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Can you afford this hire?

A new clinician bills a fraction while ramping but costs near-full from day one. Model the ramp to see the cash dip and the break-even month before you commit.

How they’re paid
Hybrid or stipend model? Enter the blend: their typical total monthly pay under Salary, or their overall percentage under % split.
$0
Cash you front (the dip)
Month 1
Break-even month
first month they cover their costs

A new clinician bills a fraction while ramping but costs near-full from day one. The gap is the cash you front. A salary hire dips harder than a split (their pay doesn't drop with low early billings). The bars show your cumulative position month by month.

Cumulative cash position by month (red = you’re out of pocket, green = recovered)
The Hire Underwriter

The hardest part of a hire that isn’t working is admitting it. Draw the line now, while it’s just math: the hours they need to hit, by when, and the date you’ll honestly look. Later, when the ramp falls behind that line, Keystone reminds you the call is due — before the sunk cost talks you out of it.

That is one seat, roughly. The full read runs every seat, exactly, and puts your three highest-dollar decisions in front of you, each with a drafted first step: $79, one-time.

See your whole practice free →

This is one slice. The full Snapshot shows every clinician, your own real hourly rate, and where the money actually goes. Free, about five minutes, nothing leaves your browser.

Free. No signup. The free read runs in your browser.

Cite this page

Link to this page and attribute it to Keystone Practice:

Keystone Practice. "Can you afford this hire?" https://keystonepractice.co/tools/afford-a-hire
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