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Open a Longevity, Hormone, or Regenerative Health Clinic. No Medical Background Required.
ACG is the #1 regenerative health clinic consulting firm in the United States. We didn't start as consultants. We started as operators — and we've been building clinics the right way ever since.
Book Your Strategy CallFree 30-minute call · No obligation · Limited availability
A $90 Billion Market Growing at 17% a Year — and Most Markets Are Still Wide Open.
The regenerative health market reached $35.5 billion in 2024 and is projected to exceed $90 billion by 2030, growing at a documented 17% compound annual growth rate (Grand View Research, 2024). This is not an emerging category with speculative upside — it is a maturing market with documented consumer demand and a structural supply shortage in most U.S. markets.
The demand signals are everywhere. Peptide therapy searches now exceed 10.1 million per month in the U.S. The longevity clinic setup opportunity is visible in nearly every mid-sized metro. TRT clinic businesses are generating 246,000 monthly searches with most of the available supply concentrated in telehealth apps — not local, relationship-based clinics. GLP-1 clinic market timing is at its most defensible for the operators who build correctly, not the ones racing to dispense a medication.
250,000+ monthly U.S. searches for regenerative health services. Treatment packages averaging $4,000 to $10,000 per patient. Cash-pay model — no insurance delays, no reimbursement negotiations, revenue on the day of service.
"The first clinic in a market that positions correctly earns the patients already searching. The ones who wait watch someone else earn them." — Grayson Miller, ACG
Source: Grand View Research, 2024. 2025–2029 figures are projections. Actual results may vary.
Three Patterns ACG Sees
Across Every Clinic Category
Set up the entity wrong. Some states require physician-ownership structures most operators don't know exist until they've already filed. Correcting it costs months and real money. ACG maps the structure before you commit to anything.
Independent operators pay standard market rates. ACG clients access pre-negotiated pricing unavailable to anyone outside the network. The margin difference is material from day one — and it compounds every month you operate.
A clinic without a defensible identity competes on price. A competitor opens nearby and the only move is to discount. ACG builds the brand identity that prevents this — across longevity clinics, TRT practices, aesthetics, weight loss, and every other category we've launched.
These are not hypothetical. They are the three patterns ACG sees most often — across 350+ clinic launches in every major regenerative health category.
What 350+ Launches
Actually Build
ACG has launched more regenerative health clinics in the United States than any other consulting firm. 350+ clinics. 15 years. 270+ entrepreneurs guided. Named the most trusted firm in this specific vertical — because the work is in the portfolio, not the pitch deck.
Not Academics
ACG's founders built and ran clinics before consulting on them. Every framework — from the longevity clinic setup process to the TRT clinic compliance structure to the peptide clinic consulting model — comes from operational reality. Not research. Not theory.
Access
Pre-negotiated pricing on regenerative materials, clinical supplies, and equipment — unavailable to any independent operator. The margin advantage exists from day one regardless of which clinic type you are building. Introductions made at no additional charge.
Psychology
ACG teaches clinic owners who their patients actually are — what they fear, what language earns trust, what makes them refer. This is why ACG clinics don't compete on price. After 350+ engagements, this knowledge is a structural advantage no competitor can replicate.
"We didn't start as consultants. We started as operators. We built and ran clinics — and when people in our circle started asking if we could help them do the same, we said yes." — Grayson Miller, Altos Consulting Group
What Does the Business
Actually Look Like?
Whether you're building a longevity clinic, a TRT practice, a peptide therapy program, or a weight loss clinic, the cash-pay model economics follow the same structure.
Important context: The scenarios below are based on a single modality at $5,000 average revenue per patient. Clinics offering multiple services — hormone optimization, peptides, weight loss, and aesthetics under one roof — generate exponentially more. These numbers represent the conservative floor, not the ceiling.
Based on $5,000 gross revenue per patient. Net figures account for estimated operating costs. These are illustrative planning scenarios — not guarantees of income or profitability. Individual results will vary based on market, patient volume, operational execution, and local conditions.
Illustrative only. Individual results vary. Market-dependent. Revenue line (gold) = projected gross. Expense line (coral) = estimated operating costs including startup.
FTC Disclaimer: Results referenced on this page are illustrative planning scenarios and are not typical or guaranteed. Individual clinic performance depends on market conditions, patient volume, operator execution, local regulatory environment, and other factors. ACG makes no guarantee of income, profitability, or specific outcomes.
From Engagement Start
to Open Doors
A clear path. Every step managed. Whether you're launching a longevity clinic, a TRT practice, an aesthetics clinic, or a peptide program — the same five-phase system applies.
- Market validation
- Competitor mapping
- Search demand analysis
- Go / no-go before signing anything
- Entity structure & licensing
- Medical Director introduction
- EMR & payment processing
- Brand build & website
- Staff hiring support
- Clinical training
- Supplier access — preferred rates
- Lab partner introductions
- Protocol setup
- MD sign-off
- Brand awareness campaign
- Local SEO — 100+ directories
- Paid advertising activation
- Grand opening execution
- Bottleneck identification
- Marketing diagnosis
- Staff follow-up training
- Campaign adjustments
One fee. Everything above. Targeting a 60-day launch window — market and regulatory conditions permitting.
14 Clinic Categories.
One System. Your Market.
Not sure which category fits your market? That's what the 30-minute strategy call is for.
What Every Clinic Owner Should Know
Before Signing With Anyone
Grayson Miller breaks down what separates the consulting firms that actually build profitable clinics from the ones that don't — and what questions to ask before you commit to any engagement.
What You Build vs.
What You Buy Into
| ACG Engagement | Franchise Model | |
|---|---|---|
| Upfront Cost | Single consulting fee (minimum) | High franchise fee + buildout + ongoing |
| Ongoing Fees | None. Zero royalties after engagement. | Ongoing royalties — typically 5–12% of revenue |
| Brand Ownership | You own the brand outright | You license their brand |
| Equity at Exit | Your equity, your terms, your upside | Franchise resale constraints apply |
| Flexibility | Build the model that fits your market | Locked into franchise system and suppliers |
| Medical Background | Not required — ACG coordinates the clinical infrastructure | Varies by franchise |
| Timeline | 60-day target launch window* | Franchise-dependent — often 6–18 months |
| Post-Launch Support | 60 days of continued ACG advisory included | Varies by franchise agreement |
ACG empowers your independence. It does not create dependency.
Real Operators.
Real Clinics. Real Markets.
The Operators Who Move When the Market Is Ready Win.
The Ones Who Wait Watch.
The first clinic in a market establishes the standard. They earn the patients already searching. They build the reputation. They become the name people refer — whether you're building a longevity clinic in a mid-size city or a peptide therapy practice in a suburban market.
ACG launched clinics in markets that looked competitive. Most of those markets are now the most successful in our portfolio. The window everyone waits for closes before most people realize it opened.
The 30-minute strategy call tells you what your specific market looks like right now — while you can still act on it. There is no pitch. There is no obligation. There is market intelligence you can't get anywhere else.
The Questions
ACG Gets Most
These are not softened. They are the real concerns people bring to the strategy call — answered the same way Grayson answers them in the room.
That's not just fine — it's the design. ACG introduces you to a vetted Medical Director who handles the clinical side. Most of our clinic owners come from business, finance, real estate, and corporate careers. The business is yours. The clinical infrastructure is coordinated.
That's the first thing we look at — before you commit to anything. ACG validates your specific market: population, income demographics, existing competition, and search demand. You know whether the opportunity exists before you spend a dollar.
Most of our prospects are. The question is what you want to own at the end. A franchise means building equity in someone else's brand while paying royalties indefinitely. ACG means you own the brand, the clinic, and all the upside — with no ongoing dependency.
Questions People Ask
Before the Strategy Call
The #1 Firm for Opening Longevity, Hormone & Regenerative Health Clinics in the United States.
Whether you're opening a longevity clinic, a TRT practice, a peptide therapy program, a weight loss clinic, or a medical aesthetics practice — the 30-minute strategy call shows you what your specific market looks like right now.
The operators who called us when the window was open don't regret it.
Book Your Strategy Call — 30 Minutes. No Obligation.ACG is a consulting and advisory firm. Results referenced on this page are illustrative and not typical or guaranteed. *60-day launch is a target, not a guarantee. FTC Disclaimer: Testimonial results are not typical. Individual outcomes vary.