Premise Health

What Premise Health does

Premise Health is a U.S. direct healthcare company that designs, builds, and operates onsite, nearsite, and virtual wellness centers for large self-insured employers, unions and Taft-Hartley funds, health plans, and tribal organizations. Following the March 2026 merger with Crossover Health, the combined entity operates nearly 900 wellness centers across 47 states and Guam and serves over 400 organizations and millions of members, making it the largest dedicated direct healthcare provider in the United States. The company traces its first onsite center to 1964 and was formed under the Premise Health brand in 2014 through the combination of CHS Health Services and Take Care Employer Services; it has been backed by OMERS Private Equity since 2018.

The platform combines physical wellness centers (custom-built onsite centers at employer campuses and community-based nearsite centers) with a 24/7 cloud-based Digital Wellness Center, supported by the My Premise Health member portal and mobile app built on Epic MyChart and integrated with Epic's Care Everywhere for cross-provider interoperability. Care delivery is organized around an Advanced Primary Care model spanning primary care, behavioral health, pharmacy (including virtual pharmacy), occupational health, musculoskeletal care (physical therapy, chiropractic, acupuncture), fitness, and wellness services, all delivered by Premise-employed clinical staff. The technology stack includes a HITRUST CSF Certified EHR, a proprietary population-health analytics layer validated by Milliman, and over 100 AAAHC-accredited patient-centered medical homes.

Premise generates revenue primarily through multi-year direct contracts with self-insured employers and unions for onsite, nearsite, and virtual care delivery, supplemented by a co-designed health plan product (Premise Preferred Health Plan, built with Centivo) that ties plan economics to the advanced primary care model. The company pursues enterprise field sales complemented by a benefits consultant and broker channel, and it reports a 99% client retention rate with an average client tenure of 15 years. Acquired capabilities (eHealthScreenings in 2017, CareHere in 2020, and Sonic Boom Wellness in 2021) extend the offering into biometric screening events, public-sector delivery, and digital member engagement, respectively.

Name

Premise Health

Legal name

Premise Health Employer Solutions, LLC

Website

https://premisehealth.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

Premise Health is the largest U.S. direct healthcare provider, operating nearly 900 onsite, nearsite, and virtual wellness centers across 47 states and Guam. It delivers advanced primary care, occupational health, pharmacy, behavioral health, and musculoskeletal services to large self-insured employers, unions, health plans, and tribes under multi-year contracts.

Ownership category

akta.pro rank

Product category

Employer Direct Healthcare Services

NAICS

Offices of Physicians (6211), Ambulatory Health Care Services (621)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF)

akta.pro secondary industries

Primary Care & General Medicine Virtual Care (Employer-Sponsored) (HLALADAA), Chronic Condition Management & Remote Monitoring (e.g., diabetes, HTN) (HLALADAD), Care Navigation, Advocacy & Benefits Guidance Platforms (HLALADAJ), Employer/Member Engagement Platforms for Provider-Sponsored Plans (HLACAEAM)

Keywords

• Employer direct healthcare
• Onsite wellness centers
• Advanced primary care
• Occupational health services
• Virtual healthcare platform

Headquarters

HQ city

Brentwood

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales

Revenue model

1. Direct Healthcare Services: Premise Health generates revenue by providing direct healthcare services to employer, union, and health plan populations through onsite, nearsite, and virtual wellness centers. The company brings $1.6 billion in annual revenue as a standalone entity, with combined entity approaching $2 billion after merger with Crossover Health.
2. Advanced Primary Care Model: Whole-person care model combining primary care, behavioral health, pharmacy, musculoskeletal care, occupational health, and wellness services. Revenue is generated through direct contract arrangements with self-insured employers and unions.
3. Premise Preferred Health Plan: Partnership with Centivo to offer primary care-centered health plan design. The plan leverages high-performance network of providers to drive engagement through lower premiums and out-of-pocket costs.

Go-to-market motion3 records

Distribution channels6 records

Marketing channels7 records

Core offering

Premise Health operates onsite, nearsite, and virtual wellness centers delivering direct healthcare services including primary care, behavioral health, pharmacy, occupational health, musculoskeletal care, and wellness programs to employer, union, and health plan populations. The company employs its own clinical staff and provides care across more than 30 service types through a hybrid delivery model spanning physical wellness centers and a Digital Wellness Center platform. It serves over 400 organizations across 47 states and Guam, generating approximately $1.6 billion in annual revenue as a standalone entity (approaching $2 billion post-merger with Crossover Health).

Product overview

Premise Health operates a multi-channel direct healthcare platform delivering advanced primary care and occupational health to employer, union, and health plan members. Following the March 2026 merger with Crossover Health, the combined organization operates nearly 900 wellness centers across 47 states and Guam, serving over 400 organizations and millions of members. The platform is organized around four care delivery models — Onsite Wellness Centers, Nearsite Wellness Centers, the Digital Wellness Center (virtual care), and Health and Wellness Events — supported by seven care categories: Primary Care (with sub-products including Care Consult, Care Excellence, Care Management, Care Navigation, Dental, Vision, Women's Health, and Virtual Primary Care), Pharmacy (including Clinical Pharmacy, Provider Dispensing, and Virtual Pharmacy), Behavioral Health, Occupational Health, Musculoskeletal (including Physical Therapy, Chiropractic, Acupuncture, Massage, and Occupational Therapy), Fitness, and Wellness. The member-facing My Premise Health app (built on Epic MyChart) serves as the digital front door, enabling appointment scheduling, virtual visits, secure messaging, and health record access. The Premise Preferred Health Plan, developed in partnership with Centivo, extends the care model into plan design. The company also markets acquired digital wellness assets — Sonic Boom Wellness (interactive engagement platform, acquired 2021) and eHealthScreenings (biometric screening events, acquired 2017). The merger with Crossover Health (closed March 2026, announced January 2026) significantly expanded the combined entity's footprint and digital capabilities, with combined annual revenue approaching $2 billion.

Differentiator

Problem solved

Functional benefit

Brands

• Digital Wellness Center: Cloud-based virtual care portal delivering 24/7 virtual primary care, behavioral health, pharmacy, and occupational health services across all 50 states.
• My Premise Health
• Premise Preferred Health Plan
• eHealthScreenings

Products and services

• Onsite Wellness Centers Customized wellness centers built and operated at client employer campuses, serving employees and their families exclusively. Centers deliver primary care, behavioral health, pharmacy, occupational health, and wellness services staffed by Premise-employed providers.
• Nearsite Wellness Centers Community-based health centers serving members where they live, work, and play. Nearsite centers complement onsite locations by reaching remote workers and families, may serve multiple employer organizations, and offer same-day appointments with 5-minute average wait times.
• Digital Wellness Center Cloud-based virtual healthcare platform delivering 24/7 access to virtual primary care, behavioral health, pharmacy consultations, and occupational health services across all 50 states through the My Premise Health app and a centralized care team.
• Health and Wellness Events On-site and virtual health events including biometric screenings, vaccination clinics, health fairs, and wellness coaching sessions that lower barriers to healthcare engagement for employer and union populations.
• Primary Care Whole-person primary care including convenient checkups, wellness advice, chronic condition management, and member-focused care delivered through onsite, nearsite, and virtual channels as part of the advanced primary care model.
• Pharmacy Onsite, nearsite, and virtual pharmacy services featuring one-on-one counseling, medication adherence support, clinical pharmacy, and provider dispensing, including Virtual Pharmacy with no-cost prescription delivery.
• Behavioral Health Integrated mental health services including individual and group therapy, psychiatric support, crisis intervention, stress management, and substance abuse treatment, delivered both in-person and virtually with primary care integration.
• Occupational Health Workplace safety and occupational health services including injury and illness care, case management, ergonomics, medical surveillance, drug testing, pre/post-employment exams, and OSHA compliance.
• Musculoskeletal (MSK) Musculoskeletal care including physical therapy, chiropractic, acupuncture, massage, and occupational therapy. Features early intervention, injury prevention, ergonomics, work conditioning, and musculoskeletal wellness exams.
• Fitness Corporate fitness and recreation center services including facility design, fitness center management, medical fitness management, and virtual fitness, serving all member fitness levels.
• Wellness Wellness programs including biometric screenings, wellness coaching, medical nutrition therapy, condition management, and wellness program management using a lifestyle medicine approach.
• My Premise Health (Member Portal/App) Secure member portal and mobile app (built on Epic MyChart) enabling appointment scheduling, secure messaging with providers, virtual visits, prescription refills, health record access, biometric data sync, and Epic Care Everywhere interoperability.
• Premise Preferred Health Plan Employer health plan designed around the advanced primary care model, featuring lower premiums, free primary care, and low out-of-pocket costs. Built in partnership with Centivo using a high-performance network of high-value providers.

Quantifiable outcome

• 30% average savings on total cost of care, or $2,434 per member per year, compared to community care
• +8 more outcomes

Named customers5 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability2 records

Feature4 records

Partnerships

Five partnerships are on record, tiered core.

• Greenheck GroupcoreStrategic or Co-development Partner · 10 February 2026Partnership to expand healthcare services for Greenheck Group employees and families. Includes addition of second wellness center in Shelby, North Carolina, and enhancement of existing onsite and virtual care facilities in Wisconsin. First milestone expanded wellness center at Wisconsin campus serving approximately 2,500 individuals.
• Crossover HealthcoreStrategic or Co-development Partner · 28 January 2026Definitive agreement signed January 28, 2026, completed March 12, 2026. Merger creating unified company operating nearly 900 wellness centers across 47 states and Guam. Combined entity approaching $2 billion in annual revenue, focusing on advanced primary care and occupational health services for employers, unions, tribes, and health plans. Premise CEO Stu Clark leads the combined organization.
• Pella CorporationcoreStrategic or Co-development Partner · 22 January 2026Partnership to provide dedicated wellness center in Pella, Iowa serving nearly 2,500 employees and their families. Center offers primary care, behavioral health, and pharmacy services with plans for larger grand opening in spring.
• National Coalition of Labor (NCL)coreStrategic or Co-development Partner · 17 July 2025Expansion of nearsite wellness centers in Chicagoland serving union members. Partnership with NCL, Mid-America Carpenters Regional Council, Midwest Operating Engineers Fringe Benefit Funds, and Teamsters Local 301 Health and Welfare Fund. Added physical therapy and chiropractic care services at five nearsite centers serving over 150,000 union members and families at no cost.
• CentivocoreStrategic or Co-development PartnerPartnership for Premise Preferred Health Plan, an alternative health plan for self-funded employers. Centivo provides plan design and high-value provider network while Premise provides advanced primary care model. One large Midwest client saw 70% enrollment by year four, 55% increase in primary care utilization, 32% savings on per member per month healthcare spend, and 28% lower hospital admissions.

Scale indicators13 records

Recent moves7 records

Expansion highlights6 records

Market position

Competitive moat7 records

Key highlights8 records

Customer concentration

• Xx.com/premisehealth
• Facebookfacebook.com/PremiseHealth
• LinkedInlinkedin.com/company/premise-health
• Instagraminstagram.com/premisehealth

Compliance10 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Subsidiaries3 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A6 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Premise Health