PRACTICE PARTNER CPAs
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Home · Specialties · Med Spa & Aesthetic Practices
Med Spa · Aesthetics · Plastic Surgery · Dermatology

You make people glow. We make practices grow.

Strategic accounting, tax, and advisory for med spas, aesthetic clinics, plastic surgery practices, and dermatology — including practices with retail product lines, injectables programs, and membership models.

Book a 30-Min Practice Assessment → See the MSO Platform
The fee-for-service MSO partnership for med spa & aesthetic practices owners. Operating leverage of a healthcare MSO platform — financial infrastructure, tax strategy, KPI dashboards, vendor network, advisory presence — without taking equity. No DSO. No consolidation. The practice stays yours.
Med Spa & Aesthetic Practices owner — MSO partnership with Practice Partner CPAs
The Third Option
Your partner in aesthetic practice success.
Built for
Med Spa · Aesthetics · Plastic Surgery · Dermatology
Typical Practice Revenue
$300K – $10M+
Typical Annual Tax Savings
$25K – $120K+
Live in
30 Days · From $795/mo
Why Owners Choose the Third Way

What every med spa & aesthetic practices owner is really choosing between.

Most med spa & aesthetic practices owners are stuck between a generalist CPA who doesn't really know the specialty and a PE-backed buyer who wants the equity. Here's the same comparison side‑by‑side — with your specialty in mind.

Option 1
Generalist CPA
Option 2
PE-Backed DSO / MSO
Option 3 · The Third Way
Practice Partner CPAs
Takes equity in your med spa & aesthetic practice No Yes · 60–80% No · 0%
Knows your specialty KPIs × ✓ ✓
Monthly close + benchmarks × ✓ ✓
Year-round tax strategy × ~ ✓
You stay the decision-maker Yes No Yes
Investment Hourly 60–80% equity From $795/mo
What It Feels Like

The shift when you finally have someone in your corner.

Most med spa & aesthetic practices owners aren't looking for another report — they're looking for someone they can think out loud with. A CPA + MBA who already understands the practice, sees the numbers monthly, and can be a sounding board for every decision that matters. Here's what changes when you stop running your back office alone.

Right now
Not knowing if injectables or lasers are your real profit center
With Practice Partner
Service-line P&L on your desk every month
Right now
Injectable waste happening — and you can't quantify it
With Practice Partner
Reconciled and tracked — and brought back to acceptable
Right now
Membership program looking great in cash, opaque on the books
With Practice Partner
Properly accounted, ARR tracked, retention measured
Right now
Spending six figures on a laser and hoping the tax math works
With Practice Partner
Knowing the depreciation play before you sign the financing
Right now
Wondering if you should sell now or wait
With Practice Partner
Knowing what you'd sell for today — and what to do to grow it
Right now
Operating without strategic conversations about brand and growth
With Practice Partner
Having a quarterly strategy partner who's seen 100 med spas grow
You shouldn't have to be the clinician, the operator, the negotiator, the tax strategist, and the CFO. Be the leader. We'll handle the rest.
How We Show Up for You

You run the practice. We run the financial side — together.

You shouldn't have to be the clinician, the CFO, the tax strategist, and the operator all at once. The same Principal-level CPA — Ronak Bhatt, CPA, MBA — handles the technical work so you can focus on patients, your team, and the decisions only you can make. Here's what that partnership looks like across three areas.

01
Tax — Planned, Not Just Filed

You'll never feel a March surprise again.

Most med spa & aesthetic practices owners learn their tax bill the same week it's due. We turn that on its head — by October, you know your number, you know your plan, and you've already made the moves that lower it. The technical work happens quietly in the background; what you experience is clarity and control.

The kinds of strategies we routinely run for med spa & aesthetic practices owners — and what they typically save:

$8K–$18K/yr
S-Corp Reasonable Compensation
High-revenue med spa owners often miss substantial payroll tax savings by setting comp wrong.
$40K–$200K
Laser & Device Section 179
Energy devices are typically 5–7 year property. Section 179 + bonus depreciation drops most of the cost into year one.
$3K–$8K/yr
CA PTE Election
SALT-cap workaround for S-corp and partnership-taxed med spas.
$1,500 + study
Cost Segregation on Buildouts
Accelerates depreciation on med spa buildouts — typically 6–10× ROI on the study cost in year-one tax savings.
You don't have to chase the strategy. We bring it to you — and tell you exactly what it means for your bottom line.
02
Numbers — Closed Monthly, Translated for You

Open one dashboard and know exactly how the practice is doing.

You stop guessing. You stop waiting for a CPA to "get back to you." Your books close by the 10th of every month, and we translate the numbers into the few metrics that actually matter for med spa & aesthetic practices owners — so when you make a hiring, pricing, or expansion call, the math is already done.

What you'll see in your monthly Practice Health Dashboard:

Revenue / Service Line
Injectables · Laser · Body
Product Margin %
Cost vs. retail price
Membership ARR
Recurring revenue
Provider Productivity
Revenue per provider
See what's included at each Suite tier →
03
Advisory — Someone to Think Out Loud With

A CPA + MBA in your corner for every decision that matters.

Service-line profitability analysis, injectable program ROI, membership pricing, expansion modeling, and quarterly strategy.

Every business leader needs someone to bounce ideas off — somebody who knows the numbers, knows the industry, and is in the conversation before the decision gets made. Hiring an associate. Adding a location. Buying the building. Bringing on a partner. Selling to a DSO or a group. You don't have to figure those out alone, and you don't have to wait until tax season to talk about them.

  • Benchmarks that actually fit you — your numbers compared against med spa & aesthetic practices owners in your exact specialty, not "small business" averages
  • A network you can borrow — vetted attorneys, bankers, retirement plan administrators, M&A advisors who already know healthcare
  • Regulatory clarity — CMS rules, state filing changes, reimbursement updates translated into financial impact before they hit your practice
  • A real sounding board — a CPA + MBA in the room when you're making the call, not just reading about it after
What Working Together Looks Like

From signed contract to live partnership in 30 days.

No drawn-out "implementation." No team being trained on your dime. A direct, principal-led onboarding that puts the financial infrastructure of your med spa & aesthetic practice into place fast — and starts producing wins before you've stopped thinking about whether this was the right move.

01
Days 1–15

Onboarding & Migration

  • Books migrated · chart of accounts rebuilt for med spa & aesthetic practices
  • Payroll, EHR, and tech stack connected
  • Prior-year tax position assessed · gaps surfaced
02
Days 16–30

Dashboard Live & First Close

  • Practice Health Dashboard live with your specialty KPIs
  • First monthly close completed and walked through with you
  • Tax planning kickoff · year-end strategies identified
03
Days 31–60

Monthly Cadence in Motion

  • Books closed by the 10th every month
  • First major tax move executed · PTE/S-corp/depreciation
  • Strategy questions you'd been carrying alone get answered
04
Day 90+

Compounding the Wins

  • Quarterly strategy call · benchmarks reviewed
  • Vendor introductions matched to what you actually need
  • The partnership becomes the operating rhythm of the practice
"
Service-line P&L showed us our injectable program was carrying the laser program. Ronak helped us reprice laser packages — meaningfully more profitable. Tax savings paid for the engagement in month two.
ND
Dr. Natalia Dimitrov, MD
Founder, Lumière Aesthetics
Common Questions

What med spa & aesthetic practices owners ask first.

Do you handle membership-program accounting?
Yes. Membership ARR, deferred revenue, and member-retention KPIs are tracked monthly.
Can you help with injectables inventory and waste tracking?
Yes — we reconcile injectable purchases to procedures and track waste/overfill. Material to gross margin and tax.
Do you work with plastic surgery and dermatology practices?
Yes — including practices that combine surgical + injectable + retail. Service-line P&L lets you see which lines actually drive profit.
What about device financing and depreciation?
Lasers and energy devices are typically 5–7 year property. We model Section 179 + bonus depreciation to optimize the tax shield in year one.
Can you handle provider commissions and split structures?
Yes. Provider commission tracking by service, RN/PA injector splits, and membership commission allocation — all routine.
Do you handle med spa real estate strategy?
Yes. Lease vs. buy modeling, owner-occupied structuring through a separate entity, and basis planning for the eventual sale.

Your partner in aesthetic practice success.

30-minute call directly with Ronak. Direct CPA access. 24-hour response.

Schedule a Consultation 925.320.0309