We sell an outcome, not software. Here's the thesis.

The market, in one number.

We analysed 15,061,473 Google reviews across 142,417 US medical practices. The median practice holds 19 reviews. Two thirds of the market sits at 4.8 stars or better, so the rating no longer separates anyone — the count does. The top decile of practices holds 61.5% of all reviews at a mean rating just 0.33 stars above the bottom half.

That gap is the business. A quarter of American medicine is excellent and invisible: 4.8 stars or better on ten reviews or fewer. They do not need better care. They need to be counted.

How the model works.

• Paid on outcome

  Practices are billed per review actually published — not a retainer, not a seat licence. The incentive is identical on both sides of the contract.

• Owned infrastructure

  SMS and voice run on our own stack, including Ovation, the in-house real-time conversation engine. No per-seat third-party voice vendor sitting between us and margin.

• Compliance as moat

  HIPAA-aware outreach, BAAs with vendors that touch data, and no review gating — the FTC banned it in 2024. The compliant path is the durable one.

• Proprietary market data

  Our audit operations generate the dataset behind the research above. It powers the free audit that opens sales conversations, and it is an asset competitors do not have.