Fractional CFO & Bookkeeping Services for Medical Spas

Clearer reporting and stronger financial oversight 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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Case Studies

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 : Bookkeeping

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 : Bookkeeping

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 : Bookkeeping

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.

How We Helped Increase a Home Services Company's Acquisition Offer from $4M to $7M in Five Months

Service : CFO & Bookkeeping

The Challenge

The company received a $4 million acquisition offer, but incomplete financial reporting limited buyer confidence. Rather than move forward, both parties agreed to revisit the opportunity after the business strengthened its financials.

What We Did

Following the pause in negotiations, the company engaged PHG's CFO & Bookkeeping team to improve its financial reporting, clean up the books, and provide a clearer picture of business performance. Over the next five months, we prepared the company for buyer due diligence with accurate, reliable financials.

The Outcome

With stronger financial reporting and greater buyer confidence, the company returned to the negotiating table five months later, increasing its acquisition offer from $4 million to $7 million.

Key Takeaway

Accurate financial reporting and CFO oversight can strengthen buyer confidence, improve negotiating leverage, and maximize business value during a sale.

Meet Our CFOs & Bookkeeping Professionals

Logan Marita

Alan Donovan

Shane McCormick

Eric Suh

Tracy Jones

Colton Townes

Jay Homan

Righley Medders

Professional reviewing financial charts and performance reports on a laptop computer

Financial Support Built for Medical Spas

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.

Why Medical Spas Choose Us

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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 keep their books organized, improve cash flow visibility, and make more confident decisions as the business grows.

Common Challenges We Help Solve:

  • 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
  • Backlogs in AP, AR, payroll, or bill entry
  • Lack of clear reporting for hiring and growth decisions
  • Financials not organized for expansion or strategic planning
Team reviewing financial charts and business reports during a meeting

What We Offer

Scope of Work Bookkeeping + 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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Our Process

Discovery Call

We start with a brief discovery call to understand your business, goals, and financial challenges.

Financial Health Assessment

We complete your Financial Health Assessment and walk you through the results, providing a clear, actionable roadmap with personalized recommendations.

Engagemet Agreement

If we're a good fit, we'll send an engagement agreement outlining the scope, services, and next steps.

Kickoff Meeting

Together, we'll align on priorities, timelines, and communication to ensure a successful partnership.

Ongoing Advisory

We become an extension of your team, providing ongoing bookkeeping support, strategic financial guidance, and proactive insights to help your business grow.

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

Before any engagement, we begin with a Financial Health Assessment (FHA) to show you where your finances stand and identify areas for improvement. We review your accounting systems, reporting accuracy, cash flow, profitability, and potential risks to provide clear, actionable insights you can use right away, helping you make confident and informed decisions.

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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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