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, Dysport, Restylane, Sculptra all have a theoretical cost and a realized cost that diverges based on how each provider reconstitutes and administers product. A provider who wastes 3 units per vial runs at a different margin than one who wastes 6. Standard booking and accounting software collapses this into one line. Spa Ledger tracks it per provider, per vial, per week.

Every week clients get a P&L by service line (injectables, laser, skincare, retail), a provider yield report, and a device ROI tracker that flags whether capital equipment is hitting break-even on booked hours. For practices with multiple locations, each location gets its own P&L with a consolidated roll-up.

Spa Ledger connects to QuickBooks Online or Xero and pulls data from booking platforms including Jane, Mindbody, Boulevard, and Zenoti. Setup takes one business day.

Built for practices doing $25K to $500K monthly revenue that are tired of learning their margins in December.

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