How many staff do I need for a concierge medical practice?

How many staff do I need for a concierge medical practice?

Congratulations if you’ve popped the cork on your “cash-only” concierge medicine practice! From the outset, YOU are the captain of your practice, and the sole reason that it even exists. But we’ve got another question to ask before we get to staff…

Do you have the support of your spouse?
The Concierge Medicine Research Collective found in April 2013 that changing your business model to one that’s concierge or fee-for-care is most successful at 18 months in the joint agreement of both spouses, whether they work together or not. That said, most concierge doctors and direct care physicians should look to grow their practice after the second or third year. The first year should be dedicated to handling your first wave of patients and ironing out any kinks in your workflow. Figure out your local pricing model locally and make any necessary adjustments to achieve a reasonable profit margin. Research suggests that around the 18-month mark is when success hits, fast, and that’s when staff will come into play.

As of 2013 about 62% of concierge medicine practices and direct care clinics employ 1-2 people. When done correctly, your practice should need minimal staff. Assuming you and your doctors are willing to reproduce our lean processes such as ALL doctors answering phones, scheduling their own patients, rooming patients themselves, counting pills (using a HISPAC III pill counter, of course) etc. Of course we’re a quality over quantity type of business. But, we think that you can find a happy medium between the two, and find yourself in a profitable position in a reasonable amount of time.

Keep in mind, the average family medicine practice keeps 7 to 10 employees on staff PER physician. Currently it’s amazing. We’re averaging one employee for our three physicians (God bless you, Jeannie!). However, one employee per physician would still be a great, and seriously profitable, ratio.

We’re not about withholding secrets here at AtlasMD. You should know that the reason we’re able to keep staff ratio so low is because of an EMR application WE designed ourselves, exactly for our type of concierge medicine. It’s called and it’s ramping up for a beta launch within the next few months. For now, sign up for the beta trial. It’s valuable if you have or haven’t started your own practice. For one, if you are practicing it will make your life easier. And if you’re looking for more reasons to transition into this emerging field, add this to a growing list.

More Reading
“INSIDER: Keeping your Staff Happy as Your Concierge Practice Grows” | Concierge Medicine Today

5 thoughts on “How many staff do I need for a concierge medical practice?

  1. Pingback: Considering #conciergemedicine? Let’s talk about h… « Hippocrates Shrugged

  2. Mitch Moreau says:


    I will practice as a naturopathic physician in Northern Vermont by next fall, also seeing Canadian patients. The scope of practice for NDs in VT is excellent.
    I originally trained as an osteopath and a family doc (UK).
    Would I use the same software as you do?
    What sort of budget would I need to plan?
    Thank you,

  3. Dr Josh says:

    Hi Mitch, I’d be happy to chat with you anytime and sorry for the delayed response.

    I was actually in Vermont 2 weeks ago to speak to a group of docs, patients and legislators.

    Yes, you could use the same software for managing your practice, enrolling patients online, integrating phone/text/email/twitter into patient charts, invoicing, inventory and much more.

    We have a free startup packet for providers that includes sample contracts, enrollment forms, and much more.

    Feel free to contact me directly anytime,

  4. Jeff Molloy, DDS says:

    Dr. Josh:
    Thank you for pioneering a viable alternative to traditional business model.
    I am a general dentist hospital residency ( 25 years private practice) looking to establish a Medical/ Dental comprehensive ( offering medical and dental procedures following the concierge business model.
    You are credited and recognized for your accomplishments
    I am finding it difficult to get physicians to appreciate this model.
    It’s past time for the medical profession to move past patients he traditional insurance bas d model.
    Can you offer me advice on how best to proceed?
    I appreciate any words of wisdom you would be so kind to offer me.
    Thank you!!

  5. Josh says:

    Hi Dr. Jeff,

    Thanks for your comment and I think that sounds like a very interesting model but we haven’t heard of it before. I would be happy to answer any questions and provide any guidance to see if we can make that successful. Please feel free to reach out to me directly at

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