The #1 Consulting Firm
for Opening
Regenerative Health,
Longevity & MedSpa Clinics.
ACG has launched 350+ Regenerative Health, Longevity, and MedSpa clinics across the United States — guiding entrepreneurs into the $90B+ cash-pay health market and open for patients within 60 days of receiving your keys. No medical background required.*
The Right Fit Matters.
Here's Who We Serve.
ACG works with a select group of clients at any given time. Not because we can't scale — because we won't compromise on the quality of guidance each client receives. If you see yourself in one of these profiles, there's a good chance we can help.
First-Time Entrepreneurs & Career Changers
You've started researching how to open a regenerative health clinic or MedSpa. Maybe you've looked at franchise options like QC Kinetix or Anderson Longevity Clinic, or spoken to someone already in the space. You're serious — but you don't know what you don't know. That's exactly where ACG starts.
Investors & Serial Entrepreneurs
You've built businesses before. You understand operations, capital deployment, and market timing. What you're evaluating now is whether the Regenerative Health and MedSpa space is the right next move — and whether ACG is the right partner to execute it.
Existing Clinic & MedSpa Owners
Your clinic is running. Revenue is coming in. But growth has plateaued, your vendor costs are higher than they should be, or you're looking to add high-demand modalities — longevity protocols, GLP-1 programs, hormone optimization, NAD+, peptides — and aren't sure how to do it compliantly.
The Opportunity Is Real.
The Path In Is Not Simple.
The cash-pay Regenerative Health, Longevity, and MedSpa market is one of the strongest business opportunities in the U.S. right now. Search interest in longevity clinics is surging. GLP-1 programs, NAD+ therapy, and peptide protocols are generating record consumer demand. The regenerative clinic business model — cash-pay, premium ticket, repeat patient revenue — is one of the most defensible in healthcare. But the operators who struggle aren't lacking motivation — they're lacking the right sequence, the right connections, and someone who's been through it. That's the gap ACG closes.
Compliance Is a Minefield
Every state has different licensing requirements. DEA registration, zoning, medical director agreements, malpractice structure, and for longevity and hormone clinics — prescribing compliance for GLP-1, TRT, NAD+, and peptide protocols. One step out of order and you're looking at months of delays and legal exposure that could have been avoided entirely.
Most first-time operators discover this after they've already committed capital. By then, the cost of fixing it is significantly higher than the cost of getting it right the first time.
Time Is the Hidden Cost
Independent operators typically spend 12 to 18 months piecing together vendors, finding a medical director, navigating licensing, building a website, and figuring out marketing. Every month the clinic isn't open is revenue that doesn't exist yet.
The process isn't just complex — it's sequential. Skip a step, rush a phase, and you create downstream problems that cost more to fix than they would have to prevent.
The Network Gap
Supplier relationships for peptides, exosomes, GLP-1 protocols, and regenerative materials. Medical director introductions. Preferred vendor pricing. Financing partners. Marketing systems that convert. None of this is available to someone entering the space cold. You either build these relationships over years, or you pay full retail while you do.
The operators who launch successfully aren't smarter or better funded than those who struggle. They have access to a network that took years to build — and they got there faster because of it.
Most of what makes this hard isn't the business itself — it's not knowing what you don't know. ACG has seen every scenario across 350+ launches. That knowledge is now yours.
Talk to an AdvisorWe Didn't Start as
Consultants. We Started
as Operators.
Altos Consulting Group was built by people who've opened and run clinics themselves. Every framework we teach comes from real operational experience — not a course, not a theory, not something we read about.
What started as informal guidance for a circle of contacts became the leading clinic ownership consulting practice in the U.S. We began in weight loss clinic consulting, recognized the trajectory of the Regenerative Health, Longevity, and MedSpa space early — before the market hit mainstream — and built the system that's now taken 350+ clients from concept to operating clinic.
We work with a select number of clients at any given time — because the quality of guidance we provide depends on it. You're not a number here. You're a business we're invested in getting right.
Meet the Team"We teach what we've done — not what we've read. Every framework in this process was built by people who've been in the room before."
A Sequence That's Been
Executed 350+ Times.
Figuring out how to start a cash-pay health clinic — the right way, in the right order — is what ACG does. Every phase has a defined sequence for a reason. Each one builds on the last. What looks like complexity from the outside is straightforward when you've done it 350+ times.
We start with your market before we touch anything else. Then we build the legal and compliance foundation. Then the clinical infrastructure. Then the operational systems. Then we open the doors. In that order, every time.
"We didn't start as consultants — we started as operators. Every framework in this process was built by people who've opened and run clinics themselves. We teach what we've done, not what we've read."
Grayson Miller — Altos Consulting Group* 60-day timeline begins from the day you receive your clinic keys. Market and regulatory conditions may affect timing.
Book a Consultation →Location intelligence, demographic profiling, and competitive mapping before a dollar is committed. You enter knowing the opportunity, not hoping for it.
Entity structure, LLC and EIN setup, state licensing, DEA registration, zoning, insurance, and banking — every step sequenced correctly for your state.
Space requirements scoped to your service mix. ACG guides selection, advises on layout, and ensures your space supports the clinical model before you sign a lease.
Medical Director introduction, EMR system selection and training, modality training, staff hiring guidance, and clinical protocol readiness — all coordinated by ACG.
Front and back office systems, patient flow design, sales training, program development, and full operations coaching — your team is ready before the first patient walks in.
Grand opening execution, marketing campaigns live, patient flow management — and 60 days of continued ACG advisory support as real-world conditions emerge. Opening is just the beginning.
Everything Between You
and Opening Day.
ACG's engagement is a single consulting fee. Everything below is included — no upsells, no add-ons, no surprises. Whether you're opening a Regenerative Health clinic, a Longevity practice, or a MedSpa, the same comprehensive system applies. Every item on this list is something that would otherwise take you months to piece together alone.
Location intelligence, demand analysis, and competitive mapping before a dollar is spent. You enter with data, not hope.
Entity structure, state licensing, DEA registration, zoning, and malpractice insurance — plus prescribing compliance for GLP-1, TRT, NAD+, and peptide protocols. Every step in the right order for your state.
Vetted MD introduction, EMR system selection and setup, and clinical protocol readiness — all coordinated by ACG. No medical background required.
Access to ACG's vetted vendor network — peptides, exosomes, GLP-1 supplies, regenerative materials — at pre-negotiated rates unavailable to independent operators. Better margins from day one.
Hiring guidance for MAs, NPs, sales staff, and clinic managers — plus full operations and sales training before the first patient walks in. Your team is ready on day one.
In-depth training tailored to your clinic type — whether you're opening a Longevity clinic, hormone optimization practice, MedSpa, or multi-modality center. You learn the protocols specific to what you're actually opening.
Fully built website, brand identity, and SEO foundation delivered as part of your engagement — not sold separately. Built by specialists, not generalists.
Paid advertising, local SEO activation, and brand awareness campaigns live before you open. Patients before the doors open.
60 days of continued ACG guidance after opening — because the first two months are when you need the most support, not the least. We stay until you're stable.
One engagement. One fee. No upsells, no royalties, no ongoing dependency. Your clinic. Your brand. Your equity.
Book a ConsultationOne System. Every Specialty.
ACG's consulting framework is built to support every major cash-pay health specialty — from Regenerative Health and Longevity clinics to MedSpas and specialized single-modality practices. Whatever you're opening, the compliance navigation, vendor network, and launch system are already in place.
NAD+, anti-aging, and performance health. The fastest-growing consumer health category — broad demographic appeal with high lifetime patient value.
View Clinic DetailsTRT, women's hormones, and peptide protocols. Protocol-driven recurring revenue, aging demographics, and consistent demand in virtually every U.S. market.
View Clinic DetailsGLP-1 and Semaglutide protocols, physician-supervised weight loss. The highest consumer search volume of any cash-pay health category — and still growing.
View Clinic DetailsED, women's intimacy, and libido optimization. Rapidly growing vertical with underserved demand in most markets and a discreet, high-retention patient base.
View Clinic DetailsPRP, shockwave, and joint restoration. One of the highest-demand regenerative specialties with a strong repeat patient model and premium package pricing.
View Clinic DetailsTBI, neuropathy, and cognitive health. Emerging high-value category with strong clinical credibility and minimal competition in most U.S. markets.
View Clinic DetailsPRP, exosomes, and restoration therapy. Consistent demand across gender demographics with high average ticket sizes and strong consultation-to-treatment conversion.
View Clinic DetailsDrip bars, EBOO, and NAD+ infusion. Low barrier to entry, fast-growing wellness category that works as a standalone model or powerful complement to existing services.
View Clinic DetailsReal Clinics.
Real Outcomes.
We don't measure success by the number of clients we take on. We measure it by what happens after we work together. The stories below are from real operators who went through the ACG process — and came out the other side with a business, not just a plan.
"We were open and seeing patients in under 90 days. I came from finance — zero healthcare background. ACG handled everything on the clinical and compliance side. I just had to show up and run the business."
"I looked at three franchise models before ACG. The royalty math alone killed every one of them. ACG gave me the same infrastructure — supplier pricing, Medical Director, compliance structure — and I own it outright. No royalties. Ever."
"We were doing $40K a month when ACG came in. They identified two modalities we weren't offering that our patients were asking for. We added both inside 60 days. Revenue went up significantly from there."
Results are not typical and are market-dependent. Individual outcomes will vary based on location, execution, and market conditions.
Harper MD in Weston, Florida netted $80K in their first 3 months of operation — following the ACG process from keys to first patient.*
Why Most Entrepreneurs
Choose ACG Over a Franchise.
Most entrepreneurs entering the Regenerative Health and Longevity space start by looking at franchises — QC Kinetix, Anderson Longevity Clinic, Longevity Medical Clinic. That's a reasonable first step. Franchises feel like a safer structure. But when you look at what you're actually buying versus what ACG provides, the decision becomes clear. Here's the honest comparison.
A franchise gives you a brand. ACG gives you a business you actually own. The difference matters more every year the royalties compound.
See If ACG Is the Right FitAnswers Before
The Call.
Most of the questions people bring to their first call with ACG are answered right here — whether you're looking at new clinic launch, existing clinic optimization consulting, or telehealth. Read through these before you book.
If something isn't covered, that's what the consultation is for. No pressure, no pitch — just an honest conversation about whether this is the right fit.
View All FAQsYour Clinic Starts With
One Conversation.
Book a strategy call with an ACG advisor. In 45 minutes we'll review your target market, identify which clinic type fits your goals, walk you through the process, and give you an honest picture of what it takes. No pitch. No pressure.
ACG is a consulting and advisory firm. Results are not guarantees of income. Individual outcomes vary. *60-day timeline begins from clinic keys received, market and regulatory conditions permitting.