integrated musculoskeletal care

Because guidelines, alone, are not enough.


IMC (Integrated Musculoskeletal Care), grew from a small clinical practice established in the early 1990's in Tallahassee, Florida. In 1995 the Florida-based practice hired lead researcher, Chad Gray, who soon realized the tremendous lack of reliability in the way musculoskeletal disorders were diagnosed, treated and managed across the healthcare industry. To close this industry gap, Gray enlisted globally-recognized, Mark Miller, to assist in comparative effectiveness research, and together they launched IMC utilizing its Outcomes-Accountable™ Standard of Care to broaden the original clinic’s reach and accelerate the overall reduction of MSD incidence, prevalence and costs in every feasible market.  Since inception, IMC has launched major corporate pilot programs and in-house clinician support for brand-name, Fortune 500 partners as well as established a world-class network of education, training and treatment facilities to improve lives and productivity.

Our Mission


To reduce the incidence, prevalence, and costs associated with musculoskeletal disorders.

Measuring What Matters


Meaningful outcomes matter for patients suffering from MSDs.  That's why IMC utilizes scientifically validated indices and proven benchmarks to measure specific Patient Reported Outcomes for improvements in function, reductions in pain and disability, and sustainability.  Every IMC patient at every subsequent visit is re-assessed under IMC's strict benchmarks to measure clinical effectiveness of their prescribed treatment plan.  Patients who do not timely meet IMC's outcome benchmarks are escalated to IMC's certified clinician panel for a more specialized care plan.  Approximately 90 percent of IMC patients report a reduction in pain or eliminate their pain altogether and restore full function.

Executive Spotlight

Chad Gray, PT, Cert. MDT

Mark Miller, PT, Dip. MDT

Gray has been a clinical practitioner for two decades and is a widely recognized entrepreneur, health-benefit design consultant and concierge practitioner, focused on innovations in musculoskeletal triage, health care and self-care. He is a thought and practice leader in group health, workers’ compensation and disability outcomes optimization. He has a proven track record of performance improvements in health benefits design, clinical residency programs, employer-based clinics, primary care practices, orthopedic triage facilities, sub-acute rehabilitation centers, skilled nursing facilities and physical therapy clinics.


Gray graduated from Florida A&M University in 1994, earned a Mechanical Diagnosis and Therapy credential from the McKenzie Institute International in 2002, served on the Board of McKenzie Institute U.S.A. and has taught Accountable Community Development to hundreds of STEM researchers, human capital consultants, insurance brokers, benefit program directors and clinicians.


As CEO of Integrated Musculoskeletal Care, Gray is the business mind behind the company’s intra-national medical tourism program for intractable musculoskeletal conditions.


Gray remains trusted consultant to the C-Suite of self-insured companies, as well as to vice presidents and directors of group health, workers’ compensation and disability programs. He is a regular speaker at national orthopedic conferences and a guest lecturer in a broad range of clinical education settings.

Miller has been a clinical practitioner for 27 years and is a widely recognized health industry pioneer, clinical educator and concierge practitioner focused on breakthroughs and best practices in musculoskeletal triage, health care, and self-care. His institutional clients have included market-leading corporations as well as standard setters in clinical quality.


Miller graduated from the University of Toronto in 1987 and co-developed the McKenzie Institute International’s North American clinical residency program.  He currently serves on the faculty of the McKenzie Institute International and U.S.A. and has taught over 270 continuing education courses to physicians, chiropractors, physical therapists and others with emphasis in Mechanical Diagnosis and Therapy (MDT). With unsurpassed expertise in the assessment, treatment and resolution of musculoskeletal disorders, Miller has been productizing and syndicating musculoskeletal care strategies for the past seven years with the goal of maximizing the health and socioeconomic improvements of individuals, organizations, and communities in the U.S. and abroad.


Miller is a trusted consultant to group health, workers’ compensation, and disability insurers and program directors. He regularly keynotes and speaks at major conferences in the U.S. and abroad. Miller currently serves as Co-Founder and Vice President of Clinical Operations for Integrated Musculoskeletal Care (IMC), a global leader in musculoskeletal outcomes optimization.

Integrated Musculoskeletal Care

2615 Centennial Blvd. Suite 101 - Tallahassee, Florida - USA


Tel: 850.656.3083    Email:

© 2018 Integrated Musculoskeletal Care. Proprietary Information. All rights reserved.