Most executive physicals give you a day of testing and a binder. This plan gives you a year of testing and treatment: imaging, labs, glucose monitoring, performance testing, hormone therapy, and peptide cycles on a set schedule, read together by your performance and longevity clinician, who knows your history and acts on what changes. Your everyday primary care is part of it.
By application only. 3 spots per provider each year.
A scan here, a lab panel there, a glucose sensor, a wearable on your wrist. Each is useful. None of them talks to the others, and no one is responsible for the whole picture.
| The usual route | The trade-off | With the Elite Wellness + Primary Care Plan |
|---|---|---|
| A one-day executive physical | A thorough day, then a quiet year. A report can’t adjust your plan when a number moves in month four. | Checkpoints every quarter, and a performance and longevity clinician who changes the plan as your results change. |
| Order-it-yourself lab panels | Plenty of numbers, and no one to ask. A result outside the range raises a question that rarely gets a good answer. | Every result is reviewed with you and comes with a next step. |
| Conventional primary care | A short visit, once a year. There isn’t time to read imaging, fitness data, glucose trends, and bloodwork side by side. | Extended visits, with your imaging, labs, glucose data, and fitness testing read together by one clinician. |
| A national longevity clinic | Impressive testing, but treatment is extra, and there is no one local to call when you’re sick. | Testing and treatment in one fee: hormone therapy, peptide cycles, and your primary care are included, here in Richmond. |
This isn’t a menu of tests. Each result is read in the context of the others, by the same clinician, over time.
Full-body imaging looks across the major organs for early findings, without radiation. A coronary calcium score, repeated every three years, shows whether plaque has begun to build in the arteries of the heart.
In 6,722 adults followed for about four years, a calcium score above 300 carried nearly 10 times the risk of a coronary event compared with a score of zero.2
Cardiovascular, metabolic, hormone, inflammation, organ-function, and nutrient markers at enrollment and at months 3, 6, and 9. A gut microbiome panel at enrollment maps bacterial diversity and digestive function. Hormone optimization and your longevity plan are built on these results.
In a study of 389,529 adults, when cholesterol measures were weighed together, only ApoB stayed linked to heart-attack risk.3
Six weeks of sensor data, in three two-week windows timed to your lab draws. Bloodwork captures a moment. A sensor shows how your glucose behaves across meals, sleep, stress, and training.
In one study, people who tested normal on standard measures still reached prediabetic glucose levels 15% of the time on a continuous monitor.5
VO₂ max testing measures cardiovascular fitness directly. A DEXA scan measures lean mass, fat mass, visceral fat, and bone density. Both are tested twice a year, so you see direction, not a snapshot.
Among 122,007 adults, those with low fitness had about 5 times the risk of death of the fittest group, a gap as large as or larger than smoking, diabetes, or coronary disease.1
A multi-cancer early detection blood test alongside your annual full-body imaging. In a study of 6,621 adults aged 50 and over, the test flagged a cancer signal in 1.4%, and 38% of those flagged were found to have cancer.7 A flagged result is a reason to look closer, not a diagnosis, and we guide that work-up.
A one-time evaluation by in-office cheek swab, used to guide medication choices, hormone metabolism, and nutrient needs for life.
Your everyday, preventive, and ongoing care with the same team, plus an annual health planning visit. No separate membership needed. See what primary care covers.
Why the record gets more useful. One year of data shows where you are. Two years shows which way you’re moving, and how fast.
These are reviewed first at each visit, with the trend from every earlier result. Targets below are the program’s defaults; your performance and longevity clinician adjusts them to your risk.
A more direct measure of cardiovascular risk than a standard cholesterol number.3
Target Below 80 mg/dL for primary prevention · below 65 at moderate risk · below 55 with known artery disease or high Lp(a)
It can rise well before blood sugar does.
Target Below 8 µIU/mL · HOMA-IR below 1.5
About 115 million American adults have prediabetes, and 8 in 10 don’t know it.6
Target Below 5.4%, tighter than the usual “normal” cut-off
A shared thread in heart disease and how we age.
Target Below 1.0 mg/L
Easy to correct, and best timed to the season.
Target 40–60 ng/mL
Each result is read against every earlier draw, so you see direction and speed, not a single snapshot.
Every draw has a job. Each result answers a specific clinical question. Across your first year that comes to nearly 250 individual results, each one reviewed by your clinician.
Ninety days is the right window to ask two questions: is what we started working, and is it safe? We look at metabolic response, cardiovascular targets, organ safety, and blood sugar at its first meaningful checkpoint.
Nutrient levels and advanced particle counts wait until month 6. They change slowly, and testing them at 90 days gives noise, not signal.
The fullest follow-up of the year, once slow-moving markers have settled: the complete cardiovascular panel with particle analysis, metabolic markers with a trend from month 3, vitamin D timed to its seasonal low, and the omega-3 index.
A hormone panel is added for members on active therapy, or where the baseline showed something we’re treating.
A focused checkpoint before the annual review. We confirm the month 6 direction is holding, catch anything drifting, and adjust it. Core metabolic and cardiovascular markers now carry a three-draw trend.
Extra markers are added only when there is a clinical reason.
An inherited risk factor measured once. Roughly 70% to more than 90% of the difference between people’s levels is genetic, and it raises risk even when LDL cholesterol is well controlled.4
Two people with the same cholesterol can carry very different numbers of particles. This counts them.
Rarely part of a routine panel, and often the first number to move.
The fatty-acid make-up of your red blood cells. It reflects months of intake, which is why it’s checked at month 6, not month 3.
A second way to measure kidney function that doesn’t depend on muscle mass, which matters for lean and athletic people.
Thyroid, sex hormones, and adrenal markers, tailored by sex and age.
Calcium score, particle counts, ApoB, and Lp(a) together say far more than a basic cholesterol panel.
If something changes later, there is an earlier scan to compare it with.
VO₂ max and DEXA show whether training, nutrition, and recovery are working.
Read against how you sleep, perform, and feel, not only a reference range, and adjusted every quarter.
Six weeks of glucose data read beside fasting insulin, bloodwork, and your gut panel.
One written plan that pulls every result together: where you stand, what we’re changing, your targets, and when we check again. Your performance and longevity clinician writes it, reviews it with you, and rewrites it every year.
When a result is worth acting on, the first question is what change in nutrition, movement, sleep, or stress could move it. When medication is the right answer, we use the lowest effective dose, check it at every draw, and revisit whether you still need it.
Comprehensive labs, intake, and symptom mapping.
A personal plan guided by your data.
Regular monitoring to protect your progress.
A long-term strategy that adapts as you do.
Not everyone needs this much data. If your goals are simpler, Direct Primary Care gives you an ongoing relationship with a provider who knows you, without the advanced testing.
The testing close to home in Richmond, and a clinician who is still there in month seven. You get a year, not a report.
The same kinds of diagnostics, with someone local who knows you.
Imaging as well as labs, and a clinician who can prescribe, refer, and follow through.
Elite Wellness + Primary Care Plan
Starts at $25,000 / year
By application only · 3 spots per provider / year
A preferred rate is available for a spouse or partner who joins with you.
Space is extremely limited — ask us about availability.
No separate bills for anything on this list.
The number of tests isn’t the point. After each one, you’ll know what it means, what we’re doing about it, and when we’ll check again. It all lives in one document: Your Venture Longevity Blueprint.
Yes. Direct primary care, with an annual health planning visit, is part of the plan, so you don’t need a separate membership. It is its own plan with its own application and fee. If you only want everyday primary care, Direct Primary Care on its own is the better fit.
Not for anything on the included list. Imaging, labs, glucose monitoring, performance testing, genomics, your hormone therapy, three peptide cycles, a daily multivitamin, your visits, and your primary care are all covered by the annual fee. Weight-loss and other prescriptions are separate, and so is care from outside specialists or facilities if a finding needs follow-up.
Yes. Each of you gets your own full plan, your own testing schedule, and your own Venture Longevity Blueprint, and a preferred rate applies when you join together. Tell us on your application and we’ll go over it on your call.
Reading imaging, quarterly labs, glucose data, and performance testing together takes real clinical time. Keeping the group small is how every member gets it.
No. You apply directly, and your enrollment visit is where we build your picture from the ground up.
It’s a screening tool, and it has limits. Across 12 studies of whole-body MRI in 5,373 adults without symptoms, about a third had a finding that needed a closer look, and roughly 16% of reported findings turned out to be false positives.8 That’s why your clinician reviews the report with you, explains what matters and what doesn’t, and arranges follow-up only where it’s warranted.
Imaging is reported by board-certified radiologists at the imaging center. Your performance and longevity clinician reviews every result with you, connects it to the rest of your picture, and coordinates follow-up.
At our Midlothian office and at partner facilities nearby. We handle the scheduling and referrals for you.
That’s what the relationship is for. We explain the finding, call ahead to the right specialist, and stay involved until there’s a plan.
It depends on your plan and your tax situation. Check with your plan administrator or a tax adviser before relying on it. We can’t give tax advice.
By application only, with 3 spots per provider each year. Reach out and we’ll arrange a conversation about the plan and current availability.
We care for patients from Midlothian, Richmond, Chesterfield County, Bon Air, Powhatan, and Chester, and across the greater Richmond area. Visits are in person at our Midlothian office, and by telehealth when it’s clinically appropriate.
Clinically reviewed by Julia Montgomery, DNP, FNP-BC · Updated September 2026
