Industry Expertise
Med Spas & Aesthetic Clinics
Tax and accounting built for cash-pay aesthetic practices.
Med spas sit between two worlds: medical practices and retail businesses. Devices worth six figures, cash-pay revenue that grows fast, sales tax questions most accountants get wrong, and staffing models the IRS watches closely. OnPoint Business Tax & Accounting works with med spas and aesthetic clinics across NYC and NJ — structuring the entity correctly, capturing every device and build-out deduction, and keeping the books clean as you scale.
Common Tax Challenges for Med Spas & Aesthetic Clinics
We understand the unique financial pressures your industry faces — and we know how to solve them.
Sales Tax on Services & Retail
NY and NJ treat aesthetic services and product lines differently — we map your menu so you collect and remit the right amounts.
Six-Figure Device Depreciation
Lasers, IPL, body contouring, and cryotherapy equipment — Section 179 and bonus depreciation timed to your income.
Entity & MSO Structure
Professional entity rules plus physician co-ownership arrangements require the right PC/PLLC and MSO setup from day one.
Injector & Staffer Classification
W-2 vs. 1099 decisions for injectors, aestheticians, and RNs that avoid costly IRS reclassification penalties.
Packages, Gift Cards & Memberships
Revenue recognition for prepaid packages and memberships so your P&L shows real profitability by service line.
High-Income Owner Tax Planning
Reasonable salary analysis, S-Corp elections, and retirement plans that shelter growing cash-pay profits.
What Kind of Aesthetic Practice Do You Run?
Every type of practice has its own numbers. Here's how we approach yours.
Injectables & Botox Practices
High-margin, cash-pay, staffing-sensitive.
- Injector productivity and payroll structuring
- Product (toxin/filler) inventory cost tracking
- Reasonable salary and S-Corp planning for owners
Laser & Device Clinics
Depreciation-heavy service businesses.
- Section 179 vs. bonus depreciation elections
- Device maintenance contracts and consumables
- Lease vs. buy analysis for new technology
Dermatology & Cosmetic Clinics
Blending medical and cosmetic revenue.
- Insurance vs. cosmetic revenue segregation
- Retail skincare line sales tax compliance
- Multi-provider profit and compensation planning
Frequently Asked Questions
Do med spas pay sales tax in New York or New Jersey?
It depends on what you sell. In both states, many aesthetic services are taxable or sit in a gray zone, and retail product sales are generally taxable. We map your service menu and retail line to the right sales tax rules so you are not over- or under-collecting.
Should my med spa be an LLC, PLLC, or PC?
If your clinic renders medical services under a licensed provider, New York and New Jersey professional entity rules apply, and a spa co-ownership with a physician requires a management services organization (MSO) structure. We help you set up and maintain the right structure.
What equipment can my med spa write off?
Lasers, IPL devices, body contouring systems, cryotherapy units, and treatment-room build-outs generally qualify for Section 179 expensing or bonus depreciation when placed in service. We time purchases and elections to your income.
How should injectors and aestheticians be paid?
W-2 payroll with productivity bonuses is the safe default; flat-fee 1099 arrangements for injectors are a common IRS reclassification trap. We set up compliant payroll and review contractor agreements.
How does accounting work for a cash-pay med spa?
Without insurance reimbursements, clean revenue recognition, gift-card and package deferrals, and monthly P&Ls by service line matter even more. We run the books so you know exactly which treatments actually make money.
Services We Provide for Med Spas & Aesthetic Clinics
OnPoint Business Tax & Accounting delivers tailored tax and accounting services designed specifically for your industry's needs.
- Med spa tax preparation and filing
- Entity structure and MSO arrangement guidance
- Sales tax registration, collection, and filing
- Equipment and treatment-room depreciation planning
- Payroll for injectors, RNs, and aestheticians
- Monthly bookkeeping and service-line P&L reporting
- Package, gift card, and membership accounting
- Retirement plan design and IRS audit support
Why OnPoint?
NYC & NJ's Trusted Business Tax Experts
- Circle of Excellence 2025 Award Recipient
- 5-star rated on Google Reviews
- Serving NYC & NJ businesses for over a decade
- Flat-fee pricing — you know the cost upfront, always
- 100% in-house — your work is never outsourced or offshored
- Bilingual staff — English & Spanish
- In-person, virtual, and drop-off options
Make Your Med Spa as Profitable as It Looks
From your first laser purchase to your third location, we handle entity, sales tax, payroll, and planning so you can focus on clients. Book a free consultation today.