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The Operating Model · 2026

How Source of Health Runs

One shared picture of the practice we are building together: the standard we hold, the roles we each carry, where every task belongs, and how we grow without ever being pushy. This is our north star. We move toward it as one team, in the open.

Prepared by Steven Sorr, NMD · Founder & Medical Director · A living document, built to evolve
North Star The Six Hats The Buckets Sales · Marketing · Advertising Weekly Rhythm ▸ Weekly Worksheet
01 · The North Star

Where We Are Forging, Together

Before roles, before numbers, before a single appointment, we agree on what we are building. This is the picture every decision is measured against.

We are not a med spa. We are a terrain-first medical practice that integrates aesthetic medicine with whole-body health, delivering the kind of attention usually reserved for an entirely different price point.

Everything we do is to improve the status quo of healthcare. We treat the soil before we plant the seed. The face is the harvest; the terrain is the work. Our experience sits alongside Aman, La Mer, and Four Seasons, not alongside other med spas. That is the bar. When a choice is unclear, we choose the option a five-star patient would feel served by. Be Radiant. Be Well. Be You.

The Standard Lives in Everything

The 5-Star Standard is not a separate hat or a department. It is the bar inside every hat below: every email, every room turnover, every price quoted, every post. If the work would not earn a place on the desk of the CMO of a billion-dollar luxury brand, it goes back to the table. The answer is never to lower the bar; it is to do the work again.

02 · The Six Hats

The Roles We Each Switch Between

Running this practice means wearing six hats, sometimes many in a single hour. A great operator does not confuse them. The skill is knowing which hat you are wearing right now, and which hat a problem belongs to. The 5-Star Standard is woven through all six.

Each card shows who carries the hat day-to-day, the one question that hat is always asking, and what falls inside it.

Patient Experience
Whole team · led front desk
“Does this feel like five-star care, from first call to follow-up?”
  • The felt journey: phone, arrival, room, departure
  • Tone, warmth, the curated quiet of the space
  • Anticipating needs before they are voiced
  • Recovery when something goes wrong
Clinical
Dr. Sorr · Sister (RN/Aesthetics)
“Is this anchored in biology and peer-reviewed evidence?”
  • Terrain assessment & protocol design
  • Treatment delivery & clinical safety
  • Scope of practice & who does what
  • Evidence standard: no claim without a source
Growth
Spa Director (owns)
“Are the right new patients finding us, and are past patients coming back?”
  • New-patient flow & where they hear about us
  • Re-engaging past patients who drifted
  • Grassroots, collaborations, local presence
  • Social content & the consultative conversation
Operations
Spa Director · Admin (Lindsay)
“Does the practice run smoothly without anyone scrambling?”
  • Scheduling, room flow, turnover
  • Supplies, vendors, RegenFX / MedPax
  • Systems, SOPs, and the follow-up loop
  • Nothing slips: every cancel is reconciled
Finances
Spa Director · reports to Dr. Sorr
“Are we healthy on revenue mix, margin, and the value of each patient?”
  • Revenue by tier & revenue per patient
  • Director-generated revenue (own booked clients)
  • Attach rate: RegenFX, MedPax, supplements
  • Watching the numbers that signal health
Culture
Whole team · modeled by Director
“Are we honest, kind, and growing, with the standard intact?”
  • How we treat each other & communicate
  • Transparency over secrecy on a small team
  • Coaching, feedback, and growth
  • Protecting the brand in every word we say
03 · The Buckets

Where Every Task & Thought Belongs

When something lands (a question, a problem, an idea, a fire), the first move is not to act. It is to sort: which hat owns this, and whose desk is it on? Most things that reach Dr. Sorr today belong on someone else's desk. This table is the router.

Hat / BucketWhat falls in hereTypical examplesWho decides
Patient Experience Anything about how a patient feels: the phone manner, the wait, the room, the goodbye, the recovery from a misstep. A patient felt rushed · the lobby music · a complaint to defuse Front Desk / Team
Clinical Diagnosis, protocol, dosing, safety, scope. Anything requiring medical judgment or touching the body. Which protocol tier · an adverse reaction · a dosing question Dr. Sorr / RN
Growth Getting the right new patients in and past patients back. Outreach, collaborations, content, the consult conversation. A collab with a local studio · a reactivation campaign · an Instagram post Spa Director
Operations The machine running smoothly: schedule, supplies, vendors, systems, and the follow-up loop that nothing escapes. A double-booking · low on product · a cancel with no follow-up Director / Admin
Finances The money signals: revenue mix, margin, per-patient value, attach rate, and the Director's own generated revenue. A package price · revenue down this week · an attach-rate dip Director → Dr. Sorr
Culture How we treat each other and protect the brand. Communication, feedback, transparency, the standard in our words. A team tension · an off-brand email · a coaching moment Team / Director
The One Rule That Unblocks Dr. Sorr

Before bringing something to Dr. Sorr, ask: “Is this genuinely a Clinical decision, or have I sorted it into the wrong bucket?” Patient-experience, growth, operations, finance, and culture items are owned by the team. Bring them to the weekly meeting with a recommendation, not just a question. Clinical and true judgment calls come to Dr. Sorr. This single discipline is how we move from a bottleneck to a team that runs.

04 · The Growth Philosophy

Sales, Marketing & Advertising Are Not the Same Thing

These three words get used interchangeably, and that confusion is what makes growth feel pushy. They are distinct disciplines. Understand the difference and you can grow aggressively while never once being salesy.

Discipline 01

Marketing

How the right people come to know us.
“Who hears about us, and what do they believe before they ever call?”
  • Reputation, reviews, word-of-mouth
  • Grassroots presence & local collaborations
  • Organic social content & education
  • The brand & the story we tell
Discipline 02

Sales

The conversation that helps the right person say yes.
“Is this the right person for us, and do they feel understood?”
  • The consultation & needs discovery
  • Qualifying: is this a fit, honestly?
  • Presenting the protocol, not a discount
  • Helping them recognize they belong here
Discipline 03

Advertising

Paid amplification of the marketing message.
“Where do we pay to be seen by the right audience?”
  • Paid social & search
  • Sponsored placements & events
  • Measured by cost per right patient
  • The smallest of the three; earned beats paid

The Luxury Model, Not the Groupon Method

In luxury, you do not sell. You qualify and serve. The “sale” is simply the moment the right patient recognizes they belong here. Pressure is a discount-world tactic; it signals scarcity of demand. We signal the opposite: a calm, expert practice that is selective about fit. This is how growth stays on-brand, and how a bold, eager energy becomes a magnetic one.

The Luxury Model: How We Grow
  • Lead with the consult; understand before recommending
  • Qualify honestly: not every person is our patient
  • Price with confidence; the value is the protocol & the terrain work
  • Let the standard and the outcomes do the persuading
  • Follow up because we care, not to chase a close
  • Scarcity of attention, never scarcity-pressure tactics
The Groupon Method: What We Never Do
  • Discount to fill the calendar
  • Push every walk-in toward any treatment
  • Compete on price instead of outcome
  • Countdown timers, hard closes, pressure
  • Follow up only to “get the sale”
  • Treat volume as the goal instead of fit
For the Spa Director

Your grassroots work, your collaborations, and your own social posts are all marketing: building who knows us. Your booked consultations are sales: the consultative conversation, never the pushy one. Channel the boldness into showing up everywhere and serving generously; let the qualifying-not-pressuring discipline carry the close. That is the luxury operator's edge.

05 · The Weekly Rhythm

What the Director Owns, and What Comes to Dr. Sorr

A practice runs on rhythm, not on heroics. Here is the weekly cadence that keeps the calendar full, the follow-up closed, and Dr. Sorr free to be the physician.

The Director Owns: Daily & Weekly

  • Book and run her own client appointments (revenue she generates)
  • Own the follow-up loop: every cancel reconciled, nothing dropped
  • Drive grassroots, collaborations, and the social calendar
  • Capture the KPIs and complete the weekly worksheet
  • Sort incoming issues into buckets; resolve everything that isn't clinical

Comes to Dr. Sorr: Weekly Meeting

  • The completed weekly worksheet PDF, sent ahead for review
  • Clinical decisions and true judgment calls
  • Notes by hat: what needs his input, with a recommendation attached
  • Anything above her decision authority or budget threshold
  • Wins worth celebrating as a team
The Loop That Closes the Blind Spot

The single most important weekly habit: no cancellation or reschedule may sit in limbo. Every one is logged in the worksheet with a status: rebooked, pending follow-up, or lost with a reason. By the weekly meeting, every name has a resolution. “Where is the follow-up?” stops being a question and becomes a number we report.

06 · The Living Layer

The Weekly Worksheet

This is where the model becomes the job. Fill it in each week, watch the dashboard update, then Save to PDF and email it to Dr. Sorr for review and cataloging. Your entries save in this browser automatically, so you can return and continue.

Start Here

The Week's Numbers, Names & Notes

Enter what you know. Leave blanks where data isn't ready yet. Percentages and totals calculate automatically. When the week is complete, use Save to PDF at the bottom and send it to Dr. Sorr. This worksheet is built to evolve; tell Dr. Sorr what to add or change.

This Week at a Glance · Updates as You Type

New Consults Booked
Consult → Treatment
Rebooking Rate
Patients Reactivated
Total Revenue
Director-Generated Rev
Cancel Recovery Rate
New Reviews

Patient Flow

New in & conversion
New consults booked this week
Consults that converted to a treatment / protocol
Consult → treatment conversionCalculated automatically
Total patient visits this week
Visits that rebooked before leaving
Rebooking rateCalculated automatically

New Patient Source

Where did they hear about us?
Referral: patient, friend, or family
Online review / Google search
Social media (organic: Instagram, TikTok)
Grassroots / collaboration / local event
Paid advertising
Other / not captured
Total new patients by sourceShould align with new consults; calculated

Retention & Reactivation

Bringing past patients back
Past patients re-engaged this weekOutreach made to patients who had drifted
Of those, patients reactivated (booked)
New 5-star reviews earned this week

Revenue & Mix

Enter dollars; totals calculate
Tier 01 · Foundation (consults, terrain assessment)
Tier 02 · Restoration
Tier 03 · Regeneration
Tier 04 · Radiance
RegenFX / MedPax / supplement revenue
Total revenue this weekCalculated automatically
Revenue per patientTotal revenue ÷ visits; calculated

Director-Generated Revenue

Your own booked clients
Clients you personally booked & treated this week
Revenue from your own clients
Attach: of your clients, how many added RegenFX / supplement

Cancellation & Reschedule Reconciliation

No name sits in limbo

Pull this week's flagged patients from GHL (filter the cancel-pending · cancel-rebooked · cancel-lost tags) and reconcile each here. By the weekly meeting, every name resolves to Rebooked, Pending follow-up, or Lost. This is the follow-up loop, made visible.

Patient Name Date Reason Status Follow-up By
Cancel recovery rateRebooked ÷ total logged; calculated

Notes for Next Week's Meeting · By Hat

What needs Dr. Sorr's input

For each hat, jot what should be addressed next week. Where you can, bring a recommendation, not just a question. That is how the team runs and Dr. Sorr stays unblocked.

Patient Experience
Clinical
Growth
Operations
Finances
Culture
Saved