CPA-Led Bookkeeping & Financial Management for Medical Spas
We track your packages, memberships, treatment revenue, and real profitability so you know what your clinic is actually earning.
Ideal Client Profile
We specialize in medical spas offering injectable and aesthetic treatments with package or membership revenue models.
Treatment Types
- ✓ Injectable treatments (Botox, fillers)
- ✓ Laser services (hair removal, resurfacing)
- ✓ Body contouring (CoolSculpting, RF)
- ✓ Medical-grade skincare treatments
- ✓ PDO threads & advanced aesthetics
Business Characteristics
- ✓ Package & membership programs
- ✓ Commission-based provider pay
- ✓ Single or multiple locations
- ✓ $500K+ annual revenue
- ✓ Need Financial Clarity
Where Most Med Spa Financials Go Wrong
Weak financial visibility limits growth and increases risk.
Revenue Recognition Issues
Recording package sales as immediate revenue inflates your income. The cash you collect upfront often covers treatments that haven’t been performed yet.
Complex Pay Structures
Provider compensation often includes commissions and bonuses. Without structured tracking, issues accumulate
and disrupt payroll.
Limited Profitability Insight
Without proper reporting by service line and location, it’s difficult to see which services and revenue streams truly
drive profit and which weaken it.
Multi-Location Chaos
Expanding to multiple locations requires consolidated financials plus location-level detail. Without both, you lose control fast.
Why Your Books Do Not Match Reality
Cash collected today often represents services you still owe tomorrow.
All cash collected is treated as revenue even though services are not complete.
Revenue reflects services delivered. The remaining balance represents future obligations.
Professional-Grade Accounting
Our team brings over 20 years of combined accounting experience, including several years at a major elective health chain.
Industry-Specific Accounting
We structure your financials around the realities of aesthetic practices, not generic small business templates.
Corporate-Level Process
Reconciliations, schedules, and consistent close routines. You get clean financials every month, not surprises at year-end.
Growth-Focused Reporting
See performance by service line, provider, and location to uncover strengths, gaps, and true profitability across your practice.
Our Services
Comprehensive accounting services designed for medical spas.
Monthly Bookkeeping
Accrual-based bookkeeping tailored to how your practice operates, with clean categorization and reliable monthly reporting for confident decision-making.
Financial Reports
Monthly P&L, balance sheet, and cash flow statements. Understand trends and performance without digging through raw transactions.
Multi-Location & Entity Accounting
Consolidated reporting across locations and entities with clean intercompany tracking. Stay organized as your structure grows.
Payroll & Commission Processing
Commission calculations and payroll workflows aligned to your compensation model. Reduce errors and keep reporting consistent.
Fixed Assets & Lease Accounting
Track equipment, buildouts, and leases with clear schedules and proper monthly treatment. Keep depreciation and rent accurate.
KPI Tracking & Insights
Track metrics that matter like revenue per visit, service mix, provider production, margins, and membership retention.
Service Packages
Choose the level of support that matches your current stage.
Essential
Single location
- Clean, up-to-date books
- Package & membership tracking
- Monthly financial reporting
- Provider pay tracking
- Tax-ready records
- Monthly review call
Growth
Multi-location or higher volume
- Everything in Essential, plus:
- Location-level reporting
- Consolidated reporting
- Performance dashboard
- Provider profitability
- Budget tracking
Scale
Complex or expanding practices
- Everything in Growth, plus:
- Cash flow forecasting
- Equipment & build-out tracking
- Multi-entity reporting
- Capital planning support
- Priority advisory access
One-time financial cleanups available starting at $7,500. Tax preparation available as an optional add-on service.
Frequently Asked Questions
We specialize in medical spas. Your financials are structured around package revenue, memberships, provider compensation, and multi location reporting, not a generic small business template. You get consistent monthly closes and reporting that reflects how your clinic actually earns and operates.
Most of our clients generate between $500K and $5M+ annually and sell packages or memberships. We work with single location owners through multi location operators who want reliable financial reporting and clear visibility into performance.
That is common. We begin with a structured cleanup to reconcile accounts, correct prior periods, and get everything organized properly. One time cleanups typically start at $7,500 depending on how many months are behind and the complexity of your setup.
We start with a consultation to understand how your clinic operates and where your reporting is falling short.
If we move forward, we gather system access, review your books, clean up what needs fixing, and organize your accounts properly.
Once everything is in place, we transition into a consistent monthly close and reporting schedule so you receive clean financials and a clear review each month.
We prepare clean, tax ready financials with reconciled balance sheets and supporting schedules. Tax preparation can be added as a service, or we coordinate directly with your existing CPA to ensure everything is filed correctly.
We work with platforms such as Boulevard, Zenoti, and other major med spa systems. As long as we can access your sales, payments, and package or membership reports, we can integrate the data into your accounting process.
Yes. We work remotely with medical spas across the United States and have a fully virtual process designed for efficient collaboration.
Work with us
We'll review your current accounting setup, identify areas for improvement, and explain how we can help you get clearer financial visibility.