Your Med Spa Is Growing Fast.
Your Books Need to Keep Up.
Injectables, laser treatments, retail products, memberships — get a dedicated U.S.-based bookkeeper who understands the financial complexity of running a modern med spa or aesthetics practice.
Bookkeeping for Every Type of Aesthetics Business
Whether you run a boutique med spa or a multi-location aesthetics group, we understand your business model.
Med Spas & Injection Clinics
Botox, fillers, PRP, and injectable treatments — service revenue tracked by treatment type and provider.
Laser & Body Contouring
CoolSculpting, laser hair removal, skin rejuvenation — high-ticket service revenue with equipment depreciation.
Aesthetic Skincare Practices
Facials, chemical peels, microneedling — service revenue plus retail skincare product tracking.
IV Therapy & Wellness Centers
IV drip revenue, supplement retail, membership packages — complex revenue streams made simple.
Cosmetic Dental Practices
Teeth whitening, veneers, and cosmetic procedures alongside routine dental service tracking.
Multi-Location Spa Groups
Franchises and multi-location aesthetics groups with consolidated reporting across all sites.
Med Spa Finances Are More Complex Than They Look.
Multiple revenue streams, high-cost inventory, membership billing, and commission-based pay structures make med spa bookkeeping uniquely challenging.
High-Cost Product Inventory
Botox, fillers, and injectable supplies are expensive and regulated. Tracking what's purchased, used per treatment, and what's on hand is critical — and gets messy fast without the right system.
Retail vs. Service Revenue
Skincare retail sales and professional treatments are taxed and reported differently. Mixing them together on your books creates incorrect P&L statements and potential sales tax problems.
Membership & Package Billing
Monthly memberships and prepaid treatment packages create deferred revenue that must be recognized correctly over time — not all at once when the payment hits your account.
Provider Commission Structures
NPs, PAs, estheticians, and laser techs often earn commissions on services sold. Tracking commissions accurately for each provider while running payroll correctly is a constant headache.
Equipment Depreciation
Laser machines, CoolSculpting devices, and RF equipment cost tens of thousands of dollars. Without proper depreciation schedules, you're missing significant tax deductions every year.
Fast Growth, Messy Books
Med spas are one of the fastest-growing small business categories in the country. Rapid growth without clean financial systems leads to cash flow problems and tax surprises that stall momentum.
Clean Books That Reflect How Your Med Spa Actually Makes Money
We structure your QuickBooks to track every revenue stream separately — treatments by type, retail sales, memberships, and packages — so your P&L actually tells you what's profitable and what isn't.
- Revenue tracking by service type — injectables, laser, skincare, retail all separated
- Membership & package revenue recognition — deferred revenue handled correctly
- Injectable & supply inventory tracking — product costs matched to treatments
- Provider commission payroll — accurate commissions for every provider every month
- Equipment depreciation schedules — every device tracked, deductions maximized
- Monthly P&L by service line — see what's actually driving your profitability
📊 Med Spa Revenue Breakdown — Monthly
✓ ReconciledEverything We Handle for Your Med Spa
Your dedicated bookkeeper manages every financial detail so you can stay focused on client results.
Treatment Revenue by Service Type
Injectables, laser, skincare, and wellness services tracked and categorized separately every month.
Retail Product Sales Tracking
Skincare retail revenue, COGS, and inventory tracked separately from service revenue for accurate reporting.
Membership & Package Revenue
Deferred revenue from memberships and prepaid packages recognized correctly each month.
Provider Commission Payroll
Commission calculations and payroll for every provider — NPs, PAs, estheticians, and laser techs.
Injectable & Supply Inventory
Botox, filler, and supply costs tracked and matched to treatment revenue for true profitability analysis.
Equipment Depreciation
Laser machines, CoolSculpting, RF devices — all depreciated on correct schedules to maximize deductions.
POS & Payment Reconciliation
Square, Vagaro, Mindbody, or any POS — every transaction reconciled against your bank monthly.
Monthly P&L by Service Line
See exactly which treatments and revenue streams are driving profit — and which aren't pulling their weight.
Tax-Ready Books Year-Round
Clean, organized books delivered to your CPA at year-end — no scrambling, no surprises.
$0
Setup fees to get started
24hr
Matched with your bookkeeper
100%
U.S.-based professionals
20+
Years of accounting experience
Plans Built for Med Spas at Every Stage
No hidden fees. No setup costs. Cancel anytime with 30 days notice.
New Practice
Perfect for new or boutique med spas with up to 150 monthly transactions.
- Monthly bookkeeping & reconciliation
- Revenue by service type
- Dedicated bookkeeper
- Up to 150 transactions/mo
- Email support
Busy Med Spa
For high-volume practices with multiple providers, memberships, and retail sales.
- Everything in Starter
- Up to 400 transactions/mo
- Membership revenue tracking
- Monthly bookkeeper calls
- Unlimited phone & email support
Multi-Location
For growing med spa groups and multi-location aesthetics businesses.
- Everything in Growth
- Up to 750 transactions/mo
- Multi-entity & multi-location
- Annual tax filing included
- Dedicated account manager
Large practice or franchise group? Let's talk custom pricing →
Med Spa Bookkeeping Questions
Yes. We work alongside popular spa and practice management platforms including Vagaro, Mindbody, Jane App, and others. We reconcile your POS and booking software revenue against your bank deposits in QuickBooks, giving you an accurate and complete financial picture every month.
Membership and prepaid package payments create deferred revenue — the cash hits your account upfront but the revenue is earned over time as services are used. We track this correctly so your P&L reflects actual earned revenue each month, not just cash collected. This is one of the most commonly mishandled bookkeeping issues in med spas.
Yes. We track the cost of injectables and supplies as cost of goods sold, matching product costs to the treatments they're used in. This gives you a true gross margin per service type — critical information for pricing decisions and profitability analysis.
Yes. We reconcile commission-based pay structures for all provider types — NPs, PAs, estheticians, laser technicians. Whether commissions are based on services performed, retail sold, or a blended structure, we track it accurately each month and reconcile it with payroll.
Absolutely — this is one of the most common situations we see with med spas. Fast growth often outpaces financial systems. We offer catch-up bookkeeping to clean up months of backlogged records, get you organized, and set up the right QuickBooks structure before moving you onto a monthly plan.
Ready to Get Your Med Spa Finances as Polished as Your Results?
Get matched with a dedicated med spa bookkeeper in 24 hours. Setup takes 8 minutes and there are no fees to get started.
Accountlet LLC provides bookkeeping services and does not offer Audit, Review, or Attestation Services. Accountlet does not provide medical billing or practice management services. Prices shown are starting rates. Final pricing based on transaction volume and services selected.