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ISPA Research
Rate of recovery

PwC’s Russell Donaldson breaks down the spa industry’s resurgence and digs deeper into ISPA’s 2022 US Spa Industry Study


New research from the ISPA Foundation shows clear evidence of a swift bounceback in the industry’s key metrics right across the US. The pre-pandemic heights of 2019 have come back into sight, and the industry has moved well down the road to recovery as it welcomes back customers.

Challenges persist, however, amid an uncertain economic climate – not least when it comes to staffing – a problematic issue the industry has been facing long before the arrival of COVID-19.

At the same time, the so-called ‘new normal’ has created opportunities, with spas ever conscious of the need to show agility and make important choices and decisions to keep the industry moving forward in this new era.

A return to growth
The economic shock in the second quarter of 2020 inevitably had a major effect on the spa industry. The 2021 US Spa Industry Study, compiled by ISPA in collaboration with PricewaterhouseCoopers (PwC), showed a sharp fall in each of the industry’s ‘Big Five’ statistics in 2020, with revenues falling 36 per cent year-on-year, their first significant fall since the impact of the Great Recession in the late 2000s.

However, comparisons between these two periods of economic turmoil may not be all that helpful, as the pandemic saw a very different economic context to that of just over a decade ago.

The Great Recession generated a crisis of demand – people had less disposable income, so demand for activities such as spa-going fell. Conversely, the pandemic was a short-term crisis of supply and like so many businesses, most spas had to temporarily close, so spa-going became one of the many things people were unable to do.

At the same time, large parts of the population were able to save more money than usual, creating pent-up demand for the time when some normalcy resumed. That generated a ‘V-shaped recovery’ in the wider US economy – a relatively quick recovery after a sharp decline. And with consumers flocking back to spas, the data from ISPA’s 2022 US Spa Industry Study shows the sector has benefited from this phenomenon, with the surge in demand.

Industry revenues bounced back to US$18.1bn (€17.9bn, £15bn) in 2021, a 49 per cent rebound from the 2020 figure, bringing the long sought-after target of US$20bn (€19.7bn, £16.6bn) back into view. Spa visits recovered by 40 per cent to 173 million, and bringing these two metrics together sees a sharp jump in the ever-important revenue-per-visit metric which – at US$104.50 (€103.13, £86.79) – now sits at an all-time high for the industry.

This said, the visitation number is still almost 20 million visits short of 2019’s record high, so where have the other 20 million visits gone? Consumer data suggests this is partly down to people finding it difficult to get an appointment – but there is also a group of people who feel they need a little more time before they venture back to the spa.

So this means that, put simply, those who were visiting spas in 2021 were spending more.

The staffing challenge
We know the pandemic had an impact on the total number of spa sites and people who work in them. Despite the difficulties, openings and closures appear to have stayed steady in the last year after the 2020 hardships, with the number of US spas still in excess of 21,500.

The pandemic severely restricted spas’ operational capacity during 2020, and while the majority were fully functioning again in 2021, ISPA’s study shows that almost a third (31 per cent) were either operating at reduced hours (29 per cent) or temporarily closed (2 per cent). When asked about the reasons for this, the overwhelming factor is staffing.

For the majority (70 per cent), staff shortages are a problem; but staff sickness has also played its part (41 per cent).

ISPA’s latest research estimates that there were over 345,000 people working in the US spa industry in 2021, making it a significant contributor to the health of the wider economy. But staffing remains a hot topic for industry leaders. It’s not a new challenge for the industry, but few spa leaders would likely disagree that the pandemic has made it a problem of greater magnitude.

More than two thirds (68 per cent) of spa professionals who responded to this year’s industry study said they don’t have enough staff to service guest requests, meaning lost revenue for the industry, but unfilled vacancies are an old problem. Back in 2019, ISPA’s research estimated almost 29,000 service provider vacancies. This year’s research estimates a 46,760 shortfall in total across all service provider positions, with around 30,000 massage therapist vacancies alone.

Looking specifically at massage therapists, half of spas responding to the survey said the recruitment challenges were driven by a lack of qualified candidates. A smaller number (43 per cent) said recruitment was being made more difficult by therapist concerns about COVID-19 and the close-contact nature of the work – perhaps a statistic that will fall as time moves on from the pandemic’s darkest days.

challenges & opportunities
A specific challenge for the industry will be reinforcing the attractiveness of the work to potential candidates, with many spas saying recruitment of massage therapists is hindered by simply attracting candidates to apply (39 per cent), work schedules (32 per cent) and perceptions of compensation (26 per cent). Perhaps it’s no surprise that 82 per cent of spas reported at least some level of increase in massage therapist compensation in 2021.
In spite of the concerns around staffing and the wider economic picture, spa leaders see cause for optimism. When asked about what they see as the single biggest opportunity for the industry in the US, many saw the current staffing challenges as giving impetus to further enhance both service provider education and staff wellbeing to help encourage greater retention of staff, with ‘workplace wellness’ featuring as a theme in a number of responses.

More widely, wellness continues to be viewed by leaders as a big opportunity for the industry, and is an important service that spas can provide as ‘safe spaces’ for the public at a time when concerns around anxiety, isolation and stress remain high.

In the wake of the pandemic, for many spa leaders the opportunity is for a return to what the industry does best. With many people becoming more comfortable with a gradual return to ‘close contact services’ and the return of travel and tourism, many see the time ahead as an opportunity to capitalise on what remains of the pent-up demand created by the pandemic.

foundation for the future
The pandemic’s impact on the US spa industry seems, thankfully, to have been a short, sharp dip and not the onset of a sustained downturn. Spa-going surged as the economy reopened and the pent-up demand for services was unleashed as people started to spend the money they saved during the economic shutdown. Spa-going’s resurgence has also benefited from the increased focus on health and wellbeing following the physical and mental scars left on society by the pandemic, with wellness on the minds of many consumers.

All the same, the sudden upturn in demand continues to shine a light on the industry’s staffing challenges. Many industries have had trouble recruiting during the pandemic, but for the spa industry it has made a difficult issue even more challenging and will remain a top priority in industry leaders’ minds.

The other major immediate concern for spas is challenges for the wider economy. The spa industry’s performance has long been regarded as a bellwether of the wider US economy – so far, demand generally seems to have remained steady, but if the last two years have taught us anything, it’s the impossibility of knowing what lies ahead. So, the risks of headwinds in the wider economy influencing the spa industry remain. That said, ISPA’s US Spa Industry Study 2022 shows that the spa industry has returned to a strong position after the shock of the pandemic and has real momentum to fuel its long-term growth.

Russell Donaldson / Photo: PwC

More: A full copy of the 2022 ISPA US Spa Industry Study is available at www.experienceispa.com

Read more from this issue of Attractions Management magazine

View contents of Attractions Management 2022 issue 3
Wellness continues to be seen as a big opportunity
Wellness continues to be seen as a big opportunity / Photo: Shutterstock/Andrey_Popov
*Count includes spas temporarily closed at the end of 2021
*Count includes spas temporarily closed at the end of 2021
US spas are only 20 million visits short of the 2019 high
US spas are only 20 million visits short of the 2019 high / Photo: Shutterstock/Sabrina Bracher
More than 345,000  people were working in the US spa industry in 2022
More than 345,000 people were working in the US spa industry in 2022 / Photo: Shutterstock/Krakenimages.com
COMPANY PROFILES
IAAPA EMEA

IAAPA Expo Europe was established in 2006 and has grown to the largest international conference and [more...]
RMA Ltd

RMA Ltd is a one-stop global company that can design, build and produce from a greenfield site upw [more...]
instantprint

We’re a Yorkshire-based online printer, founded in 2009 by Adam Carnell and James Kinsella. [more...]
IDEATTACK

IDEATTACK is a full-service planning and design company with headquarters in Los Angeles. [more...]
+ More profiles  
FEATURED SUPPLIER

Iconic Liverpool attraction opens door to new operators
An opportunity to reimagine one of the UK’s most recognisable towers has been formally opened by Rivington Hark, as St Johns Beacon invites operators and partners to shape its next phase. [more...]
CATALOGUE GALLERY
 

+ More catalogues  
DIRECTORY
+ More directory  
DIARY

 

09-11 Jun 2026

World Sauna Forum 2026

Savutuvan Apaja, Haapaniemi, Finland
23-26 Aug 2026

Elevate Spa Riviera Maya Edition

The Riviera Maya Edition Kanai, Playa del Carmen, Mexico
+ More diary  
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ISPA Research
Rate of recovery

PwC’s Russell Donaldson breaks down the spa industry’s resurgence and digs deeper into ISPA’s 2022 US Spa Industry Study


New research from the ISPA Foundation shows clear evidence of a swift bounceback in the industry’s key metrics right across the US. The pre-pandemic heights of 2019 have come back into sight, and the industry has moved well down the road to recovery as it welcomes back customers.

Challenges persist, however, amid an uncertain economic climate – not least when it comes to staffing – a problematic issue the industry has been facing long before the arrival of COVID-19.

At the same time, the so-called ‘new normal’ has created opportunities, with spas ever conscious of the need to show agility and make important choices and decisions to keep the industry moving forward in this new era.

A return to growth
The economic shock in the second quarter of 2020 inevitably had a major effect on the spa industry. The 2021 US Spa Industry Study, compiled by ISPA in collaboration with PricewaterhouseCoopers (PwC), showed a sharp fall in each of the industry’s ‘Big Five’ statistics in 2020, with revenues falling 36 per cent year-on-year, their first significant fall since the impact of the Great Recession in the late 2000s.

However, comparisons between these two periods of economic turmoil may not be all that helpful, as the pandemic saw a very different economic context to that of just over a decade ago.

The Great Recession generated a crisis of demand – people had less disposable income, so demand for activities such as spa-going fell. Conversely, the pandemic was a short-term crisis of supply and like so many businesses, most spas had to temporarily close, so spa-going became one of the many things people were unable to do.

At the same time, large parts of the population were able to save more money than usual, creating pent-up demand for the time when some normalcy resumed. That generated a ‘V-shaped recovery’ in the wider US economy – a relatively quick recovery after a sharp decline. And with consumers flocking back to spas, the data from ISPA’s 2022 US Spa Industry Study shows the sector has benefited from this phenomenon, with the surge in demand.

Industry revenues bounced back to US$18.1bn (€17.9bn, £15bn) in 2021, a 49 per cent rebound from the 2020 figure, bringing the long sought-after target of US$20bn (€19.7bn, £16.6bn) back into view. Spa visits recovered by 40 per cent to 173 million, and bringing these two metrics together sees a sharp jump in the ever-important revenue-per-visit metric which – at US$104.50 (€103.13, £86.79) – now sits at an all-time high for the industry.

This said, the visitation number is still almost 20 million visits short of 2019’s record high, so where have the other 20 million visits gone? Consumer data suggests this is partly down to people finding it difficult to get an appointment – but there is also a group of people who feel they need a little more time before they venture back to the spa.

So this means that, put simply, those who were visiting spas in 2021 were spending more.

The staffing challenge
We know the pandemic had an impact on the total number of spa sites and people who work in them. Despite the difficulties, openings and closures appear to have stayed steady in the last year after the 2020 hardships, with the number of US spas still in excess of 21,500.

The pandemic severely restricted spas’ operational capacity during 2020, and while the majority were fully functioning again in 2021, ISPA’s study shows that almost a third (31 per cent) were either operating at reduced hours (29 per cent) or temporarily closed (2 per cent). When asked about the reasons for this, the overwhelming factor is staffing.

For the majority (70 per cent), staff shortages are a problem; but staff sickness has also played its part (41 per cent).

ISPA’s latest research estimates that there were over 345,000 people working in the US spa industry in 2021, making it a significant contributor to the health of the wider economy. But staffing remains a hot topic for industry leaders. It’s not a new challenge for the industry, but few spa leaders would likely disagree that the pandemic has made it a problem of greater magnitude.

More than two thirds (68 per cent) of spa professionals who responded to this year’s industry study said they don’t have enough staff to service guest requests, meaning lost revenue for the industry, but unfilled vacancies are an old problem. Back in 2019, ISPA’s research estimated almost 29,000 service provider vacancies. This year’s research estimates a 46,760 shortfall in total across all service provider positions, with around 30,000 massage therapist vacancies alone.

Looking specifically at massage therapists, half of spas responding to the survey said the recruitment challenges were driven by a lack of qualified candidates. A smaller number (43 per cent) said recruitment was being made more difficult by therapist concerns about COVID-19 and the close-contact nature of the work – perhaps a statistic that will fall as time moves on from the pandemic’s darkest days.

challenges & opportunities
A specific challenge for the industry will be reinforcing the attractiveness of the work to potential candidates, with many spas saying recruitment of massage therapists is hindered by simply attracting candidates to apply (39 per cent), work schedules (32 per cent) and perceptions of compensation (26 per cent). Perhaps it’s no surprise that 82 per cent of spas reported at least some level of increase in massage therapist compensation in 2021.
In spite of the concerns around staffing and the wider economic picture, spa leaders see cause for optimism. When asked about what they see as the single biggest opportunity for the industry in the US, many saw the current staffing challenges as giving impetus to further enhance both service provider education and staff wellbeing to help encourage greater retention of staff, with ‘workplace wellness’ featuring as a theme in a number of responses.

More widely, wellness continues to be viewed by leaders as a big opportunity for the industry, and is an important service that spas can provide as ‘safe spaces’ for the public at a time when concerns around anxiety, isolation and stress remain high.

In the wake of the pandemic, for many spa leaders the opportunity is for a return to what the industry does best. With many people becoming more comfortable with a gradual return to ‘close contact services’ and the return of travel and tourism, many see the time ahead as an opportunity to capitalise on what remains of the pent-up demand created by the pandemic.

foundation for the future
The pandemic’s impact on the US spa industry seems, thankfully, to have been a short, sharp dip and not the onset of a sustained downturn. Spa-going surged as the economy reopened and the pent-up demand for services was unleashed as people started to spend the money they saved during the economic shutdown. Spa-going’s resurgence has also benefited from the increased focus on health and wellbeing following the physical and mental scars left on society by the pandemic, with wellness on the minds of many consumers.

All the same, the sudden upturn in demand continues to shine a light on the industry’s staffing challenges. Many industries have had trouble recruiting during the pandemic, but for the spa industry it has made a difficult issue even more challenging and will remain a top priority in industry leaders’ minds.

The other major immediate concern for spas is challenges for the wider economy. The spa industry’s performance has long been regarded as a bellwether of the wider US economy – so far, demand generally seems to have remained steady, but if the last two years have taught us anything, it’s the impossibility of knowing what lies ahead. So, the risks of headwinds in the wider economy influencing the spa industry remain. That said, ISPA’s US Spa Industry Study 2022 shows that the spa industry has returned to a strong position after the shock of the pandemic and has real momentum to fuel its long-term growth.

Russell Donaldson / Photo: PwC

More: A full copy of the 2022 ISPA US Spa Industry Study is available at www.experienceispa.com

Read more from this issue of Attractions Management magazine

View contents of Attractions Management 2022 issue 3
Wellness continues to be seen as a big opportunity
Wellness continues to be seen as a big opportunity / Photo: Shutterstock/Andrey_Popov
*Count includes spas temporarily closed at the end of 2021
*Count includes spas temporarily closed at the end of 2021
US spas are only 20 million visits short of the 2019 high
US spas are only 20 million visits short of the 2019 high / Photo: Shutterstock/Sabrina Bracher
More than 345,000  people were working in the US spa industry in 2022
More than 345,000 people were working in the US spa industry in 2022 / Photo: Shutterstock/Krakenimages.com
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+ More news   
 
COMPANY PROFILES
IAAPA EMEA

IAAPA Expo Europe was established in 2006 and has grown to the largest international conference and [more...]
RMA Ltd

RMA Ltd is a one-stop global company that can design, build and produce from a greenfield site upw [more...]
instantprint

We’re a Yorkshire-based online printer, founded in 2009 by Adam Carnell and James Kinsella. [more...]
IDEATTACK

IDEATTACK is a full-service planning and design company with headquarters in Los Angeles. [more...]
+ More profiles  
FEATURED SUPPLIER

Iconic Liverpool attraction opens door to new operators
An opportunity to reimagine one of the UK’s most recognisable towers has been formally opened by Rivington Hark, as St Johns Beacon invites operators and partners to shape its next phase. [more...]
CATALOGUE GALLERY
+ More catalogues  
DIRECTORY
+ More directory  
DIARY

 

09-11 Jun 2026

World Sauna Forum 2026

Savutuvan Apaja, Haapaniemi, Finland
23-26 Aug 2026

Elevate Spa Riviera Maya Edition

The Riviera Maya Edition Kanai, Playa del Carmen, Mexico
+ More diary  
 


ADVERTISE . CONTACT US

Leisure Media
Tel: +44 (0)1462 431385

©Cybertrek 2026

ABOUT LEISURE MEDIA
LEISURE MEDIA MAGAZINES
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