Med Spa Bookkeeping & Accounting
Fairlight Accounting runs the books, payroll, and tax for med spas — businesses that are part clinic, part retail, part membership program. Packages sold ahead of treatments, injectable inventory on the shelf, and commissioned providers all need books built for the model.
✓ Books closed by the 15th ✓ Fixed monthly fees ✓ cross-border tax team
The numbers problems med spas actually have
Packages and memberships are liabilities first
A 6-session laser package sold today is cash now, obligation later. Spas that book it all as revenue overstate every good month and understate refund exposure.
Injectable inventory is cash in a refrigerator
Tox and filler are expensive, dated, and shrinkage-prone. Cost per treatment depends on units used per appointment actually being tracked.
Provider commissions cut across service and retail
Injectors on percentage, estheticians on tiers, retail spiffs on top — commission math needs collections-level data or it becomes a monthly argument.
Retail sales tax rides alongside exempt services
Product sales are typically taxable where services often aren't; mixing the two invites both overpayment and audit exposure.
What Fairlight takes off your plate
The core engagement is the same discipline we run for every client — monthly close by the 15th, payroll, tax, and CFO-level reporting — built around how med spas actually make and spend money.
- Deferred-revenue tracking for packages, series, and memberships — sold, redeemed, and remaining
- Inventory accounting for injectables and retail, with cost-per-treatment visibility
- Commission calculations by provider across services and retail
- Monthly close by the 15th with service, retail, and membership margins split
- Sales tax filings on retail plus business and personal income tax with quarterly estimates
The three numbers we keep in front of you
No fabricated benchmarks — your own numbers, measured the same way every month, so trends are real and decisions have a floor under them.
Redemption liability
packages and memberships collected but not yet delivered — the refund-risk number
Product cost per treatment
units used against services performed, so injector-level margin is real
Retail attach rate
retail revenue per service visit — the metric that scales spa profit
Revenue cycle & tax notes
Revenue & reconciliation
Med spa money moves through POS packages, membership autopays, and financing payouts rather than insurance — we reconcile all three to the treatment log so redemptions, refunds, and chargebacks stay visible.
Tax & entity
The medical-director structure many states require (an MSO or fee arrangement) has real tax and entity implications; we account for the structure you and your healthcare counsel choose, and keep retail sales tax filed cleanly.
Simple, published pricing
Bookkeeping from $310/mo · All-In-One (books + tax + advisory) from $1,955/mo. Every fee is quoted and fixed in writing before any work begins.
Med Spas accounting FAQs
Our POS shows packages — why track them in the books?
The POS knows what was sold; the books have to carry the liability and earn it down as sessions redeem. That's what keeps refunds, remaining-session exposure, and true monthly revenue honest.
Can you tell us if injectables are profitable per provider?
Yes — units purchased, units used, and collections by injector give per-provider treatment margin. Shrinkage shows up as the gap, which is exactly why it's worth measuring.
Do you handle the sales tax on retail?
Yes — product sales are tracked separately and the returns filed on schedule, while exempt services stay out of the taxable base.
Related healthcare specialties
Get the financial side handled
A free 15-minute call — bring your current setup, leave knowing exactly what clean, specialty-aware books look like for med spas.
The content on this page is for informational purposes only and does not constitute professional tax advice. Accounting and tax considerations for healthcare practices depend on individual facts and circumstances and are subject to change. See our full legal disclaimer.