A signature ALA program
Now accepting applications for the 2027 Level Up Cohort
2027 Level Up
The Level Up Cohort is eighteen weeks of hands-on advisory work for established aesthetic practices that have the demand but have outgrown their structure. Your practice is assessed, your team, pay and pricing are rebuilt, and every deliverable is reviewed by advisors who built, scaled and sold. Twelve practices. One per territory.
- weeks, kicking off February 2027
- 18
- practices in the Level Up Cohort
- 12
- seats per practice: owner + one leader
- 2
- practice per territory, never two competitors
- 1
How seats work
Your market stays yours.
We accept one practice per region in the Level Up Cohort. You will never sit in a room with a brand from your own territory, so you can open your books, share real numbers and talk about your actual problems without worrying who is listening.
Each accepted practice receives two seats: the owner, plus one team member who will carry the work home. That is usually a practice manager, lead injector or administrator.
Illustration only. Territories are assigned in the order accepted applicants enroll.
Selection
We choose every practice carefully.
A cohort only works when everyone in it can move at the same pace. We review each application and interview every applicant before offering a seat in the Level Up Cohort.
- Step 1
Apply online
Tell us about your practice, team and goals. It takes about 15 minutes.
- Step 2
Application review
We review it, usually within 5 business days, and reach out to schedule.
- Step 3
Face-to-face video interview
A live, on-camera conversation with ALA's founders about where your practice is and where you want it to go.
- Step 4
Fit decision
We let you know whether the Level Up Cohort is the right fit, or whether a different track would serve you better.
Is this you?
Who the Level Up Cohort is built for.
The Level Up Cohort is for owners who make the decisions and are ready to act on them. It is priced and paced for practices past the startup stage but not yet running as a multi-site platform.
A strong fit
- An owner-operator, physician owner or MSO leader with authority to change pay, roles and pricing
- A med spa, dermatology or plastic surgery practice with med spa services, open at least two years
- Roughly $1M to $3M in annual revenue from one location, or two closely run locations
- About 3 to 8 treating providers, with demand that outpaces how well the team is organized
- Growth held back by people and structure: turnover, uneven producers, unclear pay or an owner still carrying the schedule
- A practice manager or lead who can take the second seat and own implementation
- Willing to share P&L and KPI data with ALA, and anonymized benchmarks with the cohort under NDA
Better served another way
- Pre-opening or in your first two years: our Launch program is built for this stage
- Multi-site groups, PE-backed platforms or practices preparing for a sale: these need custom work through ALA Private Advisory
- Looking for ALA to build it for you: ask about our done-for-you projects
- A manager attending without the owner's involvement or decision rights
- Not able to share financials or attend live sessions most weeks
Why this model
Advisory-firm depth at a cohort's pace.
Most consulting is custom, open-ended and priced by the hour. Most group programs are taught by coaches. The Level Up Cohort combines advisory work on your own practice with a room of peers at the same stage.
Advisors, not coaches
Led by operators who built seven locations across two brands and 70+ providers, sold to a private equity-backed platform, then built a provider academy across 30+ locations.
Your practice, reviewed
Every module ends with an advisory checkpoint where ALA reviews your actual work product, not a generic worksheet.
Real peer benchmarks
Every practice reports the same KPIs monthly. You see exactly where you rank against eleven peers at your stage.
Finished tools in use
You leave with a competency ladder, comp plan and KPI dashboard already running in your practice.
No competitors at the table
One practice per territory means candid numbers and shared playbooks without risk.
A path forward
Level Up Cohort graduates can continue in the ALA Alumni Circle or move into private advisory as they add locations or prepare for a sale.
Curriculum
Six advisory modules, three weeks each.
Each module follows the same rhythm: a 90-minute live working session, a week of implementation in your practice with peer hot seats, and an advisory checkpoint where ALA reviews what you built. The Level Up Cohort opens with an in-person kickoff day and includes three private advisory sessions.
Practice assessment and benchmarks
The ALA Practice Scorecard: P&L review, revenue per provider hour, utilization, rebooking, cost of goods and payroll ratio, benchmarked against the cohort.
Checkpoint: Your scorecard and top three priorities, reviewed with ALA.
Team architecture and competency ladder
Org chart, role clarity and Associate, Injector, Senior and Lead levels with scope, training gates and rewards.
Checkpoint: Your ladder and org chart, drafted and reviewed.
Compensation and pricing strategy
Commission tiers tied to the ladder, level-based pricing and payroll targets that reward top producers while protecting margin.
Checkpoint: New comp plan modeled against your payroll.
Patient journey and revenue growth
Consult conversion, multi-visit treatment plans, memberships and retention, front desk scripting and marketing return by channel.
Checkpoint: Membership design and conversion targets.
Leadership and operating rhythm
Developing your practice manager, weekly and monthly meetings, KPI dashboards, core SOPs and career conversations.
Checkpoint: Dashboard live and manager scorecard set.
Growth strategy and advisory review
Vendor and manufacturer negotiations, the readiness test for a second location and your 12-month plan.
Checkpoint: A board-style review of your plan with ALA's founders.
Level Up Cohort graduates leave with a completed practice scorecard, a competency ladder and org chart, a new comp plan, a membership program, a live KPI dashboard, a manager scorecard, a 12-month growth plan and a go/no-go decision on a second location. An elective on adding a longevity service line is included.
2027 Level Up Cohort
Apply for the Level Up Cohort.
Applications are reviewed in the order received, and territories fill as practices enroll. Fields marked * are required.
Not ready to apply?
Get program details.
Join the interest list for the full Level Up Cohort overview, 2027 dates and updates on our Launch and Private Advisory tracks.
ALA provides operational education and frameworks. It does not provide legal, tax or scope-of-practice advice; consult your own counsel for state-specific requirements.