Welcome to Liguori Accounting
Top Accounting Services for Medical Aesthetic Practices
At Liguori Accounting, we specialize in empowering growth-oriented medical aesthetic practices by simplifying their financial management and tax planning. Through our innovative, automated accounting systems and expert advisory services, we help practice owners achieve financial clarity and peace of mind. Our tailored solutions free you from the burden of daily bookkeeping, allowing you to focus on providing exceptional care to your clients while confidently steering your business toward growth and success.
I can’t say enough about the level of service we have received from Ligouri Accounting. They are thorough, available, personable, and extremely professional. Their level ofexpertise, especially in the ...
I've been working with Liguori accounting for a little over a year now. They are the best. The team is knowledgeable, detail-oriented, and incredibly responsive. I especially appreciate how they ...
The Liguori team has been working with my company for a year and with my personal finances. They are professional and prompt. I highly recommend this team to any business ...
My husband and I have been working with Liguori Accounting for a few years now and it has been a really positive experience. As a small business owner, they have ...
A five star review really does not justify the outstanding service Liguori accounting provides. Nick and his team are outstanding. I cannot thank you enough for your help with my ...
Brining on Liguori Accounting has been the best financial decision for our company. They have provided us with top-quality & comprehensive book-keeping, insightful CFO services and metric tracking over the past 9 ...
OWNER OF LIGUORI ACCOUNTING
Nick Liguori, CPA
With experience in both public and private sectors, Nick specializes in simplifying bookkeeping for small businesses through automated processes. His approach provides business owners with timely, meaningful financial insights, enabling them to make informed decisions and focus on growing their business rather than managing daily accounting tasks.
COME VISIT
Our Team
Liguori Accounting’s team of professionals brings a wealth of expertise in accounting, tax strategy, and financial advisory services. With a passion for helping medical aesthetic practices succeed, our specialists deliver personalized, efficient solutions.
Accounting Expertise for a Thriving Aesthetic Business
At Liguori Accounting, we help medical spa owners find peace of mind around accounting responsibilities. Feel confident in your decision - making as we handle the complexities of your bookkeeping and tax responsibilities, allowing you to focus on delivering exceptional patient care and growing your business.
Most med spa owners start preparing for a sale about two years too late.
Practices in the $500,000 to $1 million EBITDA range typically trade in the 3x to 5x range. Stronger growth, multiple providers, documented systems, and diversified revenue can push past 6x.
On $700,000 of EBITDA, the difference between a 3x and a 5x exit is $1.4 million.
A meaningful share of that gap comes down to financial preparation, not clinical quality:
→ Clean books a buyer can diligence without discounting for uncertainty
→ Revenue and expenses sitting in the right entity if you run an MSO structure
→ Add-backs that are documented rather than explained in a meeting
→ A practice that runs without the owner in every chair
If a sale is anywhere on your horizon, the work starts well before the conversation does.
https://www.liguoricpa.com/2026/06/11/how-to-prepare-your-med-spa-for-a-sale-and-why-most-owners-start-too-late/
#MedSpa #ExitPlanning #MedSpaOwner #MedicalAesthetics #PracticeValuation #MedSpaAccounting #EBITDA
Your P&L tells you what your med spa earned. Your EMR tells you where it came from.
Most owners have both and never put them side by side.
Five reports worth pulling every month:
→ Revenue by provider, then revenue per hour by provider
→ Rebooking rate, the cheapest number in the practice to improve
→ Discounts as a percentage of revenue, the quietest margin leak in aesthetics
→ Product consumed per treatment, by provider
→ Package and membership liability, tied back to your balance sheet
The benchmark we use: a provider should generate roughly three to five times their total compensation cost. Top performers run higher.
None of it reconciles unless your chart of accounts is built for a med spa in the first place.
New on the blog: what to pull from your EMR every month and how it connects to your books.
https://www.liguoricpa.com/2026/09/14/what-should-your-med-spa-be-pulling-from-your-emr-every-month/
#MedSpa #MedSpaOwner #MedicalAesthetics #AestheticPractice #PracticeManagement #MedSpaAccounting #ProviderProductivity
Is every provider on your team pulling their weight?
There is a benchmark for this. A provider should be generating roughly three to five times what they cost you, and that means total cost, not just salary. Payroll taxes and benefits count.
Nick explains why the bottom line hides this completely, and why provider-level numbers are usually where something jumps out.
→ Which EMR reports to pull: https://www.liguoricpa.com/2026/09/14/what-should-your-med-spa-be-pulling-from-your-emr-every-month/
→ Or book a discovery call and we will look at your provider numbers with you
#MedSpa #MedSpaOwner #MedicalAesthetics #ProviderProductivity #AestheticPractice #MedSpaAccounting
The formula that tells you whether a machine is worth buying.
Nick breaks it down in under a minute: monthly cost, plus operating cost, divided by average sale price. That is your break-even treatment count. One more than that number is where you start making money.
Run it before you sign, not after.
→ Full breakdown on the blog: https://www.liguoricpa.com/2026/09/03/how-do-you-know-if-a-new-med-spa-machine-will-pay-for-itself/
→ Or book a discovery call and we will run it with you
#MedSpa #MedSpaOwner #MedicalAesthetics #EquipmentROI #AestheticPractice #MedSpaAccounting
Three questions we get from med spa owners every month, and where we answered them.
→ How does med spa accounting actually differ from regular small business accounting?
→ What should my bookkeeper be tracking every single month?
→ Which of my providers and treatments are actually profitable?
Swipe through for the short answers. Full breakdowns linked below.
The complete guide: https://www.liguoricpa.com/2026/07/20/med-spa-accounting-the-complete-guide-for-practice-owners/
Monthly bookkeeping and chart of accounts: https://www.liguoricpa.com/2026/08/05/med-spa-bookkeeping-what-to-track-every-month-and-how-to-structure-your-chart-of-accounts/
Measuring real profitability: https://www.liguoricpa.com/2026/08/05/how-to-measure-med-spa-profitability-provider-treatment-payroll-and-product-margins/
#MedSpa #MedSpaAccounting #MedicalAesthetics #MedSpaOwner #Bookkeeping #Profitability #AestheticPractice
A little over a year working together, and reviews like this one mean a lot to our team.
“The team is knowledgeable, detail-oriented, and incredibly responsive. I especially appreciate how they take the time to explain things clearly. I have had such a great experience working with them. I would highly recommend.” — Brandy Hart
Clear answers, fast responses, and books you can trust. That is what working with a CPA team built for med spas should feel like.
Ready for the same? Book a call: https://www.liguoricpa.com/medical-aesthetic-providers/
A med spa can post $5 million in revenue and still have almost nothing in the bank.
Revenue is not profit, and profit is not cash. The gap is where most owners get blindsided.
In a recent webinar with Lengea Law, Nick Liguori broke down exactly why high-revenue practices so often feel broke, and what to fix first. If your top line looks great but your bank account does not match the story, this one is for you.
Read it here: https://www.liguoricpa.com/2026/06/19/why-do-some-med-spas-make-millions-in-revenue-but-have-no-profit/
We have been busy. Over the past several weeks we have published a run of new articles built to help med spa owners make sharper financial decisions, from understanding why revenue does not equal profit, to paying yourself the right way as an S-corp, to preparing your practice for a sale.
Swipe through for a look at what is new, then head to the blog for the full breakdown on each. Everything we write is built for one industry: medical aesthetics.
Read the latest: https://www.liguoricpa.com/outsourced-accounting/cpa-blog/
We love serving med spas, and it`s truly rewarding to see feedback like this.
A packed schedule is not the same as a profitable practice.
We work with med spa owners who are booked weeks out, running two injectors at full capacity, and still not taking home the kind of money the revenue numbers suggest they should be.
The problem usually isn`t volume. It`s the mix of services, the cost per treatment, and what`s actually left after payroll and product.
Nick put it plainly: "Two providers can look equally busy and produce completely different margins. The schedule doesn`t tell the whole story."
We wrote about this directly. If you`ve ever looked at a full calendar and wondered where the profit went, start here.
Your packages sold out last month. Your bank account looks healthy. Your P&L shows strong revenue.
But that money isn`t actually yours yet.
Packages, gift cards, and memberships all create deferred revenue, which means the income can`t be recognized until the service is delivered. Most med spa owners are recording it wrong, and it`s distorting their books in ways that lead to bad decisions.
We broke down how deferred revenue works, why it matters, and how to account for it correctly.
Read it here: https://www.liguoricpa.com/2026/04/07/deferred-revenue-for-med-spas-why-your-packages-gift-cards-and-memberships-might-be-distorting-your-books-2/
December is here, and it`s time to ensure your med spa finishes the year strong. 💼
Are you tracking the metrics that actually matter for your practice? From revenue per treatment room to provider productivity rates, understanding your financial health is the foundation for sustainable growth.
We just published a comprehensive guide on the key financial indicators every med spa owner should monitor—including industry benchmarks you can use to see how you stack up.
Read the full breakdown: https://www.liguoricpa.com/2024/11/22/med-spa-financial-health/
