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Keystone Practice
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What is this clinician actually worth to the practice?

Most dashboards stop at billings minus pay. The fully-loaded number adds employer payroll taxes, supervision, and overhead: the costs that decide whether a seat is profitable.

Example numbers to start. Change the fields to see your practice.

How they’re paid

Fully-loaded net is what a clinician’s seat actually nets the practice. Start with their collected billings, then subtract their pay and payroll taxes, any supervision, and a fair share of overhead. Contribution is what a clinician’s billings leave after their own pay and payroll taxes, before the practice’s shared overhead. Take off their overhead share and you reach fully-loaded net.

$1,368/mo
Per-clinician fully-loaded net
Healthy
$8,100
Effective billings (after no-shows)
$900/mo in missed sessions
$5,232
Their pay (fully loaded)
Take-home $4,860 + taxes $372
$2,868
Contribution before overhead
where most dashboards stop
$16,419
Annual fully-loaded net

This clinician contributes $1,368/mo to the practice — a 17% net margin after pay, overhead, and supervision. Over a year: $16,419.

Inputs are your own estimates, and nothing leaves your browser. Employer payroll taxes, supervision, and overhead are the items most dashboards omit; that is why the fully-loaded number differs from a simple billings-minus-split read.

The method behind this number, written out: the Keystone Standard →

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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.

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