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Serving Med Spas in All 50 States

The CFO Your Med Spa Deserves

We specialize in aesthetic practices. Helping med spas manage injectable inventory, provider compensation, and scale profitably.

Get My Books Med-Spa-Ready → Book a Meeting
Modern medical spa treatment room
✓ CPA Licensed
20+
Years Experience
Xero
Certified Partner
50
States Served
Gusto
Certified Advisor

We Know Med Spas Inside & Out

Your industry isn't a side project for us. It's our specialty.

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Injectable Inventory

Track Botox, fillers, and injectables with precision. Know your true cost per unit and eliminate shrinkage.

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Provider Compensation

Commission structures, production bonuses, W-2 vs 1099 — we've seen every model and know what works.

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Membership Revenue

Deferred revenue and membership accounting done right for GAAP compliance and accurate reporting.

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Multi-Location

Consolidated reporting across all locations while tracking individual P&L performance.

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Med Spa KPIs

Revenue per provider, treatment margins, patient acquisition cost — the metrics that actually matter.

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Growth Strategy

Ready to expand, bring on partners, or sell? We'll get your financials investor-ready.

Services Built for Med Spas

Everything you need — nothing you don't.

01

Bookkeeping & Accounting

Monthly books closed fast, accurate, and built for your industry.

  • Industry-specific chart of accounts
  • Injectable inventory tracking
  • Membership revenue recognition
  • Monthly reconciliation
02

CFO Advisory

Strategic financial guidance to scale your practice.

  • Cash flow forecasting
  • Provider compensation modeling
  • Expansion financial planning
  • Monthly strategy calls
03

Tax Strategy

Minimize taxes legally with med spa-specific strategies.

  • Entity structure optimization
  • Equipment depreciation planning
  • Retirement plan strategies
  • Year-round tax planning
04

Financial Reporting

See exactly how your practice is performing.

  • Custom KPI dashboards
  • Provider productivity reports
  • Treatment profitability analysis
  • Board-ready financials

Why Med Spas Choose Flint & Associates

We don't just understand accounting — we understand YOUR business.

  • 🎯

    Med Spa Specialists

    We don't dabble — we specialize. Every system, strategy, and solution is built specifically for aesthetic practices.

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    We Speak Your Language

    Injectables, provider splits, membership churn — you won't have to explain your business.

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    Built to Scale

    Whether you're one location or ten, our systems grow with you.

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    Partner, Not Vendor

    We're invested in your success. Your growth is our growth.

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    Coast to Coast

    Serving med spas in all 50 states. Cloud-first operations mean seamless service wherever you're located.

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    Proactive, Not Reactive

    We don't wait for tax season to call. Monthly check-ins and year-round strategy keep you ahead.

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    Direct Access

    No gatekeepers. Text, call, or email — get answers fast without billable hour anxiety.

20+
Years Combined Experience
Deep expertise. Real results.

Your Path to Financial Clarity

A proven 3-phase approach for med spa financial success.

Phase I

Foundation

Clean financials & compliance

  • Industry-specific chart of accounts
  • Cash vs. membership revenue tracking
  • Injectable inventory & COGS setup
  • Payroll compliance (W-2/1099)
Phase II

Tax Shield

Minimize taxes, maximize profit

  • S-Corp salary & dividend optimization
  • Section 179 equipment depreciation
  • Retirement plan strategies
  • Marketing expense structuring
Phase III

Scale

Strategic growth & expansion

  • Multi-location financial reporting
  • Provider profitability benchmarking
  • Capital planning & forecasting
  • Exit planning & valuation prep

What Our Clients Say

Med spa owners who trust us with their finances.

Finally, a CPA who understands injectable inventory and provider splits without me having to explain everything. They found deductions my last accountant missed for years.

JM

Med Spa Owner

Tampa, FL

The monthly CFO calls changed how I run my practice. I actually understand my numbers now and we've grown 40% since switching to Flint & Associates.

SK

Med Spa Owner

Rochester, NY

They helped us open our second location with financial projections the bank actually trusted. Couldn't have scaled without their guidance.

RL

Med Spa Owner

Houston, TX

Free Guide: 5 Tax Mistakes Med Spas Make

Most med spa owners leave money on the table every year. This free guide shows you the costly mistakes — and how to fix them.

  • Missing injectable inventory deductions
  • Wrong entity structure costing you thousands
  • Equipment depreciation mistakes
  • Provider classification errors (1099 vs W-2)
  • Overlooked med spa-specific write-offs
Tax guide for med spas

Frequently Asked Questions

Common questions from med spa owners.

Why do I need a CPA who specializes in med spas?

Medical spas have unique financial complexities — cash-pay models, membership revenue recognition, injectable inventory tracking, provider compensation structures, and equipment depreciation. A generalist CPA won't understand these nuances, which means missed deductions and compliance risks. We specialize in med spas, so you get expertise from day one.

How can you help reduce my tax burden?

We use proven strategies including S-Corp structuring with optimized salary/dividend splits, aggressive Section 179 equipment depreciation, retirement plan optimization, and proactive year-round tax planning. Most med spa owners we work with see significant tax savings in their first year.

Do you work with med spas outside of New York?

Absolutely. While we're based in New York, we proudly serve med spa owners in all 50 states. Our cloud-based approach means seamless service regardless of your location. We handle multi-state tax compliance and understand regional regulations across the country.

What's included in your fractional CFO services?

Our CFO advisory includes cash flow forecasting, KPI dashboard development, provider compensation modeling, expansion financial planning, and monthly strategy calls. Think of us as your financial partner who helps you make better business decisions — not just someone who does your books.

How do you handle injectable inventory accounting?

We set up systems to track your injectables (Botox, fillers, etc.) with precision — cost per unit, usage reconciliation, shrinkage monitoring, and margin analysis by treatment type. You'll know exactly where your money is going and where profit leaks exist.

Can you help if I'm planning to expand or sell my med spa?

Absolutely. We help with multi-location financial consolidation, growth projections, capital planning, and getting your books "investor-ready" or "buyer-ready." Whether you're opening location #2 or preparing for an exit, we'll make sure your financials tell the right story.

Let's Talk About Your Practice

Ready to work with a CPA firm that actually understands med spas? Let's start the conversation.

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