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Madison Aesthetics MD · Upper East Side, NY
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Week of April 14

Updated today, 9:01 AM  ·  Live
Revenue
$88,600
▲ 22.1% MoM▲ 14.3% YoY
Expenses
$57,840
▲ 4.1% MoM▼ 0.3% YoY
Net Profit
$30,760
▲ 88.4% MoM▲ 51.2% YoY
Profit Margin
34.7%
Feb 2026: 20.0% | Apr 2025: 24.6%
Observations — April 2026
Financial Breakdown
Top Revenue Categories

Bar chart showing revenue by service category.

Expense Breakdown

Bar chart showing expense breakdown by category.

Service-Line Profitability
Gross Margin % by Service (consumables only, labor tracked separately)

Horizontal bar chart showing gross margin percentage by service line.

Service P&L Detail
ServiceRevenueCOGSMargin
Package & Deferred Revenue Tracker
Outstanding Package Liability
$41,200
Sold but not yet delivered
PackageActiveSessions LeftLiability
Packages Sold vs Revenue Recognized

Bar chart comparing packages sold versus revenue recognized from prior packages.

Navy = packages sold this month  ·  Emerald = revenue recognized from prior packages delivered
Medspa Performance Benchmarks
Avg Revenue / Visit
$623
AMSPA top 10%: $672
▲ Approaching top decile
Room Utilization
74%
Target: 70–80%
● On target
Consult-to-Booking Rate
61%
Industry avg: 65–75%
▼ Below benchmark
Retail Attach Rate
3.9%
Target: 10–15% of revenue
▼ Significant upside here
Client Retention Metrics
Active Clients
312
▲ 25 vs last month
New Clients
25
8.0% of total
Returning Clients
287
81.6% rebooking rate
Avg Visits / Client
0.75
Quarterly cadence (typical)
Rebooking Rate by Service — within 45 days

Bar chart showing rebooking rate by service within 45 days.

Staffing & Forecast
Labor Breakdown

Bar chart showing labor cost breakdown by role.

Next 7 Days: Expected Expenses
    7-Day Total$9,650
    Cash Flow Runway
    2.2 months
    $48,200 on hand · $21,600/mo fixed costs
    Based on fixed obligations only.
    SEO & Online Reputation
    4.8
    ★★★★★
    Google Rating
    ▲ 142 reviews (+6 this month)
    4.5
    ★★★★☆
    Yelp Rating
    68 reviews (+2 this month)
    91%
    Review Response Rate
    ▲ Up from 88% last quarter
    8
    New Reviews This Month
    Avg 4.9 ★ this month
    Review Volume — Last 6 Months

    Bar chart showing review volume over the past 6 months.

    Rating Trend

    Line chart showing average rating trend over the past 6 months.

    Recent Reviews
    Quick Wins — This Week
      Local Keyword Rankings — Google Maps / Local Pack
      KeywordRankChangeSearch Volume
      Local Competitor Comparison — Same zip cluster
      BusinessGoogleReviewsResponse %Avg New/Mo
      SEO & Reputation Insights
      Sales Tax Compliance (NY)
      Taxable vs Non-Taxable Revenue Split
      Taxable (HydraFacial, Microneedling, Retail)$35,200
      Taxable (19.3%)
      Non-Taxable (80.7%)
      New York State treats Botox, dermal fillers, Sculptra, and Kybella as medical procedures exempt from sales tax when administered by a licensed practitioner under MD supervision. Laser hair removal and IPL photofacials are also non-taxable as supervised medical aesthetic procedures. HydraFacial, cosmetic microneedling, and retail skincare are subject to combined NYS + NYC sales tax (8.875%).
      Estimated Sales Tax Liability — April 2026
      $3,124
      NYC combined rate 8.875% on $35,200 taxable revenue
      This estimate is based on services categorized as taxable in Spa Ledger. Next filing: June 20, 2026 (quarterly filer).
      If injectable and skincare revenue share one account, this split cannot be calculated. Spa Ledger tracks medical-exempt vs taxable services as separate accounts by default.