Professional services
Medical Practice Payroll Calculator
Works practice payroll, where the burden and the coverage requirement both matter.
Result
Burden rates vary by state, trade and claims history. Take yours from the accounts rather than the default here, because a ten point error moves every price you quote.
Get a Free Business AuditHow the calculation works
Headcount times salary times hours with overtime at its multiplier, then the labour burden applied for payroll taxes, unemployment and workers compensation insurance, benefits and paid time. The result is monthly and annual cost, and the figure that matters operationally is cost per visit.
What moves the number
- Burden rate, which is substantial on top of salary.
- Overtime, which carries burden on the premium too.
- Coverage requirements, since clinics cannot run short.
- Paid time off, which has to be covered rather than absorbed.
Where this one goes wrong
A clinical schedule cannot simply run short when someone is absent, which means paid time off has a second cost in cover, either through overtime or temporary staff, and a payroll budget built on headcount and salary alone omits it. Budget the cover. On classification, exemption from overtime depends on duties and salary tests rather than on being salaried, and medical office roles are a common site of misclassification with back pay as the correction.
Before you quote
- Budget cover for paid time off, not just the paid time.
- Apply burden to overtime premiums.
- Verify overtime exemptions against the actual tests.
Where the rules come from
Questions
About this calculator
What does paid time off really cost a clinic?
The paid time plus the cover, because a clinical schedule cannot run short. Overtime or temporary staff fills the gap, and a payroll budget built on headcount and salary alone omits that second cost entirely.
How much does overtime cost?
More than the multiplier implies, since the burden applies to the premium as well. An overtime hour costs the uplifted wage plus burden on that larger figure, which is worth knowing before relying on overtime to cover routine gaps.
Are medical office staff exempt from overtime?
Many are not. Exemption depends on duties and salary tests rather than on being salaried or on the title, and medical office roles are a frequent site of misclassification. The correction is back pay, which makes checking in advance considerably cheaper.
The formula
cost = (wage x hours + wage x multiplier x overtime) x (1 + burden%)
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How to use this calculator
- People. Enter your own figure; the page starts at 5.
- Hourly wage ($). Enter your own figure; the page starts at $48.
- Normal hours per week. Enter your own figure; the page starts at 40.
- Overtime hours per week. Enter your own figure; the page starts at 4.
- Overtime multiplier. Enter your own figure; the page starts at 1.5.
- Labour burden (%). Payroll tax, insurance, holiday, training.
The result updates as you type, so you can try a figure, see what it does to payroll per week, and change it back. Nothing you enter is sent anywhere or saved.
A worked example
These are the figures the calculator opens with. Every number in the results column below is produced by the same calculation the page runs, so you can follow it through before putting your own figures in.
What goes in
| Input | Value |
|---|---|
| People | 5 |
| Hourly wage | $48 |
| Normal hours per week | 40 |
| Overtime hours per week | 4 |
| Overtime multiplier | 1.5 |
| Labour burden | 28% |
What comes out
| Result | Value |
|---|---|
| Payroll per week main result | $14,131 |
| Payroll per year | $734,822 |
| True cost per hour | $64.23 |
| Overtime per year | $95,846 |
Payroll is $14,131 a week, $734,822 a year. A $48.00 wage really costs $64.23 an hour, and overtime alone accounts for $95,846.
How sensitive the answer is
Holding everything else steady and changing only hourly wage, this is what happens to payroll per week. It is worth knowing which of your inputs the answer actually hinges on, and which barely move it.
| Hourly wage ($) | Payroll per week |
|---|---|
| $24 | $7,066 |
| $36 | $10,598 |
| $48 example above | $14,131 |
| $72 | $21,197 |
| $96 | $28,262 |
Every other input is held at the example value while this one changes, which is not how a real job behaves. Treat it as a guide to which number matters most, not as five separate quotes.
What each figure means
- People
- A number, between 0 and 500, starting at 5.
- Hourly wage ($)
- A money amount, starting at $48.
- Normal hours per week
- A number, between 0 and 80, starting at 40.
- Overtime hours per week
- A number, between 0 and 60, starting at 4.
- Overtime multiplier
- A number, between 1 and 3, starting at 1.5.
- Labour burden (%)
- Payroll tax, insurance, holiday, training.
What the results tell you
| Result | What it is |
|---|---|
| Payroll per week | The headline result. A money figure. |
| Payroll per year | A money figure. |
| True cost per hour | A money figure. |
| Overtime per year | A money figure. |
Estimating is the easy part
The jobs you never hear about cost more than the ones you mis-measure. BDEVY builds the marketing, systems and automation that bring them in.