Plastic Surgery Practice Accounting & Bookkeeping
Fairlight CPA runs the books, payroll, and tax for plastic surgery practices — quote-driven, deposit-funded, case-based businesses. We track deposits against scheduled cases, match OR and anesthesia costs to procedures, and keep per-case margin honest.
✓ Books closed by the 15th ✓ Fixed monthly fees ✓ CPA-led team
The numbers problems plastic surgery practices actually have
Deposits arrive months before surgery
Booking deposits and prepayments are liabilities until the case happens. Cash-basis books overstate booked months and understate delivery months.
Every case has its own cost stack
Implants, OR time, anesthesia, garments — case profitability means matching those costs to the specific procedure, not averaging them across the quarter.
Financing payouts arrive net and batched
Patient-financing programs deposit net of fees, batched across patients. Reconciling payouts to quoted cases is where discounts and fee drift get caught.
Reconstructive work adds an insurance lane
Practices mixing cosmetic cash with reconstructive insurance carry two different revenue engines that shouldn't share one blurred ledger.
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 plastic surgery practices actually make and spend money.
- Surgical deposit and scheduling ledger — collected, scheduled, delivered, refunded
- Per-case cost matching: implants, OR, anesthesia, and supplies against each procedure
- Financing-payout reconciliation net of fees, tied back to quotes
- Monthly close by the 15th with cosmetic and reconstructive lanes split
- Payroll, business and personal tax prep, and CFO reporting for OR expansion decisions
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.
Margin per case type
what a mommy makeover versus a rhinoplasty actually nets after case costs
Booked-but-undelivered balance
deposit liability and the surgical pipeline it represents
Quote-to-book conversion value
consult pipeline turning into scheduled revenue, month over month
Revenue cycle & tax notes
Revenue & reconciliation
Cosmetic cash, financing payouts, and any reconstructive insurance remittances each get reconciled to the case schedule — so the surgical pipeline, not just the bank balance, tells the story.
Tax & entity
Big equipment years (OR buildout, lasers) and strong owner cash flow make depreciation elections, S-corp comp, and retirement-plan design unusually valuable here; we plan them before December.
Simple, published pricing
Bookkeeping from $310/mo · All-In-One (books + tax + advisory) from $800/mo. Every fee is quoted and fixed in writing before any work begins.
Plastic Surgery accounting FAQs
Why not just book deposits as revenue?
Because a canceled or rescheduled case turns 'revenue' into a refund. Carrying deposits as liabilities until surgery keeps monthly profit real and refund exposure visible.
Can you show profit per procedure type?
Yes — case-level cost matching rolls up into margin by procedure category, which is the honest basis for pricing and marketing decisions.
What does it cost?
Bookkeeping from $310/month; All-In-One (books + tax + advisory) from $800/month. Exact fee fixed in writing after a short call.
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 plastic surgery practices.
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.