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.
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.
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.
The full close is not open yet. The first board meetings convene soon, and the founding practices get charter terms. Leave an email below and we will tell you when it opens.
We’re not open yet. Leave an email and we’ll send one message when we are. Joining now is first claim on one of the 25 charter seats: the ongoing monthly review of your practice’s numbers, $290 a year, locked in for as long as your subscription runs without a break. No newsletter, no drip sequence.
This is one slice. The full Snapshot shows every clinician, your own effective 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.
Embed this calculator on your site
<iframe src="https://keystonepractice.co/embed/afford-a-hire" width="100%" height="560" loading="lazy" style="border:1px solid #e6ebef;border-radius:12px"></iframe>