For MSOs, DSOs & Multi-Site Organizations

MSOs and DSOs Lose Revenue
Across Every Location When Patients Don't
START or STAY on Treatment

Across your network of locations, patients leave consultations hesitant. They don't fully understand the recommended treatment, and your clinicians don't have time to re-explain it at every site. The result is inconsistent conversion rates, revenue leakage at scale, and patients who never get the care they were recommended.

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The Root Cause

The #1 Reason Patients Don't Move
Forward is Not Cost It's Confusion.

Whatever specialty your locations offer the pattern repeats at every site..

Patients are getting guidance from everyone else except the clinician who examined them.

Patient
gets health guidance from…
Social Media Influencers
TikTok, Instagram, YouTube
Google and ChatGPT
Friends & Family
Reddit & Facebook Groups
Competing Providers
This fragmented ecosystem shapes patient beliefs long before they sit down with your clinician and it plays out identically across every location in your network.

This isn't a training problem. It's a consistency and clarity problem.

The Problem
Inconsistent conversion rates across locations
No standardized patient education protocol across your network
Patients don't understand their diagnosis or why treatment is worth the investment
Drop-off after the first visit
Clinicians at each site using different language, different handouts, different outcomes
Revenue leakage compounding silently across every location
WHY THIS MATTERS

Every hesitating patient is revenue
leaking from every location you operate

The consultation happened. The recommendation was made. But without standardized education to bridge the gap at home, 40–50% of those patients will never start across every site in your network. Here's the math for a typical 5-location group.

5,000
Patients Recommended for Treatment Across Your Network Per Year
At $800–$2,000 per treatment course across 5 locations strong enterprise revenue potential from existing patient volume
→
2,000–2,500
Confused & Hesitating Across All Locations
Worried about cost, comparing to alternatives, overwhelmed by options go home and never schedule the next step at your clinic
→
1,000–1,500
Chose to "Wait and See"
Delayed or abandoned treatment entirely declining patient outcomes, lost recurring revenue across your network
→
$1.6M–5M+
Lost Network Revenue
Per year across a 5-location group before factoring downstream repeat visits, long-term adherence value, and referrals
The math is simple: 5,000 patients recommended → 2,000 hesitate → 1,000 never return → $1.6M–5M+ in annual network revenue that never materializes. Hoot closes that gap without adding to your clinicians' workload or your staff's.
Our Origin

We built this inside a single
practice before realizing it was a network problem.

Dr. Shefali Miglani ran a specialty practice where patients walked out of consultations every day without committing to treatment. Not because the recommendation was wrong. Because the education stopped at the door.

Once that gap was solved at one location, the question became obvious: how do you replicate this consistently across 10, 50, or 200 locations without relying on individual clinicians to do it differently every time?

That's what Hoot is built for. One education system, standardized across your entire network, automated so your clinicians never have to reinvent it.

Shefali Miglani, OD
Shefali Miglani, OD
Specialty Practice Owner
Patient Education Architect
Chief Medical Officer at Hoot
Bob Miglani
Bob Miglani
Founder & CEO of Hoot
Ex-Pfizer
Marketing Expert
We tried everything
✕
Standardized staff scripts and training programs
✕
Corporate patient education materials and brochures
✕
Regional manager oversight and site audits
✕
Digital marketing and retargeting campaigns
✕
Email nurture sequences from the corporate team

Nothing moved the needle network-wide.

Patients still hesitated. Conversion rates stayed inconsistent. Revenue leaked at the same rate across every new location added.

We realized patients commit to treatment when they hear it from the clinician they trust not from a corporate PDF or a front desk script.

A patient who doesn't understand why treatment matters will never say yes no matter how many locations you have or how good your clinical teams are.

The challenge is scale. You can't deploy a personal, trusted education experience at every site manually. So we built the system that does it automatically standardized across your entire network, from day one.

The Solution
Video Based Patient Journey Network Deployed
Sample patient journey what a patient receives from first visit to long-term adherence, delivered identically at every location
When patients hear the same trusted message from your clinician regardless of which location they visit they commit to treatment at a consistent rate.
1st Visit
SMS
→
SMS
→
SMS
→
Evaluation
SMS
→
Pre-Treatment
SMS
→
SMS
→
Treatment
SMS
→
Post-Treatment
SMS
→
Follow-Up
SMS
→
Choose how to deliver:
Dr. Jonah Miller
Optometrist
Record Your Own Videos
AI
Dr. Jonah Miller
AI Optometrist
Create a Doctor Clone
AI
Leah
Patient Education Coordinator
Use Hoot's AI Agent

Want to see a patient journey designed for your practice?

Book a Discovery Call
How Hoot Works

Complete Patient Education Platform & Service

Co-Design the Patient Journey
1

Co-Design the Patient Journey

We map every critical decision point across your network's patient journey, design the messaging strategy, and build education sequences around the treatments your locations offer so the right content reaches patients at exactly the moment hesitation is highest.

Create Clinician Video Content
2

Create Clinician Video Content

Your clinicians record on Zoom, we shoot professionally at your locations, or our AI generates content in their likeness. Every video is built around your clinicians' voice, their expertise, and your specific treatments so patients hear it from a doctor, not a stranger.

Deliver, Track & Optimize
3

Deliver, Track & Optimize

Education reaches patients within 24–48 hours of leaving your location, via SMS and email, at every key moment: post-consultation, before a procedure, after the first treatment. Real-time analytics show open rates, video completion, and patient engagement across every site in your network, so you can see exactly what's working where.

Who We Work With

We Work With Any Multi-Location Clinical Group

If your locations have patients who need to understand a treatment before they commit to it, Hoot can build the journey. We've developed and verified processes for the highest-volume, highest-value treatments across specialty groups ready to deploy across your network from day one.

Verified network-ready processes:
Dental & Oral Health (DSOs)
Implants, orthodontics, periodontal therapy, full-arch restoration, and cosmetic treatment acceptance
Ophthalmology & Optometry MSOs
Dry eye, cataract surgery, refractive procedures, myopia management, and premium IOL adoption
Orthopedics & Physical Therapy
Pre-surgical education, post-op recovery adherence, PT program completion, and pain management protocols
Dermatology & Aesthetics
Condition management, biologics adherence, cosmetic treatment initiation, and multi-session protocol completion
Don't see your specialty? Book a Discovery Call, we'll build the journey for your network.
The Result

If just 10% more of your network's
hesitating patients commit to treatment,
here's what that means across your locations

Right now, 40–50% of patients your clinicians recommend for treatment walk out and never start. You don't need all of them to convert just 10% more saying yes is enough to meaningfully change your network-wide revenue. And most Hoot organizations see improvements well beyond that.

Without Hoot Across Your Network Today
40–50%
of patients who are recommended treatment never start it at every location
✕
Inconsistent conversion rates across locations no visibility into why
✕
Revenue leakage compounding silently at every site you operate
✕
$500K–1.5M+ left on the table annually across a 5-location network
✕
Clinicians at each site doing it differently no standardization
✕
New locations added = new revenue leakage added at the same rate
With Hoot 10%+ More Patients Say Yes Across Your Network
+40–50
patients per location, per year following through on recommended treatment
$200–500K recovered annually across a 5-location network, from patients who would have walked
Consistent conversion rates across every location same message, same results
Standardized patient education no reliance on individual clinician scripting
Revenue impact compounds as you open new locations not just the existing ones
Adherent patients return for follow-ups and refer others across your network

So what does fixing it actually look like?

01
Your Network's Annual Hesitation Rate
40–50% / of patients
Across every location, roughly half the patients your clinicians recommend for treatment never start it not because of cost, but because no one followed up after they walked out.
→
02
What Hoot Changes
10%+ / more say yes
That evening, your clinician's video arrives via SMS. The patient watches it at home, before the hesitation hardens. 10% more committing is a conservative floor most Hoot networks see more.
→
03
Revenue Recovered Across Your Network
$200–500K / year one
From 200–250 additional patients who follow through and a system that compounds as you open new locations, without adding a single new staff task.
The Hoot Effect If just 10% more hesitating patients commit to treatment across your network
200–250
More patients commit to treatment across your network annually
+
$200–500K
Recovered revenue in year one across locations
+
Scales with you
Every new location added brings the same education system from day one
The Opportunity

You already built
the network.
Don't lose it here.

You invested in acquiring locations. You built clinical protocols. You trained regional teams. The only thing standing between your clinician's recommendation and your revenue is what happens after the patient walks out at every site, every day.

Hoot puts your clinician's voice back in the room at home, that evening, when the decision actually gets made. Across every location, automatically.

Book a Discovery Call
✦ ✦ ✦
✦ ✦ ✦
$200–500K in recoverable
revenue already exists
in your current locations
No new locations. No new marketing spend. No new staff. Just the patients your clinicians are already recommending finally following through.
Hoot deploys across your existing workflows no new staff tasks, no disruption to your clinical operations

Book a Demo

We'll show you how Hoot deploys across your existing workflows, integrates with your EMR, and standardizes patient education from day one at every location in your network.

Book a Demo
Build Your Network-Wide
Patient Education Library
Patients START and STAY
on Treatment