Related Spa and Beauty Market Reports:
US Spa Market 2010
European Spa Market 2010
Chinese Salon/Spa Market
Global Spa Market 2010
(wellness tourism, travel, recreation, heritage spa, wellness spa, medicinal water, wellness hotels and resorts, destination spa, detox spa, spa hotels, day spas, medical hotels, thermal hotels, leisure facilities,
medical spa industry, diet, beauty and health)
December 2009
Preliminary Table of Contents - subject to change
SECTION REPORT STRUCTURE 13
What this report covers / about this report 13
Countries covered 13
Period / time frames 13
Date of Publication 13
Currency 13
SECTION REPORT SUMMARY AND RECOMMENDATIONS 14
The spa / wellness market defined 14
What spa / wellness report covers 14
Industry information, companies/products, emerging / future 15
Key commercial formulas 15
Key services spa / wellness (current and forecast) key services / products (leaders, basket of / combinations) 15
Changes in demand 16
Problems 16
Brands, and top brands identified 16
Spa/Wellness market geographic spread, commonalities, country specfic 16
Cross comparability Country culture specific Spa and Wellness traditions 16
Cross comparability commercial formulas 17
Consumer segments 17
Drivers Spa/Wellness as cultural heritage, as new lifestyle option 17
Prices and pricing 17
Competition global or local? 17
Spa/Wellness formulas and category supply 17
Category competition services 17
Category competition product retail 18
Performance of different segments 18
New directions low cost beauty and wellness 18
Future directions (partnerships) 19
Beauty future barriers 19
Quotes from market makers about what consumer want 19
Wellness solutions (Western and Complementary or Alternative Medicine) 19
Problems quantifying the Spa Wellness market 20
New segments (parallel convenience, rather than substitute?) 20
New segments (pioneers, and inexperience) 20
Social interest level (tensions) 20
Seasonality (seasonal peaks) 20
Economic impact of pain on society 20
Evidence gathering of cost effectiveness 20
TABLE Spa/wellness market size (units) by country 21
SECTION SPA/WELLNESS MARKET (DEMARCATION) (i) 22
Introduction (demarcation of concepts) 22
GRAPH/TABLE Spa /wellness demarcation by consumer need 22
SPA 22
WELLNESS 22
GRAPH/TABLE Spa/wellness concepts, commercial formulas 22
GRAPH/TABLE Spa/wellness services, therapeutic and non-therapeutic 23
SECTION SPA/WELLNESS MARKET (SEGMENTATION DESCRIPTIVE ANALYSIS) 24
Introduction (fluidity, blurring, hyper differentiation of categories) 24
Market development - branches or circles? 24
Demarcation by regulation 24
GRAPH/TABLE The Spa /Wellness market by providers, gate keeper 25
EXAMPLES TABLE Key services USA salons and medispas 26
EXAMPLES Market actualities not captured by statistical classes (e.g. France) 27
SECTION SPA/WELLNESS MARKET (SEGMENTATION) (i) QUALIFIED) 29
Introduction 29
Spa Wellness beauty traditional vs high tech 29
Introduction Spa / Wellness (spas in hotels, hotels in spas/heritage spas) 30
TABLE Segment spa –– hotels by type 30
Hotel spas, health, fitness and other (3 star, 4 star and 5 star) 30
TABLE Hotel spas (on site, in room, off site) 31
Introduction (fitness, health, Complementary or Alternative Medicine) (health spa, heritage spa) 31
Wellness as sociability - Wellness as health 31
Spa and health care delivery 31
TABLE Spa / Wellness health spa cure spa segments 32
Spa / Wellness health spa (by country) 32
Wellness, primary care (general practice, family doctor, Complementary Alternative Medicine) 32
Wellness market - diabetic foot clinics EU and USA 32
SECTION SPA/WELLNESS MARKET (SEGMENTS) (ii) (QUANTIFIED) (COUNTRY FOCUS) 34
Countries and data comparability 34
The “unobserved” spa wellness market 34
Spa/wellness market size where available by market segment, by country 35
TABLE Spa/wellness market size (units) (employees) (value) 35
Beauty salon/spa 35
TABLE Beauty salon / spa market (units/value) 36
TABLE Beauty salon France by size 36
Beauty salon/day spa Germany 37
TABLE Beauty salon/day spa Germany (consumer numbers/gender) 38
TABLE Beauty salon/day spa Germany turnover by size 38
TABLE Cost structure of hair salons and beauty salons/day spas 2006 38
TABLE Italy cosmetics market 39
Beauty salon Spain 39
Beauty salon China 39
Beauty salon USA 39
Beauty and tanning 39
TABLE Tanning 40
TABLE Beauty salon tanning USA 2008 41
USA tanning industry 42
USA tanning profile of consumers 42
Controversy "controlled tanning" (industry vz health) 42
TABLE Beauty market tattoing, piercings 43
Tattoos and tatto removal 43
Tattooing (dermagraphics) / piercing EU-5 43
Piercing trends 46
Fitness and Slimming
TABLE Fitness club segment (units/value) 47
Fitness and slimming France 47
Fitness and slimming Germany, Italy, Spain 47
Fitness and slimming UK 47
Hotel 48
TABLE Hotel and health spa segment (units/value) 48
TABLE Hotel market, top end 48
Hotel spa France 49
Wellness 49 TABLE The health resort, thermal spa market Europe (units and % population use) 49
TABLE Thermal market Germany and France (the 5 types) 50
Thermal market Germany (Kur, Kurorte, Bader) 50
TABLE Thermal market Germany by type /vistors 2008/07 50
Thermal market Italy, Spain, UK 51
Thermal market France 51
TABLE Thermal and thalasso market France key data 51
Thermes and therapies 52
Thermes two cures 52
Thermes profile of curiste(s) 52
TABLE Thermes, cost structure 52
TABLE Thermal hotels, key data 53
China / Japan spa market 2009 53
HEALTH AND Complementary Alternative Medicine 53
Gatekeepers (differ by country, by therapy) 53
TABLE Health (doctors, pharmas, hospitals) 54
TABLE USA numbers medical practitioners and non-medical 54
TABLE U.S. massage therapists number by geographical distribution 55
TABLE Complementary Alternative Medicine practitioners and clients (numbers by country) 56
SECTION SPA/WELLNESS MARKET (SEGMENTATION ABC, THE PREMIUM SEGMENTS, CRITERION FOR PREMIUM) 57
Spa/Wellness segmentation status (ABC) 57
TABLE Spa / Wellness market segments (ABC) distribution, quantified 58
Market segments summary profile(micros and macros) 58
TABLE Segment variables listed (unranked) 59
Spa/wellness segment C qualified 59
Spa/wellness segment A and B qualified 59
Spa/wellness segment (A premium) qualified 59
Service as criterion 59
Salons, spas, hotels - the vexed question of rating systems 60
Rating top beauty spas 60
Beauty qualifications as criterion 60
TABLE Germany criterion (8) for Quality Wellness 60
Rating top hotels (selected) 61
TABLE Qualifications EU cross country / industry benchmarks (beauty) 61
TABLE Qualifications EU and by country 61
Country comparability (qualifications) 61
Qualifications beauty and body (EU, UK) 62
Qualifications fitness (EU) 62
Qualifications Beauty UK examples 62
SECTION CONSUMERS, PROFILES AND USAGE 63
TABLE Population 63
TABLE Consumer and skin type 63
TABLE Consumer use by type (beauty, GP’s, thermes) 63
TABLE Consumers beauty salons Germany reasons not use 64
TABLE Consumers beauty salons Germany client profiles 64
Client profiles 64
Consumer profile tanning 64
SECTION SPA/WELLNESS MARKET (MARKET ACTUALITIES (i) 66
Introduction 66
Criterion for selection 66
Companies with a significant share of national market 66
The stagnant sector? 66
Beauty innovators' key strategy 68
Management 68
New blood 69
EC Company profile and key market data (beauty) 69
Quality control 69
promotion 69
Consumer segment 69
Standardized beauty salons/centre 69
Commercial innovation revolution in prices / €10 beauty 70
Beauty spa treatments time 70
Innovators –– Getting ahead (quotes market makers) 70
Forecast commercial innovation services diversify 71
Commercial innovation services specialist 71
Innovation Key services (mini spa, self service spa, home spa) 71
Key services new directions (combination Complementary Alternative Medicine, Health) 71
Key services new 72
Key services new directions (combinations, Beauty partners with Fitness 72
Beauty services (profit margins different categories) 72
SECTION SPA/WELLNESS MARKET (BENCHMARKS BUSINESS ACTUALITIES) (INDUSTRY AND COMPANY LEVEL) 72
What metric? 72
Spa / Wellness (%) services and retail 73
Benchmark – companies and prices 73
Expansion plans 73
TABLE Company profiles –– selected franchises (France) 74
Monthly turnover per cabin 74
TABLE Commercial formula beauty salon M2, revenues 74
TABLE Beauty menus examples current and proposed (national, company level) France, UK 75
Beauty key services (UK) 76
TABLE Company profile and key market data (tanning) 76
Company profile and key market data (nails) 77
TABLE Commerical formula body shaping / slimming (key services and top companies) 78
TABLE Commerical formula body shaping (investment, M2, and rooms) 78
Company profile and key market data (slimming and body shaping) (France and UK) 78
Company profile and key market data (beauty retailer) 79
Benchmark –thermal spa France (clients, breakeven, turnover) 80
Data source 80
Benchmark – thermal spa France (revenues % by category) 80
Benchmark – hotel spa Austria (revenues % by category) 81
TABLE Spas hotel / revenue sources and cost structure (2006) 81
TABLE Spas hotel profit margins 82
SECTION SPA/WELLNESS MARKET (FOCUS KEY SERVICES) 83
Beauty key services top ranked 83
Beauty key services face 83
Beauty key services hair removal 83
Beauty key services body shaping 83
Beauty key services nails 83
Beauty tanning market France 83
Beauty tanning market USA 83
Beauty key services tattoo 83
SECTION SPA/WELLNESS MARKET (KEY SERVICE FOCUS SKIN CARE AND MASSAGE) 84
TABLE Key services skin care 84
TABLE Services skin care forecast 84
Prevalence of skin problem? 85
TABLE Skin conditions the acne affected population 85
TABLE Acne affected population (estimate USA) 85
Acne many degrees of severity 85
Acne an adult not just teen concern 85
Skin complaint condition costs (psychological, injury, disfigure, death) 86
TABLE Skin spending by solution (medical channel) 86
TABLE Skin solutions sought (medical care, self care) UK 86
TABLE Skin conditions solutions sought (medical care, self care) UK (ii) 87
SECTION SPA/WELLNESS MARKET (KEY SERVICE FOCUS MASSAGE) 87
TABLE Massage services – top benefits 88
Massage therapeutic benefits 88
Rising stress levels good for massage 88
Massage key consumer motivations and consumer profiles 89
SECTION SPA / WELLNESS MARKET (HEALTH CONDITIONS, THERAPY USAGE) 91
Introduction 91
Spin offs 91
Degrees of complaint / suffering (minor to mortality) 91
Hard to define conditions (e.g. a medical condition or a vague complaint?) 91
Prevalence trends 92
TABLE Top health condition (motivate service/visit) 92
TABLE Top causes of ill health – future demand in wellness market 92
Condition (allergies, asthma 93
Complementary Alternative Medicine (CAM) ranking of usage by health condition 93
TABLE CAM market ranked by usage (UK and USA) 93
TABLE CAM health conditions (20 ranked) 94
TABLE CAM ranking of thereapies (22 listed) by use USA 94
TABLE CAM Nonvitamin, nonmineral, natural products (20) ranked 96
SECTION SPA/WELLNESS MARKET PERFORMANCE (2009) 97
Benchmarks (RevPar, RevPath, RevPash) 97
TABLE Spa/wellness data sources (performance, surveys) 97
TABLE Beauty salon, perfumeries -- performance France 2009 98
TABLE Wellness, thalasso, theramaisme performance France 2009 98
TABLE Spas USA 2008 2009 99
TABLE Spa performance USA 2008 99
TABLE Spa luxury hotel performance USA 2009/08 99
SECTION SPA / WELLNESS (PRICING AND PRICES) (EXAMPLES) 100
TABLE Benchmark – companies and prices 100
Pricing - memberships 101
Price rises 101
Pricing variables 101
Price banding (examples) 101
Prices and taxes 101
TABLES Prices by segment (AB) 102
TABLE Prices selected services, by country, by segment 102
Prices retail products 102
SECTION SPA / WELLNESS INDUSTRY NAMES 103
Introduction criteria used include operators 103
Key operators by country and by segment (spas, fitness, hotels), commercial formulas, multiunit operators, 104
TABLE Spa / Wellness key operators by country etc. 104
Country 104
TABLE Spa / Wellness key operators (names) alphabetical order 105
Beauty product/brand 106
TABLE Names thermal chains (the largest) France 108
Company 108 Other 108 Thermal skin care specialists France 109
TABLE Industry names thermal chains / largest – Italy, Spain (selected) 109
TABLE Industry names, spas top 20 global 110
TABLE Industry names, 5*hotels 111
SECTION SPA/WELLNESS (RETAIL) 112
Spas brands and competitors 112
Retail competitors the internet 112
Diversion and counterfeiting 112
Retail strategies (exmples USA and France) 112 SECTION SPA/WELLNESS MARKET INDUSTRY NAMES (KEY PRODUCTS, BRANDS - MAPPING) 114
Introduction 114 TABLE Spa/wellness brands (segment, ) 114
End use 114
Market structure, development 114
Spa/wellness brands profiled (geography coverage, product portfolio) 115
TABLE Brand segmentation in the spa channel (examples) 115
TABLE Brands professional (beauty and spa) France names 115
Brand 115
WWW 115
TABLE Brands skin care USA ( cutting edge names) 118
TABLE NAMES USA spas (market makers) 120
SECTION Health & Fitness DATA DRAFTS SPA OPERATATORS PROFILES 120
Fitness clubs UK 121 SPA / WELLNESS MARKET (SEGMENTATION, BY HEALTH CONDITION, REASONS TO USE) 123
TABLE Conditions summary prevalence of top conditions/reasons 123
Condition 123 TABLE Weight (over weight/obese prevalence, by country 123
HEALTH Conditions the top (description) 124 TABLE Primary care visit / prescription (top X ranked) UK 125 TABLE France health spas top health conditions (2008), (aetiology) 126 Primary care visit (top ranked) (USA) 126
Condition back pain key data (France) 127
Condition diabetes 127
Condition MSC rheumatoid arthritis, osteoarthritis, osteoporosis, low back pain 127
Condition rheumatism key data (France) 127
TABLE The top 12 conditions in EU5 127
TABLE Ten leading selected risk factors as causes of disease 128
Risk factors 128
Introduction assessing prevalence of conditions (complaints, disorders, diseases, problems, symptoms, syndromes, system, ) 129
Conditions /syndromes –– by site (body) 129
Prevalence trends consumer profiles (age, gender) 129
Prevalence trends and lifestyles risk factors (smoking prevalence, physical inactivity, dietary base, overweight / obesity) 129
TABLE Conditions identified and ranked 130
TABLE Conditions musculoskeletal conditions (MSC) 131
MSC physical disability/sick leave 131
MSC primary care consultations/ referrals 131
MSC forecast / projections 131
MSC back pain 132
Conditions listed Major and chronic diseases (EU) 132
Disability-adjusted life-years (DALY) 132
TABLES The top 10 conditions affecting males and females in terms of DALYs EU5 133
WELLNESS BY OPERATORS PRACTIONERS 136
TABLE Primary care consultations (quantified) (number by country) 136
SECTION THE SPA CALENDAR 138
TABLE Spa calendar by month 138
SECTION DATA SOURCES / ORGANISATIONS SECONDARY 140
TABLE Data sources 140
Data source Germany 140
Data sources Italy 140
Data sources France 141
Data sources France Thermalisme 141
Data sources UK 142
Data sources USA / sector 142
Shows expos 143
Data souces (www and blogs) 144
SECTION COUNTRY DATA (POPULATION, INCOMES, ETC.) 145
Population by geography 145
TABLE World population by region Percentage distribution 145
Population by age 145
Health data 145
Country geographical regions 145
Country geographical regions UK 145
Country geographical regions Italy 145
Country geographical regions USA 146
SECTION TERMS, ABBREVIATIONS AND TERMS USED IN REPORT 147
Symbols used in tables 147
TABLE Terms translations by country 148
Terms used in report 148
Thalasso 148
Thermalisme 148
General practioners, nurses, and other clinicians 149
Complementary Alternative Medicine defined UK USA 149
Definition of the heritage spa (SPA Europe) 149
Definition CAM 149
FRANCE 149
Definitions thalassothérapie, thermalisme, balneology 150
France thalasso therapy and non therapy / duration of regime and costs 150
France 2008 Spa wellness massage 150
Terms Germany spa or beauty farm? 151
Spa definitions (USA) 151
Spa definitions (ISPA, IMSA) 151
Spa definitions (Japan) 152
Disruptive innovation 152
Salon products In The Basin and Over The Counter 152
Salons and own name brands 152
The professional-only system 152
SECTION DR STATEMENT 153
INDEX 154
SECTION METHODOLOGY, SAMPLES ETC ETC. 155
Data sources 155
Inclusion criteria 155
Confidentiality 155
Research 155
Samples represent / Criteria for choosing 156
Breadth of experts’ expertise 156
Samples as % of makret/channel 156
SECTION DATA ISSUES SPA/WELLNESS MARKET 157
Data on fragmented market 157
Precise data - difficulties 157
Fact or anecdote? 157
Timeliness of data 158
Data retrieval issues 158
SPAS BLUR …. Spas straddle many categories, 158
From one spa to another 158
New (lack separate statistical category) 159
Spaflation – the usefulness of listings 159
SPA MISUNDERSTANDINGS 159
Blurring and Blogs? 159
TABLE aspiration versus reality 160
SECTION Spa/Wellness (REGULATORY FRAMES) (THERAPEUTIC AND NON-THERAPEUTIC) 161
TABLE Therapeutic and Non therapeutic by service 161
Therapeutic and Non therapeutic / Massage and touch therapies 162
SECTION SPA/WELLNESS MARKET (OCCUPATIONS) (QUANTIFYING DATA SOURCES) 162
EU medical 162
USA many occupations / practitioners 163
Area 163
SPA WELLNESS BENCHMARKS 164
Benchmarks GP UK 164
Wellness by channel UK (volumes of visits primary care channels) 165
A two-tier market, medical beauty (UK and China) 165
The 2008 Top 20 European Hotel Brands Ranking 166
SECTION HOTELS DATA 168
Hotel group brand portfolio and spa brands 168 Hotel brand portfolio 168 Europe top 10 hotel groups (ranked by rooms) 169
TABLE Hotels (AB segment) TABLE Germany cosmetics (KÖRPERPFLEGEMITTEL) 183
SAMPLE APPLICATION WELLNESS VERBAND 183
Diabetic Foot Sponsors 184
Tanning 186
Tanning market USA 186
A special pre-publication price is available. (Conditions apply)
Countries covered in this report: the US, EU and China
Date of publication: March 2010
Press Release
Table of Contents of Global Spa Market 2010
Beauty Report Series
Buy This Report
US Spa Market 2010
European Spa Market 2010
Chinese Salon/Spa Market
Global Spa Market 2010
(wellness tourism, travel, recreation, heritage spa, wellness spa, medicinal water, wellness hotels and resorts, destination spa, detox spa, spa hotels, day spas, medical hotels, thermal hotels, leisure facilities,
medical spa industry, diet, beauty and health)December 2009
Preliminary Table of Contents - subject to change
SECTION REPORT STRUCTURE 13
What this report covers / about this report 13
Countries covered 13
Period / time frames 13
Date of Publication 13
Currency 13
SECTION REPORT SUMMARY AND RECOMMENDATIONS 14
The spa / wellness market defined 14
What spa / wellness report covers 14
Industry information, companies/products, emerging / future 15
Key commercial formulas 15
Key services spa / wellness (current and forecast) key services / products (leaders, basket of / combinations) 15
Changes in demand 16
Problems 16
Brands, and top brands identified 16
Spa/Wellness market geographic spread, commonalities, country specfic 16
Cross comparability Country culture specific Spa and Wellness traditions 16
Cross comparability commercial formulas 17
Consumer segments 17
Drivers Spa/Wellness as cultural heritage, as new lifestyle option 17
Prices and pricing 17
Competition global or local? 17
Spa/Wellness formulas and category supply 17
Category competition services 17
Category competition product retail 18
Performance of different segments 18
New directions low cost beauty and wellness 18
Future directions (partnerships) 19
Beauty future barriers 19
Quotes from market makers about what consumer want 19
Wellness solutions (Western and Complementary or Alternative Medicine) 19
Problems quantifying the Spa Wellness market 20
New segments (parallel convenience, rather than substitute?) 20
New segments (pioneers, and inexperience) 20
Social interest level (tensions) 20
Seasonality (seasonal peaks) 20
Economic impact of pain on society 20
Evidence gathering of cost effectiveness 20
TABLE Spa/wellness market size (units) by country 21
SECTION SPA/WELLNESS MARKET (DEMARCATION) (i) 22
Introduction (demarcation of concepts) 22
GRAPH/TABLE Spa /wellness demarcation by consumer need 22
SPA 22
WELLNESS 22
GRAPH/TABLE Spa/wellness concepts, commercial formulas 22
GRAPH/TABLE Spa/wellness services, therapeutic and non-therapeutic 23
SECTION SPA/WELLNESS MARKET (SEGMENTATION DESCRIPTIVE ANALYSIS) 24
Introduction (fluidity, blurring, hyper differentiation of categories) 24
Market development - branches or circles? 24
Demarcation by regulation 24
GRAPH/TABLE The Spa /Wellness market by providers, gate keeper 25
EXAMPLES TABLE Key services USA salons and medispas 26
EXAMPLES Market actualities not captured by statistical classes (e.g. France) 27
SECTION SPA/WELLNESS MARKET (SEGMENTATION) (i) QUALIFIED) 29
Introduction 29
Spa Wellness beauty traditional vs high tech 29
Introduction Spa / Wellness (spas in hotels, hotels in spas/heritage spas) 30
TABLE Segment spa –– hotels by type 30
Hotel spas, health, fitness and other (3 star, 4 star and 5 star) 30
TABLE Hotel spas (on site, in room, off site) 31
Introduction (fitness, health, Complementary or Alternative Medicine) (health spa, heritage spa) 31
Wellness as sociability - Wellness as health 31
Spa and health care delivery 31
TABLE Spa / Wellness health spa cure spa segments 32
Spa / Wellness health spa (by country) 32
Wellness, primary care (general practice, family doctor, Complementary Alternative Medicine) 32
Wellness market - diabetic foot clinics EU and USA 32
SECTION SPA/WELLNESS MARKET (SEGMENTS) (ii) (QUANTIFIED) (COUNTRY FOCUS) 34
Countries and data comparability 34
The “unobserved” spa wellness market 34
Spa/wellness market size where available by market segment, by country 35
TABLE Spa/wellness market size (units) (employees) (value) 35
Beauty salon/spa 35
TABLE Beauty salon / spa market (units/value) 36
TABLE Beauty salon France by size 36
Beauty salon/day spa Germany 37
TABLE Beauty salon/day spa Germany (consumer numbers/gender) 38
TABLE Beauty salon/day spa Germany turnover by size 38
TABLE Cost structure of hair salons and beauty salons/day spas 2006 38
TABLE Italy cosmetics market 39
Beauty salon Spain 39
Beauty salon China 39
Beauty salon USA 39
Beauty and tanning 39
TABLE Tanning 40
TABLE Beauty salon tanning USA 2008 41
USA tanning industry 42
USA tanning profile of consumers 42
Controversy "controlled tanning" (industry vz health) 42
TABLE Beauty market tattoing, piercings 43
Tattoos and tatto removal 43
Tattooing (dermagraphics) / piercing EU-5 43
Piercing trends 46
Fitness and Slimming
TABLE Fitness club segment (units/value) 47
Fitness and slimming France 47
Fitness and slimming Germany, Italy, Spain 47
Fitness and slimming UK 47
Hotel 48
TABLE Hotel and health spa segment (units/value) 48
TABLE Hotel market, top end 48
Hotel spa France 49
Wellness 49 TABLE The health resort, thermal spa market Europe (units and % population use) 49
TABLE Thermal market Germany and France (the 5 types) 50
Thermal market Germany (Kur, Kurorte, Bader) 50
TABLE Thermal market Germany by type /vistors 2008/07 50
Thermal market Italy, Spain, UK 51
Thermal market France 51
TABLE Thermal and thalasso market France key data 51
Thermes and therapies 52
Thermes two cures 52
Thermes profile of curiste(s) 52
TABLE Thermes, cost structure 52
TABLE Thermal hotels, key data 53
China / Japan spa market 2009 53
HEALTH AND Complementary Alternative Medicine 53
Gatekeepers (differ by country, by therapy) 53
TABLE Health (doctors, pharmas, hospitals) 54
TABLE USA numbers medical practitioners and non-medical 54
TABLE U.S. massage therapists number by geographical distribution 55
TABLE Complementary Alternative Medicine practitioners and clients (numbers by country) 56
SECTION SPA/WELLNESS MARKET (SEGMENTATION ABC, THE PREMIUM SEGMENTS, CRITERION FOR PREMIUM) 57
Spa/Wellness segmentation status (ABC) 57
TABLE Spa / Wellness market segments (ABC) distribution, quantified 58
Market segments summary profile(micros and macros) 58
TABLE Segment variables listed (unranked) 59
Spa/wellness segment C qualified 59
Spa/wellness segment A and B qualified 59
Spa/wellness segment (A premium) qualified 59
Service as criterion 59
Salons, spas, hotels - the vexed question of rating systems 60
Rating top beauty spas 60
Beauty qualifications as criterion 60
TABLE Germany criterion (8) for Quality Wellness 60
Rating top hotels (selected) 61
TABLE Qualifications EU cross country / industry benchmarks (beauty) 61
TABLE Qualifications EU and by country 61
Country comparability (qualifications) 61
Qualifications beauty and body (EU, UK) 62
Qualifications fitness (EU) 62
Qualifications Beauty UK examples 62
SECTION CONSUMERS, PROFILES AND USAGE 63
TABLE Population 63
TABLE Consumer and skin type 63
TABLE Consumer use by type (beauty, GP’s, thermes) 63
TABLE Consumers beauty salons Germany reasons not use 64
TABLE Consumers beauty salons Germany client profiles 64
Client profiles 64
Consumer profile tanning 64
SECTION SPA/WELLNESS MARKET (MARKET ACTUALITIES (i) 66
Introduction 66
Criterion for selection 66
Companies with a significant share of national market 66
The stagnant sector? 66
Beauty innovators' key strategy 68
Management 68
New blood 69
EC Company profile and key market data (beauty) 69
Quality control 69
promotion 69
Consumer segment 69
Standardized beauty salons/centre 69
Commercial innovation revolution in prices / €10 beauty 70
Beauty spa treatments time 70
Innovators –– Getting ahead (quotes market makers) 70
Forecast commercial innovation services diversify 71
Commercial innovation services specialist 71
Innovation Key services (mini spa, self service spa, home spa) 71
Key services new directions (combination Complementary Alternative Medicine, Health) 71
Key services new 72
Key services new directions (combinations, Beauty partners with Fitness 72
Beauty services (profit margins different categories) 72
SECTION SPA/WELLNESS MARKET (BENCHMARKS BUSINESS ACTUALITIES) (INDUSTRY AND COMPANY LEVEL) 72
What metric? 72
Spa / Wellness (%) services and retail 73
Benchmark – companies and prices 73
Expansion plans 73
TABLE Company profiles –– selected franchises (France) 74
Monthly turnover per cabin 74
TABLE Commercial formula beauty salon M2, revenues 74
TABLE Beauty menus examples current and proposed (national, company level) France, UK 75
Beauty key services (UK) 76
TABLE Company profile and key market data (tanning) 76
Company profile and key market data (nails) 77
TABLE Commerical formula body shaping / slimming (key services and top companies) 78
TABLE Commerical formula body shaping (investment, M2, and rooms) 78
Company profile and key market data (slimming and body shaping) (France and UK) 78
Company profile and key market data (beauty retailer) 79
Benchmark –thermal spa France (clients, breakeven, turnover) 80
Data source 80
Benchmark – thermal spa France (revenues % by category) 80
Benchmark – hotel spa Austria (revenues % by category) 81
TABLE Spas hotel / revenue sources and cost structure (2006) 81
TABLE Spas hotel profit margins 82
SECTION SPA/WELLNESS MARKET (FOCUS KEY SERVICES) 83
Beauty key services top ranked 83
Beauty key services face 83
Beauty key services hair removal 83
Beauty key services body shaping 83
Beauty key services nails 83
Beauty tanning market France 83
Beauty tanning market USA 83
Beauty key services tattoo 83
SECTION SPA/WELLNESS MARKET (KEY SERVICE FOCUS SKIN CARE AND MASSAGE) 84
TABLE Key services skin care 84
TABLE Services skin care forecast 84
Prevalence of skin problem? 85
TABLE Skin conditions the acne affected population 85
TABLE Acne affected population (estimate USA) 85
Acne many degrees of severity 85
Acne an adult not just teen concern 85
Skin complaint condition costs (psychological, injury, disfigure, death) 86
TABLE Skin spending by solution (medical channel) 86
TABLE Skin solutions sought (medical care, self care) UK 86
TABLE Skin conditions solutions sought (medical care, self care) UK (ii) 87
SECTION SPA/WELLNESS MARKET (KEY SERVICE FOCUS MASSAGE) 87
TABLE Massage services – top benefits 88
Massage therapeutic benefits 88
Rising stress levels good for massage 88
Massage key consumer motivations and consumer profiles 89
SECTION SPA / WELLNESS MARKET (HEALTH CONDITIONS, THERAPY USAGE) 91
Introduction 91
Spin offs 91
Degrees of complaint / suffering (minor to mortality) 91
Hard to define conditions (e.g. a medical condition or a vague complaint?) 91
Prevalence trends 92
TABLE Top health condition (motivate service/visit) 92
TABLE Top causes of ill health – future demand in wellness market 92
Condition (allergies, asthma 93
Complementary Alternative Medicine (CAM) ranking of usage by health condition 93
TABLE CAM market ranked by usage (UK and USA) 93
TABLE CAM health conditions (20 ranked) 94
TABLE CAM ranking of thereapies (22 listed) by use USA 94
TABLE CAM Nonvitamin, nonmineral, natural products (20) ranked 96
SECTION SPA/WELLNESS MARKET PERFORMANCE (2009) 97
Benchmarks (RevPar, RevPath, RevPash) 97
TABLE Spa/wellness data sources (performance, surveys) 97
TABLE Beauty salon, perfumeries -- performance France 2009 98
TABLE Wellness, thalasso, theramaisme performance France 2009 98
TABLE Spas USA 2008 2009 99
TABLE Spa performance USA 2008 99
TABLE Spa luxury hotel performance USA 2009/08 99
SECTION SPA / WELLNESS (PRICING AND PRICES) (EXAMPLES) 100
TABLE Benchmark – companies and prices 100
Pricing - memberships 101
Price rises 101
Pricing variables 101
Price banding (examples) 101
Prices and taxes 101
TABLES Prices by segment (AB) 102
TABLE Prices selected services, by country, by segment 102
Prices retail products 102
SECTION SPA / WELLNESS INDUSTRY NAMES 103
Introduction criteria used include operators 103
Key operators by country and by segment (spas, fitness, hotels), commercial formulas, multiunit operators, 104
TABLE Spa / Wellness key operators by country etc. 104
Country 104
TABLE Spa / Wellness key operators (names) alphabetical order 105
Beauty product/brand 106
TABLE Names thermal chains (the largest) France 108
Company 108 Other 108 Thermal skin care specialists France 109
TABLE Industry names thermal chains / largest – Italy, Spain (selected) 109
TABLE Industry names, spas top 20 global 110
TABLE Industry names, 5*hotels 111
SECTION SPA/WELLNESS (RETAIL) 112
Spas brands and competitors 112
Retail competitors the internet 112
Diversion and counterfeiting 112
Retail strategies (exmples USA and France) 112 SECTION SPA/WELLNESS MARKET INDUSTRY NAMES (KEY PRODUCTS, BRANDS - MAPPING) 114
Introduction 114 TABLE Spa/wellness brands (segment, ) 114
End use 114
Market structure, development 114
Spa/wellness brands profiled (geography coverage, product portfolio) 115
TABLE Brand segmentation in the spa channel (examples) 115
TABLE Brands professional (beauty and spa) France names 115
Brand 115
WWW 115
TABLE Brands skin care USA ( cutting edge names) 118
TABLE NAMES USA spas (market makers) 120
SECTION Health & Fitness DATA DRAFTS SPA OPERATATORS PROFILES 120
Fitness clubs UK 121 SPA / WELLNESS MARKET (SEGMENTATION, BY HEALTH CONDITION, REASONS TO USE) 123
TABLE Conditions summary prevalence of top conditions/reasons 123
Condition 123 TABLE Weight (over weight/obese prevalence, by country 123
HEALTH Conditions the top (description) 124 TABLE Primary care visit / prescription (top X ranked) UK 125 TABLE France health spas top health conditions (2008), (aetiology) 126 Primary care visit (top ranked) (USA) 126
Condition back pain key data (France) 127
Condition diabetes 127
Condition MSC rheumatoid arthritis, osteoarthritis, osteoporosis, low back pain 127
Condition rheumatism key data (France) 127
TABLE The top 12 conditions in EU5 127
TABLE Ten leading selected risk factors as causes of disease 128
Risk factors 128
Introduction assessing prevalence of conditions (complaints, disorders, diseases, problems, symptoms, syndromes, system, ) 129
Conditions /syndromes –– by site (body) 129
Prevalence trends consumer profiles (age, gender) 129
Prevalence trends and lifestyles risk factors (smoking prevalence, physical inactivity, dietary base, overweight / obesity) 129
TABLE Conditions identified and ranked 130
TABLE Conditions musculoskeletal conditions (MSC) 131
MSC physical disability/sick leave 131
MSC primary care consultations/ referrals 131
MSC forecast / projections 131
MSC back pain 132
Conditions listed Major and chronic diseases (EU) 132
Disability-adjusted life-years (DALY) 132
TABLES The top 10 conditions affecting males and females in terms of DALYs EU5 133
WELLNESS BY OPERATORS PRACTIONERS 136
TABLE Primary care consultations (quantified) (number by country) 136
SECTION THE SPA CALENDAR 138
TABLE Spa calendar by month 138
SECTION DATA SOURCES / ORGANISATIONS SECONDARY 140
TABLE Data sources 140
Data source Germany 140
Data sources Italy 140
Data sources France 141
Data sources France Thermalisme 141
Data sources UK 142
Data sources USA / sector 142
Shows expos 143
Data souces (www and blogs) 144
SECTION COUNTRY DATA (POPULATION, INCOMES, ETC.) 145
Population by geography 145
TABLE World population by region Percentage distribution 145
Population by age 145
Health data 145
Country geographical regions 145
Country geographical regions UK 145
Country geographical regions Italy 145
Country geographical regions USA 146
SECTION TERMS, ABBREVIATIONS AND TERMS USED IN REPORT 147
Symbols used in tables 147
TABLE Terms translations by country 148
Terms used in report 148
Thalasso 148
Thermalisme 148
General practioners, nurses, and other clinicians 149
Complementary Alternative Medicine defined UK USA 149
Definition of the heritage spa (SPA Europe) 149
Definition CAM 149
FRANCE 149
Definitions thalassothérapie, thermalisme, balneology 150
France thalasso therapy and non therapy / duration of regime and costs 150
France 2008 Spa wellness massage 150
Terms Germany spa or beauty farm? 151
Spa definitions (USA) 151
Spa definitions (ISPA, IMSA) 151
Spa definitions (Japan) 152
Disruptive innovation 152
Salon products In The Basin and Over The Counter 152
Salons and own name brands 152
The professional-only system 152
SECTION DR STATEMENT 153
INDEX 154
SECTION METHODOLOGY, SAMPLES ETC ETC. 155
Data sources 155
Inclusion criteria 155
Confidentiality 155
Research 155
Samples represent / Criteria for choosing 156
Breadth of experts’ expertise 156
Samples as % of makret/channel 156
SECTION DATA ISSUES SPA/WELLNESS MARKET 157
Data on fragmented market 157
Precise data - difficulties 157
Fact or anecdote? 157
Timeliness of data 158
Data retrieval issues 158
SPAS BLUR …. Spas straddle many categories, 158
From one spa to another 158
New (lack separate statistical category) 159
Spaflation – the usefulness of listings 159
SPA MISUNDERSTANDINGS 159
Blurring and Blogs? 159
TABLE aspiration versus reality 160
SECTION Spa/Wellness (REGULATORY FRAMES) (THERAPEUTIC AND NON-THERAPEUTIC) 161
TABLE Therapeutic and Non therapeutic by service 161
Therapeutic and Non therapeutic / Massage and touch therapies 162
SECTION SPA/WELLNESS MARKET (OCCUPATIONS) (QUANTIFYING DATA SOURCES) 162
EU medical 162
USA many occupations / practitioners 163
Area 163
SPA WELLNESS BENCHMARKS 164
Benchmarks GP UK 164
Wellness by channel UK (volumes of visits primary care channels) 165
A two-tier market, medical beauty (UK and China) 165
The 2008 Top 20 European Hotel Brands Ranking 166
SECTION HOTELS DATA 168
Hotel group brand portfolio and spa brands 168 Hotel brand portfolio 168 Europe top 10 hotel groups (ranked by rooms) 169
TABLE Hotels (AB segment) TABLE Germany cosmetics (KÖRPERPFLEGEMITTEL) 183
SAMPLE APPLICATION WELLNESS VERBAND 183
Diabetic Foot Sponsors 184
Tanning 186
Tanning market USA 186
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Countries covered in this report: the US, EU and China
Date of publication: March 2010
Press Release
Table of Contents of Global Spa Market 2010
Beauty Report Series
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