Revenue is not the same as profit, and neither one guarantees cash in the bank. In a recent webinar hosted by Lengea Law, Nick Liguori of Liguori Accounting joined healthcare attorneys Sara Shikhman and Emily to unpack why one med spa can post $5 million in revenue with almost nothing to show for it, while […]
Why Do Some Med Spas Make Millions in Revenue but Have No Profit? Read More »
Accounting/Bookkeeping, CFO Consulting
If your med spa is structured as an S-corp, how you pay yourself is one of the most consequential financial decisions you make every year. Get it right and you can reduce self-employment tax by tens of thousands of dollars annually. Get it wrong and you are either leaving money on the table or
How to Pay Yourself from Your Med Spa Read More »
Accounting/Bookkeeping
The med spa owners who get the highest valuations when they sell are not the ones with the most revenue. They are the ones who started thinking about the exit two or three years before they were ready to have the conversation. The financial picture that attracts buyers, and that supports a premium multiple, is
How to Prepare Your Med Spa for a Sale (And Why Most Owners Start Too Late) Read More »
Uncategorized
If your med spa operates under an MSO structure, you have already dealt with the management fee question. You have probably asked your lawyer what it should be, gotten a vague answer, and either picked a number that felt reasonable or copied what someone else said they were doing. And it may have worked fine
How to Structure Your Med Spa MSO Management Fee (And Why Most Practices Get It Wrong) Read More »
CFO Consulting
Here is something that surprises most med spa owners when we first sit down together: taxes are typically the largest expense in their business after cost of goods and payroll. Not rent. Not marketing. Not payroll taxes. Federal and state income tax. And yet for most practices, it is also the least strategically managed expense
7 Tax Strategies That Can Reduce Your Med Spa’s Taxable Income by Six Figures Read More »
Accounting/Bookkeeping, Tax
One of the most common compliance issues I see with med spa clients involves worker classification. The question comes up constantly: Should my injector be a W-2 employee or a 1099 independent contractor? I addressed this topic on the Medical Spa Insider podcast because it’s a critical area where med spa owners frequently get tripped
You sold $40,000 in packages last month. Your bank account looks healthy. Your P&L shows strong revenue. Everything seems like it’s moving in the right direction. Except that $40,000 isn’t really yours yet. This is one of the most common—and most consequential—accounting mistakes we see in medical aesthetics. Packages, gift cards, and memberships all involve
I recently joined Robbie Antosi of MyAdvice and Brooks Locker of BSL Consulting for a webinar called “Fill, Thrill & Bill”—a conversation about patient acquisition, retention, and profitability for med spas. It was a well-rounded discussion, and while Robbie and Brooks brought incredible insight on the marketing and patient experience side, I want to dig
The Financial Side of Filling, Thrilling, and Billing Your Med Spa Patients Read More »
Accounting/Bookkeeping, Uncategorized
Your schedule is packed. Patients are waiting weeks for appointments. Your existing providers are booked solid and you’re turning away revenue every day. The obvious answer feels like hiring another med spa provider. But “obviously” is where a lot of med spa owners get into trouble. Adding a provider is one of the most significant
When Can You Afford to Hire Another Provider? A Financial Framework for Med Spa Owners Read More »
Accounting/Bookkeeping
If you own or operate a med spa in a state that requires a Management Service Organization (MSO) structure, you already know it adds a layer of complexity to your business. But here’s what I see all the time: owners invest in getting the legal documents drafted and the entities formed, and then nothing changes
MSO Funds Flow for Med Spas: How to Set It Up Right and Stay Compliant Read More »
Accounting/Bookkeeping
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