Membership at Sequoia Medical 360
A long-term, specialist-led partnership in proactive health governance — led by a Columbia-affiliated physician, integrated with NewYork-Presbyterian’s health record system, and deliberately limited to ensure the depth your health demands.
“In my field, I’m constantly evaluating healthcare models. I can confidently say that Sequoia Medical 360 is the future of medicine.”
— M.K. | Partner, Healthcare Private Equity
How We Partner With You
Membership begins with a structured onboarding and comprehensive annual evaluation. From there, strategy sessions are scheduled based on your physiology, priorities, and life. While risk factors are uncontrolled, visits may be as frequent as monthly. Once stability is established, the typical cadence is quarterly.
Between visits, you have direct access to Dr. Mathews via text, cell, and the patient portal.
View the Patient Journey →
Evergreen membership
Evergreen is the foundation of ongoing membership at Sequoia Medical 360. You receive an unrushed annual evaluation, physician-led strategy visits across the year, and continuous interpretation that integrates metabolic, endocrine, and cardiovascular risk into one coherent plan.
The Evergreen Experience
A unified, specialist-led approach to long-term prevention, performance capacity, and cardiometabolic risk.
01.
Comprehensive Annual Evaluation
An unrushed baseline that establishes your roadmap for the year ahead.
○ Establishes your physiology, risks, and priorities in full context.
○ Incorporates objective markers including body composition analysis, advanced metabolic and cardiovascular blood panels, Prenuvo whole-body MRI, Galleri multi-cancer screening, and fitness baseline with a personal trainer, all selected and sequenced based on your clinical picture.
○ Produces a unified health strategy, your Physiological Roadmap, to guide decisions, testing, and interventions over time.
02.
Ongoing Strategy Visits and Direct Physician Counsel
Your plan is refined through scheduled follow-ups and between-visit guidance.
○ Strategy visits are typically quarterly
○ When risk factors are uncontrolled, visits may occur monthly.
○ Between visits, you have direct access via text, cell, and the patient portal.
○ Your clinical record lives in the same system used by Columbia and NewYork-Presbyterian. When your physician coordinates with outside specialists, everything flows through a shared medical record. Nothing gets lost between providers.
03.
Nutrition Integration & Metabolic Strategy
Nutrition is treated as a clinical lever, aligned to diagnostics and real life.
○ Dietitian-guided sessions aligned with labs and CGM when appropriate.
○ A sustainable metabolic strategy that supports energy, body composition, and risk reduction.
○ Practical execution over rigid rules.
04.
Performance & Recovery Strategy
A unified approach to physical capacity and recovery.
○ Baseline and periodic assessment of fitness and strength, including VO₂ max when physically appropriate.
○ Sleep, stress, and recovery are integrated as clinical variables.
○ Adjustments designed to protect training capacity and reduce injury risk.
05.
Diagnostics & Continuous Data Integration
Targeted diagnostics and ongoing data guide decisions, not noise.
○ Advanced labs and imaging, including whole-body MRI, multi-cancer screening, and comprehensive metabolic panels, incorporated based on your risk profile and clinical trajectory.
○ Wearables and continuous data translated into meaningful trends.
○ Results synthesized into actionable priorities and course corrections.
06.
Therapeutics & Physician-Led Integration
Interventions are managed with precision so recommendations fit one coherent plan.
○ Medications and supplementation used thoughtfully and reassessed over time.
○ Emerging therapeutics discussed only when clinically grounded and aligned with diagnostics and goals.
○ Outside specialist opinions integrated through a unified lens to maintain continuity and clarity.
Your annual retainer covers year-round specialist oversight, diagnostic interpretation, care coordination, and direct physician counsel. Specific diagnostics including imaging, laboratory testing, and specialist consultations are incorporated into your care plan and may involve separate facility or processing fees
For members whose circumstances call for a deeper level of access, availability, and physician partnership, an enhanced tier is available by invitation. If this may be relevant to your situation, we’re happy to discuss it during your introductory conversation.
What Membership Is Not
Clarity on boundaries, so expectations stay aligned.
- Not just a one-day evaluation.
This is longitudinal care. Insights compound over time, and strategy is refined as your physiology and life change. - Not fragmented specialty handoffs.
When additional expertise is needed, we coordinate and integrate outside inputs into one coherent strategy so care stays aligned over time. - Not a rotating team of providers.
Your physician knows your history, your trajectory, and your family — because the practice is deliberately small enough to make that possible. - Not protocol-driven medicine.
We do not rely on generic regimens. Decisions are individualized, grounded in diagnostics, judgment, and longitudinal context. - Not an urgent care or procedural clinic.
You have direct access for timely guidance and coordination. Acute emergencies and procedures are handled through the appropriate facilities, and we help you navigate the right next step. - Not a substitute for insurance, labs, or imaging billing.
The retainer covers physician time, counsel, and diagnostic oversight. Laboratory testing, imaging, and procedures are billed by the performing facility or processed through insurance when eligible.
How The Partnership Begins
Engagement begins with an introduction call to determine mutual alignment and clinical priorities. If the model is appropriate, we outline next steps and schedule onboarding.
Partnership terms are established at the time of enrollment and reflect current practice capacity.
We will follow up personally to schedule your consultation and guide you through next steps.
The introductory conversation is complimentary and carries no obligation. It’s a chance to determine whether the partnership is a mutual fit.