| METRIC |
MODEL 1 Concierge
|
MODEL 2 Volume Hybrid
|
MODEL 3 Platform
|
| PATIENTS |
50 |
200 |
500+ |
| REVENUE/PATIENT |
$20,000 |
$5,000 |
$2,000 |
| TOTAL REVENUE |
$1M |
$1M |
$1M |
| CLINICAL TIME/PATIENT |
High |
Medium |
Low |
| PHYSICIAN IN LOOP |
Every touchpoint |
Key moments + PA/NP |
Trust layer |
| TEAM STRUCTURE |
Physician + staff |
Physician + PA/NP + staff |
Physician + lean tech team |
| INFRASTRUCTURE |
Office, in-house labs |
Office, partner labs, tech stack |
Digital, AI, no physical space |
| MARGIN DRIVER |
Access & outcomes |
Upsell (labs, imaging, supplements) |
Scale & automation |
| REVENUE LINES |
Membership |
Membership + products + services + testing |
Membership + AI tools |
| PATIENT EXPECTATION |
Highest |
Moderate |
Convenience |
| SCALABILITY |
Low |
Medium |
High |
| STARTUP COST |
High |
Medium |
Low |
| BREAKEVEN TIMELINE |
12–18 months |
6–12 months |
3–6 months |
Model 1: How to Build a Concierge Longevity Practice
50 patients. $20K each.
This is the boutique clinic. You see fewer patients, spend more time with each, and charge accordingly.
The math: 50 patients × $20,000 per year = $1,000,000.
Your patients expect full access: your phone, same-day responses, comprehensive testing, personalized protocols. The higher the price, the higher the expectation for outcomes. More human in the loop at every step.
Margins per patient are strong, but your revenue has a ceiling. You are selling your time. At around 50 patients, one physician can deliver. Growth means either raising prices or adding another physician, which changes the business entirely.
Pros: highest revenue per patient, deep relationships, strong retention, simple operations.
Cons: you are the ceiling, burnout risk, small patient base means a few churns hurt, hard to sell the practice without you in it.
Best for: physicians in affluent markets who want a small, high-touch panel and are comfortable being the product.
Model 2: How to Build a Volume Hybrid Longevity Care Practice
200 patients. $5K each.
Lower entry price, wider funnel. The membership fee covers the clinical relationship, but the clinic does not reach $1M on membership alone.
The math: 200 patients × $5,000 = $1,000,000.
In practice, your $1M usually looks like this: a few hundred thousand from memberships, the rest from labs, imaging, supplements, wellness programs, group consults, and products. Membership gives you the relationship; everything else lives on top of that.
You also need a team. One physician cannot see 200 patients, manage protocols, and run operations. A PA or NP handles follow-ups, routine check-ins, and protocol management. A medical assistant supports in-office testing. A part-time coordinator keeps the calendar and inbox under control.
A real tech stack is mandatory here: scheduling, intake, automated follow-up, patient communication, lab ordering, and data tracking. Without it, this model breaks around 70–80 active patients. Operationally heavier. More moving parts. But at 200 patients with multiple revenue streams, you have a real business.
Pros: diversified revenue, more resilient to churn, buildable team, genuinely sellable business.
Cons: operationally complex, staff management, higher fixed costs, upsell dependency, tech stack is not optional.
Best for: most physician-owners who want a clinic that employs a small team, has an in-person footprint, and is built to be an asset, not just a job.
Model 3: How to Build a Platform-Based Longevity Care Practice
500+ patients. $2K each.
Digital first. Lightweight physical footprint, if any. AI and automation handle intake, lab structuring, risk scoring, and routine patient communication.
The math: 500 patients × $2,000 = $1,000,000.
In this model, the physician is the trust layer, not the bottleneck. You are not selling your hours. You are selling access to a system with your name, judgment, and protocols behind it. The system does the heavy lifting; you do the thinking.
You review key labs, make decisions, write prescriptions, and coach where it really matters. You can work on an hourly or session-based model and adjust your lifestyle up or down. See patients from anywhere. Work 20 hours a week or 50. Your call.
This is where the physician becomes scalable. The technology makes your brain and your model available to far more people without adding a linear number of hours. This model barely exists at individual-physician scale today, but the economics point here. It has the lowest startup cost, the widest reach, and the highest scalability. It is also the hardest to build, because the technology and regulatory layer have to be right.
Pros: location independent, lifestyle flexible, lowest overhead, highest scalability, highly sellable if built well.
Cons: technology dependency, trust is harder without in-person, relationships are thinner, regulatory complexity across states, the AI layer does not yet exist off the shelf.
Best for: tech-forward physicians willing to build or partner on a platform and expand across regions via telehealth.
Key Metrics for Building a Longevity Care Business
If you do not know your numbers, you do not have a business. You have an expensive hobby.
Track these monthly:
- LTV (lifetime value per patient).
- CAC (cost to acquire one patient).
- LTV:CAC ratio (you want at least 3:1 or you are buying revenue, not building a business).
- Churn (how many members leave per year).
- Revenue/margins per physician.
- Upsell conversion rate (how many members move into higher-value services).
- Lab and testing cost per patient.
- Staff cost as a percentage of revenue.
- Rent or lease as a percentage of revenue.
- Marketing spend as a percentage of revenue.
- Tech stack cost per patient.
- Breakeven patient count (how many active patients you need to cover your monthly burn).
These numbers tell you which model you are actually running, not which model you think you are running.
The Longevity Clinic Checklist: What You Need Before Your First Patient
You do not need everything on day one, but you do need a clear sequence. Think in three phases.
Pre-Launch
Non-Negotiables
- Legal & Structure
- Licensing & Creds
- Clinical Setup
- Core Tech
First 90 Days
BUILD THE FUNNEL
- Part-time Team
- Brand & Website
- Marketing Setup
- Referral Network
Next 12 Months
scale and systemAtize
- Data Integration
- Team Expansion
- Financial Planning
- Scaling Systems
1. Before Launch: Non‑negotiables
Legal and Structure
- Entity formation (LLC, PLLC, or PC, depending on your state).
- Management Services Organization (MSO) with a Management Services Agreement (MSA) if you are separating clinical and business operations.
- Business bank account.
- Malpractice insurance (confirm longevity/preventive coverage).
- HIPAA compliance plan.
- Patient consent and waiver templates.
- Membership agreement terms.
- Accountant (monthly, not just tax season).
- Healthcare attorney (one call before launch saves ten later).
Licensing and Credentials
- State medical license (and additional states if telehealth).
- DEA registration (if prescribing controlled substances).
- CLIA waiver or lab partnership agreement.
- NPI number.
- Collaborative practice agreement (if hiring PA/NP where required).
Core Clinical Infrastructure
- Lab partner (or in-house CLIA-waived testing).
- Imaging partner (DEXA, CT calcium score, MRI referral pathway).
- Pharmacy relationship (including compounding if applicable).
- EMR (as your clinical dashboard, not just a billing tool).
Essential Tech and Presence
- EMR (there is plenty of them now)
- Patient messaging (HIPAA-compliant).
- Scheduling (built into EMR or separate).
- Payment and membership billing (Stripe, Square, or membership platform).
- Telehealth option (HIPAA-compliant).
- Simple website: clean, fast, with one clear call to action (book/apply).
2. First 90 Days: Build the Funnel
Team (Part-time is fine)
- Front desk / patient coordinator (part-time).
- Virtual assistant (scheduling, follow-ups, inbox).
- Bookkeeper (weekly).
Marketing and Acquisition
- Brand: name, logo, colors, one clear positioning statement.
- Website live before you open.
- Google Business profile claimed and optimized.
- Social media presence (LinkedIn minimum; Instagram if consumer-facing).
- Referral network started (PCPs, cardiologists, endocrinologists, therapists).
- One lead magnet (free consult, webinar, or guide).
- CAC tracking from day one (how much you spend per new patient).
3. Next 12 Months: Scale and Systematize
Advanced Clinical and Data Infrastructure
- Wearable data integration (Oura, Whoop, CGM, etc.).
- Data aggregation platform for labs and wearables.
Expanded Team (Depends on Model)
- PA or NP (essential for Model 2 and Model 3; not required day one for Model 1).
- Medical assistant (if you are doing in-office labs or vitals).
- Marketing support (freelancer or agency, not full-time yet).
Financial Planning and Review
- 12-month cash runway or clear revenue plan.
- Monthly burn rate calculated before launch and revisited quarterly.
- Pricing model locked (membership, per-visit, or hybrid).
- Break-even patient count known and updated.
- Revenue per patient target set.
- LTV and churn assumptions documented and then replaced with real data.
- Quarterly P&L review on the calendar.
Where Does AI Fit in a Longevity Care Practice?
AI coaching on labs will become a commodity. Every report will start to sound the same. That is fine. Let the machines summarize.
What remains scarce is the physician: your trust, your guidance, your judgment, your ability to motivate and hold patients accountable. That layer is not going away in three years. Probably not in ten.
Build your clinic so that AI and software handle everything repeatable—and you focus on the work that only you can do. Read my recent newsletter and discover the 10 AI tools every longevity doctor needs right now.
How to Know What Longevity Care Business Model is Right for You?
Pick the model that matches your risk tolerance, your lifestyle goals, and your market:
- Boutique (50 × 20K).
- Volume hybrid (200 × 5K).
- Platform (500 × 2K).
And if $1M feels far away, remember: Model 2 is 200 patients at $5K. That is 17 new patients a month for a year. One physician, one PA, one tech stack, one year.
The time to build is now. We will go deeper into these models at the Longevity Docs Summit in Cannes in June.
Editorial Disclaimer
This newsletter is published exclusively for licensed physicians and qualified healthcare professionals. It is not intended for consumers or patients.
All content is for continuing medical education and professional information purposes only. It reflects emerging research, science, and technology that may have implications for the practice of medicine. It does not constitute medical advice, clinical recommendations, or treatment guidance for any individual patient.
Peer-to-peer discussions reproduced in this newsletter represent the personal clinical opinions of individual physicians. They do not reflect the official position of Longevity Docs and have not been reviewed or endorsed by any regulatory, medical, or professional body.
References to specific therapies, compounds, devices, or protocols are provided for educational context only. Some may be investigational, off-label, or not approved by the FDA, EMA, or equivalent regulatory authorities in your jurisdiction. Physicians are responsible for independently evaluating all information in accordance with current evidence, applicable law, and the standards of their licensing board.
Longevity Docs does not promote, endorse, or recommend any specific product, treatment, or commercial entity. Nothing in this newsletter should be construed as a solicitation or as influencing prescribing behavior.
By reading this newsletter, you confirm that you are a licensed healthcare professional and that you will apply the information contained herein within the bounds of your clinical judgment, professional obligations, and applicable regulations.
If you are a patient or consumer reading this newsletter, please note that this content should not be used to make any health or medical decisions. Please consult your personal physician or a qualified healthcare provider for guidance specific to your situation.
How to Build a $1M Longevity Clinic
NEWSLETTER
How to Build a $1M Longevity Clinic
Longevity clinics are growing everywhere in the world. Which model is right for your market, your risk tolerance, and your vision of practice? Explore the math behind concierge, volume hybrid, and platform with their trade offs.
Most physicians are exceptional at what they do: treating patients in clinical settings, saving lives, practicing medicine at the highest level. That is the backbone of healthcare and it always will be. But some of you have decided to go a different route. To treat aging before it becomes disease. To extend healthspan by compressing the years we spend living with age-related chronic conditions. Some of you are just starting, either transitioning from another specialty or fresh out of residency.
Longevity clinics are growing everywhere in the world. There is no going back. But is yours profitable? How do you scale? How do you improve efficiency? I get these questions all the time. There is no perfect playbook, but I want to dedicate this week's story to the math behind it. So this week I am writing about how to build a $1M longevity clinic.
You're reading this because you are starting you longevity clinic or want to grow one. Like any business, you need a revenue target. Let's use $1M because it is the number where investors start paying attention. Whether that means an investment round, or simply building a practice valuable enough to sell when you want to stop (and yes, work is longevity). $1M in revenue is the threshold where your clinic becomes an asset. These are U.S. numbers. Adapt the math to your market. The models are universal. The price points are local. And to be clear: we are talking about revenue, not profit. Profit varies based on your cost structure, your geography, your team, and how you run the practice. But you cannot have profit without revenue. So start here.
For my full perspective read and subscribe to my weekly newsletter
Three Roads to Building a $1M Longevity Care Practice
Let's explore three models with their trade-offs. I am not including interventions, modalities, or prescriptions here. This is pure longevity care services: membership, testing, consults, coaching. The clinical add-ons are separate revenue lines that change the math significantly depending on your practice.
Model 1: How to Build a Concierge Longevity Practice
50 patients. $20K each.This is the boutique clinic. You see fewer patients, spend more time with each, and charge accordingly.
The math: 50 patients × $20,000 per year = $1,000,000.
Your patients expect full access: your phone, same-day responses, comprehensive testing, personalized protocols. The higher the price, the higher the expectation for outcomes. More human in the loop at every step.
Margins per patient are strong, but your revenue has a ceiling. You are selling your time. At around 50 patients, one physician can deliver. Growth means either raising prices or adding another physician, which changes the business entirely.
Pros: highest revenue per patient, deep relationships, strong retention, simple operations.
Cons: you are the ceiling, burnout risk, small patient base means a few churns hurt, hard to sell the practice without you in it.
Best for: physicians in affluent markets who want a small, high-touch panel and are comfortable being the product.
Model 2: How to Build a Volume Hybrid Longevity Care Practice
200 patients. $5K each.Lower entry price, wider funnel. The membership fee covers the clinical relationship, but the clinic does not reach $1M on membership alone.
The math: 200 patients × $5,000 = $1,000,000.
In practice, your $1M usually looks like this: a few hundred thousand from memberships, the rest from labs, imaging, supplements, wellness programs, group consults, and products. Membership gives you the relationship; everything else lives on top of that.
You also need a team. One physician cannot see 200 patients, manage protocols, and run operations. A PA or NP handles follow-ups, routine check-ins, and protocol management. A medical assistant supports in-office testing. A part-time coordinator keeps the calendar and inbox under control.
A real tech stack is mandatory here: scheduling, intake, automated follow-up, patient communication, lab ordering, and data tracking. Without it, this model breaks around 70–80 active patients. Operationally heavier. More moving parts. But at 200 patients with multiple revenue streams, you have a real business.
Pros: diversified revenue, more resilient to churn, buildable team, genuinely sellable business.
Cons: operationally complex, staff management, higher fixed costs, upsell dependency, tech stack is not optional.
Best for: most physician-owners who want a clinic that employs a small team, has an in-person footprint, and is built to be an asset, not just a job.
Model 3: How to Build a Platform-Based Longevity Care Practice
500+ patients. $2K each.Digital first. Lightweight physical footprint, if any. AI and automation handle intake, lab structuring, risk scoring, and routine patient communication.
The math: 500 patients × $2,000 = $1,000,000.
In this model, the physician is the trust layer, not the bottleneck. You are not selling your hours. You are selling access to a system with your name, judgment, and protocols behind it. The system does the heavy lifting; you do the thinking.
You review key labs, make decisions, write prescriptions, and coach where it really matters. You can work on an hourly or session-based model and adjust your lifestyle up or down. See patients from anywhere. Work 20 hours a week or 50. Your call.
This is where the physician becomes scalable. The technology makes your brain and your model available to far more people without adding a linear number of hours. This model barely exists at individual-physician scale today, but the economics point here. It has the lowest startup cost, the widest reach, and the highest scalability. It is also the hardest to build, because the technology and regulatory layer have to be right.
Pros: location independent, lifestyle flexible, lowest overhead, highest scalability, highly sellable if built well.
Cons: technology dependency, trust is harder without in-person, relationships are thinner, regulatory complexity across states, the AI layer does not yet exist off the shelf.
Best for: tech-forward physicians willing to build or partner on a platform and expand across regions via telehealth.
Key Metrics for Building a Longevity Care Business
If you do not know your numbers, you do not have a business. You have an expensive hobby.
Track these monthly:
These numbers tell you which model you are actually running, not which model you think you are running.
The Longevity Clinic Checklist: What You Need Before Your First Patient
You do not need everything on day one, but you do need a clear sequence. Think in three phases.
Non-Negotiables
BUILD THE FUNNEL
scale and systemAtize
1. Before Launch: Non‑negotiables
Legal and Structure
Licensing and Credentials
Core Clinical Infrastructure
Essential Tech and Presence
2. First 90 Days: Build the Funnel
Team (Part-time is fine)
Marketing and Acquisition
3. Next 12 Months: Scale and Systematize
Advanced Clinical and Data Infrastructure
Expanded Team (Depends on Model)
Financial Planning and Review
Where Does AI Fit in a Longevity Care Practice?
AI coaching on labs will become a commodity. Every report will start to sound the same. That is fine. Let the machines summarize.
What remains scarce is the physician: your trust, your guidance, your judgment, your ability to motivate and hold patients accountable. That layer is not going away in three years. Probably not in ten.
Build your clinic so that AI and software handle everything repeatable—and you focus on the work that only you can do. Read my recent newsletter and discover the 10 AI tools every longevity doctor needs right now.
How to Know What Longevity Care Business Model is Right for You?
Pick the model that matches your risk tolerance, your lifestyle goals, and your market:
And if $1M feels far away, remember: Model 2 is 200 patients at $5K. That is 17 new patients a month for a year. One physician, one PA, one tech stack, one year.
The time to build is now. We will go deeper into these models at the Longevity Docs Summit in Cannes in June.
longevitydocs.™ is the world's leading longevity physician community. Over 1,000 doctors across 50+ countries united by a single conviction: every doctor should be a longevity doctor. We are building the infrastructure, education, and community physicians need to make longevity medicine their default practice.
Built for the physicians shaping this field. Subscribe to Dr. David Luu's Weekly Newsletter
This newsletter is published exclusively for licensed physicians and qualified healthcare professionals. It is not intended for consumers or patients.
All content is for continuing medical education and professional information purposes only. It reflects emerging research, science, and technology that may have implications for the practice of medicine. It does not constitute medical advice, clinical recommendations, or treatment guidance for any individual patient.
Peer-to-peer discussions reproduced in this newsletter represent the personal clinical opinions of individual physicians. They do not reflect the official position of Longevity Docs and have not been reviewed or endorsed by any regulatory, medical, or professional body.
References to specific therapies, compounds, devices, or protocols are provided for educational context only. Some may be investigational, off-label, or not approved by the FDA, EMA, or equivalent regulatory authorities in your jurisdiction. Physicians are responsible for independently evaluating all information in accordance with current evidence, applicable law, and the standards of their licensing board.
Longevity Docs does not promote, endorse, or recommend any specific product, treatment, or commercial entity. Nothing in this newsletter should be construed as a solicitation or as influencing prescribing behavior.
By reading this newsletter, you confirm that you are a licensed healthcare professional and that you will apply the information contained herein within the bounds of your clinical judgment, professional obligations, and applicable regulations.
If you are a patient or consumer reading this newsletter, please note that this content should not be used to make any health or medical decisions. Please consult your personal physician or a qualified healthcare provider for guidance specific to your situation.