nter your monthly revenue and expense breakdown. See your gross margin, operating margin, and owner hourly rate compared against industry benchmarks. Find out which expense line has the most room for improvement.
Defaults reflect a mid-range med spa doing $120K/month. Adjust each line to match your actual numbers.
Total collections across all treatments and products.
Products, consumables, disposables. Industry range: 20% to 35%.
Salary, commissions, benefits, payroll taxes. Benchmark: 24% to 34%.
Receptionist, office manager, billing staff.
Rent, utilities, CAM charges, maintenance.
Ad spend, agency fees, software, creative production. All in.
EMR, CRM, scheduling, POS systems.
Malpractice, general liability, property.
Legal, accounting, supplies, continuing education.
Your profit margin analysis
On $120.0K/mo revenue, your net margin is
21%
$25,300/mo in operating profit.
Gross margin
70%
$84,000/mo
Monthly net profit
$25,300
$303.6K/yr
Owner hourly rate
$141
Based on 180 hrs/month
Branded PDF with your margin analysis, expense benchmarks, and the playbook to improve what matters most.
Expense breakdown vs benchmarks
Biggest improvement opportunity
All expense categories are within industry benchmarks
Revenue grows. The schedule fills up. The owner works 50 hours a week. And the bank account barely moves. The gap between busy and profitable is almost always an expense structure that scaled faster than revenue. This calculator shows you where that gap lives in your practice.
If rent, admin, and marketing grow at the same rate as revenue, margins stay flat no matter how much you grow. The practices that compound are the ones where fixed costs hold steady while revenue scales through provider productivity and pricing. Provider comp at 28% of revenue is structural. Admin at 12% of revenue is a problem to solve.
28%
provider comp benchmark
A practice spending $8,000/month on marketing that generates $40,000 in new patient revenue has a 5x return. That is not an expense. That is the most productive dollar in the P&L. A practice spending $8,000 that cannot attribute any new patients to it has an expense problem. The difference is not the spend. The difference is the measurement.
5x
return on marketing spend
Net profit divided by the hours the owner actually works. A practice netting $300,000/year with an owner working 50 hours a week pays $115/hour. A practice netting $180,000/year with an owner working 30 hours a week pays $115/hour. Same hourly rate, very different lifestyles. Revenue and even profit can lie. Owner hourly rate does not.
$115/hr
effective owner rate example
Most med spa owners can tell you their revenue. Few can tell you their real profit margin. That gap between what you collect and what you keep determines whether you build wealth from this practice or trade your time for a modest paycheck.
Last updated: September 2026
A healthy med spa operates with a gross margin between 55% and 75%, and a net operating margin between 15% and 25%. Top-quartile practices hit 25% to 35% net.
Your treatment mix shapes your margin structure.
Botox, fillers, biostimulators
Product costs are low relative to treatment price, and throughput per provider hour is high. Net margins reach 20% to 30% when staffed well. The vulnerability: heavy dependence on a small number of providers. If your top injector leaves, revenue drops overnight.
Injectables plus facials, body contouring, laser, skincare
A wider treatment menu means more consumable cost variation and higher staffing complexity. Net margins land between 12% and 22%. The tradeoff is diversified revenue and stronger patient retention through multiple touchpoints.
Hair removal, resurfacing, tattoo removal, skin tightening
Higher equipment costs push gross margins to 50% to 65%. Depreciation and maintenance eat into profit. Once you pay off the equipment, margins jump. Net margins range from 10% to 20% during financing and reach 18% to 28% after the debt clears.
Total your monthly revenue
Treatment revenue, product sales, membership fees, and any other income.
Calculate your cost of goods sold (COGS)
Injectables, skincare products for resale, consumables, disposable supplies. For most med spas, COGS runs 22% to 35% of revenue. Gross margin = revenue minus COGS.
Total your operating expenses
Provider compensation, admin staff, rent, marketing, technology, insurance, and overhead. Operating profit = gross margin minus total operating expenses. Net margin percentage = operating profit divided by revenue.
The calculator at the top of this page runs these numbers with your inputs and compares each line item against industry benchmarks.
Generous comp attracts talent, but unchecked commission structures erode margin fast. A provider earning 40% commission on a $500 treatment leaves $200 after COGS and comp, before you pay a single fixed cost. Restructure around base-plus-commission at 60/40, targeting 28% to 32% total comp.
A $15,000/month lease on $100,000/month revenue sends 15% of collections to the landlord. Benchmark: 6% to 10%. If you are above 10%, grow revenue or renegotiate.
Spending $10,000/month on marketing is fine. Spending $10,000/month without knowing which patients it brought in is the problem. Track cost per lead, cost per new patient, and return on ad spend for every channel.
A 15% price increase on a $400 treatment adds $60 per appointment. At 20 treatments per week, that is $4,800/month in additional margin with zero added cost. Run price audits quarterly.
Admin costs above 10% to 12% of revenue signal inefficiency. Front desk scheduling that could be automated, manual billing a system handles, too many non-revenue roles for the practice size. Replace headcount with technology for routine tasks.
Based on industry data from practices generating $1M to $5M annually:
| Metric | Bottom Quartile | Median | Top Quartile |
|---|---|---|---|
| Gross margin | 52% | 65% | 74% |
| Net operating margin | 8% | 17% | 28% |
| COGS | 35% | 28% | 22% |
| Provider compensation | 36% | 30% | 25% |
| Rent and occupancy | 14% | 9% | 6% |
| Marketing | 5% | 10% | 14% |
| Admin and staff | 14% | 10% | 8% |
| Owner hourly rate | $45/hr | $95/hr | $180/hr |
Top-quartile marketing spend is the highest column in the table. Profitable practices invest more in patient acquisition because they measure the return and know it pays.
A practice with a 65% gross margin and a 12% net margin has a different problem than a practice with a 55% gross margin and the same 12% net. The first owner has an operating expense problem. The second has a pricing or COGS problem. Averages hide this distinction.
The calculator above breaks your numbers down against benchmarks for each expense category, flags your biggest improvement opportunity, and shows your effective owner hourly rate. Plug in your actuals and see where you stand.
Each one runs the math most owners never sit down to do, with defaults built from the practices we run for and the engagements we audit.
Patient acquisition cost, retention economics, and revenue per provider hour. We optimize all three. One practice per city.
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Pronk works with one practice per city. Your competitor cannot hire us while you are a client. The strategy we build stays inside your four walls. When the spot in your market is taken, it is taken.