Specialized CFO Services for independent Med Spa Practices
We focus your team on the KPIs that drive growth and the enterprise value a buyer will pay for.
Enterprise value
Most owners expect to sell.Value is built long before the offer.
Private buyers pay for earnings they can trust and cash flow that repeats. We align your KPIs to that from day one, so the practice reaches a sale at its full value, on your terms.
The KPIs that move value
Revenue per provider hour
Capacity converted into earnings.
Utilization
How full the chair time really is.
Rebooking and retention
The engine of recurring revenue.
Acquisition cost vs lifetime value
What each new patient is worth.
Revenue per visit
How well every visit is planned.
EBITDA margin
The number a buyer capitalizes.
Why now
The work that earns a premium starts years before the offer.
Most independent owners already have one eye on an eventual sale. The practices that command premium valuations are the ones that began preparing long before they needed to.
Buyers look back
Diligence reviews years of financials, not months. The habits you adopt this quarter become the track record a buyer reads later.
Offers arrive unannounced
Approaches from groups and private buyers are increasingly common, and the first one rarely finds a practice ready to answer it well.
Value compounds
Every quarter of cleaner numbers, stronger retention and less dependence on you builds on the last. Started early, it is ordinary good management. Started late, it is a scramble.
Built for operators
You built the practice. Finance is a different craft.
Your bookkeeper records the past and your CPA files for it.Someone has to look ahead. That is our role.
CPA
Files taxes on last year's results. Looks backward, and rarely plans beyond the filing.
Bookkeeper
Categorizes and reconciles transactions. Delivers accurate books, with no view on whether payroll is too high, a hire will pay off, or where the cash is going.
Franklin
Sets the KPIs, forecasts cash and models every hire, device and expansion, with growth and sale value in mind.
Why Franklin
We come from the other side of the table.
We know what buyers value
We come from the investment industry and understand how third parties assess a business. We build your practice for that scrutiny from the start.
Operating systems, done properly
Institutional-grade reporting, controls and management rhythm, set up for small and mid-sized businesses and built to scale.
Independent med spas only
We work in the systems you already run, including Aesthetic Record, Nextech and PatientNow. What good looks like in aesthetics is not what it looks like in dental, surgical or general healthcare.
Built on modern tooling
Our reporting runs on automated pipelines from your practice management software and accounting rather than weeks of manual extraction. Onboarding is faster and the numbers stay current.
What we do
A finance function for your practice.
Growth KPIs
The few measures that move the business, and a team aligned around them.
Provider performance
A clear read on every treatment room, straight from the data.
Cash and forecasting
Profit and cash tell different stories. We tell you both.
Decisions, modeled
Hires, devices, locations and pay plans, tested before you commit.
Practice protection
A daily close, exception reports and inventory discipline. Most owners never see what these catch.
Sale readiness
Clean, accrual-based books and less owner dependency, in place before an offer arrives.
Working together
Assess. Strategize. Implement.
Every engagement follows the same three phases, from a free first look to ongoing optimization.
Profitability assessment
We review your financials and show you where the practice stands and where the upside is.
A plan built on your goals
We start with what you want from the practice, then set the KPIs, targets and budget to get there.
Implement and fine-tune
We put the plan to work and refine the KPIs every month as the business moves, with us on call between meetings.
How we start
Showing someone your numbers takes trust.
Most owners we meet have never shown their financials to anyone outside their accountant. Several have told us it feels like being examined. We understand that, and we work accordingly.
The first conversation is a complimentary profitability assessment with nothing attached to it. We look at what you send, tell you plainly what we see, and explain it in language that makes sense. No grading, no lecture, and no obligation to go further. If the timing is wrong for you, we will say so.
The owners who do go ahead tend to stay with us for years. We are built for a long relationship, not a transaction.
Questions
Before you start.
We already have a bookkeeper and a CPA. Why add a CFO?
Keep them. We work alongside both and rely on their work. A bookkeeper records what happened, and a CPA files for a year that has already closed. Neither is set up to forecast, set the KPIs or build the plan that secures the financial outcome you want. That is where we come in.
What makes Franklin different from other fractional CFOs?
Our roots are in the investment industry. We know how third parties value independent med spas and which practices earn premium valuations. We also bring expertise in designing and implementing operating systems for small and medium-sized businesses. And we work exclusively with independent med spas, which makes us specialists.
Will you tell us to cut costs?
Usually the opposite. Fixed costs stay fixed, so the larger lever is almost always revenue: fuller schedules, stronger retention, and pricing that has kept pace. More often than not we recommend spending more, whether on support staff, on marketing that is properly followed up, or on benefits that keep your best providers. Cutting is the smaller half of the job.
Do we have to change our bookkeeper or CPA?
No. Keep them, and we will rely on their work. We also bring your bookkeeper, CPA and financial advisor onto one call at least once a year, so decisions on tax, retirement plans and cash are made together rather than in isolation. If your books are not yet in the shape the work needs, we will tell you and point you to someone who can fix that first.
Someone has approached us about buying the practice.
Then two things matter right away. Your financials need to withstand scrutiny, and you need context before you respond. An unsolicited approach is flattering by design, and a first offer made to a practice that is not prepared rarely reflects what the business is worth. We help you understand what you have, what needs to be put in order, and what questions to ask, and we work alongside the attorney and the M&A advisor who run the process.
Is our financial information safe with you?
A mutual NDA comes first. We work with read-only access, so we can see your data but never move your money, and we work from financial and operating reports rather than patient charts. Where patient information could be within reach, we sign a business associate agreement.
What do you need from us?
Your last 12 to 24 months of P&L and balance sheet. Rough numbers are enough for the free assessment.
What does it cost?
A fixed monthly retainer, scoped to your practice and quoted in writing after the assessment.
What if we are not ready?
We will say so, and point you to what to fix first. The assessment is free either way.
Next step
Start with a free profitability assessment.
Send your recent financials. We reply with a few sharp observations and an honest view on timing.
Email us
We reply within one business day.