First Stake
Partners
Location independent
Your online business in the US longevity market, run from anywhere in the world.
In four weeks, First Stake Partners builds the foundation of your own US business: a US company, an online clinic under your brand and the connection to licensed US doctors and a pharmacy, plus lab testing from the Standard package.
That makes the model of the big US providers available to entrepreneurs in Europe and the UK.
Patients in the USA find your programmes around the clock. You make the business decisions and build the brand and its growth.
The clinic and its partners are connected online, so you decide where your desk is.
Medical responsibility lies with the licensed US partners.
Over time, this can become an independent brand with returning customers and lasting business value.
When the day starts in Europe, your dashboard shows you where your US business stands.
A market on the move
Telehealth has become a billion-dollar market in the USA.
4.3 Mrd. USD
More and more people in the USA take charge of their health before problems start. They spend on diagnostics, hormone health, weight management, performance and healthy ageing.
Global market 2025, largest single market USA
14.4 Mrd. USD
They want a discreet, digital way to do it from home.
Forecast for 2035
12.3 %
Telehealth businesses combine lab testing, medical care, individual programmes and regular delivery into one continuous patient experience.
Forecast growth per year
The global market for direct-to-consumer telehealth pharmacy was valued at USD 4.3 billion in 2025, 42.6 percent of it in the USA. It is forecast to reach USD 14.4 billion by 2035, with the US market growing 12.2 percent a year.
Anyone starting in the US longevity market today meets demand that is already there.
First Stake Partners
The model works
Big players opened up the market. Specialised brands find their place in it.
Hims & Hers started with a few clearly positioned health offers. Today the company turns over billions and serves more than 2.5 million subscribers.
Its success rests on three things a telehealth business brings together:
- a relevant problem,
- simple digital access,
- a long-term customer relationship.
In 2025, Hims & Hers grew its revenue by 59 percent to around USD 2.35 billion.
To get started, one focused brand is enough. With a clear target group and loyal patients, it can grow into a valuable business.
- Hims & Hers revenue 2025
- USD 2.35bn
- Growth on 2024
- +59%
- Subscribers at year end
- 2.5m+
American entrepreneurs are making billions while European ones watch.
Annual reports, retrieved in September 2026.
Four weeks to build, in a market that grows for ten years.
There is room for new brands now. Early starters build a lead.
The window
The market is big enough for a viable business model and leaves room for new brands and target groups.
That is where the current window lies.
If you start now, you can build your position and a customer base while the market keeps growing.
Registering the company is the start. Revenue comes from the business behind it.
Plenty of firms set up US companies. We build you the whole business.
First Stake Partners handles the complete administrative formation of your US company and hands over your longevity business fully built.
You also get a briefing on steering the business financially and one contact person for the entire build.
A US company with a finished online clinic: in Europe, you get that only from us.
According to our market review (as of October 2026), First Stake Partners is currently the only provider in Europe offering entrepreneurs a fully built longevity business in the USA, including their own US company, from a single source.
Explainer video
How your own longevity business in the USA works.
What you get
Seven components that make your business succeed in the US market.
You start with a well thought-out business model. The route to market is prepared.
Our sample clinic shows you how your own brand could look and work later on.
Sample view
Your US company
You get more than a registration: the administrative foundation of a US business that is ready to operate.
Your brand
Your business has its own name, its own domain and a clear position. For patients, your brand comes first.
Your online clinic
From the first information through patient intake and payment to the customer account, everything works as one digital experience.
Your programmes
We shape the offer around your target group, for example men's health, women's health, hormone health, longevity, weight management or lab testing.
Your medical partners
Licensed US clinicians carry out examination, medical assessment, treatment and, where appropriate, prescribing under their own responsibility.
Pharmacy and lab
The selected pharmacy is built into the processes of your clinic, and from the Standard package the lab as well.
Certification prep
We prepare the required content, processes and documents and support the certification process.
Your independence
The
business
is yours. You set its direction.
Your room to move
- Online clinic with full source code
- your own ad account
- your own market position
- control over offer and pricing
- access to the business figures
- option to add further programmes
- basis for long-term business value
The model day to day
How your longevity business works day to day.
A patient discovers your brand and sees their own needs in your offer.
The patient experience
Five parties work together in the background. Your patient sees one brand.
They read about a programme, answer the required questions and, depending on the offer, order a lab test.
Four weeks from project start to the handover of your business.
Every week has a fixed result. Our build follows a clear plan.
- Week 1The direction is set
- Week 2Your brand becomes visible
- Week 3The processes connect
- Week 4You take over
- After thatYour market launch
- We define target group, positioning and business model and start selecting the programmes. At the same time, the administrative formation of your US company begins. Once it is registered, we apply for LegitScript certification.
- Name, domain, design and clinic structure are set up. The package turns into a business you can see and understand.
- Programmes and patient journeys are built. The planned connections to doctors, pharmacy and lab are prepared.
- You receive access, documents and a briefing.
- Once certification and the other approvals are in place, active marketing can begin.
from
€14,900
one-off
How you want to start
Three packages, from one line to the full build.
Frequently asked questions
What buyers ask us before the call.
No. You run your longevity business, the brand and its commercial development. Medical decisions are made exclusively by licensed US clinicians.
In principle, the set-up can be structured for entrepreneurs based in Europe and the UK. Your personal tax and legal situation should also be reviewed by qualified advisers.
Whether an E-2 visa, often called an investor visa, is an option depends on your nationality, the size of your investment and your role in the business. The US consulate decides. In the consultation we go through the topic in detail and discuss your options. For the legal review, we put you in touch with a US immigration lawyer.
Yes. The US company formed for you belongs to you, as do the brand, the domain and everything we build for your business. You receive the full source code of your clinic, with no licence fee and no right of termination on our side.
Your online clinic has fixed programmes for each line: for men hormone health, sexual health and hair, for women menopause hormone therapy, sexual health and hair. From the Standard package, lab testing and supplements are added; the Premium package includes weight loss and programmes for heart and metabolism, among others. The programmes use approved medicines and formulations from licensed US pharmacies, and nothing is prescribed before a medical review.
The foundation of your business is in place within four weeks. Google and Meta only allow advertising with LegitScript certification, so we apply for it as soon as the build starts. The review takes around six weeks.
That depends on your prices, your advertising budget and your target group, so we make no commitment on revenue or profit. Your business earns from two sources: your patients' memberships and the margin on the product prices you set in the clinic yourself. In the consultation we go through your costs point by point.
Maybe you are looking at this business model for the first time. Maybe you are already searching for doctors, pharmacies or a technology platform.
Your decision
Your next step is a conversation about your business in the USA.
We deliver company, clinic and partners. What you make of it is up to you.
- No-obligation consultation
- Personal assessment
- Clear next steps
We work out the answers together.
That is what First Stake Partners is for.
In the consultation, we look at your capital and the sensible next steps.
Afterwards you know whether this business model suits you and how your business will take shape.
