Your P&L says profitable. Your bank account disagrees.
A fully booked calendar doesn't guarantee a healthy bank account. Connect QuickBooks or Xero and see where the money is actually headed: memberships, packages, payroll, the laser lease, weeks in advance. Free for 14 days, no credit card.










Built for how med spas actually make money
You already suspect your most requested service isn't your most profitable one. Injectables account for 45–55% of revenue at the average med spa (AmSpa), but that mix swings hard by location. Clockwork reads the transactions in QuickBooks or Xero and shows you which services, memberships, and providers actually carry the spa.
Weekly cash flow forecasting
Holiday season books solid, late summer goes quiet, and the device lease doesn't flex either way. See how packages and memberships stack up against payroll and reorders, weeks before things get tight.
Plan your next room or location
Thinking about another treatment room, a new device, or a second location? Model it first and see what it does to cash before you spend.
Provider and payroll planning
"What happens if we add an injector?" See the break-even on every hire and commission plan before you commit — pulled straight from payroll.
Mira, your AI analyst
Ask Mira whether you can afford another room, and get an answer from your real numbers in a few seconds.
Real-time reporting
Your reports update straight from your transactions, so revenue per room and your retail-to-service mix are always current.
The metrics med spas care about
Med spas with membership programs report 35–45% higher patient lifetime value (AmSpa). Follow membership revenue, unused package balances, rebooking, and revenue per provider in one place, with actuals and forecast together.
Nothing to set up
Connect QuickBooks or Xero and your first forecast is ready in about 5 minutes. No setup fee, no chart of accounts to map.
Questions med spa owners actually ask
Can I afford another injector, and how do I know when?
Two numbers decide it. A provider should be keeping about 25% of the revenue they generate, leaving 75% to cover overhead and consumables. And capacity, measured as hours worked over hours available excluding breaks, should sit at 75-80%. Below 60-65% you are carrying unused capacity; above 90% you are heading for burnout and cancellations. If your current providers are under 75%, another hire cannibalises them rather than adding revenue. Worth knowing: observed median staff utilisation across med spas is 38%, so most clinics sit well below the target. Sources: Maven Financial Partners via American Med Spa Association (2024); utilisation from Zenoti platform data (2026).
How should I handle prepaid packages and memberships in my forecast?
As a liability, not revenue. Under ASC 606, cash collected for a prepaid package or membership is a contract liability. It becomes revenue only as each treatment is delivered. This is why a med spa can hold a healthy bank balance and a large unearned obligation at the same time, and why a cash forecast built off the P&L misleads. Add injectable inventory sitting as cost of goods and you have the two structural reasons a profitable-looking med spa runs short on cash. Clockwork tracks unused package balances against your delivery schedule so the obligation is visible before it becomes a problem. Source: FASB ASC 606.
Which services actually make money, injectables or devices?
Devices, on consumable margin, and by a wide margin. A neurotoxin or filler carries a real per-unit cost of goods every single time: a worked example on a $280 Botox treatment shows $166 of profit, about 59%. A laser's marginal consumable cost is close to nothing once the capital is bought, and a worked example on an $1,800 Halo facial shows $99 of consumables against a 50-minute slot. Both are single worked examples rather than survey averages, so treat them as the shape rather than a benchmark. On whether a specific device pays for itself: every published payback period we could find comes from a manufacturer, reseller or finance company, so model it against your own utilisation and pricing instead. Sources: Maven Financial Partners; Terri Ross via AmSpa (2022).
