TLC Family Health

What TLC Family Health does

TLC Family Health is a Direct Primary Care (DPC) practice founded in October 2017 by Douglas M. Cluff, M.D., operating from a single clinic at 2601 Churchill Drive, Suite 100, Flower Mound, Texas. The practice sells membership-based primary care entirely outside the insurance system, offering three monthly tiers — Gold ($40–$82), Silver ($25–$46), and À la Carte ($10) — plus a $100–$150 registration fee and optional 6- or 12-month prepay discounts. Labs, tests, and injections are passed through at cost (typically 90%+ below market prices: cholesterol panel $3.25, strep test $1.25, B12 shot $2.94), enabled by direct client-billing arrangements with CPL and LabCorp. Patients access care in-person, by phone, or via HIPAA-compliant video (Doxy.me, Zoom), with online scheduling through Acuity, EHR/portal via Elation Passport, and membership billing through Hint Health.

The company has built an ecosystem of adjacent sub-brands: SLIM TLC (a registered trademark weight management program offered with or without phentermine or GLP-1 receptor agonists), Low-Price Labs (subsidiary offering discounted labs to non-members from $25), Low-Price Low T (testosterone replacement therapy at lowpricelowt.com), the Nutrition Star dietary framework, and fee-for-service ADHD evaluations, nutrition coaching, physical therapy, and counseling. The practice also rents its 587 sq ft conference room by the hour. SLIM TLC with medication is restricted to Texas residents. The clinical team includes Dr. Cluff (panel closed), Dr. Lezli Braswell (joined as partner in late 2023, accepting limited new patients), Becky Maxwell PA-C, Kylie McLellan PA-C, Marie Barber (nutrition/exercise coach), Zak Keller PT, and two behavioral health clinicians.

The go-to-market is a hybrid direct-to-consumer / employer model. Consumer acquisition is driven by the website, organic SEO, the quarterly 'Quest' newsletter (Mailchimp), Facebook and Instagram, free in-person weight-loss seminars, a referral program (free SLIM TLC month), and word of mouth. The B2B 'For Employers' channel targets small-to-mid businesses unable to afford traditional group health insurance, offering 10% off memberships. No funding rounds, acquisitions, or external institutional ownership have been disclosed; the practice is founder-owned with no public listing.

Name

TLC Family Health

Legal name

TLC Family Health

Website

https://tlcfamilyhealth.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

11–50 employees

Short description

TLC Family Health is a Direct Primary Care practice in Flower Mound, Texas, offering membership-based primary care outside insurance (Gold/Silver/À la Carte tiers) with labs at cost, alongside SLIM TLC weight management, Low-Price Labs, and Low-Price Low T subsidiaries serving self-pay individuals and small employers.

Ownership category

akta.pro rank

Product category

Direct Primary Care

NAICS

Health Care and Social Assistance (62)

SIC

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

akta.pro primary industry

Direct Primary Care (DPC) & Concierge Medicine (HLAFAGAD)

Keywords

• Direct primary care
• Membership healthcare
• Weight management programs
• Primary care services
• Discounted lab testing

Headquarters

HQ city

Flower Mound

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Membership Fees (Gold, Silver, À la Carte): Recurring monthly membership fees across three tiers: Gold ($40-$82/month depending on age), Silver ($25-$46/month depending on age), and À la Carte ($10/month). Gold members receive 90% off visits and communications with $10 copay per 20-minute visit; Silver receives 50% off with $50 copay; À la Carte pays full price with $100 copay. Registration fee is $100 for first person, $150 max for families. Discounts of 5% for 6-month and 10% for 12-month prepay. Employers receive 10% off.
2. One-Time Visits: Non-members and patients without a membership can purchase a one-time visit for $250 (covers up to 40 minutes). This option can only be exercised once; if the patient joins within 30 days, the $100 registration fee is waived.
3. Non-Member Services (ADHD Evaluations, Coaching, PT, Labs): The practice offers services to non-members for fee-for-service payment: ADHD evaluations by Dr. Braswell ($375 for initial 90-min + 20-min follow-up), nutrition coaching with Marie ($60/50-min session), physical therapy with Zak Keller ($125/60-min session), and discounted lab tests at $25-$175 per test through the Low-Price Labs subsidiary.
4. SLIM TLC Program Fees: SLIM TLC weight management program with multiple tiers: SLIM TLC with Phentermine ($100/month or $65 for members + <$20/month medicine); SLIM TLC with GLP-1 RAs ($55/month or $35.75 for members + ~$350-$500/month medicine); SLIM TLC Supercharged ($115/month or $74.75 for members); SLIM TLC without Meds ($35/month or $22.75 for members); SLIM TLC Online textbook ($24.99 one-time). Group visits are included with program enrollment.
5. Lab and Injection Sales: Labs, tests, and injections are provided to members at cost (typically 90%+ off standard prices). Non-members pay discounted rates through the Low-Price Labs plan ($25 for most common labs, $45 for testosterone). Vitamin B12 shots are $2.94 for members and $30 for non-members.
6. Conference Room Rental: Conference room rental at $40-$55/hour depending on time slot, with discounts for TLC Family Health members (25% off) and first-time renters (50% off). The 587 sq ft room seats up to 55 and includes projector rental and tables/chairs.
7. Low-Price Low T (Testosterone Replacement): A separate testosterone replacement-only plan for patients who have had testosterone levels checked through the Low-Price Labs plan. Pricing and details are managed at lowpricelowt.com.

Pricing tiers

Go-to-market motion2 records

Distribution channels6 records

Marketing channels9 records

Core offering

TLC Family Health operates a Direct Primary Care (DPC) membership-based medical practice that delivers primary care services outside the insurance system. Members pay monthly fees across three tiers (Gold, Silver, À la Carte) and receive direct physician access, telehealth, and labs/tests/injections at cost (typically 90%+ off standard prices). The practice extends its offering through the SLIM TLC weight management program, the Low-Price Labs discounted lab-testing subsidiary, and the Low-Price Low T testosterone replacement program.

Product overview

TLC Family Health is a Direct Primary Care (DPC) practice operating on a membership model outside of insurance, founded in October 2017 by Dr. Douglas M. Cluff in Flower Mound, Texas. The company offers a unified healthcare ecosystem centered on three membership tiers (Gold, Silver, À la Carte) providing primary care services, with affiliated subsidiary programs including SLIM TLC (lifestyle and weight management with medication options), Low-Price Labs (discounted laboratory testing), and Low-Price Low T (testosterone replacement therapy). Supporting services include ADHD evaluations, nutrition/exercise coaching, physical therapy, counseling, group visits, Tai Chi classes, and educational resources like the Nutrition Star dietary framework and The Quest newsletter. The practice emphasizes Therapeutic Lifestyle Changes (TLCs) with a focus on nutrition, weight management, fitness, stress management, and sleep wellness.

Differentiator

Problem solved

Functional benefit

Brands

• SLIM TLC: Lifestyle and weight management program offering various options including programs with medication (phentermine, GLP-1 RAs) and without medication.
• Low-Price Low T
• Low-Price Labs

Products and services

• TLC Family Health Membership (DPC)
• SLIM TLC (Weight Management Program)
• SLIM TLC Online
• Low-Price Labs
• Low-Price Low T (Testosterone Replacement)
• ADHD Evaluations
• Nutrition and Exercise Coaching
• Physical Therapy
• Counseling Services
• Conference Room Rental
• Group Visits
• One-Time Visit

Quantifiable outcome

• Cholesterol panel: $3.25 (vs. standard $100-$300+); B12 shot: $2.94; Strep test: $1.25 — representing 90%+ savings vs. typical prices
• +2 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration9 records

Feature4 records

Partnerships

Eight partnerships are on record, tiered core and minor.

• CPL (Clinical Pathology Laboratories)coreOthersCPL is a contracted laboratory provider that processes lab tests for TLC Family Health and its Low-Price Labs subsidiary. Patients can have blood drawn at CPL draw stations throughout Texas and Louisiana (and limited other states). CPL bills TLC Family Health directly (client billing), and the $10 processing/draw fee is charged to the patient. CPL provides the cost-plus pricing structure that enables the practice to offer labs at 90%+ off standard prices.
• LabCorpminorOthersLabCorp serves as an alternative laboratory option for TLC Family Health patients who prefer to use LabCorp draw stations (available throughout Texas and most US states). Like CPL, LabCorp uses electronic ordering and client billing through TLC Family Health's lab account.
• Elation PassportcoreTechnology or IntegrationElation Passport is the patient portal/EHR platform used by TLC Family Health for secure patient-provider messaging, appointment management, medical records, and lab results delivery. The practice uses the Elation Passport Patient Portal as the primary communication channel for clinical/patient issues.
• Acuity SchedulingcoreTechnology or IntegrationAcuity Scheduling (a third-party online scheduling platform) is used for all online appointment booking, including with individual providers (Dr. Cluff, Dr. Braswell, Becky, Marie, Zak), lab/test/injection visits, and ADHD evaluations. It replaced the Elation Passport Appointments option due to its superior capabilities.
• Hint HealthcoreTechnology or IntegrationHint Health is the membership management and billing platform used by TLC Family Health for processing monthly membership fees, registration charges, and other payments. Hint Health replaced the Acuity payment system for membership billing and is integrated with the patient onboarding flow.
• Doxy.mecoreTechnology or IntegrationDoxy.me is the HIPAA-compliant video visit platform used by Dr. Cluff, Dr. Braswell, and Becky Maxwell, PA-C for telehealth appointments. Each provider has a unique Doxy.me room URL for patient consultations.
• ZoomcoreTechnology or IntegrationZoom is used for Marie Barber's video coaching appointments (with Zoom link sent prior to visit) and for SLIM TLC group visits. Provides the video conferencing infrastructure for the practice's group visit and coaching programs.
• Christian Healthcare Ministries (and Health Sharing Plans)minorGTM or Marketing PartnerTLC Family Health recommends health sharing plans (specifically Christian Healthcare Ministries) as a complement to its DPC membership for catastrophic coverage. The practice educates patients on health sharing as an alternative to traditional health insurance for covering large expenses like emergencies, surgeries, and catastrophic illnesses.

Scale indicators3 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• ChenMed: Physician-owned, membership-style primary care group focused on seniors using a value-based care model. Compares to TLC on the membership-without-insurance premise and on physician ownership, though at much larger scale and senior segment.
• MDVIP: Largest U.S. membership-based primary care network, offering DPC and concierge medicine practices. Operates the same subscription-driven model as TLC but at national scale, making it the closest structural comparator.
• Atlas MD: Founder-led Direct Primary Care practice recognized as one of the originals of the DPC movement. Closely comparable on the DPC model, cost-plus labs, and founder-led operating philosophy, though operating in a different geography (Wichita, KS).
• Nextera Healthcare: Multi-state Direct Primary Care practice network offering membership primary care with behavioral health integration. Comparable to TLC on the multi-provider DPC model and employer channel strategy.

Broad incumbents

• One Medical (Amazon): Membership-based primary care platform now owned by Amazon, offering a hybrid insurance + membership experience across many U.S. metros. Same membership-anchored primary care model as TLC, but at scale inside a much broader consumer ecosystem.

Emerging players

• Noom: Direct-to-consumer digital weight-management platform with a behavioral-change program and growing clinician-supervised medication offering. Competes with TLC primarily for the SLIM TLC Without Meds / SLIM TLC Online DIY segment.
• LifeMD: Telehealth and direct-to-consumer primary care company offering subscription weight-management programs with GLP-1 medication. Comparable to TLC on the vertically integrated virtual-care + subscription model.
• Found: Direct-to-consumer weight-management platform combining telehealth with GLP-1 prescriptions and lifestyle coaching. Overlaps directly with SLIM TLC's medically-supervised, lifestyle-plus-medication positioning.
• Ro: DTC telehealth platform with a flagship weight-loss program (Ro Body Program) offering GLP-1 access. Competes for the same self-pay, online-first patient that TLC's SLIM TLC Online targets.
• Hims & Hers Health: Direct-to-consumer telehealth platform with a fast-growing weight-management program offering GLP-1 access. Competes with TLC's SLIM TLC for the same self-pay, weight-loss-motivated consumer but operates nationally with significant marketing scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/tlcfamilyhealth
• Instagraminstagram.com/doug_cluff_md
• LinkedInlinkedin.com/company/tlc-family-health-care

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries3 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 TLC Family Health