Aesthetic Industry Specialists

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.

20+ Years Combined Experience
7+ Years in Aesthetic Healthcare
CPA Licensed & Specialized
100% Med Spa Focus

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.

Example: $500,000 Collected From Package Sales
❌ What Most Bookkeepers Show
Cash Basis
$500,000
Shown as Revenue

All cash collected is treated as revenue even though services are not complete.

vs
✓ What You've Actually Earned
Accrual Accounting
$310,000
Revenue Earned

Revenue reflects services delivered. The remaining balance represents future obligations.

The difference is not profit. Spending it early leads to cash stress, payroll pressure, and tax surprises.

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.

01

Monthly Bookkeeping

Accrual-based bookkeeping tailored to how your practice operates, with clean categorization and reliable monthly reporting for confident decision-making.

02

Financial Reports

Monthly P&L, balance sheet, and cash flow statements. Understand trends and performance without digging through raw transactions.

03

Multi-Location & Entity Accounting

Consolidated reporting across locations and entities with clean intercompany tracking. Stay organized as your structure grows.

04

Payroll & Commission Processing

Commission calculations and payroll workflows aligned to your compensation model. Reduce errors and keep reporting consistent.

05

Fixed Assets & Lease Accounting

Track equipment, buildouts, and leases with clear schedules and proper monthly treatment. Keep depreciation and rent accurate.

06

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

$2,400/month
  • Clean, up-to-date books
  • Package & membership tracking
  • Monthly financial reporting
  • Provider pay tracking
  • Tax-ready records
  • Monthly review call
Get Started

Scale

Complex or expanding practices

$4,800+/month
  • Everything in Growth, plus:
  • Cash flow forecasting
  • Equipment & build-out tracking
  • Multi-entity reporting
  • Capital planning support
  • Priority advisory access
Contact Us

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.