Step 0 · set once, reuse every day

Financial assumptions

Every cost on the next screens comes from these numbers. They are placeholders until you change them, and they stay in this browser.

Compensation

Role	Annual pay or stipend	Paid hours per FTE-year	Loaded per hour
Physician	Physician annual pay sample	Physician paid hours per year	$250.00
CRNA	CRNA annual pay sample	CRNA paid hours per year	$125.00
Residentflat stipend	Resident annual pay sample	Resident paid hours per year	$37.50

Loaded per hour = annual ÷ paid hours × (1 + benefits load). Use hours actually worked instead of paid hours if you want paid time off inside the hourly cost.

Benefits and time past the block

Benefits loadsample

One group, one rate.

Minutes worked past an assigned block

Overtime or locum minutes. Salaried staff who stay late at no extra pay are “not paid”.

Physician

CRNA

Resident

Call pay

Choose how each role is paid for call, then enter your amounts. Keelwright never fills in a dollar figure for you; a structure without an amount is flagged, not guessed.

Physician

How call is paid

CRNA

How call is paid

Weekday shift

Weekend or holiday

Call-back, per hour

Call-back minimum

Resident

How call is paid

Maximum supervision ratios

One physician to at most how many rooms. Each is a maximum; you can tighten any single room in Step 3.

Room type	With CRNA	With resident
General OR	General OR with CRNA sample	General OR with resident sample
Endoscopy	Endoscopy with CRNA sample	Endoscopy with resident sample
NORA	NORA with CRNA sample	NORA with resident sample
OB / L&D	OB / L&D with CRNA sample	OB / L&D with resident sample

Placeholders, not a standard. These maximums are unconfirmed starting points. Supervision rules vary by payer, contract and state; set the ones your group works to.

The planning day

Day starts

Day ends

Post-call: free from

Shortest added block

Anyone on call who works past midnight is treated as unavailable until the post-call time. When the optimizer adds someone, it books them for at least the shortest added block.

Revenue

Medical direction and medical supervision are reimbursed differently, and the rules vary by payer. Reimbursement rules haven’t been researched, so Keelwright shows staffing cost only and won’t guess at revenue.

Next · Model & FTE pool →