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Operations · Fractional COO

Operations. The seat that decides whether the day runs without you.

A fractional COO owns how the spa runs: the schedule, the team, the front desk, the rebooking, the systems behind them. I ran all of it for 26 years. This is what the seat covers and how it works.

In my spaI ran the provider schedule, hired and reviewed the team, built the rebooking that kept the book full, and wrote the front-desk script myself. Twenty-six years of Tuesdays. Steph: one specific operations story with a number: utilization, rebooking rate, no-show rate, a hiring turnaround.

What the seat covers

What you get each month

How an engagement runs

  1. The audit first. Two to three weeks across all four areas, so the seat starts with a ranked list, not a guess.
  2. Thirty-day setup. Access, baselines, the first dashboard, the first fixes that pay for the month.
  3. The cadence. Steph: days or hours per month, remote or on site, how the month is structured.
  4. Term and price. Scoped after the audit, once I know what the seat actually needs to cover.

Who this is for

Owner-operators of a single-location spa doing one to five million who are still treating patients and still running the building from memory. You have a team. You may have a manager. What you do not have is anyone who owns how the whole thing runs.

Not for: spas without a team yet, or owners who want the plan but will not change how the front desk answers the phone. The seat only works when I can change things.

Questions
I already have an office manager. Why would I need this?

A manager runs the day. A COO runs the system behind the day and holds the manager to a plan. Most good managers get better with someone to report to who understands the work, and that person is usually not the owner between patients.

Will you be on site?

Steph: your actual answer.

How do I know it is working?

Three numbers you can read weekly: utilization, rebooking rate, and no-show rate. If they are not moving inside ninety days, we talk about why, and the answer may be that this was the wrong seat.

Start here

Not sure this is the seat? That is what the audit is for.

All four areas, one report, ranked by dollars. If the leak is somewhere else, the report says so.

Book the Audit →