Healthcare & Coaching · May 21, 2026
Running 13 Clinics & Scaling With One AI Operator
Client snapshot
Multi-Location Chiropractic Group · Healthcare & Coaching · Ongoing engagement
OpenClaw · QuickBooks Online · Stripe · Circle · Mailchimp · Google Sheets
The challenge
The problem we set out to solve.
The founder operates at a scale most people would split across five companies and three founders. Thirteen chiropractic clinics across four states. A high-ticket coaching program called The Ascent. A premium mastermind named Empire. A software product on the side. And on top of all of that, he still sees patients. His bottleneck was never strategy. He knows what to build, where to push, and which numbers matter. The bottleneck was execution bandwidth. Decisions piled up faster than any human team could act on them. Every clinic produced its own P&L. Every coaching launch needed a four-figure subscriber funnel. Every Empire client needed bespoke referral research. Every underperforming location needed an outreach campaign. And every friend or partner who asked for help needed a real plan, not a polite brush off. Hiring out of this is the obvious move. Heads of operations. Marketing managers. Assistants across time zones. Most operators in his position have a payroll north of half a million dollars a year just to keep the lights on. He wanted a different operating model. One operator across every part of the business, available the moment a message dropped, with the context and tools to actually finish the work.
The solution
What we built and deployed.
We deployed Cyndra as Austin's single point of execution. Five live systems running in parallel, each plugged into the tools his businesses already use. Live Clinic Dashboard. Custom-built, real-time view across all thirteen clinics. The agent pulls profit and loss data directly from QuickBooks Online, computes month-to-date new patients, close rate, profit margin, and goal tracker, and renders it per location. Each clinic logs in with its own password and sees only its numbers. Zero manual input. Austin opens one tab and knows which clinics are tracking, which are slipping, and which need an intervention this week. Ascent Launch Engine. When The Ascent launches a new cohort, Cyndra runs the full pipeline. It tracks deposits as they land in Stripe, auto-onboards every paid member into the Circle community the moment payment clears, builds and ships newsletters to the full 1,233 subscriber list, and reports back on opens, clicks, and unsubscribes. The first send hit a 35.3 percent open rate, well above industry baseline. Referral Partner Guides for Empire. Each of the five Empire mastermind clients got a hyper-local referral partner research pack. Cyndra researched 40 plus businesses per client, ranked them by warmth and likely conversion, drafted custom outreach copy for each one, and sent the full sequence via Mailchimp the same day the request landed. What used to be a multi-week consulting deliverable ran in an afternoon. Woodstock Growth Campaign. One of the thirteen clinics, Woodstock, was underperforming. Cyndra built a 41 business outreach Google Sheet for the location, ranked warmest to coldest based on patient proximity, referral overlap, and category fit, and drafted a custom email for every single business. Ready to send the moment Austin approved. Strategic Plan for a Friend's Business. Austin's friend owns an electrician company and asked for help breaking into property management contracts. Cyndra produced a complete go-to-market plan in the same session: target list of property management firms, cold email templates, vendor portal applications, and a 90 day milestone schedule. Delivered while the conversation was still happening.
The results
Measured impact in production.
“We over deliver on everything we do with anyone we know.”
Austin Cohen
Founder & CEO
Keep going
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