Expanding urgent care services requires connected systems
The urgent care market is at an inflection point. Operators who built their businesses around high-volume episodic visits are now facing a more complicated question: what comes next? As retail clinics, telehealth options, and drugstore-based care continue to compete for the same walk-in patients, the operators best positioned for long-term growth are the ones expanding what they offer, not just where they offer it.
But adding new service lines, whether that means primary care, behavioral health, occupational health, or chronic disease management, is not simply a marketing or scheduling decision. It is a clinical, financial, and operational one. And for multi-location urgent care groups running on platforms built only for episodic care, that complexity can quickly become unmanageable.
The right technology foundation does not just support growth. It is specifically designed to make growth more sustainable.
Reaching the saturation point
Today, more than 185 million patients visit some form of urgent care each year, with more than 89% of the population lives within a 20-minute drive of an urgent care center, according to the Urgent Care Association.1
The number of standalone urgent care centers, which does not include clinics located in local drug stores and supermarkets, has grown from 9,000 in 2016 to 15,000 by January 2026, according to the Urgent Care Association.2 According to National UC Realty, the combined number of clinics and urgent care centers in the U.S. topped 17,000 facilities in 2026.3
Retail clinics, drugstore clinics, and standalone urgent care centers increasingly compete for many of the same episodic care visits. In markets where saturation is real, adding a tenth location may generate less return than deepening the capabilities of the nine already operating.
Expanding service lines to create paths to growth
In many markets, urgent care growth is happening without adding physical locations. Instead, operators are looking at improving revenue opportunities using the existing urgent care footprint, adding services rather than square footage to meet a broader range of patient and community needs.
These expanded offerings can accelerate growth in ways that new locations cannot. A patient who initially visits for a minor injury and later returns for a chronic condition follow-up, a behavioral health visit, or an occupational health screening represents a fundamentally different kind of patient relationship. That relationship has higher lifetime value, generates more consistent revenue, and creates the kind of continuity that builds patient loyalty.
There is also a strategic dimension. Urgent care operators who can demonstrate longitudinal care capabilities, manage care gaps, and report on outcomes become more attractive as partners to health systems, risk-bearing payers, and employer groups. That opens doors to joint ventures, referral arrangements, and value-based care contracts that episodic-only operators simply cannot access.
Before committing to service line expansion, however, an organization's overall operational foundation needs to be ready. Every new service requires new workflows, billing rules, staffing, referral pathways, and patient reporting requirements. A center that previously focused on episodic walk-in visits may need different workflows to support follow-up visits, behavioral health documentation, care gap management, and population health reporting.
New services introduce new back-office needs
Urgent care-only software may be sufficient for traditional episodic patient visits, but once an organization begins adding new service lines, operational complexity increases quickly.
Consider what happens when an urgent care operator adds behavioral health services. Scheduling needs to accommodate longer, recurring appointments alongside walk-in volume. Documentation standards shift. Billing and payment processes are different. Payer rules vary. And the ability to surface care gaps in the clinical workflow, document care appropriately, and report on outcomes to risk-bearing payer organizations becomes a requirement, not a nice-to-have.
The same is true for occupational health, chronic disease management, or any service that requires longitudinal patient records rather than one-time encounter documentation. A patient who comes in for a work-related injury and later returns for a follow-up, a drug screening, or a physical should not feel like a new patient each time. The ability to maintain a complete, accessible record across visit types is what makes that continuity possible.
For leadership teams, the stakes are equally high. The more diverse a business model becomes, the more important it is to have clear visibility into visit volume, revenue cycle trends, referrals, patient feedback, and operational performance across every service line. A patchwork of disconnected systems makes that visibility nearly impossible.
Reporting, analytics, population health management, and performance tracking become requirements rather than nice-to-haves.
Integrated platforms help urgent care to scale
The urgent care operators best positioned for service line growth are not necessarily the ones with the most locations or the deepest pockets. They are the ones running on a platform built to handle complexity without multiplying it. That is the core promise of athenaOne® for Urgent Care.
On the clinical side, the challenge with adding services like primary care, behavioral health, or occupational health is not just staffing or scheduling. Each service line generates its own documentation requirements, its own care protocols, and its own patient history. Without a unified record, providers are working blind. athenaOne's single, unified patient record means every clinician across every service line is working from the same complete picture. Care gap alerts surface automatically in the clinical workflow, so a provider seeing a walk-in patient can flag an overdue screening without adding a step to the visit. That is not a feature. That is what makes an urgent care operator look like a primary care partner rather than a pit stop.
Financially, service line expansion is where billing gets complicated fast. A center that previously coded straightforward episodic visits now must manage the billing rules for behavioral health, occupational health, value-based care arrangements, and potentially risk-bearing payer contracts, all at once. Each has different documentation requirements, different payer rules, and different denial patterns. athenaOne's practice and revenue cycle management solution is built to handle that complexity without requiring operators to hire specialized billers for each new service line or bolt on a separate billing platform. That includes leveraging AI-powered capabilities to help reduce the challenges of medical coding and give clinicians time back.
The results speak for themselves. Advanced Urgent Care, an 11-location group in Colorado, returned to athenaOne after a costly detour with a UC-specific EHR that resulted in multimillion-dollar revenue cycle losses. After returning to athenaOne, the practice saw a 43.5% decrease in charge entry lag, a 51.8% increase in patient pay yield, and a 26.4% decrease in time to bill* between January 2024 and January 2025.4 Those numbers did not come from doing fewer things. They came from doing more things on a platform built to keep up.
On the partnership side, health systems and risk-bearing payers are not looking for urgent care partners who can handle a sprained ankle efficiently. They are looking for operators who can manage referrals, exchange clinical documentation, report on outcomes, and participate in coordinated care arrangements.
athenaOne's interoperability infrastructure connects more than 170,000 clinicians across the athenaOne network,5 with an Advanced Intelligence Layer that helps deploy updates instantaneously across the entire network. athenaConnect, the interoperability infrastructure behind the athenaOne network, creates a connected ecosystem where labs, health systems, payers, registries, and digital health partners can participate through the workflows providers already use.
Rather than requiring new processes, it extends existing workflows by enabling partners to integrate once and connect across the network. Bi-directional data exchange, combined with end-to-end transaction visibility, gives every participant the transparency, governance, and control needed to support reliable, coordinated care.
Technology is not a barrier to better partnerships across systems. It is the point of connection that can make them possible.
An urgent care growth strategy starts with the right foundation
An urgent care center's growth can be difficult to manage if each new service line has its own tools, vendors, and workflows. As urgent care transforms from a provider of episodic walk-in care to a comprehensive healthcare destination, the technology behind the business model must transform with it.
Any platform must have the ability to support a broader, more complex business model. It needs to handle multiple service offerings and disparate visit types while allowing the organization to connect with outside partners. Leaders must also have the ability to see and understand performance metrics across every line of business.
athenaOne for Urgent Care gives providers access to customized EHR, practice and revenue cycle management, and patient engagement tools in a single platform. Workflows are driven by condition-specific encounter plans that help providers treat patients quickly and effectively without additional administrative burden. When visits go smoothly, patients get the care they need more quickly and are more likely to return.
On the back end, athenaOne's RCM capabilities are designed to handle the diverse billing requirements that multiple service lines require. Whether the visit is a straightforward walk-in or a more complex behavioral health or occupational health encounter, billing is streamlined within the same system. That reduces administrative burden and supports better financial performance across the business as it grows.
A connected platform also makes urgent care organizations more attractive as care partners for health systems, employers, schools, and community organizations. An urgent care group that can manage referrals, exchange documentation, coordinate follow-up care, and report on outcomes can become a comprehensive care destination rather than simply a place for episodic visits. That means urgent care operators can stay independent in a time when many are weighing acquisition or alignment with larger systems.
Explore how athenaOne for Urgent Care supports the clinical, financial, and patient-facing workflows behind service line growth.
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- https://urgentcareassociation.org/about/urgent-care-data/
- Ibid
- https://urgentcareassociation.org/urgent-care-in-2026-strategic-growth-portfolio-optimization-and-consolidation/
- athenaOne data as of April 2025. https://www.athenahealth.com/resources/case-studies/advanced-urgent-care
- Based on athenahealth data as of Dec. 2025; M010











