Med Spa Accounting

Precision Financial Management for Your Med Spa

Stop playing guessing games with your revenue. Get professional bookkeeping, clear KPI dashboards, and strategic financial advisory designed specifically for the aesthetic industry.

You Didn’t Start a Med Spa to Be an Accountant

As a practice owner or nurse injector, your time is most valuable in the treatment room, not buried in back-office administration. Yet, failing to manage cash flow, expenses, and margins is the fastest way to stall your growth.

Many owners suffer from “tech overwhelm,” trying to bridge the gap between their EMR, booking systems, and bank accounts. Without clear financial visibility, you are flying blind.

The Obsidian Solution:
Turnkey Financial Ops

Obsidian removes the burden of back-office administration through our bundled monthly subscription model. We don’t just track your numbers; we help you understand them so you can maintain healthy margins.

We build your financial infrastructure on QuickBooks Online, pre-configured specifically for the workflows of a medical spa.

Obsidian Accounting Services

This is more than just bookkeeping.

We offer a “CFO-in-a-box” experience that scales with your practice, from “Starter” to “Premium” growth stages.

And as your practice expands, so does our support. 

QuickBooks Online Setup & Management

We handle the technical setup and integration of QuickBooks Online to ensure your chart of accounts is optimized for a medical practice.

We manage the day-to-day reconciliation of your accounts, ensuring every dollar is accounted for.

We provide clear visual dashboards that track your Critical Success Factors, giving you an at-a-glance view of your business health.

Our bundles include dedicated advisory hours (10–20 hours/mo depending on your plan) to discuss your P&L and growth strategy.

Unlike rigid accounting firms, your service hours are pooled. If you need less bookkeeping one month and more operational advice the next, your hours roll over and adapt to your needs.

We keep you on track with necessary filing deadlines so you never miss a beat.

We offer tax filing preparation and payroll setup to complete your back-office stack.

Why Obsidian?

Ready To Master Your Margins?