VIO Med Spa Earns Place Among Nation's Largest Franchise Systems on 2026 Franchise Times Top 400

• Physician-guided medical spa franchise ranks No. 373 based on 2025 global systemwide sales
• Record year for development, which added 19 new owners to fuel national growth
• Next-generation store design lowers development costs while ClubVIO membership model supports recurring revenue for franchisees

NASHVILLE, Tenn., Oct. 1, 2026 /PRNewswire/ -- VIO Med Spa , a nationally recognized, physician-guided medical spa franchise specializing in advanced, non-invasive aesthetic and wellness treatments, has ranked No. 373 on the  2026 Franchise Times Top 400, an annual ranking of the largest U.S.-based franchise systems by global systemwide sales.

Compiled through a five-month research and reporting process, the 2026 ranking reflects franchise systems' worldwide sales during 2025. Published in the October issue of Franchise Times, the report examines sales and unit growth across major franchise categories, providing benchmarks for existing and prospective franchisees to evaluate brand performance. Collectively, the ranked systems generated $784.6 billion in annual sales, a 4.3 percent increase over the prior year.

Health and medical led all industry sectors analyzed in the 2026 report, with systemwide sales increasing 10.9 percent in 2025.

VIO Med Spa is advancing its own growth strategy through national franchise development and investments in its operating model. The brand signed 19 new franchise owners during the first nine months of 2026, marking its strongest development performance since it began franchising.

"VIO is the national leader in franchising for medical aesthetics, and we see our momentum only getting stronger," said Ryan Rose, Chief Executive Officer of VIO Med Spa. "We are pursuing new markets, building a deeper presence in existing ones, and investing in a model that supports multi-unit ownership. Our ambition is bigger than adding locations. We want to build a franchise system that attracts strong operators and gives them compelling reasons to keep expanding with us."

Expanding Across New and Existing Markets

VIO Med Spa's recent development activity includes a three-unit agreement marking its entry into South Carolina in the greater Charleston area, an agreement to enter the New York City market in Queens, and its first planned Richmond-area location in Midlothian, Virginia. In Texas, the brand expanded its Dallas presence through the acquisition of two existing locations by a new franchise owner, alongside an agreement for a future location in Prosper.

The expansion reflects VIO's focus on entering new markets while building regional density in areas where the brand already operates. Its franchise network includes owners with backgrounds in healthcare, hospitality, real estate, fitness, and multi-unit business operations.

Strengthening Recurring Revenue and Lowering Development Costs

Alongside franchise development, VIO Med Spa has introduced initiatives designed to strengthen both the ownership model and the guest experience.

Earlier this year, the brand launched ClubVIO, a membership model designed to help franchisees build recurring revenue through ongoing guest engagement. By making aesthetic wellness part of a routine, the program supports repeat visits and longer-term guest relationships, creating a more predictable revenue stream for owners.

VIO also unveiled a next-generation store design that combines a hospitality-inspired environment with a smaller footprint and streamlined investment model. First introduced in Zionsville, Indiana, the concept will serve as the national standard for future locations and is designed to lower development costs while enhancing the guest experience.

Franchise owners receive support across development, marketing, operations, training and compliance as they prepare to open and operate their locations.

A Physician-Guided Model Built for Scalable Growth

Built on established clinical protocols and medical oversight, VIO Med Spa delivers a range of medical-grade aesthetic and wellness services, including injectables, skin rejuvenation, laser treatments, and facials, which are designed to prioritize safety, consistency, and results.

Named the #1 Med Spa Franchise in Entrepreneur Magazine's Franchise 500® for a third straight year in 2026, VIO Med Spa is attracting experienced and new operators drawn to the brand's strong unit-level performance. VIO Med Spa's Franchise Disclosure Document reports a $1.3M AUV for all operating locations throughout 2025, along with a $2.3M top-quartile system average*.

VIO Med Spa is seeking qualified franchise partners and multi-unit operators with backgrounds in healthcare-adjacent businesses, hospitality, fitness, and other service-driven industries. For more information about franchise opportunities, visit viomedspafranchise.com.

The complete 2026 Franchise Times Top 400 ranking is available at franchisetimes.com/top-400-2026.

About VIO Med Spa®
Founded in 2017, VIO Med Spa is a category-leading medical spa franchise redefining results-driven aesthetics and wellness with an uncompromising commitment to safety. Headquartered in Nashville, TN, VIO is built on the philosophy that every guest deserves transparent, expert-led, and personalized care. Entering 2026, the nationally recognized brand operates 65 locations across 20 states, with more than 175 territories open, sold, or actively in development. Backed by Freeman Spogli, a strategic growth partner with deep experience scaling consumer and franchise brands, VIO is supported by robust operational infrastructure, expanded senior leadership and field operations, data-driven insights, and long-term capital to fuel continued expansion. VIO offers a full range of treatments, including injectables, skin rejuvenation, advanced facials, wellness services, and medical-grade skincare, all designed to help guests look great and feel amazing®.

*Source: Item 19, VIO Med Spa 2026 Franchise Disclosure Document (issued March 13, 2026), reflecting average Gross Sales of Operational Franchise Outlets during the 2025 Calendar Year, based on a total of 51 Operational Franchise Outlets (16 operating as a Spa and 35 as a Spa Management Business); the total represents the cumulative average across all four quartiles. 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.

SOURCE VIO Med Spa