GuidesThe Ultimate Business Guide For Orthodontists

Chapter 22: Recruiting & Hiring an Associate

Compensation Models for Associates

Compensation Models for Associates

One of the biggest challenges in hiring an associate is structuring compensation in a way that is fair, motivating, and financially sustainable. There are several models to consider, each with pros and cons.

1. Straight Salary

  • ✔ Pros: Provides stability for the associate, easier to budget.

  • ✖ Cons: No incentive for production, can be costly if patient volume fluctuates.

  • Best for: New associates fresh out of residency who need a financial safety net.

  • 2. Collections-Based Compensation (Percentage Model)

  • ✔ Pros: Aligns incentives, motivates productivity, less risk for the practice.

  • ✖ Cons: Can be unpredictable for the associate if patient flow is inconsistent.

  • Typical range: 30–40% of collections (depending on overhead and practice costs).

  • Best for: Practices with a steady patient flow and associates with experience.

  • 3. Hybrid Model (Base Salary + Bonus on Production)

  • ✔ Pros: Provides financial stability while incentivizing productivity.

  • ✖ Cons: Can be more complex to structure and track.

  • Best for: Most practices looking to balance motivation and security.

  • 4. Equity or Profit-Sharing Model

  • ✔ Pros: Aligns the associate’s long-term interest with the success of the practice.

  • ✖ Cons: Requires a strong legal agreement, and the owner must be willing to give up some control.

  • Best for: Long-term partnerships where the associate may eventually buy into the practice.