Hire in-house or use Reach remote team members?
The ROI comparison is stark. Here is the math.
In-House Hiring ROI
Cost: $3,840 per month base salary + taxes + benefits + training + turnover replacement.
Time to productivity: 60-90 days. You lose 30-40% productivity during training.
Turnover risk: 29% annually. Every replacement costs $2,000-4,000 in lost productivity and hiring.
Hidden costs: Vacation coverage, sick leave, management time.
Annual all-in cost: $48,000-52,000
Year 1 ROI: You hire someone and train them. You lose 2-3 months of productivity. You pay full overhead and benefits immediately.
Year 2 ROI: Better. Your staff is trained. Productivity is up.
Year 3 ROI: Same person might leave (turnover). You cycle back to Year 1 problem.
Reach Remote Team Members ROI
Cost: $1,995 per month. That is it.
Time to productivity: 2-3 days. Your remote team member is live on calls by Day 3.
Turnover risk: 4-year average tenure at Reach. Minimal replacement costs.
Hidden costs: None. Reach handles payroll, taxes, compliance, and Success Manager support.
Annual cost: $23,940
Year 1 ROI: Hire on Day 1. Productive by Day 3. No ramp-up loss. Immediate cost savings compared to in-house.
Year 2 ROI: Same person, same productivity, same cost. No surprise turnover costs.
Year 3-4 ROI: Still the same person, still the same cost. In-house staff might have left twice by now.
The Comparison Table
| Metric | In-House | Reach |
|——–|———-|——-|
| Monthly Cost | $3,840-4,200 | $1,995 |
| Annual Cost | $46,000-50,000 | $23,940 |
| Training Time | 60-90 days | 2-3 days |
| Productivity Loss | 30-40% for 2-3 months | 0% (trained by Reach) |
| Turnover Cost | $2,000-4,000 annually | Negligible (4-year average tenure) |
| Year 1 Cost | $50,000+ | $23,940 |
| Year 3 Cost | $50,000+ (after turnover) | $23,940 |
The Break-Even Analysis
Month 1: Reach saves $1,845 vs. in-house.
Month 3: Reach saves $5,535 cumulative.
Month 6: Reach saves $11,070 cumulative.
Year 1: Reach saves $22,060.
This is conservative. It does not include in-house turnover replacement costs or lost productivity from training.
What You Can Do With the Savings
You save $2,000 per month by using Reach instead of hiring in-house. That is:
- Equipment upgrades
- Marketing budget increases
- Doctor salary increases
- Profit improvements
- Scaling to additional team members
Performance Visibility Advantage
With Reach, you get Performance Tracker. You see exactly what your team member accomplishes. Calls answered, appointments scheduled, revenue generated. With in-house staff, you do not have this data automatically.
When In-House Makes Sense
In-house hiring makes sense if:
- You want a dedicated person in your physical office for specific clinical coordination.
- You have 10+ team members and need in-person management.
- You prefer to manage training and onboarding internally.
For most practices, the cost and complexity of in-house hiring outweighs the benefits.
FAQ
**Q: Is Reach quality comparable to in-house?**
A: Quality is actually better. Reach Academy training is more structured than most in-house training. Reach VAs average 4-year tenure (vs. 29% annual turnover in-house).
**Q: What if my practice grows?**
A: You can scale Reach. Add a second VA, a third VA, with zero training or onboarding burden. Each additional VA costs the same $1,995 per month. Try scaling in-house hiring at that speed.
**Q: Does Reach handle multiple roles?**
A: Yes. Reach VAs can focus on calls, hygiene recall, insurance verification, billing, or administrative work. Your Success Manager customizes based on your needs.
**Q: What is the contract length?**
A: Month-to-month. No long-term contracts. You can scale up or down based on needs.