The difference between a 32% margin and a 12% margin is not your providers.
It is what you know every week. Weekly P&L by service line, injectable COGS reconciliation, device ROI. Not an April close from a generalist who has never looked at an Allergan invoice.
Why this exists
Medical spa finances are not like any other small business. Injectable COGS get expensed at purchase, not at point of care. Device ROI means modeling lease payments, consumables, provider time, and room overhead against real utilization. MSO and PC entities need separate books. Prepaid packages and memberships distort every standard P&L. Most med spas run COGS above 40% of revenue. Almost none know it.
A generalist bookkeeper closes your books monthly and categorizes transactions. That is bank balance bookkeeping. It does not tell you your Botox margin, your Morpheus8 break-even, or whether your highest-revenue provider is actually your most profitable one. Generalist bookkeepers are not the problem. Their scope is.
Spa Ledger fills that gap. Real financial visibility, built for how a medical spa actually makes money. Every week, not in April.
Background
NYU Stern School of Business, MBA. Finance concentration.
More than 20 years running finances and P&L across hotels, three-Michelin-star restaurants, and medical spas. Hard financial problems are what he does. Med spa finances are among the harder ones.
Built for medical spas specifically — not adapted from a generic bookkeeping template. Injectable economics, device depreciation, MSO/PC structure, and provider profitability are in the product from day one.
Pricing: $499/month per location. First month free. No card until your first P&L.
Who runs your books.
Ridge
FounderRidge runs the CFO work at Spa Ledger. More than 20 years running finances and P&L across hotels, three-Michelin-star restaurants, and medical spas. He has seen every version of how strong revenue turns into thin margins. Hard financial problems are what he is good at. Med spa finances are harder than most.
Weekly P&L by service line, injectable COGS reconciliation, device break-even, deferred revenue separation, provider profitability. NYU Stern MBA, finance concentration.
Mina Lee
Finance AnalystMina leads the benchmark and analytical work. She builds the labor, utilization, and injectable inventory models that sit underneath every weekly P&L. If a number in your dashboard has been stress-tested against industry benchmarks, Mina is the one who tested it.
Focus areas: staff utilization, injectable inventory and COGS, provider productivity, EBITDA benchmarks, and revenue composition by service line.
LinkedIn →Three financial gaps every med spa owner has. Almost none know it.
Injectable COGS you cannot see
Your Allergan invoice gets expensed at purchase. Your actual cost per Botox or Dysport treatment is unknown. Most med spas run injectable COGS above 40% of revenue. The target is 30%. We reconcile vial-level COGS to the treatment level every week.
Device ROI that was never calculated
You know the lease payment. You do not know whether your Sciton HALO or Morpheus8 is covering its full cost including consumables, provider time, and room overhead. We run the math and show you the break-even utilization.
The margin gap is invisible until it is not.
Elite clinics average 32% net margins. The bottom half run under 12%. The gap is not better providers. It is knowing, every week, which services, providers, and locations are making money. By the time a quarterly report tells you, the quarter is gone.
What you get every week
Weekly P&L by service line
Neurotoxins, fillers, laser, facials, retail — margin by category, in your inbox every Monday by noon.
Injectable COGS reconciliation
Allergan, Galderma, and Merz invoices matched to treatment volume. Real cost per unit, every week.
Device ROI tracking
Break-even utilization, cost per treatment, and negative equity flag for every financed device.
Provider profitability
Revenue per provider against their fully loaded cost. The net-of-consumables commission calculation, done correctly.
Deferred revenue separation
Prepaid packages and memberships correctly separated from earned revenue so your P&L reflects reality.
Live financial dashboard
Key metrics updated daily. Labor %, device break-even, injectable margin, and cash position on one screen.
Your first month is free.
No card until your first P&L arrives. Onboarding takes 48 hours on our end. Nothing changes on yours.
Reserve Your First MonthQuestions? hello@spaledger.co