When people ask Dr. Jordan Shlain to describe his medical practice, he simply says: “It’s a family office for your health.”

“Family offices typically have a goal of preserving wealth,” he explained. “Our goal is preserving your health. After the age of 24, you’re a depreciating asset health-wise. So we aim to decrease the slope of the curve for as long as possible.”

The Business Model of Private Medical

Dr. Shlain’s strategy, though stark, is proving highly effective as a business model. His company, Private Medical, is pioneering a new level of health care for the ultra-wealthy, elevating concierge medicine to unprecedented heights. Instead of merely offering on-call doctors and expedited appointments, Private Medical delivers a comprehensive, highly personalized service akin to the sophisticated management found in high-end family offices for investments.

Similar to family offices, Private Medical maintains an in-house team to oversee a family’s entire health portfolio — from fitness and dietary tracking to longevity research, surgeries, and medical emergencies. It serves over 1,000 affluent families, with offices in key locations such as San Francisco, Silicon Valley, Santa Monica, Beverly Hills, New York, and Miami, with plans for further expansion.

Comprehensive Health Management

Private Medical’s robust team of 135 professionals, including physicians, nurses, clinical staff, pharmacists, and medical support personnel, offers 24/7 on-call services, with home and office visits as needed. The company does not advertise; most of its clientele comes through referrals, and it prefers to refer to its patients as “members.”

While Dr. Shlain refrains from disclosing specific pricing, clients indicate that Private Medical charges $40,000 annually per adult and $25,000 per child under 18. These fees cover the costs of visits, tests, and procedures in the office but exclude hospitalization expenses.

Rising Demand for Elite Health Services

The emergence of family office-style medical practices — some charging up to $60,000 annually — mirrors the growth in wealth among families with net worths exceeding $100 million. This segment of the population is increasingly seeking hyper-personalized, data-driven health care solutions. The market for such elite medical services is projected to grow by over 50% by 2032, reaching nearly $11 billion annually, according to Precedence Research.

Dr. Shlain criticizes the traditional healthcare system, referring to it as a “sick care system” plagued by insurance bureaucracy, overwhelmed doctors, and inflated costs. Private Medical, in contrast, adopts a proactive approach, regularly conducting tests and diagnostics, staying abreast of the latest research, and acquiring comprehensive information about a patient’s lifestyle, habits, and family and work lives.

The Genesis of Private Medical

Dr. Shlain, whose father was a laparoscopic surgeon and mother held a Ph.D. in psychology, began his career by making house calls for the Mandarin Oriental hotel in San Francisco. Learning from top hotel concierges, he envisioned a healthcare model resembling five-star hotel service rather than an impersonal, error-prone system with long wait times.

Personalized Care and Emergency Preparedness

“I will know everything about you to help you make the best decisions in your life,” Shlain said. “I’m 70% doctor, 15% psychologist, 10% rabbi, and 1% friend.”

Private Medical often serves as a buffer between patients and the broader healthcare system. For instance, Shlain once advised a 38-year-old entrepreneur against immediate surgery for a bowel obstruction, recommending instead a waiting period. The patient eventually recovered without needing surgery.

Dr. Shlain also provides personalized medical kits for patients to use while traveling or working. For example, a patient who scratched his cornea in the Bahamas was able to treat it using a prescription from his medical kit, avoiding the need to find a hospital.

Unparalleled Access and Expertise

The primary advantage of Private Medical is access. Dr. Shlain has spent over 20 years cultivating relationships with more than 4,000 specialists in various medical and scientific fields, ensuring that patients connect with the right experts for their needs.

With its roots in Silicon Valley and many tech clients, Private Medical maintains connections with biotech startups conducting cutting-edge research and exploring new treatments. Dr. Shlain's team conducts due diligence on several new companies monthly to stay current with rapid advancements in science and research.

For example, when a patient was diagnosed with severe depression, Dr. Shlain collaborated with a “precision psychiatric” group at Stanford. This group used an MRI and connectomes to determine the best medication for treatment, resulting in significant improvement for the patient.

Advanced Technology and Holistic Health Focus

Private Medical leverages advanced technology developed with input from top Silicon Valley CEOs and entrepreneurs. Its platform facilitates easy access to data, appointment management, and workflow optimization for both doctors and patients.

Key areas of focus for Private Medical’s affluent clientele include longevity and sleep. Dr. Shlain emphasizes that while no magic bullet exists for reversing aging, the goal is to maintain physical and mental faculties for as long as possible with minimal high-quality interactions with the healthcare system.

“Your good outcome is our income,” he said.