100Pricing transparency; good for very small clinics
ADP RUN$110–$160Established, full HR suite available; can scale to 50+
Paychex Flex$110–$150Similar to ADP; common in Florida

For a small PT clinic, Gusto and QuickBooks Online Payroll are the most common picks. Both handle federal/state filings, W-2/1099 generation, direct deposit, and benefits integration.

Step 6: Withholding Setup for Each Employee

Each employee completes:

Florida has no state income tax — no state W-4 is needed.

Step 7: Set Up Quarterly Federal Filings

The federal payroll filings the clinic must handle (or have its payroll service handle):

Step 8: Florida Quarterly Filings

Step 9: Benefits and Voluntary Deductions

Once the basic payroll is running, layer on:

Step 10: Recordkeeping

Federal record retention requirements for the clinic:

Common First-Payroll Mistakes

Frequently Asked Questions

How much does payroll service cost for a 5-person Jacksonville PT clinic?

Most full-service payroll providers charge $80–$140/month for a 5-employee clinic, including federal/state filings, direct deposit, and W-2 generation. Gusto and QuickBooks Online Payroll are the most common picks for small PT clinics.

Do I need to register with the Florida Department of Revenue before my first hire?

Yes. Register for Florida reemployment tax via Form DR-1 at floridarevenue.com before or shortly after your first hire. The tax rate starts at 2.7% on the first $7,000 of each employee's annual wages. Quarterly filings on Form RT-6.

When does a PT clinic need workers' comp insurance in Florida?

At 4+ employees (non-construction). Below that threshold it's optional but strongly recommended given the patient-transfer injury exposure. PT clinics use class code 8829, rated $0.85–$1.25 per $100 of payroll.

Does Florida have state income tax withholding?

No. Florida has no individual or pass-through state income tax. Payroll setup only requires federal income tax withholding (Form W-4), federal FICA, and Florida reemployment tax. No state W-4 form needed.

Coordinate Payroll, Workers' Comp, and Benefits

We help Jacksonville PT clinics set up the entire HR/payroll/benefits stack at first hire.

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Information on this page is for general reference. Verify current plan availability, costs, and rules with a licensed broker or qualified tax/legal professional before acting.