Medical practices & clinics
Books and taxes for tattoo removal clinics.
Pricing that scales with tattoo size, series that run 6 to 10 sessions over a year or more, and cover-up partner referrals with local tattoo artists. 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
July came in at $18,700. A large back piece series started this month, our biggest size tier, so I tracked it apart from the smaller session sales that make up most bookings.
- Large tattoo series enrollmentSession package revenue, large
- Small tattoo single sessionSingle session revenue
- Cover-up referral fade packagePartner referral revenue
- Cutera laser leaseLaser equipment
- Laser technician payrollTechnician wages
Why your books are different
A tattoo removal clinic's books go wrong around size, series length, and referrals.
A small ankle tattoo and a full back piece are priced completely differently, a series can run for a year or more, and some clients arrive through a partnership with a tattoo shop planning a cover-up rather than full removal. A generalist has no framework for any of it.
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1
Pricing tiers by size hide what's actually selling
A small, medium, large, and extra-large tattoo each carry a different price point, and averaged together in one revenue line, you cannot tell whether small quick sessions or large multi-year series are actually driving the business.
What we doTracks session and package revenue by size tier, so you can see which tiers are actually filling the schedule and paying the bills. -
2
A multi-session series can run over a year
A full removal series typically takes 6 to 10 or more sessions spaced weeks apart, sometimes stretching past a year, and a package paid up front can make one month look strong while most of the sessions are still owed.
What we doKeeps package revenue tracked against sessions actually delivered, so a big enrollment month doesn't overstate what's already been earned. -
3
Cover-up referral partnerships have their own pricing
A client referred by a tattoo artist for a partial fade before a cover-up often pays a different, usually shorter package than someone pursuing full removal, and blended together you cannot tell how much of your business depends on those partnerships.
What we doKeeps cover-up partner referral revenue in its own line, so you can see how much that relationship is contributing. -
4
Laser equipment reads as a supply run
A tattoo removal laser can cost as much as a car, and filed as supplies, a purchase wrecks the month it was bought and hides what it's worth over years.
What we doFlags a big equipment purchase the day it lands, logs it as equipment, and lets the accountant decide how it gets written off.
Your categories
The categories Gus keeps for a tattoo removal clinic.
Set up once for how sessions, series, and referrals all get paid. You never pick a category. He does, and an accountant checks it.
Money in
- Single session revenueOne-off sessions paid without a full package.
- Session package revenue by sizeMulti-session series priced by tattoo size, tracked against sessions delivered.
- Partner referral revenueCover-up fade packages referred in by local tattoo artists.
- Numbing and aftercare product salesProducts sold at checkout alongside sessions.
Money out
- Laser equipmentRemoval lasers, logged so they get written off right.
- Technician wagesLaser technicians, kept apart from front desk pay.
- Numbing and aftercare suppliesTopical numbing agents and post-treatment care products.
- Rent and utilitiesTreatment rooms and reception space.
- Liability insuranceCoverage for the studio and its technicians.
- Marketing and referral partnershipsAdvertising and any costs tied to maintaining tattoo shop partnerships.
- Practice management softwareScheduling and payment tools for sessions and packages.
What we watch for you
- Revenue by size tier
Which tattoo size categories are actually filling the schedule and driving revenue.
- Package revenue owed
How much prepaid package money still represents sessions not yet delivered.
- Referral partnership share
How much of the business comes from cover-up referral partnerships versus direct clients.
- The set-aside
What you will owe, tracked every month, so April is a number you already knew.
Ask Gus
Things tattoo removal clinic 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 track revenue by size tier, so you can see that directly instead of guessing from one blended number.
No, I track package revenue against sessions actually delivered, so this month reflects what's really been earned, not the whole package price.
I keep that revenue in its own line, so you can see the real contribution instead of it blending into regular client revenue.
The tax side
The tax side of a tattoo removal clinic.
Most of what matters here is timing multi-session package revenue correctly and tracking laser equipment as a capital purchase.
What your return has to get right
Your accountant signs it, so it gets done right the first time.
- Laser equipment purchasesTattoo removal lasers can usually be written off the year you buy them, with 100 percent bonus depreciation available for property acquired after January 19, 2025.
- Multi-session package revenue timingA prepaid removal series is income when sold, but keeping it tracked against sessions delivered helps the accountant match it to the right period as the series continues.
- Referral partnership costsAny marketing or referral fee costs tied to a cover-up partnership are generally deductible as ordinary business expenses in the year they're paid.
- Retail product inventoryNumbing and aftercare products held for resale are generally tracked as inventory, with their cost recognized as items sell.
Deductions tattoo removal clinics miss
Your bookkeeper knows what to look for in your statements. You never have to.
- Laser equipment maintenance
- Numbing and aftercare supplies
- Liability insurance
- Technician certification and training
- Marketing and referral partnership costs
- Treatment room supplies
- Practice management software
- License and permit renewal
- Protective eyewear and safety equipment
- Retail product samples
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 tattoo removal clinic year, kept every month.
Series enrollments, referral partnerships, and seasonal demand each move on their own rhythm. Your taxes come on a fixed schedule. Your team keeps you ahead of both. 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, and you get a monthly set-aside so April is already handled, even with long series still in progress.
- 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 size tier mix or referral partnerships changed the number.
- October
Before year end
Gus looks at equipment worth buying and anything worth doing before December, as new series enrollments often continue steadily.
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 tattoo removal clinics. 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 tattoo removal clinic owners ask first.
Do you handle insurance billing since this is a medical laser treatment?
No. Gus does not handle insurance billing, medical coding, or claims of any kind. Tattoo removal is cash-pay, and Gus works from what actually lands in your bank account.
A client bought a full series but stopped after a few sessions. What happens to that money?
Gus keeps prepaid package revenue tracked separately from earned revenue. What to do about an unfinished series is a policy call for you and your accountant.
How do you handle pricing that varies so much by tattoo size?
Gus tracks revenue by size tier, so you can see which tiers are actually driving the business rather than averaging everything together.
Our cover-up referral partnerships bring in a different kind of client. Does that need its own bookkeeping?
Yes, and Gus already keeps referral partnership revenue in its own line, so you can see exactly how much that relationship contributes.
A series can take over a year to finish. Does that confuse the books?
No. Gus tracks package revenue against sessions actually delivered, so a long series reads as a steady, ongoing relationship rather than one big payment.
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