Payroll

Clinic payroll and doctor commissions

The monthly argument in most clinics is not whether a doctor should be paid. It is which number they should be paid on. Payroll here is built from the sessions the system recorded and the money it collected, so the figure arrives with its own evidence.

☰Period ▾Branch ▾Role ▾Sort: Net payable ⇅
Gross payable$186,400
Commissions$142,900
Deductions$18,240
Net this month$168,160
Salaries and commissions
NameBaseCommissionDeductionsAdjustmentsNet
Dr. Fatimah Al-Kafi$12,000$41,200− $2,400+ $800$51,600
Dr. Fayez Khanfar$12,000$32,100− $1,900—$42,200
Dr. Amr Askar$10,000$16,900− $640+ $300$26,560
Reception · Maha$4,200—− $120—$4,080
Assistant · Noura$3,600——+ $150$3,750
Commission is calculated from the operations each doctor actually performed, with lab fees, refunds, discounts and inventory usage deducted against the case that produced them.

Commission on what was delivered and collected

A commission on what was invoiced pays the doctor for money the clinic has not received. A commission on what was collected, per service, per doctor, is the version both sides can check.

  • A rate per service, per doctor, or per specialty
  • Commission on collected rather than invoiced, if that is your rule
  • The session that earned it linked to the line that pays it
  • Package revenue recognised per session, not on the deposit
  • Insurance share treated the way your contract says it is

Deductions that are visible before payday

Most payroll disputes are about a deduction nobody explained. Here each one is a line with a reason and a date, visible before the run closes.

  • Lab and material costs deducted against the case they belong to
  • Advances and loans drawn down over the months you agreed
  • Absence and late arrival taken from attendance, not from memory
  • Fixed deductions applied per contract
  • Every deduction on the payslip with what it was for

A run that can be reopened but not rewritten

Payroll is the record people go back to a year later. It is versioned: a correction is a correction, not an edit that quietly changes history.

  • A run per branch and per period
  • Draft, reviewed and closed, with who did which
  • Corrections issued against the run they correct
  • Payslips in Arabic or English, per employee
  • Everything posted to the same ledger the profit figure reads

Who payroll has to satisfy

Three people look at the same number and need different things from it.

Doctors

What they earned, on which sessions, and what came off it.

Finance

A run that reconciles to the ledger without a spreadsheet.

Owners

Cost per doctor against what that doctor produced.

A spreadsheet at month end versus a run built from the work

Both produce a number. Only one of them can show where it came from.

The way it is done now

  • Commission estimated from a report
  • Paid on invoiced
  • Deductions explained on payday
  • Last month overwritten
  • Payroll and accounts kept apart

With Medicolize

  • Commission from the sessions that earned it
  • Paid on collected, if that is the rule
  • Deductions visible before the run closes
  • Corrections issued against the run
  • Both posting to one ledger
Questions

Payroll — what clinics ask

How are doctor commissions calculated?

From the sessions actually recorded, at a rate you set per service, per doctor or per specialty — and on collected rather than invoiced amounts if that is your agreement. Each commission line links back to the session that earned it.

How is package revenue handled?

Recognised per session as it is delivered rather than on the deposit, so a doctor is not paid in month one for work delivered in month three.

Can we deduct lab and material costs?

Yes, against the case they belong to, so the deduction is attached to the work rather than appearing as an unexplained line.

Can a closed run be corrected?

Yes, by issuing a correction against it. What is not possible is editing a closed run in place, because payroll is the record people return to a year later.

Does it handle attendance-based pay?

Yes. Absence, lateness and overtime come from the attendance record rather than being entered again by hand.

Put Payroll in front of your own week

Half an hour on your own services, packages and price list. Someone calls you back within a day.

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