Claim 1

Xcare produces measurable economic value for a clinic, confirmed in the clinic's own records, at a cost the clinic keeps paying for.

Evidenced (value); retention pending

Why it matters

This is the base of the business and the definition of "patients, not leads." A clinic does not buy marketing; it buys attended new patients, reactivated patients, kept appointments and retained production. If Xcare cannot show that value in the clinic's own PMS — and the clinic does not renew — nothing above this layer matters. It is also the foundation for performance pricing and for every Market economics figure.

Evidence required

Per clinic per month — attended new patients attributed to Xcare; reactivated (overdue → attended) patients; confirmation-driven no-show reduction; clinic-reported production from those patients (or an explicitly labelled external benchmark); Xcare fee and Xcare delivery cost; and, as the revealed-preference test, clinic retention and expansion (second locations, upsells).

Current evidence

Client Report (trailing 18 months, 24 included clinics of 29 active): 2,340 PMS-confirmed attended new patients {ACTUAL}; $9.6M of PMS production attributed to those patients {ACTUAL}; median clinic value ratio 9.0x spend, 96% of clinics >=2x {CALCULATED}; aggregate cost to clinic per attended patient $134, median $216 {CALCULATED}. Two clinics produce approximately 60% of attributed production; one clinic is below 1x; three clinics are excluded pending attribution review.

What would invalidate this claim

A clinic value ratio below ~2× for a majority of clinics over 6+ months, or 12-month logo retention below ~70% with ROI cited as the churn reason.

Clinic value ratio by clinic (24 included clinics)

Clinic	Model	Attended patients	Value ratio	Cost per attended patient
Clinic D-01	Managed (fixed budget)	330	128.8×	$77
Clinic D-02	Managed (fixed budget)	411	112.7×	$55
Clinic D-03	Growth	138	77.7×	$76
Clinic D-04	Growth	48	37.6×	$286
Clinic D-05	Managed (fixed budget)	169	30.8×	$143
Clinic D-06	Growth	62	17.4×	$121
Clinic D-07	Growth	53	16.2×	$209
Clinic D-08	Growth	110	14.4×	$197
Clinic D-10	Growth	157	12.7×	$67
Clinic D-11	Growth	27	10.9×	$389
Clinic D-12	Growth	82	10.5×	$128
Clinic D-13	Managed (fixed budget)	54	10.2×	$222
Clinic D-14	Growth	67	7.8×	$166
Clinic D-16	Growth	46	7.3×	$232
Clinic D-17	Growth	19	6.9×	$711
Clinic D-18	Growth	39	6.3×	$269
Clinic D-19	Growth	212	6.1×	$50
Clinic D-20	Managed (fixed budget)	35	5.7×	$257
Clinic D-21	Growth	22	4.2×	$489
Clinic D-22	Growth	31	3.5×	$436
Clinic D-23	Growth	13	3.4×	$854
Clinic D-24	Growth	12	3.2×	$920
Clinic D-26	Growth	183	2.5×	$57
Clinic D-28	Growth	20	0.6×	$525

Attributed production divided by the clinic's spend with Xcare. Log scale; the 1× line is break-even for the clinic and the 2× line is the threshold we hold ourselves to.

Client Report, 2026-09-16, trailing 18 months

Growth modelManaged (fixed budget)ACTUAL and CALCULATED values only

3 of 27 clinics with readable counts are excluded pending attribution review (cost per attended patient ≥ $2,700 on ≤5 acquisitions). They are listed, greyed, in the verified evidence table.

Cost to the clinic per attended patient — distribution

Clinic	Model	Attended patients	Value ratio	Cost per attended patient
Clinic D-01	Managed (fixed budget)	330	128.8×	$77
Clinic D-02	Managed (fixed budget)	411	112.7×	$55
Clinic D-03	Growth	138	77.7×	$76
Clinic D-04	Growth	48	37.6×	$286
Clinic D-05	Managed (fixed budget)	169	30.8×	$143
Clinic D-06	Growth	62	17.4×	$121
Clinic D-07	Growth	53	16.2×	$209
Clinic D-08	Growth	110	14.4×	$197
Clinic D-10	Growth	157	12.7×	$67
Clinic D-11	Growth	27	10.9×	$389
Clinic D-12	Growth	82	10.5×	$128
Clinic D-13	Managed (fixed budget)	54	10.2×	$222
Clinic D-14	Growth	67	7.8×	$166
Clinic D-16	Growth	46	7.3×	$232
Clinic D-17	Growth	19	6.9×	$711
Clinic D-18	Growth	39	6.3×	$269
Clinic D-19	Growth	212	6.1×	$50
Clinic D-20	Managed (fixed budget)	35	5.7×	$257
Clinic D-21	Growth	22	4.2×	$489
Clinic D-22	Growth	31	3.5×	$436
Clinic D-23	Growth	13	3.4×	$854
Clinic D-24	Growth	12	3.2×	$920
Clinic D-26	Growth	183	2.5×	$57
Clinic D-28	Growth	20	0.6×	$525

One dot per clinic. Median $216, P25 $110, P75 $401; 75% of included clinics are under $400. Log scale.

Client Report, 2026-09-16, trailing 18 months

Growth modelManaged (fixed budget)ACTUAL and CALCULATED values only

3 of 27 clinics with readable counts are excluded pending attribution review (cost per attended patient ≥ $2,700 on ≤5 acquisitions). They are listed, greyed, in the verified evidence table.

Full evidence template — verified

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