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Lindsay Andronaco is an internationally acclaimed Nurse Practitioner who’s distinguished two-decade career in trauma, reconstructive surgery, and wound care serves as the foundation for her innovative approach to patient care. Leveraging her clinical mastery and award-winning background, Lindsay established a pioneering model known as Integrative Aesthetic Medicine, which synthesizes advanced aesthetics, dermatology, functional medicine, and wellness into a cohesive, medically grounded service offering. By pivoting to independent practice, she created a state-of-the-art facility where patients can address complex needs—ranging from hormonal imbalances and weight management to cosmetic goals—under one roof. This holistic model transcends the limitations of traditional medical spas, reflecting Lindsay’s rare depth of expertise and commitment to safe, ethical, and comprehensive treatment. However, transforming a medical vision into a bankable business reality requires more than clinical expertise. It requires a strategic partnership. Lindsay didn’t want to start small. While many practitioners begin with a single room, Lindsay knew she was ready for a larger undertaking. She found a massive 7,200-square-foot commercial building in Bedford, NH, formerly used for pediatric therapy. Her plan was ambitious: purchase the building, execute a complete renovation—from flooring to rafters—and launch a fully staffed medical spa. The project required significant capital, ultimately totaling over a million dollars when factoring in the building, renovations, and state-of-the-art equipment. While Lindsay knew her metrics and Return on Investment (ROI) data inside and out, she faced a common hurdle for entrepreneurs: translating clinical confidence into financial language that banks understand. "I had all my numbers; I knew my metrics... but it’s putting it all together in a neat little package in order to be able to be approved by these banks and lenders." Years prior, a colleague had mentioned SCORE to Lindsay, describing it as a resource for business planning. Keeping that "nugget" of information in mind, she reached out when she was ready to launch and was matched with SCORE mentor Gene Calvano. Gene’s mentoring experience was the perfect complement to Lindsay’s medical expertise. He helped her navigate the complexities of securing a commercial loan. His primary challenge was understanding the vast array of services Lindsay intended to offer and breaking them down into digestible financial projections. Together, they worked on refining the business plan that lenders, specifically Bangor Savings Bank and the CRDC (Capital Regional Development Council), could support. The challenges included breaking down revenue by specific services—from lasers to injectables—to prove the business could support the loan and payroll for day-one employees as well as navigating equipment loans versus vendor financing to optimize cash flow. Lindsay credits Gene with bridging the gap between her dream and the bank’s approval. "I wouldn't be here without him," she admits. On June 2, 2025, Lindsay Andronaco welcomed the first patients to Elite Medical Spa. Years of dedication to her craft meant that she wasn’t starting from scratch—her reputation for thoughtful care had already drawn a loyal group of patients. The opening wasn’t just the result of marketing efforts or networking, but also the culmination of relationships built over time. Lindsay assembled a team of ten, each chosen for their expertise and commitment to patient care, including nurses, an esthetician, coordinators, and managers. Together, they set out to offer a wide range of services, from advanced aesthetic treatments to therapies focused on wellness and regeneration. The spa’s approach, blending modern aesthetic medicine with functional and regenerative therapies, set it apart from more conventional spas. Notably, the clientele included a significant number of men (40%), reflecting the inclusive nature of the services offered. Lindsay has also identified another gap in the market: education. She decided to utilize the lower level of the building to launch a training center called Elite Educational Institute. Now licensed by the state, the school offers a 600-hour accredited esthetician program. Lindsay innovated by purchasing a platform to create a "hybrid" program, allowing students to complete learning at home and participate in hands-on training in the facility—a crucial benefit for students balancing work and families. The school is already attracting students, with the first class beginning in January. The program has been approved to help those in the "Work Now" government assistance program. Seven months into operation, the results of the meticulous planning and mentorship with SCORE are evident. The business is "in the black," and Lindsay projects hitting $1 million in revenue before the first fiscal year concludes. The community has taken notice! Elite Medical Spa has already won "Best of the 603" awards for Med Spa, Day Spa, and Aesthetic Medicine. She also received her second international award, “Global Beauty Leadership”, recognizing her innovation and impact in the field. Furthermore, Lindsay was recently nominated for the Small Business Administration (SBA) Woman Business of the Year award. Elite Medical Spa is thriving, and the Elite Educational Institute is licensed and growing. Lindsay is now focused on stabilizing operations, supporting her growing team and balancing her professional success with family life. Her mission remains unchanged: deliver safe, ethical, medically grounded treatments that honor each patient’s story, goals, and identity. Restore Your Confidence! You can visit Elite Medical Spa at their website at https://www.elitemedspanh.com/ or on Facebook or on Instagram or by email at info@elitemedspanh.com . You can also call (603) 637-0037.
