America’s Best Franchises (ABF) Brand Insight —
Med spa is one of the few consumer categories still growing at double digits, and VIO is the biggest franchised name in it — three straight years at #1 on Entrepreneur’s list. The model is physician-guided: a licensed medical director oversees treatment, and the owner runs the business. ClubVIO memberships turn injectables and facials into recurring visits. Freeman Spogli backs the brand, and 65 locations are open across 20 states. The bar to enter is high at $500,000 liquid.
At a Glance
- Liquid Capital Required: $500,000 (readily available cash or cash-equivalent assets — not from borrowing, selling a primary residence, or relying on future income)
- Ownership Model: Owner-operator, or absentee with a strong management team
- Location Type: Retail med spa, build-out required
- Time Commitment: Full-time, or managed through a hired team
- Experience Required: None in medicine; sales, management or healthcare background preferred
About VIO Med Spa
Brothers Joe and Nick Stanoszek founded VIO in Strongsville, Ohio in 2017 and began franchising in 2019. The brand now operates 65 locations across 20 states from headquarters in Nashville, with more than 175 territories open, sold or in development. Freeman Spogli is its growth partner.
Treatments span injectables, skin rejuvenation, laser, advanced facials, wellness services and medical-grade skincare, all under physician oversight. ClubVIO, launched this year, puts those services on a membership. Entrepreneur has ranked VIO the #1 med spa franchise three years running, and Franchise Times placed it No. 373 on the 2026 Top 400.
Why Own a VIO Med Spa Franchise?
- Ranked the #1 med spa franchise by Entrepreneur in 2024, 2025 and 2026, and No. 373 on the 2026 Franchise Times Top 400.
- ClubVIO memberships convert treatments that already require repeat visits into predictable monthly revenue.
- A next-generation store design, first built in Zionsville, Indiana, lowers development cost and is now the national standard.
- Freeman Spogli backs the brand, bringing capital and experience scaling consumer and franchise systems.
- Owners are not required to be physicians — each location needs a licensed medical director, and the brand helps connect owners with one.
- Nineteen new franchise owners signed in the first nine months of 2026, the strongest development year since franchising began.
Why This Opportunity, Why Now
ABF Market Analysis —
The med spa category has moved from novelty to routine. Minimally invasive treatments that were unusual a decade ago are now scheduled like haircuts, and the industry is projected to reach $59.4 billion globally by 2033 at a 13.2% compound rate. The economics: the average med spa sees 245 patient visits a month, 73% of them repeat customers, spending an average of $527 a visit. That is a high-ticket service with built-in frequency. Most of the category is still independent clinics without brand recognition or clinical standardization.
ABF Timing Insight —
VIO signed 19 new owners in the first nine months of 2026 and is adding density in markets it already serves rather than scattering units. Recent agreements cover Charleston, Queens, Richmond and Dallas. The smaller next-generation footprint lowers what it costs to open, which matters at this investment level. Area development agreements are available for operators planning several locations, with a reduced development fee on each additional unit.
Training & Support
- Pre-opening training covers the business model, finding and retaining qualified staff, local marketing, the technology stack, and setting growth targets.
- A real estate team helps identify the site and manage build-out, now against the smaller next-generation design.
- The operations manual and marketing plan document the processes in full, so owners work from reference rather than guesswork.
- Corporate teams in marketing, operations and clinical support work with first-time and experienced owners alike.
- The brand helps owners connect with qualified medical professionals to meet state medical-director requirements.
Who Are We Looking For
- Sales experience and the drive to build a book of clients
- Comfort leading licensed medical providers
- Connected and personable in the local community
- Able to set an example and lead a team
- Prepared to follow established processes rather than improvise
Who Is Not A Good Fit
- Owners unwilling to take on state medical-director requirements and clinical compliance, obligations that do not exist in most retail franchises
- Anyone expecting a quick opening — this is a full retail med spa with construction, equipment and licensing ahead of day one
Frequently Asked Questions
Q: What does the Item 19 financial performance data show?
A: The 2026 Franchise Disclosure Document, issued March 13, 2026, reports average gross sales of $1,254,631 across 51 operational franchise outlets during calendar year 2025. The median was $1,125,341. The top quartile of 13 outlets averaged $2,320,621; the bottom quartile of 12 averaged $472,854. The full range ran from $236,722 to $5,931,838. Some outlets have achieved this level of performance; there is no assurance a new franchisee will achieve similar results. Individual results may vary, and past performance does not guarantee future results.
Q: Do I need to be a doctor?
A: No. Each location requires a licensed medical director to oversee clinical treatments, and VIO helps owners connect with qualified medical professionals. The owner runs the business.
Q: Can this be run absentee?
A: Both models work. Owner-operators who are hands-on often ramp fastest, but absentee ownership is possible with a strong management team and a licensed medical director in place.
Next Steps
If you are drawn to the fastest-growing corner of consumer wellness, a membership model built on treatments people already repeat, the category’s most recognized brand, and a path to multiple locations under one development agreement, VIO Med Spa is worth a direct conversation. We recommend reviewing the Franchise Disclosure Document and speaking with existing owners as part of your due diligence. Complete the form below to request a qualification review and discuss territory availability for VIO Med Spa.
This profile represents general franchise information. Individual results may vary. Refer to the Franchise Disclosure Document for complete details.