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Health & Wellness Spas in the US - Market Research Report (2014-2029)

Michal Dalal Michal Dalal New York, United States Last Updated: October 2024 NAICS OD4186

Revenue

$20.9bn

2024

$20.9bn

Past 5-Year Growth

Profit

$X.Xbn

Employees

373k

Businesses

19,998

Wages

$XX.Xbn

Health & Wellness Spas in the US industry analysis

Health and wellness spas have been navigating a time of both challenge and opportunity over the last few years. The industry includes a variety of health and wellness facilities like day spas, spa resorts, hotel spas and medical spas. Most spa services, like massages and other bodywork services, are discretionary. Performance is tied to fluctuations in consumer disposable income and confidence. Labor shortages, particularly in positions like massage therapists and aestheticians, have forced spas to innovate with touchless therapy offerings like flotation chambers and saunas. A trend in wellness tourism can be observed, with travelers seeking exclusive treatments and experiences that cater to their self-care needs. Revenue is forecast to fall at a CAGR of 1.8% to $20.9 billion through the end of 2024, despite an uptick of 0.9% in 2024 alone.

Trends and Insights

  • The aging workforce and insufficient new entrants have created a significant shortage of skilled therapists. To cope, spas are turning to touchless therapies like floatation chambers and saunas.
  • Massage and bodywork treatments dominate the spa industry. They're the lifeblood of resort and hotel spas, driving over half their revenue. Older adults, prone to chronic conditions, are avid patrons who benefit immensely from these therapies.
  • Highly populated urban areas are ideal for spas. The Southeast's growing population and disposable income fuel its health and wellness market. More people have the means to splurge on premium spa services, making this region a hotspot for wellness businesses.
  • Health and wellness spas face intense competition, so differentiation is key to success. Offering superior quality, creative services and exceptional customer care can make all the difference.

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  • Market estimates from 2014-2029
  • Critical performance data and rankings
  • Detailed analysis of competitive forces and the external environment
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Industry Statistics and Trends

Market size and recent performance (2014-2029)

Industry revenue has declined at a CAGR of 1.8 % over the past five years, to reach an estimated $20.9bn in 2024.

Trends and Insights

Labor issues plague health and wellness spas

  • Health and wellness spas grapple with a shortage of massage therapists and aestheticians. The 2023 ISPA U.S. Spa Industry Study estimates 35,870 job vacancies across the spa industry, including 21,270 for massage therapist positions.
  • Additional trends and insights available with purchase
Health & Wellness Spas in the US
Revenue (2014-2029)
IBISWorld Logo Source: IBISWorld

Industry outlook (2024-2029)

Market size is projected to grow over the next five years.

Trends and Insights

Technology will continue to play an important role

  • More spas will offer touchless therapies as the labor issues that plague the industry will persist. Spas will conduct more of their business online, like retail sales and client consults, as consumers have grown increasingly comfortable using additional services via the Internet.

Biggest companies in the Health & Wellness Spas in the US

Company
Market Share (%)
2024
Revenue ($short_0)
2024
Profit ($short_0)
2024
Profit Margin (%)
2024

There are no companies that hold a large enough market share in the Health & Wellness Spas in the US industry for IBISWorld to include in this product.

Products & Services Segmentation

Health & Wellness Spas in the US
Products & Services
IBISWorld Logo Source: IBISWorld

Industry revenue is measured across several distinct product and services lines, including Massage and bodywork treatments, Skincare treatments and Salon services. Massage and bodywork treatments is the largest segment of the Health & Wellness Spas in the US.

Trends and Insights

Massage and bodywork treatments are the core offering of health and wellness spas

  • Massage and bodywork encompass many treatments, including deep-tissue massage, acupuncture and trigger-point therapy.
  • More insights available in the full report

Table of Contents

About this industry

Industry definition

Health and wellness spas offer guests various spa services, including massages, facials and body treatments. Businesses included are day spas, spa resorts, hotel spas and medical spas.

What's included in this industry?

Massage and bodywork treatmentsSkincare treatmentsSalon servicesRetail sales

Companies

Purchase this report to view all major companies in this industry.

Related Terms

BODYWORKEXFOLIATIONFACIAL MASK

Industry Code

NAICS 2017

NAICS 81219 - Health & Wellness Spas in the US

Performance

Get an indication of the industry's health through historical, current and forward-looking trends in the performance indicators that make or break businesses.

Analyst insights

The aging workforce and insufficient new entrants have created a significant shortage of skilled therapists. To cope, spas are turning to touchless therapies like floatation ...

In this chapter (4)

  • Current Performance
  • Outlook
  • Volatility
  • Life Cycle

Key metrics

  • Annual Revenue, Recent Growth, Forecast, Revenue Volatility
  • Number of Employees, Recent Growth, Forecast, Employees per Business, Revenue per Employee
  • Number of Businesses, Recent Growth, Forecast, Employees per Business, Revenue per Business
  • Total Profit, Profit Margin, Profit per Business

Charts

  • Revenue, including historical (2014-2023) and forecast (2024-2029)
  • Employees, including historical (2014-2023) and forecast (2024-2029)
  • Businesses, including historical (2014-2023) and forecast (2024-2029)
  • Profit, including historical (2014-2024)
  • Industry Volatility vs. Revenue Growth
  • Industry Life Cycle

Detailed analysis

  • Trends in supply, demand and current events that are driving current industry performance
  • Expected trends, economic factors and ongoing events that drive the industry's outlook
  • Key success factors for businesses to overcome volatility
  • How contribution to GDP, industry saturation, innovation, consolidation, and technology and systems influence the industry's life cycle phase.

Products and Markets

Learn about an industry's products and services, markets and trends in international trade.

Analyst insight

Massage and bodywork treatments dominate the spa industry. They're the lifeblood of resort and hotel spas, driving over half their revenue. Older adults, prone to chronic con...

In this chapter

  • Products & Services
  • Major Markets

Key metrics

  • Largest market segment and value in 2024
  • Product innovation level

Charts

  • Products & services segmentation in 2024
  • Major market segmentation in 2024

Detailed analysis

  • Trends impacting the recent performance of the industry's various segments
  • Innovations in the industry's product or service offering, specialization or delivery method
  • Key factors that successful businesses consider in their offerings
  • Buying segments and key trends influencing demand for industry products and services

Geographic Breakdown

Discover where business activity is most concentrated in an industry and the factors driving these trends to find opportunities and conduct regional benchmarking.

Analyst insights

Highly populated urban areas are ideal for spas. The Southeast's growing population and disposable income fuel its health and wellness market. More people have the means to s...

In this chapter (1)

  • Business Locations

Charts

  • Share of revenue, establishment, wages and employment in each state
  • Share of population compared to establishments in each region in 2024

Tables

  • Number and share of establishments in each state in 2024
  • Number and share of revenue each state accounts for in 2024
  • Number and share of wages each state accounts for in 2024
  • Number and share of employees in each state in 2024

Detailed analysis

  • Geographic spread of the industry across North America, and trends associated with changes in the business landscape
  • Key success factors for businesses to use location to their advantage

Competitive Forces

Get data and insights on what's driving competition in an industry and the challenges industry operators and new entrants may face, with analysis built around Porter's Five Forces framework.

Analyst insights

Health and wellness spas face intense competition, so differentiation is key to success. Offering superior quality, creative services and exceptional customer care can make a...

In this chapter (4)

  • Concentration
  • Barriers to Entry
  • Substitutes
  • Buyer & Supplier Analysis

Key metrics

  • Industry concentration level
  • Industry competition level and trend
  • Barriers to entry level and trend
  • Substitutes level and trend
  • Buyer power level and trend
  • Supplier power level and trend

Charts

  • Market share concentration among the top 4 suppliers from 2019-2024
  • Supply chain including upstream supplying industries and downstream buying industries, flow chart

Detailed analysis

  • Factors impacting the industry’s level of concentration, such as business distribution, new entrants, or merger and acquisition activity.
  • Key success factors for businesses to manage the competitive environment of the industry.
  • Challenges that potential industry entrants face such as legal, start-up costs, differentiation, labor/capital intensity and capital expenses.
  • Key success factors for potential entrants to overcome barriers to entry.
  • Competitive threats from potential substitutes for the industry’s own products and services.
  • Key success factors for how successful businesses can compete with substitutes.
  • Advantages that buyers have to keep favorable purchasing conditions.
  • Advantages that suppliers have to maintain favorable selling conditions.
  • Key success factors for how businesses can navigate buyer and supplier power.

Companies

Learn about the performance of the top companies in the industry.

Analyst insights

No single spa garners 5.0% or more of the market. Geographic barriers and the relatively low barriers to entry lead to a high number of businesses.

In this chapter

  • Market Share Concentration
  • Companies
  • Company Spotlights

Charts

  • Industry market share by company in 2020 through 2024
  • Major companies in the industry, including market share, revenue, profit and profit margin in 2024

Detailed analysis

    External Environment

    Understand the demographic, economic and regulatory factors that shape how businesses in an industry perform.   

    Analyst insights

    Health and wellness spas have numerous supportive associations, with educational and charitable outreach available. Industry associations support spas by contributing to rese...

    In this chapter

    • External Drivers
    • Regulation & Policy
    • Assistance

    Key metrics

    • Regulation & policy level and trend
    • Assistance level and trend

    Charts

    • Regulation & Policy historical data and forecast (2014-2029) 
    • Assistance historical data and forecast (2014-2029) 

    Detailed analysis

    • Demographic and macroeconomic factors influencing the industry, including Regulation & Policy and Assistance
    • Major types of regulations, regulatory bodies, industry standards or specific regulations impacting requirements for industry operators
    • Key governmental and non-governmental groups or policies that may provide some relief for industry operators.

    Financial Benchmarks

    View average costs for industry operators and compare financial data against an industry's financial benchmarks over time. 

    Analyst insights

    Locating in prime areas is costly, forcing spas to raise prices and constraining profit. Bundling services can attract a loyal customer base, which, in the long term, will be...

    In this chapter

    • Cost Structure
    • Financial Ratios
    • Key Ratios

    Key metrics

    • Profit margin, and how it compares to the sector-wide margin
    • Average wages, and how it compares to the sector-wide average wage
    • Largest cost component as a percentage of revenue
    • Industry average ratios for days' receivables, industry coverage and debt-to-net-worth ratio

    Charts

    • Average industry operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2024
    • Average sector operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2024
    • Investment vs. share of economy

    Data tables

    • Industry Multiples (2017-2022)
    • Industry Tax Structure (2017-2022)
    • Income Statement (2017-2022)
    • Balance Sheet (2017-2022)
    • Liquidity Ratios (2017-2022)
    • Coverage Ratios (2017-2022)
    • Leverage Ratios  (2017-2022)
    • Operating Ratios (2017-2022)
    • Cash Flow & Debt Service Ratios (2014-2029)
    • Revenue per Employee (2014-2029)
    • Revenue per Enterprise (2014-2029)
    • Employees per Establishment (2014-2029)
    • Employees per Enterprise (2014-2029)
    • Average Wage (2014-2029)
    • Wages/Revenue (2014-2029)
    • Establishments per Enterprise (2014-2029)
    • IVA/Revenue (2014-2029)
    • Imports/Demand (2014-2029)
    • Exports/Revenue (2014-2029)

    Detailed analysis

    • Trends in the cost component for industry operators and their impact on industry costs and profitability 

    Key Statistics

    Industry Data

    Data Tables

    Including values and annual change:

    • Revenue (2014-2029)
    • IVA (2014-2029)
    • Establishments (2014-2029)
    • Enterprises (2014-2029)
    • Employment (2014-2029)
    • Exports (2014-2029)
    • Imports (2014-2029)
    • Wages (2014-2029)

    Top Questions Answered

    Unlock comprehensive answers and precise data upon purchase. View purchase options.

    What is the market size of the Health & Wellness Spas in the US industry in United States in 2024?

    The market size of the Health & Wellness Spas in the US industry in United States is $20.9bn in 2024.

    How many businesses are there in the Health & Wellness Spas in the US industry in 2024?

    There are 19,998 businesses in the Health & Wellness Spas in the US industry in United States, which has declined at a CAGR of 0.5 % between 2019 and 2024.

    Has the Health & Wellness Spas in the US industry in United States grown or declined over the past 5 years?

    The market size of the Health & Wellness Spas in the US industry in United States has been declining at a CAGR of 1.8 % between 2019 and 2024.

    What is the forecast growth of the Health & Wellness Spas in the US industry in United States over the next 5 years?

    Over the next five years, the Health & Wellness Spas in the US industry in United States is expected to grow.

    What does the Health & Wellness Spas in the US in United States include?

    Massage and bodywork treatments and Skincare treatments are part of the Health & Wellness Spas in the US industry.

    How competitive is the Health & Wellness Spas in the US industry in United States?

    The level of competition is high and steady in the Health & Wellness Spas in the US industry in United States.

    Related Industries

    Widen your competitive advantage with related industries

    Competitors

    • Gym, Health & Fitness Clubs in the US
    • Hotels & Motels in the US
    • Hair & Nail Salons in the US
    • Tanning Salons in the US

    Complementors

    • There are no industries to display.

    International industries

    • Gym, Health & Fitness Clubs in Canada
    • Gyms and Fitness Centres in Australia
    • Gyms and Fitness Centres in New Zealand
    • Gyms & Fitness Centres in the UK
    • Personal Trainers in the UK

    View all industries in United States

    Methodology

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    Our analysts start with official, verified and publicly available sources of data to build the most accurate picture of each industry. Analysts then leverage their expertise and knowledge of the local markets to synthesize trends into digestible content for IBISWorld readers. Finally, each report is reviewed by one of IBISWorld’s editors, who provide quality assurance to ensure accuracy and readability.

    IBISWorld relies on human-verified data and human-written analysis to compile each standard industry report. We do not use generative AI tools to write insights, although members can choose to leverage AI-based tools within the platform to generate additional analysis formats.

    What data sources do IBISWorld analysts use?

    Each industry report incorporates data and research from government databases, industry-specific sources, industry contacts, and our own proprietary database of statistics and analysis to provide balanced, independent and accurate insights.

    Key data sources in the US include: 

    • US Census Bureau
    • US Bureau of Labor Statistics
    • US International Trade Commission

    Analysts also use industry specific sources to complement catch-all sources, although their perspective may focus on a particular organization or representative body, rather than a clear overview of all industry operations. However, when balanced against other perspectives, industry-specific sources provide insights into industry trends.

    These sources include:

    • Industry and trade associations
    • Industry federations or regulators
    • Major industry players annual or quarterly filings

    Finally, IBISWorld’s global data scientists maintain a proprietary database of macroeconomic and demand drivers, which our analysts use to help inform industry data and trends. They also maintain a database of statistics and analysis on thousands of industries, which has been built over our more than 50-year history and offers comprehensive insights into long-term trends.

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