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I’m the owner of a medical spa just outside of Scottsdale. We’ve been in business for almost four years now, and we just finished Q1 of 2025. We’re growing steadily, brought on a new nurse injector in February, and did our first round of Botox parties in March (which were a hit!). I’m proud of what we’ve accomplished. But now I find myself sitting at my desk, coffee in hand, staring at our Q1 numbers, thinking… now what?

I’ve reviewed the revenue. Compared it to last year. I even celebrated that we’re up 18% from Q1 2024. But I still feel like I’m missing something. I want to do more than just look at numbers—I want to use them. I want to be strategic. But where do I go from here? What should I be doing for Quarter 2 to set the tone for the rest of the year?


First, can we pause and pop some (financially responsible) champagne for your wins? A new injector? A successful Botox party series? An 18% year-over-year revenue bump? That is worth celebrating. Now, let’s talk about what comes after the high-fives and victories.

The end of Q1 is not just a checkpoint—it’s your moment to pivot from hustle to strategy. Think of it like the post-facial glow phase. You’ve cleansed. You’ve treated. Now it’s time to lock it in with the good stuff: intention, analysis, and action.

Here’s your financial and operational roadmap for “What’s Next?” after Q1—with a little help from the financial muscle of a CFO for med spas.



🌿1. Review Revenue—But Go Deeper Than Top Line

You did the comparison to last year (bravo), but let’s zoom in tighter. Break down that revenue growth:

Where did the 18% come from? Is it your new injector? New services? A price increase? Repeat clients?

What’s your most profitable service line right now?

Which treatments have the highest margin and lowest labor costs?

Don’t just celebrate growth—understand it. Because once you know what’s driving it, you can double down.

🔑 Dangerously in Love with Finance Tip: Accounting for medical spas means digging into numbers like “Revenue per Appointment” and “Revenue per Client.” If they’re rising, that’s a signal your upselling, bundling, or client loyalty strategies are working.



🌿2. Evaluate Your Expenses (a.k.a., Give Your Profit Margin a Hug)

Revenue is sexy. But profit? That’s the real love language of a business owner.

Pull out your Q1 expense reports and ask:

Are my COGS (cost of goods sold) creeping up?

Did I overspend on supplies for that Botox party?

Am I overpaying for software or subscriptions I don’t use?

Is payroll proportionate to revenue growth?

This is where working with a CFO for med spas becomes invaluable. A good CFO won’t just hand you numbers—they’ll give you insight. They’ll show you where your cash is leaking and how to fix it before it becomes a flood.

💸 Check your Profit Margin: Aim for at least 15–20% after paying yourself, rent, staff, and supplies. If you’re not there yet—don’t panic. But let Q2 be your margin makeover era.



🌿3. Cash Flow: Are You Breathing or Barely Floating?

You can be profitable and still feel broke. Why? Because cash flow is the difference between “on paper” success and actual financial peace.

Do a quick Q1 cash flow pulse check:

Did I have enough cash to cover expenses each month?

Are client payments coming in on time?

Am I pre-paying for inventory I don’t need?

A CFO for med spas can help you create a simple, smart cash flow forecast for Q2. No need to overcomplicate it—just project your expected income, subtract your expenses, and see where you stand. This gives you breathing room and keeps the late-night financial panic at bay.



🌿4. Budget vs. Actual: Have That Awkward but Necessary Conversation

Did you have a budget for Q1? If so, pull it out and compare it to what actually happened. Where were you over? Where were you under?

No judgment. Budgets are like facials for your finances—there to reveal the truth and help you improve.

🍂 Healthy Bodies of Finance Bonus: If you didn’t have a budget, make one now for Q2. Start with your Q1 actuals. Adjust for upcoming promotions, staff growth, or seasonality. Accounting for medical spa success means creating and sticking to realistic, flexible budgets—then reviewing them monthly.



🌿5. Staff Performance and Productivity Check

If you added a new injector, it’s time to ask:

Are they bringing in enough revenue to cover their costs?

What’s their average revenue per hour?

Are you fully booked—or is there some scheduling slack?

A CFO for med spas can help you track utilization rates and build dashboards that actually tell you how each staff member contributes to your profitability.



🌿6. Client Retention + Rebooking = Future Stability

Let’s talk retention. Are your clients coming back? Are they spending more? Are they booking their next appointment before they walk out the door?

These are key performance indicators that accounting for medical spas must not overlook. Track:

Rebooking rate

Client retention over 90 days

Lifetime value

Membership growth

If these metrics are flat, it might be time to evaluate your loyalty program or front desk scripts. Or ask a CFO for med spas to run the numbers and show you where things might be slipping.



🌿7. Plan for the Next 90 Days—Like the CEO You Are

You’re not just in business to survive—you’re in it to grow. And that means planning ahead.

Q2 should have:

Monthly revenue goals

Specific marketing plans (hello, summer skin promos)

Hiring or training benchmarks

Equipment or software investments (laser upgrade? booking software?)

A Q2 cash cushion plan

Don’t fly blind. Whether you work with an accountant or a full-on CFO for med spas, have someone who helps you think ahead, not just reconcile what already happened.



🌿8. Schedule That Q1 Financial Review with Your CFO or Bookkeeper

Your books aren’t just for tax time. Q1 is the perfect time to sit down and ask your financial professional:

What trends are they seeing?

Is your profit margin improving?

Are you overspending in certain categories?

How do your numbers compare to industry benchmarks?

And if you don’t have someone doing your accounting for medical spa operations, this is your sign to start interviewing. You don’t have to do this alone—nor should you.


You’ve already done something most business owners skip—you’re asking “What’s next?” instead of blindly moving into the next quarter. That’s the mindset of a leader. And not just any leader—a CEO who’s dangerously in love with their finance.

So take what Q1 showed you. Celebrate. Then strategize. And if you’re unsure how to translate those numbers into action, that’s exactly what your CFO for med spas is for.

Q2 is here. Let’s make it count.

An illustration of a plant with seeds falling from it.

You’ve got the growth—now let’s turn it into strategy. A CFO for med spas helps you do more than track numbers—we turn them into clear, confident decisions.

Whether you’re wondering how to boost profit margins, forecast cash flow with confidence, or optimize your team’s productivity, we’re here to help you lead with clarity.

Ready to make your next quarter your smartest one yet? Let’s talk.



This article is designed to provide information only and should not be considered legal or tax advice. Because of the complexity of the law and the variables in your own personal tax and accounting situation, you can’t rely on our advice specifically related to your unique circumstances. In order to get the best tax savings and legal advice available to you, you should consult with your own accountant, attorney or advisor regarding your particular facts and circumstances. Healthy Bodies of Finance is an accounting firm that specializes in working with health and wellness providers. We provide monthly accounting & bookkeeping services and financial education. For more information on our specialized services for health and wellness providers please contact us at [email protected]