Bob Helman
Livewell MD · Weight medicine
Add $100K a month.
To your
hormone
GLP-1
peptide
hormone
wellness
clinic.
Paid ads, AI lead nurture, and a setter team that book your calendar to $100K in cash collected. Miss the number — we run it free until you hit it.
★★★★★ Founder runs his own clinic — $145K MTD, $57K profit, 380 active patients.
Summary
Last 30 days
Previous
New patient revenue
$145,820
+38%
vs. $105,640 prior period
New patients
142
Booked today
11
CAC
$312
— Operators we've installed the system inside
California Weight Medicine
·
Telehealth Longevity
·
·
·
Rebirth Labs
·
Iron Willed
— What operators say
Don't take
our word for it.
Operators on camera. Reviews on Trustpilot. Messages straight from the inside.
— Client reviews · swipe or use arrows
1 / 9
Juan
Wellness chiropractic clinic
G
Gary
iMessage
Just checked the dashboard. 9 consults booked since Monday??
Whatever you changed on the ads, do not touch it lol
New creative + the AI nurture. Every lead gets a text inside 5 minutes now.
First month already paid for itself. Sending the Stripe screenshot to my partner
Clinic owner · month 1 on the system
Leah
LK Beauty · Med-aesthetics
Vered
Valesni Salon & Wellness
#
wins
Slack · WeightlessMD × Monirise
M
Marcus 9:42 AM
Calendar is fully booked through next Thursday. 23 consults this week — front desk is literally asking if we can slow the ads down.
A
Adam (Monirise) 9:44 AM
Told you week 3 is when it snaps in. We'll open the second provider column instead of pausing spend.
Weight-loss clinic · week 3 of launch
Sammi
Coastal Glo Medspa
Today's bookings
Client pipeline · live
Sarah M.
GLP-1 consult · 2:15 PM
Devon R.
TRT labs review · 3:00 PM
Alicia P.
Semaglutide follow-up · 4:30 PM
Ad → consult → sale, tracked live
CAC $312
Sherri
Practice owner
"An absolute game changer for our clinic."
"Everything is clear cut and systematised to where we have had a booked calendar for months on end. They've streamlined our lead gen and appointment booking… despite trying many solutions in the past this is the only one that has worked."
Omar Mustafa · Clinic owner · via Trustpilot
"From 3 consults a week to 8–10."
"We worked with other lead generation companies, tried newspaper ads and billboards… Monirise helped us market our medspa. From less than 3 new consults a week to 8–10 per week. Revenue up 35% in the last 4 months."
American Wholesalers · Medspa · via Trustpilot
"Consistent patients — just hired a nurse."
"HRT is one of those niches where we have great results, and all we were missing were patients. After working with these guys, acquisition has no longer been an issue. We recently hired a nurse full time so I don't have to deal with the day-to-day as much."
Dimani Allen · HRT practice · via Trustpilot
— By the numbers
The math behind the system.
Aggregate proof across the operator stack we install — from our own clinic and the partner pipeline. 2019–2026.
Ad spend managed
$0M+
Clinics served
0+
Avg ROAS
0–0x
Patient revenue generated
$0M+
HIPAA-aware
A2P 10DLC
Meta & Google compliant
50 states · telemedicine
— What we do
Every blocker.
One system.
Three pillars. Installed inside your clinic in 30 days. Run by senior operators, not junior media buyers.
Acquisition
The Full Funnel Modern Agency System.
Updated 2026 paid ads. Proprietary organic content engine. AI-assisted lead management that catches every
lead inside five minutes. Day-one sales infrastructure that turns the consult into an enrolled patient.
Meta · Google · TikTok · Trained closer scripts.
Lifetime Value
The $1M LTV System.
Make each patient worth more without adding more work. Pricing and packaging that anchors above the
race-to-the-bottom. Retention sequences that stop month-3 churn. A referral engine baked into onboarding.
$300–$600/mo program anchoring · patient financing · day-30 referral mechanic.
Payback
The Month 1 Money Model.
Recover acquisition costs inside 30 days. Enrollment plus equip plus stack — $1,100 to $1,800 per patient
against a $300 to $500 CAC. Every new patient pays for the next. 3–4× CAC payback in month one.
Operator OS
The Clinic Backend.
GHL pipeline tuned for clinic ops. A2P-approved SMS nurture. Live attribution from ad to consult to sale.
The same backend that runs our clinic, white-labeled into yours. We don't sell theory — we ship the stack.
— Built for your stage
Different stage.
Different playbook.
A one-size-fits-all approach starves some clinics and overbooks others. We tune the system to where you actually are — pre-revenue, ceiling-stuck, or scaling — so you fill the calendar without breaking ops.
01
Pre-revenue
De novo launch.
First 50 patients in 60 days.
You signed the lease. Now you need a calendar. We install the full stack — ads, funnel, nurture, setters, booking — before doors open. No ramp-up, no learning curve eating month one.
- →Pre-launch waitlist funnel · 60 days out
- →Geo-targeted Meta + Google ads, day one
- →GHL backend white-labeled to your brand
- →US setter team trained on your offer
02
Ceiling-stuck
$30–80K/mo, plateaued.
Break the ceiling — fix payback first.
Leads come in. Sales close. But CAC is eating margin and growth flatlined. We rebuild the Month-1 Money Model so every new patient pays for the next, then stack channels until the plateau breaks.
- →Pricing + stack rebuild · 3–4× CAC payback
- →Audit existing funnel — kill what's broken
- →Retention engine: hormone · peptides · labs
- →Add 2nd + 3rd acquisition channel
03
Scaling
$80–150K, ready to scale.
Multi-channel to $200K+/mo.
You've proven the model. Now you want predictable scale without burning your team out. We layer paid + organic + referral + reactivation and install ops infra so volume doesn't break the wheels.
- →Omnichannel: paid + SEO + referral + win-back
- →Setter team scale-up · capacity-matched
- →Ops dashboards · live ad → consult → sale
- →Second-location playbook on request
— Found your stage?
Ready to add $100K
to your clinic?
Book a Discovery Call
30-min · no pitch deck · operator-to-operator
“Let the results speak
for themselves.”
Tested in our clinic. Shipped to yours. — Adam Hayes, Founder
2.4× avg revenue lift
— Who we work with
We find angles
others miss.
GLP-1 weight-medicine clinics
Cash-pay programs running semaglutide, tirzepatide, or compounded equivalents. $30K to $150K monthly. Ready to stop racing to the bottom on price.
Peptide & longevity clinics
Sermorelin, BPC-157, NAD+. Operators positioned for the regulatory tailwind moving compounded peptides into mainstream cash-pay channels.
Hormone & multi-modality cash-pay
TRT, women's HRT, perimenopause. Sticky LTV, premium pricing, predictable refills. The exact patient profile our LTV system is built for.
— Healthcare-grade infrastructure
Built for healthcare.
Not lifestyle ads.
Most "agencies" can't legally run cash-pay healthcare. Meta restricts the category. SMS carriers block non-registered senders. PHI handling shuts the rest down on day one. We built the stack for clinics — not coaches.
HIPAA-aware stack.
PHI never lives in ad platforms. CRM is BAA-eligible on request. Lead forms route through encrypted channels — not raw Meta leads.
A2P 10DLC approved.
Every nurture campaign runs on registered 10DLC brands. Carrier-approved. Delivery rates that don't drop off a cliff at scale.
Meta & Google verified.
Verified healthcare advertisers on both platforms. We pre-clear creative against the medical/weight categories so ads don't disappear at midnight.
BAA on request.
Business Associate Agreement available for clinics that need it. Vendor stack documented. State-by-state CA telehealth nuances handled.
CCPA & state privacy aware
50-state telemedicine support
LegitScript-friendly creative review
Audit trail for every patient touchpoint
— Real work · real results
Specific results.
Real clinics.
One named anchor — the clinic we run ourselves. Three from the partner pipeline, anonymized.
Anchor client
Glendale, CA · cash-pay weight medicine
California Weight Medicine.
Active patients
80 → 380
Annualized revenue
$420K → $1.7M
Timeframe
18 mo
Same building. Same doctor. Same protocols. Different model. Three pillars installed. The result is what we test every recommendation against — we don't ship anything to clients we haven't already broken and rebuilt inside our own clinic.
$30K → $200K / mo
Single-location cash-pay clinic. Twelve months. Brick-and-mortar to lean, profitable acquisition machine.
$400K debt → $250K / mo
167 new patients in 30 days. Owner with no medical degree. From near-closure to more demand than capacity.
$0 → $35K / mo profit
Clinic doctor turned operator. Four months from zero to enough profit to quit the day job.
— Choose your path
Two paths.
One outcome.
Whether you're opening your first cash-pay clinic or already running one and stuck at a ceiling — there's a path for you. Both end at the same number: $100K added or we work free.
Path A
For pre-revenue operators
Start your
clinic.
$0 → $30K/mo in 90 days.
Doctor, NP, or operator without a built funnel? We hand you the full system the day you sign — calendar, ads, nurture, scripts, EMR-aware booking. You run the consults. We run the lights.
- ● Done-for-you funnel + GHL + booking calendar
- ● Paid ads launched in 7 days · AI nurture in 14
- ● Setter team books your first 50 consults
- ● Build cost folded into Month 1 — no upfront
Path B
For $30K–$150K clinics
Scale your
clinic.
$30K → $200K+/mo in 12 months.
Already booked, already collecting, already plateaued. We rebuild the patient acquisition stack — paid, organic, AI lead nurture, retention — and install the LTV system that turns one consult into three years of refills.
- ● Full Meta + Google + YouTube ad management
- ● AI lead nurture across SMS · email · voice
- ● LTV system: pricing, retention, referral engine
- ● Senior operator on your account — no junior hand-offs
Not sure which one? Book the call. We'll tell you in 15 minutes which path fits — or if neither does, we'll say that too.
— Why operators ship with us
That Monday
feeling.
You should wake up Monday wanting to see the dashboard. Not dreading it. That's the bar.
01
Confidence.
Real revenue. Real margin. Real attribution. No more black-box agency dashboards. You see where every dollar goes and what it earned.
02
Predictability.
Knowing $1 in produces $4 out, every week. The same payback math that runs our own clinic — installed in yours.
03
Built by operators.
We're not media buyers selling clinic services. We run a clinic. Every play in the playbook earned the spot inside our own P&L first.
— The offer
We outperform.
Or we don't
get paid.
If you qualify to work with us, we add at least $100,000 in new revenue to your clinic over the next 12 months. If we don't hit it — we keep running ads, nurture, and coaching free until we do.
01
No long contracts.
Stay because the math works. Not because you're locked in.
02
Outperform or work free.
$100K added in 12 months. If we miss, we run it free until you blow past it.
03
Performance-only structure.
Your account is owned by a senior operator who's run spend at this scale before. No junior hand-offs.
See If You Qualify
For clinics that qualify. Terms and conditions apply.
— Free audit
Spending $30K+/month
and not seeing it
in revenue?
We take an internal review of new clients each quarter. If your brand is doing $30K+ and your paid media isn't scaling with you, let's talk.
Ad spend managed
$7M+
Patient revenue
$29M+
Clinics served
100+
Years operating
7 yrs
Adam Hayes · Founder
— Why Monirise
Built by
operators.
We don't just market for cash-pay clinics. We run one. California Weight Medicine in Glendale. Single location. Cash-pay only. $145K MTD, $57K profit, 380 active patients.
Everything we install in your clinic, we install in ours first. We don't sell theory. We don't sell coaching. We don't sell another lead-list. We run the same three pillars we'd run if your clinic was ours — because in our own clinic, it is.
Operator background across paid media, GHL infrastructure, and cash-pay clinic ops.
— Ready when you are
Pick a path.
Book the call.
15 minutes. We tell you the path. You tell us if it fits. Nobody pitches, nobody pretends.