Anti-Aging Needs a Body That Never Ages

Q & A with Sue Harmsworth, Spa Industry Visionary, by GWI

By Global Wellness Institute

Sue Harmsworth needs little introduction: She has spent five decades shaping the global spa, global wellness and beauty industries (responsible for designing 500+ spas in 65 countries), and her services were honored by Queen Elizabeth the Second. She founded the global brand ESPA in 1993, which she sold in 2017; is founder of Sue Harmsworth Ltd,which advises owners and private equity firms on creating wellness destinations; and she sits on various boards, from Forbes to the Global Wellness Institute (GWI).

In this edition, Harmsworth discusses: • Why the term “wellness” has reached near meaninglessness — and how we need new distinctions. • How integrative wellness resorts—which marry “serious” and “light” wellness—are the future but will require a whole new kind of operator. •How the pandemic experience is fueling consumer desire for wellness real estate. • Why the spa practitioners of the future must be trained better and deeper. • What investment bet she would place in wellness.

Beth McGroarty, GWI VP of Research and Forecasting: In your recent master class with us, you discussed how the term “wellness” has become so oversaturated and overstretched it’s reaching the point of meaninglessness. And that the time is now to make new distinctions. Talk more about this problem, what new distinctions need to be made. confusing the consumer. Everything is labeled “wellness”: You go to the supermarket, and you’re overwhelmed. We need new terms and definitions— and as an industry, we don’t challenge ourselves enough to be clear with consumers. It’s becoming a real issue with social media moving so fast and so much copying going on.

The history of wellness and spa—and the regional differences—add to the confusion. What we think of as “wellness”—all the ancient medical traditions from TCM to Ayurveda; amazing, centuries-old “kurs” at European health farms; the hydrothermal piece; advanced massage techniques—these existed forever before modern “wellness” was born in the spa industry in the 90s.

As the spa industry took off, the word and concept became confusing, and it has to do with what the US means by it versus the rest of the world. In the US, every beauty salon, or every two treatment rooms by a pool, suddenly became a “spa”—not what I, as a European, would call one. When the spa movement became powerful in the 90s, stress was the overwhelming focus. The world was changing: Women were going back into the workforce, flying constantly became the norm, and technology was taking over the world. Stress was the huge issue, and most spas were built for relaxation—from massages to meditation. What I would call “light wellness”—with no negative connotations. serious nutrition and microbiome piece, spa, complementary medicine, and beauty—but aesthetics as in both medicine/machines and more non-invasive approaches. And we have more medical or “serious” wellness. But there can be confusion around “medical wellness” for consumers: They may think it means traditional allopathic medicine and ask, why would I go to an expensive resort when I can do the same things with a specialist? The future of medicine at destinations is functional medicine and preventative, advanced testing and diagnostics: whether hormone analysis, 3D scanning analyzing bone density, muscle mass and visceral fat, or microbiome and nutrition testing. All to create a personalized health plan.

So, you have “light wellness,” which spas and hospitality destinations have excelled at. You have medical or “serious” wellness, but it’s different this time around: It’s preventative, functional medicine and diagnostics. That’s why I’m so keen on new definitions and distinctions: “Wellness” is too imprecise to mean anything. People have got to focus on what their consumers want and get clear about what they’re delivering.

McGroarty: I know you’re working on some big integrative wellness destinations—and you believe that’s the future. Why?

Harmsworth: It’s absolutely the future, with all the lifestyle diseases hitting us so hard, and I’m working on properties now that bring everything together: functional medicine and diagnostics, an aesthetics clinic, and all the traditional wellness, from complementary medicine to fitness to serious meditation (with Buddhist monks or TCM). Mental

and cognitive health will be huge coming out of the pandemic, with depression and anxiety having risen exponentially since COVID.

One reason the functional medicine and diagnostics piece is so key is that with all the wonderful destinations focusing on Asian traditions (the Indian, Thai or Balinese approaches), people weren’t given concrete results. When you’ve gone to medicalwellness clinics in Germany or Austria,they do advanced testing (whether hormones or vitamin deficiencies) on intake, and when you leave, you do them again. You can see the results. It seems crazy, but you really can significantly impact your blood pressure or cholesterol in one week. What I want to do—and it’s the future—is to be able to program individuals on a personalized plan with a very full set of stats so that they can see their results over time.

McGroarty: Operators and investors have struggled to get even the ROI of a spa in a hotel project. What needs to change to pull off these far more ambitious integrative wellness destinations?

Harmsworth: First, it’s going to take an entirely new operating model and type of operator. There’s lots of great operators on the clinic side?; I could run through some of the big names from Lanserhof to SHA, but they’re not as integrated as I think the future will be, and I don’t think there’s an operator out there right now with this forward-thinking, bringit-all-together approach.

We need to remember that, historically, spas—outside the US—haven’t been particularly profitable. That’s because the hotel model is to view every department as a completely standalone profit center, so they isolate a spa’s costs and revenues, so it often doesn’t show a good ROI—and also, unless you have a hotelier or developer who really gets it, they haven’t been spending the capital on spas that would let them actually see the ROI.

In the US, developers who’ve been building shopping malls and condos typically don’t understand spas at all: they think narrowly in terms of square-foot return on investment. But this will change: The hospitality industry is recognizing the importance of health and wellness to the consumer, and that means everything: nutrition/menus, lighting, air and water quality, sleep quality, a great spa/wellness center.

What operators need to learn is that you’ve got to turn the model on its head. It’s much easier to make an integrative wellness resort profitable because the medical diagnostics and medical-aesthetics areas (while the practitioners are much more expensive) can be hugely profitable, far more so than any spa. Integrative wellness resorts will have a whole different profit and loss model than the departmental formulas of hotels: You will look at the bottom-line profit across all departments, where all is wellness (rooms, F&B, spa, medical services, aesthetics, etc.) It’s one pot; they will be very profitable, even if there is a loss leader.

Second, we need to build destinations broad enough so the consumer can do different things at different times. Most people that want a vacation want wellness: to eat right; to have stimulating, healthy things for kids (cooking classes, foraging, sailing— not some boring Kids Club)—but they want to relax, have a few drinks, have fun. On the other extreme, some people need much more: You’ve had cancer or put on 20 pounds, etc. You want the strictness and deeper functional medicine of a medical-wellness environment to do something more intensive, often alone. And then desires fall everywhere in-between. More healthy people now want to assess their life once or twice a year for preventative reasons: to be the best at every stage of their life, to pick up the little things before the big things happen. Like me, they start seeking prevention in their 20s and 30s. This is all much broader than what’s come before. And if you can bring it all together without confusion, it’s going to make money. For sure.

This is a design issue and one I’m right in the middle of with my projects. Most medical spas have been quite small (say, 50 bedrooms). To achieve this new integrative model, the resorts are going to have to be bigger, and the whole nature piece will be enormous: the great outdoors, a warm enough climate, and the quality of the air. It’s about creating a place that can have paths that run from fun and families to the more serious, preventative stuff.

Third, it will be much easier to make an integrative wellness resort stack up financially with the residential component.

I’m working on the Amaala project on Saudi Arabia’s Red Sea, spearheaded by their ruler, Prince Mohammad bin Salman bin Abdulaziz Al-Saud, a wellness resort and community at the ultra-high-networth end. It’s set on 435 miles of coastline and will integrate everything from advanced medicine to comprehensive wellness approaches—and many of the main wellness brands will be there. It’s an interesting example of designing for different needs and guests, with both an integrative wellness resort for adults and another for families.

McGroarty: There’s no greater expert—give me a prediction for the future of spas.

The really good spas where the therapists and treatments are good, the hardware and thermal areas are good, the design and flow are good, the air quality and infection control are good—they will start to take on even more approaches from the “light wellness” side.

However, in the future, spa therapists and practitioners are going to have to be much better trained with deeper skills. They need a much broader knowledge set to be able to deal with all the things increasingly coming their way. They’re bombarded by clients with more serious issues (diabetes, cancer, heart disease, depression and grief): The majority that walk in now have some kind of contraindication. This is why I’m so strong on what we’re doing in the UK with the training ruling bodies, putting modules together so that well-qualified therapists (we call them level 3 or 4 here) can keep adding modules (whether cancer or nutrition training) so they can deliver more “wellness” than just massages or facials, be empowered to deal with the day-to-day realities they see, and be set on a career path of constant skill-upgrading. The spas that will take it to the next level will focus on training in a much more intense way. McGroarty: The pandemic seems to have given wellness real estate and communities new momentum.

COVID has obviously woken all of us up to working from home, and this ongoing reality will drive real growth in wellness real estate and communities—and in more affordable projects. . It’s completely changed my thinking: I love being in one beautiful place, and I’ll never fly the way I did before. All those businesspeople flying week after week; that’s all going to slow way down and have to be justified.

Since the pandemic, people are spending a lot—or all of—their time in their homes. More people will choose a wellness community as the primary residence, and maybe they’ll have a pied-à-terre in the city and go in one or two days.

This will drive more affordable wellness communities. I’m working on a wellness real estate project now (still at the concept stage) where you go from the most expensive villa at $1 million to artisan homes down to $300,000—that’s relatively affordable. It will be an interesting community: They will grow everything themselves and have their own Waldorf school for the kids.

Another multisite project I’m working on is also affordable because the cost of the real estate makes the difference (and this is purely real estate, with no hotel). I can’t give much away, but it has the obvious things you would expect—yes, yoga, yes, a spa—but it’s really much more about an entire lifestyle of wellbeing. We will see more of that.

I’ve always said, don’t put me in some place with a bunch of old people—and the way forward is multigenerational wellness communities.

It’s all so interesting how desires are shifting: Even people with lots of money, while they want to buy in a better, more naturally beautiful location, don’t necessarily want to buy bigger. I’m working with a very wealthy New York developer (third-generation real estate company) on a Costa Rican wellness community. He doesn’t want a bigger villa; he wants a truly sustainable villa for his kids—a whole different, healthier way of living. He’ll have to go to New York sometimes but not often.

McGroarty: You’re an investor in wellness. Name a segment you would place a future bet on.

Harmsworth: I’ve talked about the future for integrative wellness destinations, with more serious, preventative functional medicine and diagnostics. People go to “serious” wellness resorts, do a battery of tests/scans, come out pumped up to change their lives, and—it’s human nature—in a few months, they’ve fallen off the wagon. I think a crucial future of the tech piece is both advanced diagnostics and anchoring people to the site for ongoing monitoring and follow-up—using AI and “tele” models. I’d invest there.

I also think you have a huge singles market coming up (people divorced, widowed, that don’t want to get married or remarried), so hospitality models that combine comprehensive wellness with fun and the social piece will rise.