IntegraHealthclinic owner coaching
A coaching program for clinician-owners

You trained to treat patients.
Nobody trained you to build an asset.

This is a coaching program for clinic owners who want two things: income that doesn't depend on their treatment hours, and a clinic that's worth a multiple when they sell it. It combines a proven sales system, a 360° business-scaling framework, and the software layer that makes recurring revenue run itself.

The method

Three disciplines most clinics never combine

Sell

The 7-step sales system

Grant Cardone's selling methodology — taught under license — adapted to clinical practice: pipeline discipline, follow-up that never leaks, and a consultation that closes without pressure. Your front desk becomes a revenue role, not a reception role.

Scale

The 360° business framework

Inspired by Brandon Dawson's 360° approach to scaling: a full assessment of your people, processes and profit, then alignment of all three — so the clinic runs on systems and scoreboards instead of on you. That's what makes it sellable.

Automate

The software layer

The IntegraHealth platform runs the recurring side: patient monitoring, wearables, health scores, AI-drafted follow-ups your team approves. It's how membership revenue stays passive instead of becoming a second job.

Why this isn't theory

We ran the numbers on two real clinics. Yours will look the same.

90–96%
of patients who ever visited have no future appointment booked
$2.6M
in dormant lifetime patient value across the two clinics' recall windows
2,700+
past patients pre-qualified for a longevity membership offer
$107
average ticket sitting idle per visit not rebooked
Source: full CRM audits (36,000 contacts, practice-management-synced) at two Atlantic Canadian clinics, August 2026. Your audit is step one of the program.
How the program runs

From audit to asset, in four phases

Phase 1

360° audit

We measure everything: recall rate, dormant patient value, team structure, margins, and where your time actually goes. You see your clinic the way a buyer would — most owners never have.

Phase 2

Install the sales engine

The 7-step system goes in: reactivation of your dormant base first (no ad spend — these patients already know you), rebooking discipline at checkout, call playbooks with word tracks, and a Friday scoreboard where every number has one owner.

Phase 3

Launch the recurring offer

Your longevity membership goes live — assessment, monthly monitoring, coaching — priced for recurring revenue. The platform carries the delivery so the offer scales without adding clinician hours.

Phase 4

Systemize for exit value

People, process and profit aligned so the clinic performs without you in the room. Whether you sell in two years or never, you now own a business — not a schedule.

The valuation math

Why buyers pay more for the same clinic

A fee-for-service clinic is valued on earnings that walk out the door with the owner. Recurring membership revenue is predictable, systematized and transferable — and buyers price it accordingly. The same dollars, worth more, because of how they arrive.

RevenueNatureWhat a buyer sees
Fee-for-service visitsStops when the owner stops; rebuilt patient by patientDiscounted — owner-dependent
Membership MRRContracted monthly, runs on systems, transfers with the salePremium — predictable & portable

Illustration: 80 members at $299/month is ~$287K/year of recurring revenue. On your P&L today, that's income. In a sale conversation, it's the difference between selling a job and selling a business.

Who's behind this

Built in a clinic, not a boardroom

I'm Sylvain Mancuso — osteopath, owner of Mancuso Clinic in Moncton, New Brunswick, licensed in Grant Cardone's sales methodology, and founder of the IntegraHealth platform. My clinic nearly doubled revenue between 2024 and 2025, and it's the live proving ground for everything in this program. Every playbook you'll get is one we ran on ourselves first — including the audits behind the numbers above.

The real divide isn't between clinicians who use AI and those who don't. It's between owners whose revenue depends on their hands, and owners who built systems that earn while they sleep.
Next step

Start with your own numbers.

Move the sliders to your clinic's reality. The two figures on the right update as you do — what you're leaving on the table every year, and what the recurring layer would add to your sale price.

What's a multiple? When a clinic sells, the buyer pays a multiple of its annual earnings. Earnings that depend on the owner's hands typically trade low — around 1.5–2.5× — because they may leave with you. Contracted membership revenue that runs on systems trades at 3–6×, because it keeps paying after you hand over the keys. is a reasonable midpoint for a documented, transferable membership base; where you land depends on retention, contracts and how owner-independent the delivery is.
Left on the table — every year
$—
Reactivated visits + membership revenue you're not collecting today
Added to your sale price
$—
Recurring membership earnings × the buyer's multiple — value that doesn't exist in a fee-for-service clinic
Request the details or reply to my message — I'll send the audit checklist.

Sylvain Mancuso · Mancuso Clinic, Moncton NB · integrahealth.io