Demand Recovery™ applies to multi-location healthcare and medical organizations where patient demand exists in every market served but is not being captured consistently across all locations. The structural patterns that cause demand leakage are common across verticals, but how they manifest depends on the care model, decision cycle, and competitive dynamics specific to each one.
We work with C-suite leadership at organizations operating 5 to 100+ or more locations across the following verticals.
Plastic Surgery Groups
Multi-location plastic surgery organizations operate in one of the most competitive patient acquisition environments in healthcare. Procedure fees are high, patient research cycles are long, and the decision is almost entirely elective. In this vertical, demand leakage most often traces to weak authority signaling. Credentialed surgeons with strong clinical reputations remain invisible in the markets where patients are actively comparing options. Trust migrates to individual surgeon brands, review aggregators, and competitors who present their expertise more effectively at the location level. The organization’s surgical talent is a differentiator, but only if it is visible where decisions are made.
Aesthetics Organizations
Multi-location aesthetics groups face a unique version of the demand leakage problem. Patient volume depends on both first-time conversions and repeat visit frequency across locations. Discovery surface area tends to be strong at flagship facilities and weak at newer or satellite locations. The result is demand concentration rather than demand distribution. Patients cluster at a small number of high-visibility locations while others underperform relative to their market opportunity. Recovery in this vertical requires location-level conversion readiness standardization and ensuring that every facility in the network presents the same level of accessibility, credibility, and scheduling infrastructure.
MedSpa Networks
MedSpa is one of the fastest-growing multi-location verticals in healthcare, and one of the most exposed to demand fragmentation. Low barriers to entry create dense competitive environments in nearly every market. Clients are choosing between dozens of options, often within a few-mile radius. The organizations that capture demand consistently are not the ones with the broadest service menus. They are the ones with the strongest location-level presence across every facility. In MedSpa networks, demand leakage is frequently invisible at the portfolio level because aggregate numbers mask significant location-level variance. Recovery starts with surfacing that variance and closing the gaps facility by facility.
Dental Groups and DSOs
Dental support organizations and multi-location dental groups operate at scale, often with 20 to 100 or more locations across multiple markets. Patient acquisition in dental is appointment-driven, high-frequency, and highly local. Demand leakage in this vertical almost always begins with insufficient discovery surface area. Locations that should be capturing appointments from patients within a short radius are functionally invisible compared to independent practices and competing groups operating in the same areas. The compounding effect across dozens of locations creates a measurable gap between the patient volume the organization should be capturing and what it actually captures today. Per-location economics shift significantly when even a small number of appointments are recovered at each facility.
Medical Groups and Multi-Site Practices
Multi-site medical groups span a range of specialties and care models, from primary care networks to specialty surgical practices. The common thread is location-level performance variance that is difficult to diagnose from the executive level. Demand leakage in medical groups tends to be distributed across all three root causes. Some locations lack discovery surface area. Others have conversion readiness gaps. Others have providers with strong credentials that are not attributed or visible where patients are evaluating their options. Because medical groups often grow through acquisition, the demand infrastructure at each location reflects the legacy of whoever built it, not the standards of the organization that now owns it. Recovery requires a location-by-location diagnostic to identify where the structural gaps actually are.
Surgical Centers
Surgical centers depend on case volume, and case volume depends on upstream demand capture. Patients choosing where to have a procedure typically research the provider, the facility, and the location independently. When any of those three elements is missing or poorly represented at the point of decision, the case goes elsewhere. In multi-location surgical center organizations, demand leakage is most visible in the gap between referral expectations and actual scheduled cases. The infrastructure that connects a patient’s initial search to a confirmed procedure at a specific facility is either functioning or it is not. Recovery in this vertical focuses on closing that gap at every location.
Hospital Systems and Healthcare Networks
Hospital systems and healthcare networks operate the largest multi-location footprints in the industry, often spanning dozens or hundreds of facilities across service lines, specialties, and geographic markets. At this scale, demand leakage is structural by default. No centralized team has full visibility into how each location performs relative to its market opportunity. Demand infrastructure was often built in fragments over years of acquisitions, system integrations, and regional initiatives. The result is wide variance in discovery surface area, conversion readiness, and authority signaling across the network. Recovery at this level begins with quantifying the variance, identifying the highest-impact locations, and sequencing a priority plan that accounts for the operational complexity of the system.
PE-Backed Healthcare Platforms
Private equity-backed healthcare platforms have a distinct lens on demand leakage. Location-level patient volume is not just an operational metric. It is a valuation driver. Same-location performance, blended patient acquisition cost, and per-location economics directly impact EBITDA and, by extension, exit multiples. When demand is captured unevenly across a portfolio, the underperforming locations drag down the metrics that matter most at the platform level. Demand Recovery gives PE-backed operators decision-grade visibility into where demand is leaking across their portfolio, what it costs them in per-location terms, and what the recovery opportunity looks like on a facility-by-facility basis. The Blueprint is designed to be the kind of operating document that an investment committee or operating partner can act on directly.
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Learn how we diagnose location-level demand leakage across multi-location healthcare and medical organizations and what recovery looks like for your specific portfolio.