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.
