Fractional CFO & Bookkeeping Services for Medical Spas

Clearer reporting and stronger financial visibility for medical spas.

PHG Advisory provides bookkeeping and fractional CFO support for medical spas that need accurate financials, clearer reporting, and better visibility into performance. We help strengthen financial processes, improve cash flow visibility, and support better decision-making as the business grows.

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Testimonials

“PHG has completely transformed the financial side of our roofing company in Florida. With multiple locations, we struggled with our finances until we started working with them. Their fractional CFO services have been incredibly valuable, offering strategic insights and financial leadership without the need for a full-time CFO.”

Ryan McPherson

Quality Roofing

“PHG cleaned up my books and took over the day to day bookkeeping / financial management, so I could focus on running the business. Their support provided more visibility into the financial performance of my business than I have had in years. They are a key part of my business and always available to help.”

Donald Young

Central Florida Garage

“I engaged PHG’s Fractional CFO group to organize my financials and data in preparation for a potential sale. Their team expertly positioned my business to maximize its value. When the time was right, PHG’s Buyside M&A Team connected me with an excellent partner and secured a fantastic deal, saving me from paying a sell-side broker fee. PHG provided guidance and support from start to finish, and I would strongly recommend that any strategic-minded business owner consider speaking with them.”

Chad Hale

Hale’s Roofing

“PHG has transformed our bookkeeping by turning it into a tool used to monitor and steer the business. Instead of only using Quickbooks for tax filing, we now have the visibility and confidence in the numbers to uncover new opportunities and best position Amped for future growth. Outside of visibility and insightful financial reviews, PHG has assisted with the developing the compensation structure of our sales team, budget development, quoting best practices etc.. They have been great partners.”

Trey Flake

Amped Security

Medical Spas We Work With

We support medical spas across the country, from single-location practices to multi-location groups and growing aesthetic businesses. This includes med spas focused on injectables, laser treatments, skin services, wellness offerings, and other aesthetic services. We help practices that want stronger bookkeeping, clearer reporting, and a better understanding of how the business is performing financially.

What Makes Us Different

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No Lock-In Periods

Cancel anytime. We earn your trust month after month.

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Flat Monthly Pricing

No hourly billing. No hidden fees. Predictable costs from day one.

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Fast Response Times

You’ll always hear back within 24 hours. Guaranteed.

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Timely Financials

Books are closed by the 15th of every month. No delays.

Senior-Level Strategy

Our team brings Big Firm and private equity experience without the full-time cost. 

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Exit-Ready Books

When the time comes to sell, bring in partners, or raise capital, your books will be ready. 

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Financial Challenges We Help Medical Spas Solve

We help medical spas solve common financial problems that can limit visibility, create delays, and make the business harder to manage, including:

  • Messy or outdated books
  • Delayed or inconsistent month-end closes
  • Weak or unreliable financial reporting
  • Limited visibility into cash flow
  • Difficulty understanding service line profitability
  • Lack of clear financial information for hiring and growth decisions
  • Reporting that is not organized for expansion or strategic planning

Our Process

Discovery Call

Let’s get to know your business, your challenges, and how we can help.

Grant Access to Books

We securely connect to your financial systems with read-only access so we can complete your Financial Health Assessment.

FHA Call

We walk through your Financial Health Assessment together and highlight key insights.

Send FHA Deck

You receive a clear, actionable breakdown of your financial position and opportunities.

Send LOI

We send a Letter of Intent outlining the scope, services, and next steps.

Internal Kickoff

Our team aligns behind the scenes to prepare for a seamless onboarding.

Partnership Kickoff

We meet with you to align goals, timelines, and expectations for success.

Finalize Project Plan

Together, we lock in a clear, customized roadmap tailored to your business needs.

Start Implementation

We roll up our sleeves and get to work optimizing your finances from day one.

What We Offer

Bookkeeping & Fractional CFO Services – Scope of Work
Scope of WorkBookkeeping + Fractional CFO
Historical Quickbooks Cleanup✓
Industry Specific Chart of Accounts✓
Accrual Accounting Implementation✓
Transaction Processing (AP / AR / Payroll / Bill Entry)✓
Account Reconciliations✓
Month End Close Management✓
Basic Financial Statements✓
Coordinate with CPA for Tax Prep✓
Monthly Reporting Package✓
Strategic Financial Planning & Insights✓
Key Performance Indicator Tracking✓
Budget & Forecasting✓
Bi-weekly Update Calls✓
Capital Allocation Decisions✓
Operational Cost-Savings✓
What-If Scenario Analysis✓
Transition / Succession Planning✓
Sale Preparation & Valuation✓
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Case Study

How We Helped a $15M Business Improve Margins Through Compensation Redesign

Service :  Fractional CFO

The Challenge

The business was selling too many lower-margin jobs, limiting overall profitability and putting pressure on performance.

What We Did

We restructured the commission plan so higher gross profit jobs earned higher payouts, while also reducing base salaries to create stronger performance incentives.

The Outcome

Gross profit increased by 5%, and jobs sold below 35% gross profit decreased by 30%.

Key Takeaway

A well-designed commission structure can drive better sales decisions and stronger financial results

How We Helped a $30M Business Protect Profitability During a Down Year

Service :  Fractional CFO

The Challenge

The company entered 2025 expecting 25% revenue growth, but instead experienced a 15% decline, creating an urgent need to reduce costs and protect profitability.

What We Did

We compared the company’s financials to industry benchmarks and built a bottoms-up budget to identify cost-saving opportunities. This revealed more than $1M in redundancies that could be eliminated, along with another $500K in fixed costs that could be shifted to subcontractors as variable costs.

The Outcome

The company remained profitable despite a down year and was better positioned to respond quickly when growth returns.

Key Takeaway

A disciplined cost structure helps businesses stay profitable during downturns while preserving flexibility for future growth.

How We Helped a $35M Business Reduce Payment Processing Costs

Service :  Fractional CFO

The Challenge

The company was processing more than 1,500 annual credit card payments, resulting in significant transaction fees that reduced overall profitability.

What We Did

We negotiated with the vendor to reduce credit card processing fees and lower the company’s annual payment-related costs.

The Outcome

The business realized nearly $100K in annualized fee savings.

Key Takeaway

Even small improvements in vendor terms can create meaningful savings at scale.

How We Helped a $10M+ Business Build a Stronger Financial Foundation

Service :  Fractional CFO

The Challenge

The company had not filed taxes in three years, was still operating on a cash basis, and lacked reliable financial visibility to support better decision-making.

What We Did

We cleaned up the financials, transitioned the business from cash to accrual accounting, and began reviewing job costing data to identify gross profit opportunities tied to errors in the estimating template.

The Outcome

The company established a more accurate financial foundation, improved visibility into job performance, and uncovered opportunities to strengthen gross profit.

Key Takeaway

Clean financials and accurate job costing give businesses the insight they need to improve profitability and plan with confidence.

How We Helped a $25M+ Business Rebuild Financial Clarity After a Failed Acquisition

Service :  Fractional CFO

The Challenge

The company believed it was generating $11M in EBITDA during an acquisition process, but the true figure was closer to $6M. When that gap came to light, an $80M acquisition offer fell through. The business needed a deeper financial cleanup to understand performance and recover lost value.

What We Did

We led a multi-year financial cleanup that uncovered more than $1M in cost-reduction opportunities, identified misbilling from material vendors, and found received checks that had not been cashed.

The Outcome

The company gained a more accurate view of financial performance, uncovered meaningful cash and cost savings, and created a stronger foundation for future growth or transaction readiness.

Key Takeaway

Clean, accurate financials are critical to protecting business value and avoiding costly surprises during a transaction.

How We Helped a Business Correct Financials That Showed a False Loss

Service :  Fractional CFO

The Challenge

A multi-location HVAC contractor believed it was heading toward bankruptcy after its financials appeared to show negative $1 million in EBITDA, despite recently winning and starting several large jobs. The books were not accurately reflecting business performance.

What We Did

We performed a deep review of the financials and found the company was actually generating closer to $2.1 million in EBITDA. We identified that several large material prepayments had been recorded before the related revenue was recognized, distorting profitability. From there, we led a multi-year cleanup to transition the business to full accrual accounting, supported by a monthly over/under billed adjustment process.

The Outcome

The company gained a far more accurate view of financial performance and discovered the business was much healthier than it appeared. With cleaner reporting and a stronger accounting foundation, leadership could make decisions based on reality rather than misleading financials.

Key Takeaway

In project-based businesses, inaccurate revenue recognition can make a profitable company look distressed. Clean accrual-based reporting creates the clarity needed to manage confidently and plan for growth.

Get a Clear View of Your Medical Spa’s Financial Health

Before any engagement, we begin with a Financial Health Assessment to evaluate the strength of your books, reporting accuracy, cash flow visibility, and overall financial processes. We review where your numbers stand today, identify reporting gaps and inefficiencies, and outline practical next steps to help your medical spa operate with cleaner books and better financial visibility.

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FAQs

Build a Stronger Business with a Finance Partner You Can Trust

PHG provides medical spas with clean books, reliable reporting, and senior-level financial insight to support growth and strengthen financial decision-making without the cost of a full-time hire.

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