
Terri Ross Consulting (TRC), a consulting firm specializing in medical aesthetic and integrative wellness practices, has launched a Fractional CFO Advisory Service and named Emily Brems to lead the new division.
Brems brings a blend of executive finance expertise and hands-on industry experience, having previously served as CFO for a 16-location aesthetics group and currently operating a multi-location aesthetic practice.
Outsourcing specialized leadership for expert financial oversight signals industry solutions that could potentially directly impact clinic growth, as many multi-location aesthetic clinics struggle with complex financial decisions: According to AmSpa’s 2022 Medical Spa State of the Industry Report, 81% of all medical spas are single location practices while only 8% are part of a franchise.
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With over 20 years of financial and operational leadership, Brems brings deep expertise in the financial and strategic challenges of scaling aesthetic business. Over the past decade, Brems has held CFO roles within the aesthetics industry and is a frequent speaker at national conferences. She holds an MBA from the Simmons School of Management at Simmons University.
“Many fractional CFO services rely on a single advisor’s perspective,” said Terri Ross, Founder and CEO of Terri Ross Consulting. “At TRC, financial leadership is integrated into the broader systems we build for aesthetic and wellness practices. Our clients already rely on us for strategy, sales, operations, and growth. With Emily leading this division, we’re extending that framework to include financial oversight that helps owners make smarter decisions as they scale.”
As aesthetic practices grow and operations become more complex, many owners need sophisticated financial leadership without the overhead of a full-time CFO. The Fractional CFO service provides structured financial oversight, including performance analysis, cash-flow planning, KPI development, and rolling forecasts, supported by monthly operating reviews and quarterly strategic planning.










