Free pricing & profit tool
Med Spa Profit and Loss (P&L) Template
A med spa profit and loss statement starts with revenue by service, subtracts refunds, then the cost of delivering treatments (injectable product, supplies and provider pay) to get gross profit, then operating expenses such as rent, reception payroll and marketing to get operating profit. Enter one month below to see gross margin, net margin and the revenue a profit goal needs. The page address saves your numbers so you can share them.
Prepared by Prospyr · Reviewed October 28, 2026 · Free, no sign-up, runs in your browser
The figures already filled in are example placeholders for one month, not benchmarks. Replace them with your own month from your accounting software or bank statements.
Refunds, comps and promotional discounts given this month.
Net profit this month
$20,000
Gross margin
55.7%
$68,500 gross profit
Net margin
16.3%
net profit ÷ net revenue
EBITDA
$23,700
before interest and depreciation
Net profit, × 12
$240,000
if every month looked like this one
Revenue for a $25,000 profit goal: $132,476
Product cost, provider pay and card fees are 47.2% of net revenue. If that share and every other expense stay the same, you need $132,476 of net revenue a month, $9,476 more than now.
Arithmetic on the numbers you enter. How costs are classified for tax depends on your business; confirm it with your accountant.
Your profit and loss statement (one month)
| Line | Amount | % of net revenue |
|---|---|---|
| Injectables | $60,000 | 48.8% |
| Laser and energy-based treatments | $25,000 | 20.3% |
| Facials, peels and skin treatments | $12,000 | 9.8% |
| Body contouring | $8,000 | 6.5% |
| Wellness, IV and weight loss | $6,000 | 4.9% |
| Retail skin care | $5,000 | 4.1% |
| Memberships and packages | $9,000 | 7.3% |
| Other revenue | $0 | 0% |
| Gross revenue | $125,000 | 101.6% |
| Refunds and discounts | ($2,000) | 1.6% |
| Net revenue | $123,000 | 100% |
| Injectable product cost | ($18,000) | 14.6% |
| Treatment supplies and consumables | ($4,000) | 3.3% |
| Retail product cost | ($2,500) | 2% |
| Provider pay and commissions | ($30,000) | 24.4% |
| Gross profit | $68,500 | 55.7% |
| Reception, manager and other payroll | ($16,000) | 13% |
| Rent, utilities and equipment leases | ($9,000) | 7.3% |
| Marketing and advertising | ($7,000) | 5.7% |
| Software and subscriptions | ($1,500) | 1.2% |
| Card processing fees | ($3,600) | 2.9% |
| Insurance | ($1,200) | 1% |
| Medical director and professional fees | ($3,500) | 2.8% |
| Other operating expenses | ($3,000) | 2.4% |
| EBITDA (operating profit before interest and depreciation) | $23,700 | 19.3% |
| Interest on loans | ($1,200) | 1% |
| Depreciation and amortization | ($2,500) | 2% |
| Net profit before income tax | $20,000 | 16.3% |
Annualized (× 12): $1,476,000 net revenue and $240,000 net profit. For a single service, use the treatment pricing calculator; for the month you cover fixed costs, the break-even calculator.
Building this P&L by hand each month? See revenue by service and cost of goods sold in Prospyr reporting →
How to fill in the template
- Pick one month. Pull revenue and expenses for the same calendar month from your accounting software or bank and card statements.
- Split revenue by service. Most point-of-sale systems can report sales by category. Put package and membership revenue in the month you record it, the same way every month.
- Enter product cost for what was used, not what was bought. A month with a large toxin or filler order will otherwise look worse than it was. If you only know purchases, note that when you compare months.
- Separate treatment pay from other payroll. Provider pay and commissions go in cost of services; reception, manager and other payroll go in operating expenses.
- Set a profit goal. The result shows the monthly revenue that goal takes if your costs keep the same shape.
The formulas
- Net revenue = revenue by service − refunds and discounts.
- Gross profit = net revenue − (injectable product + supplies + retail product cost + provider pay). Gross margin = gross profit ÷ net revenue.
- EBITDA = gross profit − operating expenses.
- Net profit before income tax = EBITDA − interest − depreciation. Net margin = net profit ÷ net revenue.
- Revenue for a profit goal = (fixed expenses + interest + depreciation + goal) ÷ (1 − variable share), where the variable share is product cost, provider pay and card fees divided by net revenue.
Worked example with the placeholder figures: $125,000 of service revenue less $2,000 of refunds is $123,000 net. Cost of services is $54,500, leaving $68,500 of gross profit, a 55.7% gross margin. Operating expenses of $44,800 leave $23,700 of EBITDA, and $3,700 of interest and depreciation leave $20,000 of net profit, a 16.3% net margin. These are example inputs, not benchmarks.
Related tools
Check the cost side of one product with the cost of goods sold calculator, price a single service with the treatment pricing calculator, and see EBITDA on its own with the EBITDA calculator. For cash timing rather than profit, use the cash flow calculator.
Frequently asked questions
What goes on a med spa P&L?
Revenue by service line, refunds and discounts, the cost of services (injectable product, consumables, retail product cost and provider pay), operating expenses (reception and manager payroll, rent, marketing, software, card fees, insurance, medical director and professional fees), then interest and depreciation. What is left is net profit before income tax.
Should provider pay count as cost of services or as an operating expense?
This template puts injector, nurse and esthetician pay for treatment time in cost of services, because it rises and falls with the treatments you deliver. Some accountants put all payroll under operating expenses. Either works if you do it the same way every month; gross margin will look different depending on which you choose, so say which one you used when you compare.
What is the difference between gross margin and net margin?
Gross margin is gross profit divided by net revenue: what is left after the direct cost of treatments. Net margin is net profit divided by net revenue: what is left after every expense. A practice can have a healthy gross margin and a thin net margin if overhead is high.
How is the revenue for a profit goal worked out?
The template treats product cost, provider pay and card fees as a share of revenue, and every other expense as fixed. Revenue needed = (fixed expenses + interest + depreciation + profit goal) ÷ (1 − that share). It assumes your service mix, prices and pay structure stay the same, which is rarely exactly true.
Are the numbers already in the form typical for a med spa?
No. They are example placeholders so the statement has something to show. They are not benchmarks, and this page does not claim any industry average. Replace them with your own month.
Is what I type saved anywhere?
Your numbers are kept in the page address so you can bookmark or share the link. They are not sent to Prospyr unless you choose to email yourself the link, and even then only the link is sent.
Sources and scope
- IRS Publication 334, Tax Guide for Small Business
How a small business figures gross profit, cost of goods sold and deductible business expenses.
- IRS Publication 946, How To Depreciate Property
Why depreciation of equipment such as lasers appears as an expense separate from the purchase.
Arithmetic on the numbers you enter. The figures already filled in are example placeholders, not benchmarks or industry averages. This is not tax or accounting advice; how costs are classified depends on your business and your accountant.