Rebekah and Janelle are back on Operation Med Spa, this time looking ahead to 2026 with a clear message for owners and leaders. Do not let the year happen to you. In this episode, they walk through how to use the lessons of 2025 to set intentional goals, build a realistic budget, and create a plan that ties revenue, operations, and people together.

They start by reframing what planning really means. It is not just building a spreadsheet or picking an arbitrary growth number. They talk about looking carefully at last year’s trends, seeing which treatments gained traction, which categories slipped, and where seasonal dips showed up. From there, they explain how to set a North Star for 2026 and break it down into three to five “big rocks” that guide every decision.

Forecasting takes center stage as they dig into revenue per hour, provider schedules, and utilization. Janelle explains how to model trailing performance into next year while factoring in PTO, schedule changes, and maturity of the clinic. Rebekah adds practical tips on sanity checking month by month so goals are challenging yet still achievable.

They also explore levers that often get ignored until it is too late. Pricing analysis, competitive checks, and tariff driven cost changes all impact margin. CapEx decisions require more than excitement about a new device, so they talk about pairing every purchase with a clear production plan and training timeline.

The episode closes on what may be the most important piece of all: people. Rebekah and Janelle encourage leaders to map out who needs development, who is ready for more, and where future hires will be required. A strong 2026 plan is not just about numbers. It is about having the right team in the right roles, aligned around the same targets.