easierclinic.com / onshore-cost
Your front desk isn't a salary line. It's a silent tax.
Base salary is the sticker price. Once you add health cover, FICA, unemployment tax, workers comp, recruitment, equipment and management overhead, every onshore hire costs ~51% more than their salary. Pick the roles you were going to hire. We'll show the real number.
True-cost calculator · 2025 AU benchmarks
Step 01
Build the team you were going to hire
On-cost breakdown
applied to each hireStep 02
Your annual bill
Same coverage, delivered by
Recommended · GrowthHow we calculate this
· Base salary: BLS Occupational Employment and Wage Statistics (May 2024) and Indeed / Glassdoor 2025 medians for each role. National medians; coastal metros run higher.
· Health insurance: ~14% of salary. KFF Employer Health Benefits Survey 2025 puts the average employer contribution near $7,600 a year for single coverage. Family coverage is materially higher.
· FICA: 7.65% employer share (6.2% Social Security + 1.45% Medicare).
· FUTA + SUTA: ~2.5% blended. FUTA is 0.6% on the first $7,000; state unemployment varies by state and experience rating.
· Workers compensation: 1.5% average (varies by state and class code).
· 401(k) match: 3% of salary, the common safe-harbor match.
· PTO accrual & holiday cover: 10 days PTO plus federal holidays priced at ~4% of salary.
· Recruitment & onboarding: ~$4,700 average cost per hire (SHRM) amortized + 3 months at 50% productivity.
· Equipment, desk, software: ~$3,000/year per seat.
· Management overhead: 10% of salary (HR + performance + cover when sick).
· Easier Clinic pricing: Growth package ($4,900/mo + $4,500 setup) for a 2 to 4 seat equivalent; Scale from $8,500/mo for 5+.
The math most clinics skip
A $65k hire costs $92k. Before they take a sick day.
Most clinic owners budget against base salary. Bookkeepers know the truth: every role carries a 45 to 55% loading before you count down-time, turnover, and management cost.
A front-desk hire who quits at month 11 costs you the base salary and the recruitment cycle and the ramp loss and the team instability that triggers the next resignation.
Easier Clinic sells you outcome coverage, not seats. The replacement guarantee is ours. The ramp risk is ours. The compliance training is ours. Your cost is a single monthly number, not a second spreadsheet.
The ask
Want the full breakdown for your clinic?
Send us last year's payroll summary (names redacted, all good) and we'll come back with a line-by-line true-cost vs Easier Clinic figure inside 24 hours.
- No lock-in contract
- HIPAA aware
- $0 replacement guarantee