Launch report · prepared 18 Sep 2026

Illustrative sample · fictional research

Which of three offers will independent physical therapy clinics in Texas pay for?

Compared: a no-show recovery tool, a full booking system, and a waitlist-fill service. Buyers: owners of clinics with one to five therapists.

412 read97 kept61 used in the answer8 sourcesPosts, reviews and pages written between 3 Mar and 16 Sep 2026, read 17 to 18 Sep 2026.

1The callPT clinics, Texas

Sell a waitlist-fill service to clinics with one to five therapists, paid per filled visit, run by hand before any software is built.

For

Owners count same-day cancellations as lost revenue every week.1
Front desks already text waitlists by hand and say it is too slow.5
Owners say they would pay per filled slot.3

Against

Two large booking suites added waitlist features this year.5
No post shows a clinic paying an outside service for this yet.1

The next step

Do this: Offer a 30-day pilot to 20 clinics named in part 8, $25 per filled visit.
Passes if: 3 clinics agree to start the pilot.
Window: 14 days, from 22 Sep to 6 Oct 2026.

Would change the call

If most clinics you talk to already use the waitlist feature in their booking suite, the call becomes Sell differently: sell the texting service to clinics on older systems only.

2Demand, pain, moneyPT clinics, Texas

The pain is strong. Money is the open question.

Strong means someone already paid, tried two tools, or named the hours they lose. Weak means someone says it would be nice.

Demand Strong

2,400

searches a month in Texas for clinic waitlist and no-show terms, up 18% on last year2

“physical therapy cancellation list”880
“reduce no shows clinic”660
“patient waitlist app”460

Pain Strong

kept posts where an owner names a lost visit, a lost hour or lost money1 5

Same-day cancellations leave empty hours19
Calling the waitlist takes the front desk too long10
Reminder texts do not stop no-shows5

Money Weak

$160

average visit value owners quote, so one filled slot a day is about $3,200 a month3estimate

Owners who say they would pay per filled slot6
Owners who pay a booking suite and want it to do this5
Posts showing money already paid for this job0

3Directions comparedPT clinics, Texas

The waitlist-fill service pays back soonest for the least work.

Payoff comes from the evidence in part 2. Effort is our estimate of the work before the first paying clinic.

Start herePayoff ↑Effort →Waitlist-fill serviceNo-show recovery toolFull booking system

1Waitlist-fill service · Sell
Runs by hand with texts and a shared sheet. Clinics pay only for results.3
2No-show recovery tool · Sell differently
Owners want it, but reminder texts already come with most suites. Sell it inside the service.6
3Full booking system · Don’t sell
Clinics switch systems rarely and complain about migrations more than about features.6 1

4Tests this weekPT clinics, Texas

Three tests, cheapest first.

Test	Passes if	Window	Costs
Message 20 clinic owners with the pilot offer	3 agree to a pilot	14 days	3 hours, $0
Post the landing page in 2 communities from part 8	15 clinics leave an email	7 days	1 hour, $0
Run $150 of search ads on the terms in part 2	Cost per signup under $20	7 days	1 hour, $150

Ask about: “Tell me about the last time a patient cancelled the same morning. What did your front desk do next?”
Counts as a real yes: A pilot start date, an intro to their office manager, or access to their waitlist.

5RecommendationsPT clinics, Texas

Run the pilot by hand first. Price and scope follow from it.

Run the waitlist-fill pilot by hand

Costs: About 5 hours a week per 10 clinics; a texting service at about $40 a month
Should change: Filled visits per clinic per week, and whether clinics pay per visit
Evidence: 34 posts on lost visits, 6 owners asking to pay per slot1 3
Would change the call: Fewer than 1 filled visit per clinic per week after two weeks

Price per filled visit, not per month

Costs: Nothing to set up
Evidence: Owners refuse another monthly software fee3
Would change the call: Two pilot clinics ask for a flat monthly price

Leave the booking system for later

Costs: Saves months of building
Evidence: Migration complaints outnumber feature requests 3 to 16
Would change the call: Pilot clinics ask to move their whole schedule to you

6Four-day planPT clinics, Texas

A four-day test, starting 22 Sep.

1
Write the offer in one sentence and the pass line: 3 pilots in 14 days.
Uses part 1
2
Post the landing page in r/physicaltherapy and the PT owners forum.
Uses part 8
3
Send the pilot offer to the first 10 clinics and book calls with the script.
Uses parts 4 and 8
4
Count replies and calls against the pass line. Write down what you heard.
Uses part 9

7MoneyPT clinics, Texas

What clinics pay today, and what the first test could be worth.

Competitor	What it does	Published price	Checked
Slotback	Automatic waitlist texts, software only	$149 / month	12 Sep 20265
TheraBook Pro	Booking suite with a waitlist add-on	$89 / therapist / month	12 Sep 20265
Recall desks	Outsourced front desk calling	Price not published	14 Sep 20265

Per filled visit$25

Recommended. Matches what owners asked for.

Monthly$199

Above Slotback, hard to justify without software.

Paid pilot$300

30 days, credited against the first month.

Money from the first test in 90 days = clinics you can reach × share who buy × filled visits × price − cost of running the test

Clinics you can reach (part 8)120
Share who buy assumed5%
Filled visits per clinic in 90 days assumed36
Price per filled visit$25
Cost of the test$450
First 90 days, before the test replaces the assumptions$4,950

8First customersPT clinics, Texas

Where clinic owners already talk about this.

Place	Relevant posts	What they said
r/physicaltherapy	19	“We lose two or three visits a week to same-day cancellations.” 12 Aug 20261
PT owners forum	10	“Our front desk texts the waitlist by hand. By the time someone answers, the slot is gone.” 3 Sep 20265
LinkedIn, Texas clinic owners	8	“I’d pay per filled slot. I won’t pay another monthly fee.” 21 Jul 20263
G2, booking suite reviews	6	“The waitlist feature exists but nobody on our team uses it.” 2 Sep 20266

9Your decisionPT clinics, Texas

Three clinics agreeing to a pilot by 6 Oct means go.

The number to watch: Clinics that agree to start a pilot
Deadline: 6 Oct 2026. Record the test outcome that day.

Go3 or more

Run the pilots and price per filled visit.

Change1 or 2

Ask why the others said no, then test the monthly price.

Stop0

Drop this direction and test the no-show tool next.

Decided byDate

SourcesPT clinics, Texas

Every source read, and what Alvar kept.

#	Source	Kept of read	Dates covered	Stopped because
1	Reddit	31 of 88	3 Mar to 16 Sep	No new themes in the last 20 posts
2	Google search volume	18 of 40	Sep 2025 to Aug 2026	All planned terms read
3	LinkedIn	12 of 60	2 Jun to 12 Sep	Read limit in the plan
4	TikTok	9 of 78	10 Jun to 15 Sep	Mostly patients, few owners
5	Forums and company sites	16 of 52	4 Apr to 14 Sep	No new themes in the last 15 pages
6	G2	11 of 34	Jan to Sep 2026	All reviews for the category read
7	Instagram	0 of 20	1 Jul to 15 Sep	Nothing about the question
8	X	0 of 40	1 Jul to 15 Sep	Nothing about the question