Practitioners

Built for the pros
who carry the care.

More time with your patients. Less time chasing everything else. Find your venue and profession below. For each one: this is what you're missing, this is why, and this is how we build it back with you.

Find My Stranded Value

Jump to: In the clinic · In the gym & studio · In nutrition · In the treatment room · On the screen (telehealth) · In the lab · In the home & community

Our promise

Done with you, not for you.

You decide how it works in your practice. Nobody owns us, so we can build it around you.

  • You decide. Which services, which days, which room, and how involved you want to be.
  • We build it with you. Not a box we drop on your doorstep. You oversee every piece, and you can change your mind.
  • You keep what's yours. Your patients, your brand, your prices and your clinical judgment.
  • Nobody owns us. No outside investor sets our rules, so we can shape the model around your practice and your life.
Profession deep dives

Find your profession. See the numbers.

Real, sourced data on hours, burnout, episodic visits and where patients go next, then the before and after. Care that comes to you, where you already go.

Chiropractors

The numbers, the contrast and the questions chiropractors ask.

Gym owners

The numbers, the contrast and the questions gym owners ask.

Physical therapists

The numbers, the contrast and the questions physical therapists ask.

Nurse practitioners

The numbers, the contrast and the questions nurse practitioners ask.

Personal trainers

The numbers, the contrast and the questions personal trainers ask.

Nutritionists

The numbers, the contrast and the questions nutritionist or dietitians ask.

Dentists

The numbers, the contrast and the questions dentists ask.

Mental health therapists

The numbers, the contrast and the questions mental health therapists ask.

Everyone else

Massage, acupuncture, studios, pharmacy and more.

How we build it

The 70/20/10 approach.

Most of running a great practice isn't new. It's doing the proven things well, fitting them to your field, and building them around the life you want.

70%

Proven business systems

Nothing fancy or new. Just how a well-run practice runs: follow-up, scheduling, education, coordination and measuring what changes.

20%

Your industry

What's specific to your field: chiropractic, physical therapy, fitness, NP care, nutrition, dentistry or therapy. Your rules, your scope, your patients.

10%

Your day

You're our client too. If you have four kids and want to be home by 3, we build for that. If you love your schedule, we protect it.

The 70/20/10 split is how we plan our work with you, not a research finding.

Demand

Your patients are already looking.

The question isn't whether they want this kind of help. It's where they'll find it. Every number links to its source.

  • In a review of 1,016 women with bothersome hot flashes, about half waited more than 6 months to seek care, and nearly 40% had no prescription treatment recorded. (DePree et al., 2023)
  • 90% of women 35 and older report at least one menopause symptom (five on average). Women spend an estimated $13 billion a year treating them, more than $10 billion of it on nonmedical options, much of it outside a clinician's office. (AARP Research, 2024; association survey, not peer-reviewed)
  • 60.2% of US women ages 40 to 59 tried to lose weight in the past year. (CDC NCHS Data Brief 313, 2018; government data, not peer-reviewed)
  • 12% of US adults are currently taking a GLP-1 medication (15% of women). About 1 in 6 users got it from an online provider and 1 in 10 from a medical spa, outside their usual doctor's office. (KFF Health Tracking Poll, Nov 2025; independent opinion poll, not peer-reviewed)
  • 48.1% of adults 50 to 80 have bought an at-home medical test, and 82% are interested in using one in the future (87% of women). (Rager et al., 2024; University of Michigan National Poll on Healthy Aging; university source, not peer-reviewed)
  • 32.3% of US women used an urgent care center or retail health clinic in the past year: care in a convenient place they could get to. (CDC NCHS Data Brief 409, 2021; government data, not peer-reviewed)
  • 36.7% of US adults used at least one complementary health approach in 2022, up from 19.2% in 2002. (Nahin et al., 2024)
  • The average medical visit takes 121 minutes of a patient's day, including 37 minutes of travel, for about 20 minutes face to face. (Ray et al., 2015)

Most of these are national figures, not numbers about your practice. They show what people are already seeking, often somewhere else.

Your options

Every path has a right and a wrong.

There's more than one way to bring coordinated, functional care into a practice. Here they are by what they do, with what the research says. Pick the one that fits you, even if it isn't us.

Option: A franchise model

You buy into a brand and follow its rules.

What can go right
  • A known brand, a playbook and training on day one.
  • Federal law requires the franchisor to give you its disclosure document, with 23 items including fees, litigation and termination terms, at least 14 days before you sign or pay. (FTC Franchise Rule, 16 CFR 436; government data, not peer-reviewed)
What can go wrong
  • Ongoing fees, such as royalties, advertising and renewal fees, are part of the deal for as long as it lasts. Federal rules require them to be disclosed up front for a reason. (FTC Franchise Rule, 16 CFR 436; government data, not peer-reviewed)
  • The rules are the brand's, not yours.

Option: A licensing model

You pay to use someone else's system, often with ongoing fees.

What can go right
  • Faster than building from scratch, without buying a whole brand.
What can go wrong
  • Fees can continue for as long as you use the system, and terms can change at renewal.
  • We couldn't find reliable public data on how licensing deals in health and wellness turn out, so this column is our view, not a statistic. Ask for every ongoing fee in writing.

Option: Selling to private equity

Capital now, but you may give up control and your patient relationships.

What can go right
  • Money now, plus back-office support. It's a real and common path: private equity deals for physical therapy clinics went from 4 in 2010 to 175 in 2023, and the share of dentists affiliated with private equity nearly doubled, from 6.6% to 12.8%, from 2015 to 2021. (Reddy et al., 2025; Nasseh et al., 2024)
What can go wrong
  • Prices often rise: after acquisition, allowed amounts per claim rose 11% at acquired physician practices compared with similar independent ones. (Singh et al., 2022)
  • Turnover rises: clinicians were replaced at a higher rate (1.75 vs 1.37), and after a later resale, physicians were 16.5 points less likely to stay. (Bruch et al., 2023; Berquist et al., 2025)
  • Owners often resell: physical therapy deals were held an average of 3.3 years. (Reddy et al., 2025)

Option: Building it yourself

Full control, but also the full cost and time.

What can go right
  • Every decision is yours. Concierge and direct primary care practices grew 83.1% from 2018 to 2023, so independent models can work. (Zhu et al., 2025)
What can go wrong
  • It takes time to fill: only 31.2% of direct primary care practices in a national survey reported a full panel. (Qiu et al., JABFM (in press))
  • You carry the hiring, compliance, marketing and technology alone. We couldn't find a reliable public figure for what an in-office clinic costs to build, so we don't quote one.

Option: A done-with-you coordination partner (us)

We build it with you, inside the practice you already run.

What can go right
  • Zero up front, then a flat, fair-market rate, set in advance, not tied to referrals or patient volume. No equity, ever, and no percentage of patient revenue.
  • You decide how it works, and you can change it as you go.
What can go wrong
  • We're new. Our first proof partners start in October 2026, so we don't have documented results to show you yet.
  • It still takes time: the clinic math below assumes 12 to 24 months to mature.

We describe models by what they do and never name companies. Studies describe averages, not any one deal. Talk with your own attorney before you sign anything.

Flexibility

It's not one-size-fits-all.

Every practice is different, so every setup is too. Choose the pieces that fit your space, your patients and your week.

A patient success coordinator on site

Someone who knows every patient's name and next step. In a six-state study, NPs in practices with the most care-management and referral structure reported less burnout (19.3% vs 31.4%). (Schlak et al., 2023)

A phlebotomist on site

Blood drawn where patients already are, which can help keep costs and travel down. The average medical visit takes 121 minutes of a patient's day, and between 6.8% and 62% of lab tests in outpatient care weren't followed up, per a systematic review. (Ray et al., 2015; Callen et al., 2012)

An NP in the office or by telehealth

In person on the days that make sense, virtual on the days that don't. 37.0% of US adults used telemedicine in the past year, including 42.0% of women. (CDC NCHS Data Brief 445, 2022; government data, not peer-reviewed)

Some, all or none of the above

Start with one piece and add the rest later, or never. It's your call.

Clinical services are provided by independent licensed professionals under their own licenses. What's possible depends on your space and your state's rules.

We change with you

The market is moving. We'll move with you.

Many arrangements lock a practice into one way of doing things. In our view, the next one to two years will bring real change to how people get care: gradually, not overnight. If the market demands it, we change with you.

  • Care models are changing. Concierge and direct primary care sites grew 83.1% from 2018 to 2023, while independent ownership of those practices fell from 84.0% to 59.7%. (Zhu et al., 2025)
  • Patients are changing how they get care. 12% of adults are currently taking a GLP-1 medication, up from 6% in spring 2024, and many get it outside their usual doctor's office. (KFF Health Tracking Poll, May 2024; independent opinion poll, not peer-reviewed; KFF Health Tracking Poll, Nov 2025; independent opinion poll, not peer-reviewed)
  • Women are asking for more. 64% of women 35 and older want policymakers to make sure all women can get high-quality, personalized menopause care. (AARP Research, 2024; association survey, not peer-reviewed)
  • Virtual care is normal now. 37.0% of US adults used telemedicine in the past year. (CDC NCHS Data Brief 445, 2022; government data, not peer-reviewed)

The trends are published data. How fast they reach your town is our opinion, not a forecast.

Clinic revenue potential

Straight numbers, because you asked.

It's never about the money first. But you deserve honest math. Here's what a mature in-practice functional wellness and metabolic clinic with one full-time NP could bring in.

Conservative

Reasonable expectations

≈$21,000/month

150 members × $129 = $19,350
+ 10 new members × $199 onboarding = $1,990

About 150 members is near the low end for membership practices: in one survey of direct primary care practices, the average current panel was 402.

Base

An estimate

≈$49,000/month

250 members × $179 = $44,750
+ 20 new members × $199 onboarding = $3,980

250 members is still below that direct primary care average of 402.

Strong

What happens when you really put your effort behind it

≈$69,000/month

300 members × $199 = $59,700
+ 25 new members × $199 onboarding = $4,975
+ GLP-1 management add-on = $4,500 (assumption)

300 members is below the 473-patient average that full direct primary care panels report. Includes a GLP-1 management add-on: 60 members (20%) at $75 a month, medication not included. That uptake is our assumption, not a published figure.

Please read this. These are estimates, not promises. Results vary, and many clinics take 12 to 24 months to get there. Clinic revenue belongs to the independent clinical practice (the NP's own practice), not the host. The host practice is paid a flat, fair-market rate for its space and any real services it provides, and our fee is a flat, fair-market rate too. Both are set in advance, not tied to referrals or patient volume. So this is clinic revenue potential, not owner income. No one is paid for referrals.

Where the assumptions come from

  • Panel sizes are compared with membership practices: the average direct primary care panel was 402 patients (AAFP, 2024 Direct Primary Care Data Brief; industry data, not peer-reviewed), and full panels averaged 473, at an average of $98.46 per member per month (Qiu et al., JABFM (in press)). Menopause and metabolic memberships usually include more, so our prices are higher.
  • Monthly prices ($129, $179, $199) and the $199 onboarding fee are our assumptions, set inside the range of published menopause membership prices we reviewed. We don't name those clinics.
  • For comparison, the average medical weight-loss program brought in about $543,000 a year, roughly $45,000 a month (Marketdata, 2022; industry data, not peer-reviewed). Most of those are standalone clinics, not a room inside someone else's practice.
  • Medications are not included. Lab fees pass partly through to the lab.

How long it takes

  • Plan on 12 to 24 months to mature. With 25 new members a month and 5% leaving each month, a $179 membership reaches about $40,000 a month around month 12 and $60,000 around month 22 (our math).
  • Retention drives everything. If 8% leave each month instead of 5%, the same clinic levels off near 312 members and never reaches $60,000 a month (our math).
  • Only 31.2% of direct primary care practices in a national survey said their panel was full (Qiu et al., JABFM (in press)). Filling a panel takes time.

We're there every step of the way to help you.

Family protection and continuity

Your family is protected. The business doesn't die with you.

This is a side value. It's there if you ever want it, and it's not the point. Here's what it actually means.

Now your family is protected. God forbid something happens to you, the business doesn't die with you. Your patients are cared for and your family keeps the value you built.

What it means in real life

  • Your family is protected. If something happens to you, the business doesn't die with you. Your patients keep their care, and your family keeps what you built.
  • Fewer hours, steadier income. When more of your care is built around ongoing relationships, you can spend fewer hours in the practice and have more predictable income coming in. You don't have to keep chasing the next new patient.
  • From lifestyle owner to value creator. The practice can keep growing without you having to be in the room for every hour of it.
  • Room to breathe. As the pressure comes down, your own wellbeing can improve too, with more time for rest, family dinners and the life your work was meant to support.

These are things that can happen, not promises. Every practice is different, and results depend on your situation.

A quarter century of experience has taught Dr. Pat Pachciarz® to ask one question: if, God forbid, something happened to you, would the business die with you? Too often the answer is yes. Patients go elsewhere, and the family is left with a fraction of what you built.

We couldn't find reliable published data on what happens to a solo practice when the owner dies or becomes disabled without a plan, so we share what we've seen instead of a statistic.

  • We're not looking for you to exit. We're looking for a practice that doesn't depend on you being in the room 60 hours a week.
  • We work in 90-day sprints. Every sprint starts with one question: what do you want this to look like?
  • We help you see the value that's already in your book of business, and we take none of it. Zero. Then we rinse and repeat.

If you ever want to look at the numbers, we're here. If you already have someone, great. We simply collaborate with them. That's why we do it.

“Why are you helping me?”

People ask Dr. Pat Pachciarz® this all the time: “Why are you helping me?” The answer is simple: because we both benefit. When both people benefit, that's influence that's moral and ethical.

We work alongside your team

  • Just like The Pinnacle Group, we work with your CPA, your advisor, your attorney and your estate planner. We're not here to take over those relationships. We're here to complement them.
  • If more of us were collaborative instead of competitive, and kept the patient at heart, we'd all win.
  • You can go fast alone. You can go a lot farther together. We'd much rather go farther together.

A rare window to build community

The next two to three years are a rare window to connect with people and build real community. With so much uncertain about jobs and the economy, we want people to have a softer landing, or at least to know their options.

Why we built this

It's never been about the money.

  • It's never been about the money. It's about giving you more time to connect with your patients.
  • Yes, we benefit too, and we say so plainly. But this is an ecosystem: when your patients are better served, every practice in the circle does better.
  • We'd rather be your collaborator for twenty years than your vendor for one.

“Did I have time to build a 14th company? No. But I saw it, and I was fed up watching good people get hurt, unable to do what they really want.” — Dr. Pat Pachciarz®

What we've seen go wrong

Practices that sold to private equity and lost their patients.

We've watched owners sell and then lose control of the care and the relationships. The research shows clinician turnover tends to rise after these deals: physicians at acquired practices were 6 percentage points more likely to leave, and after a later resale, 16.5 points less likely to stay. (Bruch et al., 2023; Berquist et al., 2025)

Wellness add-ons that weren't structured correctly or legally.

We've seen add-on clinics set up without the right ownership, referral or payment structure. That's why we start with structure, and why anything that touches referrals or payment goes to your own legal and compliance advisors. (From what we've seen, not a research finding.)

Franchise or licensing deals that looked great at the start.

But what happens when it's ongoing? Federal rules require franchisors to disclose ongoing fees like royalties, advertising and renewals because they keep coming for as long as the deal lasts. (FTC Franchise Rule, 16 CFR 436; government data, not peer-reviewed)

We're not here to plug in a revenue line. We want to be your collaborator.

The core team

CAPTAIN

Chiropractors · Advanced practice nurses · Primary care · Trainers · Accountability coaches · Integrative practitioners · Nutritionists. Plus the crew: everyone else who touches her health.

C

Chiropractors

A

Advanced practice nurses (NPs)

P

Primary care

T

Trainers & gyms

A

Accountability coaches

I

Integrative practitioners

N

Nutritionists & dietitians

Venue

In the clinic

CChiropractors

This is what

Patients finish a care plan and drift away. Many are midlife women asking bigger health questions you can't fully answer in your scope.

This is why

Care plans end, but her needs don't. Without a trusted circle, she takes those questions somewhere else, and often doesn't come back.

This is how
  • Education that keeps past patients connected between visits
  • A trusted circle to refer to when a question is outside your scope
  • Your story and reviews visible in search and AI answers

Read the full chiropractors page →

AAdvanced practice nurses (NPs)

This is what

Deep clinical skill that few people can find by name. Telehealth reach, but no local footprint.

This is why

Clinical expertise rarely turns into a public brand. Platforms own the client relationship, not you.

This is how
  • A personal brand built on your expertise and voice
  • Local partners (trainers, coaches, nutritionists) who know your work
  • Answer-first education that brings the right clients to you

Read the full advanced practice nurses (nps) page →

PPrimary care

This is what

Short visits leave questions unanswered. Patients need follow-through between visits that nobody owns.

This is why

The schedule doesn't leave time for education or for coordinating the trainer, the nutritionist and the coach.

This is how
  • Sourced, plain-language education you can point patients to
  • A known circle of non-clinical pros for the follow-through
  • Fewer “I found this online” conversations to untangle

IIntegrative practitioners

This is what

Value that is hard to explain in a short ad. Trust that only spreads by word of mouth.

This is why

Your work is whole-person, but your marketing has to fit in one lane and one sentence.

This is how
  • Education that explains your approach with peer-reviewed sources
  • A coordinated team around your clients
  • Proof captured as before and after

Physical & pelvic floor therapists

This is what

Discharged patients who still need strength and maintenance. Women who don't know pelvic floor therapy exists.

This is why

Referral-driven practices have little direct-to-public presence, and the plan of care has an end date.

This is how
  • Public education on what your specialty does and who it helps
  • Hand-offs to trusted trainers for long-term strength
  • Referrals back when something changes

Read the full physical & pelvic floor therapists page →

Venue

In the gym & studio

TTrainers & gym owners

This is what

Members ask health questions you can't answer. Some leave to find those answers elsewhere. Mid-day hours and space sit empty.

This is why

Membership alone is easy to compare on price. The member's bigger health story happens outside your walls.

This is how
  • Education events that bring members and their friends in
  • A trusted clinical circle to point members to
  • Your gym known as the place that coordinates, not just a place to work out

Personal trainers page → · Gym owners page →

AAccountability & health coaches

This is what

Strong relationships and real progress that nobody outside can see. No credential the public recognizes.

This is why

Coaching results live in DMs and check-ins, not in reviews, stories or search results.

This is how
  • A simple way to capture proof, with consent
  • A brand that explains what you do in one line
  • A clinical circle to send clients to when it's outside your lane

Yoga, Pilates & small studios

This is what

Members who left. Class packs bought and not used. Quiet mid-day hours.

This is why

Studios run on community, but community fades without a reason to come back.

This is how
  • Education nights for women in midlife
  • Partnerships with local pros who share your clients
  • Re-engagement content for past members
Venue

In nutrition

NNutritionists & dietitians

This is what

Clients who stop after the first few visits. Competing with free advice online. Often a solo practice with no referral circle.

This is why

Nutrition works best alongside training, sleep and clinical care, but you usually see only one piece.

This is how
  • A team that reinforces your plan between visits
  • Answer-first content that sets you apart from free advice
  • Referrals from trainers and clinicians who know you

Read the full nutritionists & dietitians page →

Venue

In the treatment room

Massage therapists

This is what

Years of client trust. Rebooking that runs on memory and word of mouth.

This is why

You hear more about a client's life on the table than almost anyone. That trust rarely shows up anywhere else.

This is how
  • Gentle, useful education that keeps clients connected
  • A circle of pros who refer to you
  • Your reputation visible online

Acupuncturists

This is what

Loyal regulars who would refer if anyone asked.

This is why

Your value is hard to explain in a short ad, so it travels slowly.

This is how
  • Clear, sourced education about what you do
  • A referral circle that knows your work
  • Before and after proof of your practice growth
Venue

On the screen (telehealth)

Mental health therapists

This is what

A long-term client base and deep trust, but little local visibility after moving online.

This is why

Online, you compete with national apps. Local word of mouth fades.

This is how
  • A local brand and footprint again
  • Trusted local pros who refer with care
  • Education that lowers the barrier to reaching out
Venue

In the lab

Phlebotomists & lab professionals

This is what

You are often the first in-person touch when a health question starts. Then the client disappears.

This is why

A lab draw is a moment of trust that rarely connects to the rest of her care team.

This is how
  • A role in a coordinated, local care circle
  • Education to share when clients ask “what happens next?”
  • A path for students and new pros to learn coordination early

Pharmacists

This is what

Frequent, trusted contact with midlife clients who have questions nobody connects.

This is why

Counter conversations are short, and the rest of her team is invisible to you.

This is how
  • Education resources to share
  • A local circle to connect clients with
  • Visibility for your expertise
Venue

In the home & community

Home care & caregiver agencies

This is what

Families find you in a crisis, not before. Many are women caring for parents while going through their own transition.

This is why

Nobody educates families early, so the first call comes late.

This is how
  • Education that reaches caregivers sooner
  • A circle of pros who know when to refer
  • Trust that shows up online

Doulas & menopause doulas

This is what

Clients at big life moments who would gladly refer friends. Tiny marketing budgets.

This is why

Solo, time-poor practices rarely have time to build a brand.

This is how
  • A brand built with you, in your voice
  • A coordinated circle to refer within
  • Education for women who don't know your role exists

Dentists, optometrists, podiatrists & audiologists

This is what

Midlife patients with questions nobody connects to the rest of their health. Patients overdue for yearly care.

This is why

You're seen as “only when something breaks,” so the relationship is easy to forget.

This is how
  • Education that reminds patients why yearly care matters
  • A local circle that sees the whole person
  • Stronger online presence
Don't see your profession?

The crew is bigger than the word.

Occupational and speech therapists, nursing and allied health students, and many more. If you serve women in life transitions, you belong in the circle. Tell us about your practice.

You keep your own clients, brand and prices. Scope of practice and referral rules differ by license and by state; you stay responsible for your own clinical and professional decisions. No one pays or is paid for referrals.

Everyone else your patients visit

The circle is bigger than one office.

Your patient's care doesn't stop at your door. These pros are part of the coordinated circle too.

  • Massage therapists
  • Acupuncturists
  • Yoga and Pilates studios
  • Pharmacists
  • Phlebotomists and draw stations
  • Primary care and integrative practitioners
  • Health and accountability coaches

By the numbers

  • 36.7% of US adults used at least one complementary health approach in 2022, up from 19.2% in 2002. Meditation (17.3%) and yoga (15.8%) led; acupuncture use more than doubled to 2.2%. (Nahin et al., 2024)
  • Medicare patients saw a median of 2 primary care doctors and 5 specialists across 4 practices in a year. (Pham et al., 2007)
  • Lab results slip through the cracks: 6.8% to 62% of lab tests were not followed up in outpatient care, per a systematic review. (Callen et al., 2012)

Don't see your profession? Tell us about your practice.

Why human connection

Technology will never replace human connection.

Our systems handle the repeat work so people can do the human work: remembering names, stories and what matters to each patient.

  • The Harvard Study of Adult Development, begun in 1938 and now directed by Dr. Robert Waldinger, is one of the longest-running studies of adult life. Its researchers report that close relationships, more than money or fame, keep people happy throughout their lives, and are better predictors of long and happy lives than social class, IQ or even genes. (Harvard Gazette, 2017; university source, not peer-reviewed; Harvard Study of Adult Development; university source, not peer-reviewed)

“Trust is the hardest thing to scale, and the best thing to scale.”

Webinars come first

Join an upcoming practitioner webinar.

Free education before any conversation about working together. Dates will be announced soon. Leave your email and we'll send them first.

  • What the research says about the patients you already serve
  • How coordinated care works around a practice like yours
  • Straight answers on cost, compliance and what we never do

We'll email webinar dates and practitioner education. Unsubscribe anytime. Please don't share health information here.

Sources

Where the numbers come from

Research findings describe published studies. They are not promises about any one practice or patient.

  1. DePree B, Houghton K, Shiozawa A, et al. Treatment and resource utilization for menopausal symptoms in the United States: a retrospective review of real-world evidence from US electronic health records. Menopause. 2023;30(1):70-79. (Industry-funded.) doi:10.1097/GME.0000000000002095 peer-reviewed
  2. Sauer J, Mehegan L, Williams AR, et al. The Economic Impact of Menopause: A Survey of Women 35+ and Employers. AARP Research, January 2024 (national survey of 1,510 women 35+ with at least one menopause symptom, Sept 2023). doi:10.26419/res.00720.001 association survey, not peer-reviewed
  3. Martin CB, Herrick KA, Sarafrazi N, Ogden CL. Attempts to lose weight among adults in the United States, 2013-2016. NCHS Data Brief No. 313. 2018 (data table: women 40-59). https://www.cdc.gov/nchs/products/databriefs/db313.htm government data, not peer-reviewed
  4. KFF. Poll: 1 in 8 adults say they are currently taking a GLP-1 drug (KFF Health Tracking Poll, Oct 27-Nov 2, 2025; 1,350 US adults). https://www.kff.org/public-opinion/poll-1-in-8-adults-say-they-are-currently-taking-a-glp-1-drug-for-weight-loss-diabetes-or-another-condition-even-as-half-say-the-drugs-are-difficult-to-afford/ independent opinion poll, not peer-reviewed
  5. Rager JB, Kirch M, Singer DC, Solway E, Malani PN, et al. Use of at-home medical tests among older US adults: a nationally representative survey. Inquiry. 2024;61:469580241284168. doi:10.1177/00469580241284168 peer-reviewed
  6. University of Michigan Institute for Healthcare Policy and Innovation. National Poll on Healthy Aging: At-Home Medical Tests (adults 50-80, July 2022). https://ihpi.umich.edu/national-poll-healthy-aging/national-findings/home-medical-tests university source, not peer-reviewed
  7. Black LI, Adjaye-Gbewonyo D. Urgent care center and retail health clinic utilization among adults: United States, 2019. NCHS Data Brief No. 409. 2021. https://www.cdc.gov/nchs/products/databriefs/db409.htm government data, not peer-reviewed
  8. Nahin RL, Rhee A, Stussman B. Use of complementary health approaches overall and for pain management by US adults. JAMA. 2024;331(7):613-615. doi:10.1001/jama.2023.26775 peer-reviewed
  9. Ray KN, Chari AV, Engberg J, Bertolet M, Mehrotra A. Opportunity costs of ambulatory medical care in the United States. Am J Manag Care. 2015;21(8):567-574. https://pmc.ncbi.nlm.nih.gov/articles/PMC8085714/ peer-reviewed
  10. Federal Trade Commission. Franchise Rule, 16 CFR Part 436 (disclosure requirements, including Item 6: Other Fees), and A Consumer's Guide to Buying a Franchise (Sept 2020). https://www.ecfr.gov/current/title-16/chapter-I/subchapter-D/part-436 government data, not peer-reviewed
  11. Reddy M, Li G, Singh Y. Trends in private equity acquisition of US physical therapy clinics, 2010 to 2024. J Am Acad Orthop Surg. 2026;34(8):e1136-e1143 (epub Oct 2025). doi:10.5435/JAAOS-D-25-00650 peer-reviewed
  12. Nasseh K, LoSasso AT, Vujicic M. Percentage of dentists and dental practices affiliated with private equity nearly doubled, 2015-21. Health Aff. 2024;43(8):1082-1089. doi:10.1377/hlthaff.2023.00574 peer-reviewed
  13. Singh Y, Song Z, Polsky D, Bruch JD, Zhu JM. Association of private equity acquisition of physician practices with changes in health care spending and utilization. JAMA Health Forum. 2022;3(9):e222886. doi:10.1001/jamahealthforum.2022.2886 peer-reviewed
  14. Bruch JD, Foot C, Singh Y, Song Z, Polsky D, Zhu JM. Workforce composition in private equity-acquired versus non-private equity-acquired physician practices. Health Aff. 2023;42(1):121-129. doi:10.1377/hlthaff.2022.00308 peer-reviewed
  15. Berquist B, Klarnet A, Dafny L, et al. Sale of private equity-owned physician practices and physician turnover. JAMA Health Forum. 2025;6(2):e245376. doi:10.1001/jamahealthforum.2024.5376 peer-reviewed
  16. Zhu JM, Marsh T, Polsky D, Huntington A, Song Z. Growth in number of practices and clinicians participating in concierge and direct primary care, 2018-23. Health Aff. 2025;44(12):1473-1481. doi:10.1377/hlthaff.2025.00656 peer-reviewed
  17. Qiu K, Chandarana S, Huffstetler A. The characteristics of direct primary care practices in the United States: a national survey. J Am Board Fam Med. In press (accepted June 2026); 465 practices. https://www.jabfm.org/content/characteristics-direct-primary-care-practices-united-states-national-survey peer-reviewed
  18. Schlak A, Poghosyan L, Rosa WE, et al. The impact of primary care practice structural capabilities on nurse practitioner burnout, job satisfaction, and intent to leave. Med Care. 2023;61(12):882-889. doi:10.1097/MLR.0000000000001931 peer-reviewed
  19. Callen JL, Westbrook JI, Georgiou A, et al. Failure to follow-up test results for ambulatory patients: a systematic review. J Gen Intern Med. 2012;27(10):1334-48. doi:10.1007/s11606-011-1949-5 peer-reviewed
  20. Lucas JW, Villarroel MA. Telemedicine use among adults: United States, 2021. NCHS Data Brief No. 445. 2022. https://www.cdc.gov/nchs/products/databriefs/db445.htm government data, not peer-reviewed
  21. KFF. KFF Health Tracking Poll May 2024: The Public's Use and Views of GLP-1 Drugs (1,479 US adults). https://www.kff.org/health-costs/kff-health-tracking-poll-may-2024-the-publics-use-and-views-of-glp-1-drugs/ independent opinion poll, not peer-reviewed
  22. American Academy of Family Physicians. 2024 Direct Primary Care Data Brief (survey of DPC practices). https://www.aafp.org/assets/image/upload/v1771216437/Migrated%20-%20PDFs%20(AEM)/Practice/direct-primary-care-2024-data-brief-pdf.pdf industry data, not peer-reviewed
  23. Marketdata LLC. How To Set Up A Profitable Medical Weight Loss Program (May 2022 market research guide; findings via press release). Methodology not public. https://markets.financialcontent.com/stocks/article/webwire-2022-5-17-more-physicians-are-adding-a-weight-loss-program-to-their-practice-new-guide-shows-how industry data, not peer-reviewed
  24. Exit Planning Institute. 2023 National State of Owner Readiness Report (survey of US business owners; 2013 comparison). https://exit-planning-institute.org/hubfs/Member%20Center%20Resources/2023%20National%20State%20of%20Owner%20Readiness%20Report.pdf association survey, not peer-reviewed
  25. Pham HH, Schrag D, O'Malley AS, et al. Care patterns in Medicare and their implications for pay for performance. N Engl J Med. 2007;356(11):1130-9. doi:10.1056/NEJMsa063979 peer-reviewed
  26. Mineo L. Good genes are nice, but joy is better. Harvard Gazette, April 11, 2017 (on the Harvard Study of Adult Development). https://news.harvard.edu/gazette/story/2017/04/over-nearly-80-years-harvard-study-has-been-showing-how-to-live-a-healthy-and-happy-life/ university source, not peer-reviewed
  27. Harvard Study of Adult Development (study website). Director: Robert Waldinger, MD. See also Waldinger R, Schulz M. The Good Life. Simon & Schuster; 2023. https://www.adultdevelopmentstudy.org/ university source, not peer-reviewed

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