Partner Practitioner Commission: Gross or Net?

· 2 min read

Editorial illustration about partner practitioner commission

Loading the calculator. If it does not appear, enable JavaScript in your browser.

When a partner practitioner treats patients at your clinic, the commission percentage alone says nothing: 40% of what? Of the gross amount charged to the patient, or of what is left after materials, fees and tax? The difference can be hundreds of reais per appointment. The calculator shows both models side by side.

Nothing leaves your browser. The starting values are a hypothetical example.

What does each field mean?

Field What to enter
Amount charged to the patient The price of the appointment.
Commission percentage The partner's share, the same in both models so you can compare.
Procedure materials Product and disposables used.
Card terminal fee Total percentage for the most common payment method.
Taxes on the amount Percentage of taxes on revenue.

How is it calculated?

  • Net base = amount charged minus materials minus (amount × (fee + tax)).
  • Commission on gross = amount × percentage. The clinic absorbs materials, fee and tax.
  • Commission on net = net base × percentage. Costs are shared proportionally.
  • Clinic's remainder = what is left after the commission in each model.

Worked hypothetical example

Hypothetical example: R$ 2,000.00 charged, 40% commission, R$ 600.00 in materials, a 4% fee and 8% in taxes.

Item On gross On net
Net base R$ 1,160.00 R$ 1,160.00
Commission R$ 800.00 R$ 464.00
Clinic's remainder R$ 360.00 R$ 696.00

In this example, the difference for the clinic is R$ 336.00 per appointment. For the partner the effect is the opposite: on net they earn much less, which is why they usually ask for a higher percentage in this model.

How do I use the result?

Choose the base before calculating the percentage, not the other way around. Use the material cost per appointment and the real cost per ml with waste to get a realistic materials figure. If the clinic rents out the room by shift, compare with the room cost split, which can be fairer than commission in some arrangements.

Finally, use the minimum price calculator to confirm that the price charged still leaves the clinic a margin after the commission.

Frequently asked questions

Should the partner's commission be based on gross or net?

It depends on what the contract says. Gross is simpler and costlier for the clinic; net also shares the cost risk.

What is the net amount in this calculation?

It is the amount charged to the patient minus the procedure materials, the card terminal fee and the applicable taxes.

Do I need a contract for the partnership?

Yes. The percentage, the calculation base, the payout deadline and the responsibilities should be in writing, reviewed by a lawyer.