FacilityNeat
DepartmentPatient acquisition
Service areaUnited States
FormNT-01
Confidential — completed by the clinic owner. Neat collects no patient information on this form.
1. ClinicSolo-owner med spa
2. OwnerOwner-operator — RN, NP, PA, or aesthetician
3. LocationsOne, United States
4. Annual revenue$1,000,000 – $1,500,000
5. Record no.NT-2026-0001
6. Date of service
The team you couldn’t hire. The channels you couldn’t measure.
Neat runs three core services for U.S. med spas and aesthetic clinics — paid search, local SEO, and SMS-first lead response — for one fee. Ad spend billed separately, with a $2,000-a-month floor.
Who Neat is, and who it’s for
Neat is a growth agency for independent, owner-operated med spas and aesthetic clinics in the United States — not injectables alone. Body contouring, laser, skincare, wellness: whatever an owner-operator runs under one roof.
One team runs paid search, local SEO, and lead response as three core lines, with reputation and email available when the clinic’s scheduling system supports them — for $2,000 a month, add-ons priced at onboarding. Built for a single clinic, not a franchise playbook.
SubjectiveOwner’s words
“I’m spending hours every night on marketing that doesn’t work.”
“I feel like I’m throwing money into a black hole and hoping patients come out.”
— Owner, recorded at intake
Chairs sit empty midweek while the spend continues. There is no line from a dollar spent to a name on the schedule, so nothing can be turned up or shut off with any confidence.
ObjectiveMeasured
| Finding | Value | Note |
|---|---|---|
| Market structure | 81% single-site | Independent and not consolidating. 3% PE-owned, unchanged since 2022. (AmSpa SOTI 2024) |
| Marketing budget, published average | 7% of revenue | Range 2–15%. The only figure AmSpa has published. |
| Inbound lead response, typical | Hours → never | The lead books wherever it answers first. |
| Cost of 24/7 reception desk | $208,059/yr | $18.27/hr × 8,760 hrs × 1.30 loaded. (BLS OES, May 2025) |
AssessmentImpression
Under-marketed independent clinic with unused capacity, priced out of the only service model that would fix it.
Not a discipline problem and not a clinical one. A cost problem.
PlanFive sites — three core, two add-ons
| Include | Site | Service | Targets | Frequency |
|---|---|---|---|---|
| 1 | Paid media — Search-first | Google Search primary. Meta layered when Search is profitable, Instant Form optimization only. | Weekly | |
| 2 | Local SEO and Google Business Profile | Map pack position, profile, service pages for the treatments sold. | Monthly | |
| 3 | Lead response — SMS-first | Every inquiry answered by text in under five minutes. Conversation 9 AM–8 PM local. Agent declares itself. | Continuous | |
| 4 | Reputation and reviews | Review velocity — from 6/month spontaneous to 25+. Requires scheduling-system triggers. | After visits | |
| 5 | Email and SMS | Recall, offers, reminders. Consent architecture (PEWC) verified before first send. | Twice monthly |
7. Fee — services selected above
$2,550/mo
8. Ad spendBilled separately. $2,000/month floor.
9. Term3 months, then month to month
10. Scheduling systemPMS verified at onboarding
For office use only
Why Neat costs less than a full-service agency
Neat runs three lines of work with AI and one person. The AI does the repeatable execution — campaign builds, page builds, listings, review requests, lead follow-up. A human Project Manager owns the account, approves everything before it ships, and signs with their own name.
We say AI — not “automated execution” — because that is what it is, and in 2026 twelve or more vendors in this market already say the same thing. The credit is not in declaring it. The credit is in answering three questions no one else writes down: which part does the machine do, who signs with their own name, and what happens when it makes a mistake.
Before you book
(three reasons Neat says no)
- Under $1,000,000 a year in revenue
- Multi-location groups
- Wanting Neat to own your patient data
Neat turns these away. Below $1 million, the retainer plus minimum ad spend leaves nothing measurable on any platform.
CertificationOwner signature
I have read the sections above, including the fee and the reasons Neat says no. I am requesting the intake call: thirty minutes, no charge, no deck. Bring the last three months of spend, your booking numbers, and the name of your scheduling system.
Sends to hello@neat.international with your estimated fee attached. Submitting unlocks the calendar below so you can pick a time directly.
NT-01 (Rev. 8/26)
Previous edition is not usable
Growth Record — Independent Med Spa
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