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Fractional COO — Med Spa Exclusive

Your Med Spa Needs a COO.
Not a Coach. Not an Agency.

A full-time Chief Operating Officer costs $200,000+ per year. Our Fractional COO model gives your med spa the same executive-level operations leadership — weekly oversight, team accountability, revenue optimization, and scalable systems — for a fraction of the investment.

You focus on patients. We run the business.

Serving Med Spas Nationwide — Headquartered in Chicago, IL

$30M+Revenue generated across client practices
3–6 MoAverage time to measurable results
MHAMasters in Healthcare Administration
NationwideServing med spas across the United States
Sound Familiar?

You Built a Great Med Spa.
Now the Business Is Running You.

Most med spa owners are brilliant clinicians who never signed up to be a full-time business operator. Here is what that looks like in practice.

You are working 60+ hours a week and still feel like the business is behind

Staff turnover is high, team morale is inconsistent, and you are always the one putting out fires

Revenue is growing but profit margins are not — and you are not sure where the money is going

You have no clear KPIs, no weekly reporting, and no real visibility into what is actually driving growth

Compliance, HIPAA, and state regulations feel like a moving target you are always behind on

You have big growth goals but no operational infrastructure to support scaling to a second location

This is exactly what a Fractional COO solves. That is our job.

Your Executive Partner

What Your Fractional COO Actually Does

This is not consulting from a distance. Your Fractional COO is embedded in your business — owning operations, driving accountability, and executing your growth plan every week.

Systems & SOPs

We build every operational system your med spa needs — from front desk workflows to treatment room protocols — so your business runs without you in every room.

Team Management & Accountability

We manage your team performance, set clear expectations, run accountability check-ins, and handle the difficult conversations so you do not have to.

Revenue Optimization

We analyze your service menu, pricing, upsell pathways, and membership programs to maximize revenue per patient visit and increase lifetime patient value.

KPI Tracking & Reporting

We define the metrics that matter for your practice, track them weekly, and deliver clear executive reports so you always know exactly where your business stands.

Vendor & Contract Management

We negotiate with vendors, manage supplier relationships, review contracts, and ensure you are getting the best terms on equipment, supplies, and service agreements.

Compliance & Risk Oversight

We keep your practice aligned with OSHA, HIPAA, and state med spa regulations — proactively managing compliance so you never face a surprise audit or liability.

Financial Oversight

We review your P&L, identify cost leaks, optimize your expense structure, and work alongside your accountant to protect your margins as you grow.

Growth Execution

When you are ready to scale — a second location, a new service line, or a franchise model — we build and execute the operational roadmap to get you there.

This Is For You If...

The Right Fit for a Fractional COO

  • Med spa owners doing $500K–$5M+ in annual revenue who are operationally overwhelmed
  • NPs and PAs who launched a med spa and now need executive-level business leadership
  • Practices with a great clinical team but no one running the business side
  • Owners who want to scale to multiple locations but lack the systems to do it
  • Med spas losing revenue to operational inefficiency, staff turnover, or poor retention
  • Owners who are tired of being the COO, the marketer, the HR manager, and the clinician
This Is NOT For You If...

We Are Selective About Who We Work With

We only take on clients we know we can deliver results for. Our Fractional COO program is not the right fit for everyone — and we would rather be honest upfront.

  • Practices looking for a one-time business plan with no ongoing support
  • Owners who want advice but are not ready to implement changes
  • Med spas under $200K in annual revenue (we have a startup package for that)
  • Anyone looking for a marketing-only or social media management service
The Smart Alternative

Fractional COO vs. Full-Time COO

Same executive-level results. A fraction of the cost. No long-term employment commitment.

What You Get
Full-Time COO
TDC Fractional COO
Annual Cost
$180,000–$250,000+
Starting at $4,995
Benefits & Taxes
+30–40% on top of salary
None
Hiring Timeline
3–6 months to hire
Start within 2 weeks
Healthcare Industry Expertise
Varies — hard to find
MHA-credentialed, med spa specialist
Commitment
Full-time employment contract
Flexible engagement terms
Scalability
Fixed capacity
Scales with your growth stage
Results Timeline
6–12 months to ramp up
Measurable results in 90 days
Fractional COO Packages

Choose Your Engagement

Every package includes a dedicated Fractional COO, weekly executive oversight, and direct access to our healthcare operations team.

Most Popular

3 Month Growth

$4,995

Full Fractional COO engagement — systems, team accountability, KPI tracking, and revenue optimization over 90 days.

  • Dedicated Fractional COO
  • Full operational audit & roadmap
  • Weekly executive oversight calls
  • Team accountability systems
  • KPI tracking & monthly reports
  • Vendor & contract review
  • Revenue optimization strategy
Get Started
Best Value

6 Month Partnership

$8,995

Deep-dive COO partnership for practices ready to scale — multi-location planning, brand development, and investor readiness.

  • Everything in 3 Month Growth
  • Multi-location expansion planning
  • Brand & service line development
  • DSO/exit positioning strategy
  • Investor-ready financial modeling
  • Franchise readiness assessment
  • Priority executive access
Get Started
Ongoing

Fractional COO Subscription

$1,500/mo

Ongoing monthly COO support available after completing the Growth or Partnership program. Keep the momentum going.

  • Monthly executive strategy session
  • Ongoing KPI monitoring
  • Team accountability check-ins
  • On-call COO advisory access
  • Quarterly growth reviews
  • Continued compliance oversight
Get Started

All packages begin with a free 30-minute strategy call. View full pricing details

Your Executive Team

Meet the COOs Behind the Results

You are not getting a junior consultant. You are getting healthcare executives with MHA credentials and real operator experience in the medical aesthetics industry.

Amin Mashouf — Fractional COO & Founder

Amin Mashouf

Fractional COO & Founder

MHA — Masters in Healthcare Administration

Amin has led operations for healthcare practices across med spas, dental offices, and surgery centers. He specializes in building the operational infrastructure that allows practice owners to scale without sacrificing quality or burning out.

Nico Amiran — Fractional COO & Partner

Nico Amiran

Fractional COO & Partner

MHA — Masters in Healthcare Administration

Nico brings deep expertise in compliance, team management, and revenue optimization for medical aesthetics practices. His systematic approach to operations has helped med spa owners reclaim their time while growing their bottom line.

Limited Availability — We Only Take On a Select Number of Clients

Stop Running Your Med Spa
Like a Clinician. Run It Like a CEO.

Book a free 30-minute strategy call. We will review your current operations, identify your biggest bottlenecks, and show you exactly what a Fractional COO would do for your practice — no pressure, no obligation.

Free call. Real strategy. No sales pitch.

Serving med spas nationwide — headquartered in Chicago, IL.