Elevate began as a bricks and mortar Patient Referred Exercise Program. The purpose was to be a resource for doctors to help patients that could benefit from exercise and a healthier lifestyle. For 14 years and 40,000 patients the program did just that. Patients lost weight, decreased blood pressure, lowered A1C, and improved their lifestyle over the course of 60 days. The program was a low barrier to entry option for non-exercisers with guidance and support to help meet short term goals. One challenge the program faced was geographical limits. Being housed in a fitness center made it challenging for patients who were not in close proximity. Ultimately, it was not a good solution beyond town, and state lines.