The Field Notes
A short observation posted every day by Joseph Coram — one paragraph, no fluff, drawn from what's actually moving in aesthetic medicine and medspa finance right now.
We explore the operational realities of integrating GLP-1 medications into medical spas, focusing on long-term patient retention and safety protocols.
Learn how to position your medical spa for a high-multiple acquisition by focusing on owner-independence and clean EBITDA reporting.
We examine how private equity roll-ups are reshaping the medical spa landscape and what valuation multiples mean for independent practice owners.
We compare SBA 7(a) loans and equipment financing for medspas, highlighting cash flow impacts and the importance of UCC-1 filings in device acquisition.
Learn how lenders evaluate medspa business plans in 2026, focusing on secondary repayment sources and clinical compliance beyond simple cash flow.
Learn how to manage lead times and strategic financing when adding high-capital laser technology to your medical spa inventory.
Mastering the intersection of medical director oversight and telehealth compliance is vital for maintaining a legal and profitable medspa operation.
Learn how to manage your Google Business Profile like a clinical operator to dominate local search results and drive more patient consultations.
Learn why service-based tiers outperform simple discounts in medspa membership models to drive long-term recurring revenue and patient loyalty.
We analyze why menopause-focused aesthetics represents a massive business opportunity and how operators can integrate hormone therapy with skin health.
We analyze the clinical synergy of PRF, polynucleotides, and tear-trough filler to manage patient expectations and maximize medical spa profitability.
Learn why prioritizing Sculptra and Radiesse improves patient outcomes and med spa profitability compared to traditional hyaluronic acid filler strategies.
Learn why stamp-style microchanneling offers superior control and lower overhead compared to traditional motorized microneedling in a clinical setting.
Learn why medical spas are returning to aggressive chemical peels and the business logic behind combination protocols like Jessner and TCA stacking.
Learn how we treat retail sunscreen and medical-grade skincare as the foundation for consistent monthly revenue and patient retention in our medical spa.
Learn how adding testosterone therapy and hormone optimization can stabilize your medspa's monthly recurring revenue and improve patient outcomes.
Learn essential compliance standards for IV vitamin therapy, focusing on physician oversight and proper medical screening to protect your med spa license.
Boost medical spa profitability and patient retention by adding high-margin lash lifts and brow lamination to your clinical service mix.
Learn why moving AviClear and Accure from package deals to monthly subscriptions stabilizes med spa cash flow and improves long-term patient outcomes.
A operator's guide to integrating Ultherapy Prime and Sofwave into your medical spa's aesthetic device portfolio for maximum clinical efficacy.
Compare fat freezing and electromagnetic muscle stimulation to optimize your body contouring revenue and patient outcomes with Joseph Coram.
We compare Diode and Alexandrite lasers for medspa conversion rates, focusing on patient comfort, skin type versatility, and long-term equipment costs.
A professional operator's take on using picosecond lasers for tattoo removal and pigment correction to improve clinical results and patient throughput.
Learn how we manage RF microneedling consumables and patient expectations to drive profitability in a modern medical spa setting.