Rise of Elite Concierge Medicine: A New Essential for Family Offices

The wealthiest families in America spend millions protecting their assets and almost nothing protecting their health.

That is changing. And family offices are at the center of it.

The U.S. concierge medicine market hit roughly $7.5 billion in 2025. By 2030, it is projected to nearly double to $13.5 billion. Between 2018 and 2023, concierge and direct primary care practices grew more than 80 percent. The money is real. So is the demand.

But the conversation I keep having with Principals and their Chiefs of Staff is less about whether to invest in private healthcare and more about who is actually managing it.

A family office with $500 million in assets under management will retain a concierge physician, a longevity clinic, maybe a healthcare advisory firm, and sometimes a wellness coach. That is four separate vendor relationships, four sets of intake forms, four invoices, and four competing opinions on whether the Principal should be doing a full-body MRI or a multi-omic blood panel. The question nobody asks until it is too late: who is coordinating all of this?

John Samuels, the founder of Wellworth, a healthcare advisory firm serving dozens of single-family offices, put it well in a recent interview with Modus: "The myth in the high-net-worth community is that access and money equal better care." His point is that a family can have access to every hospital and specialist in the country and still not know which subspecialty to see, what questions to ask, or what follow-up to expect. There are over 160 subspecialties of medicine. Access without judgment is just expensive confusion.

Wellworth assigns each client a team that includes a physician, a nurse, and a licensed social worker. Private Medical, founded by Dr. Jordan Shlain, charges roughly $40,000 per adult annually and serves over 1,000 families through a staff of 135 healthcare professionals across six U.S. offices. MD², one of the original concierge practices, caps each location at 100 families. At the other end of the spectrum, Extension Health offers longevity memberships running up to $250,000 per year. Newer entrants like Eternal are targeting performance-focused professionals at $600 per month, bundling primary care with advanced diagnostics, coaching, and dietitian access.

The range is enormous. And so is the risk.

Samuels has said that high-net-worth families are "magnets and targets for snake oil: expensive longevity pitches, miracle solutions, and concierge promises with no evidence." The longevity space in particular has exploded with clinics selling IV drips, hyperbaric chambers, and regenerative therapies that lack peer-reviewed support. Private equity and venture capital money is flooding in, which means more marketing, more clinics, and not necessarily more science. A family office without someone who can evaluate these claims with clinical literacy is exposed.

This is where the staffing question becomes a healthcare question.

The 2024 UBS Global Family Office Report found that 66 percent of family offices have ten or fewer employees. That is not enough to manage investments, estate planning, property, travel, and now a growing roster of medical and wellness vendors. The person who ends up managing it is usually the Executive Assistant or Chief of Staff. And in many offices, that person was hired for calendar management and vendor coordination, not clinical triage.

I have seen the mandate shift firsthand. The search for a Chief of Staff at a single-family office used to center on organizational skills and discretion. Now, families are asking for candidates who can evaluate concierge medical providers, coordinate care across specialists, manage HIPAA-sensitive information, and serve as the day-to-day liaison between the Principal and their healthcare team. The compensation for these roles has moved accordingly, with base salaries for senior Chiefs of Staff in single-family offices regularly exceeding $250,000 in major metros.

The shortage of people who can do this well is real. Family offices are competing for a small pool of candidates who combine high-trust personal support with enough clinical awareness to tell the difference between evidence-based medicine and a $50,000 longevity package built on marketing.

Healthcare is no longer a personal matter that stays outside the family office. It is a line item, a vendor management challenge, and increasingly, a question of who you hire. The offices that figure out how to staff for this, rather than simply throw money at it, will be the ones that actually protect what matters most.

‍Sources referenced:

1. Modus News: The Access Myth and Everything Else John Samuels Must Explain to Family Offices (Feb 2026)
2. Eternal.co Concierge Membership
3. Private Medical / Dr. Jordan Shlain (privatemedical.org, via CNBC)
4. NY Post: Concierge Medicine Is Booming (market data)
5. Family Office Exchange: The Concierge Arms Race (UBS data, staffing trends)
6. Medical Economics: Why More Physicians Will Choose Concierge Medicine in 2026 (growth data)

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