Rising administrative burden
Every year, more time is pulled away from patient care.
Practice medicine on your terms
A comprehensive HR, benefits, and well-being solution built for fiercely independent practices — without telling you how to practice medicine. This is not a slippery slope to a MSO.
One platform, one team, one source of truth — with Direct Wealth Care and Direct Self Care included for every member.
In partnership with In partnership with the Well-Being Index, invented by Mayo Clinic. We focus on reducing the undue business risk that comes with fiercely independent practice, while promoting well-being across the whole team — without trying to tell you how to practice medicine.
The reality
Independent practice is becoming harder to sustain
Staff turnover and instability
Workforce volatility quietly erodes margins and morale.
Compliance complexity
Regulatory exposure expands faster than most practices can absorb.
Burnout and operational fatigue
Operational pressure becomes the leading cause of physician exits.
Most physicians aren't losing their independence by choice — they're being pushed out by operational and economic pressures.
What Direct Practice Care is
Built so independent practices stay independent
A unique combination of HR, health insurance, retirement, benefits, payroll, compliance, workforce management, and well-being tools for physicians and healthcare professionals — in one place.
We are not a clinical brand and we are not a primary-care model. We're a workforce and compliance partner, providing the infrastructure a practice needs to operate sustainably — without giving up control, selling the practice, or joining a corporate health system.
How we deliver
Fast, automated, self-serve — with humans behind it
Rapid time-to-value
Measured in weeks, not months — deployed without slowing the practice down.
Automation
Speeds execution and reduces errors across payroll, benefits, and compliance.
Self-service
Pay stubs, PTO, benefits changes, and life events — on your team’s phones.
On-demand expertise
An HR advisor when something actually comes up — not on a quarterly retainer cadence.
The platform
Everything your practice needs to operate efficiently
Six areas, one unified employee record. The benefits stack you'd expect from a 500-person company, sized for a practice.
HR and people operations
Anytime, anywhere access for your whole team.
- New-hire reporting and onboarding
- PTO and vacation accrual
- Job and salary history
- Certifications, skills, and training
- Document management and file auditing
- Employment law support
Payroll and tax filing
Process payroll in a few clicks. Tracking rates and liabilities — absorbed.
- Real-time payroll preview
- Local, state, and federal tax filing
- Year-end W-2 and 1099
- Garnishment management
- Check, direct deposit, or pay card
- General ledger interface
Benefits administration
Self-serve enrollment, with health insurance at large-group rates.
- Streamlined open enrollment
- Real-time carrier integration
- Benefit-cost analysis
- Life-event and FMLA wizard
- FSA, HSA, HRA, and COBRA
- 401(k) and reporting
Compliance and risk
Continuously maintained, and documented while it happens.
- FLSA, OSHA, ADA, ACA, and EEOC
- ACA tracking with 1094 / 1095 eFile
- I-9 filing and E-Verify
- Wage-and-hour audit assistance
- Unemployment claims administration
- Employment practices liability insurance
Hiring and onboarding
The whole funnel, from job ad to day one.
- Applicant tracking and career page
- AI-assisted job ads and matching
- Access to 5,000+ job boards
- Assessments and skills testing
- Background and reference checks
- Digital forms and acknowledgments
Workforce management
The day-to-day, with an audit trail behind it.
- Flexible time and labor tracking
- Geofencing time clocks
- Scheduling and shift swapping
- Coverage dashboards and alerts
- OCR receipt and mileage capture
- Attendance-pattern monitoring
Powered by AdvisorHR
The backbone that lets you stay independent
AdvisorHR is the workforce platform underneath Direct Practice Care — and the reason a practice of any size can offer benefits competitive with a hospital.
One source of truth
One key-in cascades correctly to payroll, benefits, ACA tracking, the 401(k) carrier, the org chart, and handbook acknowledgments.
Real-time data
Connected, automated workflows and reporting that reflects today — not spreadsheet reconciliation at 11pm on a Sunday.
Large-group insurance rates
AdvisorHR aggregates a large pool of businesses, so an independent practice can access health insurance at rates typically reserved for big health systems.
What hospital systems spent twenty years and tens of millions of dollars trying to stitch together is built as one platform.
Why it matters
The hidden risk most practices overlook
Physicians often underestimate the financial and operational impact of staff turnover, burnout, compliance exposure, and administrative overload. As these pressures build, practices are forced into selling to hospital systems or MSOs.
$500K–$1M
Cost to replace one physician
Estimated, including recruitment, lost productivity, ramp time, and disruption to patient panels.
Source: AMA, citing an Atrius Health analysis2 in 3
Physicians whose top burnout driver is administrative work
The strain does not stop at the physician — it is the figure best backed by public data.
Source: American Medical Association physician burnout survey25–35%
Medical assistant turnover in small practices
The highest-churn role in most primary-care practices, per industry benchmarking.
Source: Industry benchmarking (UNC study, MGMA data)Direct Practice Care removes that pressure — so independence remains a viable path.
The well-being ecosystem
Beyond HR — tools for the whole practice's well-being
Direct Practice Care sits inside a broader ecosystem built around the well-being and financial health of independent physicians and their teams. Historically these tools have been out of reach for small practices. Here, basic access to all three is included for every member of your practice.
The Well-Being Index
The research-validated clinician well-being assessment invented by Mayo Clinic, surfaced inside Direct Self Care.
- Validated assessment in minutes
- Confidential — no individual data shared
- Aggregated, anonymized insight for the practice
- Targeted, evidence-based interventions
Direct Self Care™
A mobile platform for individual well-being — for clinicians and the staff who support them, including the Wellness Wheel.
Visit Direct Self Care Direct Wealth Care™
Financial planning and wealth management resources purpose-built for physicians, with ongoing measurement via the Financial Wellness Report Card.
Visit Direct Wealth Care Outcomes
What becomes possible
- Maintain full ownership and control of your practice
- Reduce administrative burden and operational stress
- Improve staff retention and workforce stability
- Operate with confidence in compliance and infrastructure
- Build a sustainable, long-term practice
- Focus more time on patient care and clinical excellence
Advanced strategy
Beyond operations: a smarter financial structure
Through Direct Practice Care, practices can explore strategies typically reserved for much larger organizations.
Self-insurance models
Take control of health plan spend instead of absorbing annual carrier increases.
Reinsurance structures
Cap catastrophic exposure so a single claim year can't destabilize the practice.
Captive insurance participation
Pool risk with comparable practices and keep the upside of good claims experience.
A clear contrast
Two possible futures for independent practice
With Direct Practice Care™
- Independent, stable, sustainable practices
- Physicians in control
- Financially resilient systems
Without it
- Increased consolidation
- Loss of autonomy
- Burnout-driven exits
- A shift toward high-volume “sick care”
Partnerships
Organizations we work with
Independent practice networks and associations that make Direct Practice Care available to their members at the rate of the network.
A Colorado IPA of 700+ physicians, 250+ advanced practice providers, and 250+ organizations across 55+ specialties.
Practice Health solutions guideNext steps
Let's find 30 minutes
We'll do the intake personally, then walk you through the platform with your practice in mind — what's working in your current HR, payroll, and benefits stack, and what's leaking. No procurement cycle, no obligation.