Med-Spa / Medical Aesthetics · pre-sale diagnostic

See what a buyer would really pay for your med-spa.

A few minutes of read-only financials and a short questionnaire surfaces what a buyer would discount your med-spa for — whether the cash flow still holds once a market injector's pay is charged for your own clinical hours, how deep your recurring membership and repeat-injectable base runs, whether your medical-director and compliance structure is clean, and how much of the revenue walks out the door with you. Preview costs nothing.

  • Free preview, no signup
  • Read-only QuickBooks
  • Private — nobody sees it unless you share
  • $499 one-time
60-second estimate

What would a buyer pay?

Enter two numbers for an instant Med-Spa / Medical Aesthetics ballpark. No signup — the real number comes from your books.

Med-Spa / Medical Aesthetics Live
No signup, no email. The estimate stays in your browser.
4.0–7.0×
Where lower-middle-market med-spas trade on EBITDA. Your spot inside it is what we compute from your books.
37
Real checks a buyer would run, straight off your own QuickBooks — dialed in for Med-Spa / Medical Aesthetics.
$499
One-time, before any offer’s on the table. A formal earnings review from a CPA firm runs $25K–$75K — and it works for the buyer, not you.
The buyer’s playbook

The questions a buyer asks to pay you less.

We answer each one from your books first — so you fix the story before a diligence team writes the number.

The owner is the injector

If you do most of the injecting, your clinical revenue and the patient relationship transfer with one person — you. A buyer prices in attrition risk and a revenue cliff at handoff, and normalizes a market injector's pay (a nurse or NP) for your clinical hours before valuing the business, because that income is a wage they have to re-hire, not profit they keep. An owner-injector single site is the deepest-discounted profile in the trade.

Thin or declining recurring base

Without memberships and a repeat-injectable cadence, revenue is transactional and has to be re-marketed every month. Buyers pay for annuity revenue — AmSpa data shows repeat-client share is the headline value metric — so a low recurring percentage drops you toward the SDE floor while a membership-dense book reaches the EBITDA, platform-bid tier.

Medical-director / corporate-practice-of-medicine compliance

This is a real, state-dependent diligence item. Most states bar non-physician ownership of clinical practice, so compliant operators use an MSO/PC structure with a licensed medical director controlling clinical decisions and supervising injectables. Supervision rules vary by state. A messy or nominal medical-director arrangement is a repricer — or a deal-killer — that buyers scrutinize hard.

Device obsolescence and single-device concentration

A spa built on one aging laser faces refresh capex and an eroding competitive edge as newer platforms launch — and if that single device drives much of the revenue, the risk compounds. Buyers price the replacement cost and the concentration, and a diversified service-and-device menu reads as far more defensible.

What it’s worth

The levers that move the multiple —
and what each is worth.

Each lever is sized for a typical owner-operated single site, ~$1.4m revenue, ~18% ebitda after a market injector + medical-director normalization — about $350K EBITDA. Same number whether we frame it as “what a buyer discounts” or “what you keep by fixing it.”

Medium effort
$140K$280K

Build the recurring membership and repeat-injectable base

Launch and grow memberships and a managed injectable-cadence program (Botox every 3–4 months, filler maintenance, skincare subscriptions). Recurring percentage is the single biggest multiple lifter — it's what turns transactional visits into the annuity revenue a buyer pays up for.

adds about 0.40.8× to your multiple · usually takes 12–24 months

Heavier lift
$175K$350K

Add providers so the owner isn't the only injector

Hire and ramp NP/PA/RN injectors so revenue survives your exit. This removes the single-person revenue cliff and moves the valuation from an SDE 'buying a job' basis toward an EBITDA, associate-driven one — the biggest structural lever on price.

adds about 0.51.0× to your multiple · usually takes 12–30 months

Medium effort
$105K$210K

Clean up the medical-director and compliance structure

Get a formal MSO/PC split, documented good-faith exams, protocols, and state-appropriate supervision in place. It removes the biggest diligence repricer and is table-stakes for attracting platform bids at all.

adds about 0.30.6× to your multiple · usually takes 3–9 months

Medium effort
$70K$175K

Diversify services and devices

Broaden beyond a single device or service — injectables plus energy-based treatments, skincare, and body contouring — to reduce obsolescence and concentration risk and widen the pool of buyers who would look at the business.

adds about 0.20.5× to your multiple · usually takes 6–18 months

Typical impact ranges blended from lower-middle-market transaction data, sub-$50M M&A databases, and observed consolidator pricing in the $300K–$3M EBITDA band. Directional, not a guarantee — your memo computes your actual numbers from your books.

Industry positioning

Where you’ll be measured
against the Med-Spa / Medical Aesthetics benchmark.

The metrics buyers grade med-spas on. The diagnostic fills the “your business” column from your actual QuickBooks data.

MetricMed-Spa / Medical Aesthetics benchmarkYour businessWhat it means
Recurring / contracted revenue~35% of revenueYour dataHigher is better — the top multiple lever
Gross margin~70%Your dataPricing and job-costing discipline
EBITDA margin~18%Your dataWhat flows to the bottom line
Healthy customer-concentration ceilingtop customer under 5%Your dataAbove it, buyers price the risk
Typical industry growth~8% / yrYour dataBeating it can add to your multiple
Typical sale multiple4.0–7.0× EBITDAYour dataWhere the bidding starts; the levers above move you up

Benchmarks are blended industry composites, service businesses $1M–$10M revenue, 2026-Q1 — directional, not a precise bar. Your memo measures you against your own books. Connect QuickBooks to fill in your numbers

What you get

A real work product —
and a deal room you control.

The diagnostic arrives as formats you can actually use, plus a private, scoped link to share a curated package with a specific buyer — you decide, card by card, what they see.

PowerPoint pitch deck

A branded slide deck, ready to present — for the buyer meeting, the lender, or the board.

Editable Word memo

A written diagnostic that holds up with buyers, yours to edit — plain-English summary, how we rebuilt your real earnings, every add-back listed.

Live Excel model

Live formulas, not a dead printout — the path from raw profit to your real number, plus the cash-tied-up scenarios a buyer can stress-test.

  • An interactive dashboard — click into every number, with an AI assistant that only answers from your books
  • A private, scoped buyer deal room — you choose, card by card, what each buyer sees
  • Record or upload voice & video walkthroughs — walk the shop floor from your phone
  • Your add-backs written up and ready to defend — every item traceable to the exact transaction
Know your buyer

Who actually buys med-spas.

The med-spa M&A market is real and PE-led but early — most practices are still independently owned and only a few percent PE-consolidated, with 30+ active platforms competing for quality independents. Verified PE-backed consolidators include Advanced MedAesthetic Partners (Leon Capital), Empower Aesthetics (Shore Capital), and Alpha Aesthetics Partners (Thurston Group); LaserAway and Milan Laser are large national laser-clinic operators. Structures are roll-ups with rollover equity and earnouts; below them, individual operators and SBA buyers acquire single sites on an SDE basis. The platform 10–12x EBITDA headline is the prize at the end of the roll-up, not what a single site is worth today. The memo maps which pool fits a spa your size.

How it works

From your books to a memo that holds up with buyers — in four steps.

1

Connect QuickBooks

Read-only, through Intuit. We never write to your books. About 5 minutes.

2

Answer a short Med-Spa / Medical Aesthetics survey

Just what the books can’t show — agreements, key accounts, who runs the crews.

3

See the free preview

Buyer-readiness score, normalized EBITDA, value range and top flags — instantly.

4

Unlock the $499 memo

The full engine, all three deliverables, the dashboard and the buyer deal room.

Your data, your control

What we read — and what we never touch.

Read-only, enforced in our code: every call we make to QuickBooks is a read. Nothing leaves unless you choose to share it.

What we read

  • Profit & loss, balance sheet, and the transactions behind them
  • Payroll expense totals — when your books carry them
  • AR aging, cash flow, and your chart of accounts

What we never touch

  • We never write to your books — we can’t change a thing
  • No payroll access — never your employees’ SSNs, bank, or tax withholding
  • We can’t move money
  • No buyer, broker, or lender sees it — unless you say so

Disconnect or delete anytime. Read our privacy policy →

Pricing

A light Quality-of-Earnings report —
at a price that fits before any offer’s on the table.

Start with the free preview. Pay once — $499 — only when you want the full memo. No subscription, no per-seat pricing.

Try it first

Free preview

$0
  • Buyer-readiness score & normalized profit
  • A real value range from your actual books
  • Top flags — what a buyer would argue down
  • No signup, no email
Pre-sale diagnostic

The full Med-Spa / Medical Aesthetics memo

$499 one-time
  • Everything in the preview, in full
  • 37 checks from a buyer’s earnings review, dialed in for Med-Spa / Medical Aesthetics — every number traceable
  • A breakdown of what moves your price — in dollars — plus how to fix each
  • Editable Word + live Excel model + PowerPoint pitch deck
  • A private, scoped buyer deal room you control
  • Three documents yours to keep + 12 months of live dashboard access
Think of it as a light Quality-of-Earnings report. A formal QoE from a CPA firm runs $25,000–$75,000 and adds proof-of-cash testing and tax-exposure review we don’t include. What we build is the heart of that review — and it works for you, with your weak-spots list kept private by default.
FAQ

Med-Spa / Medical Aesthetics sale questions, answered.

Most Med-Spa / Medical Aesthetics businesses in the $1M–$10M revenue range trade at roughly 4.0× to 7.0× normalized EBITDA, with a typical deal near 5.5×. Smaller, owner-dependent shops sit at the low end; larger, manager-run businesses with recurring revenue reach the top. Your actual number depends on your books — that's what the diagnostic computes, blending recent lower-middle-market closings, main-street marketplace sales, and academic M&A survey data.

We start with your real QuickBooks numbers. For an owner-operated single site we use SDE (your true take-home plus owner perks) and apply a market multiple — but first we subtract what it costs to replace you as the injector (a nurse's or NP's market pay), because that clinical income is a wage a buyer has to re-hire, not profit they keep. For a larger, multi-provider spa we switch to EBITDA. Your multiple moves up with recurring memberships, more than one injector, and a clean compliance structure. Note: there's no clean med-spa industry code, so we cross-check the comps against direct med-spa deal data.

Those are platform numbers — 3-to-8-location chains with recurring memberships and a management team, the kind of business a PE roll-up buys. A single site or small chain trades far lower: roughly 2–3.5x SDE if it's owner-operated, 4–7x EBITDA once it's multi-provider and manager-run. The 10–12x headline is the prize at the end of the roll-up, not what your spa is worth today.

Four things, in order: recurring revenue (memberships plus a repeat-injectable cadence); not being the only injector, so revenue survives your exit; a clean medical-director / MSO compliance structure; and diversified services and devices so you're not one aging laser away from a problem. The diagnostic scores where you sit on each and shows what moving up would be worth.

See all common questions
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