Wellness & recovery services
Books and taxes for biohacking and longevity centers.
A concierge annual membership billed once a year, blood panels sent to outside labs at a marked-up price, and a hyperbaric chamber or bone density scanner that costs as much as a house. Gus sorts all of it, an accountant checks every transaction, and you get one number a month.
- From $197 a month
- An accountant on every transaction
- Cancel whenever
January came in at $19,800. Two new annual concierge memberships were paid in full, so I am spreading that income across the year they actually cover.
- Concierge membership, annualConcierge memberships
- A la carte blood panelDiagnostic testing
- Outside lab feeLab fees
- Medical director oversight feeMedical staffing
- Hyperbaric chamber serviceEquipment maintenance
Why your books are different
A longevity center prices in the tens of thousands and buys equipment on the same scale.
A single concierge membership can cost more than a year of a typical gym membership, a single diagnostic panel gets sent to an outside lab at a marked-up price, and the equipment sitting in the building can be worth more than the building itself. Ordinary small business bookkeeping was not built for this scale.
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1
A yearly concierge fee is not one month's income
A client pays a full year's concierge membership up front, sometimes tens of thousands of dollars, and if the whole amount is booked as income the month it clears, that month looks enormous while the eleven months of service that follow look artificially thin.
What we doSpreads concierge membership income across the year it covers, so each month reflects an even share of the service being delivered. -
2
Lab fees are a pass-through cost with a markup, not a flat expense
A blood panel or advanced diagnostic test gets sent to an outside lab for a fee, and the center charges the client more than that fee, so if the markup and the raw lab cost are not tracked separately, it is hard to see the real margin on testing.
What we doKeeps lab fees and diagnostic testing revenue in separate lines, so the markup on each panel is visible on its own. -
3
A hyperbaric chamber or bone density scanner is a major purchase
Equipment at this level can run into six figures, and treated like a routine purchase, it either wrecks the month it was bought or gets lost entirely in a business used to smaller numbers.
What we doFlags major equipment purchases the day they happen and logs them as capital assets for the accountant to depreciate correctly. -
4
Medical oversight is a real staffing cost tied to compliance
A supervising physician or medical director fee is often required for the testing and therapies offered, and lumped into general professional fees, it is hard to see this cost as the ongoing, non-negotiable expense it actually is.
What we doKeeps medical director and oversight fees in their own line, tracked as a fixed cost of doing this kind of work.
Your categories
The categories Gus keeps for a longevity center.
Set up once for how you get paid and what you spend. You never pick a category. He does, and an accountant checks it.
Money in
- Concierge membershipsAnnual fees, recognized across the year they cover.
- Diagnostic testingBlood panels and scans billed to clients, apart from lab cost.
- Therapy sessionsIV, hyperbaric, or other individual therapy sessions.
- Supplement retailSupplements and peptides sold at a markup over cost.
Money out
- Lab feesWhat outside labs charge for processing panels and scans.
- Medical staffingMedical director and supervising physician fees.
- Equipment maintenanceServicing for hyperbaric chambers, scanners, and related equipment.
- Supplement inventoryWholesale supplements and peptides bought for resale.
- Facility costsRent and utilities for a space built around large equipment.
What we watch for you
- Concierge revenue recognized
How much of annual membership fees has been earned so far this year, versus what is still owed in service.
- Testing margin
What diagnostic panels sell for against what the outside lab charges, so the real margin is visible.
- Equipment cost per session
Maintenance and depreciation on major equipment divided by sessions run, so pricing reflects the real cost.
- The set-aside
What you will owe, tracked every month, so April is a number you already knew.
Ask Gus
Things longevity center owners ask Gus.
Text him like you would text anybody. He answers in plain English, and when a question is above his pay grade, an accountant looks and gets back to you.
I am spreading that income across the year it covers, so this month is not overstated and the rest of the year does not look thin by comparison.
I keep lab fees and testing revenue in separate lines, so you can see the real margin on each panel type, not just total testing income.
Flag it when you are ready. I will log it as a capital asset, not a regular expense, so the accountant can set up the right depreciation for it.
The tax side
The tax side of a longevity center.
Most of what matters here is scale: equipment write-offs on major purchases, and getting medical staffing and lab cost tracking right.
What your return has to get right
Your accountant signs it, so it gets done right the first time.
- Equipment write-offsHyperbaric chambers, bone density scanners, and related equipment can usually be written off in the year bought, up to $2,560,000 under Section 179, with 100 percent bonus depreciation for property acquired after January 19, 2025.
- Worker classificationA medical director or staff member who works your schedule and uses your equipment is usually an employee, not a contractor, even at a high fee level.
- The pass-through deductionMost owner-operators can take up to 20 percent of business profit off their taxable income, with limits starting above $201,750 single or $403,500 joint.
- Excess business loss limitsAt this scale of equipment investment, business losses that offset other income are capped at $256,000 single or $512,000 joint in a given year.
Deductions biohacking and longevity centers miss
Your bookkeeper knows what to look for in your statements. You never have to.
- Lab and testing fees
- Equipment maintenance and service
- Medical director fees
- Supplement and peptide inventory
- Facility rent and utilities
- Liability and malpractice insurance
- Marketing to high-value clients
- Continuing education for staff
- License and permit fees
- Professional association dues
General information about 2026 federal rules, not advice for your business. Your accountant looks at your actual numbers before anything gets filed.
All year, not just April
A longevity center's year, kept every month.
Concierge memberships renew on their own schedule and equipment purchases can land at any time. Your team keeps you ahead of the tax calendar through it all. Every month in between, your bookkeeper closes the books and speaks up the moment something looks off.
- January
Plan the year
Last year's return gets started, concierge renewals get counted right, and a monthly set-aside gets planned for a business operating at real scale.
- April
Filed. Done.
Your return is filed and signed. No surprise bill, because the set-aside has been running since January.
- July
Halfway check
Where you stand, what you will owe, and whether testing margins or membership renewals changed the number.
- October
Before the year closes
Gus looks at whether a major equipment purchase makes sense to complete before December while there is still time to use the deduction this year.
What you get
What you pay depends on what your business needs, and it does not move after that, busy season or slow. No hourly bills, no surprise invoices, no setup fee.
Book a call- Monthly bookkeeping
Every transaction sorted into categories set up for biohacking and longevity centers. You never categorize a thing.
- An accountant checks every transaction
Real review, every month, before your books close. Not a spot check.
- Your business tax return, filed
Prepared, reviewed, and signed by that same accountant every year.
- The monthly number
What you made, what you spent, what to set aside for taxes.
- Your own bookkeeper
A real person assigned to your business, in the app whenever you need them. No hold music.
- On your books all year
Every month, not just in April. Your team speaks up whenever something is worth your attention.
- Cancel any time
No contract. No cancellation call. Your books are yours.
Straight answers
Questions longevity center owners ask first.
How does Gus handle a full year of concierge membership paid up front?
He spreads that income across the year it covers, so the month it was paid does not look inflated and the following months are not understated.
How do I know if my diagnostic testing prices make sense against lab costs?
Gus keeps lab fees and testing revenue in separate lines, so you can see the real margin on each type of panel or scan, not just a blended total.
Can I write off a major piece of equipment like a hyperbaric chamber all at once?
Often you can. Equipment bought for the business can usually be deducted in the year you buy it, up to the Section 179 limit, and the accountant will confirm the best approach for your year.
Does Gus handle billing for our medical director or supervising physician arrangement?
Gus tracks the cost of that arrangement in its own line, but the legal and licensing side of medical oversight is handled separately from this subscription.
My center runs at a large scale with big equipment loans. Does that change anything?
The bookkeeping stays the same in principle, but numbers at this scale get extra attention, including limits on how business losses offset other income in a given year.
Is a real accountant checking my books?
Yes. You get your own bookkeeper, Gus does the first pass on every transaction, and an accountant checks every one before your month closes. That same accountant prepares, signs, and files your business return. Goatkeeper is not a CPA firm, and we never pretend a person looked when they did not.
What does it cost, and can I cancel?
It starts at $197 a month, depending on what your business needs. No setup fee, no hourly bills, no contract. Cancel any time from the app, and your books go with you.
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What makes a bookkeeper worth paying for Every business we keep books for
Book a call
Pick a time. That's the whole signup.
Fifteen minutes with a real person on our team. They look at where your books are, tell you straight what it takes to get caught up, and get you set up on the spot if it fits.
- $197 a month to start
- An accountant on every transaction
- Cancel whenever