Med-Spa / Medical Aesthetics Acquisition & SBA Underwriting Financial Model (Excel + Google Sheets)
Originally published: 17/07/2026 20:24
Publication number: ELQ-54207-1
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Med-Spa / Medical Aesthetics Acquisition & SBA Underwriting Financial Model (Excel + Google Sheets)

Underwrite a med-spa the way an SBA lender will: injector productivity + membership, minus a medical-director fee AND the owner's chair. True-vs-naive DSCR.

Description
A lender-ready acquisition model for buying a single-location med-spa (medical aesthetics) with an SBA 7(a) loan. Revenue is built bottom-up from injector productivity - FTE providers times revenue per provider - plus the recurring membership book and skincare retail, each at its own gross margin, so Gross Profit and SDE fall out of the mix.

The differentiator is the dual add-back a broker's sheet skips. First, under corporate-practice-of-medicine (CPOM) rules a non-physician buyer must contract a medical director; if the seller was a physician-owner, that fee is simply absent from their P&L. Second, the owner is usually the top injector, so a non-injector buyer must re-hire that chair. Adjusted EBITDA deducts a manager, the medical director and the owner-injector replacement, and the model shows the TRUE DSCR (1.23x) right next to the NAIVE broker-style DSCR (2.17x). The gap is those two hidden costs.

It structures a 3-part SBA 7(a) capital stack, runs the lender's DSCR gate with a membership-book coverage line (~204%), and prices the sector's number-one risk - the key injector walking with the clientele - in an explicit injector-loss down-case DSCR of 0.83x. Includes a 3-way profile toggle (Balanced, Injectables-Heavy, Membership-Forward), a 5-year P&L, Returns & Exit, a Dashboard with a DSCR bankability grid, and a 23-page PDF guide. Honest by design: SDE 30%, Adjusted EBITDA 14.5%, no IRR headlined. Machine-verified with 62 automated checks across three engines. Works in Excel and Google Sheets - no macros.

This Best Practice includes

10-sheet Excel workbook (START HERE, Setup Inputs, Med-Spa Revenue Engine, SDE & Valuation, Sources & Uses, P&L 5-Year, DSCR & Debt, Returns & Exit, Dashboard, Benchmarks & Sources) plus a 23-page PDF user guide and a README.

Acquire business license for $99.00

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Further information

Underwrite a med-spa acquisition to an SBA lender's standard: size the price, the SBA 7(a) capital stack and the TRUE DSCR after a medical director and the owner-injector replacement.

You are a searcher, ETA buyer or PE add-on evaluating a single-location med-spa acquisition and need a lender-ready underwrite, not an operating forecast.

You need an operating or startup forecast for a med-spa you already run, or a multi-site platform roll-up model.


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