Browser-only practice economics · no account

At what caseload does private practice beat your job?

Put your salary and the benefits you would have to replace on one side, and your rate, attendance, practice costs and the health premium you would buy on the other. Both sides end in take-home after federal and California tax, and the page finds the weekly caseload where they cross.

Compare the two →
2026  federal schedule2025  California schedule, labeled0 data sent · private by default

The two sides

The job is flat. The practice is a slope. Where do they meet?

Everything the employer pays for that you would have to buy yourself counts for the job — the health contribution, a retirement match, anything else with a dollar value. Everything the practice costs you that the job did not counts against the practice. Both are entered monthly; the page annualizes.

01The W-2 job
Take-home after tax—
FICA and SDI—
Federal and California tax—
Take-home plus benefits—
02The practice

Every caseload

Both take-homes, side by side, from eight sessions to thirty.

Scheduled a weekCollected feesPrivate take-homeDifference
8———
10———
12———
15———
18———
20———
22———
25———
30———

“Difference” is private take-home minus the job’s take-home plus benefits; negative means the job still pays more. The bold rows are the first three caseloads past the crossing.

How it computes

Two engines that share every constant.

01The job: salary less what comes out of a paycheck.

The employee half of FICA (6.2% Social Security to the 2026 wage base of $184,500, 1.45% Medicare, 0.9% additional Medicare above $200,000), California SDI at 1.3% with no cap, and federal and California income tax after the standard deductions. Benefits and match are added back at the value you entered, because that is what the practice has to earn to replace them.

02The practice: fees less costs is profit, then the self-employed stack.

Self-employment tax on 92.35% of profit (both halves, 15.3%, plus the 0.9% above the threshold); half of it deducted; the health premium deducted above the line under §162(l); the 20% qualified business income deduction with its phase-out; then the same federal and California schedules. The premium is paid out of what is left.

03The crossing point is found by walking the caseload up.

Private take-home rises with sessions and the job does not move, so the page steps through caseloads in tenths of a session until the practice first matches the job’s take-home plus benefits. Above 60 a week it stops and says so.

04What the arithmetic leaves out is the point of the next section.

Ramp time, an empty January, unpaid leave, the value of a predictable paycheck and the cost of your own admin hours are real and are not priced here. The comparison is honest about what it is: two take-homes at a steady state.

Then what

The crossing point is a number. The decision has three more parts.

The rate the target needs

The rate-target calculator

Run the other direction: start from the take-home you need and find the rate at every caseload.

Filling the week

How a caseload actually fills

The crossing caseload is a destination; this page is about how long the road to it is and which channel gets you there.

The full practice model

The practice simulator

Twelve expense lines, associates, and the structure you trade under — once the caseload is real.

The cost side

Break-even by area

Where a take-home target comes from in the first place.

Where every figure came from

Sources.

The constants are the ones the practice simulator, the tax-strategy page and the rate-target calculator use, copied rather than restated, so every money page on this site agrees to the dollar.

Source links

This page links to official or statutory references. Check the relevant source and its date; links alone do not document a review.

You should not have to work this part out on your own.

Once a month: free tools and apps worth having, better ways to run the admin side of a practice, what other California therapists are actually doing, and anything new here that might save you an afternoon.

About monthly. One click to leave. Never sold, never shared. The consent box is separate and unticked because California requires it — and because it should be.