Agency Exit Plan for Starting a Private Practice (2026)
A workbook and Excel calculator for agency clinicians deciding whether to leave for private practice: your true compensation, the runway the jump needs, and a date to decide by.
What you get
- An Excel calculator for true compensation, runway and a months-until-ready date
- A five page guide to what to build while the salary still arrives, from entity and credentialing to a consultation circle
- A decision gate you set in advance
Who it is for
Agency clinicians weighing a move to private practice.
Why it exists
Half the clinicians at your agency are quietly running this math. This workbook makes it explicit, in both directions, because the comparison everyone runs in their head is wrong on both sides.
Your salary is worth more than the paystub says: the employer share of health premiums, the match, paid time off at your daily rate, the covered license fees and malpractice. For most agency clinicians the honest total runs 20 to 35 percent above the stated number, and that is what a practice has to beat. The calculator adds it up, then computes the runway target the jump actually requires: living costs, the practice cash trough, and a margin for the plan being wrong, with a months-until-ready line that turns the decision into a date.
The guide covers what to build while the salary still arrives, from entity and credentialing to the consultation circle you are about to lose structurally, then a decision gate you set in advance so the choice is not made by whichever feeling is loudest in an exhausted March. And it takes leaving well seriously: why clients are not cargo, how transfers actually work under your ethics code, and the resignation script that turns your former agency into your best referral source instead of a permanent cold shoulder.
Format
Five page PDF guide plus an Excel calculator with true compensation, runway, and decision gate tabs.
A planning resource. Employment agreements, non-solicitation clauses, and ethics codes govern where they apply; not legal, tax, or financial advice.