Aesthetic practices and med spas have unique revenue structures, equipment costs, and entity challenges — with equally unique tax opportunities.
These are the opportunities we find in nearly every med spas engagement — money left on the table by traditional CPAs.
Operating the med spa and medical oversight under one entity — creating compliance and liability risk
Depreciating lasers, injectables equipment, and treatment room build-outs over long timelines instead of expensing them
Provider compensation structures that create unnecessary payroll tax exposure
Missing cost segregation on leasehold improvements for treatment rooms and waiting areas
No retirement plan beyond a basic 401(k) despite high owner income
These are the strategies we evaluate and deploy for every med spas client — tailored to your specific numbers.
Entity restructuring: separate management company from medical practice entity for compliance and tax optimization
Section 179 on laser systems, body contouring devices, skin treatment equipment, and build-outs
Defined benefit plans for high-income owners — shelter $200K–$300K+ per year
Cost segregation on owned or improved med spa facilities — specialized plumbing, electrical, and finishes
Strategic provider compensation modeling — optimize the split between salary and distributions
How we turned a $217K tax bill into over $1M in cumulative savings.
Most med spas benefit from a dual-entity structure: a management company (often an S-Corp) that handles operations, marketing, and non-clinical staff, and a medical practice entity for clinical oversight. This provides liability separation, compliance with state medical practice laws, and tax optimization.
Yes. Section 179 allows you to deduct the full purchase price of qualifying equipment in the year of purchase. A $200,000 laser system generates a $200,000 deduction, saving $60,000–$80,000 in taxes immediately versus depreciating over 5-7 years.
Defined benefit plans are ideal for high-income med spa owners, allowing $200K–$300K+ in annual tax-deductible contributions. Combined with a 401(k), total shelter can exceed $350K per year — far more impactful than a standard retirement account.
If your med spa generates consistent net profit above $80K, an S-Corp election likely saves $20,000–$60,000+ per year in self-employment tax by allowing you to split income between salary and distributions.
We analyze your current situation, identify every opportunity, and show you exactly what you're leaving on the table. If we can save you money, we'll present a clear proposal with a fixed fee.
Book a free review and we'll identify the med spas-specific opportunities hiding in your numbers.
Tell us about your business and we'll identify every savings opportunity available to you.