Membership alone is no longer the moat
There are now 22,000+ concierge and DPC physicians in the US, and members compare menus. 78% of concierge members expressed interest in in-house GLP-1 or peptide programs in the 2026 AAPP survey — if you don't offer it, a telehealth brand will.
The four services driving 2026 renewals
1) GLP-1 medical weight loss with physician oversight and adjunct peptides. 2) Hormone optimization + longevity peptides (GHK-Cu, BPC-157, growth-hormone-releasing peptides). 3) Aesthetic anchors — PRP facials, microneedling, hair restoration. 4) Sexual wellness for couples — ED, Peyronie's, female arousal.
The revenue math
Concierge practices adding regenerative + peptide services see an average 3.4× lift in per-member revenue (Concierge Practice Benchmarks 2026). The rooms and staff are already there; the missing piece is the biologics, devices, and protocols.