Keep What You Earn · 2026-05-26 · 33 min
Compensation is one of the hardest operational systems to get right in a med spa. If the structure feels unclear or unfair, it quickly creates tension between providers, leadership, and the overall goals of the business. In this episode, I break down how to design compensation in a way that supports profitability, collaboration, and long-term practice growth - not just short-term production. The goal isn't simply to pay providers more. It's to build systems that reward the right behaviors while keeping the business financially healthy. Why Most Compensation Problems Start w ith the Wrong Incentives One of the biggest mistakes I see is compensation structures that reward activity without measuring whether that activity is actually helping the practice grow profitably. Straight salary models often reduce motivation, while poorly structured commission systems can create competition, entitlement, and resentment between providers. Even hourly pay can become problematic if the only focus is keeping schedules full. A provider being "busy" does not necessarily mean the business is healthy.
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