Why Some Med Spas Generate $5 Million and Still Have No Money

💰 Why do some med spas generate $5 million, $10 million, or even more in annual revenue and still struggle with cash flow? In this episode, healthcare attorney and former med spa owner Sara Shikhman, Esq. and her colleague Emily Wright, Esq. sit down with CPA Nick Liguori to discuss one of the biggest misconceptions in the aesthetics industry: revenue does not equal profitability. We break down the financial mistakes that quietly drain cash from otherwise successful practices, including: ✅ Payroll creep and staffing inefficiencies ✅ Poor injector compensation structures ✅ Membership liabilities and recurring revenue pitfalls ✅ Device financing and equipment purchases ✅ Inventory management mistakes ✅ Tax surprises and cash flow challenges ✅ Profitability benchmarks every owner should know ✅ The hidden costs of rapid growth Whether you’re opening your first med spa or managing multiple locations, this conversation will help you better understand where your money is actually going and how to build a more profitable, sustainable business. The goal isn’t just to grow revenue. It’s to build a business that keeps more of what it earns. 📌 Subscribe for more content on medical spa ownership, healthcare compliance, business strategy, and legal issues affecting the aesthetics industry. For more information on this topic visit our blog at https://lengealaw.com/blog/ To schedule a free consultation with Nick Ligouri CPA visit https://www.liguoricpa.com #MedSpa #MedicalSpa #AestheticsBusiness #HealthcareBusiness #MedicalAesthetics #Entrepreneurship #PracticeManagement #Profitability #CashFlow #MedicalSpaOwner #AestheticMedicine #BusinessGrowth