New Clinician Hiring Break-Even Calculator

See how much a new hire costs before they're fully booked, when they start making money, and the month they've paid back everything you invested.

1Where should we send your results?

Optional. Add your email and we'll send you a copy of your results when you click Calculate.

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2How you'll pay them

Pay model

Employment type

W-21099

Clinician's share of collectionsPay per sessionAnnual salaryBenefits per monthHealth, retirement match and so on. Enter 0 for none.

W-2 pay adds payroll tax at 8%. The 8% covers the employer half of Social Security and Medicare (7.65%) plus an estimate for workers' compensation and unemployment insurance.

3Ramp-up

Each client is assumed to come weekly, so caseload = weekly sessions.

Average collection per sessionFull caseload (weekly sessions)Clients transferring inExisting weekly clients moved to this clinician on day one (from another clinician or a waitlist).Net weekly caseload growthNew weekly clients added each week, after clients who finish or drop out.Weeks until first billable sessionCredentialing, licensing and onboarding. Counted in weeks worked.Billing lag (weeks)Weeks from a session to when payment arrives. Counted in weeks worked.Weeks worked per year

4Costs

Monthly overhead for this clinicianEHR seat, email, phone, office space share and admin support.Recruiting / job adsOne timeOnboarding and trainingOne timeCredentialingOne timeEquipment / setupOne time

Your results

Break-even month

—

Peak investment

most cash you'll be out

Monthly profit at full caseload

Full caseload reached: —
First month with a monthly profit: —
Cumulative profit after 12 months: $0
Cumulative profit after 24 months: $0
Annual profit at full caseload: $0

Cumulative profit from this hire

Cash in minus every cost, month by month. Hover for details.

Show the table

Month	Avg caseload	Cash in	Costs	Month	Cumulative

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Get a copy of your results

We'll email a summary of these numbers to the address you entered in step 1.

How this is calculated

Ramp-up: No sessions until the weeks before the first billable session have passed, so the first billable month may be a partial month. The caseload then starts at the clients transferring in and grows by your net weekly growth each week worked, until it reaches a full caseload. Each client is assumed to come weekly. Each month counts weeks worked per year ÷ 12 weeks, and its sessions are the caseload added up over the weeks the clinician was seeing clients.
Cash in: Sessions × average collection, received after the billing lag. A session held in one month can be paid in the next, depending on how many weeks the lag is.
Pay: % of collections is paid as collections come in. Per-session pay is paid when the session happens. Salary is paid every month from month 1, including before the first session.
Payroll tax: W-2 pay adds 8% (the employer half of Social Security and Medicare (7.65%) plus a small allowance for workers' compensation and unemployment insurance). 1099 pay adds none.
Costs: Benefits and overhead every month from month 1. One-time costs in month 1.
Break-even: The first month when cumulative profit is back above zero.

These figures are planning estimates, not tax, legal, accounting or investment advice.