Best Med Spa Management Companies and Management Services (2026): 8 Compared
Compare 8 med spa management companies and operating partners: how each is paid, whether it takes equity, and what to ask before you sign.
For med spa owners. Updated October 22, 2026 · Prepared by Prospyr. Prospyr makes practice software, not management services, and none of the companies below is a Prospyr product. This guide compares 8 med spa management companies and operating partners: who runs what, how each is paid, and what an owner keeps. If you are still deciding on a legal structure, start with our guide to med spa MSOs and the friendly PC model, then come back here to compare who can run the business day to day. Each summary reflects what the company publishes on its own website, checked October 2026. Deal terms, fees and ownership rules change, so get every term in writing and have your own healthcare attorney review it before you sign.
What does a med spa management company do?
A med spa management company runs the business side of a practice so the medical side can stay with licensed providers. That usually means hiring and HR, payroll and bookkeeping, vendor contracts and group purchasing, marketing, reporting, and sometimes access to capital. Some companies take over daily operations, some provide shared back-office services to a group of practices, and some only cover administrative staffing. The differences that matter are how the company gets paid, whether it takes equity, and how hard it is to leave.
Management company or MSO: what is the difference?
The terms overlap. "Management company" describes what the company does: it runs or supports operations. "MSO" (management services organization) usually describes a legal structure: a business entity that provides non-clinical services to a physician-owned practice under a management services agreement, often to meet corporate practice of medicine rules. A management company may operate through an MSO, and an owner may set up their own MSO and still hire an outside management company. Our MSO guide covers the structure and the friendly PC model in detail; this list focuses on who does the operating work.
The 8 med spa management companies at a glance
| # | Company | Model and who it serves | Published pricing or terms | Worth a call if you want |
|---|---|---|---|---|
| 1 | Aviva Aesthetics | Owner-governed platform for established med spas | Owners keep 100% of their equity until a future platform sale | Platform-level support and a future group exit without selling now |
| 2 | Strategy Aesthetics (Upkeep Ventures) | Operating partner for med spa owners who want to step back | No flat fees, no retainers, 0% equity; paid only on growth above your baseline | Someone else to run daily operations while you keep ownership |
| 3 | myMedSpa | Hands-on operating and investment partner for med spa owners | Not published; customized partnership plan | An operator team that has run med spas itself |
| 4 | The Aesthetics Group (TAG) | Shared-services partner for independent aesthetic and wellness practices | Not published; states it does not buy practices | Group back office while you keep your brand |
| 5 | Empower Aesthetics | Growth platform with a central back office for med spa entrepreneurs | Not published | Marketing, new-location development and payroll support across sites |
| 6 | PAVA USA | Physician-led alliance of established aesthetics practices | Not published; offers a free practice valuation | A clinician-run group that keeps your brand and clinical leadership |
| 7 | MedGrid MSO | Medical direction, compliance and supply membership for aesthetic and wellness clinics | Quoted per clinic; 12-month term | A physician-backed structure and compliance file for a new or small clinic |
| 8 | Staffingly | Offshore back-office staff for med spas (not a full management company) | Solo compliance bundle advertised at "well under $500 a month" | Admin help without giving up control of the business |
How we chose this list
We looked for companies that name med spas or aesthetic practices as a core market and offer to manage or support the business side, then checked four things an owner can verify before a first call:
- How the company is paid: a flat fee, a share of revenue, a share of growth, or equity.
- What you keep: equity, brand, and control over clinical and vendor decisions.
- What it actually runs: daily operations, shared back-office services, staffing only, or compliance and medical direction.
- How plainly it explains its terms on its own website.
We left out practice-software companies that also sell MSO setup, because they compete with Prospyr, and private equity buyers whose main offer is to purchase a majority of your practice (we cover those in our guide to private equity platforms in med spas). Several companies here also appear in our MSO guide, which compares them on legal structure rather than on operating support. The order is our editorial view, not a measure of results. Most companies in this category do not publish fees, so treat this as a starting shortlist.
1Aviva Aesthetics#
Aviva Aesthetics is a med spa platform with a Chicago address that describes itself as "a private equity-quality medical aesthetics platform that is owned, led, and governed by med spa business owners." Its site states that it is a DuneGlass Capital company.
What stands out:
- Entrepreneur Equity model. Aviva states that med spa owners "retain 100% of the equity in their business" while they work with it, including all profits until the platform is sold.
- Owner-led governance. It reports a med spa owner-majority board of directors and entrepreneurs chairing 100% of the platform's management committees, and states that owner-operators control clinical and business decisions at both the practice and platform levels.
- Support and education. It describes "significant support from a world-class management team," plus a bespoke financial analysis and an Aviva Academy of webinars and owner guides.
- Growing footprint. Its news page announces partner practices in states including Oregon, Arizona, Illinois, Ohio, Indiana, Pennsylvania, Virginia and New Mexico.
Aviva advertises that owners can "earn 2-3x more when the platform is sold" compared with other exit options such as private equity. That is a projection, not a guarantee.
Right for: an established, profitable med spa owner who wants back-office support now and a group exit later, without selling a majority stake today. Ask: which services are included and what they cost before a sale, what you give up when the platform is sold, and how you leave if you change your mind.
2Strategy Aesthetics (Upkeep Ventures)#
Strategy Aesthetics, the operating partner that previously appeared on this list as Upkeep Ventures, offers to take over day-to-day operations of an existing med spa while the owner keeps the business. As of October 2026, the upkeepventures.com site presents it as "A Shane Patrick Smith Company." It states that Shane Smith founded UPKEEP Med Spa, serves as CEO of Alchemy 43, and oversees a platform of 16+ locations.
What stands out:
- No equity, no flat fee. It states that it takes 0% equity and charges "no flat fees and no retainers"; its pay is "tied entirely to incremental growth above your existing baseline."
- Broad scope. Operations management, capital access (growth and equipment financing, expansion and working capital), cost reduction including injectable group purchasing, growth and marketing, monthly P&L reporting and KPI dashboards, and transition support with 30/60/90-day milestone tracking.
- Brand stays yours. Its comparison table lists 100% brand autonomy, against rebranding under a typical private equity deal.
Right for: an owner who is burned out on operations and wants to step back without selling. Ask: exactly how the baseline is set and the growth share is calculated, how long the agreement runs, how many outside practices it manages today beyond its founder's own brands, and who makes hiring decisions for your providers.
Choosing vendors for your practice?
Prospyr runs the practice they plug into: booking, charting, packages and payments on one patient record. We move your data over for you.
3myMedSpa#
myMedSpa partners with med spa owners to handle operations, staff development, systems and purchasing. Founded by CEO Jerred Mann, it describes "a tight-knit team of former medspa owners, providers, and healthcare professionals." It says it is "smaller by design" and builds a "customized partnership plan" for each practice.
A testimonial on its site reports that Rejuvv grew "from 2 to 5 locations in 6 months" after partnering. myMedSpa's wording ("We don't just invest, we collaborate") suggests some partnerships include investment, but it does not publish deal structure or fees.
Right for: a multi-location or growth-stage owner who wants an operator team working inside the practice, not remote consulting. Ask: whether the deal includes equity, how the management fee is set, and what happens to your brand and staff if you part ways.
4The Aesthetics Group (TAG)#
The Aesthetics Group describes itself as a management services organization for independent aesthetic and wellness practices. It states that it is "not private equity" and that "We don't buy practices. We build partnerships." Its team page lists founders from L&P Aesthetics in California and Utah Facial Plastics, along with a COO and CFO.
What stands out:
- Six shared-service areas. Finance and accounting (monthly reporting, budgeting, forecasting), HR (recruiting, onboarding, centralized payroll and benefits), marketing (multi-location campaigns, website and SEO), operations management (SOPs, scheduling, compliance support, KPIs), procurement with negotiated injectable and device contracts, and technology and IT support.
- Brand autonomy. It states that founders keep control of brand, culture and the patient experience, and it lists "100%" brand autonomy and protected clinical independence.
- Equity language without terms. Its founder section mentions "equity participation" and succession pathways but does not publish how equity, fees or exits work.
Right for: an established independent practice that wants group-level finance, HR and purchasing support without being acquired. Ask: how the fee is calculated, what "equity participation" means in practice, how many partner practices it supports today, and how you exit the arrangement.
5Empower Aesthetics#
Empower Aesthetics describes itself as a medical aesthetics platform that partners with med spa and aesthetic entrepreneurs to help them "grow, thrive, and focus on what they do best: caring for patients." As of October 2026, its site lists 12 partners, 20 locations and 25+ sister companies in healthcare, with partner practices in New York, Tennessee, Texas, Missouri, Ohio and Rhode Island. Its footer names SCP Medspa Services, LLC.
What stands out:
- A central back office. It offers to take on payroll, bill pay and other administrative work.
- Growth functions. A multi-channel marketing engine, new location development and ramp-up, group purchasing, provider utilization and analytics.
- People. Recruiting, training and retention under a provider-focused talent strategy.
Its homepage does not describe deal structure, equity or brand terms.
Right for: an owner who wants to add locations with a group's marketing and development team behind them. Ask: whether partnering means a sale, what share you keep, who backs the platform, and whether your practice name stays.
6PAVA USA#
PAVA USA (Premier Aesthetics & Vitality Alliance) describes itself as an alliance of entrepreneurial clinicians that provides "hands-on strategic and operational support" to established aesthetics practice owners. Its leadership includes CEO and founder Dr. Douglas Wisor and other physician founders, plus a CFO and COO. As of October 2026 it lists 13 partner practices in Oklahoma, Missouri, Arkansas, Maryland, Virginia and Washington, DC.
What stands out:
- Brand and clinical leadership stay. It states each partner practice keeps its own brand, culture and clinical leadership, and that clinicians retain their clinical autonomy.
- Shared services. Recruiting and training, IT, digital marketing and SEO, patient engagement, vendor relations, finance strategy and business analytics.
- A starting point. It offers prospective partners a free practice valuation.
Equity and deal terms are not published.
Right for: a clinician-owner who wants a group run by clinicians rather than a pure financial buyer. Ask: the ownership structure of a partnership, what you keep at closing, and which of your systems and vendors change.
7MedGrid MSO#
MedGrid MSO combines physician medical direction, compliance documents and a supply catalog in one membership for med spas, IV, weight-loss and other wellness clinics. It states that it is built by Skydell Holdings, a company that supplies independent clinics. MedGrid states it connects clinics with physicians licensed in their state, sets up physician-owned PC structures for the state, keeps delegation agreements, standing orders and consents current, and advertises going "From Signing to Seeing Patients in About 30 Days." It also lists payroll and books "split correctly by entity" and marketing services.
Its pricing page says the onboarding fee is a flat fee quoted at signup, the monthly fee is per clinic and reconciled monthly, and the term is twelve months. It states that catalog access is free for any verified clinician, and its FAQ says you do not have to buy from the catalog.
Right for: a nurse practitioner, injector or entrepreneur opening a first clinic who needs the structure and the compliance file more than an operator. Ask: who drafts and owns the MSO and PC agreements, what the monthly fee covers, and what happens at the end of the twelve-month term.
8Staffingly#
Staffingly is not a full management company. It is a healthcare back-office outsourcing company whose med spa service provides a HIPAA-trained, offshore team in India, Pakistan and Bangladesh for intake, scheduling, before-and-after photo handling, GLP-1 program admin, membership billing and lab coordination inside the software you already use. It states that it signs BAAs, works on "Admin and operations only," and can be "Live in 1 to 2 weeks." It advertises a solo compliance bundle at "well under $500 a month."
Right for: an owner who wants to keep full control of the business but needs admin hours covered. Ask: the exact monthly price for your hours, who supervises the team day to day, how access to patient records is controlled, and what notice is needed to cancel. Staffingly also sells AI tools; we list it for its staffing service only.
Questions to ask any med spa management company
- How are you paid? Get the formula in writing: flat fee, percentage of revenue, share of growth, or equity. If the arrangement runs through an MSO and a physician-owned practice, ask your attorney whether the fee is set at fair market value.
- What do I keep? Equity, brand name, patient list, vendor accounts, and the right to choose your own providers and suppliers.
- How do I leave? Ask for the term, the notice period, any buyout or unwind cost, and what happens to staff, contracts and records on exit.
- Who makes clinical decisions? Management companies should run business functions only. Confirm the medical director or physician-owned practice keeps every clinical call.
- Will you sign a BAA? Any company touching patient records, intake or billing should.
- Who drafts the legal documents? Have your own healthcare attorney review the management services agreement, even if the company provides one.
- Can I talk to current partners? Ask for two owners who joined at least a year ago.
Where Prospyr fits
A management company runs the business side; your practice platform is where the day-to-day records live. If a management partner will handle reporting, staffing or purchasing across locations, make sure it can read the data it needs, such as bookings, revenue by provider and product use, from one system. Prospyr's analytics and multi-location tools are built for that, or you can book a practice demo.
Frequently asked questions
What is the difference between a med spa management company and an MSO?
A management company is defined by the work it does: running or supporting operations. An MSO is a legal entity that provides non-clinical services to a medical practice under a management services agreement. Many management companies work through an MSO, but not every MSO is run by an outside company; some owners set up and run their own. See our med spa MSO guide for the structure and the friendly PC model.
Do I need a management company to own a med spa?
No. A management company is a service you choose to hire. Whether you need an MSO structure depends on your state and your license: in states with corporate practice of medicine rules, non-physicians usually own the business through an MSO while a physician owns the medical practice. Our PC, PLLC and MSO comparison explains the options, and a healthcare attorney should confirm what your state allows.
How much does a med spa management company cost?
Most companies on this list do not publish fees. Strategy Aesthetics states it is paid only on growth above your baseline, MedGrid quotes per clinic on a 12-month term, and Staffingly advertises a solo bundle under $500 a month. Ask every company for a written fee formula.
Is a management company the same as selling to private equity?
No. A management company can be a service you hire while you keep ownership. A private equity platform usually buys a majority of your practice. Some models on this list, like Aviva and The Aesthetics Group, describe themselves as alternatives to a private equity sale. See our private equity platforms guide for buyers.
What should a management company never control?
Clinical decisions. Treatment protocols, delegation, prescribing and patient care belong to licensed providers and the medical director. If you also need a medical director, compare options in our medical director services list.
When does a growing practice need a management partner?
Often when an owner is running two or more locations and spending most of the week on staffing, vendors and reporting. Before you sign, benchmark your numbers with these KPI resources and consider a multi-location consultant as a lighter option.
Want your company considered?
We review this list quarterly. Companies that manage or support med spa operations can send their website and what they offer practices to info@prospyrmed.com. Inclusion is editorial and not paid.
Editorial scope
This list is based on each company's public website, checked October 2026 with AI-assisted research. Companies did not review this article before publication. It is not legal advice, a guarantee of results, or a substitute for checking references and having an attorney review your agreements. Read our methodology or report a correction.