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AI Native CFO for Medical Spas

Website, pricing, platforms and company facts side by side.
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| Website | spaledger.co | protocoldeviation.com |
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| Company | Startup from the United States · 1 - 9 employees · 2025 | — |
| Listed in |
In their own words, as submitted to SaaSHub.


Spa Ledger is a weekly financial AI native CFO service built for medical spa owners. Most med spa P&Ls look fine until they don't. Revenue lines up, COGS looks reasonable, and net profit is short by $40K at year end with no obvious explanation. The problem is usually injectables. Botox,...
No description of Protocol Deviation yet.
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As answered by people managing Spa Ledger and Protocol Deviation.
Spa Ledger's answer
Weekly P&L by service line, with injectable cost tracking per provider. Most med spa accounting software reports revenue by appointment type. Spa Ledger reconciles actual vial usage against booked units and flags the gap by provider, every week. The result is a realized cost number, not a theoretical one.
Spa Ledger's answer
General bookkeeping firms don't know what Sculptra reconstitution variance means. Generic accounting software doesn't track device break-even by booked hours. Spa Ledger is purpose-built for med spa economics: injectable yield, service line margin, and provider-level profitability are the default outputs, not custom reports you have to request.
Spa Ledger's answer
Medical spa owners and practice managers doing $25K to $500K in monthly revenue who use QuickBooks or Xero and want weekly P&L visibility by service line without hiring a full-time CFO.
Spa Ledger's answer
Built after seeing med spa owners consistently surprised by year-end margins despite strong top-line revenue. The pattern was the same: injectable waste, device underutilization, and labor allocated incorrectly across service lines. Monthly reporting wasn't catching it fast enough. Spa Ledger was built to surface those gaps weekly.
Spa Ledger's answer
QuickBooks Online, Xero, Jane App, Mindbody, Boulevard, Zenoti. Data is pulled from connected booking and accounting platforms. No separate software to install.
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