Home / New Clinic Launch
Open a Health & Wellness Clinic: No Franchise Fees, No Royalties
ACG is a clinic launch consulting firm built by former clinic operators, for founders who want their own wellness clinic instead of a franchise. No medical background is required to own the business; an independent, state-licensed Medical Director directs all clinical care.
Book Your Strategy CallFree 30-minute call · No obligation · Limited availability
Why Founders Open Cash-Pay Wellness Clinics
Patients choose cash-pay clinics for longevity, hormone, weight loss, peptide, IV, aesthetic and regenerative care that insurance rarely covers, and they pay at the time of service.
Demand is real: U.S. searches for "peptide" alone ran from about 201,000 to 1.2 million a month between April 2025 and March 2026 (Rising Trends).
"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
Longevity to aesthetics, one launch system.
Paid at the time of service, with no claims to chase.
No franchise fees. You own the business.
We help founders open in all 50 states.
Three Patterns That Stall
New Wellness Clinics
Some states require physician-ownership structures many founders discover only after they file. Fixing it costs months. ACG maps the right structure before you commit.
Independent operators pay standard rates. ACG clients get pre-negotiated pricing unavailable outside the network, a margin difference that compounds every month.
A clinic without a defensible identity competes on price. When a competitor opens nearby, the only move left is to discount. ACG builds the brand and positioning that prevent it.
Our team sees these three patterns most often across hundreds of launches. Read the mistakes founders make when starting a clinic.
Why Founders Hire ACG
to Open Their Clinic
Our team has launched hundreds of clinics across the United States, with 30+ years of combined experience.
Not Academics
ACG's founders built and ran clinics before consulting on them. Every framework comes from operating, not theory.
Access
Pre-negotiated pricing on clinical supplies, materials and equipment, with introductions at no additional charge.
Psychology
ACG teaches you who your patients are, what they fear, what earns their trust and what makes them refer, so you compete on value, not price.
Wellness Clinic Economics
With No Royalties Off the Top
The cash-pay economics follow the same structure across clinic models.
Important context: these scenarios assume a single modality at $5,000 average revenue per patient. They are illustrative planning scenarios, not projections or typical results.
Based on $5,000 gross revenue per patient. 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.
Startup costs by model: the cost to open a TRT clinic and the cost to open a stem cell clinic.
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.
The Clinic Startup Process:
From Engagement Start to Open Doors
A clear path, every step managed. The same five-phase system runs for every clinic model.
- Market validation
- Competitor mapping
- Search demand analysis
- Go / no-go before signing anything
- Entity structure & licensing
- Medical Director introduction
- EMR & payment processing
- Brand build
- Staff hiring support
- Staff training
- Supplier access, preferred rates
- Lab partner introductions
- Protocol setup
- MD sign-off
- Launch marketing plan
- Local search strategy
- Paid advertising strategy
- Grand opening support
- Bottleneck identification
- Marketing diagnosis
- Staff follow-up training
- Campaign recommendations
One consulting fee, scoped in writing. Websites and marketing execution are separate engagements. Targeting a 60-day launch window, market and regulatory conditions permitting. Preparing now? Start with our clinic launch readiness planning guide.
13 Clinic Categories.
One System. Your Market.
Not sure which category fits your market? That's what the 30-minute strategy call is for. Already running a clinic? See clinic growth consulting. Building a virtual practice? See telehealth consulting.
What to Ask a Clinic Consultant Before You Sign
What separates consulting firms that get clinics open and running from the ones that don't, and the questions to ask before you commit.
Your Own Wellness Clinic
vs. a Franchise
| ACG Engagement | Franchise Model | |
|---|---|---|
| Upfront Cost | One consulting fee, plus your own buildout | Franchise fee, plus buildout and ongoing fees |
| Ongoing Fees | None. Zero royalties after engagement. | Royalties, typically 5 to 8% of revenue for the life of the agreement |
| Brand Ownership | You own the brand | 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. An independent, state-licensed Medical Director directs all clinical care | Varies by franchise |
| Timeline | 60-day target launch window* | Often 6 to 18 months from signing |
| Post-Launch Support | 60 days of continued ACG advisory included | Varies by franchise agreement |
ACG empowers your independence. It does not create dependency.
See the full independent clinic vs. franchise breakdown.
Real Operators.
Real Clinics. Real Markets.
More client results.
The Operators Who Move When the Market Is Ready Win.
The Ones Who Wait Watch.
The first clinic in a market sets the standard, earns the patients already searching and becomes the name people refer.
Our team has launched clinics in markets that looked crowded. Many are now among the strongest in our portfolio.
A 30-minute strategy call shows you what your market looks like right now. No pitch, no obligation.
Clinic Startup Questions,
Answered Before You Engage.
The questions founders ask most before signing on. Anything else, ask on the strategy call.
View All FAQsDo I need a medical degree to open a wellness clinic?
How long does it take to open a clinic with ACG?
How is ACG different from a franchise?
What types of clinics can ACG help me open?
How do I know if my market can support a clinic?
What happens on the 30-minute strategy call?
Open Your Cash-Pay Wellness Clinic With the Team Behind Hundreds of Launches
Talk with Grayson Miller about your market, the clinic model you want and what launching it takes. No pitch. No obligation.
- Market and demand review
- Compliance picture for your state
- An honest read on fit
ACG is a consulting and advisory firm, not a medical practice; an independent, state-licensed Medical Director directs all clinical care. Results referenced on this page are illustrative and not typical or guaranteed. *The 60-day target begins from clinic keys received, market and regulatory conditions permitting. FTC Disclaimer: Testimonial results are not typical. Individual outcomes vary.