Guide · 7 min read
Injectables, lasers, memberships, and tax — the financial system for medical aesthetics practices.
High-ticket equipment, perishable injectable inventory, recurring memberships, and a mix of taxable and non-taxable services — this is more complex than a regular salon and most generic bookkeepers get it wrong. Get the system right and you'll keep an extra 5–10% of revenue.
Botox in units, filler in syringes. Match purchases to administered + waste. This becomes your COGS and your largest deduction.
Medical services (often tax-exempt), elective services, retail skincare — three different sales tax treatments. Tag at the POS.
Don't book the whole annual payment as Q1 income. Recognize 1/12 each month — or as services are redeemed.
Lasers, IPL, RF, cryo devices — expense the full purchase the year you buy them. Can wipe out $100K+ of taxable income.
SnapBooks tracks injectable inventory, defers membership revenue, and keeps you audit-ready.
Start freeMedical services performed by a licensed provider are usually exempt from sales tax. Retail skincare and elective non-medical treatments often are taxable. Rules vary by state — check yours.
Botox, fillers, and neuromodulators are COGS. Track units purchased vs units administered. Wasted product is still deductible — log it. This is your single largest expense category.
Recurring memberships are deferred revenue — recognize income as services are delivered, not when payment hits. Otherwise you'll overpay tax in year 1 and under-pay in year 2.
Lasers, IPL, RF microneedling, and cryo devices can be expensed under Section 179 up to $1.16M (2025) the year you buy them. Massive first-year deduction.
If a physician or nurse practitioner is involved, most states require a PLLC or professional corporation. A regular LLC won't cut it for medical practices.