Med Spa & Cosmetic Clinic Checklist

Use this checklist to assess businesses in this industry for SBA 7(a) lending and underwriting.

Licensing + Owner Dependency

  • Is the owner a licensed injector (MD, PA, RN)?
  • Are other licensed staff employed and active?
  • Is the business overly reliant on the owner’s skill or brand?
  • Has owner clinical labor been normalized in cash flow?

Revenue Structure + Seasonality

  • Is revenue tied to seasonal promos or influencer-driven spikes?
  • Are services recurring or one-time treatments?
  • Are packages properly allocated for cost and revenue?
  • Are memberships, follow-ups, and cross-sells documented?

Addbacks + Personal Perks

  • Addbacks include personal self-care (Botox, facials)?
  • Vehicle leases, family wages, or luxury travel included?
  • Marketing expenses linked to owner-only campaigns?
  • Lifestyle perks clearly separated from business use?

CapEx + Equipment Review

  • Are lasers, injectables, and diagnostic tools capitalized?
  • Is CapEx normalized for med devices and consumables?
  • Are any assets personally owned or not transferred?
  • Is there deferred CapEx not reflected in cash flow?

Red Flags

  • Owner is sole licensed provider without support staff
  • Addbacks = luxury services or personal skincare
  • No CapEx applied for lasers, chairs, or medical systems
  • Revenue based on short-term promos or seasonal demand

SBA SOP Tip

SBA-compliant valuations must normalize for licensing risk, seasonality, and personal perks. Transferable cash flow must reflect a team-driven clinic—not a one-person aesthetic brand.