Table 1.

Private Sector Medical Facility Descriptions

Facility type	Location	Business model	Associated practitioners in clinic or setting	Key affiliations and other attributes
Integrative primary care center	East Coast (urban)	Not-for-profit; Established by philanthropic grant; revenue from private insurance, Medicare, Medicaid, self-pay	Primary care physicians, nurse practitioner, clinical psychologist, naturopathic physician, acupuncturists, yoga specialist, chiropractor	Seeking accountable care organization and patient-centered medical home designations; weekly meeting for case management
Primary care clinic	Midwest (suburban)	Not-for-profit; revenue from private insurance, Medicare, Medicaid, and self-pay	Primary care physicians, endocrinologist, psychologists, podiatrist, rheumatologist, chiropractors	Affiliated with a regional health system
Spine center	East Coast (suburban)	Not-for-profit; revenue from private insurance, Medicare, Medicaid, and self-pay	Neurosurgeons, internist, orthopedist, physiatrists, physical therapists, physician assistant, chiropractors	Affiliated with a community hospital, regional health system, and state opioid reform task force; first community-based program in state to receive National Committee for Quality Assurance certification in Back Pain Recognition Program; engages in chiropractic clinical research
Ambulatory care center	East Coast (urban)	Not-for-profit; established by philanthropic grant; revenue from private insurance, Medicare, and self-pay	Internist, neurologist, psychiatrist, acupuncturist, occupational therapy, health coaching, physical therapist, massage therapists, yoga specialist, dietician, mindfulness instructor, chiropractors	Affiliated with a university, medical school, and a community hospital; engages in chiropractic clinical research and health science clinical education' twice monthly team meetings
Federally qualified health center	Midwest (suburban)	Not-for-profit; revenue from Medicare, Medicare, self-pay, and private insurance; sliding-scale fees available	Internists, obstetricians, pediatricians, nurse practitioners, physician assistants, dentists, pharmacists, chiropractors	Nine community-based clinics operating under Patient-Centered Medical Home designation; affiliated with a chiropractic college (student observations and internships; X-rays for clinic patients)
Cancer hospital network	South (suburban)	For-profit; revenue from private insurance, Medicare, Medicaid, and self-payment	Full-range of medical specialties focusing on cancer care; nursing, acupuncturists, naturopathic physicians, nutritionists, pain management, spiritual support, chiropractors	Affiliated with a national cancer hospital network, regional health science training programs; integrative approach blending cancer treatment with complementary therapies to address cancer side effects; involvement in cancer clinical trials
Sports medicine clinic	South (urban)	Not-for-profit; revenue from private insurance, Medicare, self-pay; noted some challenges initiating billing and reimbursement for chiropractic services	Orthopedists, primary care sports medicine physician, physician assistant, chiropractor	Affiliated with a university, medical school, and academic medical center; collegiate sports teams; medical residents rotate through clinic
Ambulatory care center	East Coast (suburban)	Not-for-profit; revenue from private insurance, Medicare, Medicaid, self-pay	Full range of medical specialties	Affiliated with a regional health system and serves as clinical site for a university-based medical school
Corporate health center	West Coast (urban)	For-profit on-site employee health clinic	Primary care physicians, dentists, optometrists, physical therapists, chiropractors, acupuncturist	Affiliated with a university, medical school, and academic medical center