Best Accounting Software for Medical Spas in 2025: A CPA’s Perspective

Last Updated on December 3, 2025 by Ewen Finser

As a CPA, I typically advise my SMB clients on what business tools they can use to make their lives easier, save money, and reclaim precious time. And while I mainly focus on accounting software and back-office tools, I’ll occasionally recommend certain front-of-house platforms that are particularly good at flowing data to the financials — think Toast for restaurants and Square for retail.

FOH platforms for businesses like salons, med spas, and massage parlors fit in a very specific niche here. They need to act as an accounting platform, a CRM tool that can manage appointments, and a POS that can take payments… all while still pushing data to other platforms. So in these situations, something like Square just isn’t strong enough. 

Boulevard, Mindbody, Booker, Mangomint, Zenoti, and Aesthetic Record can all work, but not all of them will strike the best balance of clean reporting, med-spa-ready workflows, and a great client experience.

Picking Your Med Spa’s Accounting Software

Before we jump in, a quick reality check from the CPA side.

None of these tools replaces a real accounting system like QuickBooks, Xero, or NetSuite. They have some strong financial capabilities, but you’ll still rely on another platform or a CPA for the full gamut.

What they do accomplish is controlling the front end of your revenue: appointments, payments, memberships, discounts, gift cards, sales tax, and tips. How well it does this is more important than it sounds… if the data in this layer is messy, your general ledger and your P&L will be messy.

So, for a med spa, a good “accounting software” should:

• Track revenue with enough detail
  • Service vs. retail
  • Provider payouts and commission
  • Membership and package usage
  • Sales tax and fees
    
• Export or sync to your accounting system
  • Either through native exports or integrations (Bookkeep, POS Accounting, Xero connectors, custom CSVs, etc.)
  • Via an API or integration that autonomously and automatically pushes data daily
    
• Support your business model
  • Medically supervised treatments
  • Before/after photography
  • Memberships and subscriptions
  • “Pre-pay now, perform later” services

With that in mind, let’s walk through the six platforms.

1. Boulevard: The best overall balance for modern med spas

Boulevard is an all-in-one operations and payments platform for the beauty industry, whether that’s salons, spas, med spas, massage parlors, you name it.

It’s a serious revenue system that’s capable of the following:

• Online booking and smart scheduling
• Client profiles, forms, charts, and visit history
• Integrated payments and memberships
• Reporting and analytics
• Marketing automation, texting, and reminders

They also have med spa–specific pages that highlight charting, photo markup, and medical director sign-off, which matters when you’re not just doing hair and nails.

However, Boulevard is a strong operational and revenue system and not a full general ledger. Keep this in mind for every tool on this list: You’ll still need a real accounting platform and a clean process for syncing or importing data. Note that Boulevard specifically indicates that it syncs with QBO, so this will cover many shops.

Where Boulevard shines for accounting

From a finance seat, a few things stand out:

• Integrated payments with strong reporting: Boulevard Payments ties card charges to appointments, services, and providers, which makes it much easier to reconcile deposits, merchant fees, and daily sales summaries. Rates are also competitive, starting at 2.65% (1% if you use Boulevard Offset).
  
• Memberships and packages that behave like real revenue: Boulevard supports memberships and recurring billing, and you can see usage and redemptions in their reporting. This helps you recognize revenue over time instead of guessing from a stack of spreadsheets.
  
• Customizable reports for your GL: You can break out sales by service type, provider, location, and time period. Many med spas export these reports and use them as the source of truth for daily or weekly journal entries in QuickBooks or Xero.
  
• Add-on depth when you grow: Advanced reporting is available as you move through the tiers. For serious operators, this is often a good trade: you get more control and visibility as revenue scales.

Where Boulevard can feel limiting

• Pricing is premium: You pay more than some smaller tools, especially once you turn on advanced analytics or higher marketing tiers. That said, most growing med spas care more about labor and revenue mix than saving a few dollars on software.

Best fit: Multi-chair salons and med spas that care about client experience, clean revenue reporting, and the ability to rely on just one system for booking, payments, memberships, and analytics.

2. Mindbody: Ecosystem giant with strong integrations

Mindbody is the wellness elephant in the room, powering gyms, yoga studios, spas, and wellness centers worldwide. For accounting-minded owners, the biggest selling point is not the calendar; it’s the integration ecosystem.

You can expect:

• Scheduling, online booking, and staff management
• Memberships and passes
• Marketing and client communication tools
• Payment processing and POS
• Reporting and dashboards

Mindbody is also the parent company behind Booker, which I’ll cover separately below.

Where Mindbody shines for accounting

• Rich integration ecosystem: If you want automated sales summaries posted into QuickBooks, Xero, or other GLs, you can bolt on tools like Bookkeep and POS Accounting — connectors that create daily journal entries from Mindbody sales and deposits, including multi-location and multi-currency support.
  
• Mature reporting: Mindbody has a long list of reports for sales, membership activity, attendance, and promotions. For most med spas, you can design a daily close process around a small set of exports.
  
• Scale and stability: If you have multiple locations, support needs, and complex membership structures, Mindbody’s scale can be a comfort.

Where Mindbody can fall short

• Complexity and learning curve: The breadth of features and reports here can overwhelm lean teams. Many shops only use a small fraction of what they pay for.
  
• Fragmented experience for accounting: The accounting story with Mindbody depends on third-party integrations. Those tools are powerful, but it means one more vendor, one more bill, and one more set of settings that can break.

Best fit: Larger wellness brands and spas that want deep integrations and can justify more complex tooling and training.

3. Booker: Mindbody’s spa-focused cousin

Booker started as its own spa management tool and now lives under the Mindbody umbrella. However, it is still very much oriented to spas and salons that want booking, POS, and memberships in one place.

It gives you:

• Staff and client management
• Membership management
• POS and product inventory  
• Online booking and gift cards
• Reporting tools and a mobile business app

It also supports Mindbody Payments, their integrated payment processing service for U.S. and Canadian businesses.

Where Booker shines for accounting

• Tight link between POS and services: Because Booker controls both the appointment book and the POS, your sales data stays aligned with services and providers. I like this because it makes reconciling the two relatively straightforward.
  
• Membership and package tracking: Booker handles recurring billing, passes, and gift cards, letting you track liability balances and redemptions with more confidence. You’d be surprised at the number of business owners who don’t understand that gift cards aren’t free revenue, and that a liability has to be associated with them being purchased, because they’ll ultimately be used.
  
• Reporting coverage: Booker offers sales and performance reports (with different levels of access depending on your plan) and lets you build routine exports for your accountant.

Where Booker can fall short

• Interface and experience feel older: Compared to newer tools, Booker’s UI can feel dated. Your staff will still get the job done, but it’s not the cleanest experience.
  
• Less focused on med spa clinical needs: Booker is strong on wellness and spa workflows, but it is not a medical EMR. You will often pair it with separate charting tools if you do injectables or other medical procedures.

Best fit: Spas and salons already within the Mindbody ecosystem that want integrated payments and don’t need deep EMR features.

4. Mangomint: Modern UX with solid payroll and payment reporting

Mangomint is a newer-generation salon and spa platform that leans hard into clean design and automation. It’s also invested in payroll reporting and integrated payments, which matters when you pay providers based on commission and tips.

It offers:

• Online booking and scheduling
• Integrated payments from the front desk, online, and client devices
• Automations for reminders and workflows
• Reporting on sales, payments, staff, and inventory

They also highlight payroll reporting and full-service payroll processing, so you can see hours worked, compensation breakdowns, and run payroll from inside the system.

Where Mangomint shines for accounting

• Strong reporting coverage: Reports span service and product sales by staff, sales by time period, payment details, cost of goods, cancellations, and more. This is the kind of granularity your CPA wants to see.
  
• Purpose-built payment reports: Payment summaries and detailed reports help track deposits, refunds, and cash drawer activity — making daily cash and card reconciliation much cleaner.
  
• Payroll alignment: Built-in payroll reporting and processing reduce the spreadsheet limbo that usually sits between your booking system and your payroll platform.

Where Mangomint can fall short

• Not built as a med spa EMR: Mangomint is a strong operational tool for salons and spas, but if you run a medically heavy practice, you’ll still need EMR and clinical charting elsewhere.
  
• Fewer enterprise features than the largest players: For multi-state med spa chains with complex finance structures, Mangomint can feel small compared to something like the next entry on our list.

Best fit: Design-conscious salons and med spas that want modern software, strong reporting, and decent payroll features (without going full enterprise).

5. Zenoti: Enterprise-grade platform for multi-location brands

As one of the heavier platforms on this list, Zenoti targets large salons, spas, med spas, and wellness brands with multi-location needs, franchising, and serious growth plans.

It’s an all-in-one platform that unifies:

• Scheduling and client management
• Payments and POS
• Inventory and stock control
• Memberships and demand-based pricing
• Multi-location dashboards and analytics

Where Zenoti shines for accounting

• Centralized reporting across locations: Zenoti lets you see bookings, revenue, and performance across locations from one dashboard, which is a big deal when you consolidate financials.
  
• Inventory and shrinkage control: Med spas use Zenoti to reduce shrinkage, keep data secure, and track injectables and retail inventory in real time — which feeds into cost of goods and margin analysis. I love this because true COGS can be very difficult to calculate, depending on your accounting method.
  
• Revenue optimization features: Tools like demand pricing and upsell prompts try to push revenue per appointment higher. This isn’t “accounting” in the strictest sense, but it hits your top line.

Where Zenoti can fall short

• Complexity and implementation: You get a lot of power, but also a heavier lift: longer onboarding, more configuration, and a steeper learning curve.
  
• Overkill for single-location spas: A solo med spa with five rooms rarely needs enterprise tooling.

Best fit: Multi-location med spa and wellness brands that need centralized control, inventory depth, and sophisticated reporting.

6. Aesthetic Record: EMR-first with built-in POS and analytics

Aesthetic Record takes a different approach: It leads with EMR and photography for aesthetic practices, and then it layers in booking, POS, inventory, and analytics.

It’s a HIPAA-compliant cloud platform that covers:

• EMR and charting
• Scheduling and online booking
• Photo management and before/after galleries
• Inventory management and e-commerce
• POS and payments
• Analytics and reporting

It also integrates with Sunbit for patient financing, which helps clients pay for larger treatment plans and improves acceptance rates.

Where Aesthetic Record shines for accounting

• Clinical and financial data in one place: For med spas, having procedures, photos, and payments in one system can help you tie revenue back to specific treatment plans and providers.
  
• An all-in-one subscription: Their pricing bundles booking, charting, inventory, photo management, POS, and more into one monthly plan, which can lower your “stack tax” compared to cobbling together multiple systems.
  
• Financing integration: Patient financing inside the workflow can help smooth cash flow and reduce manual steps for payment plans.

Where Aesthetic Record can fall short

• Mixed reviews on usability: Aesthetic Record’s features and interface feel clunky to some. That doesn’t mean it won’t work, but you should budget time for training and process design.

Best fit: Medically heavy aesthetic practices that care more about EMR and photography and less about having the slickest POS interface.

How to Pick the Right Accounting Stack for Your Med Spa

Here’s how I would think this through, going on a case-by-case basis:

• You care most about client experience and clean, exportable revenue data: Boulevard sits in a very good spot. It keeps the front desk simple, clients happy, and gives you strong reporting for your accounting system — especially with memberships and med spa workflows. Its QBO integration also means your bean counter stays happy.
  
• You want deep integrations and a big vendor ecosystem: Mindbody and Booker win on the integration story. You can make them play nicely with almost any accounting stack, as long as you’re willing to manage the connectors.
  
• You want modern design and strong payroll alignment: Mangomint gives you a sleek experience and serious reporting, especially around payments and payroll — a notable selling point since few other FOH platforms offer payroll capabilities.
  
• You are building or running a multi-location brand: Zenoti is built to unify operations, inventory, and reporting across centers. You trade simplicity for scale, but this platform was tailored specifically for that situation.
  
• You need EMR first, POS second: Aesthetic Record makes sense when your world centers on charting, photos, and documentation, with revenue as the layer on top.

And again, this is in addition to a full-fledged general ledger or the help of a CPA — not in place of them.

My Verdict

All six tools on this list can work. The gap between “works” and “works cleanly” sits in the details:

• How easy is it to reconcile payouts to daily sales?
• Can you break revenue out by service, provider, and location without manual gymnastics?
• Does the system respect how med spa memberships, packages, and medical workflows really behave?

Boulevard tends to check those boxes with the least friction for modern med spas, while still giving you a polished client experience and room to scale. The others fill important niches, but if you want a strong balance of operations, payments, and accounting-friendly reporting in one place, you should check out Boulevard.

Now, having been hunched over the computer for the last several hours doing research, I’ve come to the conclusion that I need a massage!