Exit-ready operations for multi-location medspas

Built for owners of 5 to 25 location medspas running Zenoti, Boulevard, or Mangomint. Your team executes. We run the system that makes execution happen and gets counted.

Who Etienne is for

Good fit:

  • Med spa groups running 5 to 25 locations on Zenoti, Boulevard, or Mangomint
  • Owners, COOs, and Operations Directors who need to close the gap between insight and execution
  • PE-backed aesthetics practices that need a diligence-grade operating cadence across sites
  • Regional chains growing through acquisition that need consistent SOPs across newly integrated centers

Not a good fit:

  • Single-location practices (the cross-location cadence does not apply yet)
  • Plastic surgery practices with one attached medspa (different patient mix and billing model)
  • Enterprise groups at 30-plus locations (the Engine cadence needs more than one analyst at that scale)

What you get

Three ways to work together. Start free. Go deeper only if the numbers warrant it.

Free$0

The 48-Hour Leakage Map

Send us one CSV from your booking system. We run the analysis. Your Leakage Map comes back in 48 hours: every dollar leak across every location, ranked by size, with the cause named. No call required. Yours to keep.

90-day engagement$7,500 base + 15% of measured recovery

The Exit Engine

The working relationship. Your team executes. We lock the baseline, write the fixes, run the Monday numbers, and count the money against your own booking data. You pay performance only on dollars we can prove.

Continuity$3,500/month, group-wide

The Operator's Desk

Available only after the Engine. Keeps the Monday numbers coming, the baseline current, and the data room warm. Weekly numbers, monthly review with Jim, quarterly exit-readiness refresh.

See the full breakdown of each tier on the How It Works page.

Important distinction

We're an operating system, run by a person. Not a software product.

There is no dashboard to log into. No platform to learn. Your team executes the fixes in their own locations. Jim locks the baseline, writes the fixes word for word, runs the Monday numbers, and asks why any fix that stalled, stalled. If you want a SaaS tool, this isn't it. If you want the accountability structure a diligence team will pay a premium for, that's what we do.

Start with the free Map.

Send your CSV. Get your Leakage Map in 48 hours. No call required. No commitment.

If you want to talk through the numbers first, grab a 20-minute call below.