Membership Primary Care · Healthspan Medicine

Live better,
longer.

We pair a longitudinal, physician-led primary care relationship with the only physiologic testing built to track your healthspan trajectory year over year, rather than simply treating what's wrong today.

Personalized primary care and evidence-based healthspan medicine for adults who want more from their healthcare. Pillar Healthspan combines direct physician access, comprehensive primary care, and proactive healthspan planning to help you stay healthier, stronger, and more resilient for years to come.

Pillar I · Exercise Strength as medicine.

Most healthcare treats disease. We were built to do more.

Most healthcare is designed to diagnose and treat disease after it develops. Pillar Healthspan was created to do more.

Our membership model allows us to spend more time with patients, provide direct physician access, and focus on the factors that have the greatest influence on long-term health: exercise, nutrition, sleep, and meaningful relationships. We go beyond tracking routine lab work and follow the metrics that help us understand your exercise, nutrition, and sleep habits so you can live better, longer.

Whether you're managing chronic conditions, optimizing your health, or simply looking for a physician who knows you, our goal is to help you navigate your healthcare with clarity and confidence.

Unhurried visits

You get real time to think, plan, and adjust together instead of a rushed 12-minute slot.

Direct physician access

Message your physician directly and hear back the same day, without working through a phone tree.

Proactive healthspan planning

We track the habits and biomarkers that shape how well you age.

Personalized primary care.

$500 one-time initiation

Includes your Healthspan Reserve Index assessment.
+ $150 / month membership

Membership provides a trusted relationship with your physician rather than just another healthcare appointment.

Book Your HRI

Prefer to talk first? Schedule a free 15-minute introductory phone call.

Pillar Healthspan is a direct primary care practice, so membership is paid directly and is not billed to insurance. See our FAQ for how membership works alongside your coverage.

Members receive

  • Direct physician communication
  • Annual Healthspan Reserve Index reassessment
  • Comprehensive adult primary care
  • Preventive health planning
  • Wearable and health data review
  • Care coordination
  • Lifestyle and healthspan guidance
  • Care for school-aged children of members, including school and sports physicals
Now Available · Core Wellness

Measure what actually predicts how long, and how well, you'll live.

Most annual physicals tell you whether you're sick today. The Healthspan Reserve Index (HRI) is built to answer a different question: is your body built to stay well for the next thirty years?

Every Pillar Healthspan member begins here. In a single in-person visit at Core Wellness, Dr. Sadler and our performance team gather the data that the medical literature most consistently links to long-term function and mortality risk, measurements a standard physical never touches:

  • Cardiorespiratory fitness, estimated via the YMCA submaximal cycle protocol, a validated, evidence-based method for estimating VO₂ max without maximal exertion
  • Muscular strength and rate of force development, measured with clinical-grade force testing
  • Balance, mobility, and functional movement capacity
  • Comprehensive laboratory analysis covering cardiovascular, metabolic, and inflammatory biomarkers, drawn on-site
  • Body composition

Then a physician, not an algorithm, interprets all of it together in the context of your medical history and current medications. You'll leave with your Healthspan Blueprint: a personalized digital book about you, built with Longevity AI and reviewed by your physician, translating your results into a clear picture of where you stand today and what to focus on next.

Because a single data point is only a snapshot, the HRI is built into your membership rather than treated as a one-time event. Every year, we retest your strength and cardiorespiratory fitness, update your book, and track your trajectory against your own established baseline, so you can see not just where you are but where you're headed.

Why It Matters

Grip strength, cardiorespiratory fitness, and rate of force development are among the most extensively studied predictors of long-term health outcomes in the medical literature, and in many studies they predict future risk more strongly than cholesterol or blood pressure alone. Most healthcare never measures them, which is why we build our model of care around them.

Where It Happens

The HRI is performed in person at Core Wellness in Little Rock, a facility built for performance with on-site fitness space and in-house lab draws, so your entire assessment happens in a single visit at one location. It's the one part of care at Pillar Healthspan that isn't virtual-first. Everything else, including your ongoing physician relationship, medication management, and care coordination, continues wherever you are.

The HRI is included with membership. See Membership for full pricing.
Book Your HRI

Not ready to book? Schedule a free introductory phone call.

Four Pillars · One Healthspan

The Four Pillars

Exercise

Nutrition

Sleep

Relationships

One mark and one promise: stronger today, healthier longer.

Our four pillars represent the core drivers of long-term healthspan: exercise, nutrition, sleep, and meaningful human connection. Pillar Healthspan's entire model of care is organized around improving those core foundations through evidence-based, physician-led medicine.

Stronger Today · Healthier Longer

Care designed around the four pillars.

Comprehensive family medicine with a healthspan overlay, so every visit is also a step toward a longer, stronger life.

Strength & Movement

Personalized training programs and movement screens built for everyday performance and longevity.

Nutrition Coaching

Whole-food protocols, lab-guided protein targets, and seasonal plans tailored to your goals.

Sleep & Recovery

Wearable-informed assessment, evidence-based sleep coaching, and circadian alignment.

Connection & Mental Health

Loneliness and stress are clinical risk factors, so we build relationship and meaning into every plan.

Advanced Diagnostics

Comprehensive bloodwork, body composition, VO₂ max testing, and cardiovascular risk profiling.

Family Medicine

Everyday primary care done right, covering acute, chronic, and preventive needs for adults and families.

The questions people ask first.

Does membership replace my health insurance?

No, Pillar Healthspan is not insurance and doesn't replace it. Your membership covers your relationship with Dr. Sadler, including direct access, comprehensive primary care, and preventive planning. You'll still want insurance (or Medicare) in place for hospital care, specialist visits, imaging, medications, and emergencies. Many members pair their Pillar Healthspan membership with a high-deductible health plan for exactly this reason.

Can I use my HSA to pay for membership?

For many members, yes. As of January 1, 2026, federal law recognizes qualifying direct primary care memberships as HSA-eligible up to $150/month for an individual, which is exactly where our membership is priced. Because eligibility depends on your specific health plan, we recommend confirming with your HSA administrator or tax advisor before enrolling, particularly regarding the one-time initiation fee.

Do you accept Medicare or Medicaid?

Pillar Healthspan membership fees are paid directly and are not billed to Medicare or Medicaid. Many members keep their existing Medicare or Medicaid coverage active for hospital care and specialist referrals alongside their membership.

What if I need to see a specialist, go to the hospital, or need emergency care?

Always use your insurance and, in an emergency, call 911 or go to the nearest emergency room. Membership doesn't cover hospital or emergency services themselves; it covers what happens around them, such as helping you get to the right specialist, coordinating your care, and making sure nothing falls through the cracks.

Is the Healthspan Reserve Index required, or can I join for primary care alone?

The HRI is included in every new member's one-time initiation. Establishing your physiologic baseline of strength, cardiorespiratory fitness, and key biomarkers is core to how we practice medicine here, not an optional add-on.

How long does the Healthspan Reserve Index take, and is any of it uncomfortable?

Plan for about an hour. The cardiorespiratory and strength testing are submaximal, designed to estimate your fitness without requiring you to push to exhaustion, and the lab draw is a standard blood draw. Most members find it closer to a solid workout than a medical procedure.

Dr. Corey Sadler, DO, MS

Dr. Sadler is a board-certified family medicine physician with a background in primary care, medical leadership, and applied microeconomics. He founded Pillar Healthspan to create a more proactive, evidence-based model of medicine focused on helping patients maximize long-term health, resilience, and quality of life.

Throughout his career, Dr. Sadler has cared for diverse patient populations across military medicine, veteran healthcare, and community primary care while also serving in physician leadership roles overseeing clinical operations, quality standards, and physician training. His experience includes work in preventive medicine, sports medicine, operational medicine, and longevity-focused biomarker analysis.

At Pillar Healthspan, his philosophy centers on the belief that the greatest drivers of long-term health are often the most foundational: exercise, nutrition, sleep, and meaningful relationships. Rather than reacting to disease after it develops, he works closely with patients to strengthen physiologic reserve, improve metabolic and cardiovascular health, and preserve long-term function and independence.

His approach combines modern evidence-based medicine with the accessibility, trust, and continuity of a traditional physician-patient relationship, helping patients build a stronger, healthier future over decades rather than just years.

Board-Certified Family Medicine, DO MS, Applied Microeconomics Preventive & Sports Medicine Healthspan & Longevity

Care that happens somewhere built for it.

Pillar Healthspan is embedded inside Core Wellness on Highland Drive in Little Rock: dedicated clinic space, in-house phlebotomy, and a full performance floor under one roof. It's why your Healthspan Reserve Index — strength testing, cardiorespiratory fitness, and your lab draw — happens in a single visit, in one place, instead of across three appointments in three buildings.

The Core Wellness building on Highland Drive in Little Rock, where Pillar Healthspan's clinic space is located.
The Location Core Wellness, 5310 Highland Drive.
The Core Wellness training floor with a squat rack, kettlebells, dumbbells, medicine balls, plyometric boxes, and a rower.
Performance Floor Where strength and cardiorespiratory fitness are measured.
The Core Wellness recovery room, with compression therapy benches beside a window.
Recovery A quiet room for compression therapy and recovery.

Everything else stays virtual-first. The HRI is the one part of care at Pillar Healthspan performed in person. Your ongoing physician relationship, medication management, and care coordination continue wherever you are. See what the HRI measures.

Stronger Today · Healthier Longer

A different kind of doctor's visit starts here.

Open enrollment is now underway for founding members, with a deliberately limited panel that keeps the relationship at the center.

Become a patient

Tell us a bit about yourself, and we'll respond within one business day.