4 Elements

Name

4 Elements

Legal name

4 Elements Direct Primary Care LLC

Website

https://4elementsmd.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

1–10 employees

Ownership category

akta.pro rank

Product category

Direct Primary Care

NAICS

Offices of Physicians (6211)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro industry

PRIMARYHLAFAGAD

Direct Primary Care (DPC) & Concierge Medicine

Healthcare & Life Sciences/Healthcare Providers & Systems/Primary Care & Community Health Providers

Keywords

• Direct primary care
• Medical aesthetics
• Physician weight loss
• Immigration medical exams
• Functional medicine testing

Headquarters

HQ city

South Windsor

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Direct Primary Care Memberships: Monthly subscription memberships providing unlimited primary care visits, telehealth, preventive care, chronic disease management, and direct physician access. Members enjoy same-day visits, longer appointments, and no copays. Additional DPC member discounts on functional medicine testing and other services.
2. Medical Aesthetics Services: Fee-for-service medical aesthetic procedures including Botox, dermal fillers, laser therapies, body contouring, and hair restoration. Services provided by physician-supervised licensed aesthetician.
3. Holistic Aesthetics Services: Fee-for-service botanical-based skincare services including signature facials, head spa treatments, red light therapy, waxing, and makeup application by licensed aesthetician.
4. Functional Medicine Testing: Advanced laboratory testing partnerships with Genova Diagnostics and Vibrant America for methylation and micronutrient assessment. Testing is not covered by insurance; DPC members receive discounts. Includes initial consultation, blood draw, and telehealth follow-up.
5. Immigration Medical Exams: USCIS Civil Surgeon immigration physicals including exam, follow-up, and sealed paperwork preparation. Transparent pricing at $325 inclusive (compared to $600 elsewhere). Additional fees for specific tests and vaccines. Collectively, physicians have completed over 4,000 immigration exams.
6. w8ality Weight Loss Program: Structured physician-supervised weight optimization program with phases: Escalation Phase ($125/mo for DPC members, $165/mo for non-members), Maintenance Phase ($80/mo), and Intensive Maintenance as needed. Onboarding fee of $275 for non-DPC patients.
7. Employer Health Benefit Programs: DPC memberships offered to employers as an employee health benefit. Flat monthly rate per employee with unlimited access to primary care. Includes Core DPC Benefits and optional add-ons such as weight loss, health coaching, massage therapy, and immigration exams.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels7 records

Core offering

4 Elements operates a Direct Primary Care (DPC) membership practice that delivers unlimited primary care visits, same/next-day access, telehealth, and direct physician communication for a monthly fee, bypassing insurance. Layered on this core membership are fee-for-service specialty offerings: physician-supervised weight loss (w8ality), medical and holistic aesthetics, USCIS immigration medical exams, functional medicine testing, longevity medicine, health coaching, clinical hypnosis, and massage therapy. The practice also sells DPC memberships to employers as a workplace health benefit.

Product overview

4 Elements Direct Primary Care & Wellness Space operates a multi-service healthcare practice centered on a Direct Primary Care (DPC) membership model that eliminates insurance billing and provides unlimited, unhurried, relationship-based primary care for adults and children. This core DPC membership is the foundational product, to which a suite of integrated specialty services are layered as add-on modules: the w8ality™ physician-supervised weight optimization program (with medication management for GLP-1 agonists and others); Medical Aesthetics (Botox, fillers, laser, body contouring, hair restoration) and Holistic Aesthetics (facials, head spa, red light therapy) as parallel service lines; Immigration Medical Exams performed by designated USCIS civil surgeons; Functional Medicine Testing via Genova Diagnostics and Vibrant America; Longevity Medicine encompassing body composition (InBody) and advanced cardiovascular testing; Health Coaching (NBC-HWC certified); Clinical Hypnosis; Massage Therapy; and a retail 4 Elements Life Store. The practice also offers employer-sponsored DPC membership programs. All services are delivered at two Connecticut locations (South Windsor and Rocky Hill), with telehealth options for follow-up visits and functional medicine reviews.

Differentiator

Problem solved

Functional benefit

Brands

• w8ality: Physician-supervised weight optimization program designed to help patients look at weight more comprehensively, including lifestyle changes, coaching, body composition tracking, lab review, and medication support.

Products and services

• Direct Primary Care (DPC) Membership A membership-based primary care model that removes insurance from routine care, providing unlimited visits, same/next-day access, direct physician communication (call, text, email), telehealth, chronic disease management, preventive care, and specialist referral coordination via a simple monthly membership fee. For adults and children seeking personalized, relationship-centered healthcare.
• w8ality Weight Optimization Program A physician-supervised obesity medicine and weight management program combining lifestyle changes, health and exercise coaching, body composition tracking, metabolic monitoring, and optional medication support (including semaglutide, tirzepatide, liraglutide, bupropion/naltrexone, phentermine/topiramate). Delivered in phased stages: Escalation Phase ($125/mo DPC members; $165/mo non-members), Maintenance Phase ($80/mo), and Intensive Maintenance.
• Medical Aesthetics Physician-supervised advanced aesthetic procedures including Botox and neuromodulators, dermal fillers, microchannel mesotherapy, laser therapies (Genesis, IPL, Hair), truSculpt iD body contouring, hair restoration, and vein treatments. Located exclusively at the South Windsor site.
• Holistic Aesthetics Botanical-based skincare and wellness treatments delivered by a licensed aesthetician, including signature facials (from $85), head spa treatments (from $140), red light therapy via Celluma (from $40), waxing (from $15), and makeup services (from $25). Available exclusively at the South Windsor location.
• Immigration Medical Exams USCIS civil surgeon immigration physicals performed at both South Windsor and Rocky Hill locations. Includes exam, follow-up, lab work (tuberculosis, syphilis, gonorrhea, MMR, hepatitis B, varicella, and others), chest X-ray, I-693 paperwork completion, and sealed envelope preparation. Turnaround: 4–10 days. Exam pricing: $325 inclusive of exam and follow-up. The practice has completed over 4,000 immigration exams.
• Functional Medicine Testing Advanced root-cause functional medicine testing in partnership with Genova Diagnostics (methylation testing for MTHFR, homocysteine, and gene expression pathways) and Vibrant America (micronutrient and functional medicine testing assessing 30+ vitamins, minerals, amino acids, antioxidants, omega fatty acids, and inflammatory markers). Includes consultation, in-office blood draw, and telehealth follow-up. DPC members receive a discount. No fasting required.
• Longevity Medicine Longevity-focused preventive medicine services including body composition analysis via InBody, functional medicine, and advanced cardiovascular testing, aimed at extending healthspan and lifespan.
• Health Coaching Health coaching services delivered by NBC-HWC certified health coaches, including nutrition coaching, lifestyle guidance, and behavior change support. Available as a standalone service or as part of employer wellness add-ons.
• Clinical Hypnosis Clinical hypnotherapy services aimed at addressing perception, mindset, and physiological responses to stress, delivered by a licensed clinical hypnotherapist (MA, CH).
• Massage Therapy Licensed massage therapy services provided by a licensed massage therapist (LMT) to support musculoskeletal health and general wellness.
• Body Composition Analysis InBody body composition analysis used to track fat loss, lean muscle preservation, and metabolic health during weight management and longevity programs.
• Employer Health Care Programs Direct Primary Care membership sold to employers as an employee health benefit, offering unlimited routine and preventive care visits, same/next-day sick visits, telehealth, direct physician access, specialist referral coordination, and healthcare navigation — all with no copays, at under $1 per employee per day. Includes optional add-ons such as weight loss, health coaching, massage therapy, and immigration exams.
• 4 Elements Life Store A retail storefront selling wellness-related products and lifestyle goods.

Quantifiable outcome

• 40% reduction in unnecessary ER visits when employees have same-day primary care access
• +2 more outcomes

Named customers1 record

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature3 records

Partnerships

Five partnerships are on record, tiered core and minor.

• Genova DiagnosticscoreTechnology or IntegrationLaboratory partnership for methylation testing services. Genova Diagnostics provides clinical-grade methylation panel evaluating MTHFR and related gene expression pathways, homocysteine elevation, and cardiovascular risk. Testing guides personalized nutritional and lifestyle interventions for functional medicine patients.
• Vibrant AmericacoreTechnology or IntegrationLaboratory partnership for micronutrient and functional medicine testing. Vibrant America provides comprehensive nutritional deficiency assessment evaluating 30+ vitamins, minerals, amino acids, antioxidants, omega fatty acid balance, and inflammatory markers at the cellular level. Includes consultation, blood draw, and telehealth follow-up.
• CherryminorOthersCherry financing partner offering flexible monthly payment options for patients. Patients may qualify for 0% interest financing for 3 months on purchases of at least $1,000, helping spread larger program costs into manageable payments.
• Novo NordiskminorOthersReferral destination for patients transitioning to telehealth providers for GLP-1 medications. Links patients to Novo Nordisk's Find a Doctor program for Ozempic/Wegovy access.
• Eli LillyminorOthersReferral destination for patients transitioning to telehealth providers for GLP-1 medications. Links patients to Lilly's Find a Doctor program for Zepbound/Mounjaro access.

Scale indicators3 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Everside Health: Everside Health (formerly Paladina Health) operates Direct Primary Care clinics for employers and health plans, providing on-site and near-site primary care. It is directly comparable on the employer-sponsored DPC motion that 4 Elements is building.
• Parsley Health: Parsley Health is a membership-based functional medicine practice offering root-cause primary care with health coaching. It overlaps with 4 Elements' functional medicine, health coaching, and longevity-oriented DPC offerings.
• Marathon Health: Marathon Health provides employer-sponsored primary care, wellness, and occupational health through on-site and shared clinics. It is a comparable on the employer-DPC and health-coaching bundle that 4 Elements packages for business customers.
• Atlas MD: Atlas MD is a Kansas City-based Direct Primary Care practice offering membership-based primary care with transparent pricing. It is a direct comparable as a multi-physician DPC practice targeting both individual members and employers with a similar subscription model.

Broad incumbents

• One Medical (Amazon): One Medical, now owned by Amazon, is a large-scale membership-based primary care platform with hybrid in-person and virtual care. It is a comparable as the scaled version of the concierge/membership primary care model that 4 Elements operates locally.

Regional players

• Restore Hyper Wellness: Restore Hyper Wellness is a franchise wellness provider offering red light therapy, cryotherapy, IV drips, and aesthetics services. It is comparable to 4 Elements' holistic aesthetics and wellness add-ons (facials, red light therapy, head spa).
• SkinSpirit: SkinSpirit is a medical spa chain offering Botox, fillers, laser, and body treatments. It is comparable to 4 Elements' medical aesthetics line and provides a scaled benchmark for the aesthetics category 4 Elements competes in.

Emerging players

• Forward: Forward is a tech-forward primary care membership practice offering preventive care, body scanning, and integrated health data. It is comparable to 4 Elements' longevity medicine and body composition (InBody) offerings within a membership-based care model.
• Hint Health: Hint Health provides the DPC practice management and membership billing platform that many DPC clinics use, and has featured Dr. Kainkaryam on its podcast. It is comparable as the platform/infrastructure layer supporting the DPC operating model 4 Elements runs.
• Glatter Lifestyle Medicine: Glatter Lifestyle Medicine is a small, physician-led concierge practice emphasizing preventive and lifestyle medicine. It is a comparable as another small, physician-owned, membership-based practice that integrates wellness services with primary care.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights3 records

Customer concentration

• LinkedInlinkedin.com/company/4elementsdpc

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 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 4 Elements