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Retention Economics Calculator

Cost to Acquire & Cost at Turnover

Click a role and adjust the numbers to match your organization. See what it costs to get that person in the door, how long until they pay it back — and what it costs you to lose them at six months, one year, two, three, four and five years.

Choose a role

Setting

Experience level

Role
Nurse Practitioner (PMHNP)
Setting
Outpatient
Cost basis
$138K base · load ×1.00
Criticality
CRITICAL — often the primary revenue engine
Licensure
REQUIRED — APRN/PMHNP-BC; prescriptive authority
Experience
MSN/DNP + cert; payer credentialing adds ramp
Liability
Very High
Revenue relationship
Directly billable, highest margin (~$400K/yr)
Engage & align
Autonomy, support staff, reasonable panel, profit-share for key providers

Cost To Acquire

What it costs to get them in the door

Shared inputs (drive both equations)

$
$

Acquisition line items

%
→ Agency fee (computed)
$25,740
$
$
$
$
→ Dead-time cost (50% mitigated)
$30,141
→ Ramp cost (computed)
$5,289

Total Cost To Acquire

$74,693

Payback Period
6.4 mo
from hire date, incl. credentialing
5-Year Acquisition ROI
17.5x
if they stay five years
It costs you $74,693 to get this nurse practitioner in the door — and they do not make you a dollar until month 7. Every retention decision before that point protects an investment that has not yet paid back. Lose them after it pays back, and the curve below shows what walks out.Every acquisition dollar returns about $18 in gross profit — if they stay five years. Retention is the bridge.

Cost At Turnover

What walks out the door when they leave

$

Auto-fed from the Cost To Acquire total above — edit to override.

One Preventable Departure

$369,856

at 5 years — and $212,656 even at 6 months

Cost at Turnover — the loss curve

Tenure at exitCost at TurnoverRecovered
6 months$212,65610%
1 year$238,85635%
2 years$278,15670%
3 years$317,45685%
4 years$343,65692%
5 years$369,85697%

Get your full multi-role exposure report

Every role on your roster — acquisition cost, payback period, and the loss curve side by side — saved and sent to you. Then book a debrief call to turn the numbers into a plan.

Free. Your data is never shared. You will receive your report and a link to book a debrief call.

All figures are conservative, directional estimates derived from 2025–2026 Arizona compensation data and published research (SHRM cost-per-hire benchmarks; agency fee norms of 15–25% of first-year salary; payer credentialing timelines of 90–120+ days; Gallup replacement multipliers; NSI National Health Care Retention Report). Credentialing dead-time uses a 50% mitigation factor, clearly an estimate. Every input is editable so you can model your own organization. Intended to inform a strategic conversation — not as guaranteed or audited accounting figures.

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