Executive Health in Seattle
Executive health at Kosmos Medical Group is a year-round concierge primary care membership in Madison Park, Seattle, that includes the diagnostics of an executive physical, among them whole-body MRI, coronary CT angiography, VO2 Max testing and multi-cancer early detection, delivered by a physician who cares for 100 families and answers directly, 24/7. Optimal Care, the tier that includes the full diagnostic program, is $1,250 per month.
What the program includes
Executive health at Kosmos is the Optimal Care membership, which adds the full diagnostic program on top of the primary care relationship every member gets. Here is what that means over a year.
| Diagnostic | Cadence | What it tells us |
|---|---|---|
| Whole-body MRI | Annually | Structural findings across the body, including early tumors, without radiation |
| Multi-cancer early detection blood test | Annually | A signal for dozens of cancers that have no routine screening |
| Coronary CT angiography with AI plaque analysis | Annually | The actual state of your coronary arteries, not a risk estimate |
| VO2 Max testing | Twice yearly | Cardiorespiratory fitness, one of the strongest predictors of longevity, and trainable |
| DEXA body composition scan | Twice yearly | Muscle, fat and bone density, measured rather than guessed |
| Continuous glucose monitoring | Two weeks, twice yearly | How your metabolism actually behaves between blood draws |
| Genetic testing | Every three years | Inherited risk that changes what we screen for and when |
| Advanced cardiovascular, lipid and metabolic panels | Annually | 50+ biomarkers, read as trends over time |
Around those diagnostics sits everything in Premium Care: 24/7 direct access to your physician, same-day or next-day appointments, unlimited visits with no time pressure, house calls, on-site x-ray, ECG and spirometry, hospital and specialist coordination, and global air medical transport. The result is a personalized health plan, built with specialists where needed, that your physician actually manages.
How it compares to a one-day executive physical
Most executive health programs are a one- or two-day visit at a major institution: a battery of tests, a bound report, a follow-up call, and then a year of silence. The diagnostics are often excellent. The problem is what happens next.
| One-day executive physical | Kosmos Optimal Care | |
|---|---|---|
| Format | One or two days, once a year | Year-round membership |
| Who follows up | A report sent to your regular doctor, if you have one | The physician who ordered the tests |
| Between visits | Nothing | 24/7 access, same-day appointments, house calls |
| Trend tracking | Year-over-year, if you return | Continuous, with twice-yearly fitness and body-composition data |
| Panel size | Not applicable | 100 families per physician |
| Urgent problems | Your local urgent care or emergency department | Your physician first, with emergency medicine experience in the practice |
The findings from a one-day physical lose value the moment you fly home. A coronary result that says “discuss with your physician” only matters if there is a physician who knows you and is going to discuss it. At Kosmos the same diagnostics feed a relationship that is already running, so a result becomes a plan the same week.
Seattle executive physicals compared
Seattle executives usually weigh four options: a hospital executive physical in Seattle, a fitness-led assessment, a destination program like Mayo Clinic, or a concierge membership. None of the other programs below publishes a price. Here is what each one publishes about its format, testing and follow-up, as of November 2, 2026.
| Program | Format | Testing they describe | Published price | Who follows up |
|---|---|---|---|---|
| Virginia Mason Franciscan Health Executive Health (Seattle, Bellevue) | One morning, about three hours, starting at 7 a.m. | 50+ lab measures, cardiac treadmill stress test, carotid and abdominal aorta ultrasound | Not published | A written physician summary mailed within a few days; ongoing care and further testing go to your own primary care doctor |
| POTENTRx Executive Health Assessment (Seattle) | One appointment with Dr. Sarah Speck, a cardiologist, and an exercise physiologist | VO2 max with ECG monitoring, body composition, resting metabolic rate, spirometry, advanced lipids, genomic testing, carotid imaging; coronary calcium scan on request | Not published; insurance not billed | A consultation at the end of the appointment, with referrals as needed |
| Mayo Clinic Executive Health Program (Rochester, Phoenix, Jacksonville) | Typically two days on campus, sometimes one or three; most executives return annually | A standard protocol tailored by age and sex, plus physician-ordered and optional services | Not published; estimates on inquiry, and most of a visit is typically billed to insurance | Mayo describes year-round support, and states it is not a concierge medicine program |
| MD² (Seattle, Bellevue) | Concierge membership, 50 families per physician | Not itemized publicly | Not published; MD²’s own pricing guide puts its tier at $15,000 to $40,000 a year | Your MD² physician, year-round |
| Kosmos Optimal Care (Madison Park, Seattle) | Year-round membership; a 90 to 120-minute first visit, diagnostics scheduled over the first eight weeks | Whole-body MRI, coronary CT angiography with AI plaque analysis, multi-cancer early detection, VO2 max and DEXA twice a year, continuous glucose monitoring, genetic testing, 50+ biomarkers | $15,000 a year ($1,250 a month); membership is not billed to insurance | The physician who ordered the tests, 24/7, 100 families per physician |
The hospital and destination programs are strong at a thorough, efficient snapshot, and Mayo bills most of its visit to insurance, which a membership does not. POTENTRx goes deeper on fitness testing than most. The difference at Kosmos is that whole-body MRI and coronary CT angiography are included every year, and the doctor reading them is the same one you can text the next morning. We recheck these programs each quarter; if a detail here is out of date, email us and we will correct it. For the wider Seattle concierge market, see the Seattle concierge medicine price index.
What the first 90 days look like
Week one. A 90 to 120-minute first visit with your physician covering history, current health, lifestyle and goals, plus the baseline biomarker panel. You leave with your physician’s direct phone and text.
Weeks two through eight. The advanced diagnostics, scheduled in a sequence that fits your calendar. Whole-body MRI and coronary CT angiography are done at partner imaging centers in Seattle with appointments arranged for you. VO2 Max, DEXA and the continuous glucose monitor are set up through the clinic.
By day 90. Your physician synthesizes the results into a written plan: what the data says, what to act on now, what to watch, and what to re-measure and when. Specialist referrals, if any, are coordinated with your schedule in mind. From there the program runs on its own rhythm, with twice-yearly fitness and body-composition checks and an annual assessment that repeats the imaging.
Built for people whose time is the constraint
Every part of the program is designed around a person who cannot afford to be sick for a week and cannot spend a morning in a waiting room.
Same-day or next-day appointments are possible because each physician carries 100 families, not 2,000 patients. Urgent concerns are handled in the clinic by physicians with emergency medicine experience: Dr. James Bhaskar spent 18 years in emergency medicine, and Dr. Carolan Constantine is board certified in both internal and emergency medicine. That usually means a problem is handled by someone who knows you, rather than an urgent care visit or an emergency department wait.
Specialist care, imaging and hospital admissions are coordinated by the practice, with your physician staying involved. Members who travel frequently use Kosmos as a medical home base, reaching their physician from anywhere.
Who this is for
- Executives and founders who want institution-grade diagnostics without the one-day-a-year model
- Professionals whose employer or accountant supports investing in preventive health
- People who have done a Mayo, Cleveland Clinic or similar physical and wondered who follows up
- Anyone managing a family history of heart disease or cancer who wants advanced cardiovascular screening and advanced cancer screening done properly and read by their own doctor
Who it is not for
Kosmos is a primary care practice. If what you want is a one-time report to hand to a doctor you already trust, a one-day institutional physical will serve you well and cost less. If you want the relationship to be the product, and the diagnostics to be one input into it, this is the model built for that.
What it costs
Optimal Care is $1,250 per month or $15,000 per year and includes everything on this page. Premium Care is $575 per month or $6,900 per year and includes the primary care relationship with the option to add individual diagnostics a la carte. Insurance is not billed for membership services. For a broader look at how Seattle concierge pricing works, see how much concierge medicine costs in Seattle, or compare the two tiers side by side.
Executive health is one expression of the broader Kosmos model. Read about concierge medicine in Seattle, longevity medicine, or the eight focus areas that structure every annual assessment.
Your physicians
Three physicians. 100 families each.
What members say
The relationship is the difference.
5.0 stars on Google
“I have been part of multiple practices in town and have had a hard time getting through to my physician, especially when I do not feel well. That changed the moment I joined Kosmos.”
“We feel incredibly fortunate to have found Dr. Dodd at Kosmos as my husband’s concierge physician. The level of care, attention, and responsiveness he provides is truly exceptional.”
“I highly recommend Kosmos and Dr. Bhaskar. The experience is a refreshing departure from the traditional clinic model. With a fraction of the patient load you would find at a typical practice, the level of care, attention, and accessibility is exceptional.”
FAQ
Common questions.
- A one-day executive physical produces a thorough snapshot and a report. Kosmos produces the same category of diagnostics, whole-body MRI, coronary CT angiography with AI analysis, VO2 Max, multi-cancer early detection, DEXA and genetic testing, and then keeps the relationship running all year: 24/7 physician access, same-day appointments, and a physician who tracks the trend lines and adjusts the plan. The institutions are excellent at the snapshot. They are not your doctor the other 364 days.
- Most Seattle executive physicals do not publish a price. As of November 2026, Virginia Mason Franciscan Health, POTENTRx and Mayo Clinic all quote on inquiry, and Mayo bills most of a visit to insurance. Kosmos publishes its price: Optimal Care, a year-round membership that includes whole-body MRI, coronary CT angiography, VO2 max and multi-cancer screening, is $15,000 a year or $1,250 a month. The comparison table on this page lists what each program includes and who follows up.
- Optimal Care, which includes the full diagnostic program, is $1,250 per month or $15,000 per year. Premium Care, the primary care relationship without the advanced diagnostics included, is $575 per month or $6,900 per year, with the option to add individual tests a la carte. Children of members aged 15 to 29 can join for $200 per month. Insurance is not billed for membership services; imaging and specialist care outside the clinic bill your insurance as usual.
- Most members make Kosmos their primary care physician and use Kosmos to coordinate their existing specialists, who stay in place. Some join while keeping a separate primary care relationship. That works, but it produces less of the benefit, because the value of the program is a physician who holds the whole picture.
- The first visit runs 90 to 120 minutes. The advanced diagnostics are scheduled in a sequence that fits your calendar over the first few months rather than compressed into one day, and most are done at partner imaging centers in Seattle with appointments arranged for you. After that, the annual assessment is a long visit once a year and short check-ins as needed, most of them by phone or text.
- In some cases, depending on your employer structure and tax situation. We are not tax advisors and will not give you guidance there, but our membership team provides the receipts and documentation your accountant will need.
- Yes. Companies enroll individual executives or small leadership teams, and each member gets their own physician relationship and confidential record. Because each physician cares for 100 families, panel space is limited; talk to us early if you are planning for more than a few people.
- Your physician is reachable by phone or text wherever you are, can coordinate care with a local provider, and can send prescriptions ahead. Membership includes a travel medication kit and global air medical transport through MedjetAssist. Members who travel heavily use Kosmos as a medical home base rather than a place they have to be.
Speak with our physicians.
An unhurried conversation about your health and whether Kosmos is the right fit. No obligation, no pressure.