Avance Care

What Avance Care does

Avance Care (legal entity Avance Health System, Inc.) operates one of the largest networks of independent primary care practices in North Carolina, with 40+ clinic locations across the Charlotte, Raleigh-Durham, and Wilmington metropolitan areas. The practice delivers comprehensive family medicine spanning pediatrics, adult, and geriatric care, augmented by integrated specialty service lines including behavioral health, psychiatry, neurology, allergy testing and immunotherapy, nutrition counseling, chronic care management, on-site laboratory and X-ray, women's and men's health, gender-affirming care, pain management, DOT physicals, and vaccinations. The operating model is built around extended-hours access — many locations are open 7 days a week with same-day appointments — and is supported by a recently implemented Epic electronic medical record system (transitioned September 2025) with the Epic MyChart patient portal for online scheduling, telehealth, messaging, and bill pay.

The business model is fee-for-service healthcare delivery reimbursed primarily through third-party payors, including Aetna, BlueCross BlueShield, Cigna, Humana, MedCost, Medicare, Medicare Advantage, Medicaid (select sites), and UnitedHealthcare, with published self-pay fee schedules and prompt-pay discounts for uninsured patients. Specialty services (allergy, behavioral health, neurology, nutrition) carry separate pricing tiers, and ancillary revenue is generated through in-office lab and X-ray services, with LabCorp handling reference lab billing. Go-to-market is direct-to-consumer (self-referral, online scheduling via MyChart, walk-in acute visits) supplemented by a physician referral program with dedicated specialists, and community outreach through YMCA partnerships and content marketing.

The customer base is a horizontal consumer segment — individuals and families across all age groups — with secondary use-case segments in chronic disease management, urgent care alternatives, behavioral health, and neurology. The organization is privately held with no disclosed venture capital or private equity ownership in the source materials, and the founding year carries a conflict in the data (2007 per firmographics vs. 2016 per company-history timeline) that has not been resolved in publicly available sources.

Name

Avance Care

Legal name

Avance Health System, Inc.

Website

https://avancecare.com

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

251–500 employees

Short description

Avance Care operates one of North Carolina's largest independent primary care networks, with 40+ clinic locations across Charlotte, Raleigh-Durham, and Wilmington offering family medicine plus integrated behavioral health, neurology, allergy, nutrition, and pediatrics on Epic MyChart.

Ownership category

akta.pro rank

Product category

Primary Care Services

NAICS

Offices of Physicians (62111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Independent Primary Care Practices (HLAFAGAA)

Keywords

• Primary care services
• Family medicine
• Behavioral health
• Chronic care management
• Telehealth visits

Headquarters

HQ city

Morrisville

HQ country

United States

HQ region

North America

Offices35 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Insurance-reimbursed healthcare services: Fee-for-service revenue from patient visits billed to insurance companies. Avance Care participates with most major insurance carriers including Aetna, BlueCross BlueShield, Cigna, Humana, MedCost, Medicare, and UnitedHealthcare. Also accepts Medicare Advantage and Medicaid at select locations.
2. Self-pay/Out-of-pocket payments: Direct patient payments from uninsured patients or those with out-of-network insurance. Offers prompt-pay discounts. Published self-pay fee schedule available.
3. Specialty services (Allergy, Behavioral Health, Neurology, Nutrition): Additional service lines including allergy immunotherapy, behavioral health therapy, neurology consultations, and nutrition counseling, each with separate billing and pricing structures.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Avance Care operates a network of independent primary care practices delivering family medicine, acute care, behavioral health, psychiatry, neurology, allergy, nutrition, pediatrics, chronic care management, women's/men's health, gender-affirming care, vaccinations, and on-site lab and X-ray services across 40+ North Carolina locations. Patients access care in person or via telehealth through an Epic MyChart-powered portal, with most locations open seven days a week offering same-day appointments and extended evening/weekend hours.

Product overview

Avance Care is a network of independent primary care practices offering comprehensive healthcare services across North Carolina. The company operates a platform-based model combining in-person clinical services with a digital patient portal (MyChart). Core offerings include Primary Care, Acute Care, Allergy Services, Behavioral Health, Chronic Care Management, Neurology, Nutrition Services, Pediatrics, and Psychiatry. The organization provides on-site laboratory and X-ray services, vaccinations, and specialized care including Gender Affirming Care. Digital infrastructure includes Epic EMR system and MyChart patient portal for appointment scheduling, health records access, and bill payment. Most locations operate 7 days a week with extended hours and same-day appointments.

Differentiator

Problem solved

Functional benefit

Brands

• Avance Psychiatry: Psychiatry and pain management services offered at multiple locations
• Avance Neurology
• Avance Care Pediatrics
• Avance Behavioral Health
• Avance Care Nutrition Specialists
• MyChart

Products and services

• Primary Care Comprehensive family medicine services including preventive care, annual wellness exams, acute and chronic illness management delivered by board-certified family physicians with same-day appointments at many locations open 7 days a week.
• Acute Care (Sick Visits) Same-day appointments for acute health concerns such as minor burns, sprains, coughs, colds, flu symptoms, rashes, and allergic reactions, available 7 days a week with extended hours at many locations.
• Allergy Services Allergy testing and immunotherapy (allergy shots and sublingual drops) including skin prick testing, intradermal testing, and long-term treatment plans to reduce or eliminate allergy symptoms.
• Behavioral Health Individual and group therapy services for patients of all ages, including specialized therapies such as ADHD intensive therapy, EMDR therapy, and tobacco cessation, coordinated with medical treatment teams.
• Chronic Care Management Care coordination services for patients with chronic conditions including diabetes, hypertension, asthma, heart disease, and COPD, encompassing monthly check-ins, specialist coordination, and post-discharge support.
• Neurology Specialized neurological care for migraines, strokes, neuropathies, concussions, dementia, epilepsy, Parkinson's disease, and multiple sclerosis, including EMG/Nerve Conduction Studies.
• Nutrition Services Registered dietitian services for heart health, prediabetes support, diabetes management, weight management, GI nutrition, and disordered eating counseling, offered as individual and group programs.
• Psychiatry Psychiatric services for mental health conditions including medication management through Avance Psychiatry with in-person and virtual appointment options.
• Pediatrics Pediatric care services including well-child visits, acute illness treatment, immunizations, and developmental screenings, available at dedicated pediatric locations alongside family medicine practices.
• Laboratory Services On-site clinical laboratory providing rapid return tests such as strep screens, blood glucose, influenza testing, urinalysis, and pregnancy tests, with additional tests processed through LabCorp.
• X-Ray Services On-site X-ray imaging services for diagnostic purposes including fracture evaluation and chest imaging.
• Vaccines and Immunizations Comprehensive immunization services including pediatric vaccines, travel vaccines (Hepatitis A/B, meningococcal, tetanus), flu shots for ages 6 months+ without appointment, and COVID-19 vaccination.
• Women's Health Well-woman care including pap smears, pelvic exams, breast examinations, and preventive health services; obstetrical care is not provided.
• Men's Health Health services tailored to men's needs including annual physicals, preventive screenings, and chronic disease management.
• Medical Pain Service Pain management services for chronic and acute pain conditions, including evaluation and treatment planning.
• Gender Affirming Care Gender-affirming healthcare including primary care, hormone therapy coordination, and supportive behavioral health services for LGBTQ+ patients.
• DOT Physicals Department of Transportation physical examinations for commercial driver's license renewal.
• Transitional Case Management Post-discharge support program helping patients transition from inpatient settings to home, including medication adherence, follow-up appointments, and care coordination to reduce readmissions.
• MyChart Patient Portal Online patient portal powered by Epic Systems providing 24/7 access to appointment scheduling, lab results, visit notes, provider messaging, health records, telehealth visits, and bill payment, with proxy access and Happy Together multi-account linking.

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature3 records

Partnerships

Two partnerships are on record, tiered core and minor.

• Epic Systems CorporationcoreTechnology or Integration · 20 September 2025Epic Systems provides the MyChart patient portal and Epic EMR (electronic medical record) system. Avance Care transitioned to Epic EMR on September 20, 2025, enabling improved patient data management, scheduling, telehealth, and interoperability. MyChart is a registered trademark of Epic Systems Corporation.
• YMCA of the Triangle and Greater CharlotteminorStrategic or Co-development PartnerPartnership through Avance Care Behavioral Health for community mental health outreach. YMCA staff and members have access to exclusive resources including workshops and informative webinars to educate, empower, and transform lives by elevating community health. Joint wellness programming and educational events.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• One Medical (Amazon One Medical): Membership-based primary care chain that pioneered tech-enabled, digitally-integrated independent primary care with same-day appointments and an own portal — the closest national analog to Avance Care's DTC, technology-enabled independent primary care model.
• VillageMD: Multi-state primary care network (now majority-owned by Walgreens) that consolidates independent physician practices into value-based care arrangements, directly comparable to Avance Care's multi-location independent primary care platform model.
• ChenMed: Physician-owned primary care group operating centers serving seniors with integrated specialty services under one roof — same independent multi-specialty medical-home model Avance Care runs, though focused on the Medicare Advantage population.
• MDVIP: Network of independent primary care physicians operating under a membership/affiliation model, comparable in their focus on physician-owned, relationship-based primary care, though differentiated by concierge positioning.
• Privia Health: Physician practice enablement company that organizes independent PCPs and specialists into single-specialty and multi-specialty groups with shared technology — directly comparable to how Avance Care groups independent physicians under a unified brand and tech stack.

Broad incumbents

• Atrium Health (Advocate Health): Major nonprofit health system operating the dominant primary care and specialty footprint in Charlotte and the surrounding NC metros; serves as the primary incumbent competitor for Avance Care's Charlotte market locations.
• Novant Health: Large regional health system with primary care and specialty clinics across the Charlotte, Winston-Salem, and coastal NC regions — a direct broad-incumbent competitor across several of Avance Care's served metros.
• Duke Health / Duke Primary Care: Academic health system with extensive primary care locations in the Raleigh-Durham market that competes head-on with Avance Care's Triangle footprint and shares Epic as its core EHR platform.

Emerging players

• FastMed Urgent Care: Large urgent care chain with locations throughout North Carolina competing with Avance Care's same-day acute care offering and extended-hours primary care access.
• NextCare Urgent Care: Multi-state urgent care operator that overlaps with Avance Care on acute care / walk-in visits in NC markets, particularly for non-life-threatening conditions where patients choose between urgent care and Avance's same-day appointments.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/avancecare
• LinkedInlinkedin.com/company/avance-care

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Avance Care