Accounting Services for Med Spas & Aesthetic Clinics

Keep Your Med Spa’s Finances Healthy


Med spa owners juggle patient care with managing multiple revenue streams—from treatments and product sales to memberships and gift cards. Without industry-specific accounting, profitability is hard to track, and compliance can become overwhelming. Atteign helps med spas in Austin and nationwide handle the numbers so you can focus on your patients.

Revenue Tracking by Service Line

Break out revenue by treatment, memberships, and product sales to see what drives growth.

Expense Management

Control supply costs, equipment depreciation, and overhead to protect margins.

Payroll & Commissions

Manage W-2 employees and 1099 contractors, including commission payroll accounting and tip reporting

Deferred Revenue Tracking

Accurately account for prepaid packages and gift cards

KPI Reporting & Financial Analysis

Track profitability by service line and monitor med spa KPIs that matter most.

Why We Understand Med Spas


Atteign works with med spas across the country and knows how to integrate accounting with industry systems like MindBody or Aesthetic Record. We provide med spa bookkeeping services and support the software you already use, making your financial reporting seamless.

Frequently Asked Questions

  • What makes medical aesthetics accounting different from other industries?

    Unlike many businesses, med spas must account for multiple revenue types, commission-based pay, and deferred revenue from packages. This requires specialized accounting systems.

  • How should med spas track their revenue?

    Revenue should be segmented by service line. This helps owners compare the profitability of injectables, facials, retail products, and memberships

  • What KPIs are most important for med spas?

    Common KPIs include revenue per treatment, provider utilization, and average ticket size. Tracking these ensures better staffing and pricing strategie

  • How do med spas handle prepaid packages and gift cards?

    These are treated as deferred revenue and recorded as liabilities until services are delivered. This ensures financial reports remain accurate.

Get a Finance Facelift for Your Med Spa

Clear financial insight is one of the best ways to keep your clinic healthy. Let’s build a system that gives you clarity and confidence as you grow.

Get started - MedSpa Accounting Intake Form