Med spas and aesthetics
Tips and commission for injectors: splitting payouts cleanly
Updated 10 September 2026 · 6 min read
Attribute every payment to the provider who performed the treatment at the point of sale, record tips as their own line, and report per provider each pay period. Payouts still land in the practice bank account through your own Stripe account, and commission is paid through payroll from the report rather than split at the card level.
Attribution has to happen at the till
Commission arguments almost always trace back to a payment that nobody tagged. If the provider is recorded when the charge is taken, the pay period reconciles itself.
Retrofitting attribution from a calendar three weeks later is how practices lose an afternoon a month and still get it wrong.
Tips as a separate line
Record tips separately from treatment revenue so your revenue reporting is not inflated and payroll can treat the tip correctly. Decide whether tips are prompted at checkout — in aesthetics, many practices do not prompt at all.
Whatever you choose, apply it consistently across providers and locations, or the inconsistency itself becomes the complaint.
Paying commission
Run the per-provider report at the end of the period, export it, and pay commission through payroll. Do not split card payments at the processor level to individual staff — that turns employees into merchants and creates tax and compliance problems you do not want.
Keep the exported report with the payroll record so any query has a document behind it.
Refunds and packages
Agree how a refund affects commission already paid, and how package revenue is credited — at sale or at redemption. Redemption-based crediting is fairer to whoever performs the sessions and is what most multi-provider practices settle on.
Write the rule down once. Almost every commission dispute is really a missing rule.
Frequently asked
- Can we pay providers directly from the card payment?
- No, and you should not want to. Payouts settle to the practice account and commission is paid through payroll from the per-provider report.
- Can we turn tip prompts off?
- Yes. Tipping is a setting, and many aesthetics practices choose not to prompt.
- Is per-provider reporting exportable?
- Yes, reports export to CSV for payroll and the accountant.
Start taking payments for your med spas and aesthetics
Create a free account, connect payments through Stripe, and take your first payment the same day. Enterprise Pay Gateway is software, not a bank or lender — Stripe processes payments under your own Stripe agreement and pays out to your bank.
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